HomeMy WebLinkAboutNORTH WOODS BLK 3 LT 15Y,r
Municipality of Anchorage
Community Development Department Page 1 of 3
On-Site Water&Wastewater Program
4700 Elmore St. •P.O. Box 196650 Anchorage, AK 99519-6650 •http://www.muni.org/onsite•(907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP181375 PID Number: 051-731-25 ❑ New •Upgrade
Name: ABSORPTION FIELD
TIMOTHY& CAROL BOEDIGHEIMER
Address: ❑ Deep Trench ■ Shallow Trench ❑ Bed ❑ Mound
22708 MCMANUS DRIVE, CHUGIAK,AK 99567 ❑ Other
Phone: No.of Bedrooms: . Soil Rating. Total Depth from original grade:
(907)244-4653 3 0.6 GPD/Sq.Ft. 8.5 (MAX.) Ft
Depth to pipe invert from original grade. Gravel depth beneath pipe.
LEGAL DESCRIPTION SEE DWG. Ft 4/4.17 Ft
Subdivision: Block: Lot: Fill added above original grade: Gravel length:
NORTHWOODS 3 15 SEE DWG. Ft. 81 (40'/41') Ft
Township: Range Section: Gravel width. Beds Number of lines Distance between lines:
5 Ft. - Ft.
SEPARATIONDISTANCES Total absorption area Number of trenches Dist between trenches
To Septic Absorption Lift Holding Public/Private
From Tank Field Station Tank Sewer Lines 810+ So.Ft. 2 10+ FI.
Well PUBLIC PUBLIC - - 25'+ TANK • Septic ❑ S.T.E.P. :Holding ❑Other
Manufacturer Capacity:
Surface Water 100'+ 100'+ INFILTRATOR 1060 Gal.
Material: Number of compartments:
Lot Line 5'+ 10'+ N/A
. HDPE PLASTIC 2
Foundation 10'+ 10'+ - -
LIFT STATION
Curtain Drain - NONE KNOWN Manufacturer C
I
1 Gal.
Remarks: -Pump on"level at: 'Pump off"level at: jHigh water alarm at
Pump Make&Mode: Electrical Inspections performed by:
PIPE MATERIAL
House to tank D3034 Tank to D3034
drainfield
Installer
NORTHERN EXCAVATING Drainfield D3034 CO/MT D3034
Inspector GEG, Ltd. BENCH MARK (Assumed elevation)
Inspection 99.90 Ft
Dates: 1st 11/13/2018 _ 2nd 11/13/2018 Location and Descriptive:
3rd 11/14/2018 4th 11/14-16/2018 BOTTOM OF SIDING NEAR POINT""B
ENGINEER'S SEAL
Community Development Department Approval ..t‘)"N. 'll���♦
.t••?
Conditional approval: Date: = j *..°
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♦�.. ,eyA G ess.: =
•,1 J'1(4‘4''...f• C7:913,�...: �,,
Approved: 4 C'`-� • di ' Date: ' '� / < LICENSE RI �.
#AECC884 ,�WI\\\6
Inspection Report_1-1-12.doc
/ PERMIT NUMBER: PARCEL ID NUMBER: \
OSP181375 RECORD DRAWING 051-731-25
H-
I
wZ
__ w
1 A B C
Cr
w I APPROXIMATE LOCATION FCO 26.6 2.6 31.3
0 ~ , OF WATER KEY BOX ST1 28.7 14.2 39.2
R. ST2 24.8 15.8 42.7
APPROXIMATE LOCATION DBL1 25.8 18.4 44.8
Z
'n , DBL2 26.4 19.2 45.4
Q
OF WATER SERVICE LINE
FS 27.3 20.5 46.4
' CO1 27.3 27.6 54.0
MT1 27.9 29.8 56.4
0 e:„1 CO2 64.2 63.3 83.5_
WATER LINE ENTERED CRAWLSPACE MT2 63.1 61.3 81.3
/N APPROXIMATELY HERE PER GEG CO3 37.3 20.9 40.3
Ar • EMPLOYEE,JODY MAUS MT3 37.1 21.3 41.1
/ CO4 72.6 59.9 70.7
\K. MT4 73.9 60.5 70.5
.\ ,.`
h•N •------._____.
• .i r N -
W
• .••4:. , ., NI M INSTALLED FOUNDATION
••; .., ; - CLEANOUT(FCO)
. NEW 1060 GALLON INFILTRATOR
:1 i.•• : .4.•4..:
r.' • ' // 2-COMPARTMENT PLASTIC SEPTIC TANK
v. •4.'• • •� •4. EXISTING ,�
" °• �'r 3 BEDROOM INSTALLED DOUBLE /
• • HOUSE CLEANOUTS(DBL1&DBL2)
j
j
•
9 c... ---_____
• °-' - 447:f# / NN
_ _ 04 \
• • 4 •'!,�• _ INSTALLED FLOW C ' / \
�� • •
/667., SPLITTER(FS) /
EXISTING DRAINFIELD WAS • ,i •°•• .a -Ty'k7
ABANDONED IN PLACE FOR : 1 ' '" •....:.: 444P-7 -- NEW DRAINFIELDS
POSSIBLE FUTURE USE. ``'At,
syFo ./
•
/
NOTE:THE EXISTING SEPTIC TANK 7 // N
WILL BE DECOMMISSIONED PER UPC /
ON 11/27/2018 PER THE CONTRACTOR. j
1)
•
NOTE:THE PLUMBING WAS REROUTED IN l SCALE:
CRAWLSPACE SO LINE EXITS THE HOUSE AS SHOWN.
