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Home My WebLink AboutAUDUBON HILLS #1 BLK 1 LT 9AAudubon Hills #1 Block 1 Lot 9A #015-235-07 \ Municipality of Anchorage �.A Development Services Department Building Safety Division `° a 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 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW060240 PID Number: 015-235-07 Name: SCOTT MILANI Wastewater System: ■ New ❑ Upgrade Address: 2410 LEGACY DRIVE • ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 830-4914 4 ClDeep Trench ■ Shallow Trench a Bed ClMound Gather LEGAL DESCRIPTION sa Ramp: 0.8 Told Depw emn twlt; a grade: CPO/Sq. n. SEE DWG. FL Block: Lot: Subdwislon: Depth to ppe Bottom Iron aHprral of o : argv depth beneath pipe: 1 9A AUDUBON HILLS #1 SEE DWG. rt 0.5 r< Township: Range: Section: r+ meed above ollglnal erode: Drew WMth: — — — SEE DWG. n 163 (55, 55, 53) WELL: ■ New ❑ Upgrade Grovel eWth: 5 Number of EMB: 3 theta,. W~ foes: 15 n• rt Cbe•hdabdn (Pnew*, A.B.C): Trod OWN Coewd To:(ptgpaK) Tato# abewpaan area: Pp mot~ PRIVATE 124 n 101 rt 815 so rL D 3034/ F-810 Driler: Date Dr~Stpea Mmw 1. M: metaeer. GEG Ltd. Date NetalW: 8/14/2006 ALPINE DRILLING 8 20 2006 4 r,. red: Pump Set At: q5 ' Cprnq H"gnt Ape.. arrow: TANK 15 DPu UNKNOWN n. 2 n SEPARATION DISTANCES ■Septic 0Holding 0S.T.E.P. ODther To Septic Absorption Lift Holding blia/Pri" Ywwfact.. ANCHORAGE TANK w C.p ty H poew. 1250 From Tank f-wle Station Tank seew u"s Well too'+ too'+ — — 25'+ ""Oe STEEL STEEL Numb« comlwnm : 2 Surface water 100'+ 100'+ — — — LIFT STATION Lot Line 5'+ •1' — — — Ste h paean.: Monulod .. Foundation 5'+ 10'+ — — — p on M.el a1: poll aL Nqn Bal« obrm oL Drain NO 11 KNOWN Pvmp Yake el: 0p e1elM * pedes by. Remarks: • WRy: 060040 BENCH MARK toaabon ww Descriptwn: BOTTOM OF TANK ® ST2 A.wwwd E".auan' 93.74 n Inspections performed b : Dates: 1st .8/10/2006 p p y GEG, Ltd. o INEER73EAL oo�oop 2nd 8/11/2006 c OF ... 3rd 8/14/2006 • �?,��DO Development Services Department Approval'?: ov,`�-.• 9 0 r Conditional Approval: Date:• •••• •• ••••••.. 0 P '•.J f re A. G SS.- S.E-7953 E-7953ev ••tz�b�cb''�aov �4ed Drofessio��oo ��400�000 Reviewed and approved by: Date:�/_ti_/n� (R«. 4/06) PERMIT NUMBER: SW060240 A I B STI 28.8 34.6 ST2 37.0 60.9 DBLI 33.4 59.5 DBL2 32.1 58.6 FS 18.7 41.4 Col 26.5 46.0 MTI 29.4 49.6 CO2 79.5 92.6 MT2 79.3 1 92.2 CO3 78.3 85.7 MT3 79.7 86.1 C04 29.7 36.7 MT4 30.6 35.1 C05 81.3 82.2 MTS 80.4 80.7 C06 37.6 27.2 M76 1 36.4 28.1 - S AS -BUILT DRAWING DEE RICH TH f 2 ALTERNATE STTE WILL 1 j Mr51 REOUIR iEOUAN �ANUEDE OF TREATMENT SYSTEM- /j I NEW ---------`� i INSTALLED ZABEL 4 HOLE DISTRIBUTION BOXY / N I CN' 1 1 � I I I I I 1 1 1 \\\ DOWNY FINCH DRIVE PARCEL ID NUMBER: 015-235-07 NEW 1250 GALLON SEPTIC TANK I 11 1 II I I I 1 1 eu 1 1 1 !^ BL2 GARNESS ENGINEERING GROUP, Ltd. p; CONSULTANTS & GENERAL CONTRACTORS Jnl L � ,TMD. WR 101 • Y,OOk"L Mf Ml01 • H (W7)=P In • M (W7)JY " • �U9,L w•.pw�wywYyaww I PREPARED FOR: PHONE NUMBER: PACE NUMBER:A(;o� SCOTT MILANI 830-4914 2 OF 3LEGAL DESCRIPTION: DRAWN BYdAUDUBON HILLS SUBDIVISION /y1; LOT 9A, BLOCK 1, C.�I TYPE OF WORK:DATE: AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM 11/6/2006 (R«. 01m) / / / / / / / t.r*ness: CE/, 779/53 :41 '► I/.si PERMITNUMBER: PARCEL ID NUMBER: SWO AS -BUILT DRAWING I SW060240 015-235-07 TOP OF TANK AT INLET - 98.62 INVERT OF BUNG AT INLET - 97.94 INSULATION FINAL GRADE - 101.35 5T2 TOP OF TANK / AT OUTLET - 98.61 NEW 1250 GALLON SEPTIC TANK INVERT OF BUNG AT OUTLET - 97.84 DOWN HILL TRENCHI I MIDDLE TRENCH UPHILL TRENCH ORIGINAL GRADE ORIGINAL GRADE ORIGINAL GRADE . 92.06-95.54 - 96.26-99.36 - 96.36-700.3] FINAL GRADE - FINAL GRADE - FINAL GRADE - 96.05-99.29 95.62-100.04 19 99.63-100.66 INSULATION IISLRATION NSIAATION RLTER FABRIC FILTER FABRIC FILTER FABRIC TOR OF SANG TOP OF SMD - 92.04 - 95.67 lOP OF Wro ..:arm 'S. rtt.. Vii. '^'�''`•�.:�:.rVYc. - 94.66 ..:i .