Loading...
HomeMy WebLinkAboutMANN BLK 2 LT 2B Onsite File Mann Block 2 Lot 2B #020 - 041 - 31 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191524 PID Number: 020-041-31 Dwelling: 0 Single Family (SF) Q with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New K Upgrade Name Jamie Hollis ABSORPTION FIELD ❑ Deep Trench � Wide Trench El Bed E] Mound Address ddress 1teGolden View Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 1 2 GPD/SF 1.0/1.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe 0.5/0.5 Ft. 0.5/0.5 Ft. SubdiviMannsion Block Lot 2 2B Fill added above original grade Gravel length Township Range Section 2.0/2.0 Ft. 65/65 (130 total) Ft. Gravel width 5 Ft. Beds: Number of Lines N/A Distance between lines N/A SEPARATION DISTANCES To Septic Absorption I Holding Sewer Lift Station Total absorption area Number of trenches Ft. Dist. between trenches From Tank Field Tank Line 650 Ftz 2 6 Ft. Well 130.2 173.6 140.4 N/A 25'+ TANK p Septic 9 S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water1100'+ 100+ 100+ N/A Greer Tank 1000/1250 Gal. Material Number of compartments Lot Line 31.4 10.5 26.7 N/A NA Poly 1/1 Foundation I 10'+ 10+ 10+ I 10+ LIFT STATION Manufacturer Capacity Remarks Orenco 1250 Gal. Alarm location House Electrical installed by Installer PIPE MATERIAL House to tank Tank to 3034 drainfield 3034 White Raven Development Drainfield 3034 cO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 100.0 ft Inspection 1'1 7/9/2020 2nd 7/10/2020 dates: Location and description 3'd 7/11/2020 4°' 7/13/2020 Garage FF ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date A� OF. AL�g4� Steve. R. 'c,<rino,ie C: a 149 F� Septic System Approved Date 2C7 F FE S1Ci'r�� Note: this approval does not include well permit requirements.��''��®`��� rRPn�rn�rau� co CD � 70 p r p r x rn v_zocrn0 p In i*zZ�v�D > 0v�0C) (n o m r C) m z z 0 M z M ;u P Cn r• O Zm m D g rM O to x D r_ 9 z n �m n 3 rx Ln D Ln -O N -I z 0 Z 1 -,c ;f�01 0 rri D p � --1 -1 � ^ D (!1 -I Z 1 O O o <> O m D O-cf) � Drrlm mCC'>�D�ODZW� rNfT3t 7- 5j mD3�0 r�DrnT03�w �Cn-,>-, D ICN I� m D��rLn z-0 �y > (nm Z7 mr �f� IDNO CGS O x �o =zmgzrio!'iOrn '� *��X --1 Z— '.iocnZ. N mN O CT Off.. DmNN =g M .. 0 m -I L)rDO N U1� -_1 ? OW10313 'W003131 S CNr,O E,�0im�0Ln00Ln5 0-4 n o0o� IQM�ivcn0 x .� Cn � - > TJ TSI m r Z7 m -0 -0 D (ji m T'on 0— -'< In D O r M 'r'I G7 �I -C *1 Ln m m - cn Ln o co n -I zU 4 m m m O m Fr1 Lf)D (A = TI zap __qZ c)0 = �= v K—i O N - m' O ZXN O Ro X O c cls C 0 v �C� 0 v o M m cn -! O 0 O �m �M Doo O - =nz CC)f D �(n N 1 JX --i ::f O0 -9CK-I� ��� -qa \ m\ / \ x O NcnD -! C 0K -0--t0 00=i 0�7 r / �m��0� 0�OZ = ;0 -0 mzn \ O*O cnm <-+Tcn SSS=�xx 021 -lD� z co D D C m D \ ��r--j'n_i OCAr- Zr-Z Zr \ \ \ Nmz ln m0 ?1OO �--lOm \ \ < Z O 0 \ N a \ !''.p -. ' A D \ \ NJ c-) om / / N. 0000 Y \ C O Z C n \ / Z D D m DfLI c,, o zmiom ; D / Ln� 0 \ m=I D ti x / D m D (n \I O O r m \\®\ \Q• \ a O / O�O� 1� om C �\ rR L7�0r 2 6 .Arm. �y IN Uml� .� o z o tit isy+� C - \ \ y \ \ > \ In Z \ 0 1 �� NO WELLS W/1 100' TO EAST \ Z m \` _ I _ NOTES: PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALAR, AK 99645......... ,7/17/2020 PHONE 907) 745-8200 FAX 907 745-8201 �SCP•SCALE ¢r; STH :tr 1„ = 50' MANN B2 L2B "" •• • '•"•'• P.I.D. NO DRAWN JRL DRM 020-041-31 / GIGI LOVE t1:even fi. annone ----IPE" ERMIT N0. CE 8149 _ 16031 GOLDENVIEW DR OSP191524 SITE E PLAN ANCHORAGE, AK 99516 > SHEET 20F3 CEA Power Linc E;rnt 1N3N+3SV3 A I1I1 lt:0 ? OW10313 'W003131 S - -20] ZXN 1 Z \ \ \ O \ \ m \S , \ — — — 70 r (n O --j \ \ � �m m m � o --tC)0- D O Z m - 07\> D\ \ D �\ N� o �Cn< ��zyD M�0 \ f--9 m- v> 'Tl 0X O Oar n�m�rr1 DZ SCC) \ OEOft au o M m cn -! O 0 O �m �M Doo O - =nz CC)f D �(n N 1 JX --i ::f O0 -9CK-I� ��� -qa \ m\ / \ x O NcnD -! C 0K -0--t0 00=i 0�7 r / �m��0� 0�OZ = ;0 -0 mzn \ O*O cnm <-+Tcn SSS=�xx 021 -lD� z co D D C m D \ ��r--j'n_i OCAr- Zr-Z Zr \ \ \ Nmz ln m0 ?1OO �--lOm \ \ < Z O 0 \ N a \ !''.p -. ' A D \ \ NJ c-) om / / N. 0000 Y \ C O Z C n \ / Z D D m DfLI c,, o zmiom ; D / Ln� 0 \ m=I D ti x / D m D (n \I O O r m \\®\ \Q• \ a O / O�O� 1� om C �\ rR L7�0r 2 6 .Arm. �y IN Uml� .