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BEAR VALLEY BLK 3 LT 5
Bear Valley Block 3 Lot 5 #020-431-02 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221226 PID Number: 020-431-02 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ D Duplex P (D) El Two Single Family Project: EJ New HN Upgrade Name BRENT BRITTON ABSORPTION FIELD Site Address 9130 SNOW BEAR DRIVE *ANCHORAGE, AK ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Phone ❑ Other Bedrooms Soil Rating Total depth from original grade 907-230-23����N;u�mber *4.0 GPD/SF SEE DWG. LEGAL DESCRIPTION Ft. Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot SEE DWG. BEAR VALLEY; BLOCK 3, LOT 5 Ft. 0.55 Ft. Township Range Fill added above original grade Gravel length 9 Section SEE DWG. Ft. 36 Ft Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 5 To Ft. - Ft. Septic Absorption Holding I Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station 1 80 Tank Line Ftz 1 6'+ Ft. Well *50'+ 1 *50'+ 25'+ TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water *50'+) *50'+ I GREER TANK 1250 Gal. Material Number of compartments Lot Line 5'+ 10'+ NA PLASTIC 2 Foundation **10'+ 10'+ I I LIFT STATION Manufacturer Capacity Remarks *CAT III AWWTS **5'+ TO DECK POSTS rat location Electrical installed by Installer t E MATERIAL House to tank 63034 Tank to D3034 NORTHERN EXCAVATION drainfield Drainfield D3034 CO/MT 63034 Inspector GEG AND MOA CH MARK (Assumed elevation) 100.00 ft Inspection 1st 8/5/2022 2�a 8/10/2022 on and descriptiondates:3`° 8/10/20 4'h 8/10/202 CK DOOR THRESHOLD ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp oQb�� Conditional Approval: OF Date o ,��....... o°* = 9 Oa Septic System Approved Date 2-2 l Note: this approval does not include well permit requirements. (Rev 05/02/18) ofy A. Gar ess.= Q �4 e,.e 8�l� �� ©, 4 aPro fessiono.��a #AECC884 4���ppp`�� PERMIT'NUMBER: D DRAWING aU,V), I w(G PARCEL ID NUMBER: 'OSP221226 020-431-02 1. MH1 25.8 21.0 S0 WELL 1 ST1 28.7 25.2 '"'"� RAD7'ro \ TMT 22.3 20.6 / FD 55.8 48.1 48 C01 53.7 45.8 MTI 50.6 43.4 S/U CO2 36.5 13.1 MT2 38.2 14.4 0 E: PIP OCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE 3EN RATED IN AUTOCAD. EXISTING FIELD NEW DRAINFIELD 6' OFFSET FROM ..;'• %i'' EXISTING DRAINFIELD ` • :'• C.= 2005 TH#2 2005 TH#1 YY B F NEW3 1 / 0 ST1 H1 0 BEDROOM o ° °TMT HOUSE 1 2022 G.E.G. 1 TESTH0 E \ i•7 -i -T i . i'T� 1 ' 'T'•T' ' 1 APPROXIMATE LOCATION OF 1 NEW 1250 GALLON HDPE GREER TANK 1 m SUBSURFACE DRAIN PER _// EXISTING 500 GALLON PREMIER PLASTIC u 2008 RECORD DRAWING TANK AND QUANICS TREATMENT POD 1 1 Z I a - L__ 1 1112 "ARNESSIr Tp w ;w ENGINEERING -SALES = CONSULTING , 3701E. TUDOR ROAD. SUITE 101 'ANCHORAGE. AK 99507'PHONE(907)337-6179-FAX (907)338-3246' WEBSITE: PREPARED FOR: PHONE NUMBER: _ BRENT BRITTON 907-230-2378 -- LEGAL DESCRIPTION: BEAR VALLEY; BLOCK 3, LOT 5 TYPE OF WORK: ASEPTIC TANK AND DRAINFIELD RECORD DRAWING PAGE NUMBER: 2OF3 DRAWN BY: D.J.G. DATE: 8/19/2022 PERMIT NUMBER: RECORD G A R D D RA V V 1 1 V G PARCEL ID NUMBER: T O.SP221226 020-431-02 TOP OF TANK AT INLET = INVERT OF PIPE AT INLET = 2022 T.H. PRE -CONSTRUCTION GRADE (8/2022) = 97. TOP OF MH = 99.06 /-- FINAL GRADE = 98.64-98.79 ST2 NEW 1250 GALLON H.D.P.E. GREER SEPTIC TANK MT CO MOA FILTER SAND TOP OF TANK AT OUTLET = 93.50 TO RE -CIRCULATION TANK INVERT OF PIPE AT OUTLET = 92.63 A GROUNDWATER MONITORING TUBE WAS INSTALLED BY THE CONTRACTOR ABOUT 1 WEEK PRIOR INSTALLING THE GREER TANK: ON THE DATE OF THE INSTALLATION 61512022 THERE WAS NO WATER IN THE TANK MONITORING TUBE, TESTHOLE OR THE TANK HOLE. HOWEVER, AFTER EXTREME PRECIPITATION, THERE WAS GROUNDWATED NOTED IN THE TANK MONITORING TUBE DURING THE TRENCH INSTALLATION (81104.2) FINAL GRADE = 97.51-98.04 2� 'l 'j 7 `` a ;7 FILTER FABRIC r� 1--5, --I — RELATIVE ELEVATION AT BOTTOM OF T.H. = 84.44 T.H. DRY ON 8/5/2022 GW AT 87.03 ON 8/11/2022 (EXTREME PRECIPITATION) TOP OF SAND = 91.52 d INVERT OF PIPE = 92.07 BOTTOM OF TRENCH = 88.44 PRIOR TO 2022 CONSTRUCTION THERE WAS 4 TO 6 FEET OF FILL ABOVE THE 2005 GRADE (IN THE TRENCH AREA) AV 10m.....::.. ....... 0 �® ...... . Ga ness ffre P �J, C=-7953 7Z�_: a LICENSE ®®®S #AECC884 9 Ltd _:..ENG IN FERING -,.��tr . 3701E TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 - PHONE (907) 337-6179' FAX (907) 3383246' WEBSITE. wm .gamessengineenng.00m PREPARED FOR: BRENT BRITTON PHONE NUMBER: PAGE NUMBER: 907-230-2378 3 OF 3 — PROJECTILEGAL DESCRIPTION: DRAWN BY: BEAR VALLEY; BLOCK 3, LOT 5 D.J.G. TYPE OF WORK: DATE: SEPTIC SYSTEM PROFILE RECORD DRAWING 8/19/2022 PRIOR TO 2022 CONSTRUCTION THERE WAS 4 TO 6 FEET OF FILL ABOVE THE 2005 GRADE (IN THE TRENCH AREA) AV 10m.....::.. ....... 0 �® ...... . Ga ness ffre P �J, C=-7953 7Z�_: a LICENSE ®®®S #AECC884 a §§ �� \ }< §\§G 3,Ul- O I({> ��` <2 §*!) /)a j \ 2\ .. . ... . .. .... . . . % W/E/ ®/b/2 -{o �) /a. ®G'am)°TxƒG ..... .L10 {ƒ� m $) }�0z \ } W co %}$3 - W� 2 ®`ƒ \�} *% }z m =mm Eee 5®§ ° < ZO 0W=i f \\� \ §\)� § \, �3ao « 2m%m omW> §®m G 5`Ew »G`§ 0 < m 27§_ W1\ Ld ()f) }\(� \�§ ( \/\§ §§)) §§ �� \ \. \ §\§G 3,Ul- O I({> ��` '.0 §*!) $O\ �. \ \ / . .. . . .(1) w . . .. .. . ... . .. .... . . . % ®/b/2 -{o �) /a. ®G'am)°TxƒG ..... .L10 {ƒ� w . pw(\\((§ MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221226 Work Type: Septic Upgrade Tax Code Number: 02043102000 Site Legal Address: BEAR VALLEY BLK 3 LT 5 G:3242 Site Mailing Address: 9130 SNOW BEAR DR, Anchorage Owner: BRITTON BRENT L Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: �p�cnt Is, Department 7/11/2022 7/11/2023 46949 ❑ Private Well ❑ 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 Special Provisions: If it is determined that the septic tank needs to be replaced, the new tank shall be installed in accordance with current code requirements. No exception to proposed field's proximity to slopes >25% as long as field is installed below original grade, as proposed in design. 