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Home My WebLink AboutASPEN RIDGE BLK 1 LT 7Asp n Ridg lock Lot 7 ! 7-093 -07 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201213 PID Number: 017-093-07 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name PATRICIA J. CHASE ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 6701 ASPEN RIDGE CIRCLE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 3 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot ASPEN RIDGE 1 7 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES ToTotal Septic Absorption Holding Sewer absorption area Number of trenches Dist. between trenches From Tank � Field Lift Station Tank Line Ft' Ft. We 71 00'+ __ I 25'+ TANK ® Septic ❑ S.T.E.P. [:1Holding [:]Other Manufacturer GREER Capacity 1000 Gal. ( Surface water 100'+ -- Material HDPE Number of compartments 2 Lot Line ( 10'+ -- NA Foundation 10'+ -- LIFT STATION Manufacturer Capacity Gal. Remarks New field CO & MT installed. Alarm location Electrical installed by Installer NORTHERN EXCAVATION PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection51 1 8/31/2020 �d 9/1/20 Location and description ection 2 3rd 4'" BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL _'A Conditional Approval: Date ��.,.•' CO -49 TH t.�.c �'` "•' """';" Curtis Huffman �s�•. CE 128991 �� l9/9/2020NA��c� Septic System Approved - Date �/0 0 (.oC �® ROFESSIO Note: this approval does not include well permit requirements. -�. trcev vDivu 10) PID:017-093-07 PERMIT:OSP201213 FIRST WATER CONSULTING ASPEN RIDGE BLOCK 1, LOT 7 a.2'xia.2' FH RID /DGE CIRCLE i I I Lot 6 Lot 7 I .. I I EASEMENTS A 8 PLOT PLAN __— AS BUILT _X_ SCALE _1_=50__ GRID _ SW 3039Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A S S O C i a t e S inc. (907) 522-6476 Phone oo��p40 (907) 522-4625 Fax o00o F A p�4 Professional Land Surveyors kenOlangsurvey.com o 9 Y F.......... JonathanOlangsurvey.com I hereby certify that I have surveyed the following described property: QQ� TH ADO LOT 7, BLOCK 1, ASPEN RIDGE SUBDIVISION (PLAT No. 82-198) o 49— Anchorage Recording District, Alaska, and that the Improvements situated thereon are""""•• within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed KENN FI N premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. pp�Fo '-.ES-5202. Dated this the --- �__ Day of __5=�`�`^5�� ___, 20_" at Anchorage, Alaska Q a "" Ngo O44RO1"FSSIONAL c� It is the responsibility of the owner to determine the existence of any easements, ��40�000 covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 7/10/2020 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-093-07 Property owner(s) PATRICIA J. CHASE Day phone 9072688600 Mailinq address 6701 ASPEN RIDGE CIRCLE, ANCHORAGE, AK 99516 Site address 6701 ASPEN RIDGE CIRCLE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) ASPEN RIDGE 131, L7 Legal description (Township, Range & Section) Lot Size 43771 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) X❑ (w/wo ADU) Septic Tank ® Upgrade X Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: ��• 5 Date of Payment: 6 3D ,�0•�� Receipt Number: Roo to Z Permit No. osp Z 01 a 1 3 Waiver Fees: Date of Payment:. Receipt Number: _ Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com July 1, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: ASPEN RIDGE B1, L7 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank to serve the existing 3-bedroom residence. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201213, Deb Wockenfuss, 07/09/20 FIRST WATER CONSULTING ASPEN RIDGE BLOCK 1, LOT 7 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201213, Deb Wockenfuss, 07/09/20 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 IPHONE ~ NEW MAILING ADDRESS LEGAL DESCRIPTION ~ ~ ' - LOCATION I t NO. OF BEDROOMS DISTANCE TO: IWeI`.