� o z o tit isy+� C - \ \ y \ \ > \ In Z \ 0 1 �� NO WELLS W/1 100' TO EAST \ Z m \` _ I _ NOTES: PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALAR, AK 99645......... ,7/17/2020 PHONE 907) 745-8200 FAX 907 745-8201 �SCP•SCALE ¢r; STH :tr 1„ = 50' MANN B2 L2B "" •• • '•"•'• P.I.D. NO DRAWN JRL DRM 020-041-31 / GIGI LOVE t1:even fi. annone ----IPE" ERMIT N0. CE 8149 _ 16031 GOLDENVIEW DR OSP191524 SITE E PLAN ANCHORAGE, AK 99516 > SHEET 20F3 A C1 `o co4-1. w i C2 DCO C3 41 cn cn m m LS CO Q7 00 O p m mm -q xx zz << mm -q 0 c?c� CD 0 p O p - 00 0 o G pW CO C,a cD C,1 �o MONITOR TUBE C-) H °i - N 0 O O � m _ = - ;7 z Ln O 0 cn D 0 m C � D D r ;aW O D D N z ;0 _ z p 0 O O O rrn O M 0 n < m r = MONITOR TUBE m m E m :E m � zz m o « C)0 Pp -{ T1�1 O_O Op 00 O O -� N t> c. n n co .a x X c., io CA io o NOTES: PANNONE ENG SVC LLC (C.1. 1088) P.O. BOX 1807 PALM, AK 99645 PHONE (907) 745-8200 FAX 907 745-8201 ,� � P•'A REVISIONS DATE 7/17/2020 RECORD DRAWING SCALE 49 TH 1 „ = 50' MANN B2 L2B GIGI LOVE 16031 GOLDENVIEW DR ANCHORAGE, AK 99516 •••• •• • ••••••• " �aveo �. an one CE 8149 P.I.D. NO 020-041-31 DRAWN JRL DR M / SYSTEM PROFILE PERMIT N0. OSP191524 SHEET 3 OF 3 T-1 i i lam —.00 1 0 ,00-L9 3,,OO,CO.00S 0, C E -C -0 1 0 (1) CL > Q) c c cc 3�: Q) U) 0- 0 C) L� I k �:98 W 0 0 ,00.22 M,Z�,90.00N @AIJ(] M@IA U@PIOO e_; 0 M co LO �Y) cc cn 0 M C/) C/) ct SO w a) C: to a) -.2:E Q) C" 0 0 0 Q) U) 0 0 Z3 > :t c > c US 01 0 c 0U N " -0 Q) a) U) E , -C Q) Q) I E Q) u) 9) .2 a> C) 0 j�' 0 or o. - 0 0 C 0 — I 0— a > 0 c 0 Ell (Z _C U) C- u 0 _r_ r L L) 0) - ul -r =:6 > Q) C) =3 0 D (n 0 V) -S� z Ns wo ow 0 co 0 0 6 N ............ .......... O vi C:) co O (6 cli 0 C) CY) JUaWGSD3 3V -L 91 ,00.22 M,Z�,90.00N @AIJ(] M@IA U@PIOO e_; 0 M co LO �Y) cc cn 0 M C/) C/) ct SO w a) C: to a) -.2:E Q) C" 0 0 0 Q) U) 0 0 Z3 > :t c > c US 01 0 c 0U N " -0 Q) a) U) E , -C Q) Q) I E Q) u) 9) .2 a> C) 0 j�' 0 or o. - 0 0 C 0 — I 0— a > 0 c 0 Ell (Z _C U) C- u 0 _r_ r L L) 0) - ul -r =:6 > Q) C) =3 0 D (n 0 V) -S� z Ns wo ow 0 co 0 0 6 N 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: OSP191524 Work Type: Septic Upgrade Tax Code Number: 02004131000 Site Legal Address: MANN BLK 2 LT 2B G:3238 Site Mailing Address: 16001 GOLDEN VIEW DR, Anchorage Owner: LOVE GIGI M Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft Total Bedrooms: �111C1It _ r Department 1/2/2020 1/1/2021 46781 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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: test hole shall be done prior to the construction of the septic field. Construction may proceed at your T)7wown risk before the 7 day water monitoring is complete. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. NPrior to Inspection Report approval, an AWWTS Maintenance Agreement from the current owner is to be �on file with Onsite. C"( 6//71ZO De5' n G►W na e dv.e -to Soy Received By: �� 1 Issued By: LtllzW Date: Date: 5 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-041-31 Property owner(s) GIGI LOVE Day phone Mailing address 16031 GOLDEN VIEW DR, ANCHORAGE AK 99516 Site address 16031 GOLDEN VIEW DR Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) MANN 132 1_213 Lot Size 46,781 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: (® all that apply) Absorption Field x❑ Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade x❑ Renewal ❑ TYPE OF DWELLING: Single Family (SF) x❑ (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature property owner or authorized agent) Permit/Rush Fees: q 6 - Date of Payment: 1413ll % Receipt Number: 4 MMOL bb Permit No.i�Jp/g16-Aq Permit App__ .-.,:c: Waiver Fees: Date of Payment: Receipt Number: Waiver No. =I Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com 16 June 2020 Subject: MANN B2 L2B Septic System Upgrade Permit Request Design Narrative This is a design narrative for a permit to install an upgraded septic system to be issued for this property. The proposed system will serve an existing four-bedroom (4) house and a detached one -bedroom (1) ADU. Currently the lot is developed. This lot and surrounding lots are served by private wells. Currently there are no wells within 100 feet of the proposed system. 