3 L O: I Je5n Gh a,n c- 13 h�9 hei row1 cv��e�. /Z Received By: 4 Date: Issued By: Date: 7 % 2 2 MUNIUPAUTY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Section ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 020-431-02 Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) BRENT BRITTON Day phone 907-230-2378 Mailinq address 9130 SNOW BEAR DRIVE *ANCHORAGE, AK Site address Legal description (Sub'd., Block & Lot) BEAR VALLEY; BLOCK 3, LOT 5 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) 0 (w/wo AD U) Septic Tank ElUpgrade Fx_1 Duplex (D) ❑ Holding Tank ❑ Renewal ElMultiple 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: U 55 5 Date of Payment: � S a 0. T Receipt Number: C -7 5 C Permit No. 0 S P d Q2 6 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GMevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc GARNESS ENGINEERING GROUP, Ltd AeroCell' - ENGINEERING r SALES- CONSULTING Atzakaa:unafied Vcafnr August 10, 2022 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Bear Valley; Block 3, Lot 5 61%J (WIJr S I °^i To whom it may concern: Groundwater was checked on 8/10/22 and found to be 11.4 feet below existing grade. During the design, the testhole was dry to 14 feet. In addition, on the east end of the trench it was noted that only about 4 feet of fill was over the proposed drainfield area (6 feet anticipated). In short, due to the lower amount of fill and elevated groundwater in the testhole, a design change is required. We are proposing to install 3 feet of sand, putting the bottom of the system at 3 feet below original grade (pre -2006 construction) and a total depth of 7 feet below existing grade (groundwater at 11.4 feet on 8/10/2022). In addition, we are proposing to utilize a CAT III application rate with the existing treatment pod. We will have approximately 3 feet of sand in the bottom of the trench, which will arguably improve the effluent quality (to CAT III BOD & TSS standards) prior to reaching the underlying native material. During excavation at the very east end of the trench trench, the bedding material from the tank to the drainfield was encountered, which allowed perched water from the pipe bedding material to flood the bottom of the trench. MOA onsite employee Tim Ecklund was onsite. It is not believed to be groundwater as the water was discharging significantly above the bottom of the excavation and the flow (per the contractor) was dissipating. We are unaware of�y adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, plea, g contact us at 337-6179. Thank you for your assistance. P. , M.S. yF JeJ.} y,A.•Garne s A F..r Iol2 2- A?— 4L (a a q, A?-4L(aaq, 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221226, Rebecca Carroll, 07/11/22 DESIGN CRITERIA: NUMBER OF BEDROOMS: 3 GALLONS PER DAY (GPD): 450 PERCOLATION RATE/S: '4-20 MIN/INCH PROPOSED APPLICATION RATE: "4 MINIMUM DRAINFIELD SQ.FT.: 112.5 FT= 'SEE DESIGN NARRATIVE "CAT III - SEE CHANGE ORDER NARRATIVE DRAINFIELD DESIGN: MAXIMUM DEPTH OF EXCAVATION: 10 FEET WIDTH: 5 FEET LENGTH: 36 FEET M.O.A. APPROVED SAND FILTER: 3 FEET EFFECTIVE: 0.5 FEET ACTUAL SQ.FT.: 180 FT' V OFFSET FROM EXISTING DRAINFIELD GEG, Ltd. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. 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 CONDITIONS OUTLINED. r_ \ oR 7-H SN0 VVSEE ATTACHED NARRATIE B REGARD NG TOPOGRAPHY PRI V PROPOSED DRAINFIELD �` \ 5' OFFSET FROM TANKS AND 10' ` OFFSET FROM BUILDING FOUNDATION _ NO H2O PRESENT DURING 92- TH#1 GEG SITE VISIT s 1 o O 3BEDROOM o� o HOUSE �1 2022 G.E.G. \ 1 TESTHOLE w Ii GENERAL LOCATION OF NEW HDPE GREER TANK m APPROXIMATE LOCATION OF EXISTING 50D GALLON PREMIER ' cn SUBSURFACE DRAIN PER 2008 RECORD DRAWING PLASTIC TANK AND TREATMENT , POD TO REMAIN IN PLACE 1 Z l a 1 �1 GARNESS ENGINEERING GIZOWP, Ltd - . ENGINEERING -SALES -CONSULTING 3701 EAST TUDOR ROAD SUITE 101 -ANCHORAGE, ALASKA' PHONE (907) 337.6179' WEBSITE: vmw.gamessengineednq.com PREPARED FOR: BRENT BRITTON PROJECT/LEGAL DESCRIPTION: BEAR VALLEY; BLOCK 3, LOT 5 TYPE OF WORK: DESIGN OF SEPTIC UPGRADE PHONE NUMBER: PAGE NUMBER: 907-230-2378 1 OF 1 DRAWN BY: D.J.G. DATE: 8/10/2022 1"=40' �••'E OF I ..... • 49 ..... �:, e• • XGarne�s �= LICENSE Il1rs"_*• #AECC884 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221226, Rebecca Carroll, 07/11/22 � 0\ )] 02 § / \\ \§6 z ®` qt § aaa2 A/m/ {&§2 \ ; 3E» $ �\ : ƒ z ) % �� �} ° � �/ ol 20 §� e 0,0 ' a w°[e)e� )Lu)2¥ \ } Geo /(}�\) z<�<<= Municipality of Anchorage .� Development Services Department • Building Safety Division On -Site Water a Wastewater Program, 4700 South Bragaw St. .. . , . P.O. Box 196650 Anchorage. AK 99519-6650 www.G.anchorage.ak.us(907)343-7904 Page 1 or 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO60110 PID Number: Name: Wastewater System: ■ New ❑ Upgrade BRENT BRITTON Address: ABSORPTION FIELD 8111 BRIARWOOD STREET 1B a ANCHORAGE. AK 99518 Phone: No. of Bedrooms: D Deep Trench ■ Shollow Trench Deed D ldound ■ Other s (907) 646-2249 3 sae Iwu.v low ohm then erlylhw res.: LEGAL DESCRIPTION 2.0 cvo/se. rt 4 MAX f Block: Lot: Subdivision: 20th b pp b.he.e ham or "a llr ° : Ge.w aNh "Vkkh ekes: 1.65 l 3 5 BEAR VALLEY SEE DWG. n ra eed.e elHe. eHyhw r� uaw ke.eu: _ Range: Section: SEE DWG. 50 'Township: 9 — — R Grew eNU: Mndw W eMc mw.nn pwee5n ehl 5 WELL: 0 New [3Upgrade R l — raa 2.ve": Ce..d To: Tatty ae.wpl"s e.se: Yoe meD tie. ATE 265 6 1 333 so. FL D 3034/ F-810 PRIVATE ^ We 2Hwr tale 2"155 stege "°`. `."r. /wearer: CAT'S EYE o/ 15-22/2006 HEFTY DRILLING. INC s/+2-+s/soon 25 r< nw5 Pwnp TANK 2 2nY UNKNOWN n 2 FX SEPARATION DISTANCES 0septic ❑Holding ❑S.T.E.P. DOther w.,d.tW . rAoeeer " °ems j 250 To Septic Absorption Lin Holding /P.I.ate ANCHORAGE TANK From Tank Feld Station Tank sees, untie � « � Well 100'+ 100'+ 100'+ — 25'+ YwMa. STEEL 2 Surface water 100'+ 100'+ 100'+ - - LIFT STATION S�. " a� YanNeaw.e . Lot Line 5'+ 10'+ 5'+ — — 500 PREMIER PLASTIC ... k at. off Y a1: Hyh a ab..h w: Foundation 5'+ 1 10'+ 5'+ - - TIMER TIMER . 