HomeMy WebLinkAboutVALLEY EDGE LT 7Volley Edge
Lot 7
#060-331-17
Municipality of Anchorage
Development Services Department
Building Safety Division —-
Onsite Water & Wastewater Program. 4700 South Bragaw St. s. .
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3
Onsite Wastewater Disposal System and/or Well Inspection Report
Permit Number. SW050450 PID Number: 060-331-17
Nome: LEROY ALDERMAN
Wastewater System: ■ New O Upgrade
yewa
Address:
P.O. BOX 670045 CHUGIAK, AK 99567
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 223-8100 55
ODeep Trench ■Shallow Trench Dead OMound OOther
LEGAL DESCRIPTION
sw notbe:
1.2
Tota D.pth eam w60 goer:
7 MAX rL
apo/:q. FL
Block: Lot: Subdivision:
7 VALLEY EDGE
DWh to plpr Bottom from ort Ind po&:
SEE DWG.
Gaal e.pth bwmth Pim
3.51/2.92
rL
rL
Tornship: Range: Section:
— — —
rr aaa.e ob ^ 1 41"°I fl
Ga`N t'"aa':
37/38
SEE DWG. n
n.
WELL: ■ New Q Upgrade
cnr� .kmh:
5
NamWr of
2
oataea wt...r, rn.e
15
pt
rL
cb.wlso4on Pm l A6.0 :
Tota D"M
Ce..d 7o:(8aD*oCp
Total ab.orpDen ana:
Pp mat~
D 3034/ F-810
PRIVATE
244 n
68 rL
665 so. i<
D o .
Oal. Dreba:
12
static watw t.ww:
40
art~.
SOUTH FORK CONSTRUCTION
Data
"67:19-21/2006
SULLIVAN WATER WELLS
12 05
rt
n.le.Pump
5.t At:
c .:; NNpM Aa..a GrowW:
TANK
3.5 cPu
UNKNOWN rt
18+ rt
SEPARATION
DISTANCES
■septic 0Holding 0S.T.E.P. aOther
To
Septic
Tank
Absorption
Field
uft
Station
Holdup
Tank
/Prhota
se.w Unna
Yorwlactuw•.
ANCHORAGE TANK
1500
Frem
Well
100'+
100'+
—
—
25'+
STEELS
w aomv. 2
Surface water
100'+
100'+
—
—
—
LIFT STATION
Lot tine
5'+
10'+
-
-
-
Ste In 9a :
Ywwlacluw-
Or, I.vM a♦:vmp
all of
Ikph "Wabrin al:
Foundation
5'+
10'+
—
—
—
Pura 11aM. l
EkMrkd anD.adarM pwlormM aY
Curtain Drain
NONE KNOWN
BENCH MARK
Remarks:
tamWn Baa awro4om
BOTTOM OF SIDING FOR DECK SONOTUBE
(CLOSEST TO STI)
M.unM Eb.aten: 100.0 pt
Inspections performed by: GEG, Ltd. Dates: 1st 6/19/2006
ENGNEEResEAL
0�o�oopp
2nd 6/20/2006
F, OF ....gS�0o0
3rd 6/21/2006
Development Services Department Approval
a -
0 It 4 T 0
...........0�
Reviewed and approved by: Dote:
• ••••• ••••• D�
ey ness- X77
°p CE -7953/, `F00
Reviewed and approved by: //% Date:
dpro ress(ondoc9,
(e... 4/M)440O��p06
PERMITNUMBER: PARCEL ID NUMBER:
SWO AS—BUILT DRAWING I
SW050450 060-331-17
lAl A l
ST1
39.0
20.0
ST2
42.1
29.1
D80
42.9
90.9
DBL2
43.6
32.3
FS
44.5
33.4
C01
47.8
34.6
MT1
65.6
52.1
CO2
71.6
CO3
38.4
j
58.5
72.6
SERVED BY A
COMMUNITY
WATER SYSTEM
LOT 6; BLOCK 4:
BERNARD S/D
BERNARD DRIVE
DRA)NFIELDS
-4 H/2
i
S BEDROOM
I 1'IOUSE
I
I /
I /
I SNS
100• WELL /
I
I NEW 1500 GALLON
SEPTIC TANK /
N rr I DBL1
SL2 \ I
I \
L------------------------r-------
r---------------------------- ---- --
I
I
I \
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS 6 GENERAL CONTRACTORS Q••••••• ...