1. Soils. Two test holes were performed on the lot by PES and groundwater monitoring was performed. Groundwater was observed at a depth of 6' during the month of June. and bedrock was not encountered. Based on the results of the percolation tests and overall soils appearance; an application rate of 1.2 gallon/day/square feet was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography generally slopes from the southeast to the northwest for the property with the existing topography generally level in the area surrounding the septic system. There are no steep slopes within 50' of the proposed system. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. If'you have any questions or concerns, please contact me at 745-8200. Sincerely, 6i`Gllvl 2 Tapillow Steven R. Pannone, P.E. Owner/Civil Engineer Ndaihng. P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FA (907) 745-8201 ;0 cn D N -0 N -I Z 0 w M -<XO m mD O ZOcnmr;DZ- �1 -i -I N C �_ fn D U7 -u -I Z -17 m GOOD Im Z R. n D�rT1 -r rC' D C)D�Wm en -I CI uwim1m>0;0 �rmy� r Dr(')XO)ji� r -TI mn��� x mX x U EZj - -0 f,7 -D-I D� I N o m � r -I r C) -u -_D-{ D �o =zo m�zmo!iocn m ;a -n -_I!'I�ZM--qm co \ r \ I t \ m - ��mNOm -x �D�N� 00 1 Dm�CD pmo Or -DO NN v(�m (P. cn 00 �0--im00� Ln �� o' (nOZ N� N I O. C-) 0 O �-i O (n0 J� mm ;gym -D-0 D(n O 1G7�n J�� A uDio �m 0� (n�D O-I� O OZ 0O� �n \� D,a _ Z -o ZU Z O m mm n \� mm O = _ � -1 (, O N -. --4 n% Z (� O Edi m 0 x --irTj (A p O c �u O O \ D < 0 O u \000_ 20J CEA Paver Linc Esmt :F%3;+35N3 1, r� : _� ?� 0i1! 0313 ';%033131 C•i� M ��"i ------ - -M - ----� --'. �t-- �, x ZE ------__ z m \ -% m \ \ mzn m v Z 00 Cn` D \ -T1 CO r- D r Z -0 \ \ � x r SHED \ s \` M0 NSD IUnL OHO N0 > oU' \ �� ��pO NI �. no �C-) -9 .Z�7 OO\m Or ori (nn22000 l \ \ <NZO�-io-tO��A, �U) vv m" O' I' Dom_ Dm D U) � O c/) 2: r- -I m \ "0 0 N r0ODO m� m � \ rb -Tl 7 C cn \D n Dn\ \ I npDn�� I\®\ �J l \tom T-\ Z < _ \ —Z D c 1 \ \ mm .-:► \ 'Er - n5 - - - - - - \- - - -- \- - - - - - - - - - - Z I m - - - - - - A 411 . �Util Esm; _ m A NO WELLS W/1 100' TO EAST- ' NOTES: PANNONE ENG SVC LLCC.1. 1088) REVISIONS DATE CHANGE ORDER P.O. BOX 1807 PALMER, AK 9645 q�G.� REV: 12 1 6/16/2019 PHONE 907 745-8200 FAX 907 745-8201 P• / 9/2019 SCALE REV: REV: 12/23/2019 1" = 50' MANN 82 1-213 ••• • ••••• C.O. 6/15/2020 P.I.D. No 020-041-31 DRAWN JRL/DRM GIG[ LOVE tleven annoae PERMIT N0. 16031 GOLDENVIEW DR CE 8149 OSP191524 SITE PLAN ANCHORAGE, AK 99516 i SHEET 1 OF 1 ::E R. n m r 0 x\ \ m CC)r cn D0O \ r \ I t \ - - -I*moo Z \ m \ i \ O m N Z p m >\ 0 D r Z O)mZ r \\ \ p C) 007 / \ N m � Z \ / \\ D O - 000 OOOZ DECy<\ \000_ OC m�� D;1/ \ W en mzn m v Z 00 Cn` D \ -T1 CO r- D r Z -0 \ \ � x r SHED \ s \` M0 NSD IUnL OHO N0 > oU' \ �� ��pO NI �. no �C-) -9 .Z�7 OO\m Or ori (nn22000 l \ \ <NZO�-io-tO��A, �U) vv m" O' I' Dom_ Dm D U) � O c/) 2: r- -I m \ "0 0 N r0ODO m� m � \ rb -Tl 7 C cn \D n Dn\ \ I npDn�� I\®\ �J l \tom T-\ Z < _ \ —Z D c 1 \ \ mm .-:► \ 'Er - n5 - - - - - - \- - - -- \- - - - - - - - - - - Z I m - - - - - - A 411 . �Util Esm; _ m A NO WELLS W/1 100' TO EAST- ' NOTES: PANNONE ENG SVC LLCC.1. 1088) REVISIONS DATE CHANGE ORDER P.O. BOX 1807 PALMER, AK 9645 q�G.� REV: 12 1 6/16/2019 PHONE 907 745-8200 FAX 907 745-8201 P• / 9/2019 SCALE REV: REV: 12/23/2019 1" = 50' MANN 82 1-213 ••• • ••••• C.O. 6/15/2020 P.I.D. No 020-041-31 DRAWN JRL/DRM GIG[ LOVE tleven annoae PERMIT N0. 16031 GOLDENVIEW DR CE 8149 OSP191524 SITE PLAN ANCHORAGE, AK 99516 i SHEET 1 OF 1 'm< (DA n2 Inm mon C Q O Fz m0D m m 0 O rn=A D S > �mr myr m 0 V mcm 0 OZ z pm T om nm0 0 m -c' m Z C) Mo A z<rri mDm mz_ Z O D r -I � r T on1 T D 0>r =m� m 0 � A O t Oma y m >oz m m � 2 z>t0 M A �Tm c`^o m m z 0 m 0 0 a z z O z m Fj NOTES: CHANGE ORDER W W W W W W W P, V m Cn .P W N w W ' Zm--U--iD00�7nD- l:jmm--j:6 0'mDmFXmimmomzm-, T '001,m ma- 0 W 00D0z�Inn Dr n rho-mmzzoc00�0 mm0�30 RRt m 0 0 -+ 2 to -i t<r�tt -� -� n -i -t -0 --� p r_• -i D mD�C� Z �'<DAmD f*SiOD Zrn> Zx-OiOmf' 08-880--0 rornomn D�zp�o � z�� x Ooxy�M ZAV)D Z mtn OLOW