46" "Yak. a Wow: EIWi w 1we.caaee s.H•m� t'Y .. Curtain Drain 20'+ 20'+ 20'+ — — c�uANl—P RISING SON P—T —30—PLUS BENCH MARK Remorks: *THIS IS A OUANICS AEROCELL TREATMENT UNIT Dew t>net� TOP OF MANHOLE LID a....wd L"'°h"` 111.77 GEG, Ltd. Dates: 81+5/2006 000F�� Inspections performed by: 2nd X15/2006 pP`�C......... SQA 3rd 8/22/2006 Development Services Department Approval * :` T..7° Dote:. �..... . ... or eses .:... Reviewed and approved by: Daa Aor . s: Q E-79 3 .s�•'i•11�/•ao6c O Reviewed and approved by: Doter -I -Z-08 ��0400000�� (Rer. 4/00) NMBE PERMIT NUMBER: AS -BUILT DRAWING °o 0 431u 02 SWO60110 / I 1U5 r,PPROXIMA LOCATION 1 I `'—------' ALTERNATE / SITE 1 I I //MH2h3 NEW DRAINFIELD \ 1 1 1 END 1OF DRAIN I 1 1 1 / NEW OUANICS AEROCELL UNr DRAIN / PREMIER PLASTIC DCATIONJ PUMP TANK WITH OUANICS PUMP h CONTROLS r.T'1 STI 24.3 20.2 ST2 31.2 27.2 DSL1 34.9 31.0 08L2 JS.7 32.2 MHI 42.8 41.1 MH2 52.4 49.0 4N3 53.1 48.6 SP 54.1 48.9 001 48.2 24.4 MT1 46.8 24.1 _ S=eEA`�E\\ WELL 73.1 _ �„TRY�FIa`"'- 3"` MT2 70.5 63i _ _ _ — — 83.0 u; 1 ` 1 NEW 1250 GALLON SEPTIC,TAC1K � L 1 1 1 1 1 1 CO2 73.1 _ �„TRY�FIa`"'- 3"` MT2 70.5 63i _ _ _ — — 83.0 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS lAl C TFM b4 11R ,Ot YOWR M ever AO[ (,er)L/f-41T • Mlt (e0�,ve-.MN MDSeC ew ee+e�` PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRENT BRITTON 646-2249 2 OF 3 DRAWN BY: LEGAL DESCRIPTION: J.L.M BEAR VALLEY S/D: LOT 5, BLOCK 3 wrE: TYPE OF WORK: AS -BUILT FOR NEW WELL AND SEPTIC SYSTEM 1/15 2i (Rev. 011M) D NMBER: °ERM° NUMBER: AS -BUILT DRAWING 431u 02 SW060110 TOP OF TANK TOP OF MANHOLE NAL GRADE - 111.40 AT OUTLET - 106.34 111.77 I OUANICS 650 CPO c��4' Of INS�UUTION /%CLEANOUTS DOU9lE AEROCELL UNIT TOP OF TANK ST2 AT INLET - 106.36 ST1 g r�I —_�i_ �/A. NEW 1250 GALLON VERT of euNc / Y/ INVERT OF BUNGIN SEPTIC TANK TAI OUaET - 105.59 AT INLET - 105.78// 500 ECALLON MIER BOATS � /. �� PLASM YPUMP TANK GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTIRACTORS.�� SAI L 11D'JI �0\D. 11R \01 \ MOWQ. M N•A) \ /\I01( (10))]37-6IA • IM hmi\M'S).. \ �- PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRENT BRITTON 646-2249 3 OF 3 DRAWN BY: LEGAL DESCRIPTION: J.L.M. BEAR VALLEY SUBDIVISION; LOT 5, BLOCK 3 DATE.' RK: 1/15 2C TWE OF WO PROFILE DRAWING FOR NEW SEPTIC SYSTEM (Ra,. aim) L} 1 I f GY OFf1655; CE -7953 r AJ lin_^._*I,1.Si�Qg' � arG 6°qo4 )!§ I �2■ ( / / \ \ ■�_ � ��| , i -T #Q \; \ � / % / / (§/T. m Irl \ / !4 S2 \(( \ t \ _) b o §� w9l 2/ § ( / / \ \ yt #Q D � / % / / |� m Irl / !4 ' � ) 0 X13 N .� /�A/— N \ / \ ' ss § ��•,� mm / / / / \ \ � D � / % / Irl / mm hefty DriCCinO, 91 water MIT Driliing acid Tully, SeINW-* Well Log hrilline Staticd: 0'12 2007(-onipleted:0615 !2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Section 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 1% tention: Propefty owner shall provide a well log to the DSD within 60 days of well completion. Permit Number: SWO70MI Date of Issue: Jun /04 !2007_ Parcel Identification Number: X20 - 431 -02 Is well located at approved permit location! ( x) Yes or ( ) No L(Yi Property Oxn.r Xamc R AdJrcss: Brent Britton BLOCF: City: Boruuch: Sulxlivision: 8111 Briarwood St. # B 5 chorage Bear Valley 3 Anchorage, AK 99518 )1criJian Toxnship Range Section _ X14 of _ t/a of _ a of 11/4 BOREHOLE DATA(from top of easing)Depth Drillim_ method: (X) Air rotary. f I Cable tool, Otlxr _-__,.._ \laterial:'I"ype, Color &weuuss fmm To Nell use: ( ) 1'uhlic supply. OO Doincslic. Other __ 0 2 Depth of hole: 265 11, Casing stickup: stickup Casing type: Steel---- Thickness: inches __250_ Casing diameter: _ 6 inches C'asine depth:.___., 6_ ft 2 57 gravel &silt _ Liner,rlk: PVC Diallwier: 4.5 inches Dcpth:.? 5 n $ ntic water (from top of casing): _?EL_ n on 06J5 2007 bedrock 57 265 Pumping level & yield: _- fix, alter .. .. hours at _-_ gptn Recovery rate: 2 gpm. Alcthud of testing: airlift Development method: airlift Duration: 1 hour Well intake opening type: ( ) Open end. (X I Open hole. Other Screened: Stan: n. Stopped --------- -- ft Scrcen type: _ Slotimcsh size: Perfomud: Stan: n. Stopped: _-'-----._- fl. Stan: Il. Stopped:n Note:.............................................. ...... Grout type:_-t)er)tonte Volume Depth; from _ground SUrfaCe • u+___-___ _-_ ___I( Pump intake depth: Pump size: _ hp. Brand name: -_-_ Was xell disinfected upon completions! (X) Yes. ( ) Ko Method ofdisinfcetion:Caleium.H hlorite..(Chlorine.)... Drillercomments' disclainwns:............................................................. water entering well thru.fractures.between...... _....... 80' to.90', 140' to 150', .190' to 200', for a total.of. .4 PRI:........................................................ ........... ......... ........ ......... Nell drillernainc:.OhnDy .......................................... Company' name:...HeftyDrillirl�,.Inc 3540 Akula Dr. Mailingaddress: .................................................................................. (,it,: -Anchorage Statc: AK zip 99516 Phone number : 1 907 ) 345 - 0593 fax:345-4700 Drillers sicnature: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Section 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 1% tention: Propefty owner shall provide a well log to the DSD within 60 days of well completion. Permit Number: SWO70MI Date of Issue: Jun /04 !2007_ Parcel Identification Number: X20 - 431 -02 Is well located at approved permit location! ( x) Yes or ( ) No •%1-15-20M 01:23P FROM: Pump Instal T0: 3'.•83246 P.1 l ati o n Lo g �Q � vane PI v%) �-45 U=U" RAW- t7 r� o OAM Qto D PhfassAdapter Manufacturer's Neme.'CO.Mh ,11 3'10� ' PkkvsAdapter IosmRell NC�`�� 0I-1f11►5 �CL1 I PUMP TYPErLOL P1 AF: I yA1fE ' UMEL to Sc��J�•avo IQ :O. R P�w bnI I t3y ro.ol wlr:: jI F MWOCAL: WATER TOOL —lull 1 MO1 Casa¢ ss.y O1 Tom' IASID IIRL' hnu � 6s WAKE SWAXTJss TWO dr.t.1C hro.e�irr��� T. IPDA HME- Flan �' Te 1OMMEIM well was disinfected upon completion. method: calcium hypochlorite. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM /WATER SUPPLY PERMIT Renewal Permit Number: SW070091 Date Issued: Jun 04, 2007 Expiration Date: Jun 03, 2008 Parcel ID: 020431-02 Legal Description: BEAR VALLEY BLK 3 LT 5 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: Owner Name: BRENT BRITTON Lot Size: 46949 SO. FT. Owner Address: 8111 BRIARWOOD STREET #B Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99518 - This permit is for the construction of: 0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ 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, sealed, and heated to prevent freezing. Received By: Date: Issued By: V/ Date: & 3 41 Municipality of Anchorage Development Services Department Building Safety Division j On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 owiw.muni.org/onsite (907)343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Property owner(s) r l Dayphone Mailing address//! ��(�n L �� 'L / Zip Code 22 Site address Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Lot Size I& / q q Sq. Ft. Code THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ -Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms �1 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. (Signature of property owner or authorized agent) Permit/Rush Fees: ��JWaiver Fees: Date of Payment: W Date of Payment: Receipt Number: 9s'J� r" ia2 Receipt Number: (Rev. 11/05) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ) WATER SUPPLY PERMIT Initial Permit Number: SW060110 Date Issued: May 23, 2006 Expiration Date: May 23, 2007 Parcel ID: 020-431-02 Legal Description: BEAR VALLEY BLK 3 LT 5 Design Engineer: 0855 Garness Engineering Group, LTD Site Address: Owner Name: BRENT BRITTON Lot Size: 46949 SO. FT. Owner Address: 8111 BRIARWOOD STREET 1B Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99518 - This permit Is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ 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, sealed, and heated to prevent freezing. Received By: (!� lrlv�� 440 Date: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. n Zl7 -1-131 "OZ Property owner(s) BRENT BRITTON Day phone 696-2249 Mailing address 8111 13RIARWOOD STREET #Q * ANCHORAGE. AK Site address Legal description (Sub'd, Block & Lot ) BEAR VALLEY: LOT 5. BLOCK 3. Legal description (Township, Section & Range) NIA Lot Lot Size L6, QLfq AcresfSq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR ( ®all that apply): Absorption Field Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ 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: -t 1 % 5 + I yL. 0 Date of Payment: �� /) �C/ Receipt Number. _ia �� 9 7 `7 (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS May 23, 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 Bear Valley Subdivision; Lot 5, Block 3 To whom it may concern: The proposed 4 bedroom house will be served by an onsite well and septic system. Two test holes were excavated on the property. Due to the shallow groundwater, slope conditions, house location etc.; we are proposing that a SCATIm Aerocell Treatment System be installed on this property. The proposed well is to be drilled in the area shown on the attached site plan and design drawings. Comments regarding the design are summarized as follows: SOILS: Attached are two soil logs which shows the soils classifications, percolation tests, and groundwater monitoring. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. SURFACE WATERS: There is no surface water within 100 feet of the proposed septic system. TOPOGRAPHY: The lot slopes from approximately south to north with slopes ranging from 20 to 30 percent. In the area of the proposed drainfield, the slope ranges from 20 to 25 percent. Given the depth of the proposed distribution line, there will be no slope concerns from a 2 foot elevation above the distribution line at a 25 percent slope for 50 feet. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems.you have any questions, please contact me at 337-6179. Thank you for your istance. ass P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, detail drawings, and two soil logs, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: gamessengincering.com IF- - - - - - - - - - - - - - - - IL----- -_�------ Ir--- �� ----- --- II / s / LOT 1, BLOCK /4;--y:,. \ II \ II \ II \ LOT 6, BLOCK 3:\I BEAR VALLEY S/D I w PROPOSEOI Zj SEPTIC / SYSTEM N / II I I I I _ ILS==1��g5E1dE. III \\ \\ III I \\\ \ � II II III I I LOT 1, BLOCK I IBEAR VALLEY (NO CORI LOT 2. BLOCK 3: BEAR VALLEY S/D �� \\I LOT 2; CEARK S/D (NO CONCERN) --------------- 20' vriLrry EASEMENT — — — / EA LOT 2. BLOCK BEAR VALLEY S/D — � I L\ I Q � SCALE: 100' C� LOT 3, BLOCK 4; / BEAR VALLEY S/D I / / \\ 1 1 LOCK 3; BEAR VALLEY S/D vROvosm 4 BEDROOM HOUSE 1S �LITY EASEMENT Y LOT 3. BLOCK 3: \\ _„• BEAR VALLEY S/D 15��ll LOT 4, BLOCK BEM VALLEY r — (NO CONCERI GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 4L GENERAL CONTRACTORS 101 C 1LOLM MSD. All[ 101 � YKlIp4C[ Mf M90) . h,JNC (YOIt}11-�1T � M11 (Iq�.)M-33N � RH9R: w�.P.