.• • •• ......••
roi E now Now. not 101 • •rAloria. r Nx1 • no[ (90')33? AIM • M (007) x M" 0ww4—n
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •.. •• .... •••
LEROY ALDERMAN 223-8100 2 OF 3 OQO e'*.j A. o ess:
LEGAL DESCRIPTION: DRAWN BY: 4yJ 795 `FG
VALLEY EDGE SUBDIVISION; LOT 7• BLOCK 1 B•F•M•
OF WORK:
AS—BUILT OF NEW SEPTIC SYSTEM
(R".OL03)
7/25/2006
1
FILTER
B0T704 Or TEST
HOLE - 80.33
(TEST HOLE DRY)
FI11AL GRADE � 99.57-99.87
INSUUTION
TOP OF TANK STI ST2
AT INLET - 94.74 TOP OF TANK
AT OURET - 94.74
9A2Rr of BUNG "1500
AT INLET - 94.10 SEPTIC TANK INVERT OF BUNG
AT OURLT - 93.89
FINAL GRADE -
9923-99.53
�ORK, NN
FILTER
NVERT OF PIPE
93.25 (AVG)
BOTTOM OF TRENCH
89.91 (AVr)�
-BOTTOM OF TRENCH
- 90.33 (AVG)
RUL GRADE
99.41-99.83
/-O-RIGINN
06 {.
R4ERT OF PIPE
- 93.45 (AVG)
BOTTOM OF TEST
HOLE - 80.94
(TEST HOLE
GARNESS ENGINEERINTG GROUP, Ltd. 000
CONSULTANTS d GENERAL CONTRACTORS ..••••.. .. .. ••••••••••D
J191 L TL9tl1 8010. M 101 • INL1 MV14 m MO) ft C (007)M -41A • FAY (907)M- Ql • R99R: �-- I D
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .•• ••• ......•• D
LEROY ALDERMAN (907) 223-8100 3 OF 3,p ;Je r y Drness:
LEGAL DESCRIPTION: DRAWN BY: oa °,P,. CE—J953 .Q
VALLEY EDGE SUBDIVISION; LOT 7, BLOCK 1. B.F.M. �04,�^ ' •�I?�lu`9ov
TYPE OF WORK: DATE: ���OOoOOres 1 0
PROFILE DRAWING FOR NEW SEPTIC SYSTEM 7/25/2006
(Rw. 0IM5)
::%:±/:!'t5 11:0: etltl':::•J bMLA�14. • ••� ••• ••
Certif ieb Ori[ring log
by
o»c CO. 0.
SULLIVAN WATER WELLS
P.o. EOX 670172, CNUMAK, ALASKA 99567 aTE.LEPMONE 690 2769
OWNER OP _AND: M A C 1
AZORESS'
I.EDALDESCRIPTION
DATE. —
P,AtM7 NUfABEa: aro 45 ^Oa`�e�Ct ISSw.�w��� •¢—•
.AX tDENTIFICATION NUMBER:
I.; wall located at approved pe -mit focauon7 Z No
Method cf DO": Notary 0 csua too!
Depth of well: 7q q
Cet.:ing Type S i7l6e Nall Thickness ' S � inches
Diameter & inches. dept: (a% feet
liner Type: Nor.19
C.wng Sticktsl Above G ound: e1 ___ _ __feet
Static Water Level: y O feel
Reccver Rata. 3 • S gpm
Nemod of Testing:
well oriwe Opening Type: o open end Ua6n oole
]Snoened: Start tact stepped. feet
3 Portorstions Start -feet Stopped feet
Grout Type:1. , .d rl.Jr i C WiMee / 0.l LO S•
Depth' from o feet, to -2 feet
Well DistJaeted Upon Completion? 4ids O No
Meff rod d Dibinfec:iOM - Q h& OL.. 11C Su P/M
Comments:
Drillers Name f 2�
ATTENTION: It Is the resporsibihty of me propane owner to submtt a copy of the well log to Ula proper authority. Mur9cipa'Ity
of Anchorage: D*Wenant of H"Ir) 8 Human Services and/or DOpartment of Environmental Conseevatlon. Matsu Borough:
Department of Environmental Ccnservallon.