M m0 �1^Z0(n 'z 'o )� OrD-O rA-r m mZ0m z-,v " Zrnrr In 0-Y" Zr nomxpm OOVm)Or Z V)m*MND D�Or-O tzn ��Srn m mor mC H-�➢�A CSfD"N'm` m _1oo� N mr , ) m mto0=m DZ'mm 00 Z m{�om� TONr0 OEZC-'I r mOn �� z� Z A Z r .,< -t - w zWO� ZD 1nm02,0 O MEW 'a A�00 Dr, m Zp CCQ �OmnA mmmm "04 mw C 0 0 m0 m r p� m A z z A- r A N Z � -i2 'D r-Z<50C o 'oz N=_1 wm m> �S- O mm r O I z--<< LI) m� -< T rprr-D � m ow Z O n Z m o m D m n w on cmOzc zDo _n Om Sm wD�Zr- I,'Oi Z'8'mm zZ ny mcz)�mC, p w R n pN O -I -<ZAm C AV)w �m.Z mm�'D• m <O> Dp m� a L rZ* m*)o pZr oo m m m A T m z Nz Om -Z68 m< >zD m mo oV> 8,-2. o=D Fo cI myz Fn Oc 0-0. -11 N'O� m0 of rr CA Om m DZf 3-D m �o -t0 A ��r zz >D mm O S Z -i0 romm ZZ O Z -1Z� �cr0 N m m Ll o Z � S O 0 cm z m -o N m OM n N O O m m O N N N N N N N N N N m m v rn cn .P w N N N ' p XamZ-DiD�omDmO�mm�zOrD-=D�Z'Oo2�XzrD- DO2ODmDO�m�A�-Zir Cc r�➢Cr Ou)> prm _T ZNy?m;0 cmmE �jp<n 'vmm mOD_1r�AHm mx O m��� O m r r 2�� Z C1- O A m m D� y O 0 0 m ;U D -T-m�r c m DZ 00-+�'^0z-f D zmm�>'>m mOmw =rc-OD=�->4 r,T pmmmmm_q-O0 �i mDp mD3-U�, Z V)S� m-4 DmZ -<Drmr -Im p�7O2 pm::jomnZm '-imp mOr V)m m'OAOm�7nmZZrU O KT C� ��- 4rcm<mmn-OOZ,m--, rmODO�GZ'lr =nZ Mpmm-nn F=Z* �Z-1-Orm'w pmm0000 --m -2-1-moo AO gp0ozm V)m rmD M) ! mmz* 8210<M Om=0-gozp -00 Z' �zDZ 0C= U) 0w 71 m� 9: V) zAmo�c<n r'0 �m-D1 m�A 2--u0 Aon =O nCmi OOZp?,-1>Ko0j 010-0 Z=N ZZ2 ZO�m-mp0 �ITmI 'c0 -I mO Wim fn O� ozC Zz OfTm)-NI 00 mmOO{T 00� -,i o. mxo''DK Zm -zx p<m� �7ZT rZ� mDm0 MO-,Zo r -MI mD-t_t X0 >M 0Tm m I'*t �m 00 mmi mzm DE:c0 O m- >jm0 Mf�zZ �pO0 OF� owoomo m0 m?T>om -IpZ mpm � N A' DOA OZ mrrn m -Z mmD y m v o<om Z� m>o c:<) zmr V)Zo z m m p�A6 v)O K,-�mm- SOW U ;0 O '�Z �O O«Krpm Z O A~ :.:. M D rn a: rn m -Z-i m>' G -1 0 SZo n05 > On r G) U)D mmm = A'nOr -uz In ''7D mCX 2 D '�D m U'm0 -1> Or mZmo p� Zp A 77s D Z Dm'o -IM pm �)0M0DD C 0 r C)O H- m0 OOZ mm 0 O c. AD DA �� v�mnmm Dmo nm6 O < O :i) z0 mr*) 0Dp-TR) mZO OF -0 m Z xm -M moz:mg Dnm mm N o<< pD OM 0 -`mmol 0 O=-< - m z C = N O m r � 0 -�-I m O* N m z -I gr0 0 m 0 z3. 0x T'<'p mop ➢ G)rZ o f*� C OZ Zf =M0 Zm mN Z > TK D S m-Zi0 O c m0 mK m C) DRAWN I JRL/DRM SOILS LOG & NOTES I - DmmmTm V)N V)M) XX SSCC O,pp O -f mZzrn y 0 m m m m o n Mom5o,m Z r 00{my 2 A Z~- M> un)Xo ^�zz D Cc M �z m{ { OSZ V)? SO D C) 3 C m > O 1 en O r N r- 0 0 PANNONE ENG SVC, LLC (C.1. 1088) P.O. BOX 102954 ANCHORAGE, AX 99510 PHONE (907) 272-8218 FAX (907) 272-8211 MANN B2 1-213 GIG[ LOVE 16031 GOLDENVIEW DR ANCHORAGE, AK 99516 n M O m O zz z 0 z rn I') O A A N 0 0 F tD a cr 2 p c S K to vz_0 (o Ix ? W N 'v Ln r"'tm�0 V)N nNOD x mom 0-<0r oMo000mZNRr -4cDmc�n nOm�DK00 om<oSLOzmzoy mymiZmL mmopo-�,�oNS rmm�D>O A oMl On(/1M'OiToVZ rn M:" z�vDi�zDcn ooD �O Wzmm0�m O C+mn Z1;MA>'m Z=mT0 mOZ0mm mu) 0Z-zc 5:z1 A�mr -I-. - ro, -I Dm'm m0, -u -'y °p ^r'l �=1nm r ' V oATmO �ZXzp rn<CZ)DZD 'D;u-,>>-iIn oZtn �m=tvo00- 0tn zmZ:-�0mu >n��D1J TN Zc•) ppmO Z S'KO -ECn o�i-10 ),=>,m O-�OD Ol Z -0,550=1z ,pz t,vvD O "ZOmm v+MEZI mo=t �0m: ,w0 r*) -{ Z ' r A -n': mmOimm 0,-->I Orn z0 O wp> I � -+mN* O• z LA mm CZ)mX- T mm D-n2Ntn{ A *M u) D >Z CP - m -<z3:Z�-i D a1 NC DC)m m Z mmZ p Ozm� D Ip 0A -<D M CO C Zpw 0 U)m �m<� OS O T n m > m r0 r D n 0 T m D z D U) m m D O Z (A m (n ti O = O m Z yO 0 O -i y D { { < N n 0 rm- z z S� mo O r � � {0� a N = C C) N O J z A O D O T7 Z �r m o i p •J i D D 71 1 A • IN O � m z n 0 Z b p m O ooa Z z z z m m N m v fo N Dmp L� 11 m 11 N 11 2z z "r�A n � I � I m I O .D I tp I C7 I 'D N O r N r O 0 REVISIONS UA)L -....6/16/2019 rCP SCALE x:'40 T ••• •• •• ......• i C.O. 6/15/2020 P.I.D. NO "$levan E7. anrioae 020-041 -31 GE 8149 PERMIT N0. OSP191524 SHEET 2 OF 2 0 Z o m 0 z 0 D ^� 0 z E o z I z � O 0 � I m I I z ffr�1 � n m U W( U 0 en O r N r- 0 0 PANNONE ENG SVC, LLC (C.1. 