•r '..• c. r.. M'ERF OF PIPE .::1 .`r �:^� 1-: j APPRp40 V ! t YY 2APPROVED A�4' • 96.39 ��= F APPROVED a <•i FILTER"ir 'ti INVERT OF PIPE 't•� ±.•SAND FILTER+Ic "t.1 ti3V1�(1 FILTER-4r.'ti J r •.•:. a?.•. {.eat. i� . 92.50 1 �•.•.^�r'i'j;.• {.rr. i6�s RNERF OF PIPE J �'.r:,+.�••Fm tom.: - 93.39 BVTIUM OF TRENCH BOTTOM OF BOTTOM OF Ngo O 86.s0 - 90.04 TRENCH . TRENCH - % 0/22/2006 91.32-92.86 92.57-93.07 INSULATION IS OVER THE NORTH HALF OF ALL 3 TRENCHES RELATIVE ELEVATION OF BOTTOM OF 7ES0101E NEM MIDDLE TRENCH . 81.56 i GARNESS ENGINEERING GROUP, Ltd. *'? 4 CONSULTANTS B GENERAL CONTRACTORS •••••• ••• •' •• '• ......•••• JAI G N190I1 RIM llM 191 • M CMM L AA ..1197 • 1 DIDI 67417. • FAX (NR),W M • 9 ' .. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• • . • .......• ......•• SCOTT MILANI 830-4914 3 OF 3 p fey Gar ess. LEGAL DESCRIPTION: DRAWN BY: v0'. -1'CE 7953 ,• `FQ AUDUBON HILLS SUBDIVISION 1; LOT 9A, BLOCK 1A6.• '; cd TYPE OF WORK: DATE: 04 p�reaato�,o PROFILE AS -BUILT OF NEW SEPTIC SYSTEM 11/7/2006 DDODoo�� (R.v. OIM5) Sep 28 2006 2:18PM HP LRSERJET FAX ALPINE DRILLING & Permit Number.#SW060240 Date of Issue: 6 Date Started: 8-2046.Date Completed: 8-20-06 Is Wei Legal Description: .Audubon HNs 01 Wk 1 U Property OwncrName & Address: Scott MJant 2410 Legacy Drtve Anchoraae. Alaska 99516 Borehole Data:. , . Depth (ft) . Soil Type, Thickness & Water Strata ;; ; • From , . _ To organics & silt O 16 gra ve/lysilt 16 19 water sand & gravel 19 22 gravelly silt 22 37 water sand & gravel 37 39 gravellysllt 39 43 silt 43 99 bedrock .99 124 VTERPRISES Parcel dentirwationiNumber: 015-235-07 catod at ap roved permit location? ® Yes ❑ No od of D; ng ® air rotiary ❑ cable tool Ig type: 1 Thickness ,M inches; eter: 6 incl ies Depth!'101 feet' : r Type: ieter. inches :Depth: feet sg stickup, above ground:,2 feet Sti tic water level (from grotmd level): 4 -feet . Pu roping level 0 eet after 2 I ours pumpin 15 8PM Re covery Rate L gpm MI rthod of Tea ing: eirr Wi IIIntake O eningT)pe:; ❑ Open End ® Open Hale ❑ Screened Start _L feet Stopped feet ❑ Perforations Start feet Stopped feet Ct out Type: ftntonite ta—nIles Volume: l Dc pth: 1. Start Q feet Stopped feet Pump: Intike epth :feet PU M, V size bp Brand Name W til Disinfect d Upon Completion? ® Yes No M thod of Dis nfection: chlorine tablets Comments: W fll Drifter. pine Drilling& Enterprises 30 Boz 110496 nchorage Alaska 99511 ' Attention: The well driller shall provide a well log to the property�wner within $0 days of completion and the property owner or the well driller shall provide a well log to the Developme Services Department within 60 days of completion. 122-2007 04:27A FROM: *Afar* Moyar Dewlepil M Sar IM D4p4"*IRt eulwbv 000Y DNUIM Ca-V?e l CO". d wetteraYCW P. -M 4700 ge"aw StPW P.O. tax 196650 Muhenopa, AK 999t9-6690 SIMM atacadarb MMaeaaw Pump Iiestallation Log x-sl/3-7997 T0:33E33246 P.Vi WeD DrWind Part■!t Nwnbar, Data of Iatue:`_ Yered Idenancation Numbett Aub�ct,oaIge.NIA z99 5-16'Slack Lot PrepMy aq"♦ Addnn: O �rAd7w, 1 S i—� Pump Intake Deptk below Top at WQl Culnsl �_ feet Pwmp maps oftw'e Nanta Lu k drp 7 !■mp Madei: 150.7 110 So E PesP sift 3KI kp T,PIRIM Adaptarlurial Depths Yitlen Adept"Mizabetmses Nam--(-,% 1. o Ir. I I PitimAdapter Icrbd n JQ u t<ld cLy tk Wetl Dtdnteetad Up" cowaleti"? t i' Yw a No Md�lb atheddDtelfoa: , I%tz, Canrmaatet ltampLetatl/e►�rName: _ BYL 25-5-57 Ceepaamt ttGro�� f utu� p t��irll SPrurt� MiatUas A6drato Atteadest The pm®1Mdkr Oill p avide a V=V kuteWcs lop to DSD wWJa 70 days arpump inatalledad MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SWO60240 Legal Description: AUDUBON HILLS #1 bLOCK 1 IOT 9A Design Engineer: 0855 GARNESS ENGINEERING GROUF Owner Name: SCOTT MILANI Owner Address: 2410 LEGACY DRIVE ANCHORAGE. AK 99516 - Date Issued: Aug 04, 2006 Expiration Date: Aug 04, 2007 Parcel ID: 015-235-07 Site Address: NHN DOWNY FINCH DRIVE Lot Size: 