~O$'' IAb'°mti°nO,area Dwelling,~ , PERMI~¢ ~ZP Manufacturer~~~ ~~ Mat~~ ~°. of compartments ~iq. capaciW in ~allons H~MfiMAD[: Inside lenflth ~i~th Liquid depth I~0 IF ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ ~ ~ Manufacturer Material Liquid capacity in--aliGns ~ Weld Founda~. Neares~i~e PERMIT ~ ~°' Of Hnesg ~en~th of oach li~e Total Total effective absorption area ~ Top of tile to finish grad ~ Material beneath tile G ( ~ ~- ~S Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line ~ DISTANCE TO: ~ ~ classp~o~ ~ Depth Driller Distance to iot line PERMIT NO,~¢¢ ~ DISTANCE TO: Building foundation Sewer line~ ~I *~' Septic tank~ IO~ / ~ Absorption area(s) OTHER SOIL TEST RATING (~%~ ' Faa ;. INSTALLER - --~ ~$N R EMAR KS APPROVED DATE .... . LEGAL TI2~ ~gM ~,~ '' 72-013 (Rev, 3/78) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological ~ Geophysical Surveys Drilling Permit No, LOCATION OF WELL (Pleoee complete either lo, lb or lc.) A,D.L. No, Borough Subdivilion Lot Slock ~ I/eqtre. Section No. TownehipN[::~ Range EEl Merldlon WELL LOG Feet Belo~ 4. WELL DEPTH; (fln~l) 5. DATE OF COMPLETION Surf.ce ~,/~ Materiel Type ' Top BO'*O' fl' ~ -- / -- ~- ' Slot~Mllh Sl=I: Llngth: Set between ft. and ft. Backfilling Gravel pock Dote ~ Above ~r ~ Below lend lurfoce Equipment uled: II. PUMPING LEVEL below lend surfuGe ~nd YIELD __ft. utter ~hrs. pumplngwg.p.m. ~ ~ft' otter hrs. pumping ~ 1~.6ROUTIN~ Well Grouted: ~ Yes ~ No Materiel: ~ Neat Cement ~ Other: 13. PUMP: (If available) HP Length ef Drop Pipe t. capacity 14. REMARKS: 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Wofer Temperature o ~ ~ ~ C Thi~ well w~/drilled under my jurisd~li~ ond fbi5 report i5 l, ru~ fo the best of my knowledge ond belief; Registered Business No~e . ~ Contr~cl License Number DEPBRTMENT HERLTH FIND ENVIRONMENTFIL OTECTION 825 L. STREET., FINCHORRGE., fK 99601 264-4?20 PERM I. T l.~Cl: DRTE ISSUED: :340249 0,4/27/84 F'tPPL I CRNT. F'IDDRESS: CONTFICT PHOI',IE,: 1.4fRREN L.. SFINE'.,ER P.O. BOX Z.:-096 fNCHOF.:RGE., RK 99501 ,::. ," ~'= L. EGRL DESCRIP: L. OT SIZE: MFIX BEDROOMS: '=TUE:D I ',,,' I S I ON: RSPEN F.: I DGE SUB SE:CTION: _--.':5 TOWNSHIP: ,1.]:&67 (SL:.!. FT. OR FICRES) ]: LOT: 7 BLOCK: RRNGE: Z.':W DEPTH TO PIF'E BOTTOM (FT.) GRFIVEL. DEPTH (F'l".) TOTFIL DEF'TH (FT.) GRRVEL NIDTH (FT.) GRRVEL LENGTFI (F'T.) GRRVEL VOL. L.If'IE (CU. Y[:,S. ::, "rfNK SIZE (GRLS> SOIl... RRTING ,::SL.-.!. FT. ,."BR) LISTED BELON fiRE THE OPTIONS F:IVFIILFIBLE TO '¢OU IN DESIGNING YOUR SEPTIC :..=.,YSTEM. CIqOOSE: THE OF'TION THRT BEST FITS YOIJR SITE. 4.0/ 4.5 4.0 5.06 0.5 3:.5 9. 0~ 5. 0 7. 5 ~2. 0 ~., 47. 0 ~{.~46. 8 ~ 4]:. 5 ,+,,+: GRRVEL I. ENGTH > 75 FT. RE6~UIRES MULTIF'LE RUNS (NOT EXCEEDING 75 FT. EflCH) :{'.+: TRNK MUST HflVE fiT LEflST TWO COMPflRTMENTS I CERTIFY THFIT: i. I FIM FFIMILIfR MITH THE REQUIREMENTS FOR ON-SITE SEWERS RND NEL. LS tis SET FORTH BY "FHE I'dUI"~IC:IPfI. iTY OF FINCHORFIGE (HOR> 8ND THE STFITE OF RLRSKR. 2.. I NIL. L INSTfLL TI'-IE SYSTEM IN FICCORDfNCE 14ITH FILL MOf CODES FIND REGUL..FITIONS, RND IN COI'dPL. IRNI::E t4ITId THE [:,ESIGN CRITERIFI OF THIS PERMIT. ~:. t PlILL RE:,HERE TO F~I....L. MOFI ~N[:, STFITE: OF RLfSKfl REQUIREMENTS FOR THE SET BRCK DISTfNCES FROl'd FINY EXISTING MELL, PIRSTEWfTER DISPOSflL SYSTEM OR PUBLIC: SENERRGE SYSTEM ON THIS OR FINY FIDJ~CENT OR. NEARBY LOT. 4. I UNDERSTRND THST THIS PERMIT IS V~LID FOR fl MR'XIMUM OF ~: BEDROOMS 8ND ~NY ENLFIRGEMENT 1,1 ILL REQUI RE FIN RDDI T I ONFIL PERMIT. IF R I_IFT STRTtON IS INSTFIL. LED IN AN FIREFI COVEF.:ED BY MOFI BUILDING CODES;., THEN (t.':, FIN ELECTRICRL.. F:'ERMIT FIND INSPECTION MUST BE OE:TfINED.