MUNICIPALITY OF ANCHOR4GE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SWO50450
Date Issued: Dec 08, 2005
Expiration Date: Dec 08, 2006
Parcel ID: 060-331-17
Legal Description: VALLEY EDGE LOT 7
Design Engineer: 0855 Garness Engineering Group, LTD Site Address: NHN BERNARD DRIVE
Owner Name: WILDWOOD DEVELOPMENT LLC Lot Size: 54450 SO. FT.
Owner Address: PO BOX 670045 Total Bedrooms: 5 Permit Bedrooms: 5
CHUGIAK . AK 99567 -
This permit is for the construction of:
❑v Disposal Field Q✓ Septic Tank Holding Tank E] Privy 0 Private Well 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 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.
Received By:
Date: /0119/U�
Issued By:(_� ri �`- Date: /7 b
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
. r FOR A SINGLE FAMILY DWELLING
t
:
Parcel I.D. C)(zo - 33i' Vq Permit Number
Property owners) M2C1 CONSTRUCTION Day phone - 223-8100
Mailing address (1) P.O. BOX 670045 • CHUGIAK. AK
Mailing address (2)
Zip Code 99567
Legal description (Lot, Block & Sub'd.) LOT 7. BLOCK 1. VALLEY EDGE SUBDNISION
Legal description (Section, Township & Range),
Lot Size 64 .,95_0 Acr /Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms 5
Sewer Only ❑ Well Only ❑
Sewer and Well 0 Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
certify that the above information is correct. I 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.
wIA t lqS
Permit/Rush Fees: gtf6.0 1 t4s 4D
Date of Payment: 12 o1 c5
a U2ust\�
Waiver
Fees -
Date of Payment:
Receipt Number: L 315 t, .. Receipt Number:
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS 3 GENERAL CONTRACTORS
December 7, 2005
Municipality of Anchorage
Development Service Department
On -Site Water R Wastewater Program
4700 South Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Proposed Septic System for Valley Edge; Lot 7, Block 1,
To whom it may concern:
The proposed 5 bedroom house will be served by a private well and private septic system. We are
proposing to install a new 1500 gallon septic tank and a 5 -wide trench type drainfield. Two test holes
were excavated on the property. The drainfield will be designed around the 30 foot radii of these test
holes. Comments regarding the design are summarized as follows:
1. SOUS: See the attached logs 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 average topography below the
drainfield is a 15-20 percent slope running approximately north to south. In short there are no slope
concerns.
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.
P.E., M.S.
NOTE: Attached is a site plan drawing, a design drawing, one soil log, 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
Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: garnessengineering.com
0
BERNARD
1 �
I, v
ACT
N W
-\ I \\\
—
I bc in
S/D
r
�pPE�
GARNESS LNGINLERING GROUP, :�
CONSULTANTS& GENERAL CONTRACTORS �•••••
]AI C T0011 W W. AIIR 101 eOIdUCC M K l • H (W7)3V�I W • [M ]}N • �lL w.
PREPARED FOR: PHONE NUMBER: PACE NUMBER: ••.. ••••• •••••••
M2C1 CONSTRUCTION 223-8100 1 OF 2 QQ p Y A. orness.
LEGAL DESCRIPTION: DRAWN BY: QO CE -7953 `F4
LOT 7. BLOCK 1: VALLEY EDGE SUBDIVISION J.L.M.
TYPE OF WORK:
GATE: 4oe� p� o ! e s sloe°oc
SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM 12/8/2005
(R[ .OIM5)
ACT
S/D
r
�pPE�
BE ARD DRIVE
ALTERNNATE SITE
c�a 4••.,.. 7R/
SED /
T MACE
i
LOT 6: BLOCK 4;
BERNARD S/D
®
�I
I
/
^
I
I �/
LOT 6•; BIL K 1;
ALLEY EDGE S/D
o
PRODR00M
'
HOU
PROPOSED SEPTIC SYSTEM
SEE DESIGN. PAGE 2 OF 2)
�___
__________ --�--
15 UTIUTY EASUUE T
------------------
_ ----- _
I
PROPOSED
i
WELL
// ulwnl
I
LOT SA; BLOCK 4;
BERNARD S/D
LOT 1; BLOCK I.