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1"=30'
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GARNESS ENGINEERING GROUP, Ltd • •is 1 is•
CIVIL& ENVIRONMENTAL ENGINEERS i �• , r• r •
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3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337-6179•FAX(907)338-3246'WEBSITE:www.gamossengineenng.com /JJr
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: C� ; , -y A.�Garr>Iess /'■
TIMOTHY&CAROL BOEDIGHEIMER 244-4653 2 OF 3 •j J,•' 7-7153 •°•��:
PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦• <% •�• ILbt 9•••'•c, 4,
NORTHWOODS S/D; BLOCK 3, LOT 15 J.L.M. . D p ••• •.(•�P�, �,
TYPE OF WORK: DATE: LICENSE ,.�1 ESS`"' 444
RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 11/26/2018 #AECC884 �����
PERMIT
RECORD PARCEL DRAWING 051-731-25
ST1
051-731-25
ST1 FINAL GRADE= ST2
= 100.29-100.31 =
TOP OF TANK @
INLET=96.48
I2'OF INSULATION TOP OF TANK @
(PER CONTRACTOR) OUTLET=96.46
oYn:ww,c rwaw, . ra
xs< .. vee//(09:00043 WAY.400:000WAYo VVVA.,.
INLET
I
INVERT OF PIPE @ al
INLET=95.79
1060 2-COMPARTMENT INVERT OF PIPE @
INFILTRATOR SEPTIC TANK OUTLET=95.65
MT1 CO1
FINAL GRADE= MT2 CO2 ORIGINAL GRADE @
100.02-100.59
FINAL GRADE= TH�#1 IGHEST POINT=99.50
MT3 CO3 97.57(EAST END)
MT4 CO44 -100.00
TH#1
If ORIGINAL GRADE @ '
HIGHEST POINT=98.50 :: FILTER FABRIC
LAST 16 FEET OF
EAST PORTION OF
L FILTER FABRIC U A: TRENCH WAS" Z .:''''....1`1:''" :canna ra oov
EAINSULATED PER
LAST 16 FEET OF ;i:•:•: •:r: •:r:r:r:•:i: CONTRACTOR
= EAST PORTION OF ce :r:!r: C;11.;•.. ,01.,;•,;• •.;••
z A: TRENCH WAS aW. i•:�'�: i:i:•.(0: :i:i:i:r:r:
Li.i '`9"fDSA01 WAaay� raarrao.ra.05:10 0:• INSULATED PER
I- :•:r:r: •:•: :•:r:r:•%r:•- CONTRACTOR :i:is r: r:l:!:!:!:!:l:l:�:�:
CY :i:i:i: r:%►�i:r:r:r:•:•:r: Q :r:r:r: r:r:r:r:r:r:r:r:r:r: INVERT OF PIPE
;i:ri:; ..rd:isi:%::�:i::.:..: 'i :is%r: IP%r%r%r:r:r:r:r:r;r: =95.00
p ::....i..;....,:?..•�••i:i:�:�;i:i:i: co 4'EFFECTIVE :i:%'• • • • • • • • • •.•.
"i_::::is is i:: i r: 0_ ;11i.;./.:•.; ::i:i:•:i:•:r:•:r:::
Ov•=! : •:•:!:!:!:r:•:•:!:!� INVERT OF PIPE F iis%•: i:::::::::11:r:isis•:
w i s:i :, 'i:is is is is is is i:::i, ;Ir.**.'i: i:::::::i:::i:::is is
=94.17
co
Z 4.17'EFFECTIVE ;!=!:!- •:•.=l=l:!:r:l:!:1:..: :•.•=•= •=!=!=!=!=!=!=!=!=!=
O :•:P'i.; .i:•:is•:is is la:!�!: UJ c i i:!: 1a:!:!:•:!:!:!:11:•:.
j ir:is._ %'�� :is•:•.�:!: P
Lir •:•:% 5
J
w :!:•:•:, •:.:r:r:•:•:•:•:w•: LLI BOTTOM OF
cc
j '"' ' ' �""""" -5'WIDE TRENCH=91.00
F—
I 10'+ er
w BOTTOM OF
5'WIDE TRENCH=90.00
VRELATIVE ELEVATION OF GROUNDWATER ON 10/11/2018=86.80
VRELATIVE ELEVATION OF GROUNDWATER ON 10/11/2018=85.80
RELATIVE ELEVATION OF BOTTOM OF TEST HOLE=82.00 RELATIVE ELEVATION OF BOTTOM OF TEST HOLE=83.00
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GARNESS ENGINEERING GROUP, Ltd • . . =
CIVIL&ENVIRONMENTAL ENGINEERS - : ,0 / •� �
3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337-6179•FAX(907)338-3246•WEBSITE:www.gamessengi,eerIng.com •
, • • •.. • f,_
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 •. e - A\GamOss W i
TIMOTHY& CAROL BOEDIGHEIMER 244-4653 3 OF 3 ��J,'• 7-795?-4,. ��PROJECT/LEGAL DESCRIPTION: •DRAWN BY: •.. •• ,,ii ( ��
NORTHWOODS S/D; BLOCK 3, LOT 15 J.L.M. • FD •••.. .. '••\, •�•
TYPE OF WORK: •DATE: I.LICENSEi PRO' ESS\-1 4
RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 11/26/2018 #AECC884 ,1��������
Hoc"""TY MUNICIPALITY OF ANCHORAGE
On-Site Water&Wastewater Program c 11
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1 • Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
i"s' http://www.muni.org/onsite ArtAl it
I)l'par tnum t
9NCNURG�
On-Site Wastewater Disposal System Permit
Permit Number: OSP181375 Effective Date: 10/18/2018
Work Type: Septic Upgrade Expiration Date: 10/18/2019
Tax Code Number: 05173125000
Site Legal Address: NORTH WOODS BLK 3 LT 15 G:1459
Site Mailing Address: 22708 MC MANUS DR, Chugiak
Owner: BOEDIGHEIMER TIMOTHY & CAROL Lot Size in Sq Ft: 20571
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3
This permit is for the construction of:
El Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
,✓ ( 0 / 1/ I
Received By: Date:
Issued By: -O'dW`.'k 003t_yug Date: 10/1 8 oZ
MUNICIPALITY OF ANCHORAGE
/ •/ fr�
Community Development Department i�� Phone: 907-343-7904
Development Services Fax: •: t< 33P
On-Site Water & Wastewater Program '1" 9�o
Mayor Dan Sullivan
Q /� "�?
