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Home My WebLink AboutTHE TABLELANDS BLK 6 LT 2The Tablelands Block 6 Lot 2 #051-801-25 Inspection Report _1-1-1Z. c Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650-http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121076 PID Number: 051-801-25 ❑ New ® Upgrade Name: TRUMAN DICKESON ABSORPTION FIELD ❑ Deep Trenchew-�Bed ❑ Mound Address: 22965 WHISPERING BIRCH DR., CHUGIAK, AK ❑ Other Phone: (253) 569-9367 No. of Bedrooms: 4 Soil Rating: 0.70 GPD/Sq. Ft. Total Depth from original grade: SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: SEE DWG. Ft. Gravel depth beneath pipe: 0.5 Ft. Subdivision: THE TABLELANDS Block: Lot: 6 2 fill added obese original grode: SEE DWG. F1. Gravel length: 60 F1. Township: Range: Section: _ Gravel width: Beds Number of linea: Distance between lines: 15 `b 3 5 SEPARATION DISTANCES Total absorption area: 900 SD. Fl. Number of trenches: N/A Dist. between trenches: N/A Fl To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines Well N/A N/A — — 25'+ TANK ®Septic ❑ S.T.E.P. OHolding ❑ Other Manufacturer: Capacity: Surface Water 100'+ 100'+ - - ANCHORAGE TANK 1250 Gal. Lot Line 5'+ , o'+ - - N/A Material: Number of compartmenls: STEEL 2 LIFT STATION Foundation s'+ 10'+ - - Curtain Drain NONE KNOWN o hirer: Capacity: Gal. Remarks: EXISTING SEPTIC TANK WAS RAISEDIN Pump on" level ol: um Iwel at: Hi far oIo n ol: ELEVATION IN ORDER TO ACHIEVE GRAVITY FLOW TO Pump Make h Mode' trical Inspections performed by: NEW DRAINFIELD. PIPE MATERIAL House to tank D-3034 Tank to D-3034 drainfield Installer GREEN GENERAL CONTRACTING Drainfield D-3034 CO/MT D-3034 Inspector GEG, Ltd. BENCHMARK (Assumed elevation). 100.00 Ft. Inspection Dates: list 5/23/12 2nd 5/24/12 Location and Description: - 3rd _Y25L12 12 4th 5/29/12 BOTTOM OF SIDING @ POINT B Community Development Department Approval ENGINEER'S SEAL _oob000po Conditional approval: Date: OF • -.4 oC9: �....:..... ... ........... QO '• ff ey A. Garness: Q Approved: �o"—I Date:-> 1 Q y '• CE 7 53 .'si0 4�4o1professtoaa, oo Inspection Report _1-1-1Z. c I PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: I OSP121076 051-801-25 O�O / Dov / NEW DRAINFIELD. o06 i EXISTING DRAINFIELD TO REMAIN IN PLACE FOR FUTURE USE. e�r \ \Col \ z \ \ 00v \ A \ CO co 4i� �tiry y~^ EXISTING DOUBLE CLEANOUT INSTALLED BULL RUN VALVE (BV EXISTING 1250 GALLON / N SEPTIC TANK / CALE: ,1' = 40' GARNESS ENGINEERING GR©UP, Ltd. (f� CONSULTANTS& GENERAL CONTRACTOR$ o 3701 E. NOOK 9040. WffE 101 • INOHO E. M 9960) I F E (90)),11]-61n • FRIG (907)336-3246 • MBVW GROUP do .m (PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 1(/„ TRUMAN DICKESON 253-569-9367 2 OF 3 G LEGAL DESCRIPTION: DRAWN BY: THE TABLELANDS SUBDIVISION; BLOCK 6, LOT 2 J.L.M. TYPE OF WORK: DATE: AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 5/31/2012 1):4 AGor v*I .. .. . ........ of ress� 10E—� fP.e bfr17. /7 �c�o/ I I I I I 1 1 AF PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: - OSP121076 051-801-25 FINAL GRADE NOTE: BENCHMARK FOR = 99.14-99.35 PROJECT IS BOTTOM OF SIDING MOST WEST CORNER ST1 ST2 OF HOUSE = 100.00 TOP OF TANK TOP 95 TANK 95.62, INVERT OF BUNG AT INLET = 95.0( EXISTING 1250 GALLON SEPTIC TANK NOTE: TANK WAS RAISED TO ACHIEVE GRAVITY FLOW TO NEW GRAINFIELD ON 5/29/2012 -FINAL GRADE = 95.76-96.25 NOTE: MOUND WAS TOPSOILED AND SEEDED ON 5/31/2012. TH#1 TH#2 ELEVATION OF GROUNDWATER ON 5/1/2012. TH#1 = 67.67 AND THg2 = 88.01 ELEVATION OF BOTTOM OF TEST HOLES. TH#1 = 82.38 AND TH#2 = 3522 9'3 2 Z 2" OF INSULATION -INVERT OF BUNG AT OUTLET = 94.65 INSULATION —FILTER FABRIC GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. T9009 ROM. SINE 101 • MCHO99OE, 9N 99507 • PHONE (907)337-6179 • FM (907),1]8-3946 • KIM 1E: wv.gomvsvv�g�nveTinq.com 'PREPARED FOR: PHONE NUMBER: PAGE NUMBER: r TRUMAN DICKESON 253-569-9367 3 OF 3 QI LEGAL DESCRIPTION: DRAWN BY: THE TABLELANDS SUBDIVISION; BLOCK 6, LOT 2 J.L.M. TYPE OF WORK: DATE: PROFILE AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 5/31/2012 ORIGINAL GRADE = 92.38-93.22 INVERT OF DISTRIBUTION LINE = 93.08 TOP OF SAND = 92.58 �—BOTTOM OF BED = 89.47 - 90.22 NOTE: EXCAVATION LIMITED TOTHE REMOVAL OF ORGANICS/LOAM. V.. u frey G mess; m CE -7 53 d� �aY�"."ems �1.2, On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121076 Tax Code Number: 05180125000 Work Type: Septic Upgrade Permit Effective Dates: May 11, 2012 to May 11, 2013 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: THE TABLELANDS Site Legal Address: THE TABLELANDS BLK 6 LT 2 G:1559 Owner/Address: DICKESON TRUMAN M & PATRICIA J PO BOX 672301 CHUGIAK AK 995672301 Site Mailing Address: 22965 WHISPERING BIRCH DR, Chugiak Lot Size in Sq Ft: 40004 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel 1. D. 0571-9 P-9 Property owner(s) TRUMAN DICKESON Day phone 253-569-9367 Mailing address P.O. BOX 672301 * CHUGIAK, AK 99567 Site address 22965 WHISPERING BIRCH DRIVE * CHUGIAK AK 99567 Legal description (Sub'd, Block & Lot) THE TABLELANDS S/D: BLOCK 6, LOT 2 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (®all that apply) Initial ❑ Absorption Field F] Septic Tank Renewal Renewal ❑ ❑ Holding Tank Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: I certify that the above -information is correct. 1 further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/RushFees: Waiver Fees: T�ate of Payment: Date of Payment: 9keceipt Number:5��" f la Receipt Number. Permit No. OSP/ 9 ) 0 T i0 Waiver No. (Rev. 01/11) t t- May 3, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for The Tablelands Subdivision; Block 6, Lot 2 To whom it may concern: The existing 4 bedroom house is served by a public water system and a private septic system. The septic system consists of a 1250 gallon septic tank and a bed type drainfield that were installed in 2004. The bed is in a state of failure and must be upgraded prior to the sale of the house. Two test holes were excavated on the property. The new drainfield will be designed around the 30 foot radii of these test holes. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the topography around the drainfield is a 1 to 5 percent slope running from approximately southeast to northwest. In short, there are no slope concerns. 5. PIPE SLOPE CONCERNS: As can be seen on the attached profile design drawing, we are proposing to use a 1/16" per foot slope of the 4" sewer line from the tank to the new drainfield. We are proposing that the system be installed according to the elevations shown on the profile design drawing. If groundwater levels change at the time of the construction or the actual elevations dictate that gravity flow cannot be achieved with this slope, a 500 gallon Anchorage Tank lift station will be installed after the existing 1250 gallon septic tank. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, and a profile design drawing, which are all part of the design package for this septic system. (Contact G.E. G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessenginecring.com LOT 4, BLOCK 8; LOT 3, BLOCK 8; TABLELANDS S/O - TABLELANDS S/D LOT 2, BLOCK 8: / TABLELANDS SID LOT 1. BLOCK 6; \� \ �/ GAP/" /. \ �p�,�♦ . LOT 2, BLOCK 7: \\�� \♦\ \/ j" ' TABLELANDS S/D \\\ TABLELANDS S/D S/D LOT 1, BLOCK 7; TABLELANDS S/0 PROPOSED / DRA`IINFIELD EXISTING LL 4 HOUSE BEDROOM 0,.�3' �? •♦ TABLELANDSS S/D / �O / O yEXISTING / m•° SEPRC ?d -y\ SYSTEM Q / / 0 ��/el LOT 7, BLOCK 4; O/ / TABLELANDS S/D LOT S, BLOCK 4; TABLELANDS S/D jNOTE: ALL PROPERTIES SHOWN / / WILL BE SERVED BY PUBLIC / / LOT 9, BLOCK 4; WATER. I TABLELANDS S/D GARNESS ENGINEERING GROUP Ltd. o *: CONSULTANTS 8 GENERAL CONTRACTORS -•--• --- PREPARED FOR: PHONE NUMBER: TRUMAN DICKESON 253-569-9367 LEGAL DESCRIPTION: THE TABLELAND SUBDIVISION; BLOCK 6, LOT 2 TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE PAGE NUMBER: 1 OF 3 J.L.M. PROPOSED DRAINFIELD. SEE / PROFILE DRAWING FOR ELEVATIONS gg 4" SOLID SEWER UNE O 1/16' PER FOOT DROP. SEE PROFILE / DRAWING FOR ELEVATIONS. EXISTING IN PLACE REMAINNFIELD TO OR FUTURE USE. eeF ^ GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS B GENERAL CONTRACTORS ••••••• ...• •••... ..•.••• 3MI E I PWD. SUIS 101 • MN:HORVFE W 99607 PHOME (90))31)-OIl9 . FAN (807)3ihl9b . MIME mgs�wgye�Yy.00m ,PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• • •• ........ TRUMAN DICKESON 253-569-9367 2 OF 3 �I A. ess. LEGAL DESCRIPTION: DRAWN BY: V11 ,per �1 eG THE TABLELANDS SUBDIVISION; BLOCK 6, LOT 2 J. M. -14 s TYPE OF WORK: DATE: � DESIGN OF SEPTIC SYSTEM UPGRADE 5/3/2012 0 \ yi GEG, Ltd. HAS A 7 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. \ \ � J '. TO OBTAIN A COPY OF THE LETTER \ \ G�0Z0 CONTACT GEG. BY PROCEEDING FORWARD \ \ e` '�•>.Jl't._ WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND \ \ -PROPERTY OWNER AGREE THAT THEY \\ HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND \ CONDITIONS OUTLINED. DESIGN CRITERIA: NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 INSTALL DOUBLE CLEANO / PERCOLATION RATE/S: 3.5 $ 3.2 MIN./INCH PROPOSED APPUCATION RATE: 0.70 INSTALL BULL RUN VALVE MINIMUM DRAINFIELD SQ.FT.: 657 / / DRAINFIELD DESIGN: EXIsnNG 1250 GALLON N MAXIMUM DEPTH: SEE SHEET 3 OF 3 SEP11C TANK WIDTH: 15 FEET / LENGTH: 60 FEET M.O.A. APPROVED SAND FILTER: 2.0 EFFECTIVE: 0.5 FEET /1- = 40' ACTUAL SQ.FT.: 900 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS B GENERAL CONTRACTORS ••••••• ...• •••... ..•.••• 3MI E I PWD. SUIS 101 • MN:HORVFE W 99607 PHOME (90))31)-OIl9 . FAN (807)3ihl9b . MIME mgs�wgye�Yy.00m ,PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• • •• ........ TRUMAN DICKESON 253-569-9367 2 OF 3 �I A. ess. LEGAL DESCRIPTION: DRAWN BY: V11 ,per �1 eG THE TABLELANDS SUBDIVISION; BLOCK 6, LOT 2 J. M. -14 s TYPE OF WORK: DATE: � DESIGN OF SEPTIC SYSTEM UPGRADE 5/3/2012 0 NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 3.5 & 3.2 N PROPOSED APPLICATION RATE: 0.70 MINIMUM DRAINFIELD SO.FT.: 857 IM DEPTH: SEE ELEVATION SHOTS 15 FEET I: 60 FEET APPROVED SAND FILTER: 2.0 FEET WE: 0.5 FEET . SQ.FT.: 900 4L GRADE ST2 EXISTING 1250 GALLON SEPTIC TANK PROJECT IS BOTTOM OF SIDING MOST WEST CORNER OF HOUSE = 100.00 11 OVERT OF BUNG OUTLET — 93.41 (ASSUMED) NOTE: APPROXIMATELY 125 FOOT RUN FROM TANK TO NEW ORAINFIELD. i'R9PBSE—tlB9"�+ SHOW71 HAS 8.4 INCH FALL BETWEEN TANK AND NEW 2"NFIELD !,,1 6 (6.8626) PER Fe8f Sk:BPE 31,81 611810 FAf* MINIMUM RQ'QSED �LEVN7K)N AS rinrls rade a `16'1kr t mlww�tAw1. ,oarAsfG �„ 1NAL GRADE = 95.201 ELEVATION OF GROUNDWATER ON 5/1/2012. TH#1 = 87.67 AND TH#2 = 88.01 ELEVATION OF BOTTOM OF TEST HOLES. TH#I — 82.38 AND TH#2 = 93.22 IY.1:TVN ORIGINAL GRADE = 92.38-93.22 VERT OF DISTRIBUTION LINE = 92.70 (AVG.) )P OF SAND = 92.20 BOTTOM OF BED = 90.20 (AVG.) GARNESS ENGINEERING GROUP, Ltd. (- 4 ••moi*1 CONSULTANTS& GENERAL CONTRACTOR3 •.... ••.. --- --- .... E n Raw w ro, • MWWA c. we R 7 . w 007)=to • as (9WA - • Nms,e ... y. EPARED FOR: PHONE NUMBER: PAGE NUMBER: ..... •••....... TRUMAN DICKESON 253-569-9367 3 OF 3 �4h a A. GQ ness:' 3AL DESCRIPTION: DRAWN BY: Y 9- E� THE TABLELANDS SUBDIVISION; BLOCK 6, LOT 2 J.L.M. IE OF WORK: DATE: �4� P� fessi° PROFILE DRAWING OF SEPTIC SYSTEM UPGRADE 5/3/2012 O000�a GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S GENERAL CONTRACTORS. Ml E Uq Ran, SM 101 • ANDMWE, M. � - RRaNE: (907)W7 1" • FM (W7)3�• YEB611E: gvrnrw,gywati SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: THE TABLELANDS SUBDIVISION; BLOCK 6, LOT 2 PERFORMED FOR: TRUMAN DICKESON DATE: 4/24/2012 DEPTH (feet) = ORG TEST HOLE #11 1-4fifItHLOAM (SM) E ki 4 5;•,i{ SP TO OSM •.• i{ MRE SILT 6 : W/ DEPTH 7 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO GROUNDWATER DATE SEEPS 7'-9' 4/24/12 4.7' 5/1/12 4/26/12 1 1:30 — 6" — 2 %% 10 NNN • 3 1:40 — 6- • �� 0 4 1:50 10 3" 3" 5 1:50 DEPTH TO GROUNDWATER DATE SEEPS 7'-9' 4/24/12 4.7' 5/1/12 4/26/12 1 1:30 — SEE SITE PLAN DATE 19 READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/26/12 1 1:30 — 6" — 2 1:40 10 2-3/4" 3-1/4- -1/4"3 3 1:40 — 6- 4 1:50 10 3" 3" 5 1:50 — 6" — 6 2:00 10 3-1/8" 2-7/8" 7 2:00 — 6- 8 2:10 10 3-1/8" 2-7/8- 9 2:10 — 6- 10 2:20 10 3-1/8' 2-7/8- 11 2:20 — 6"1 — 1 12 2:30 10 3-1/8- 2-7/8- -7 8" 19PERCOLATION RATE 3.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.5 FT. AND 3.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS W RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: THE TABLELANDS SUBDIVISION; BLOCK 6, LOT "e PERFORMED FOR: TRUMAN DICKESON W DEPTH�� (feet) ---- ORG TEST HOLE #2 I4fif jfj�LOAM (SM) 2 3 5 t MORE EO SMSIL ••• i{Tjf� T 6 •.••: W/ DEPTH 7 8 9 10 11 12 13 14 15 16 17 18 SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER DATE SEEPS 7'-9' 4/24/12 Emn, 5/1/12 1:30 — 6" — 2 mum 111111111 10 ORO ow(lilt! 3 1:40 — 6" — 4 1:50 10 2-3/4" IM,% 5 1:50 — 6" — DEPTH TO GROUNDWATER DATE SEEPS 7'-9' 4/24/12 5.2' 5/1/12 1:30 — 6" — .. 4 T��.......:°. CE 7q53 Prof esslono- oF, SEE SITE PLAN DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/26/12 1 1:30 — 6" — 2 1:40 10 2-1/2" 3-1/2- 3 1:40 — 6" — 4 1:50 10 2-3/4" 3-1/4" 5 1:50 — 6" — 6 2:00 10 2-7/8" 3-1/8- 7 2:00 — 6- a 2:10 10 2-7/8" 3-11/8- 9 2:10 — 6" — 10 2:20 10 2-7/8" 3-1/8- 11 1 2:20 — 6" — 12 1 2:30 10 19� PERCOLATION RATE 3.2 (MIN./INCH) PERC. HOLE DIA. 6. (INCHES) TEST RUN BETWEEN 2.5 FT. AND 3.