�.C�.✓Mr BRENT BRITTON (907) 646-2249 LEGAL DESCRIPTION: BEAR VALLEY SUBDIVISION; LOT 5, BLOCK 3; TYPE OF WORK: PAGE NUMBER: 1 OF 5 DRAWN BY: J.L.M. SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM 5/10/200E / LOT 5, BLOCK 2; BEM VALLEY S/D ` (NO CONCERN) LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT CEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION. THE ENGINEER, WELL DRILLER. CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND ADIUS SHALL BE VERIFIED PRIOR TO /� IUS APPRvn,�-. / I 100 WfIL ALTERNATE SITE PROPOSED / DRAINnE I� GO/ 01 PROPOSED SCAT AEROCELL UNIT - S\ BEAR DRIVE ��\��\may\\j\y\1'\p�N\',1 .: ] 1 ••�i . •. •1.•'' ... —. �1 QP,meq, ". NUMBER OF BEDROOMS: 4 GALLONS PER DAY (CPO): 800 PERCOLATION RATE/S: 15 k 20 PROPOSED APPLICATION RATE: 2.0 MINIMUM DRAINFIELD SO.R.: 300 DRAINFIELD DESIGN: MAXIMUM DEPTH: 4 FEET WIDTH: S FEET LENGTH: 50 FEET M.OA APPROVED SAND FILTER: N/A EFFECTIVE: 1.5 FEET REDUCTION FACTOR: 0.78 ACTUAL SO.FT.: 321 NOTE: THE CONTRACTOR MUST HAVE THE 1 FOLLOWING ITEMS FLAGGED/STAKED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION: 1) THE NORTH AND WEST LOT LINES 2) THE PROPOSED WELL LOCATION AND THE PROOSED 100 FOOT WELL RADIUS 3) THE PROPOSED HOUSE LOCATION 4) THE NEIGHBORING 100 FOOT WELL RADII SHOWN ON THIS DRAWING. i 1 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS d GENERAL CONTRACTORS 3MI L TFCR 00/O. M.R[ 101 • 04>0"L M( N 7 A (00rAV1 1)Y • FM( (00r,W " �- .4.. tirMywn PREPARED FOR: PHONE NUMBER: PACE NUMBER: BRENT BRITTON 646-2249 2 OF 5 BEAR VALLEY SUBDIVISION,: LOT 5, BLOCK 3 J.L.M. : OF WORK: DATE: DESIGN OF PROPOSED WELL AND SEPTIC SYSTEM 5/1O/2C (R". OWD5) FINAL GRADE FILTER FABRIC INSULATION 1.5' OF EFFECTIVE 9 50' TO A SLOPE GREATER THAN 25% GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 3 GENERAL CONTRACTORS Q• •'• • • •' ]A. L noai, bW. WR .0. • wOMWL r Mw] • wn[ ib]W]-Ll„ • /u (b]11M-]]4 • .TISK .w�rn.r.Wr...+,s. \`(((((://R` fes' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRENT BRITTON 646-2249 1 5 OF 5 Q y 54' DE GRADE MAX. )TTOM OF TRENCH ,...1 �/' :f.: LEGAL DESCRIPTION: DRAWN BY: Q� o. �. V CE -79 3 BEAR VALLEY SUBDIVISION,; LOT 5. BLOCK 3 B.F.M. TYPE OF WORK: DATE: �0�4pQosif'o PROFILE DRAWING OF PROPOSED DRAINFIELD 5/23/2006 IRI.. awsl GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS 701 L R1D00 POID, E E 101 • MCNUR/4L M. Y 7 • h10ME: 00) )-6179 • M: W) N • KBS(IL ,vnww,gwwYq SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: BEAR VALLEY SUBDMSION; LOT 5, BLOCK 3, PERFORMED FOR: BRENT BRITTON DATE: 8/4/2005 DEPTH __-- (feet) TEST HOLE #1 1 7=== ORGANICS 7 DATE 111 8/4/2005 11.92' SM 8 5/3/2006 •61 9 2 2:32 10 i 1.5' 11 PROPOSED ORG 12 \ /SYSTEM 13 I16Ya�Gw 1 f i ROPOSED 3GPML 4 BEDROOM 1� 1 3:02 HOUSE 6- --- 16- E/_SEMEM--------- -�- 171 GM 41 1. 100• I GC H/NH,CL OL .0.( SW �IIIIIII� MH SP I CH ' I��Il,�l�lt,4ll Y/7/� 4 �IiAI7.�i�SC 7 DATE 111 8/4/2005 11.92' SM 8 5/3/2006 •61 9 2 2:32 10 4.5m 1.5' 11 PROPOSED i 1 12 \ /SYSTEM 13 30 1 f i ROPOSED 41617 14- 4 BEDROOM 1� 1 3:02 HOUSE 6- --- 16- E/_SEMEM--------- -�- 171 1.5' 18 1. 100• I DEPTH TO GROUNDWATER DATE 111 8/4/2005 11.92' 8/16/2005 SELO* GWE 5/3/2006 •61 5/9/2006 ALTERNATE STT -E CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/8/2005 1 TH/2 \ 6- — 2 2:32 30 4.5m 1.5' 3 PROPOSED i 1 SEPTIC \ /SYSTEM 3:02 30 1 f i ROPOSED 1.5' 4 BEDROOM 1� 1 3:02 HOUSE 6- --- 6 E/_SEMEM--------- -�- DUTY 1.5' -- - - - 1. 100• I DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/8/2005 1 2:02 - 6- — 2 2:32 30 4.5m 1.5' 3 2:32 — 6" — 4 3:02 30 4.5- 1.5' 5 3:02 — 6- — 6 3:32 30 4.5' 1.5' 19� PERCOLATION RATE 20 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT. AND 7 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JORDAN TROISI COMMENTS: • PER MOA REVIEWER 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/ -Z 7o1 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS R - 7111 L R MWD. Sort[ 101 • AND40R L M. Y 7 RMIM(: (W)W7-6170 • )M: 007 N • •C!S°L ,vwwrq�w.fgean SOIL LOG - PERCOLATION TEST „• LEGAL DESCRIPTION: BEAR VALLEY SUBDMSION; LOT 5. BLOCK 3,rey . arness:• 1p CE -795 PERFORMED FOR: BRENT BRITTON DATE: --8/4/2005 ° �e^'•.,,2.Z0oltp0 DEPTHP°t -- TEST HOLE 2 orpoo�oo (feet) — 4po oo� aaaa 1 Zb99ORGANICS _..'_ SOIL CLASSIFICATIONS 2 ---- •� - ALTERNATE SITE ORG GPML GM CL TH/2 4 GC OL °e •°o a SW MH op \ N \ SM e i OH PRO OSE It 6 \ DEPTH TO SC SEPTIC inn `\ � (n 1� % GROUNDWATER DATE SYSTEM 7 ROPOSED - "1 4 BEDROOM DRY 8/4/2005 B HOUSE 1 SM 9 - 15•,5� SEM SCALE: / ® I 10 - -=--- ----- �• . Soo' 11 12 13 14 15 16—, m B.O.1I. 17 18 19 PERCOLATION RATE 15 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT. AND 7 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES F] NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JORDAN TROISI COMMENTS: ' PER MOA REVIEWER PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: v 15.75' 8/16/2005 12' 5/3/2006 '8.5 5/9/2006 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 6/8/2005 1 2:06 — 6" — 2 2:36 30 3.75' 2.25' 3 2:36 — 6' — 4 3:06 30 3.75" 2.25' 5 3:06 — 6" — 6 3:36 30 4' 2' Municipatity of nchP � t POL-)-EI 6-6`)(') (907) ?61 1 ? IONY KLA 'Ii A11MI DEPARTMFNI- OF HF_ALTH ANL> i ii, _)NMEN 1 AL PHOTF(._, :(ifJ ,,Permit #: 820736 January 31, 1983 TO: Permit Applicant Subject: Lot 5 Block 3 Bear Valley Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. 