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HomeMy WebLinkAboutT12N R3W SEC 25 SE4SE4NW4NW4TI 2N R3W Sec. 25 SE4SE4NW4NW4 #017-421-19 Municipality of Anchorage Development Services Department: Building Safety Division s - On -Site Water and Wastewater Program, 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 Page I of 'L www.ci.anchorage.sk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S w i 9 02_3 3 PID Number: O I'7 — Y 2l — l 9 N"n" I`1a T Wastewater System: ❑ New ® Upgrade F'tf rn�� Address 121100 i urkf TWrn SE. neR Alt 995-1 ABSORPTION FIELD Phwrla NumWr of BMrooma 3YS-29o9 3 r.rlrll IC Deep T 0 Shanow Trerrll 13 Bed 13 M.4 D OtMr LEGAL DESCRIPTION Sal Rating 2 Total Depbi from original grade /. GPDX? to• S Ft. Block Lot $u ,rww t/y Depth b pipe boom from original grade Gravel depth Mrram Pipe 67 N 1e/ 2.9 Ft. Township Range saaron FA added above onginal grade. Grev.l LWVM: rZN 31ti 2 S 0.6 FI. 3S' Fl. Well: GXrsT- ❑New El Upgrade Gaw.rnh. 2• S - Numw aw.. Dialanp^oven In et t./ FL ClasekGbon (Pn nile. A S. C) Total Depth Cawd to Total absorption area �• Pipe klaleno. F- F 6 I Fl. FI FT D - p Driller Date DNled Slabe Wtlar Level ntlalher Dal. hMatied. FI Fk CC •f It //9 ld9 Ynld Funk) Sol at Ca..gHeyn[Abo"'Groural TANK GPM FI. FL SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E P. ❑ Other. To Septic Absorption Lift Holding ub6UPMate t,apecily From Tank Field Station Tank Sewer Line ALl16 r•a t Tan 1000 Gel we IU2e 12Gy — — >2S'y Malenal Sf•tol Number of Carparlm.nts 2 sAam water > IGb t > LIFT STATION ti. A a. saur.r. Lot Line / O S'' 1lOr — — Gal •Pump W. I.vel at -Pump ow Mw at High araler alrm at. Foundation $ 7° s 2 e -, — in n in Pump Make 6 Model Elaano ahabeWana pertormM by Curtain Drain Remark) ort tasty l *r„ 1- E Code: % ro oo l• BENCH MARK Loubon.nd o.srnptim. late rn aef G& Ha,' , e. f wnlM .ration Ce cee" el Vta er.n e rr F /�vW� lvU p FL dn✓Iw Vr[sn.�. F Frtll Engineer's Stamp Inspections performed by: Flu flap 7—octi 51�e Dates: 1M of / 19 / c' C) 2nd 1r / 19 loq U. �b Development Services Department Approval r�••""•�re Conditional Approval Date:�* �9TH��� '�.* OF e..... a..e ee... a.aa:. e. 10 . ..�::............ F. MOORE Reviewed and approved by: Date: 3 3— % �THEODOR! •. CE -3589 ' +`• ti+ ••.��i /poo kyr ,.; PERMIT NO: SW 090233 PID NO: 017-421-19 SWING TIES: FROM: COR. "A" COR. "B" TO: DBL. C.O. "C" 69' 35' S.T. C.O. "D" 74' 39' S.T. C.O."E" 79' 45' DBL. C.O. "F" 82' 47' TR. C.O. "G" 93' S7' TR. M.T. "H" 95' 56' TR. C.O. "I" 97' 57' "D" "F" PLAN VIEW SCALE: 1" = 30' TEST HOLE #1 ORIG. GROUND FINAL GRADE ELEV.82.9 r, /—ELEV.83.5' --•• ---- �-INV 800 ------------ i i INV 80d� 35 -FOOT LONG SOIL ABS. TRENCH w. 6.T EFF. GVL. k' ; BOTTOM TRENCH i ELEV. 72.4' BOTTOM T.H. #1 REL ELEV. 66.4' NO GROUNDWATER PROFILE VIEW NOT TO SCALE /_•.. .,../ 1 . 1 1 1 PAGE 2OF2 WELL ' N ' JTBM -- NEW 1000 -GALLON SEPTIC TANK NEW 35 -FOOT LONG SOIL ABS. TRENCH w. 7.6' EFF. GRAVEL *:•►_`vAv\ ff 49 m 't*� ......................... TWOWM E NOORE CE -W9 2' SOIL COVER T RIGID INS. to INV. 83.0' MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Nov 12, 2009 Expiration Date: Nov 12, 2010 Permit Number: SW090233 Parcel ID: 017421-19 Legal Description: T1 2N R3W SEC 25 SE4SE4NW4NW4 Design Engineer: 0019 FLATTOP TECHNICAL SERVICES Site Address: 012700 TURKS TURN ST Owner Name: MARGARET TURNER Lot Size: 0 SO. FT. Owner Address: 12700 TURKS TURN STREET Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE, AK 99516-0000 This permit is for the construction of: ❑V 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: j=e� 1110" Date: )I )IZ-/6'9 Issued By: iT/��— Date: ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017 -'/2 / - 19 0 t O Property owner(s) 1�1&7'("'r Municipality of Anchorage Development Services Department Building Safety Division Tuan o"- On -Site Water and Wastewater Program 4 V--7-909 4700 Elmore Road Mailing address 12-7490 P.O. Box 196650 Turn CA. Anchorage, Alaska 99507 99519' www.muni.org/onsite Water Storage ❑ (907)343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017 -'/2 / - 19 0 t O Property owner(s) 1�1&7'("'r f Tuan o"- Day phone 4 V--7-909 Upgrade Mailing address 12-7490 -Ft4b-IV Turn CA. Zip Code 99519' Site address SG rn L Zip Code Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) 55 JC 0 �; N w rl`' A► W 1"i Sec 2s-, 7- 1-2 2 3 tri Lot Size—1 i) � Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field ® Initial Septic Tank 1z Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ 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: ASl3D 4= Waiver Fees: Dale of Payment: / / '—/ 4 - 0'1 Date of Payment: Receipt Number. 0 Receipt Number. (Rev. 11105) 71 t q ,'FLATTOP TECHNICAL SERVICES. CML & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION F ANALYSIS TED MOORE, P.E. 14530 ECHO CANYON ROAD PHJFAX: (907)345.1355 ANCHORAGE, AK 99516 E -Mail: tgmoore@gci.net November 3, 2009 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal system on the SE 1/4, SE %4, NW '/4, NW '/4, of Section 25, TI 2N, R3 W, S.M., located at 12700 Turks Tum Street. A soils log, pert test and groundwater monitoring results, site plan, design drawings and specifications are enclosed for your review. The proposed soil absorption system will be constructed in the vicinity of test hole k 1. As can be seen from the soil log, the native soil between 2 and 17 feet below ground level (with the exception of a variable silt lens averaging 1.5 feet thick) is dry gravelly sand with a measured percolation rate of 3 minutes per inch. No groundwater was encountered at the time of test hole excavation or in subsequent monitoring. Using a soil application rate of 1.2 gpd/sq. ft., as specified in the wastewater ordinance, the required soil absorption area for a 3 -bedroom residence is (3 x 150)/1.2 = 375 square feet. The proposed design calls for a 35 -foot long trench with 7.5 feet of gravel beneath the horizontal distribution pipe. This results in 420 square feet of gravel sidewall area abutting the designated absorption stratum. As is illustrated on the site plan, the topography in the area of proposed construction slopes down towards the southwest at 15%, with slopes increasing to 22% below the area of the test hole. The long axis of the proposed trench will be oriented parallel to a natural contour of the land. A site for a similar replacement trench is also shown on the site plan. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space - surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. i N z SEPTIC AREA C4 d rn S w LOT 2, MORINO SID WELL I , I , , I HOUSE I SEPTIC I AREA I SE 114, SE 114, NW 114, NW 114, Sec. 25, T12N, R3W �1 NOTE: ------------- NO ------ NO KNOWN, DESIGNATED COMMUNITY WELLS WITHIN 200 FEET OF ' PROPOSED SEPTIC SYSTEM i , , R=100'—WELL =1WELL 00' f r ' O n „ Decomrn -cr.o., ABAND I EXISTING • -__ 750 -GALLON CONCRETE SEPTIC TANK Pt/- rc Q DG e-omm,.FJ/bn ABANDON EXISTING CONCRETE RING SEEPAGE PIT rJ��- Coo'G? CONSTRUCT 35 -FOOT LONG SOIL ABSORPTION TRENCH — w.7.5' GVL UNDER DIST. PIPE INSTALL DBL. C.0 _C-1. 