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASP FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: S 2 Municipality of Anchorage Development Services Department :f41 Yyt Building Safety DMsion On Site Water and Wastewater Program, 4700 S. Bragaw, St. P.O. Boz 196650 Anchorage, AK 9951916650 Page of www.cl.anchorage.ak.us (907) 3417904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number. SWO40182 PID Number: 05180125 w«.. The Thomas Company Wastewater System: 0 New ❑ Upgrade Ad . ; HC05 Box 6929, Palmer, AK 99645 ABSORPTION FIELD Fes.. 746-0682 Nanbwpr86& `4 Dow Twich 0 stb Tnrcn08ed ❑reould 00 . LEGAL DESCRIPTION spe Rawp: 0.8 Tar Dean rmn onWw Vew: Gp t' 4.5 F1. Boa La: 5.1, w: 6 2 The Tablelands Dram to pW banpm Iran onp,W vede: C;;7ftpm ewwm va.: 4 F,, 0.5 F1, To..w.p: BwW: Secean: Fail d mweorlpnr a node: Growl Unpin: 0.0 F1. 80 F1. Well: ❑ New ❑ Upgrade GmwUm: 15 IF+nova Mw DnlwabMen wee: F 3 5 a Q .W*ii w (Prone. A B. CA .Tar Dean: COM m: Tar tibw pwn nee: Ppe Llelenr: community water system FL FT 1200 Fl PVC Drew . Dow DrrM: st o Wrw tt 4 MWw. DeleFwwd: FL Baileys Backhoe 7/15/04 rWd: "Wet G""r«WI Mo.e Cwound: TANK GPr Ft. FL SEPARATION DISTANCES pseptic ❑Holding ❑S.T.E.P. ❑Other. To Septic Absorption Ldt Holding lubliciPtivate Y. Fran Tank Field Station Tank Sewer una Anchorage Tank 1,250 Gr. w« na na na na na Steel r�2.r0c«ro.M.n». &aecewr« na na na na LIFT STATION La LFe 34' 6' na na cr FpnOetion B' 17' na na coop W,' ec 'n�err le.r eL Nan wr«Wmel M. m. H. pi L1.Ye a E E»arcr p»pN« Wa by ew�nore:. na na na na Rte.. •' See attached waiver. BENCH MARK Loralun cod D•.dWw: Cut In birch tree near field (temp BM). »wwn 100 FL Engir �� SOF ALq r�i S9%i�4 Kehl Sheets, AK Rim Erglneedng, Inc. r 7/$/Q4 Inspections performed by: Dates: 1 2nd 7/15/04 00-^'�' a Developm nt Services Department Approval breves I W ary Reviewed and approved by: Date: ;""``;;;``� It;;ili '05 / / g O / (OUND LOT 2 5/8 REBAR w/YPC BESSE ENG. 40,004 TYPICAL _ /REPLACEMENT FIELD K 80' BEC 504L tmPTICN FIELD '3 OCK LOT 3 '�-t:c40' *:` 49TH col CO2 CO3 C04 MTI MT2 A 28.3 41.1 55.3 122.4 58.1 104.9 B 21.3 20.12 27.0 77.8 30.9 74.1 C -- -- -- 91.0 -- 85.0 Mory% Shreves CE 9351 , / LOT 1 LEGEND: (C)=CALCULATED DATA (M)=MEASURED DATA (R)=RECORD DATA U.G.=UNDERGROUND YPC=YELLOW PLASTIC C ®=TRANSFOMER PAD ❑=UTILITY PEDESTAL wv 37 3rj M=WATER VALVE �s �S �� 41 S.F. J U.G UTILITIES] NAT'L _ rGAS 9' 00 N TWO STORY DWELLING a Q v 01 tv (3 v 7 co A 1.250 -Cu /�O• �^ SEPTIC TANK /� �O•i /'� >/ J� AS BUILT <w14 P.O. BOX 2749 y PALMER, ALASKA 99645 SITE PLA SNC EE INC PHONE: (907)745-0222 FAX: (907)746-0222 �D W.O. 0400287 I DATE: 1/18/05 SCALE: 1" = 40' 1 FlLE: 0400287—wwas1 n• O LOT 2, BLOCK 6, THE TABLELANDS SUBDIVISION PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASP EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. 3 L. 0 FIXED unk ft. 49TH REPLACLMLN i M-LIJ U.G _ UTILITIES TWO STORY, DWELLING SEPTIC SYSTEM PLOT PLAN FINAL GRADE FINAL GRADE (MOUNDED) 96.1 ft. / 94.8 ft. 2" INSULATION DATUM (TEMP.) = CUT IN BIRCH NEAR FIELD = 100.0' SEPTIC SYSTEM PROFILE GRADE AS' P.O. BOX 2749 RI.V PALMER, ALASKA 99645 ENC EE INC. PHONE: (907)745-0222 FAX: (907)746-0222 {' �D W.O. 0400287 1 DATE: 1 /18/05 1 SCALE: 1 " = 30' 1 FILE: 0400267. Mary LUShreves d LOT 2, BLOCK 6, THE TABLELANDS SUBDIVISION. CE 9351 •ted PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, a •..,,•,,.. •�'d EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE n_PROFFSSI��tid RECORDED PLAT ARE NOT SHOWN HEREON. 7=110 �.W�iW V BED DETAIL o r.•' 49TH •• r a.u.um AS BUILT DETAILS ABSORPTION BED PLAN VIEW n v 5 o.,e...w roc mum SECTION X—X mw"" rc r VIII. 1=4 I r—• •. :• �: ►�';•. BED SECTION MONITOR TUBE DETAIL AS P.O. BOX 2749 xty I PALMER, ALASKA 99645 E . tNC. PHONE: (907)745-0222 FAX: (907)746-0222 urn ndnn ).q Here i /17 /n5 I SCALE: nts I FILE: 0400287—WWAS" Mary L Shreves ,�� LOT 2, BLOCK 6• THE TABLELANDS SUBDMSION, CE 9351 'd PIAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, AK in�ROFESSl�o�� RECORDED PLATEMENTS OF RARERNO� SHOWN HEREON.THOSETHER THAN SHOWN ON THE Municipality of Anchorage Development Services Department Building Safety Division y,r Onsite Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 995196650 www.munLorglonsite (907) 343.7904 Soils Log - Percolation Test Performed For. The Thomas Company Date Performed: 7/15/04 Legal Description: Lot 2. Block 6, The Tablelands Township, Range, Section: RKf #I Depth (Feet) 1- 2- 3- 4- 5 10- 11- 12 G t.0 13- 14- 15- 16- 17- 18- 19 - fit jIBvn P� &WMT - Site Plan WAS GROUND WATER ENCOUNTERED? Yes S IF YES, AT WHAT DEPTH? L o Depthto WaUr After Monitoring? 17 E Dale: 7/15/04 I Reading I Date I Gross Time I Net Tune I Depth to Water I Net Drop PERCOLATION RATE tna) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS Gwmonem""emwty. PERFORMED BY: Kent Sheets. AK Rim Engineering, IM I Mary L. Shreves, P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1/12105 -resp Municipality of Anchorage Development Services Department Building Safety Division y,t On -She Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 9951 M650 www.muni.org/onsite (907)345-7904 Soils Log - Percolation Test Performed For. The Thomas Company Date Performed: 1/14/05 Legal Description: Lot 2, Block 6, The Tablelands Township, Range, Section: GtYJ Depth 1 b r4 41 sated wJ9 / 2- 3- 3- - p VM0iht (5� 4- 1 1 WAS GROUND WATER Date ENCOUNTERED? NO Net Time Depth to Water S IF YES, AT WHAT DEPTH? L Depth to Water After o P Monftorinp? E Date: Reading Date Gross Time Net Time Depth to Water Net Drop 1 1/14/05 1106 10 min. B-1/4 in. 3-114 in. 2 — 1117 10 min. 8 in. 3 in. 3 — 1128 10 min. 7-314 in. 2-3/4 in.l 4 — 1139 10 min. 7-5/8 in. 2-5/8 In. 5 — 1150 10 min. 7-1/2 in. 2-1/2 in. 6 — 1201 10 min. 7-7/16 in., 2-7/16 in. PERCOLATION RATE 12.3 (mk.,kwrna) PERC ROLE DIAMETER a kMier TESTRUNBETWEEN 4.0 FT AND 5.0 Fr COMMENTS Presoak a hours Percdation test any. PERFORMED BY: Kent Sheets. AK Rlm Engineering, Inc. I Mary Shreves. P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1/17/05 IAnka Tall 81194teehing, 911c. Phone (907) 745-0222 Fax (907) 746-0222 akdm@rogershsa.com January 18, 2005 Ms. Julie Makela, P.E. Municipality of Anchorage Development Service Department Building Safety Division On -Site Water and Wastewater Program PO Box 196650 Anchorage, AK 99519-6650 RE: Lot 2, Block 6, The Tablelands Subdivision On -Site Sewer Health Authority Application AK. Rim Engineering Ref. No. 04-00287 Dear Ms. Makela: P.O. Box 2749 Palmer, Alaska 99645 The initial 7 -day groundwater monitoring event was adequate for this site, as per Dan Roth's instruction. No additional groundwater monitoring is required. If you have any questions, please feel free to contact me. Sincerely, ALASKA RIM ENGINEERING, INC. Mary L. Shreves Professional Engineer Engineers • Planners • Surveyors 0X^ Municipality of Anchorage Development Services Department • +� Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Alaska Rim Engineering, Inc. Legal description: The Tablelands Subdivision, Block 6. Lot 2 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on _ ® Calculation error in design. The drainfield absorption area does not meet the minimum size requirement ❑ for a bed design. 