49580 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank Ej Privy 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, seated, and heated to prevent freezing. Received Date: g y Municipality of Anchorage Development Services Department Building Safety Division \- On -Site Water& Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. n15''�'35- Dr4 Property owner(s) SCOTT MILANI Day phone 830-4914 Mailing address 2410 LEGACY DRIVE a ANCHORAGE. AK Site address 040 110 Aly E I L t -I - R -S V F Zip Code 99516 Legal description (Sub'd, Block & Lot ) AUDUBON HILLS SUBDIVISION ft BLOCK 1. LOT 9A Legal description (Township, Section & Range) N/A Lot Size r Sq.Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ I 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. Permit/Rush Fees: �� aiver Fees: / Date of Payment: ��13i0(o Date of Payment: l'/L k& Receipt Number. Ll to b ?rt day Receipt Number. '7 to%w tr, (Rev. 11/05) W niMucipalit,3T of Anchorage �" ' 1'0. Dix MAN) • Awhonigc, Ahcska 1YA H) ('f ill • Tckphonc (SM)d) 34.3-N301 • I'm (907) 31&8'^(X) 470011ni ane S(rccl • Anchmngc, Alaslui!k 1i07 s��c.munLo c Mayor Mark Begich `( Ilutldirrf; Snfcl}• Dit3sion August 4, 2006 Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Subject: Waiver Request for Audubon Ilills #1, Block 1, Lot 9A Waiver Request WR#: 060040 Parcel 1D # 015-235-07 WR060040 Dear Jeffrey Garness, P.E.: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. ,The approved separation distance is 1.0 foot. 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, AAocj Deb Wockenfus Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department +r Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907)343-7904 Waiver Review Worksheet WR#:060040 PID#:015-235-07 HA/Permit# WR060040 Date Received: August 4, 2006 Legal Description: Audubon Hills #1, Block 1, Lot 9A Engineer. Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Applicant: Scott Milani Waiver Requested: lot line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: r. .... .9886966•• ... .esmssmss...s... esmmssmm°°.... massmms..... .eee.e...eems Waiver is Granted: X Waiver Is not Granted. List Conditions or Reasons for above: Date: 08/04/06 By: Deb Wockenfuss Name of Reviewer �...........................•.... monsoons•@ .... ..6880.. .... unease .... smmso Rec#: 46631 Amount: $175 Date Paid: 8/4/2006 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS July 24, 2006 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Well and Septic System for Audubon Hills Subdivision #1; Lot 9A, Block 1, To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. We are proposing to install a new 1250 gallon septic tank and three 5 -wide trench type drainfield. Several testholes were excavated on the property by our firm and Dee High P.E. The drainfield will be designed around the 30 foot radii of Dee high and our firms test hole #2. Comments regarding the design are summarized as follows: 1. SOILS: 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 RATERS: 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 area around the proposed drainfield is fairly flat. In short, there are no slope concerns. 5. LOT LIME WAIVER. We request a 1 foot lot line waiver from the proposed drainfield to the north lot line. We are unaware of any adverse impacts with the granting of this waiver. 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., NOTE: Nttached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact C.E.C. 