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a-Site Sewer/Well Permit Application N �� b ���
o t . /V
Ford Single Family Dwelling a
Parcel D. !q 6' . \,
Property owne s IMOTHY&CAROL BOEDIGHEIMER Day phone ',a-46%31 E
Mailing address 22708 MCMANUS DRIVE,CHUGIAK,AK 99567
Site address 22708 MCMANUS DRIVE, CHUGIAK,AK 99567
Legal description (Sub'd, Block& Lot) NORTHWOOD S/D ; BLOCK 3,LOT15
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
(®all that apply) Initial ❑ Single Family(SF)
Absorption Field ® Upgrade ® (w/wo ADU)
Septic Tank ® Duplex (D) ❑
Renewal ❑
Holding Tank ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP,Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 569 Waiver Fees:
Date of Payment: 161110112 Date of Payment:
Receipt Number: OaCIa Receipt Number: •
Permit No. 00P1313?‘ Waiver No.
(Rev.01/11)
Ale ti ma
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING SALES CONSULTING
October 12, 2018
Municipality of Anchorage
Development Services
On-Site Water & Wastewater Program
4700 Elmore Roade
Anchorage, Alaska 99507
Phone: (907) 343-7904
Reference: Septic System Upgrade for Northwoods S/D; Block 3, Lot 15
To whom it may concern:
The 3 bedroom house on the referenced property is served by a AWWU water and a private
septic system. Per MOA records, the septic system serving the subject property was installed in
1981 and consists of a 1000 gallon septic tank and a deep trench type drainfield (72 feet long x
3 feet wide with 6 feet of effective). The drainfield is currently in a state of failure and needs to
be upgraded. A test hole has been excavated on the property. We are proposing that a new
1060 gallon Infiltrator 2-compartment plastic septic tank and new dual 5-wide type drainfields be
installed. The proposed drainfield has been design around the 30 foot radius of this test hole.
Comments regarding the septic 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 WATERS: No surface waters were observed within 100 feet of the proposed
septic system.
4. TOPOGRAPHY: The general topography in this area is slope generally running from South
to North. Attached is a copy of the MOA Argis topography map of the area for your review.
There are no steep slopes, cutbanks, ditchlines, etc., within 50 feet of the proposed drainfield. In
short, there are no slope concerns.
Please do not h: :tate to call us at 337-6179 if you require further information. Thank you for
your .ssistance.
incer- y,
n-.s, -.E., M.S.
Presidf n
3701 East Tudor Road,Suite 101 *Anchorage, Alaska 99507-1259
Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com
•
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NORTHWOODS S/D; \ 7/ /' /// / \1 \\ rn N \\ O OJ • \
I BLOCK 4,LOT 20 %/ // • 1\ cn° 1\ p 1\ Y \\
I \\� I I l / \ 00 1 3Y 1 '-0 \\
N. j I r / oc 1 O ' 1 x� 1 Om
NOTE:ALL PROPERTIES IN i I I 11 \ 3 Y 1 CC 0 1 Z L \
NORTHWOODS SUBDIVISION I 1 I 0 0 1\ Ix—0 \ z m 1 — - ,\ \
ARE SERVED BY AWWU WATER I. I 1 ' 0 Y \ o m 1\ 1 ,— \ S.
J I 1 1 . x0 \ z \ �� •-
I .'_�,�1 1 Ce-I 1 \ \
1 Om
I I Z 1 ,k�,
I NORTHWOODS SID; , 1 , 1 1 \ NORTHWOODS SID;
I BLOCK 4,LOT 19 1 1 1 11 \ -- \\ BLOCK 3,LOT 22
----� ' 1 1 I . ��--
� 1 1 i 1
�N. 1 1 1 \
� —�
1
1 1
1 1 ' r '/ NORTHWOODS SID; 1 -
N. 1 1 1 BLOCK 3,LOT 17 \
\ 1 1 , 1 --' NORTHWOODS S/D;
I \ 1 1 , \ BLOCK 3.LOT 23
NORTHWOODS SID; L 1 1 T
N BLOCK 4,LOT 18 L 1 T
/ . '\ NORTHWOODS S/D;
// N•..N BLOCK 3,LOT 16 /
'� c /
/
N. ���.• / / 'ppEXISTING /� NORTHWOODS S/D;
''� •, / , 3 BEDROOM / \ BLOCK 3,LOT 24 /
\',\ % HOUSE // \ /
\N NORTHWOODS S/D; / / / N % /
N BLOCK 4,LOT 17 �; '/ PROPOSED /
/ / /' / SEPTIC / /
/ / SYSTEM N.
N / //
\\ •/ // /' / NORTHWOODS S/D; N.