3 Additional soils informationed�'f� ❑ Water monitoring results ina uate. ❑ Discrepancy in information submitted. _ PC � O.W to.a-Z'DA 'knJcs koK- ❑ Topographic information missing or inadequate. IO/'9ppLk ❑ Incomplete; missing ❑ Incomplete; missing _ ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. _ ❑ Well log required. ❑ Omission in narrative. ® Insufficient fill over tank or field. The finished grade over a subsurface disposal field must Other. 16'The department must be notified at least two hours prior to any inspection; construction. A. ije.� Etc jacv:xZ Cv Name of reviewer. Julie Makela. P.E. Date: 8/18/2004 Please supply the necessary information and re -submit your request. Of i P.O. Box 19Wfi.50 - Anchorage, Alaska 99519.6650 - Telephone (907) 3138301 - Fac (907) 343.6200 ` 4700 Bragaw• Street - Anchorage, Aluska 99507 s • r a ww'. Ml.org Mayor Mark liegich 13tiilding Safety Division 1/14/2005 Alaska Rim Engineering P.O. Box 2749 Palmer, Alaska 99645 Subject: Waiver Request for The Tablelands, Block 6, Lot 2 Waiver Request #WR050006 Parcel ID #051-801-25 Permit # SW040182 Dear Ms. Slimes: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 4.0 feet. Your request to modify'the existing wastewater disposal system in order to meet the minimum size 'requirements ,for the';4-bedroomsingle-family dwelling is also approved. This modification involves extending the existing absorption field by 20 feet. An additional test hole, percolation test. and 7 -day groundwater monitoring must be conducted in the vicinity of northwester portion of the existing drainfield during the addition. Results of the additional test hole; percolation test, and 7 -day groundwater monitoring shall be included in the final Inspection Report.:' . This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, M (� y 1 1�Cc�.SLc� Julie Makela, P.E. Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department v Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.arvchorage.ak.us (907) 343-7904 Waiver Review Worksheet WR#: WR050006 PID#: 051.801-25 HAM _ Permit#: Sw040182 Dale Received: 1/1212005 Legal Description: The Tablelands. Block 6. Lot 2 Engineer. Alaska Rim Engineering P.O. Box 2749 Palmer. Alaska 99845 Applicant: The Thomas Company Waiver Requested: 4 feet from lot line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: ............................................................................... Waiver is Granted: _,� Waiver Is not Granted. List Conditions or Reasons for above: Date:111gl=C; _ By. ., � I - V 1 , ) -- Q, Name of Reviewer ............................................................................... Rec#: OS62646 Amount: $M Date Paid: I 005 JA (-AVagka Tint eligiitee lig, 911c. Phone (907) 745-0222 Fax (907) 746.0222 akdm®rogershsa.com January 12, 2005 Ms. Julie Makela, P.E. Municipality of Anchorage Development Service Department Building Safety Division On -Site Water and Wastewater Program PO Box 196650 Anchorage, AK 99519-6650 RE: Lot 2, Block 6, The Tablelands Subdivision Amended On -Site Sewer Permit Application AK. Rim Engineering Ref. No. 04-00287 Dear Ms. Makela: This letter is to amend our original application as follows: Bed Design P.O. Box 2749 Palmer, Alaska 99645 Groundwater detected in AKTH#1 at 12 feet below grade on 7/8/04. GWMT checked on 7/15/04, and GW again detected at 12 feet (see attached Soils Log — Perc Test). Based on this, design changed from trench to bed. The following is a summary of the proposed design of the bed SAS: Percolation rate: 7 minutesfinch Soil application rate (trench): 0.5 gpd/sgft Number of bedrooms: 4 Daily wastewater flow: 600 gpd Drainfieid: Absorption bed Septic tank: 1,250 gallons Minimum absorption area: 1,200 sqft Length: 80 ft Width: 15 ft Effective absorption area: 1,200 sgft A 15'x60' bed was installed in July, 2004, for a 3 -bedroom home, and was inadvertently installed in the 10 -feet lot line setback. The additional 20 feet of bed will result in the bed being approximately 4 feet from the lot line (see attached Site Plan). Prior to the installation of the additional 20 feet of bed, the lot line will be staked so that the lot line is not crossed. Due to the encroachment into the 10 -feet lot line setback, we are requesting a waiver. Enclosed with this letter is the $175 fee for waiver requests. Engineers • Planners • Surveyors Ms. Julie Makela, MOA Page 2 January 12, 2005 If you have any questions regarding this report or its recommendations, please feel free to contact me. Sincerely, ALASKA RIM ENGINEERIN INC. �0;?".j . X4 - Mary L. Shreves Professional Engineer Cc: The Thomas Co. AK Rim File No. 0400287 Attachments: • Soils Log — Percolation Test • Site Plan • Details / / LOT 1 LEGEND: (C)=CALCULATED DATE (M)=MEASURED DATA / / (R)=RECORD DATA / U.G.=UNDERGROUND / YPC=YELLOW PLASTIC ®=TRANSFOMER PAI p / []=UTILITY PEDESTAI wv M=WATER VALVE 40UND LOT 25/8 REBAR w/YPC BESSE ENG. 40,004 S.F. J / TYPICAL REPLACEMENT FIELD / / U.G / UTILITIES NAT•L / 1s' x e7 BED L GAS AesORPTION FIELD .x, I urs k ■ ca • A /I 4' m��9 _ 00 1 LOCK LOT 3 J 1"=40' TWO STORY DWELLING C /Cd A, / 1.250 -GAL SEPTIC TANK �000Dpp SITE PLAN AS P.O. BOX 2749 4� F �% wy PALMER, ALASKA 99645 Q PSE...••• A<q f�� ENC BE INC. PHONE: (907)745-0222 FAX: (907)746-0222 {' 49TH.••. tr �0 W O. 0400287 DATE: 1 11 05 SCALE: 1" = 40' FILE: 0400287, ... VO-. Mar Shreves,�� LOT 2, BLOCK 6, THE TABLELANDS SUBDMSION CE 9351 PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, EASEMENTQdQa' 4R ES41�Fti' 4 RECORDED PLAT RARE RNOT OTSHOWN HEREON. SE SHOWN ON THE -F-, BED DETAIL r S; 49TH* tr r m.d um DETAILS ABSORPTION BED PLAN VIEW v SECTION X -X BED SECTION MONITOR TUBE DETAIL ASA P.O. BOX 2749 juy I PALMER, ALASKA 99645 ER -1-1 . lam• PHONE: (907)745-0222 FAX: (907)746-0222 1 W.O. 04002871 DATE: 1/11/05 I SCALE: nts I FILE: 0400287_WWASt Shreves LOT 2, BLOCK 6, THE TABLELANDS SUBDIVISION. 9351.:vPLAT No. 2004-25. ANCHORAGE RECORDING DISTRICT, ANCHORAGE. AK :SSI�Pdd�' EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE ��o RECORDED PLAT ARE NOT SHOWN HEREON. Municipality of Anchorage Development Services Department Building Safety Division On -She Water and Wastewater Program 4700 South Brag" St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343.7904 Soils Log - Percolation Test Pedomted For. The Thomas Company Dale Performed: 7/15/04 Legal Description: Lot 2, Block 6, The Tablelands Township, Range, Section: Slope She Plan COMMENTS Gwmonxohgeventwiy. WAS GROUND WATER ENCOUNTERED? Yes S IF YES, AT WHAT DEPTH? L Depth to Water Agar D Monitoring? 12' E Date: 7/15/04 PERCOLATION RATE (m Ie~) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: Kent Sheets, AK Rim Engineering, Inc I Mary L. Shreyes, P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1/12/05 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw Sl. P.O. Box 196650 Anchorage, AK 995194650 Page of www.ci anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO40182 PID Number. 