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: gamessengineering.com I LOT 12. BLOCK 2: AUDOSON HILLS S/D (NO CONCERN) I I LOT 10. BLOCK 2; ALPINE WOODS S/D (NO CONCERN) 'j.SE I VENTS I ' 1 I • I I I I LOT 11, BLOCK 2;I AUDOBON HILLS S/� (COMMVNITY WELL 1 NOT ON PROPERTY)I NO CONCERN I I I I I I I I I I I I R12N. R3W. SECTION 23, PARCEL 12, (FIELD LOCATE WELL AND SEPTIC SYSTEM) I I I I I DEE HIGH TH j2 i t l i I I I I I PROP 4 BEDROOMTM�� HOUSE / TH#3+ I '_PPROP SEO 100' I I WELL RADIUS LOT 7, BLOCK 1; AUDOSON HILLS S/D PROPOSED SEPTIC SYSTEM (NO CONCERN) (SEE DESIGN PAGE 2 OF 2) LOT B. BLOCK 1: AUDOSON HILLS S/D DOWNY FINCH DRIVE \ - LOT 6, BLOCK 3; AUDOSON HILLS S/D / I LOT 9, BLACK 3; �. / ) I AUDOBON =ILLS SID 100' WFII RADIUS 1 / r�oQ LOT 11, BLOCK 6; I I I C7 / Ary AUDOSON HILLS S/D / Z / Oyc�( (NO CONCERN) '7J C d Q L � 0- Z / OF �pQ 000 GARNESS ENGINEERING GROUP, Ltd.,'?: 4 •v0 CON SULTANTS&GENERAL CONTRACTORS......... . • . •••.• nl [. nAos core fun[ 10l . w,a,owa. nc eu5oi w,ow[ Wn ," • M M-32" • s®sn[:.... . 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ^ •.. J A. TIG... Q SCOTT MILANI (907) 830-4914 1 OF 2 V lP . !� LEGAL DESCRIPTION: DRAWN BY: QO E-7953 �FO� AUDOBON HILLS SUBDIVISION #1; LOT 9A2 BLOCK 12 J.L.M. Qn� ��J.IrA{i�oAo TYPE OF WORK: GATE: 0^Q Profess}ol, SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM 1 7/7/2006 040000�� (Rev. 01005) ILLS S/D: UON HBLOCK LOOTS OA, I II 11 II !! I I I I I DEE HIGH TH j2 i t l i I I I I I PROP 4 BEDROOMTM�� HOUSE / TH#3+ I '_PPROP SEO 100' I I WELL RADIUS LOT 7, BLOCK 1; AUDOSON HILLS S/D PROPOSED SEPTIC SYSTEM (NO CONCERN) (SEE DESIGN PAGE 2 OF 2) LOT B. BLOCK 1: AUDOSON HILLS S/D DOWNY FINCH DRIVE \ - LOT 6, BLOCK 3; AUDOSON HILLS S/D / I LOT 9, BLACK 3; �. / ) I AUDOBON =ILLS SID 100' WFII RADIUS 1 / r�oQ LOT 11, BLOCK 6; I I I C7 / Ary AUDOSON HILLS S/D / Z / Oyc�( (NO CONCERN) '7J C d Q L � 0- Z / OF �pQ 000 GARNESS ENGINEERING GROUP, Ltd.,'?: 4 •v0 CON SULTANTS&GENERAL CONTRACTORS......... . • . •••.• nl [. nAos core fun[ 10l . w,a,owa. nc eu5oi w,ow[ Wn ," • M M-32" • s®sn[:.... . 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ^ •.. J A. TIG... Q SCOTT MILANI (907) 830-4914 1 OF 2 V lP . !� LEGAL DESCRIPTION: DRAWN BY: QO E-7953 �FO� AUDOBON HILLS SUBDIVISION #1; LOT 9A2 BLOCK 12 J.L.M. Qn� ��J.IrA{i�oAo TYPE OF WORK: GATE: 0^Q Profess}ol, SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM 1 7/7/2006 040000�� (Rev. 01005) NUMBER OF BEDROOMS:4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 5 h 2.8 MIN./INCH PROPOSED APPLICATION RATE: 0.8 MINIMUM GRAINFIELD SO.FT.: 750 DRAINFIELD DESIGN: MAXIMUM DEPTH:6.5 FEET MAX WIDTH:5 FEET LiNGTH:165 FEET TOTAL (3 O 55') M.O.A. APPROVED SAND FILTER:2.0 FEET EFFECTIVE: 0.5 FEET REDUCTION FACTOR: N/A ACTUAL SO.FT.: 825 LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. 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 PROPOSED GRINDER PUMP FOR LOWER LEVEL TO PUMP T( MAIN LEVEL OF HOUS ALTERNATE SITE WILL REQUIRE THE USE OF AN ADVANCED TREATMENT SYSTEM - V LOT UNE WAIVER REQUESTED — DEE HIGH PROPOSED INSTALL DISTRIBUTION 101doul /I I PROPOSED 125( GALLON SEP IC TANK U if II INSTALL OUNDATION PROPOSED ;•:.:!'•: 4 BEOROOM •' ". •• .Av. HOUSE PROPOSED 1DO' �':,•' WELL RADIUS PROPOSED WELL _.. DOWNY FINCH DRIVE NOTE: CONTRACTOR SHALL HAVE THE NORTH AND EAST LOT LINES FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION OOO GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS 3m1 C T�011 NWA i 101 • MC OPADL MI /KCI • MCS CW7) ) IT • FM (W?M W" • �IIL' w.p ya• EPARED FOR: PHONE NUMBER: PAGE NUMBER: PR SCOTT MILANI (907) 830-4914 LK•1'. VIM) / ... ........ • fD BSS,• 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: AUDOBON HILLS (TYPE SUBDIVISION 11; LOT 9A, BLOCK 1. J.N.T./C.J.(;. 000 OF WORK: DATE: SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM 7/7/2006 LK•1'. VIM) / ... ........ • fD BSS,• if mow.••'. ., •_ry�Vo GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS&GENERAL CONTRACTORS— ,o;?\:` .. 4 .. T 3M1 L TI000 NWA a 101 • AHC OWf{ Yf e0f01 111be: (001),U)-e1N . /K NOlJ11e-3fN eOlVR: w�.p rF,.yv O ••••••• •• -••• ••..... y A. or ess,: E-795• :� b•'• a�o� PREPARED FOR: SCOTT MILANI PHONE NUMBER: 830-4914 PAGE NUMBER: 1 OF 1 Q .Jeff LEGAL DESCRIPTION: AUDUBON HILLS SUBDIVISION 1; LOT 9A, � BLOCK 1, DRAWN BY: Q o. � °s N.T.S. �� TYPE OF WORK: DATE: REVISED proressiol'oc �DODoo� DETAIL DRAWING OF PROPOSED DRAINFIELDS. 