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 needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerely �Q /L' Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 9 � 1"I��1 C.--' :1 L_ I "T'- Rr" �F" ���F-1 DEPARTMENT HEALTH HND ENVIRONMENTAL 13 Fs! 1=1 (3 FE. `OTECTIONy� �AC 825 '�� STREET, ANCHORAGE, HK, 99.J1 �V�~ - 264-472(--1 _ �E,-.,.- 0 L- F*u bi Es C3 PA 1: -T- E�H� :1 T- PERMIT NO. ( 820736 ) APPLICANT MICHAEL M. BAKER 2962 LEHWOOD DRIVE 248-5790 LOCATION LEGAL L5 B] BEAR VALLEY S/D LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)- 255 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E'm P ER' t5 L. E" hi C11 _F_ 1-1= dL Q3 22 Ch FT FA 41 E= L__ C.:% E.-::- F:�" "'T- 0-1= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRIWFIELD, THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET) ��9_4 I F-'& Ex ��F-` -T- :1 ��P-4 1-_:: 1 � E--.---= C-�R E-� 929 ����p-'l "-.-E; PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. '_r 14 0--1 ��� 1 F-E: X (A lyl 15 F:� E" �����LJ I F.�.. E -E.". C.."- BHCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIYHJE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED HND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAY!.--.,' OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY, SPECIFICATIONS AND CONSTRUCTION DIHGRHMS ARE AVP'4ILHBLE TO INAIURE PROPER INSTALLATION. ��1 '7 EF. F�l' I F --.'-'EE no E> E= C! E12 fol EA F=7 F0 �E-3. ;'l.__:'.! I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCEN ] BEDROOMS SIGNED:_________`_____ RPP CANT MICHAEL M. BAKER ' L ISSUED BY- 0_---------l-� ______DHTEASWI_��______ *x_.«~L o-lp� '. � f(auV t k� L � '�� '� � SOILS LOG MUNICIPALITY OF ANCHORAGE ry DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION i PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: ell(e_S0 Zk-e Jovt'C"r- DATE PERFORMED: LEGAL DESCRIPTION: ! d kJ eGl.Q SLOPE SITE PLAN re C'� 1- 2- 3- -4 = 5- 6- 7- 8, 9- 10- 11 12- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS 2- 13- 14- 15- 16- 17- 18- 1920- COMMENTS G MIS L I'Nr4 0C' nA[ G P p 4 c,LA its WAS GROUND WATER S ENCOUNTERED? L 0 P IF YES, AT WHAT E DEPTH? / // " // a, �o,r In 6-P T' Reading Date Gross Net Depth to Net Time Time mum Water Pt Drop ---r l Z/- z OMNI S"= '7 10 ,6J ,0, 37Y k7 5" = Sl 7 / o 0.5' MEMO ■■.I■ ■■,1■ ■■IME ■..■ EVEN ■rMEN ■E■■ yq 7, le I;z :,est �!6 ©fit WAS GROUND WATER S ENCOUNTERED? L 0 P IF YES, AT WHAT E DEPTH? / // " // a, �o,r In 6-P T' Reading Date Gross Net Depth to Net Time Time mum Water Pt Drop ---r l Z/- z S: 2-7 6 .6-- S"= '7 10 ,6J ,0, 37Y k7 5" = Sl 7 / o 0.5' yq 7, le I;z :,est �!6 ©fit 3V L 7 a 4', PERCOLATION RATE (minutes/inch) l TEST RUN BETWEEN FT AND FT .3i?3s6 PERFORMED BY: / AAc_ -4 CERTIFIED B 72-008 (6/79) nen, DATE:!K=Z� 0 Municipality of Anchorage J° On -Site Water and Wastewater Program (907) 343-7904 c 5, F �, Y Certificate of On -Site Systems Approval Parcel I.D.020-431-02 Expiration Date: I. GENERAL INFORMATION: Complete legal description BEAR VALLEY; BLOCK 3 LOT 5 Location (site address) 9130 SNOW BEAR DRIVE *ANCHORAGE AK Current Property owner(s) BRENT BRITTON Day phone 907-230-2378 Mailing address Real Estate Agent 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: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number COSA # 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. 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: t 27 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and 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 encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 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 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. 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 perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSQ SIGNATURE _? System #1 Approved for _3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: #AECC884 Original Certificate Date: 7,?— Z Z,7 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other ASI COSA Checklist Legal Description: BEAR VALLY; BLOCK 3, LOT 5 020-431-02 Parcel ID: If more than 9 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 6/4107 Total depth 265 ft Cased to 60 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/9/22 Static water level at beginning of test 26.4 ft. Comments B. TANK DATA Age of tank(s) NEW years Tank type/material SUMMON Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed) 2022 ❑ ALL standpipes present per record drawing Total measured depth from grade 6.52 ft (max) Measured depth to pipe invert from grade 5.44 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced N/A gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 1.4+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 2.58 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GEG Date of Sample 5/9/22 C. LIFT STATION HE Required maintenance completed Age of lift station i6 years Lift station material PLASTIC Comments: QUANICS SYSTEM Adequacy test date NEW Results [✓, Pass For 3 bedrooms Fluid depth prior to test in Water added - gal New depth in Elapsed time - min Final fluid depth - in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) NO If yes, enter date N/A 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' *50`+ Community Sewer Manhole/Cleanout > 100' Q Yes if No ft F71 Yes if No ft Neighboring Tank > 100' [] Yes if No ft Private Sewer/Septic Line > 25'21 Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50'+ ft Holding Tank > 