05180125 Nom. The Thomas Company Wastewater System: El New ❑ Upgrade wddri,M,. HC05 Box 6929, Palmer, AK 99645 ABSORPTION FIELD vtaM: 746-0682 NM ofaWooms: O0WTmrh0&waw TtotO Elsw 0moaa 00F .. LEGAL DESCRIPTION Sol a 0.8 TawD.Pa eaa �aV.e.. 4-5 GVDFf Ft. ll tl Lal tiueO.ecn: Tablelands aVA b VM eda,e"M Wr* Vele: Grew dem esn•em It": 6 2 The 4 Ft. 0.5 Fl To P: RrVQ: s«.van: FeeeeFe My 01"Vbs: Gr 4npa: 0.0 Ft. 60 Ft. Well: ❑ New ❑Upgrade W..,e,tela: 15 Na,eer ar Y,FF 3 D,Meaaeo.tt.. M`FL 5 F,, FL G4wf.aom tPtmte.A a. el: Tar Dawe: Gu.a a: Taw eWap"O'ene: P"www: community water system Ft. FL 9DO F� I PVC 0a . 0.w O"W: swwwewL . u W. Baileys Backhoe Dw r,. : 7/15/04 FL Yea: Pap sM at. C".ta tt„ N waa.. Gta�a. TANK GPM F6 FL SEPARATION DISTANCES ElSeptic ❑Holding ❑S.T.E.P. ❑Other. To Septic Absorption Litt Holding wiir/Pnvate ecu..'. Anchorage Tank jWAy- 1,250 From Tank Field Station Tank Sewer Une Gr. M.t.ar: NmWr a Gaapan,ann: w.r na na na na na Steel 2 sMtwwa.. na na na na LIFT STATION Lot lite >10, >10, na na GM. •t�Inp an'INN M. •P,. Or r.N el Ho .1. el FaFaeuan >5' >5' na „. In. f2a111. "Ws utvaM 6N vap•amre F«an„M W. cunot ,wt na na na na lk m : Due to GW conditions installed a bed soil absorption BENCH MARK system. Dug TH near drainfield to confirm GW levels. louam Ya 0.wgwt: Cut in birch tree near field (temp BM). w..,.aw •450. GW detected at 12' below grade. 100 FL Setbacks will be confirmed by survey for final as built. Engineer's Stamp oE of A4q�4�i • ,�� Kent Sheets, AK Rim Engineering, IM N 7/8/04 Inspections performed by: Dates: 1 _ �'9 *.agTM ;* 2nd 7/15/04 .... Development Services Department Approval -� _....,._....: 9r.t Reviewed and approved by: Date: Mary Shreves c r•.,•,• CE 9351 v+ ''140 P 0F,ESS%011- ��`+ 1"ml /40,004 S.F% A / 15' X IK0' BED SOIL ' ABSORPTION F ELD/ /102 / C61.0f PROPOSED TWO STORY WELLING, 02 AK/H#1 102 T2 / O 00 s / F.F. ELEV.= 103 gyp:;;,;. g0 / 301 / szs• TST 16OA..;.;>... I-0 COe.`L..�'O,'9L.QJ�`c`0.0 p� / OT 3 R F �''.>:..: �� 1,250 -GAL / LEGEND lot SEPTIC TANK / 99 101X =SPOT ELEVATIONS tm 1 w 40, 101 / •p� (O� AMMENDMENT NOTE: ADDED DRAINAGE ARROWS, ELEVATIONS AT BUILDING rnDAICDC AAAI 00l1Dr%CCr1 DAWM 1 EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER, PRIOR TO CONSTRUCTION TO VERIFY PROPOSED BEAUSEMENTSCOVENANTS EOR RESTRICTIONSAWHICH DOTNOTEAPPOEAREON�NHE` RECORDED SUBDIVISION EXISTENCE OF ANY �poDODD SITE PLAN P.O. BOX 2749 44q ❑F q ��0 AS BUILT PJPALMER, ALASKA 99645 A .••••••.•<,q� ��D ENC EEA,INC. PHONE: (907)745-0222 o ' •• •••?q d�FAX: (907)746-0222 49TH •;�D W.O. 0400287 DATE: 7/28/04 SCALE: 1" = 40' FILE: 0400287-WWAS , At Mary Shreves •• LOT 2, BLOCK 6, THE TABLELANDS SUBDIVISION �QQ f'•., CE 9351`THE _d PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA �� bO0 0 �� RECORDED PLATRARE NOTO SHOWN HEREON.E SHOWN ONsHE> r t of 3 )T 15' X 8`0' BED SOIL ABSORPTION F/IELD/ LEGEND FIXED unk ft. SEPTIC SYSTEM PLOT PLAN FINAL GRADE 96.1 ft. PROPOSED TWO STORY r 1 1 1r 1 I l► l� FINAL GRADE ' 94.8 ft. 2" INSULATION 102 Q�O 11 = GRADE 94.8 ft. fH7 92.0 91.3 ft. 91.690.8 90.3 f . DATUM (TEMP.) = CUT IN BIRCH NEAR FIELD = 100.0' — SEPTIC SYSTEM PROFILE SEPTIC g P.O. BOX 2749 AS BUILT wy PALMER, ALASKA 99645 P P(E.••••••.,<q�,�� ENC EE , INC. PHONE: (907)745-0222 FAX: (907)746-0222 O �; `19TH•••• : d0 T-070400287 DATE. 7/28/04 SCALE: 1" = 30' FILE: 040028 Mary • Shreves LOT 2, BLOCK 6, THE TABLELANDS SUBDIVISION. PQ�if•,• CE 9351 :p PLAT PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, QQ'••..,,,,..••''q EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE Qan -TOFERECORDED PLAT ARE NOT SHOWN HEREON. J ABSORPTION BED PLAN VIEW r 1..lu.um 49TH .•y* nay. - 94.8' m.d.um Im.. 80.9' IIZV.. 82.8' BED SECTION AS BUILT �K DETAILS rdy y.r.,.w rve SECTION X -X MONITOR TUBE DETAIL P.O. BOX 2749 PALMERINC. PHONE: • (907)7459 0222 FAX: (907)746-0222 w 1 W.O. 04002871 DATE: 7/28/04 I SCALE: nts I FILE: 0400287 -MAS Mary I! Shreves o LOT 2, BLOCK 6, THE TABLELANDS SUBDMSION, CE 9351 •ted PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, AK RECORD ROTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARENOTSHOWN HEREON. SHEET 3 0. Municipality of Anchorage = �tY�GINdsl Development Services Department Building Safety DMsion *; • 9TH y-. Onsite Water and Wastewater Program 4700 South Bragaw St. .... L P.O. Box 196650 Anchorage, AK 995196650 9�, Ma L. Shreves www.munf.orgronshe c� ; (907) 343-7904 %CE 9351 ; Soils Log - Percolation Test I110jZ? FESStOHP; Performed For. The Thomas Company Date Performed: 7/8/04 Legal Description: Lot 2, Black 6, The Tablelands Township, Range, Section: Slope Site Plan 1 16- 17- I 6- r7 Depth 6w- (ya) 9 �. 1904_11SAnd ru/ DCCr • , � Cpbbl[5� VL1 pLl t L � O�LNhe/ 5(igk'�1.I.f t rM►i'Sk �SWI� 1 , O WAS GROUND WATER 1 ENCOUNTERED? Yes s LL IF YES, AT WHAT DEPTH? 12• a 1 Depth to Water After P Monitoring? E m Date: t. 1 , UUMN5 WTDFC r r .drvltie ( t . PERCOLATION RATE FERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTSTeat hobTest "a�M�of�ndwater nronA�. due to hist of GW issues in We subdivision. Perm test not conducted. due to nht�of GW issues in We subdivision. Parc test not conducted. PERFORMED BY: Kant Sheets. AK Flim Engineodn. Ina I Mary L Shreves, P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7128104 MUNICIPALITY OFANCHORAGE �'*)5 la �M Development Services Department Onsite Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jun 11, 2004 Expiration Date: Jun 11, 2005 Permit Number: SWO40182 Parcel ID: 051-801-25 Legal Description: Fh9TableWiI Block 8 Lot 2 7 Design Engineer: 0032 Alaska Rim Engineering Site Address: Unknown Owner Name: The Thomas Company Lot Size: 40004 SO. FT. Owner Address: HC 05 Box 6929 Total Bedrooms: 3 Permit Bedrooms: 3 Palmer , AK 99645 - This permit is for the construction of. ❑✓ Disposal Field ❑Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3_ The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 1�141M AL;, i tA.d oa, Oeti c-% kl Lr Occia� Ma"�' �1anv M��nYM�%n1 \u� V ca�wc:rr,uvc1� �'CK o. �{-11� d«om dwo�?.or�. t`Cly rc snocm ada'Atomx •acacyL ��V� Pw� 5�� -� `�-do�1 �w mrx�:Jcci� on (Ds kW °\PSR ark -�k1M o.dd:ahoc) . Lock lic�a� Received By. Issued By. Date: d Date: 1, r' n \ Municipality of Anchorage -. Development Services Department Building Safety Division / On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. !J , —q 0 I ^ Z S ' Permit Number SW Property owner(s) The Thomas Co. Day phone 746-0682 Mailing address (1) HC 05 Box 6929, Palmer, AK Mailing address (2) Zip Code' 99645 Legal description (Lot, Block & Sub'd.) Lot 2, Block 6, The Tablelands Subdivision Legal description (Section, Township & Range) Lot Size 40,004 Sf Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only El Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 1 certify that the above information Is correct. I further certify that this application is being made for a Single Fapffiypwelling and iskrdance with applicable Municipal Codes. property owner or authorized agent) Permit Fees: !