8/4/2006 LOT 10. BLOCK VPINE WOODS 11. BLOCK 'III�T��IL�M LOTA. Bl 7: J ON I S/D GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS d GENERAL CONTRACTORS Al MYd, 11A[ 10 Mf • hCK ( 117 -SIT . IN )}N • .,s P EPARFn FOR: L jPH)NE NUMBER:NUMB CO (907) 830-49 4 UM LEGAL CRIPTION: DRAWN Y: BON HILLS SU ISIO T W, OCK 1, J.L.M. YPE OF WORK: DATE: SITE PROPOSED AQ SEPTIC TEM 7 7/200 z 6. u D� A WE kmmr®�! HILLS _ 006o ppp OF gOp4 �. .. •.S X00 RAL CONTRACTORS GARNESS ENGINEERING GROUP, Ltd. off: y p CONSULTANTS i GENEO e •: e Q 701 L 111Dpi 0.(m. WE 101 • M•O.OINGL M. 99W7• RIO,G i01 )-!1]Y • F"YO -3I•! • •fM11L 1.14,•r1N.." � SOIL LOG - PERCOLATION TEST ... . ............� AUDUBON HILLS SUBDIVISION 1• LOTS 9A, BLOCK 1, of y A. ness.- LEGAL DESCRIPTION: � e E-79 3 •' : � PERFORMED FOR: WILLIAM WORRALL c/o DEE HIGH DATE: 6/15/200 6 0006 . ?�17 I�.•'c9vv� 4 DEPTHo�Qo„oo 4p�dpfo (feet) TEST HOLE 2 Op o 1 2 FILL SOIL CLASSIFICATIONS 3 14, :s:+! GP ML ALOTB OA HILLS / BLOCK�, GM CL 4 ORGANICS GC OL N °• 0000. SW MH .... . 5 • • • • SP CH DEE HIGH SM : OH TH#2 6 SC TH/2 7— DEPTH TO DATE AUDUBON HILLS S/D; GROUNDWATER LOT 9A, BLOCK 1 8 DRY 6/15/2006 +TH13 10' 6/19/2006 9 10* SCALE: 10 GM TO SM 11 W/ LENSES OF ML AND TIME (MINUTES) READING (INCHES) SP THROUGHOUT 6/16/2006 1 1:32 — 6" 2 2:02 30 0" 6" 13 14 15-1 16 17 18 19 PERCOLATION RATE 5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ONO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JORDAN TROISI COMMENTS: PERFORMED BY GEG, Ltd. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WA P FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7 d 7 b DATE 12 READING CLOCK NET TIME WATER LEVEL NET DROP 6/22/2006 DATE 12 READING CLOCK NET TIME WATER LEVEL NET DROP — 3 2:03 — 6" — 4 2:33 30 0" 6' 5 2:34 — 6" — 6 3:04 30 0" 6" GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS 3701 L TW M . fort[ 101 • M40IM-4E, w 0f•A7 • Mr,pL (07)W7- 179 • FA W -SIM • •[BviL pn.w«ywm SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: AUDUBON HILLS SUBDIVISION #1; LOTS 9A, BLOCK 1, PERFORMED FOR: WILLIAM WORRALL C/o DEE HIGH DATE: 6/15/2006 (fee 1 t) TEST HOLE 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 FILL ORGANICS GM TO SM W/ LENSES OF ML AND SP THROUGHOUT DEPTH TO GROUNDWATER DATE DRY 6/15/2006 7- 6/19/2006 i 6/22/2006 -- 31191 =001 %/% NNW IIIIIIIII w Illi o" • DEPTH TO GROUNDWATER DATE DRY 6/15/2006 7- 6/19/2006 7- 6/22/2006 AAAUDUBON HILLS S/D; '/�^,,``i1 LOT 1OA, BLOCK 1 IYI DEE HIGH / THN2 TH/2 AUDUBON HILLS S/D; LOT 9A, BLOCK 1 TH/3 asc DATE IREADINGI CT MEK I (MIN TI S) NET ME I WATER READ NGVELI (ET DROP I NCHHES) 19 I PERCOLATION RATE _ (MIN./INCH) PERC. HOLE DIA. — (INCHES) TEST RUN BETWEEN FT. AND FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAq P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7 Ct W.D./ Boo SOILS LOG -PERCOLATION TEST TEST HOLE 412 PEOOP,MED FCP-WLLIAM WORAI I j �'�DENNI�S DEE H(GH;•�i DATE PERFORMED. ��sfe %... CE 5807J•� � ZFi LEGAL oEscwPnoN: LOT LEAgBLK 1 AUDOBON HILLS NO. 1 PRELIMINARY PLAT)��`,� j�ofesslap�� 2 FILL do ORGANICS 3 4 5 6 ' 44 .. 7 8 v .a 9 . 10 GM/SM WITH d'. SOME CL 11 12 c 13 a vnr . d• 14 r r1 15 � u a: 16 17 18 WAS GROUND WATER S ENCOUNTERED 4 YES L IF YES, AT WHAT O DEPTH 4 13' P DEPTH OF WATER E AFTER MONITORING 4 1Y DATE: - e-8 Dom_ W-4cm we sc WT uc TEST HOLE LOGGED BY aD U r a yr u CARESS. PERCOLATION = ao w, r a or DATA CONDUCTED BY a s DHI CONSULTING ENGINEERS . r SLOPE SITE PLAN B.O.T. a W r a vnr . ZO a 10 0,1 JD UK aD "` r r1 a i�r a or I � u 11/06 � 6�zzlr6 r I I I 20 IL_ 1I PERCOLATION RATE: 9•8 (MINUTES/INCH.) PERC. HOLE DIAMETER: 6' 2 TEST RUN BETWr'D=N; 4'-0" FT. AND 4:-6' CrluLIMI e. SEEPS NOTFf) .T A' I. .V .....� ..