1088) P.O. BOX 102954 ANCHORAGE, AX 99510 PHONE (907) 272-8218 FAX (907) 272-8211 MANN B2 1-213 GIG[ LOVE 16031 GOLDENVIEW DR ANCHORAGE, AK 99516 n M O m O zz z 0 z rn I') O A A N 0 0 F tD a cr 2 p c S K to vz_0 (o Ix ? W N 'v Ln r"'tm�0 V)N nNOD x mom 0-<0r oMo000mZNRr -4cDmc�n nOm�DK00 om<oSLOzmzoy mymiZmL mmopo-�,�oNS rmm�D>O A oMl On(/1M'OiToVZ rn M:" z�vDi�zDcn ooD �O Wzmm0�m O C+mn Z1;MA>'m Z=mT0 mOZ0mm mu) 0Z-zc 5:z1 A�mr -I-. - ro, -I Dm'm m0, -u -'y °p ^r'l �=1nm r ' V oATmO �ZXzp rn<CZ)DZD 'D;u-,>>-iIn oZtn �m=tvo00- 0tn zmZ:-�0mu >n��D1J TN Zc•) ppmO Z S'KO -ECn o�i-10 ),=>,m O-�OD Ol Z -0,550=1z ,pz t,vvD O "ZOmm v+MEZI mo=t �0m: ,w0 r*) -{ Z ' r A -n': mmOimm 0,-->I Orn z0 O wp> I � -+mN* O• z LA mm CZ)mX- T mm D-n2Ntn{ A *M u) D >Z CP - m -<z3:Z�-i D a1 NC DC)m m Z mmZ p Ozm� D Ip 0A -<D M CO C Zpw 0 U)m �m<� OS O T n m > m r0 r D n 0 T m D z D U) m m D O Z (A m (n ti O = O m Z yO 0 O -i y D { { < N n 0 rm- z z S� mo O r � � {0� a N = C C) N O J z A O D O T7 Z �r m o i p •J i D D 71 1 A • IN O � m z n 0 Z b p m O ooa Z z z z m m N m v fo N Dmp L� 11 m 11 N 11 2z z "r�A n � I � I m I O .D I tp I C7 I 'D N O r N r O 0 REVISIONS UA)L -....6/16/2019 rCP SCALE x:'40 T ••• •• •• ......• i C.O. 6/15/2020 P.I.D. NO "$levan E7. anrioae 020-041 -31 GE 8149 PERMIT N0. OSP191524 SHEET 2 OF 2 {0� a N = C C) N O J z A O D O T7 Z �r m o i p •J i D D 71 1 A • IN O � m z n 0 Z b p m O ooa Z z z z m m N m v fo N Dmp L� 11 m 11 N 11 2z z "r�A n � I � I m I O .D I tp I C7 I 'D N O r N r O 0 REVISIONS UA)L -....6/16/2019 rCP SCALE x:'40 T ••• •• •• ......• i C.O. 6/15/2020 P.I.D. NO "$levan E7. anrioae 020-041 -31 GE 8149 PERMIT N0. OSP191524 SHEET 2 OF 2 N O r N r O 0 REVISIONS UA)L -....6/16/2019 rCP SCALE x:'40 T ••• •• •• ......• i C.O. 6/15/2020 P.I.D. NO "$levan E7. anrioae 020-041 -31 GE 8149 PERMIT N0. OSP191524 SHEET 2 OF 2 MUNICIPALITY OF ANCHORAGE 7 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION \ 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 \ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME - PHONE _ NEW UPGRADE MAILINGADDRESS % j LEGAL DESCRIPTION � S ('�•- 1L/ : �Y LOCATION I ,, - NO. OF BEDR OMS G�� l�Wl/� t/� t/` t ! r O Y DISTANCE TO: Well (� Absorption area Dwelling { Q 6 PERMIT U a $ U Z Manufacturer Mater' I �nn No. of com artm is N Liq. capacity iPg� Ilons ( '4-'`i U IF HOMEMADE: n nside length Width Liquid depth O 0 z DISTANCE TO: Well Q-- Dwelling �� PERMIT NO, O Z F Manufacturer Material Liquid capacity in gallons O W S DISTANCE TO:-�- W9.11 / Foundatio n O-� Nearest I t hn ---(� PERMIT NO�7 G QC J IL Z F Z LU No. of line L ngt o each line Total lengthe-li s CJ Trench widt inches Distance betwe Ines RQ Ovyv� Top of tile to finish grade Material beneath the / 1p inches Total effective absorl t aha L LU f7 Length Width Depth PERMIT NO. F- Li Type of c ib Crib diam ter Crib depth Tot,,] effective absorption area Li DISTANCE TO: Well Building foundation _ Nearest lot line J CI Depth Driller Distance to lot line I PERMIT No -7 LUBuilding DIST NCE TO: foundation Sewer line Septic tank Absorption areas) OTHER rq — PIPE MATERIALS . J SOIL TEST RAT] NG INSTALLER �0 (ad t rvt I - t D 3 n 'i t C (J C V REMARKS ✓i/l�/ a U - APPROVE[);,�q DATE LEGAL 7 72-013 (Rev. 317V V TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH M8XIM11 NUMBER OF BEDROOMS c 4 SOIL RHTING (SQ FT/BR)� 85 � 1 R FT Gy U Z OR W 43, ���- 1- : K W -1 - F 1 Ent K AS: 1 W! ED -1 ��11 t_���� PERMIT HPPLICHNT HHS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTHLLHTION INSPECTIONS OF ANY WELLS 19DJHCEN7 TO THE NUMBER OF RESIDENCES THRT THE WELL WILL SERYE ��� �1!, ". 11 C�Dl c:� :11:: 1' * 11 - �11_ CA Of YO lot Q ETE 100 E E CA! k (I AF���� ~� BHCKFILLING OF RNY SYSTEM NITHOUT FINHL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. 10"KNERTIM w: -F THY -Ty" 1: FORHEY5, Kv. K 10 K 1-0 If? SH I? �ft. 0 ���OF: I CERTIFY THHT 1� I HM FHMILIHR WITH THE REQUIREMENTS FOR ON~SITE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPALITY OF HNCHORRGE. 2� I WILL INSTHLL THE SYSTEM IN RCCORDRNCE WITH THE CODES ?T |@DF: R qTHN0 THAT TAF ON- EOUIRE ENLHRGEMENT 1F 11E k' {�/(�4,z�{ (* F`��, `V�] 1X,' . Li "%'jr Tj ]1 /lj�' 11 `� ,1.x2111 [�x��,:, r��'+I ,JJ(t..