%/4 ( D Waiver Fees: _ Date of Payment: 0 Date of Payment: Receipt Number: Iceipt Number: (Rev. 12100) (} Voka hint engineaking, 911c. Phone (907) 745-0222 Fax (907) 746-0222 akrimOrogershsa.com May 17, 2004 Mr. Dan Roth Municipality of Anchorage Development Service Department Building Safety Division On -Site Water and Wastewater Program PO Box 196650 Anchorage, AK 99519-6650 RE: Lot 2, Block 6, The Tablelands Subdivision On -Site Sewer Permit Application AK. Rim Engineering Ref. No. 04-00287 Dear Mr. Roth: P.O. Box 2749 Palmer, Alaska 99645 The owner of the above referenced lot is proposing to construct a 3 -bedroom single family dwelling (see attached Plot Plan). The proposed dwelling is to be served by a community water system and a private septic system. With this letter we are requesting plan review and a permit to install an onsite septic system to serve the proposed development. DESIGN SUMMARY Soils A test hole was excavated on March 15, 2002, to a depth of 13 feet below grade, and was logged by Mr. Tobin Spurkland (labeled TS TH L1 B8 on the attached Site Plan). A p;rco}atior •. as• was condrte..r e•, t. a,, t:me. 'The p.rIposed irfe1 %hill be desi.,r a around the 30 -feet radius of the test hole. The soils were classified as SM, silty sand. The percolation test indicates a soil percolation rate of 7 minutes per inch which translates to a wastewater application rate of 0.8 gpd/sgft. A monitor tube was installed and groundwater levels were rechecked on April 1, 2002. According to the information on Mr. Spurkland's Soils Log — Percolation Test form, no groundwater was encountered at that time. A separation distance of 5 feet will be applied between the bottom of the trench and groundwater since the groundwater level was monitored in April. Because of the fluctuating groundwater levels in this area, a test hole will be excavated at the time of installation of the septic system. The design will be adjusted at that time, if necessary. We will contact your office to confirm the necessary changes. Trench Design Engineers • Planners • Surveyors Mr. Dan Roth, MOA Page 2 May 17, 2004 The following is a summary of the proposed design of the trench SAS: Percolation rate: Soil application rate: Number of bedrooms: Daily wastewater flow: Drainfield: Septic tank: Minimum absorption area: Total depth (max): Effective depth: Width: Reduction factor: Minimum length: Effective absorption area: Topography 7 minutes/inch 0.8 gpd/sgft 3 450 gpd 5 -wide type drainfield 1,000 gallons 563 sqft 8 It 4 f 5 I 0.50 57 ft 570 sqft The topography of this lot is relatively flat throughout the lot, with a slight downslope to the west. There is adequate usable area for an onsite septic system and replacement system. Surface Water There are no surface waters within 100 feet of the proposed septic system. Surrounding Properties This property and the parent subdivision will be served by community water system. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. Development on this lot will not preclude development of wells and septic systems on neighboring lots in the future. If you have any questions regarding this report or its recommendations, please feel free to contact me. Sincerely, ALASKA RIM ENGINEERING, INC. Mary L. Shreves Professional Engineer CC: The Thomas Company AK Rim Engineering File No. 04-00287 Attachments: OF A4 VL. Shreves CE 9351 - W1 Mr. Dan Roth, MOA Page 3 May 17, 2004 • MOA On -Site Sewer/ Well Permit Application Form • MOA Soils Log — Percolation Test Form (Tobin Spurkland) • Septic System Plot Plan (3 pages) f Municipality of Anchorage Dale ENCOUNTERED? Development Services Department Deo:h:c, vl:,:n•' '.r:'•:: 5 Building Safety Division L Depth to Wale, Alter Monitoring?.r On -Site Water and Wastewater Program Id3/ •• ^' Date: 0Z 4700 South Bragaw SL fs• a T P.O. Box 196650 Anchorage. AK 995196650 314 r V www.ci.anchoraoe. ak,u5 30 54,17- ' Z3:0.0 (907)7477904 " •r A �cn snuruand s,r Ct:415 Soils Log - Percolation Test tC"R ESSON, -4 .-ped°c• AP_(_ %CDate PeCcrmea: 3hrlO,1L -,L C N t E lv�/ I`10(I hr'1 FT Township. Range, Section: LOT I 6V, 8 r _c wwDS Lora 89 0 0 OR4ANI CS SQT'1olySil4- Dtn S A?-- ML_ Pj OTZ'o T-4 D l= "0 LIE- Reading c WAS GROUND WATER Dale ENCOUNTERED? KID Deo:h:c, vl:,:n•' '.r:'•:: 5 IF YES. AT WHAT DEPTH? L Depth to Wale, Alter Monitoring?.r OP E Id3/ Alli Date: 0Z Reading Dale Gross Time Net 'me Deo:h:c, vl:,:n•' '.r:'•:: ILL 5-07- -?RC- CAK Id3/ 1:30 314 3o 30 54,17- ' Z3:0.0 3'.0-0 -60 57/z : y ' 3 0 30 y PERCOLATION RATE_L tnw,~I PERC` oM.E DiArnF:E'; TEST RUN BETWEEN 3 FT AND fit.. _rt .... —t • S. 1_ S. CER7iF "... =g ... • " '- ` '_:7 'j +;_0^DANCE WIT,- ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THH` OL PERMIT NUMBER 5'WX4'EDX57' ABSORPTION C) / LOT 2 40,004 S.F. REPLACEMENT FIELD 1.000 -GAL ^ SEPTIC TANK X1DD LOT 1 BLOCK 6 PID NUMBER r / / / / / J /I > /a �JO, Thi 1188� • ^:P .ROPOSED >aX1. r DRIVEWAYDO / �A. PROPOSED/�^�'�� 101 TWO STORY / tp LOT 3 101 DWELLING //* ��% 101 1 "=50N 3UIEDLING GRADE RELATIVEHTORFIINISHED IGRADE FAND UTILITIES CONNECTTIONSP AND TO DETERMINE THt EXISTENCE OFOANYED : SEMENTS. COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE` RECORDED SUBDIVISION PLAT. 000DODD SITE PLAN AS P.O. BOX 2749 qq4 �F A� Rllf PALMER, ALASKA 99645 P OF A4 ENO EE INC. PHONE: (907)745-0222 c��:' •Fy�d� FAX: (907)746-0222 O * F 49TH .•••'; �D W.O. 0400287 DATE: 5/17/04 SCALE: 1" = 50' FILE: 0400287 -WW o...;a...... .....� ..../......D. ., ..........:...o Shreves ,��•� LOT 2, BLOCK 6. THE TABLELANDS SU13DMSION 9351'd PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ,...•''q EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE 7ssiv PdRECORDED PLAT ARE NOT SHOWN HEREON. �OOoo SHEET PERMIT NUMBER 1"=30' PID NUMBER REPLACEMENT FIELD / 1,000 -GAL 94 Il SEPTIC TANK 5'WX4'EDX57' T NCH �R ABSORPTION FIEL rn° x100 S' 95 \\ X100 SAs, •T 1138 3 X102 ,7�o 5r 99 PROPO 101 TWO S• LOT 3 DWELLI 101 SEPTIC SYSTEM PLOT PLAN me .e.d,� SEPTIC SYSTEM PROFILE 01 SEPTIC as P.O. BOX 2749 �4 pF q �y PALMER, ALASKA 99645 o Q��•••••• 4,9 ENC EE INC. PHONE: (907)745-0222 v � FAX: (907)746-0222 W. tr; 49TH••••':�D O. 0400287 DATE: 5 17 04 SCALE: 1" = 30' FILE: 0400287_WW 0... .• • .......p Q A ;•• Mar L Shreves ,�a LOT 2, BLOCK 6, THE TABLELANDS SUBDIVISION PQ�r., • CE 9351V'a PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA QQ �pF� ••..,,,,..