-- -- FT. PERFORMED By. DEE HIGH ALL STATE AND MUNICIPAL GUIDELINES INCERTFY THAT THIS TESTACCORD T WAS PERFORMED IN ACCORDANCE WITH EFFECT ON THIS DATE DATE 9129/05 --� 685rc2D h2u L STREET ;\f',CI ORA(.;[', ALASKA 99b01 (907) 20,I ,I 111 January 4, 1982 Lynn Burns SR Box 2330 Anchorage, AK 99507 Permit= ~ 810531 Subject: L9 Bi Audubon Hills Sub A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Sewer and Water Program Enclosure: Copy of Permit PERMIT HO. MLIr4ICI, ALITV OF Rr,lCH-JRRGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4?20 1-JELL Rr~D Orq--S ~ TE 5El4ER PERrq Z T APPLICANT LOCATION LEGAL LYNN BURHS DOHNEY FINCH LANE L~ Bi AUDUBON HILLS SUB LO~ SIZE 50000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: :- L E I'-.I H .-~ G RR".-'EL DEPTH: ~ THE LENGTH DIMENSION I5 THE LENGTH (IN FEET) OF THE TRENCH.OR DRRINFIELD. THE DEPTH OF R TREHCH OR PIT I5 THE DISTANCE BETWEEH THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THE TRENCH IWIDTH I5 5. eOC~ FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REI~U I RED SEPT I C TAt-It( --<:; I ZE= '1250 GF:ILLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATIOM INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TI-lC ( 2 ) I I'-ISPECT I 01%15 ARE REnU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS lO0 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM A PRIVATE HELL TO R PRIVATE SEHER LINE IS ~5 FEET AND TO A COMMUNITV SEWER LINE I5 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURHED TO THE DEPARTMENT WITHIN ~ DRYS Of THE WELL COMPLETIO~L .j. A / n OZHER REQUIRENE~T5 MR~ RPPLY. 5~I~I~TI~MS~ID CONSTRUCTION DZRaRRMS eRE R~RILRBLE TO IN;UAE PROPER INSTRL~RTI~t PERI"1 I T EXP I RES DECEMBER __~I.. 1~81 I CERTIFY THAT 1: I AM FAMILIAR HITH THE REQUIREMENTS FOR ON-SITE SEWERS AMD WELLS AS SET FORTH BY THE MUNICIPALIT~r' OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 5: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMEHT IF THE , RESIDENCE IS REMODELED TO IHCLUDE MORE THAN 4 BEDROOMS. AJ~ :,~o~ ~;~ ~"~ S I GNED: n~t ~ RPPL~RNT LYNN BURNS ISSUED BY_ ~-~- .... DATE_ .~-~{._ __ V4. 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pough 6..650, Anehor~e, Aimd~ 99502 276-222'~ SOILS LOG - PERCOLATION TEST t l .5 DATE PERFORMED: LEGAL DESCRIPTION: 10 11 12 SLOPE WAS GROUND WATER ENCOUNTERED:? FI SOILS LOG ~ERCOLATION TEST IF YES. AT WHAT 7~ ~-~ DEPTH? SITE PLAN O 17 18 19 20 COMMENTS Gross Net Depth to ] Net Reading Date Time Time Water Drop l o ,'z. f- - ,,o, z. ~ iL rt- ~,. o ,:/- ~t~ T-- lo,'t5' Z¢~ i4:, t4-ur,. 5;/~- PERCOLATION RATE (minutes/inch) TEST RUN .ETWEEN ~" ~'- ~ ~/ -"" , FT AND FT PERFORMED 72 008 (1/76) PERFORMED FOR:. SLOPE ~ ~ FI SOILS LOG MUNICIPALITY OF ANCHORAGE ' [~PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Poudt ~0 Am~*or~, ~ 99~02 ~-22~f TEST SOILS LOG - PERCOLATION TEST , OATE PERFORMED: SITE PLAN 4 7; 8 9, 10- 11- 12- !3 14- 15- 16- 17- 18- 19- 20- COMMENTS FERFORMED.V= ENCOUNTERED? · IF YES. AT WHAT DEPTH? Reading Date Gross Net Depth to Net -, Time Time Water Drop I o ,'z.f-- _ /o,7.-~' Z4t~ 14,, 't4-,.,,. 5'1~ I" PERCOLATION RATE (minutes/ir, ch) TEST RUN BETWEEN ~- ~' Y ' ' . ~ FT AND .~ FT 72 00~ (7176) MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251045 Parcel ID 015 -235-07 Expiration Date: 2/4/2026 Legal description AUDUBON HILLS #1 BILK 1 LT 9A Site address 6685 DOWNEY FINCH DR Current property owner(s) KANIUT BENJAMIN C & HEATHER N X The On-site system(s) is/are approved for 4 bedrooms By; Conditional approval for bedrooms, with the following stipulations: Comments or conditions: according to the engineer, the remaining two trenches were able to accept the water for the adequacy test. Original Certificate Date: 2/18/2025 This,Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject siem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE f Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section — Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-235-07 Complete legal description AUDUBON HILLS #1 BLOCK 1, LOT 9A Location (site address) 6685 DOWNEY FINCH DRIVE, ANCHORAGE, AK 99516 Current property owner(s) BENJAMIN & HEATHER KANIUT Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 19 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Date of Payment COSA# Waiver Fee $ Date of Payment Waiver # COSA Application.doc COSA Checklist.docx COSA Checklist Legal Description: AUDUBON HILLS #1 BLOCK 1 LOT 9A Parcel ID: 015-235-07 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 8/20/2006 Total depth 124 ft Cased to 101 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 21 in. Date of flow test for COSA 2/6/2025 Static water level at beginning of test 5 ft. Well production at time of test 5+ gpm Water storage tank volume None gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 2/4/2025 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 49” Date of pumping 2/5/2025 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA *Tested Trenches 1 & 3 Which system tested (date installed) 8/14/2006 ALL standpipes present per record drawing Total measured depth from existing grade 4.9 ft (max) Measured depth to pipe invert from grade 4.3 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 2000 gallons 2/5/25 date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 2/6/2025 Results Pass Fluid depth prior to test 0 / 2 in Water added 330 / 300 gal New fluid depth 3 / 4 in Elapsed time 1440 min Final fluid depth 0 / 1 in Absorption rate 600 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 6 in (MOA 0.5 ED) Effective depth used 0 / 1 in (Final Fluid Depth) Effective depth (ED) remaining 6 / 5 in Comments/Deficiencies: *Tested the two outside trenches, middle trench was saturated like 2016 COSA Prior to test, presoaked outside trenches with 1000 gallons each. Approximate total measured depths from existing grade. ED per elevation measured shots, visual observations, MOA records & appears approximate with 6” ED. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No *1 ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *Waiver on file WR#060040 G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 02/12/2025 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 02/12/25 t ,-, t�r4s ASD AUr� 01. 2015 3 JUL 7 2016 a • ti unicipality of Anchor � �CV On -Site Water and Wastewater Program e C DS f E L 5 (907) 343-7904 << Ol 6 g L 9 r Certificate of On -Site Systems Approval Parcel LD. 015-235-07 1. GENERAL INFORMATION Expiration Date: I Q ` 2 - I Complete legal description Audubon Hills #1. Block 1, Lot 9A. Location (site address) 6685 Downey Finch Drive. Current Property owner(s) Scot Allyn Milani Day phone Mailing address Real Estate Agent 6685 Downey Finch Drive. Anchorage, AK. 99516 2. TYPE OF DWELLING: E] Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone f WaiverNariance request COSA to be released to the engineer, unless otherwise requested by the engineer. _ COSA Fee $ 2/ (oma/ Waiver Fee .$ Date of Payment T f�rB/li'% / Date of Payment Receipt Number06 � Receipt Number CJ COSA# 6c_ &5(9 Waiver# ��,r5-con tvsn Icec �0- 361-7C-7 4 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System El- Public Sewer ❑ WaiverNariance request COSA to be released to the engineer, unless otherwise requested by the engineer. _ COSA Fee $ 2/ (oma/ Waiver Fee .$ Date of Payment T f�rB/li'% / Date of Payment Receipt Number06 � Receipt Number CJ COSA# 6c_ &5(9 Waiver# ��,r5-con tvsn Icec �0- 361-7C-7 �* A 5. STATEMENT OF'1NSP.ETION BY ENGINEER. ws ,. As certified by my seal affixed hereto and as of the validatioo-iiate 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system In accordance with MoA COSA guidelines and regulations. The reported results describe 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 life of all wells and septic systems depend on the local soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future pertormance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty . for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 7/25/2016 6. DSD SIGNATURE System #1 Approved for _ bedrooms System #2 Approved for _ bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: WASTEWATER 114 Original Original Certificate Date: 2 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 Municipali(j, 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 r '- c If more than 1 septic system is on the lot: COSA ChecWst # -L—of ± Structure served by this system I Cb tificate gr0n-Site Systems Approval Checklist . Legal Description:. Audubon Hills #1: Block 1, Lot 9A. Parcel D:015-286-07 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 8/20/2006 Sanitary seal (YIN) Y Wires properly protected (YIN) Y Total depth 124 ft. Cased to 101 ft. Casing height (aboveground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 8/20/2006 7/8/2016 Static water level 4 ft. 27 ft. Well production 15 g.p.m. 5.8 �. 9 P m. WATER SAMPLE RESULTS: Coliform Neo colonies/100 mL Nitrate 0.229 mg/L Arsenic ND -ug/L Date of sample: 7/8/2016 Collected by: PES B. SEPTIC/HOLDING TANKDATA t Tank Type/Material Septic/Steel Date installed 8/14/2006 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YJN) Y Depression over tank-(Y/N) N ank(Y/N).N High water alarm. (Y4d) N bate of pumping' OZ (p -Pumper for2 r: C. AQSORIPTIOM't IEIsY?�DATA. < 6%'1412i70iO.t3 g.p.d(SF Shan9vTr®nch(3) Date installed Soil rating (g.p.d /ft2 or_fi2/b�lrm) System tyke Length 55'SS�' ft. Width 5 ft. Gravel below pipe �'S�_ ft. (42,32.&3 Total depth ft. Eff. absorption area 815 flZ Monitoring tube Y Depression over field Pass 4 T Date of adeghacy t�st,r .._. Results (Pass/Fail) For_ bedrooms. - Fluid depth in absorption field before test (0,16,0) in. 'Water added 639 (�16,6p ._ pth P 941. New depth n. . Elapsed Time: 110 , rgirr. Final fluid depth (0'1 6'0) m. , Absorption rate a= 600+ g.p:d: Any rejuvenation treatment (past 12 mo.) (Y/N& iybe) N� if yes, give date i D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump oO' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WEiLON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Sewer /septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manurelanimal excrete storage areas 100+ 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+ ABSORPTION FIELD ON LOT TO: Property line4�� l Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. CMMOM -*/ 1, 5& s 4 e.�- o,5 a w l o t.e is r G. ENGINEER'S CERTIFICATION. 606 ?jad. 5Y54 G�ga I certify that I have determined through field inspections_ and review of Municipal records that the above systems are in conformance with MOA COSA guidellnes in effect on this date. r • • . Engineer's Printed Name Steven Pannone Date 7/25/2016 �•. 0U-9 -�Oo do.A., s, C?� gh/aoi(0 COSA canary sheet_2-5-15.doc `fit WJkl. C 1 = 30' 2005-204 AUDOBON HILLS, ADDITION NO. 1 LOT 9A, BLOCK 1 49,580 S.F. 5 89'57'42"E 244.81' S 89"57'43"E 244.79' AS—BU I I I PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS ,EXIST EXCEPT AS INDICATED. SURVEYING, LLC I I I I I DETERMINE THE EXISTENCE OF ANY EASEMENTS, 4726 WEST 88TH AVENUE SEPTIC SYSTEM ANCHORAGE, ALASKA 99502 APPEAR ON THE RECORDED SUBDIVISION PLAT. I I I GRID DATE • 2739 4/5/2007 ESTABLISHING BOUNDARY OR FENCE LINES. L I I ANCHORAGE RECORDING DISTRICT, ALASKA 28.4' F.B. JOB NO. 33.6' U p F I I w c aF- O4, 22.a 25.7' c N I,i z I I°� J� 4 a s0 o. d' CE z A - GRAVEL DRIVE RO. I m N I I I � WELL I I Lo I I a uJ S 89"57'43"E 244.79' AS—BU I LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS ,EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI. R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 4726 WEST 88TH AVENUE COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99502 APPEAR ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR 2739 4/5/2007 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB NO. NOTE: NO CORNERS SET THIS DATE 07-02 AHS19A1