15%STALL NEW f00 GALLON PTIC TANK ZZ- -�'�TEST HOLE 01 22% �SrtM E FOR SMR 1 REPL TRENCH U CL U) TALISMAN— ----------------------------------------------------, ROAD -------------------- LOT 3, BLOCK 3 LOT 2, BLOCK 3 ASPEN HIGHLANDS ; ASPEN HIGHLANDS ; HOUSEt, i �,YsF ., SE 1/4, SE 114, NW 114, NW 1/4, Sec. 25, T12N, R3W AF A,%l SEPTIC SYSTEM UPGRADE PVT.4z 49m z ': *�0 SITE PLAN WELL %•«.... .......... - — -- V.w., Y, " " ""�/ FLATTOP 7 ECI INICAL SERVICES 'INCH = 60 FEET p :: na000Re F. rooRE / 14530 ECI10 CANYON ROAD DRAWN BY TFM #��cj ANCHORAGE, ALASKA 9'1516 OCTOBER, 2FL009 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. 4" D-3034 FROM NEW DBL. C.0 @ POINT OF TIE IN TO OLD UNE INSTALL NEW 1000 -GALLON SEPTIC TANK 4" DIA. F-810 DBL ••A•• CONSTRUCT NEW 35 -FOOT LONG C.O. SOIL ABSORPTION TRENCH PERF. PIPE w. 7.5' GRAVEL UNDER DIST. PIPE .—\ 7/ C.O. M.T. ,JII 35 I AV PLAN VIEW *149m SCALEt• 1 =10 !......................... / "' MONITOR TUBE I7y :� TWODORe F. MOORE i A. T °b, :, CE - 3589 . �4,N CLEANOU • 3 4 c�' COVER �� Ar 00, '',,\\��� 3 1 `` ORIGINAL GROUND 10.5 : : \—FILTER FABRIC 8 7.5 4" DIA. F-810 PERF. PIPE � , 1R" - 212" SEWER GRAVEL ::[,,,,,—BOTTOM OF EXCAVATION I1 CROSS-SECTION "A -A`@ SCALE: 1" = 5' SE -4, SEA, NW4, NW, Sec. 25, T1 2N, R3W SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECI INICAL SERVICES SCALE: AS SI TOWN 14530 ECI10 CANYON ROAD DRAWN BY: TTM ANCIIORAGE. AK. 99516 OCTOBER, 2009 FLATTOP TECHNICAL SERVICES 14530 ECHO CANYON ROAD ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION: _SE 1/4,.SE 1/4, NW 1/4, NW 1l4, Section 25,T12NLR3WLS.M,_ DATE PERFORMED: 10/23/09 .--_ PERFORMED FOR: —Peg Turner —_-- _— DEPTF (reef) 1 2' 3 4 5 6 7 6 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS: 10 SM Reddish sandy loam SP/SM Gravely sand Dry ML Sitt lens Variable depth Average thidmess 1.5 SP/SM Gravely sand Dry Similar to above B.H. I. Ij0% 1 r50% 1'5% 22% 1 Depth to Groundwater Date No grourWwater=_ _1023109 -Mondor tube dry _ 10/30/09 _ LOPE Net Drop .114 PERFORMED BY FLATTOP TECHNICAL SERVICES. I w' 11-4!,._ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Date 1023 --- Reading 12" Presoak ._12• Re -soak Start -12:21. _Add water #2 —Add water #3 . Clock Time Net Time (mimttes) Percorneter Reading _. - _ -. _ . --..---.--- _ -- _ _5.__ .__.- _ 5 _-_ .. ---...._ .-- 5 2715/28.—. _ _ _ 23 318 _. _ _2118 23 318 ,_ _ _2118 _23 38 — _ 21-1/t3 — -- _-- — _12:16 _ 1221:30 __ 12:26:30 —12:2715..- 12:32:15 —' — _.-- i PERCOLATION RATE -3__ (minules/axh) PERC HOLE DIAMETER _6 TESTRUNBETWEEN 4.0_FTAND-4.5—_... FT Net Drop .114 PERFORMED BY FLATTOP TECHNICAL SERVICES. I w' 11-4!,._ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: (-Flattop 7echnicalServices 14530 (Echo Canyon 9jpa4 ylnchorage,.AX 99516 glfwne (907) 345-135S SE 1/4, SE'/., NW 1/4, NAV'/., Section 25, T12N, R3W, S.M. 12700 Turks Turn Street Wastewater disposal system upgrade Specifications 1.0 General: 1.1 The scope of the project consists of abandoning an existing 750 -gallon concrete septic tank and its concrete ring seepage pit and installing a new 1000 -gallon septic tank that discharges effluent into a new 35 -foot long soil absorption trench with 7.5 feet of sewer gravel below the horizontal distribution pipe network. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 Unless agreed otherwise, the contractor shall be responsible for any tree clearing and grubbing necessary to complete the project. 1.5 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.6 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The new 1000 -gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil outside the 100 -foot protective radius surrounding the well. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A double cleanout shall be installed at the point of connection to the existing waste line coming from the building and another double cleanout within 5 feet downstream of the septic tank. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating a 35 -foot long trench to a depth of 10.5 feet below ground level at the approximate location shown on the site plan. The long axis of the excavation shall parallel an existing contour. 3.2 The bottom of the excavation should be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 8.0 feet of approved sewer gravel shall be placed in the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 10.0 feet above the bottom of the sewer gravel. 3.4 A monitor tube and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 3 feet of soil cover is to be placed over the filter fabric. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A total of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. GAA~-HO-[ Gl ~._..~..NCHORAGE AREA BORO, DEPAFITMENT OF E~IVIRONME~TAL QUALrl 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /~--~.-'~ 42~ LOCATION SEPTIC TANK: DISTANCE FROM WEL. L~'~ LIQUID CAPACITY /'"'~"'~ ~) GALLONS. ~-.~.~'~-/-~':.,.,~..7 ' - ' - NUMBER OF MATER AL ~'J..."~,/~-'~ COMPARTMENTS INSIDE LENGTH ~ INSIDE WIDTH ~ DEPTH--~ '-- SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS . / OUTSIDE DIAMETER LINING MATERIAl ~~~ . DISTANCE FROM WELl NEAREST LOT LINE ~2 r ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ .SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL ~ "-'~OT LINE OF LINES , NUMBER OF LINEST~//~DIS~ANCE BETWEEN LINES TRENT WIDTH IN. TOTAL EFFECTIVE ABSO~ SQ. FT. LENGTH OF EACH LINE ~ ~ ~ ~ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE_ IN. ABOVE TILE WELL: ,,.~,,~.-)~)j-,~.~,/*~:,,~¢/I~ / DISTANCE FROM ~ WATER ~ TYPE..-:~7,,~/.~-~-~'~-~ DEPTH , BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE ~ OTHER ~., SEWER LINE 4'"~, T~,NK ~ SYSTEM__ r~'~, CESSPOOL~ SOURCES LOT LINE . ' DISTANCES: DIAGRAM OF SYSTEM / G.A.A.B. DATE //? ,,~/ APPROVED ' GREA(ER ANCHORAGE AREA BOR~JUGH DEPARTMENT OF ENVIRONMENTAL QUALITY ANCHORAGE. ALASKA 99502 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT P E.''T"O. NAME OF APPLICANT / ~'~'~ / MAILING ADDRESS INSTALLATION OF: SEPTIC TANK ~ TYPE AND SIZE OF ]FACILITY TO BE SERVED SOIL TEST RESULTS COMPLETION DATE ANTICIPATED SEEPAGE PIT /~ ' DRAIN FIELD OTHER FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL iNSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL SE SUSJECT TO PROSECUTION. SEPTIC TANK SIZE SEPTIC TANK TO SEEPAGE PIT WALL wEL~ ,o SE*T,° TANK'-"-)" _, SBE"A~E PIT SEEPAGE TYPE WATE~ MAIN TO SEPTIC TANK _, SEEPAGE PIT DRAIN FIELD · SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT O]F SEPTIC TANK AND INTO CRIB CROSSING GAP OF CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. :5: :: I CERTIFY THAT I AM FAMILIAR WITH THE RE(~UIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCR D SYSTEM IS IN ACCORDANCE WITH SAID CODE, / .Depth ~ee~. 6~ 7~ 8.~ 10~' Perfo~-med For Mrs. M, Turner Date Performed~8~/_26_./71 Legal Descz'z~ ~oll Char'?f;e;'f. stics Location Sketch Brown clayey silt (~) Brown and gray sandy graveli slightly silty (GW te GM) Brown silt sand mix (SM) Was Ground i-later Encounter, ed?._~.~zo ......... T¥; Yes, Az ~.e,xd~ng ,~poss ?ime Net Drop _-ZZLT, ........ Proposed ~.nst.*i.tatlon: ceer.,a~ze Pi~z X Drain Fie].d~ . COMMENTS: ............ : ~ar~..fee~f dr~i,~n~(e~,~j_~,, er bedroom. Test Performed By: R. E. Carlisle Dst a Certified Ey: Na~tion__al T.__~es~in~_S_~ervi_.