••'Q EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE QQ PZFESSIdHPdo`' RECORDED PLAT ARE NOT SHOWN HEREON. n000000�� SHEET 2 OF 3 PERMIT NUMBER PID NUMBER mw.n em11s e.e. ._ e.a r laem4 M.t.d * Fel w .1 Nie Mw f-rwf r r r rri 0 0 0 0 0 0 0 0 0 o X o 5' t 00 < 0 po X o 0 0 0 0 0 0 0 rri r r r (�\\ .eae a• lea. uv. ` " 7fc °°"° 57' WIDE DRAINFIELD urd.t ."c ral. 1: mw.0 mpf.n«.w M m.a PLAN VIEW o« wt) SECTION X -X ELEV. 00.0• ri rri rri . •�1 �' yam«4b M �1ko. Y ML OC.Y WIYdI.4 � �A WhM a.al«w. � rrr rr 1 ELEV. 18.0' Pvc _• I i _ ..e.e ...k i'fC d..m . ..i« Yea '_ _ _•_ _ 0 o o = =4 ava�tlry . r g 0 0 0 O ij=0 o Z7 0« 0 y �w Ob 80 EM. 12.0' o TRENCH DETAIL ena=.l«saa o Masa t 71.« . mldmm a1 a -/.d of .Wa .sar ••� O Op « a7ul«1«=) ..� .b.a ,W lased Oa al ft.wee 'm ..m Jr (w .0.) as7 0 w sw11=ew tar erw loot ./ «rla .o.« w•°4y o .a a a m.nmm w lea maw. a m.d l e• Quo Mw k Yam. «««lfaa .iWl w r m. 7 1..l EUT ,J7.0. .LAK 0 e0rrou rH TRENCH SECTION MONITOR TUBE DETAIL pF � SITE PIAN gets P.O. BOX 2749 o OF AGgsDD C tS PALMER, ALASKA 99645 �, .•' �� ENC EE JNC. PHONE: (907)745-0222 FAX: (907)746-0222 parr 49TH ••�'sDD DO••• ••• W.O. 0400287 DATE: 5 17 04 1 SCALE: NTS FILE: 0400287_WW c,, Al •y L Shreves LOT 2. BLOCK 6, THE TABLELANDS SUBDIVISIONQ '., CE 9351 �, PLAT No. Q��Dd�b00� o��a EASEMENTSOOOF2RECORD ORAGE THERRTHANDING THOSSN SHOWN ANCHORAGE, HE RECORDED PLAT ARE NOT SHOWN HEREON. SHEEP 3 OF 3 Parcel I.D. 051-801-25 Municipality of Anc On -Site Water and Wastewater (907) 343-7904 Certificate of On -Site Systems 30L 2 6 Ins Expiration Date: 1. GENERAL INFORMATION Complete legal description The Tablelands, Block 6, Lot 2 Location (site address) 23965 Whispering Birch Drive Chugiak, AK 99567 Current Property owner(s) Jimmy & Kimberly Williams Day phone 632-5968 Mailing address P.O. Box 671690 Chugiak, AK 99567 Real Estate Agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Three Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual FX] Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System El Public Sewer ❑ Waiver/Variance request for:. Received by: I/ Qii l= Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5�o Date of Payment Lxaf l,(o Receipt Number ODW� COSA# G5G[!ol315 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 7/26/16 0 S�®P ° �,.' 49 TH��8 6. DSD SIGNATURE ®. o System #1 Approved for bedrooms % a :•MICHA61 rEi:=AN�ERSON � System #2 Approved for bedrooms®%f'• GE -4381 : \=®s Af°.yu4 Disapproved ,.co O�A�oB4o ®5\ Conditional approval for bedrooms, with the following stipulations: 0 Original Certificate Date: 6 'i(_ (4 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheel ( '- ': c If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description The Tablelands, Block 6, Lot 2 A. WELL DATA - No Well on Lot. Well type AWWU If A, B, or C provide PWSID # Date completed _ Total depth ft. Date of test Sanitary seal (YIN)_ Cased to' " ft. FROM WELL LOG Static water level Well production i WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate Arsenic ug/L Date of sample: ft. g.p.m. mg/L Parcel ID: 051-801-25 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION Collected by: ft. 9.p -m. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 7/15/2004 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 8/1/16 . _ Pumper JRs Pumping C. ABSORPTION FIELD DATA Date installed 5/23-29102 Soil rating (g.p.d./ftZ or ft2/bdrm) .7 GPD/SF System type Shal!ow Bed Length 60 ft. Width 15 ft. Gravel below pipe •5 ft. Total depth.3•5 ft. Eff. absorption area 900 flz Monitoring tube Y Depression over field N Date of adequacy test 5/19/16 Results (Pass/Fail) PASS For 4i bedrooms Fluid depth in absorption field before test 0 in. Water added 685 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum Size in gallons 'Pump off' level at in. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: - No Well on Lot Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line, Animal containment areas Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation >51 Property line >51 Water main >10' Water service line >10' Wells on adjacent lots >200' ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water Service line >10' Surfacewater >100, Curtain drain >50, Wells on adjacent lots >200' F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. Date 7/26/2016 COSA brown sheet 10-10-12.doc Absorption field >51 Surface water >100' Water main >10' Driveway, parking/vehicle storage > 10' J�4w,Of� •pgsa�t r �P• ..T791 s,r 49� 1� 1m' E. ANDERSON CE - 4381 AAV in. Municipality of Anchorage Development Services Department./ Building Safety Division On -Site Water 8 Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 y 1 i S j —j www.ci.anchorage.ek.us \ lJ l (907)343-7904 RUSN! CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING /� �sy, Parcel I. D. 051-801-25 COSA# 0SC{2 LIQ��',.' r l ] 1 1. GENERAL INFORMATION Expiration Date: !n .� -� Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address THE TABLELANDS S/D• BLOCK 6, LOT 2 22965 WHISPERING BIRCH DRIVE * CHUGIAK. AK 99567 TRUMAN DICKESON Day phone P.O. BOX 672301 * CHUGIAK AK 99567 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone Day phone 253-569-9367 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System N Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil. engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. " Name -of Firm ,. GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the ,performance of the system unde.- the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system, These conditions are outside the control of the evaluator of the system. Satisfactory lest results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE _Z Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following Attachments: _ CASA ChecklTsE Septic System Advisory Well Flow Advisory Nitrate Advisory Phone 337-6179 Date i k2. Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ON-SITE WATER AND WASTEWATER PROGRAM By: G Original Certificate Date: (Rev. 11/05) Municipality of Anchorage • "` Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: THE TABLELANDS S/D; BLOCK 6, LOT 2 Parcel ID: 051-801-25 A.ELL DATA Well typ Date completed Total depth ft. Date of test Static water level Well production WATER SAMPLE RE, If A, B, or C provide PWSID# Sanitary seal (Y/N) FROM WELL to ft. Coliform colonies/100 ml. Nitrate mg./L. Coliform ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Well Log (YIN) Wires properly prote (Y/N) i(yg h t (above ground) in. INSPECTION ft. — 9 -p.m -Collected by: Date installed 7/15/2004 Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping 5/28/2012 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA BELOW FINAL GRADE a.3L'- 3.It' aF 6srco F,�,-Mx- 6iaud. -GTA+- IOBPTB Date installed 5/23-29/2012 Soil rating (g.p.d./ft2or _/bdrm) 0.7 System type BED Length 60 ft. Width 15 ft. Gravel below pipe 0.5 ft. Total depth *3.5 ft. Eff. absorption area 900 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) - For 4 bedrooms