�JJ(� �j]{(`�,� iT��.;�(��.; Y' t:ac4 }�'�rcv'� N11 �l \', 11 ��. S✓ I ��a EEi `i- -.N31 11 L-'1:�t9 �. } � L t.1: 6%� �1E�' CONSULTING GEOLOGIST E30X 476-M, STAR ROUTE A • ANCHORAGE, ALASKA 99507 • PHONE 344-7071 SOILS LOG Performed for VM Vyy�'Ps Date % Location?'Z" 0 2 4 6 16 18 20 Soil 'Type Water Level Remarks Total Depth of Excavation JMaterial at Total Depth Groundwater Bedrock Not ReachedNot Reached Depth, if Reached _ Classification Method �isual ( ) Sieve Analysis Depth, if Reached Gary F. P].a er, Consulting Geologist 3 p fi )S% IS�ri' _ rye) F'f Total Depth of Excavation JMaterial at Total Depth Groundwater Bedrock Not ReachedNot Reached Depth, if Reached _ Classification Method �isual ( ) Sieve Analysis Depth, if Reached Gary F. P].a er, Consulting Geologist ANC' -1J f /m`-ty DRILLING, IN.1v IPALITY Ci °� � DEPT. G. It _"IiPIVIROi IiJ,Cr;1, ,-:CTIQN DRILLING LOG;i I V I Well Owner--- —_ —_Use of Well _ Location (address of: Township, Range, Section, if known; or distance main road-- Size oad— Size of casing__'' Depth of Hole feet Cased to feet Static water level ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ). Describe screen or perforation----- Well erforation— __Well pumping test at ---gallons per (hour) (minute) for— hours with. ' _^f t. of drawdown from static level. NOTE: 220' of .ABS LINER DOWN TO 237' T.D. Date of completion_ — WELL LOG ---TO— TO. —TO _TO 3 - CONTRACTOR \W- L)� d� +v ,l ` r .�- In"p, hl 1 v 5. LEGAL DESCRIPTION Fl.— Qpk INSPECTION APPOINTMEN STREET LOCATION 6D/clely TIME TIME TIME NUMBER OF,BEDROOMS SINGLE FAMILY 1 ❑ One Four ❑ Other DATE ❑ MULTIPLE FAMILY DAT � ATE INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled 1A -1a INSPECTOR ❑ PUBLIC UTILITY INSPECT� INSPECT[i -MMCIPAACTY OF ANCHORAGE p7�y I/ld MUNICIPALITY OF ANCHORAGE DEPT. OF ('_'Lill & ON-SITE SYSTEM WAS INSTALLED. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEClibMIRONMENTAL - , TLCTION 825 L Street - Anchorage, Alaska 99501 _YEAR 1 0 1980 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIE DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 7. PROPERTY OWNERPHONE E '3L15z�Lf MAI LINGADDRESS / PROPERTY RESIDENT (If different from above) PHONE 2. BUYER c �— � � f � 1.] l PHONE MAILING ADDRESS 3. LENDING INSTITUTION n PHONE MAILING ADDRESS 4. REALTOR/AGENT MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6D/clely - Lie w z2n 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY 1 ❑ One Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM p7�y I/ld INDIVIDUAL/ON-SITE** ON-SITE SYSTEM WAS INSTALLED. <❑ PUBLIC UTILITY _YEAR NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY .. 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER Qv ❑Septic Tank or ❑ Holding Tank Size:4a--S'o If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) MUNIUPALITY OF ANCHORAGE Development Services Department �'�`� Phone. 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-041-31 1. GENERAL INFORMATION Complete legal description Mann 132 L213 Location (site address) 16031 Goldenview drive Current property owner(s) Mailing address Real estate agent Jamie Hollis Expiration Date: 10^ 23— 20 2-cD Day phone 16031 Goldenview Drive Anchorage, AK 99516 Z. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: �°'""'�"' �3F3�RSt 8R C6!€S9 2S a i3a P Y LfR Wy 9R�RIIcswnm Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -5-56 -4 ZQ O 1? go Date of Payment 12.17 -lQ Receipt Number ®22 5 -7 G COSA # OS C I l I ".5r - 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The- content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE Phone (907) 745-8200 Date 49- IYiiii�ii i�\SOY i System #1 Approved for bedrooms ✓� Stever W "fla' nn ort e'; r' C:E o1 -9 a System #2 Approved for bedrooms `6%r Disapproved ��� ©/?o, E��� •'` Conditional approval for bedrooms, with the following stipulations: .,rrrrri.,_ PROGkAtJI �� 11 '))))!)))))lull BY te-, Original Certificate Date:. -7— 3 —26 ) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Mann B2 1-213 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA N Well log is filed with Onsite (or attached) Date drilled '021973' Total depth 240* ft Cased to 58.1 * ft X Sanitary seal is functioning correctly Q Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 72/16/19 Static water level at beginning of test 10.0 ft. Comments *Data from 2008 Cosa B. TANK DATA Age