% /
\N / // // /EXISTING ,�'•.;;., N BLOCK 3,LOT 25 / /
N.N. / / /' / / SEPTIC / �, `;,>�•,• N %T/
N / / / / SYSTEM c 4� /
NORTHWOODS S/D; y/ / X \.\ / / /
BLOCK 4,LOT 16 %' / `� / �� NORTHWOODS S/D; /
s. /_J/ // %' 'S� BLOCK 3,LOT 14 \'s / // / //
/ / NORTHWOODS S/D; \ :/ / /' //
\�� /" // // / �'S // \"� BLOCK 3,LOT 26 1( / / /
N. % /\�,/ // %" 'S1 \ / '\ /• / / /
/ ' / /
y • NORTHWOODS S/D; / N.
.. // --V/' / /"i
/ / 3,7 //%• " BLOCK 3,LOT 13 N. / N. / Q\/. / �\
/ / // % N.
NORTHWOODS S/D; \ / / ` // / ,
% / / BLOCK 3,LOT 27 N % / O' / /
'� / // / / •/ \� // \N •
/ / OO. // /
N.
/ / /' /s em/ NORTHWOODS S/D; \'N. // N N / / O. /N. / /
/,. .)//
/ / / "\ BLOCK 3,LOT 12 ' / N.
N / / �/ / /
/ // // / N. � NORTHWOODS S/D; 'S / //L.' // % \
// / // / •••.. BLOCK// �\ BLOCK3.LOT 28 �� / / / / �\
/ / // /
N.
// 'S / // 0/' // / N N.
��
/' / % / 'S\ / / / /
NORTHWOODS S/D; / N / /
/' // \ BLOCK 3,LOT 11 N.N. / NORTHWOODS SID; N.
/ // , // / I SCALE:
/ / N �\ BLOCK 3,LOT 29 N. / / / / / 1"=100'
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GARNESS ENGINEERING GROUP, Ltd!= *•:• '` •�� •
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3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE.AK 99507'PHONE(907)337-6179•FAX(907)338.3246'WEBSITE:www.garnessengineering.corn ••• •I
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 f^1 f " ' ey A. Gar eSS 1
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TIMOTHY&CAROL BOEDIGHEIMER 244-4653 1 OF 2 �•�% I ; � .
PROJECT/LEGAL DESCRIPTION: DRAWN BY: •0.4,,,....44..
' f I L Jam.•'•(`C��
NORTHWOODS S/D; BLOCK 3, LOT 15 J.L.M. ���D P •os��Np:��4
TYPE OF WORK: DATE: LICENSE 1 � FESS t"`����
SITE PLAN FOR SEPTIC SYSTEM UPGRADE 10/11/2018 LICENSE
1 (I L
I I GEG,Ltd.HAS AN 8 PAGE SPECIFICATION LETTER
THAT PERTAINS TO THIS DESIGN.BY PROCEEDING DESIGN CRITERIA:
ir FORWARD WITH THIS INSTALLATION,THE NUMBER OF BEDROOMS: 3
Z' ENGINEER,WELL DRILLER,CONTRACTOR AND GALLONS PER DAY(GPD): 450
PROPERTY OWNER AGREE THAT THEY HAVE PERCOLATION RATES: 21.8 MINUTES/INCH
(1) wco READ THESE SPECIFICATIONS AND AGREE TO PROPOSED APP.RATE: 0.6 GPD/SQ.FT.
I I APPROXIMATE LOCATION ACCEPT THE TERMS AND CONDITIONS OUTLINED. MINIMUM DRAINFIELD SQ.FT.: 750
QZ OF WATER KEY BOX DRAINFIELD DESIGN:
j
APPROXIMATE LOCATION MAXIMUM DEPTH:8.5 FEET®ANY POINT
0 co I WIDTH: 5 FEET
'OF WATER SERVICE LINE LENGTH: 80 FEET TOTAL(2 @ 40'LONG EACH)
EFFECTIVE: 4 FEET
EXISTING SEPTIC TANK TO BE REDUCTION FACTOR: 0.50
e:; DECOMMISSIONED PER UPC I ACTUAL SQ.FT.: 800
i WATER LINE ENTERED CRAWLSPACE
/N • APPROXIMATELY HERE PER GEG
k\ • �,1 EMPLOYEE,JODY MAUS THE CONTRACTOR SHALL HAVE THE PLUMBING
, REROUTED IN CRAWLSPACE SO LINE EXIT
� HOUSE AS SHOWN(SEE ATTACHED PHOTOS).
i —_'�., WILL REQUIRE CORE DRILLING A NEW HOLE
�•�_ THROUGH FOUNDATION WALL ABOVE FOOTER.
• ..•:�
W
/ •. • . , y7 INSTALL FOUNDATION CLEANOUT
�� "•• :' '•- ;• ' .� I PROPOSED 1060 GALLON INFILTRATOR /
l •'�' /
1 2-COMPARTMENT PLASTIC SEPTIC TANK
\ �� ••' "' '•• • • •w 1 INSTALL DOUBLE CLEANOUTS /
'• '. /j INSTALL FLOW SPLITTER
j
j
•Y • j
' EXISTING O �"4 PROPOSED DRAINFIELDS /
••. %��i/ / 3 BEDROOM 4,� (SEE DESIGN CRITERIA) /
j HOUSE t:,• \
lam'
f • t•
EXISTING DRAINFIELD TO BE .i ., .: • • " \+\
POSSIBLE FUTURE USE. %I ',,4,��./ / V
• ,49 co /
• • 10•+
i)t
•
•
•
/
NOTE:THE CONTRACTOR SHALL HAVE THE SOUTHEAST • ,� // ALE:
PROPERTY LINE FLAGGED/STAKED BY A REGISTERED11
LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. / N. 1•=30'
/
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GARNESS ENGINEERING GROUP, Ltd *'• :: '\ \* •
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_ CIVIL&ENVIRONMENTAL ENGINEERS •, 0
3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507'PHONE(907)337-8179'FAX(907)338-3246•WEBSITE:www.gamessengineenng.com ,
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �'•, A.Gam: W NI
TIMOTHY&CAROL BOEDIGHEIMER 244-4653 2 OF 2
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PROJECT/LEGAL DESCRIPTION: DRAWN BY: �♦ •• I l'( •'••c
NORTHWOODS S/D; BLOCK 3, LOT 15 J.L.M. 11 FD"�p•�p�U,f•�i�•••'"•• r–•-
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TYPE OF WORK: DATE: LICENSE 1�mi 1 U .)