LOT 2; BLOCK 1;
F&
R SUBDMSION
F& R SUBDrA S
GARNESS LNGINLERING GROUP, :�
CONSULTANTS& GENERAL CONTRACTORS �•••••
]AI C T0011 W W. AIIR 101 eOIdUCC M K l • H (W7)3V�I W • [M ]}N • �lL w.
PREPARED FOR: PHONE NUMBER: PACE NUMBER: ••.. ••••• •••••••
M2C1 CONSTRUCTION 223-8100 1 OF 2 QQ p Y A. orness.
LEGAL DESCRIPTION: DRAWN BY: QO CE -7953 `F4
LOT 7. BLOCK 1: VALLEY EDGE SUBDIVISION J.L.M.
TYPE OF WORK:
GATE: 4oe� p� o ! e s sloe°oc
SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM 12/8/2005
(R[ .OIM5)
NUMBER OF BEDROOMS:3
GALLONS PER DAY (CPD): 750
PERCOLATION RATES: <1 h 3.3
PROPOSED APPLICATION RATE 1.2
MINIMUM GRAINFIELD SO.FT.: 625
DRAINFIELD DESIGN:
MAXIMUM DEPTH:5 FEET
WIDTH: 5 FEET
LENGTH:63 FEET
M.OJL APPROVED SAND FILTER N/A
EFFECTIVE 4 FEET
.REDUCTION FACTOR: N/A
LETTER THAT PERTAINS TO THIS DESIGN.
TO OBTAIN A COM OF THE LETTER
CONTACT CEG. BY PROCEEDING FORWARD
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
SERVED BY A
COMMUNITY
WATER SYSTEM
LOT 6; BLOCK 4;
BERNARD S/D y
J
0
N
BERNARD
•f:� K
THIS /
ALTERNATE
SITE -, .•s ;:•✓•,� .. TN/3
PROPOSED • •�•� : w Lli�+.";•^. yn`+
DRAT FEILD
I c+ � {..'x.1'!•.1 •Sa_.a
I a1 �.fy�n • •::y=`•:roti:
DBU h DBL2 PROPOSED ~
S BEDROOM
HOUSE
PROPOSED 1s00 I /
GALLON SEPTIC TANK
INSTALL
FOUNDATION1 I �
OUT
\ ' PROPOSE
WELL
I
L---------------- -- ------
� 1
---------------------\----
CONTRACTOR MUST FLAG THE \
PROPOSED 100' WELL RAUS, \
PUGS THE NORTH AND WEST LOT
ONES PRIOR TO CON —Z
I
Ol
GARNESS ENG SNEERING GROUP, Ltd.CONSULTANp * & GENERAL CONTRACTORS: :: ,
=I C TAM 11010. NIR 101 . "C"DWaL Nt OM0/ •ACL (001)1]1-0110 • W (00>JAO- • OONL w �1
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: (7 `•••1 •• •••• ••• ..........
M2C1 CONSTRUCTION (907) 223-8100 2 OF 2 OQ -p '• f A. G ness:
LECA. DESCRIPTION: DRAWN BY: O4a ' , CE 3
VALLEY EDGE S/D; LOT 7, BLOCK 1. B.F.M.
DATE �� dProf se siof"'
TYPE OF WORK: �DO4po0��
DESIGN FOR NEW SEPTIC SYSTEM 12/7/2005
(R.v. 0115)
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS& GENERAL CONTRACTORS
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: VALLLT tUGL b/U: LUi 1, tlUUK i,
PERFORMED FOR: M2C1 CONSTRUCTION
DE
(1°`t ansa TEST HOLE # 1
1 ::== ORG/LOAM
7
B
GM/SM
9
10-
11
12-
13-
14-
15-
16-
17
213141516 17
18
DEPTH TO
GROUNDWATER
DATE
DRY
i
,,�.,�
12/8/2005
6-
111 fI
<1
0-
6-
3 —
—
6-
i
if
0-
6-
5 —
—
1 6-
—
6 —
<1
lI�IZIi
6-
7 —
i4'i�'/�
—
DEPTH TO
GROUNDWATER
DATE
DRY
12/1/2005
DRY
12/8/2005
6-
—
2 —
<1
DATE READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
12/l/2005 1 —
—
6-
—
2 —
<1
0-
6-
3 —
—
6-
4 —
<1
0-
6-
5 —
—
1 6-
—
6 —
<1
0-
6-
7 —
—
6-
—
8 —
<1
0-
6-
9 —
—
6-
—
10 —
<1
0-
6-
11 I —
I —
6-
-
1 112 1 —
I <1
0-
6-
19 PERCOLATION RATE 3.33 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 3.0 FT. AND 3.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENNY MAUS
COMMENTS: THE INSITU SANDY SOILS WILL ACT AS A SAND FILTER
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 2
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
ml XAC6 101 • ANDQWA14 AK wam • ,xo,t: Yo -�1]� • •c N • �vsR p rhym.