~c.es~ Inc, Da~e: EINPAIS S H • 0, . : , Municipality of Anchorage On-Site Water and Wastewater Program � �1�°j if (907) 343-7904 SA ErY Certificate of On-Site Systems Approval Q' Parcel I.D. 017-421-19 Expiration Date: G`J r.1 - 1 I 1. GENERAL INFORMATION: Complete legal description T12N,R3W,Sec25,SE4,SE4,NW4, NW4 Location (site address) 12700 Turks Turn Street*Anchorage,AK 99516 Current Property owner(s) Life Estate of Margaret Turner Day phone 903-9267 Mailing address 12700 Turks Turn Street`Anchorage,AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family(w/wo ADU) ❑ Duplex \ U ❑ 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 $ 5j ' -f- 3 3 Zj RuS 1-4 I Waiver Fee $ Date of Payment leo(OL/ei 4:171119 Date of Payment Receipt Number daogo4 14971°1 Receipt Number COSA# QS�Q/oZJ��- 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: Garness 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: Q000�p�� In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system o ' OF ti �Q1 in accordance with the guidelines and regulations established by the Municipality of Anchorage and -47F- NC.-.. S)r, industry practices. The reported results describe the condition of the system/s on the date/s of the ,r evaluation. Separation distances were measured to readily identifiable features. Hidden defects or , • '+• '..-7'(//:/- ), encroachments may exist that were not identified during the evaluation. The operational life of all wells Q t .''_i / I j and septic systems depend upon a variety of variables, including but not limited to, soil conditions, ` f/ groundwater levels (that may fluctuate during the year). quality of construction (materials and I — VA workmanship),and the water usage of the family utilizing the system/s. These conditions can vary.and �jnn ' /,9' /J are outside the control of GEG. Satisfactory test results do not guarantee future performance of the V Irqy A,`Gorr•ss, system/s;therefore.GEG makes no warranty(express or implied)regarding the future performance of II n9, '.// VCE-7953 g the well or septic system. GEG makes no representation whether an alternative well or septic system l s�/ �t .se6G1 can be installed on the property in the event either of the current systems fail to perform adequately in �� <� '&.•I t:.( (1' 1�c°� the future. The content of this report is for the sole benefit of the person/party that retained GEG to 'ilk' oresS;ono'G perform the evaluation. Reliance upon the information provided in this report by any other person or OppCppoc party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSDySIGNATURE ,�/ System#1 Approved for .__ bedrooms System#2 Approved for bedrooms �����14\TY OF��(r!rf, Disapproved � �G\� �'""• (-'.r O ol7F Conditional approval for bedrooms, with the follftir'. sti I t r,t. y�l ER �;!V 0 (11 w �v WA RTE wt.r PRU0kAto %OCC `�� \� .1�/SF P\i Y-- /l4h)k_Ifii11l1l�\ By: �Cy Original Certificate Date: (€ 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 )C Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10.10-12.doc COSA Checklist Legal Description: T12N, R3W, SEC25, SE4, SE4, NW4, NW4 Parcel ID: 017-421-19 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) Well production at time of test 2.5+ gpm Date drilled '1971 Water storage tank volume- gallons Total depth *96.9+ ft Well disinfected for coliform test? ❑Yes 0 No Cased to UNK ft ❑t Coliform bacteria is Negative Sanitary seal is functioning correctly Nitrate 2<<2 mg/L 0 Nitrate less than MRL(ND) 0 Wires are properly protected Arsenic t10 ug/L 0 Arsenic less than MRL(ND) Casing height(above ground) 12+ in. Collected by GEG, LTD. Date of flow test for COSA 5/15/19 Date of Sample 5/15119 Static water level at beginning of test 33.6 ft. Comments *PER GEG INSPECTION B. TANK DATAfr /rte C. LIFT STATION Age of tank(s) 10 years 0 Required maintenance completed Tank type/material "°''�" Age of lift station ye Measured operating fluid level in septic tank 52" Lift station materia 0 Standpipes/foundation cleanout per record drawing Commen : Date of pumping 5/10/19 