of tank(s) 2020 years Tank type/material Poly Measured operating fluid level in septic tank n/a 0 Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Wide Trench Which system tested (date installed) 2020 Q ALL standpipes present per record drawing Total measured depth from grade /3-f ,0 ft (max) Measured depth to pipe invert from grade ft (min) 0 N/A — pressurized field 0 Monitor tubes go to bottom of effective. If not, state depth into effective X Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: Structure served by this system 1 020-041-31 Well production at time of test 1.05 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes ❑✓ No X Coliform bacteria is Negative Nitrate mg/L Q Nitrate less than MRL (ND) Arsenic ug/L ❑Q Arsenic less than MRL (N D) Collected by Pannone Engineering Date of Sample 12116/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station 2020 years Lift station material Comments: ORenco 1250 Adequacy test date n/a Results [D Pass For 5 bedrooms Fluid depth prior to test na in Water added na gal New depth na in Elapsed time na min Final fluid depth dry ' in Absorption rate '750 gpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' F, -'J Yes Community Sewer Manhole/Cleanout > 100' Q✓ Yes if No ft ❑✓ Yes if No Neighboring Tank > 100' ,✓1 Yes if No ft Private Sewer/Septic Line > 25' F,-/� Yes if No Absorption Field on Lot > 100' E] Yes if No ft Holding Tank > 100' 0 Yes if No Neighboring Absorption Fields > 100' F✓ Yes if No Water Main > 10' Animal Containment > 50' ✓l Yes if No ✓� Yes if No ft r✓ Yes: if No Water Service Line > 10' Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' ✓� Yes if No ft 0✓ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F, -'J Yes if No ft Surface Water > 100' ®✓ Yes if No Property Line > 5'✓� Yes Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' if No Yes if No ft Private Wells > 100' F✓ Yes if No Water Main > 10' ft Yes if No ft Community Wells > 200' r✓ Yes: if No 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) ft ft ft ft ft ft ft ft Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10'✓0 Yes if No ft Wells on Adjacent Lots: Water Main > 10'F71 Yes if No ft Private Wells > 100' a Yes if No ft Water Service Line > 10' ✓0 Yes if No ft Community Wells > 200' Q✓ Yes if No ft Surface Water > 100'✓[j Yes if No ft F. ENGINEER'S COMMENTS Septic tank and drain field were replaced. All conditional COSA items have been met. We are asking for unconditional COSA. G. ENGINEER'S CERTIFICATION l certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet ���cver� �F;. Poi��rioran. n "ell Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: MANN, LOT 2, BLOCK 2, Parcel ID: Da D — O q I' :Z,j A. WELL DATA Well type PRNATE If A, B, or C provide PWSID# N/A Date completed 10/2/1978 Sanitary seal (Y/N) YES Total depth 240 ft. Cased to '58.1 ft. 'BEDROCK ® 60' FROM WELL LOG Date of test 10/2/1978 Static water level UNK ft. Well Log (Y/N) YES ,Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 8/29/2007 22 ft. Well production 1.5 g.p,m, 1.63 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate MQ mg./L. Other bacteria O colonies/100 ml. Arsenic: /0 Q Date of sampler 11 Y10 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/18/1978 Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 4/16/2007 Pumper A+ SERVICES C. ABSORPTION FIELD DATA BELOW EXISTING GRAD Date installed 8/18/1978 Soil rating ((p.d./ft rft'/bdrm) 85System type TRENCH Length 22/35 ft. Width 3/3 ft. Gravel below pipe 3/3 ft. Total depth *8.29/7.20ft. Eff. absorption area 392 ft' Monitoring tube YES Depression over field NO Date of adequacy test "8/29/2007 Results (Pass/Fail) ' PASS For 4 bedrooms Fluid depth in absorption field before test 15 in. Water added 600 aal. New depth 22 in. Elapsed Time: 123 min. Final fluid depth18 in. Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — ,**TESTED 22' TRENCH. 35' TRENCH WAS SURCHARGED. 4. 