100' ❑Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑✓ Yes if No ft R-1 Yes if No ft Community Sewer Main > 75' RYes if No ft Manure/Animal Excreta Storage > 100'� Yes if Na ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' [] Yes if No ** ft Surface Water > 100' ❑ Yes if No *50'+ ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' ❑ Yes if No *50 + ft Water Main > 10' Q Yes if No ft Community Wells > 200' [j Yes if No ft Water Service Line > 10' [j 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' F11 Yes if No ft If absorption field is under driveway comment below Property Line > 10' F1 Yes if No ft Wells on Adjacent Lots: Water Main > 10' nv Yes if No ft Private Wells > 100' ❑ Yes if No *50 + ft Water Service Line > 10' [] Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100' ❑ Yes if No *501+ ft F. ENGINEER'S COMMENTS *AWWTS **51+ TO DECK POSTS G. ENGINEER'S CERTIFICATION I certify that l 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 t/ MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Z-1 Day of u Ly of 20 Z 7—, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as, a r, located at (legal description)11 n 1�3,A9 AAt1-E'f l�lac�C 3 Lcxi 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. WAOwner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system. which could include sewage backup and costly repairs or drainfield replacement. (rev. 05118/2018) Page 1 of 3 0A Owner acknowledges that the Municipality may request records of maintenance and repair`s from the manufacturer's representative or maintenance provider. WA Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. l� Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. W Owner agrees that any sale or transfer of title of the property will not occur without a new `` Certificate of On -Site Systems Approval. �klt� Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing, guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State ofAlaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 (signature) Date: z I U�L—ZoZ—e- - 't1 Jl iCi144 I` ole -(ICA e •l\ (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoin�,Iinstrument was acknowledged before me this 1 day of --T i(c— , 200, by lith Ilia-►-�i me{erc1C,lif'I" r , � � p �uululura� 'ARY PUBLIC FOR ALA 'Cry�i O W,-- •. �. �'•� M Commission expires: �J a � � : � No %'��'• meg. 5�'.� A� ��•0F1t1\ MUNICIPALITY.. ����By:"el'�Gi L� (signature) rrrll� Date: {print name) Title: (rev. 0511 8120 1 8) Page 3 of 3 a,. Parcel I. D.020-431-02 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: saverr Expiration Date: _0 j Complete legal description BEAR VALLEY; BLOCK 3, LOT 5 Location (site address) 9130 SNOW BEAR DRIVE *ANCHORAGE AK Current Property owner(s) BRENT BRITTON Day phone 907-230-2378 Mailing address Real Estate Agent Day phone 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: 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: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $_'2 580 + #,?,9D (a.1)dt'h-"oAJ) Waiver Fee $ Date of Payment 7 I 1 � 1 ab a2 Date of Payment Receipt Number 106S 19 G Receipt Number COSA # 0 S C 1 3 Waiver # 4 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: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and moo industry practices. The reported results describe the condition of the system/s on the date/s of the o ^ evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and l ✓ ' workmanship), and the water usage of the family utilizing the system/s. These 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 w! the well or septic system. GEG makes no representation whether an alternative well or septic systeme' Y can be installed on the property in the event either of the current systems fail to perform adequately in v(�. p' • CE— 7 r, s the future. The content of this report is for the sole benefit of the person/party that retained GEG to q perform the evaluation. Reliance upon the information provided in this report by any other person or eU p party (including subsequent property purchasers) is not authorized, nor will it confer any legal rigtvV�g0f e! whatsoever. Y OF \`G\Q 6. DSD SIGNATURE `�� 10 System #1 Approved for bedrooms `g ON-SITE `y System #2 Approved for bedrooms � o WATER AN m Disapproved WASTE-VATER Z J� PROGRAM Conditional approval for bedrooms, with/fflowing stipul la�� #AECC884 (.,i�I _ - Jll))))1't1 P� t&� ��J � 51�;.4.Q �e L�.p�c�ed U aaeo r d a -\-c w `� By: �-t��)-riCC,� ��� Original Certificate Date: LZ 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: BEAR VALLY; BLOCK 3, LOT 5 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Date drilled 6/4107 Total depth 265 ft Cased to 60 ft FO -1 Sanitary seal is functioning correctly 0 Wires are properly protected 0 L4 Casing height (above ground) 18+ in. Date of flow test for COSA 5/9/22 �J Static water level at beginning of test 26.4 ft ®' Comments B. TANK DATA Age of tank(s) 16 years Tank type/material STEP/STEEL Measured operating fluid level in septic tank R Standpipes/foundation cleanout per record drawing Date of pumping - -S-101ZTi��l�i -1>A 7T�iiT1 Parcel ID: 020-431-02 Structure served by this system Well production at time of test 1.4+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes 0 Nc 01 Coliform bacteria is Negative Nitrate 2.58 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L FO -1 Arsenic less than MRL (ND) Collected by GEG Date of Sample 5/9/22 C. LIFT STATION Ff Required maintenance completed Age of lift station 16 years Lift station material PLASTIC Comments: Which system tested (date installed) 8/2006 Adequacy test date '5/9/22 R ALL standpipes present