DESIGN OF SEPTIC SYSTEM UPGRADE 10/12/2018 #AECC884 ��' '
, Ar t# Al••• Z 447: OF : :4%4.4 %
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GARNESS ENGINEERING GROUP, Ltd( ��� ' ". '• �.
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ENGINEERING SALES CONSULTING \,. ••
3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 995)7•PHONE(907)3378179•FAX(907)330.3248•WEBSITE'www.ys.waaon9F,0048g m •�, I(((/ •
•♦��; �-' -y A. Gar ess .
-
SOIL LOG - PERCOLATION TEST ♦ o :/ . . .:4.
LEGAL DESCRIPTION: NORTHWOODS SID;BLOCK 3,LOT 15 ♦♦♦• ..• ., III.7. °<c, •
PERFORMED FOR: TIMOTHY&CAROL BOEDEGHEIMER DATE: 10/4/2018 t•, % FESS\�*
� .
LICENSE
4
11ik\iorive,4
DEPTH ORGANICS #AECC884
(feet) _
_ = TEST HOLE #1
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. 1 ;. • SOIL CLASSIFICATIONS SITE PLAN
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7 — �▪• • DEPTH TO
• 'GROUNDWATER DATE ��Q' (,,,I,
8 • SEEPS @ 14.5' 10/4/2018 �l
• •
12.7' _ 10/11/2018 SCALE:
9 • GM OR SM 1",loo.
.5 •
10 — •1• •
. • CLOCK NET TIME WATER LEVEL NET DROP
11 DATE READING TIME (MINUTES) READING (INCHES)
I•
•
12 —
'• • 10/4/2018 1 12:37 - 6" -
it
•• • 2 1:07 30 4-3/8" 1 -5/8"
•
13 • • 3 1:07 6"
:• • .
4 1:37 30 4-5/8" 1 -3/8"
14 — ! • 5 1:37 6" -
•• •
1. 6 2:07 30 4-5/8" 1 -3/8"
15 — • •
'• . 7 2:07 6" -
•'• • 8 2:37 30 4-5/8" 1 -3/8"
16
•1 •
B.0.11.
17 — ,
18 —
PERCOLAT ION RATE 21.8 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19 —
TEST RUN BETWEEN 5 FT. AND 6 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES • NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS
COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH.
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: i oil 2-//6
. /14-1 ,.: l'
,
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/ \ : :.,
/ AS-BUILT SURVEY 1" = 20'
NO CORN[ THIS OATS
f I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
000000pp�4 f
OFA 4p OF THE FOLLOWING DESCRIBED PROPERTY
.c� . x..16) Q ' N /. LOT 15. BMX 3. NORTI-M000S 3U3. ( PLAT 79-245,
;%', -. ,�0�
�� '" •49 TH %1\ O ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
\\ VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
Q `�-� Vitt ! // - THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
v•- .:;-pr THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY EXIST OTHER THAN NOTED.
O m •
D CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS DATED AT ANCHORAGE,ALASKA THIS DAY OF
� `� SHANE A. HOLT 0 NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES.
O �� ` SEPTEMBER , 2018
p� LS-6914 EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN
Wo, -. a o HEREON ( UNLESS INDICATED)
\1%\Ar Lam o NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
°�ess10na� .. PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
�1\- S ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. HOLT LAND SURVEYING
9309 GROVER DRIVE
ANCHORAGE,AK 99507
14045. F8 192-38 345-5513
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME ~
MAILING ADDRESS "~,/~ ~ /'~ , ~-~
DISTANCE TO: Well
Manufacturer
IPHONE / ~
~'~ ~ [] UPGRADE
Absor ptio n a.~a~
Width '
NO. OF BEDROOMS
No. of compartments¢=~_~
cai WellF/ HOMEMADE: Inside length Liquid depth
DISTANCE TO: Dwelling PERMIT NO.
Manufacturer
Fou n dation ~,~---
Total length~(~l' e~
Material beneath tile
Depth
Length
Material
Nearest lot lin~//¢.
Trench width
r .~ ~'~ inches
inches
Liquid capacity in gallons
PER M IT NO.~/~,~,~ ~,
Distance between lines
Total effectiv~-~bs~rption area
PERMIT NO.
DISTANCE TO:
No, of line~ /
Top of tile to finish grade ,. /
Length Width~
Type of crib Crib diameter Crib depth
Well Building foundation
DISTANCE TO:
PERMIT NO.
Class Depth Driller
Building foundation Sewer line Absorption area(s)
DISTANCE TO:
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
OTHER
PIPE MATERI,~LS
SOl L TEST RATINz~ ~**Z ~ '~'
INSTAELER /
APPROVED £% . DATE
72-013 (Rev. 3'~/~) ~
LEGAL
~],N--L=.; ][ TE
PERMIT 1.40. ( 8±0069 ::,
RPPL ICFINT FORESTEDGE HOMES
LOCFtTION PETERS CREEl-,:;
LEGRL [_-15 8.3.'*. NORTHP.IOODS S,.-"D
T'¢PE OF SOIL RBSORPTION S'T'STEM IS: TRENCH
MRX!MUM NUFIBER OF BEDROOMS = ~ SOIL RFITING
THE REQUIRE[:, SIZE OF THE SOIL RBSORPTION S"r'STEM IS:
[:"E F" ]-H == ?