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: VALLLT LDUL s/U: LUl 1, eLUc;K 1,
PERFORMED FOR: M2C1 CONSTRUCTION DATI
DE
(lees nnn: EST HOLE #21
1 == ORG/LOAM
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
GM/SM
DEPTH TO
GROUNDWATER
ON
DRY
12/1/2005
DRY
12/8/2005
12:50
—
/�iNH11111
—
iiai
1:00
10
0'
6'
3
1:00
—
6'
—
4
1:10
10
0'
DEPTH TO
GROUNDWATER
DATE
DRY
12/1/2005
DRY
12/8/2005
12:50
—
6.
—
miglAm"km
:y A. amass.
CE -79 33
•ty,�pj�ls fSgo4�
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
12 1 2005 1
12:50
—
6.
—
2
1:00
10
0'
6'
3
1:00
—
6'
—
4
1:10
10
0'
6'
5
1:10
—
6-
—
6
1:20
10
2-
4-
7
1:20
—
6-
—
8
1:30
10
3-
3-
9
1:30
—
6-
—
10
1:40
10
3-
3-
11
1:40
—
6'
—
12
1:50
10
3-
3-
19� PERCOLATION RATE 3.33 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4.0 FT. AND 4.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENNY MAUS
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS FE FORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 12 g
o-�aE 8Li
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904`.: E Y
Certificate of On -Site Systems Approval
Parcel I.D. 060-331-17
1. GENERAL INFORMATION
Complete legal description Valley Edge Lot 7
k'ps§:" 19230 Bernard
ALdcation (site address)
' Current Property ovrner(s) Mark and Patti Tittle
P... ..,v
mailing address, 19230 Bernard
.,Real. Estate Agent , Denny Wood
2. -,
TYPE -OF l7WEPLING:
❑° Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or. Duplex)
3. NUMBER OF BEDROOMS: 5
Expiration Date:
Day phone 242-3103
Day phone
AUG b o
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
x❑
Individual
0
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request for:,
Received by:/ Date: (` l /
COSA to be releised t ngineer, unless otherwise requested by the engineer.
COSA Fee $ 1:5 2jo Waiver Fee $
Date of Payment 8-13011(e, Date of Payment
Receipt Number bo -)4 Receipt Number
COSA u OGCI to 13$ 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 C&M ENGINEERING Phone 854-5558
Address 30840 PRUDHOE BAY AVE
Engineer's Printed Name CHARLES BALZARINI Date 8/29/2016
6. DSD SIGNATURE
System #1 Approved for bedrooms
System #2 Approved for bedrooms
Disapproved
!SFr"_ ..:"i .y
Conditio6lVapproval for
bedrooms, with the following
13 —A �- Original Certificate Date:
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.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet ! - : c
If more than 1 septic system is on the lot:
COSA Checklist # hof
Structure served by this system 7_
Certificate of On -Site Systems Approval Checklist
Legal Description:VALLEY �W t-0 ` Parcel ID: b66-7 1 -17
A. WELL DATA 1/
Well type ��✓� If A, B, or C provide PWSID # A Well Log ON) C_
Date completed 911V05 Sanitary seal if/N) E5 Wires properly protected ON)Y€5
Total depth .2�0 ft. Cased to LL -ft. Casing height (above ground) U � in.
FROM WELL LOG
Date of testf�1I1'' ��l� 5
Static water level K0 ft.
Well production -3,5 g.p.m.
WATER SAMPLE RESULTS:
AT INSPECTION
/Q01.2o&
60 ft.