~ (2) RS-BUlL. TS 1.4ILL NOT BE RPPRO',,,'ED b. IITHOUT RN EL. ECTRICRL INSPECTION REPORT.~ RN[:, (-'.':) 'THE EI_ECTRICFIL MOF.:K MLIST BE [:,ONE ~BY R L. ICENSE[:, ELECTF.:ICIfN. :, I GNED C, RTE HF F L. 1 ....HN F: . '.Sft'-4DER I :,:,I..IE[. BY SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED .OR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14, 15 16 17 18 19 L_,:,'-f '7 /~/ooJ4 / _ _ SLOPJ~ SITE PLAN $ r4, po~ d'~a,,d s COMMENTS PERFORMED BY: ~=. bM 72-008 (6/79) WAS GROUND WATER . ~ S ENCOUNTERED? ~Uo L O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop - '- ~:i~ ~ 0 .~ ~.0~ ~li~ ';°~' :~ - I,:'' ,0 .,' PERCOLATION RATE ~ ~// (minutes/inch) TEST RUN BETWEEN 7 . FT AND ~*~ FT CERTIFIED BY: ~~ ' - / DATE: ALASKA ENVIRONMENTAL CONTROL SERVIC~ - INC. 12oo West 33rd Avenu=, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO. OF MUMC�PAUTY OF ANCHORAGE Development Services Departments' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-093-07 Expiration Date:1)eC ��l �DoCo 1. GENERAL INFORMATION Complete legal description ASPEN RIDGE BLOCK 1, LOT 7 Location (site address) 6701 ASPEN RIDGE CIRCLE, ANCHORAGE, AK 99516 Current property owner(s) PATRICIA J. CHASE Mailing address Real estate agent Day phone 6701 ASPEN RIDGE CIRCLE, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Private Well Private Septic Water Storage ❑ Community Well ❑ Public Water System ❑ Day phone TYPE OF WASTEWATER DISPOSAL: Private Septic Holding Tank ❑ Community ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ H) Z .SO CtqU/ 1 Date of Payment q 16/ZO Receipt Number .S 1 GO0 72 COSA# 05G201yq6� Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN PE Date 9/8/2020 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 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 & FWN Z 6. DSD/SIGNATURE V System #1 Approved for \3 bedrooms System #2 Approved for bedrooms Disapproved gJ• TM� ...... �% • • Curtis Huffman j CE 128991 FoPROFESSIO�P�-� Conditional approval for bedrooms, with the following stipulations: OF � wATE� AN z STS ---F-) = W A JGF Ate .� T S ��N10)��\, By: ,9, Original Certificate Date: ( IQ �IA o0 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 Checklist Legal Description: ASPEN RIDGE BLOCK 1, LOT 7 Parcel ID: 017-093-07 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 10/19/1984 Total depth 270 ft Cased to 91 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 6/19/2020 Static water level at beginning of test 225 ft. Well production at time of test 4.4 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 2.98 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 8/19/2020 Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) 0 years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NA - NEW Standpipes/foundation cleanout per record drawing Date of pumping NA - NEW C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 10/25/1984 ALL standpipes present per record drawing Total measured depth from grade *7.6 ft (max) Measured depth to pipe invert from grade *4.4 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective 3.2’ INTO THE 6’ ED Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 6/19/20 Results Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 1380 gal New depth 0 in Elapsed time <1 min Final fluid depth 0 in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: *Similar results / observations per previous test / COSA – see GEG 2011 letter / COSA. E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) 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 From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No 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 septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 9/9/2020 CERTIFICATE FOR A SINGLE Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 ~/~.