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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 :Jf tuurrrrrrrr,, 0F,gly�y���. .•� 0 . ON -srAi LK iG0 •• ►4 JASTEWATER : E 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