3` a g.p.m.
Coliform AlAO' colonies/100 mL Nitrate mg/L
Arsenic J441? ug/L Date of sample: 94211A0I6 Collected by: G�� ��GTni�6�TzG
B. SEPTICIHOLDING TANK DATA
Tank Type/Material S L PTTC15j�€L �t
Tank size 1500 gal vv Number of Compartments cT
Foundation cleanouto/N) KE5 Depression over tank (YQ NU
Date of pumping lO O`�fI l v Pumper. !` S
Date installed
Cleanouts (9V) YES
High water alarm (Y/@ A.10
C. ABSORPTION FIELD DATA
Date installed6'/2.1/26�f-• Soil rating(g.p.dl./ft2 or 444 b ) J ` a` System type Ni>411�� t j
Length , ft. Width 5 �5 ft. Gravel below pipe ft.
Total depth 7' �! ft. Eff. absorption area �bft2 Monitoring tube yE5 Depression over field 11./0
Date of adequacy test O ZO b Results ( as /Fail) _RM5_
For 5 bedrooms
Fluid depth in absorption field before testO/15 in. Water added 7J O gal. New depthOZL5S in.
Elapsed Timm I Q min, Final fluid depth 0/1in. Absorption rate >= 75-0 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) 10WR tCNO ✓✓ If yes, give date
4
D. LIFT STATION No L r
Date installed _ Size in gallons
In. "Pump off" level at
"Pump on" level at
Datum `
—
E. SEPARATION DISTANCES
WELL ON LOT TO:
Cycles tested --
Septic tank/lift station on lot 6
Absorption field on lot +(L9V
Public sewer main 4 100,
Sewer /septic service line f a 5
Animal containment areas f 50,
SEPTIC/HOLDING TANK ON LOT TO
Manhole/Access (Y/N) _
in. High water alarm level at
Meets alarm $ circuit requirements?
i
On adjacent lots 4(00
On adjacent lots -Et00"
Public sewer manhole/cleanout
Holding tank *7
Manure/animal excrete storage areas CJO�
Building foundation 4 — Property line f S Absorption field f S 11
Water main + to Water service line -f to Surface water 'f t 0d
Wells on adjacent lots i l(90
i
ABSORPTION FIELD ON LOT TO:
Property tine 4100 Building foundation -4l0` Water ro'
main f
Water Service line 4 to — Surface water 't (Oe � Driveway, parking/vehicle storage f-0
Curtain drain 'f• 512! Wells on adjacent lots -f 14901
F. COMMENTS
G. ENGINEER'S CERTIFICATION 1
I certify that I have determined through field inspections and *,X.4 9 iH
review of Municipal records that the above systems are in ..
conformance with MOA COSA guidelines in effect on this date. ••• .. .....,
Engineer's Printed Name GNAA6 ES t3ALz��7zrr✓2 ICharles G..Ba� ��,, i
Date ?1aa/aDfb �1+9F�' (/
�116AppESS4�
COSA canary sheet_2-6-15.doc
in.
Lralc� 6..11
Municipality of Anchorage
1 • Development Services Department
Building Safety Division .. ..
�- On -Site Water S Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. r1(PO — 331- l COSA# Ulc D3uq
1. GENERAL INFORMATION Expiration Date: — 0 6
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
VALLEY EDGE SUBDIVISION: LOT 7,
ICIA,'5 `BERNARD DR. • EAGLE RIVER AK 99577 '
LEROY ALDERMAN w/ M2C1 CONSTRUCTION Dayphone 223-8100
P.O. BOX 670045 " CHUGIAK. AK 99567
Day phone
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 5
Day phone
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:,,
Individual Well
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
❑❑
Community Class Well
❑
Community On-site
Public Water System
❑
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, 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 riles 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. Phone
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, Lt D. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines 8 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational He 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 test
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 sofa 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
Approved for 7 bedrooms.
Disapproved.
337-6179
Date f7.X7 0t,
Conditional approval for bedrooms, with the illowing stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
LM
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Reort
Other
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P-R�GRAM .