[:,E:'F'RRTMENT 0,/HERLTH RND ENV IRONMENTRL
L=:2'5 '"1.." STREET., RFICHCF.'RGE., FtK. 9.:.=.'50.1
;:'_'64-4720 -- /
SF'.FL}BOX .103 CiOLDE!',I ERGLE C:HUGI 68L:,'-]:L'~..:¢~ '
LO"F ':-;IZF 28EI-_--i~:~ _- ...... IRE FEET
'; '-:;, 6! FT,-'"BR) = -267
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEr'TH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SLIRFFIE:E OF THE
GROUND RND THE BOTTOM OF THE E',:.:',CRVRTION (IN FEET).
THERE I9 NO SET HIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRR',,,'EL BETHEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE E',:-:',CR',/FtTION (IN FEET).
PERMIT RPF'LICFINT HI=IS THE F..E_FUI',L, IBILIT'-t TO INFORM THIS [:..,EPFtRTMENT DJRING THE
INSTFtLLRTION INSF'ECTIC!NS OF Ftl",!.h.' HELLS R[:,.TRCENT TO THIS rr,._r~..~.,T RND THE
NJMEER OF F::ESI[:,ENCE'.:-; THFIT THE HELL HILL .=,ER,E.
-[' Ib..II C, c'. "-:-.=..':, I l"ql .z F E _- F _'ir C, J"-.~ _'_3 R F: E f--'. E ,l::-.~ UI I F;: E- E:.
E:RC:KFILLING OF FIN"r' _,'r'"TEil WITHL-IIJT FINRL II',I_-,FECTION RN[:' RPF'RI]rv'RL 8N.' THIS
[:,EPHRTHENf' P.IILL BE SUBJEC:T TO F'ROSECUTION.
MINIMUM' DISTRNCE BETWEEN R HELL RND RN'.r' ON-SITE SEWRGE DISPOSRL S'-r'STEM IS
.100 FEET FOR R PRIVR]"E WELL OR -150 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC HELL
MINIMUM DIS'f'RNCE FROM R PRI',/RTE HELL TO R PRIVRTE SEWER LINE IS ;2-'5 FEET FIND
TO R COMMUNIT'¢ '_--',EWER LINE IS 75 FEET.
O'I"HER REQL.IIREMEN'rS MFl'.r' RF'F'L"t. SPECIFICRTIONS FIND CONSTRUCTION DIFIGRFfMS FIRE
FIVFtILRBLE TO INSURE PROPER'. INSTRLL. RTION.
I _.EF. TIF ~ THRT
t: I RM FRMILIRR WITH THE F.'ET.!UIREMENTS F]F.' ON-SITE .:,E~.EF::, RN[:' WELLS RS SET
FORTH B'¢ THE MIJNICIPRLIT'¢ OF HNL..HUR~-~E
2: I WILL INSTFiLL THE $'¢STEM IN RCCOR[:,RNCE WITH THE CODES.
J. I UN[.,ERz, THN[. THH] T~E.JJ[&==~[TE :,EHER =,~_TEM MHT RE=..JI...E ENLRRGEHENT IF THE
RES IDE~~~-~ORE THRN ~ BEDROOMS.
S GNEC ................
H,Z, MES
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
,f
PERFORMED FOR:
LEGAL DESCR,PT'ON:
1
2
3
4
5
6
7
8.
PERCOLATION
TEST
DATE .ERFORMED=/:'
SLOPE SITE PLAN
£6 %
10
11
12
13
14
15
16
17
18
19
2O
Robert A.
ENCOUNTERED? O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
'/
/ /~:4/~ ~z? -- ;~,
PERCOLATION RATE '~'~ ~__~minutes/inch) / ~
T'~ST RUN BETWEEN ~'~'""'-"' FT AND .FT ~ ~'~'~ '~7 A
COMMENTS
CERTI FI ED BYe/
PERFORMED BY:
72-008 (6/79)
·
MUNiCiPALITY OF ANCHORAGE
.r)EPARTIVI£NT OF HEALTH AND ENVIRONMENTAL ?t~OTEC'f'ION /~;},, PERCOLATION
TEST !
82S L. Street, Anchorage, Alaska 99501 264-4720
SO~LS LOG - PERCOLATION TEST
PERFORMED FOR:
I_lEG,rd. DESCRIPTION:
SLOPE
17
COMMENTS
PERCOLATION RATE ........................ (minutes/inch}
:',; (
'! EST RUN tJlZTWEi:~N k....; FT AND ~:~ ....... FT
= E CO
'-� Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904 S _A
Certificate of On -Site Systems Approval
Parcel I.D. 051-731-25
1. GENERAL INFORMATION:
Expiration Date: 3 ^ Z S-- 2 (9211
Complete legal description NORTHWOODS S/D; BLOCK 3, LOT 15
Location (site address) 22708 MCMANUS DRIVE, CHUGIAK, AK 99567
Current Property owner(s) MATTHEW AND ERICA LEE Day phone 907-351-3751
Mailing address
Real Estate Agent
22708 MCMANUS DRIVE, CHUGIAK, AK 99567
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
®
Public Sewer
WaiverNariance request for. Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ J 50
Date of Payment �� Z
Receipt Number 0ZC376G
COSA # 0 SG 22112.1
Date:
Waiver Fee $ _
Date of Payment
Receipt Number
Waiver #
W]
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: Gayness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507
Engineer's Printed Name: _Jeffrey A. Garness
Date: 3 3d
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
QF '"'vk\
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
�<� , . • L ��%r\
industry practices. The reported results describe the condition of the system/s on the date/s of the
! �,•'
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
T �
encroachments may exist that were not identified during the evaluation. The operational life of all wells
i ;
V
Q
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
c i .."' • • ' ' • . • . • . • • • • • •
• • • . • ..