~,~,,,/~ .... .~~ Anchorage, AK 99519-6650 www.muRi.or~/o ,ske (907) 343-7904 / / OF ON-SITE SYSTEHS APPROVAL FAHILY DWELLING Parcel I.D. 017-09.3-07 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ASPEN RIDGE; BLOCK 1, LOT 7 6701 ASPEN RIDGE CIRCLE *ANCHORAGE, AK MATTHEW SMITH & ALISON COOKE Day phone 6701 ASPEN RIDGE CIRCLE *ANCHORAGE, AK Day phone 229-5229 JOE LOGAN W/ REMAX Day phone 110 W. 58TH SUITE 100 *ANCHORAGE, AK 9950.3 905-1244 Unless otherwise requested, COSA will be held by DSD for pickup. 2, NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · 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. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the vafidafion date shown belov4 i verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shot¢~ 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 t,he information obtained from the Municipality of Anchorage fries and from my investigation and inspection, t,~e on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone 557-6179 Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system 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 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 sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE v/ Approved for Disapproved. bedrooms. Conditional approval for Attachments: COSA Checklist Septic System Advisow Well Flow Advisory Nitrate Advisory, / (Rev. 11/05) bedrooms, with the foliowin9 s.}~.tj~n~:, o.. ,~/',,~ ;; '": ~NT SL~'~';''' Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Original Certificate Date: ~,/~O.~t C= Municipality of Anchorage Development. Services Department Building Safety Division On-Site Water & Wastewater PrOgram 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF 0N:SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ASPEN RIDGE; BLOCK 1, LOT 7 Parcel ID: 017-093-07 WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 10/19/84 Sanitary seal (Y/N) YES Well Log (Y/N) YES Wires properly protected (Y/N) YES Total depth 270 ft. Cased to 91 ,ft. FROM WELL LOG Date of test 10/19/84 Static water level 40 ,ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. 4+ Nitrate ND Date of sample: 2/25/11 Collected by: SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1'250 gal. Number of Compartments Casing height (above ground) AT INSPECTION 3/3/11 60 ft. 5.31 g.p.m. 12+ in. mg./L. GEG, Ltd. Arsenic: ND ug./L. 2 Date installed Cleanouts (Y/N) 10/25/84 YES Foundation cleanout (Y/N) YES Date of pumping 6/10/2010 ABSORPTION FIELD DATA Date installed lO/25/84 Length 75 ft. Depression over tank (Y/N) NO '. Pumper. Soil rating (g.p.d./ft2o~ 299 Width 2.5 .ft. ,High water alarm (Y/N) ISAACS PUMPING Total depth *.10,1 ft. Eft. absorption area 900 ft2 Monitoring tube**YES Date of adequacy test *'5/3/11 Results (Pass/Fail) PASS Fluid depth in absorption field before test **DRY in. Water added 2040gali ' Elapsed Time: 0 min. Final fluid depth **DRY in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) **CALCULATED TOTAL DEPTH. SEE ATTACHED' LETTER. N/A System type DEEP TRENCH Gravel below pipe 6 .ft. Depression over field NO For 3 bedrooms New depth **DRY in.' AbsorptiOn rate >= **450+ g.p.d. NONE KNOWN If yes, give date - D. LIFT STATION Date installed "Pump on" level at in. Size in gallons Manhole/Access ~ J "Pump off" level__aL-------i~7-'---. High water alarm level at. Cycles tested. Meets alarm & circuit requirements? SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ .in. On adjacent lots, 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas 100'+ Building foundation Water main Wells on adjacent lots SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 5'+ Property line 5'+ N/A Water service line 10'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption field Surface water '5'+ 100'+ Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN COMMENTS *PER ORIGINAL Building foundation. 