1j111111 U)11111
By:�� (�/ � Original Certificate Date: 6
/Rw I'M
Municipality of Anchorage
• Development Services Department
Building Safety Division
On-Ske Water d Wastewater Program f
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 995198850
www.muni.orglonaite
(907) 3437904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST;
Legal Description: VALLEY EDGE SUBDMSION: LOT 7, BLOCK 1 Parcel ID: 0 �0 O — 3 ?>/— / 7
A. WELL DATA
Well type MATE K A, B, or C provide PWSID# N/A
Data completed 12/12/2005 Sanitary seal (YIN) YES
Total depth 244 ft. Cased to 68 ft.
FROM WELL LOG
Data of test 12/12/2005
Static water level 40 ft.
Well production 3.5 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate .WQ_mgJL.
Well Log (YIN) . YES
Wires properly protected (YIN) YES
Casing height (above ground) 18+ in.
AT INSPECTION
ft.
g.p.m.
Other bacteria a oolonies/100 ml.
Arsenic: _0D_ugJL. Date of sample: 7/18/2006 Collected by: GEG. Ltd.
B. SEPTICIHOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed 6/19-21/2006
Tank size 1500 gal. Number of Compartments 2
Foundation deanout (YIN) YES Depression over tank (YIN) NO
Date of pumping NEW Pumper
C. ABSORPTION FIELD DATA
Date Installed 8/19-21/2006 Soil rating WzPNr f0bdrm) 1_2
Length 37/38 ft. Width 5 ft.
Cieanouts (YIN) YES
High water alarm (YIN) 1 N/A
System type SHALLOW TRENCH
Gravel below pipe -3.51/2.92 ft.
Total depth e.9 -9a ft. Eft. absorption area 665 fe Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fall) PASS For 5 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.) (YIN & type) NONE KNOWN If yes, give date -
D. LIFT STATION
Date installed
Size In gallons
'Pump on' level at _in. 'Pump off' le High water alar level at in.
Datum Cycles tested Meets alar & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A
Sewer /septic service line 25'+
Public sewer manhole/cleanout N/A
Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A 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 N/A
Water service line 10'+ Surface water 100'+ Driveway, parkingtvehide storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S
I oer* that I have determined through field inspecUans 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 JEFFREY A. GARNESS
Date 713704
COSA Fee S 41.30• U U
Date of Payment
Receipt Number do 3 j 7
(Rsv. 11105)
Waiver Fee $
Date of Payment
Receipt Number
ASBUILT • SEWARD 6 ASSOCIATES LAND SURVEYING 694-
1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE,I►%
FOLLOWING DESCRIBED PROPERTY, �P�ti OF q��s�/
/.ter<�/ taG� tvo, torte DATE=
AND THAT NO ENCROAid -NTS EXIST EXCEPT AS ����� ih ; ........
•' •'•.,/� 1
INDICATED. IT IS THE RESPONSIBILITY OF THE *
OWNER TO DETERMINE THE: EXISTENCE OF ANY GRID-
EASEMENTS,
RID EASEMENTS, COVENANTS, OR RESTRICTIONS Suizsl - %� .,,..
WHICH DO NOT APPEAR ON THE RECORDED SUBDI- 1 n* I- sa.a,a . Rt
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB` 1 % L5 6916f Ar
ANY DATA HEREON BE USED FOR CONSTRUCTION 1,'•
OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN
ART LINES.
SCS Itero 1063960001 All Dates?imes are Alaska Standard Time
Client Name Gamcss Engineering'roup, Ltd. Printed Date/Time 07282006 9:43
Project NameN Valley Edge SD Lot _ Collected Date?ime 07/182006 8:15
Client Sample ID Valley Edge SD Lot¢$i.2 Received Date/Time 07/182006 9:27
Matrix Drinking Water Technical Director Stephen C. Ede
Sample Remarks:
Allowable Prep - Analysis
Parameter Results POL Units Method Container ID Limits Date Date [nit
Metals Department
Ilardness as CaCO3 150 5.00 mg/L SM20 2340D C 0720/06 0725/06 MI I
Metals by ICP/MS
Arsenic ND 5.00 ug/L EP200.8 C (<10) 0720/06 0725/06 Nil
Waters Department
Nitmtc•N ND 0.100 mg/L EPA 300.0 D (<10) 07/18/06 07/18/06 DSII
Microbiology Laboratory
Total Coliform <2OB, NoColi col/100mL SN1209222B A (<1) 07/18/06 TLF