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control GEG. Satisfactory test
�7...... ... .... ...
of results do not guarantee future performance of the(II�
systemis; therefore, GEG
of r . j A. Garr ess.:
makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to in
Jt. •• �E_7g�- = G
( /!
perform adequately
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
� 1.�r.Q.a�i��
V a
perform the evaluation. Reliance upon the information provided in this report by any other or
�,��e�lesslo
person
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE
4— System #1 Approved for -3 bedrooms
<<ltt(1((((((f
System 42 Approved for bedrooms OF ANQY61
Disapproved
Conditional approval for bedrooms, with the following stipl tion®N-S1�
E
D r
� NJ P`CER PN EFt o
NVA
0".
TS
By ` Original Certificate Date: 2 ZZ.
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of Onsite 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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10.10-12.doc
1L
Legal Description: NORTHWOODS; BLOCK 3, LOT 15
If more than 1 septic system on lot: COSA Checklist # 1 of 1
LL DATA
❑ Well log �wWiith ite (or attached)
Date drilled
Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground)
Date of flow test for C
Static wat el at beginning of test ft.
nts
B. TANK DATA
Age of tank(s) <4 years
Tank type/material PLASTIC
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per record drawing
Date of pumping *TANK PUMPED ON 3/22/2022
D. ABSORPTION FIELD DATA DUAL 5-WIDES
Which system tested (date installed) 11/13-16/18
❑ ALL standpipes present per record drawing
Total measured depth from grade 9.7 ft (max)
Measured depth to pipe invert from grade 3.1 ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
Parcel ID: 051-731-25
Structure served by this system 1
Well production at time of test
Water storage tank volur gallons
Well disinfect,r coliform test? ❑ Yes ❑ No
orm bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Aires ug/L ❑ Arsenic less than MRL (ND)
Collected
Date of Sample
STATION
❑ Require aintenance com
Age of lift station ye
Lift station material
Adequacy test date 3/25/22
Results R Pass For 3 bedrooms
Fluid depth prior to test **0/20.75 in.
Water added **524/656 gal
New depth **14.5/34.25 in.
Elapsed time **249/153 min.
❑ Code -required soil cover over field Final fluid depth **11.5/32.25 in.
❑ System presoaked Absorption rate 450+ and
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies: *LAST 16 FEET OF EACH TRENCH ON EAST END HAS 2" OF INSULATION.
**MT2 IN SOUTH TRENCH / MT4 IN NORTH TRENCH
COSA Checklist yellow sheet
V24
E. SEPARATION DISTANCES
FFbw.eLivate Well on Lot to: (Please enter distances if less than required or if community well)
Q Yes
Septic Tank/Lift Sta Lot > 100'
ft
Community Sewer Manhole/Cle _
100'
es
if No ft
❑ Yes
if No ft
Neighboring Tank > 100' ❑ Yes
if No
Priv er/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields >
Q Yes if No
Animal Containmen _ ❑ Yes
if No ft
❑ Yes
if No ft
ft
Community Wells > 200'
n Yes if No
ft
Manure/Animal Excreta Storage > 1
Q Yes
C y Sewer Main > 75' ❑ Yes
if No ft
❑ Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
Q Yes
if No
ft
Surface Water > 100'
Q Yes if No
ft
Property Line > 5'
Q Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
Q Yes
if No
ft
Private Wells > 100'
Q Yes if No
ft
Water Main > 10'
r j"Yes
if No
ft
Community Wells > 200'
n Yes if No
ft
Water Service Line > 10'
Q Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances
if
less than required)
Building Foundation > 10'
21 Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
❑✓ Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Q Yes
if No
ft
Private Wells > 100'
Yes if No
ft
Water Service Line > 10'[I✓
Yes
if No
ft
Community Wells > 200'
❑✓ Yes if No
ft
Surface Water > 100'
Yes
if No
ft
F. ENGINEER'S COMMENTS
2" OF STANDING LIQUID IN DBL CO'S.
G. ENGINEER'S CERTIFICATION
1 cerfify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
#AECC884
•
�� Municipality of Ancho a e �``
_` 1_ On-Site Water&Wastewaterho a e
OliA5
\ / (907)343-7904 5• E r
E .-,
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL e' `
Parcel I.D. 051-731-25 Expiration Date: ) 1 —1 (0—i?
1. GENERAL INFORMATION
Complete legal description NORTHWOODS S/D; BLOCK 3, LOT 15
Location (site address) 22708 MCMANUS DRIVE, CHUGIAK,AK 99567
Current Property owner(s) TIMOTHY&CAROL BOEDIGHEIMER Day phone (907) 242-4653
Mailing address 22708 MCMANUS DRIVE, CHUGIAK,AK 99567
Real Estate Agent RUTH BARNDT W/DWELL REALTY Day phone (907) 227-8040
2. TYPE OF DWELLING:
IN Single Family(w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3 •
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ❑ Individual On-site M
Individual Water Storage ❑ Individual Holding tank' ❑
Community Class Well ❑ Community On-site ❑
Public Water System . Public Sewer ❑
WaiverNariancerequest for.. N/A Distance: -
Received by: Date: 1(72-- 'f`g
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ L1211.106 Waiver Fee$
Date of Payment 11]2.CC//q Date of Payment
Receipt Number 6,56z5-1-14) Receipt Number
COSA# 06GI?1&t7 Waiver#
it
0.- # '1 ) 4 ''.