per record drawing Results ❑ Pass For 3 bedrooms Total measured depth from grade 10 ft (max) Fluid depth prior to test in Measured depth to pipe invert from grade 6.08 ft (min) Water added gal ❑ N/A — pressurized field New depth in ❑ Monitor tubes go to bottomofeffective. If not, state Elapsed time min Apr. depth into effective 1.5T01.66 --. R Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: *THIS IS A CONDITIONAL COSA; THE DRAINFIELD WAS SURCHARGED COSA Checklist yellow sheet 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 *50'+ Community Sewer Manhole/Cleanout > 100' ✓ Yes ❑ if No ft [7 Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25'r--1-1 Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50'+ ft Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' *50'+ ft Water Main > 10' Animal Containment > 50' ❑✓ Yes if No ft Yes if No ft ft Water Service Line > 10' ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑✓ Yes if No ft ❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No **5'+ ft Surface Water > 100' ❑ Yes if No *50'+ ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Pl� Yes if No ft Private Wells > 100' ❑ Yes if No *50'+ ft Water Main > 10' Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10' ❑✓ 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' Q Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' ❑ Yes if No *50'+ ft Water Service Line > 10' Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' ❑ Yes if No *50'+ ft F. ENGINEER'S COMMENTS *AWWTS - THIS IS A CONDITIONAL COSA. DRIANFIELD TO BE REPLACED **MET CODE AT TIME OF INSTALLATION G. ENGINEER'S CERTIFICATION I certify that l 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 ARM Septic Services, LLC Operational Checklist: Advanced Treatment System Legal Description: � Street Address: Semk�pm,�adm` ~ Service provided by: Company: Date oflast service: By: /Yd� 1.Type ofxwnoceUTreatment System: = Cat U-AemCn Treatment System L Cat III - AeroC ell Treatment System 2. Conditions o$media filter: []Unammpallo a. Evaluate presence of odor within 1Oft of perimeter of system: ���� Uw� [l�m� []Chemica| �-.J'Sour h.Source o[odor, iyp,oven/:\e 3. Manhole Risers and Pipe Caps: ifJAccoptab|e .-A Unacceptable o.Cuver/nintact: -L.X-j Yeo b. Method of securing cover: c. Insulation present nnall lids? -N-Yen No OF �— r d.Any plumbing leaks urwater intrusion: []Yen No e. Surface water/infiltration into components: E Yes [�-�-N 0 4.Venting/Air supply: LUnacceptaWo a.Air supply unit operating properly. FN -Yes Lwv b. Venting appears operable. ne s No �h�d�s��m�� ��4coe�ob� Unacceptable oBinmatonsurface. Yeo'�fNu h.Uniform spray pattern. �4�s No o Ponding m/onmedia. LJYen —,'-No e Plugging/clogging ufnozzles. [jvex o t Media appears |ubosettling. LJYes L]No g- Appropriate maintenance performed, �l2eo No hPest activity atsurface. []Yeo No 6. Effluent quality s.Effluent odor after passing through media filter: -i!T—None LJMild []Strong b. Effluent color after passing through media filter: T�elear L-,, Brown E, Black 179BOld Glenn Highway Ihugiak,AK9956 ARM Septic Services, LLC <~ 7. Tasks for flows: Ll Unacceptable 9.Primary Tank: []Unacceptable e. Sludge and scum level ohecked:=" .[�Nn ' b. 5|udgaX}nomlevels: 1nr ' 2nd: yf'' 3rd oN64 o. Tank needs mbnpumped. L]Yes -�Ko d Water softener backwash discharging onsystem '�:]Yes _7 No e. How many people live onthe syotem?: -z- [ Tank lids/caps secured after inspection: No g Last Date Tank pumped: u�,'y 10.Drabnfi*ld: a. Type mmainfield (circle one): Bed Deep Trench b. Design Effective depth: t c� Checked Liquid Levels / uramnem o MT#1 Liquid Level: WK I I nches MT#2 Liquid Leval, s MT#3 Liquid Level: Inches Mn#4Liquid Level: Inches d, Is there any surfacing effluent?: r—! 179]3Old Glenn Highway *Chugiak, AK 99567 a. Uapplicable, Jmndyvalve functioning: �JYea No N/A h, Ifapplicable, JandyValve basin dry: []Yeo �]Nv N/A o. Cleaned collection system inAomoe||unit: "L Yes No Not Necessary u, Design recirculation ratio: 00 20 e. Actual recirculation ratio (Estimated): 7^o C11- 8.Pump System: C7,�,Aoceptahle Unacceptable a� Control panel mAuto: Y�"-m U No 0. Timer settings IFS Panel (No Override timer): []Yes / 0m:_|±�_____ OFF: � Override ON: ���Override 0FF:[�N/* --~^--^---- ' c Floats incorrect placement: ,��Yeo No U, Floats working properly: k?eo L-1 No e. High water alarm operational: L��es /- No�� [ High water alarm count: r{�� g, r""p Ru" Counts: ^� 't,7 h. Pump Run i Float Error Counts: N�N/A j Total Override Counts: N6A k. Effluent Filter serviced: �nvs LEN i Tank lids secured after inspection: [?�Y-em --,'No m Weep hole functional: L��n [--1mn 9.Primary Tank: []Unacceptable e. Sludge and scum level ohecked:=" .[�Nn ' b. 5|udgaX}nomlevels: 1nr ' 2nd: yf'' 3rd oN64 o. Tank needs mbnpumped. L]Yes -�Ko d Water softener backwash discharging onsystem '�:]Yes _7 No e. How many people live onthe syotem?: -z- [ Tank lids/caps secured after inspection: No g Last Date Tank pumped: u�,'y 10.Drabnfi*ld: a. Type mmainfield (circle one): Bed Deep Trench b. Design Effective depth: t c� Checked Liquid Levels / uramnem o MT#1 Liquid Level: WK I I nches MT#2 Liquid Leval, s MT#3 Liquid Level: Inches Mn#4Liquid Level: Inches d, Is there any surfacing effluent?: r—! 179]3Old Glenn Highway *Chugiak, AK 99567 4T/M SeD['C Services, LLC (` 11.bthe remote monitoring system functioning? (if no, describe incomments) �'�- No b.Phone line working? []»m 'E" No 12. Does this system receive an advisory notice/warning? (if so, describe in comments) Lvea m�No 13.{othe system insatisfactory condition/pass inspection? (if no, describe incommonts)~e'-�' No Other