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ 1984 INSPECTION REPORT. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date COSAFee$ ~{ Date of Payment ~/'~Z'/~/ Receipt Number (Rev. ! 1/05) Waiver Fee $ Date of Payment Receipt Number GARNESS E'NGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS March 25, 2011 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Aspen Ridge Subdivision; Block 1, Lot 7, Adequacy Test Data and Total Depth; Mr. Poet: DEPTH AND CONFIGURATION OF MONITORING TUBE: The existing trench has a monitoring tube at the north end and a cleanout within 5 feet of the south end (post-tank cleanout). There is no cleanout present at the north end and a lateral line was not visible inside the monitoring tube. Per our conversation with your department (3/7/2011) this configuration is acceptable per 1984 code and will be allowed. The monitoring tube at the north end extends 93 inches (7.75') below grade. The only indication of the lateral line elevation in the north MT is the transition from non-perforated pipe to perforated pipe. This transition occurs 53 inches (4.41') below grade. Elevation shots were taken at the south cleanout and at the north MT. The relative elevation of the lateral line in the south cleanout is 92.275'. We are assuming that this elevation is representative of the lateral line elevation. The elevation of the grade in the area of the MT is 96.36. The relative elevation of the bottom of the MT is 88.69'. Based upon this data, it can be assumed that the monitoring tube only extends 3.585' (- 43 inches) below the lateral line. The total depth listed on the C.O.S.A. sheet is calculated based upon this data. (Grade = 96.36, Lateral Line Elevation = 92.275, Minus Effective Depth of Six Feet = 86.275. 96.36-86.275 = 10.08' total depth) ADEQUACY TEST: The house was vacant at the time of test. We began our test on 3/3/2011 with the intention of pre-soaking the drainfield to be tested the next day. 2040 gallons were introduced into the drainfield over a period of 365 minutes. During this time, the liquid level never rose high enough to be accounted in the monitoring tube. At this time, we contacted your department and discussed the results. Per our conversation with you, this would suffice for the required pre-soak and adequacy test. If you have an~questions, please contact us at 337-6179. Sincerely, ,~ ~ i jeff~Lre'~- p?~esident~ ~s.~P.E., M.S. Thank you for your assistance. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com FOUND ALUM. MONUMENT @ NoW. CORNER LOT 5 iO'TELE&ELEC. ESM'T. FOUND NO. 5 REBAR W/PLASTIC CAP °WELL DECK / DECK '", THE INFORMA'I']:ON HEREON TS FOR THE USE OF LENbTNE; ]:NS'r]:TUTION5 ,.SPECZ:F/:¢ALLY TO SHOW ANY CONFLTCT5 BETWEEN EX:ESTZN~ 5TRU~I'URES AND PLA'I-I'ED LOT LTNES AND/OR EASEMENTS; AND 15 NOT TO BE USED FOE PO5TT'~OI~N~ AbD]'T'JEONAL STRUCTURES, ZMPROVEMENTS, OR FENC'ELTNE$. EASEMENT5 OF RECORD, OTHER THAN THOSE APPEARII'~)~ ON THE RECORD PLAT, ARE NOT SHOWN HEREON ( UNLE55 I'ND"rCATEb) NOTE: FEN~ELTNE5 THAT MAY APPEAR ON TI-~S DRAW'/:N~; ARE NOT TO gE USED TO DETERMNE PROPERTY L'rNE$ OR PO51T~ON ADDITIONAL TMF~OVEMENTS. ANY PAV~N~, SHOWN HEREON MAY BE APPROXTMATE DUE TO EXCESSTVE SNOW AND/OR FOUND NO. S REBAR AS-BUILT SURVEY 1" = 30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 7, BLOCK 1, ASPEN RIDGE SUB.