L -.It
C.410.0..‘
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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179
Address 3701 E.TUDOR ROAD, SUITE 101 *ANCHORAGE,AK,99507
Engineer's Printed Name JEFFREY A.GARNESS, P.E. Date It 12C/10
Engineer's Comments:
In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the .4.6 111 \ii�,
guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the �4 V OF 1*♦
condition of the system/s on the date/s of the evaluation.Separation distances were measured to readily identifiable features. � t� ••..•••••• ••.,,*••.• ♦
Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic 4417."V'...�' •. •
systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate duringg..*--?..
i 1, •'' •
the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the systeMs.These P 9 r )\ ••;' ♦�
conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the %
system/s;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. 0 0
GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the 0,.. „ , ,` •,u i�;
current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the
. C -79,3 ...:
information provided in this report by any other person or party,including but notlimited to subsequent property purchasers,is not �0�• ey .Ga ess 4.1=
IN
authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. v. _t
4.
6. DSD SIGNATURE mot+ PROFESS\c 4
LICENSE �IIL„"* ,
#AECC884
System#1 Approved for bedrooms.
System#2 Approved for bedrooms.
Disapproved.
r .1t yr ,vt
Conditional approval for bedrooms, with the following stip t'bns: ��y�
� ON-SITE S
WATER AND m.
..7.
WASTEWATER
T PROGRAM
6co
r'c4/�. FR\I1('F��C
i
By: _____
w�---- �� Original Certificate Date: I 1 a-i i
s?
...._
The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only
upon the represenatations 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. ATTCHMENTS: ,/^ A. ca
COSA Checklist /` Nitrate Advisory ;.,'3, • :.•_ .'
Septic System Advisory ; ` °'"
Arsenic Advisory;. .
Well Flow Advisory Other
(Rev.10112112)
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: NORTHWOOD S/D; BLOCK 3, LOT 15 Parcel ID: 051-731-25
A. WELL DATA PUBLIC WATER
- pe If A, B, or C provide PWSID# Well Log (Y/N)
Date comple -. Sanitary seal (Y/N) Wires properly protected 1
Total depth ft. Cased to ft. Casing height ..ove ground) in.
FROM W OG A ISPECTION
Date of test
Static water level ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RES :
Coliform colonies/100 ml. Nitrate mg./L. Collected by:
:-nic: ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material INFILTRATOR HDPE SEPTIC TANK Date installed 11/13-16/2018
Tank size 1060 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) N/A
Date of pumping NEW Pumper -
C. ABSORPTION FIELD DATA *BELOW FINAL GRADE
Date installed 11/13-16/2018 Soil rating {.p.d.//'or ft2/bdrm) 0.6 System type DUAL 5-WIDE
Length 81' (40'/41) ft. Width 5 ft. Gravel below pipe 4/4.17 ft.
Total depth *7.6-10.0 ft. Eff. absorption area 810+ ft2 Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) - For 3 bedrooms
Fluid depth in absorption field before test - in. Water added - gal. New depth - in.
Elapsed Time: - min. Final fluid depth - in. Absorption rate >= - g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) NO If yes, give date -
D. LIFT STATION
Date installe• Size in gallons Manhole/Acres •
"Pump on" level at in. "Pump off' - - . . a i•h water alarm level at in.
D. is Cycles tested Meets alarm & circuit requirem-
E. SEPARATION DISTANCES
':• •TION DISTANCES FROM WELL ON LOT TO: PUBLIC WATER
Septic tank/lift sta is :• of On adjacent lots
Absorption field on lot On ad'. :- o s
Public sewer main Pu• I -- , -r manhole/cleanout
Sewer/septic service '•- Holding tank
• •' . containment areas Manure/animal excrete storage areas _
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+TO PVT./200'TO COMM.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+TO PVT./200'TO COMM.
F. COMMENTS
_4001,suzli 4,..48 ..F `i 1,41
G. ENGINEER'S CERTIFICATION ....,.- V%.•.•••" " '• • .•
1.I certify that I have determined through field inspections and " *' 4' Thi \ -* t0
•
review of Municipal records that the above systems are in /•
conformance with MOA COSA guidelines in effect on this 0 •••s' �' • - • •
date. ♦ c^:.I •�f -y arne ;k
Engineer's Printed Na e JEFFREY A. GARNESS �.. 5,<,1 1_79 �;. :�
Date 2 .44 PROFESS\��4
LICENSE �1 I%„`ill.
#AECC884
(Rev.10/12/12)
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AS-BUILT SURVEY 1” = 20'
NO CORNERS SET THIS DATE
�0000p�� I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
455:7 OF g C 0�4 OF THE FOLLOWING DESCRIBED PROPERTY
_
•
• 49 TH1� QO ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
gTHE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
Dnp �•Q THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY EXIST OTHER THAN NOTED.
0 D CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS DATED AT ANCHORAGE,ALASKA THIS DAY OF
Q/� f SHANE A. HOLT p; NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. 2018
04 LS-6914 Jc O EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT ARE NOT SHOWN
� p a p HEREON ( UNLESS INDICATED)
A, fessiona� _ a� NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
��DOoo��oo PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. HOLT LAND SURVEYING
9309 GROVER DRIVE
ANCHORAGE,AK 99507
• 345-5513