D. ABSORPTION FIELD DATA Which system tested (date installed) 11/19109 Adequacy test date 5115119 0 ALL standpipes present per record drawing Results p Pass For 3 bedrooms Total measured depth from grade • *9.75 ft(max) Fluid depth prior to test 2 in Measured depth to pipe invert from grade 3.4 ft(min) Water added 460 gal ❑ N/A—pressurized field New depth 4 in ❑■ Monitor tubes go to bottom of effective. If not, state Elapsed time 120 min depth into effective 6.5 Code-required soil cover over field Final fluid depth 0 in Absorption rate 450+ gpd 0 System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) no date of test) If yes, enter date - Gallons introduced - gallons Comments/Deficiencies:DOUBLE CLEAN-OUTS BEFORE SEPTIC TANK 'AT MONITORING TUBE 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' Community Sewer Manhole/Cleanout> 100' ❑Yes if No ft ✓Q Yes if No ft Neighboring Tank> 100' ❑Yes if No ft Private Sewer/Septic Line>25' ✓❑Yes if No ft Absorption Field on Lot> 100' 0 Yes if No ft Holding Tank> 100' 0 Yes if No ft Neighboring Absorption Fields> 100' Animal Containment> 50' ❑✓ Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage> 100' Community Sewer Main> 75' 0 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 ft Property Line>5' ❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' p✓ Yes if No ft Private Wells > 100' ✓❑ Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells>200' 0 Yes if No ft Water Service Line > 10' 0 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' l] Yes if No ft If absorption field is under driveway comment below Property Line> 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells> 100' ❑✓ Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells>200' 0 Yes if No ft Surface Water> 100' ✓❑ Yes if No ft F. ENGINEER'S COMMENTS *met code at time of installation. r 00600. �.0 G. ENGINEER'S CERTIFICATION ,,..=4:.,,..=4:. ' � %�Q d O F.... 4 I certify that I have determined through field inspections and review � % • '•. Q of Municipal records that the above systems are in conformance with op(/ 9 ,F �%\ ..-�ooh MOA COSA guidelines in effect on this date. IL .. . .. ... .... , 0... i , ...* fr: A. ornes-.• 01 Q ' —795 �� r �Qn4P,. ..'.C,i' g (Cfc,co,�0 V 1 _o COSA Checklist yellow sheet OQ ro f es s101 oma' #AECC884 �'OOo� ' SE1/4 SE1/4 NW1/4 NW1/4 LOCATED WITHIN SECTION 25, T12N, R3W, SM, ALASKA CONTAINING 2.50 ACRES, MORE OR LESS. PARCEL ID/ 017-421-19-000 9-- - - I U W yC, 30' § 30' TRACT A STELIOS SUBO. Y N 2 S 89.52'30"E 329.73' • { 1 — 1 1 1 1 1 l01 1 n 1 N 1 1 1 1 I 1 1 { I g1 I 4 I 1 1 En I •-> rL�� 1 1 h ® n `" 1"=40' Y Y 8 O p0 8 PMK He _ / Z 2•.0' s IX 4 g 2..0• • • SEPTIC SVSTE,I • TALISMAN ROAD S 89'58'30"E 329.63' REVISED 6/13/2019 ADDED 2 STAND PIPES. NOTE: PROPERTY BOUNDARY DIMENSIONS DETERMINED BY UTILIZING RECORD DOCUMENTS. AS—BU I L T I HEREBY CERTWFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ,0rf� CASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. �� ,•• 4 •• OF q • SURVEYING, LLC RIS THE RESPONSIBILITY OF THE OWNER TO • 0c'•.•"••• �q �•• JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, • h.••• 'f' 1 ya .. x �' 2000 E. DGwLING RO., SUITE 0 COVENANTS OR RESTRICTIONS WHICH DO NOT y�, 49TH •••9• A • ANCHORAGE. ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. • e".1 .4,,,/ 4 c.a., • PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA ••y?•(rt•fJ��•••,�j� •11 HEREON BE USED FOR CONSTRUCTION OR FOR • ' J'ti•Ly A.6011010 ' - %GRID DATE • v ; SW28�0 6/7/2019 ESTABLISHING BOUNDARY OR FENCE LINES. •. ems'. LS-609113S`At ' •' S • E.G. JOB NO. ANCHORAGE RECORDING DISTRICT,ALASKA • • •.°4 lonoI�°��� • NOTE: NO CORNERS SET THIS DATE •tai ** 19-01 TURKSTRN