(PLAT 82-198) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS _24TH~ DAY OF __FEBRUARY , 2811. 11505, FB 144-57 HOLT LAND 5URVEY]:NG 600 HZE~HV]:EW DP, TVE AN~HORAE;E.~K 99515 $45-5515 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) ~1 L7 Location (address or directions) ,b, Appli(~n';;~'2~e"~t~'~,~/ '-'%/~t/~.c-~-~; Telephone: Home 27~ ¢*/¢ Business ~pp icant Address ~,. (c) Applicant is (check one): Lendi~ Institution ~; Owner/builder ~; Buyer ~; Other D (d) L;nSJn~ I~st~t~tioh' ~,~.:.:~4~ ~ ~ ~ Telephone ,~ ',, .. , ~,~ , Address , .' ~;" ,,~ (e) Real Estate Cbmp~y and Agent . . Telephone (explain); (f)' Mail the HAA to the follow, lng address: I TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms Other WATER SUPPLY Individual Well~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsitel~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) L. 7 iq6 ° N 1 106W__ ENGINEERING FIRM PROVIDe..i INSPECTIONS, TESTS, FILE SEARCH, D*-. ,'A AND INFORMATION AS certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address ! ZOO,, Telephone DHEP APPROVAL Approved for ~'bedrooms by Approved . ~x'/i.~_ Disapproved Terms of Conditional Approval Conditional Date CAUTION The Muncipality of Anchorage Department of Health and. Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MO~ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 J~INICIPALITY OF ANCHOEAG,: DEPT. OF HEALTH, ~' I~I~/IRONMENTAL PROTECTION JUN 1 0 264-4720 Legal Description: WELL DATA Well Classification I N/') I ~i 0 U/~ ~ If A, B, C, D.E.C.,Approved (Y/N) Well Log Present 0/N) Date Completed [(::)/~-"--/~¢ Yield 270 /' Cased to q/ / Depth of Grouting Pump Set At . ,~- / Sanitary Seal on Casing ~N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (~N) Separation Distances from Well: To Septic/Holding Tank on Lot Depression Around Wellhead (YI~ I 0,.-~ ! ' On Adjoining Lots To Nearest Edge of Absorption Field on Lot I! ! / ; On Adjoining Lots To Nearest Public Sewer Line ,/~/',//~ To Nearest Public Sewer Cleanout/Manhole /~V//~' - To Nearest Sewer Service Line on L~ot Water Sample Collected by cJ~ ~ ~' T'C. HUC/~ ;Date Water Sample Test Results / Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~ Standpipes {~/N) Depression over Tank (Yin) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well / 0~.~' / TO Property Line Size I~-~" 0 No. of Compartments 2. Air-tight Caps ~N) Fo u n datio, Cle/~/~/~ut.~/N) . Date Last Pumped -~ ~/~ 'for ~/~ Temporary Holding Tank Permit (Y/N) ~ To Building Foundation To Disposal Field Main/Service Line /~/~t TO Stream, Pond, Lake, or Major Drainage 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field -~-, Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well I II ! To Building Foundation ,.~ / Lot /¥/~ TO Water Main/Service Line C?o0 Type of System Design 7~./~F__./~'~' Length of Field '7~-' Depth of Field ~ C) / Gravel Bed Thickness d / Standpipes Present ~N) Date of Last Adequacy Test '~ /¥//~ To Property Line /'¥~ To Existing or Abandoned System on ' On Adjoining Lots 7(~' To cutbank (if present) To stream/Pond/Lake/or Major Drainage Course ~ O~) /"?~- To Driveway, Parking Area, or Vehicle Storage Area .-~ COmments D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N} ~. "Pump On" 'Level at _ "Pump Offal at _ __ High Water Alarm Level at f Vent (Y/N) _ Tested for ~J Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certifY that I,,ha~lgh~k~verifi, ed, or conformed to all MOA ~J'~d HAA guidelines in effect on the date of this inspection. Signed( ~ ~~'-'/~.J/~~ Date Jr,' live, o. Company ~/~--~(~ MOA N ~._,~'---0~ ~' Receipt Page 2 of