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 riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Z ZS O$ Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 6 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for __Ip_ bedrooms. Disapproved. Conditional approval for bedrooms, with the flowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other . ON-SITE WATER AND •: WASTEWATER PROGRAM 1% By: �m��� �C�/` Original Certificate Date: — r' a- D OIf 6�1 (RM.1IM) D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN "Pump on" level at —in. "Pump off" level High water alarm level at in. Cycles tested Meets alarm to circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 106+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building found iat Sri V APPROX. Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 0' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS �k- SFP A S -9 _X* G. ENGINEER'S CERTIFICATION o I certify that I have determined through field inspections and p e!• review of Municipal records that the above systems are in ..... "" conformance with MOA COSA guidelines in effect on this 0 date. a A. Gar ess.-' Engineer's Printed Name JEFFREY A. GARNESS QQO E 7953 F2 Date 7 13 5 /O $ 0°•°°P `pyo OQ� �o/esslo COSA Fee R "—/ ?;C) n n Date of Payment Receipt Number % 7 q (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS a — 1 - --_ March 6, 2008 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Separation distance from foundation to drainfield for Lot 2, Block 2, Mann Subdivision To whom it may concern: The existing drainfield currently serves the existing 4 -bedroom house. The separation distance between the drainfield and the building foundation is 3 feet which does not meet MOA standards. The portion of the foundation encroaching on the drainfield is a slab -on -grade garage floor, so there is no potential for effluent to adversely impact the structure. If you have any g4tions, please contact us at 337-6179. Thank you for your assistance. M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: www.gamesscngineering.com -27-20M O2:29P FROM: TO: 3M3246 P.1 Ne W Ci.J-el, Sea % a Govt Lk1`�- 4-3 , V, Sfiallo d at 16001 d -o td�etivie0 �rt. 10 rcw lou �u� � oe tl Sec v ZG GLA. a^a?-bar-, I L------------------------------ tj n E. 160th AVENUE N 90'00'000E 300.00' I 1 L— —�20' UTILITY EASEMENT — — — — — — —, 0' UTILITY EASEM — `--20' C.EA POWER UNE EASEMENT LOT 2 TEST HOLE # 98,922 s.f. Ld 8CA I wEl1 V I W 2.5' X 15.4' CANT— DECK � . 30.00' • 124.7' z TWO STO WOOD FRAME RESIDENCE— N 90.0 TEST HOLE /2J 16.1' X SHm C.O. LOT S i / r 1"� 1 S o -.r t..f�• LOT 1 I yl $I LOT 5A I I LOT 56 I PLOT PLAN — AS BUILT X SCALE 1' - SO' GRID SW 3238 Project No. 07-180 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 907) 522-6476 Phone Registered Land Surveyors 907) 522-4625 Faxo4Q q 4p kglangle0olasko.net / Jclangle0clasko.nN ,`.............. 1 hereby certify that 1 have surveyed the following described property: LOT 2, BLOCK 2, MANN SUBDIVISION (PLAT No. 65-105) 491B 9 Anchorage Recording District, Alaska, and that the Improvements situated thereon are 0 ............. ... .....:... within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed �• promises and that then are no roadways, transmission lines or other visible r easements on said property except as Indicated hereon. OQ KENNETH G. Dated this the {i1 DO LS -5202 _ Day of t a ±� Win_—, at Anchorage, Alaska ''l��?� j .•'� H is the responsibility of the owner to determine the existence of any easements, vo lNNAL. �ovsnnnfs. or restrioflons which do net aooecr on fhe reeorded subdivision olof. Municipality of Anchorage Development Services Department Building Safety Division \ On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 i ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Jeff Garness i Legal description: Mann Block 2 Lot 2 ❑Permit ®C.O.S.A. []Inspection Report The attached paperwork has been reviewed and Is being returned for the following reasons: 1. An absorption field may not be located within 10 feet of a building foundation. 2. A septic tank may not be located under a driveway or parking area. Name of reviewer: Poet Date: March 4, 2008 Please supply the necessary information and re -submit your request LEAVE THIS FORM ATTACHED TO THE PAPERWORK