Fluid depth in absorption field before test in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth — in. Absorption rate >= - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) - If yes, give date - D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN "Pump on" level at in. "Pump off level at_i , High water alarm level Cycles tested Meats alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tan ion on lot Absorption field on Public sewer main Sewer /septic service areas PUBLIC WATER On adjacent On manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in �.... "' ' ' ' • .. ' • "' • • "' conformance with MOA COSH guidelines in effect on this date• e e A. Gar ess:' Engineers Printed Name JEFFREY A. GARNESS �O @ CE7., Date�nPaa._, COSA Fee $ Z-0 � /SZ) Date of Payment (D%5 1:P Receipt Number airs?C, (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number I/ J/ / FOUND / 5/8 REBAR T�ALBESSE BLOCK LOT 2 40,004 S.F. SEPTIC COVERED U RISER AREA FECAL / ICAL DECK TYPIPICAL TYPICAL 55 2 RS.O LOT 3 �0e°/R2aeF J TWO STORY DWELLING ❑=UTILITY PEDESTAL i xY / pQ=WATER VALVE / Via~ / U.G ' / P / )ES /,". GAS NAS / J / / / J� 30' lb / ED/ham �� l• � / AQ � a4/� / RECERT: MOVED TWO SEPTIC RISERS AND ADDED ONE SEPTIC RISER. THIS DATE 1/17/05. RECERTIFICATION NO ADDED SEPTIC RISERS, RETAINING WALL, COVERED AREA, FENCE, AND ASPHALT DRIVEWAY. THIS DATE 5/31/12 W.O. No. 1200170 1" 50' NOTES: 1. EXCEPTING FOR GROSS NEGLIGENCE, THE LIABILRY FOR THIS SURVEY SHALL NOT EXCEED THE COST OF PREPARING THIS SURVEY. 2. THIS SURVEY REPRESENTS VISIBLE IMPROVEMENTS & CONDITIONS ON THE DATE OF SURVEY. 3. THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY & IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. 4. THIS SURVEY SUBSTANTIALLY COMPLIES WITH ASPLS MORTGAGE 'STANDARDS. 5. TIES TO PARTWAY MONUMENTED OR UNMONUMENTED PROPERTY LINES ARE :0 FT. S. THIS SURVEY PERFORMED FOR TRUMAN DICKSON. R SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. REUSE OF THIS DRAWING FOR ANY PURPOSE NOT STATED ABOVE WITHOUT THE EXPRESS WRITTEN CONSENT OF ALASKA RIM ENGINEERING, INC. IS A VIOLATION OF FEDERAL COPYRIGHT LAW. SE OF A4 •• .............. ��'9 • 9TH •••:* . ............. ....... ... ,•Ra n J. Farmer +'• 1Ds1s—s .• �•••••• �x qoessloxA�• p��L AS—BUILT5 P.O. BOX 2749 RIM PALMER, ALASKA 99645 Etre EE , 11W.. PHONE: (907)745-0222 FAX: (907)746-0222 PAGE 1 of 1 F 04-24 .B. W.O. 0400287 DATE: 12 28 04 SCALE: 1" = 50' FILE: 04-00287Z. / Gl ' LOT L LEGEND: TA (M) MEASURED DATA (R)=RECORD DATA U.G.=UNDERGROUND YPC=YELLOW PLASTIC CAP �=TRANSFOMER PAD LOT 2 40,004 S.F. SEPTIC COVERED U RISER AREA FECAL / ICAL DECK TYPIPICAL TYPICAL 55 2 RS.O LOT 3 �0e°/R2aeF J TWO STORY DWELLING ❑=UTILITY PEDESTAL i xY / pQ=WATER VALVE / Via~ / U.G ' / P / )ES /,". GAS NAS / J / / / J� 30' lb / ED/ham �� l• � / AQ � a4/� / RECERT: MOVED TWO SEPTIC RISERS AND ADDED ONE SEPTIC RISER. THIS DATE 1/17/05. RECERTIFICATION NO ADDED SEPTIC RISERS, RETAINING WALL, COVERED AREA, FENCE, AND ASPHALT DRIVEWAY. THIS DATE 5/31/12 W.O. No. 1200170 1" 50' NOTES: 1. EXCEPTING FOR GROSS NEGLIGENCE, THE LIABILRY FOR THIS SURVEY SHALL NOT EXCEED THE COST OF PREPARING THIS SURVEY. 2. THIS SURVEY REPRESENTS VISIBLE IMPROVEMENTS & CONDITIONS ON THE DATE OF SURVEY. 3. THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY & IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. 4. THIS SURVEY SUBSTANTIALLY COMPLIES WITH ASPLS MORTGAGE 'STANDARDS. 5. TIES TO PARTWAY MONUMENTED OR UNMONUMENTED PROPERTY LINES ARE :0 FT. S. THIS SURVEY PERFORMED FOR TRUMAN DICKSON. R SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. REUSE OF THIS DRAWING FOR ANY PURPOSE NOT STATED ABOVE WITHOUT THE EXPRESS WRITTEN CONSENT OF ALASKA RIM ENGINEERING, INC. IS A VIOLATION OF FEDERAL COPYRIGHT LAW. SE OF A4 •• .............. ��'9 • 9TH •••:* . ............. ....... ... ,•Ra n J. Farmer +'• 1Ds1s—s .• �•••••• �x qoessloxA�• p��L AS—BUILT5 P.O. BOX 2749 RIM PALMER, ALASKA 99645 Etre EE , 11W.. PHONE: (907)745-0222 FAX: (907)746-0222 PAGE 1 of 1 F 04-24 .B. W.O. 0400287 DATE: 12 28 04 SCALE: 1" = 50' FILE: 04-00287Z. I HEREBY CERTIFY THAT A MORTGAGE INSPECTION WAS PERFORMED UNDER MY DIRECTION ON THE FOLLOWING DESCRIBED PROPERTY: LOT 2, BLOCK 6, THE TABLELANDS SUBDIVISION PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. DATED AT PALMER, ALASKA, THIS 10th DAY OF JANUARY. 2005. \ Municipality of Anchorage Development Services Department Building Safety Division ; On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.Dt 1�Ebl-25 HAA# n5C70�s 1": t"> _ Expiration Date: ^• ...l.uc:auua�tyisz.uuw trpnt PropertyF ddr Lending agency Mailing address Real Estate Agent Lot 2, Block 6, The Tablelands 22965 Whispering Bird, Eagle River, AK 99577 The Thomas Co. Day phone 746-0662 HC05 Box 6929, Palmer, AK 99645 1 st National Bank of Anchorage Day phone 777-5607 PO Box 100720, Anchorage, AK 99510-0720 Gina Duncan, Prudential Jack White Day phone 230-9699 :Mailing Address 3201 C Street, Suite 200, Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF.BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Water Storage ❑ Community Class A Well ❑ Public Water System ❑ Individual On-site ED Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system Is(are) In compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn Alaska Rim Engineering. Inc. Address PO Box 2749, Palmer, AK 99645 Engineer's Printed Name Mary L. Shreves 5. DSD SIGNATURE Approved for q— bedrooms. Phone 745-0222 Date 1/11/05 Conditional approval for bedrooms, with the following stipulations: Attachments: `HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: �1_� l Ql 1 (121h- Original Certificate Date: I ...RAn"�t Jam— ,n.,.ovobaat' -ID05 J."r o- ettg � `1 gv �g 0 j/ TY' / / 6UND LOT 2 5/8 REBAR w/YPC BESSE ENG. 40,004 S.F. I/ / / TYPICAL BLOCK LOT 3 LOT 1 LEGEND (C)=CALCULATED DATA (M) -MEASURED DATA \ RECORDDATA U.G. -UNDERGROUND D YPC=YELLOW PLASTIC CAP (ED-TRANSFOMER PAD p un �, � LIN PEDESTAL i �5 3 wv M -WATER VALVE / RPh NAIL CAS / J & SEPTIC ///--- RISER U.G TYPICAL UTILITIES oSS 0 DECK m TYPICAL ti `TWO STORY % DWELLING NOTES: CANT. ® ® Oso COVERED DECK 30' Z. / 0 \r^ / AREA /40 - /` Y y / / CY AD Cf ti FIRE HYDRANT / K. RECERT: MOVED TWO SEPTIC RISERS AND ADDED ONE SEPTIC RISER. THIS DATE 1/17/005.. EXCLUSION NOTE: IT IS THE OR RESTRICTIONS WHICH DO ANY DATA HEREON 8E USED )be(YJ. Farmer 10615-5 OF SURVEY. ANY 1`-50' AS—BUILT SIC P.O. BOX 2749 PAGE 1 of 1 wy PALMER. ALASKA 99645 ENC EE INC. PHONE: (907)745-0222 FAX: (907)746-0222 F.B. 04-24 W.O. 0400287 DATE: 12 28 04 SCALE: 1" = 50' FILE: 04-00287AS I HEREBY CERTIFY THAT A MORTGAGE INSPECTION WAS PERFORMED UNDER MY DIRECTION ON THE FOLLOWING DESCRIBED PROPERTY: LOT 2, BLOCK 6, THE TABLELANDS SUBDMSION PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. DATED AT PALMER, ALASKA, THIS 10th DAY OF JANUARY, 2005.