Loading...
HomeMy WebLinkAboutSKYWAY PARK ESTATES BLK 6 LT 14kyway Pork s,a,es lock 6 Lot 14 019-151 -2:3  Municipality of Anchorage Development Services Department ~:i~ii i :~ ~ Building Safety Division On-Site Water & Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ~.~ ~ www.ci.anchorage.ak.us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: OSP1 t 1017 PID Number: 019-151-25 Name: DONNA REDICK Wastewater System: [] New · Upgrade Address: 1401 SHORE DRIVE *ANCHORAGE, AK ABSORPTION FIELD Phone: No. of Bedrooms: (907) 522-2506 5 · Deep Trench [] Shallow Trench [] Bed []Mound []Other LEGAL DESCRIPTION Sol, .°ting: Tota, pth. ..... ,g,no, grade: 0.6 GPO/S.. Ft. 11 .26 MAX rt. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Grovel depth beneath pipe: 6 14 SKYWAY PARK ESTATES 6.09 MAX Ft. 5.0-5.17 Township: Range: Section: Fill added above original grade: Grovel length: - - - SEE DWG. Ft. 2 @58'=76 Pt. ~ Gravel width: Number of Il .... Dist .... t~ .... Ii WELL: [] New [] Upgrade 2.5 Ft. 2 Ft., ClosslficaUon (Prlvote. &B,C): Total Dept~3~-'"'~ Cased To:(BEDROCK) Total absorption area: Pipe motedok Date Drilled: Static Water Level: Installer: Date installed: rt. WILCO CONTRACTORS 5/9-12/11  Pump Set At: Casing Height Above Ground: rt.Ft. TANK GPM SEPARATION DISTANCES = Septic [] Holding [] S.T.E.P. [] Other* T_~.._T° Septic Absorption Lift Holding Public/Private Manufacturer. Capacity in gallons: Tank Field Station Tank Sewer Lines GREER 1 000 tram "---.., Materiat: Number of compartments: We~l 100'+ 100'+ - - 25'+ STEEL 2 Surface Wa[er 100'+ 100'+ - - - LIFT STATION Size in gallons: I Manufacturer:. Lot Line 5'+ 10'+ _ _ _1 Foundation 5'+ 10'+ -- -- -- "Pump on" level at: "Pu,..L~er Curtain Drain - NONE KNOWN Purnp ~ectncol Inspections pertormed by: I I Remarks: BENCH MARK LocoUon and Description: OLD TANK AND DRAINFIELD WERE "DECOMMISIONED" PER UPC. BOTTOM OF TRIM SIDING @ CORNER OF HOUSE BY ELECTRICAL /TELEPHONE BOXES Assumed Elevation I oo.oo ENGINEER'S S~ Inspections performed by: GEG, Ltd. Dates: 1st 3/9/11 ~--..~<~ 2nd 5/1o/11 ~" ',J., /.j~ 3rd 3/11/11 ,/ o=' :?' ...~_~ 9 Development Services Department Approval ~' '-"~;)~':'~ ......... 1'"' .... Conditional approval: D o re: ____ ~ ].:-- Reviewed and approved by: :?' '~/:,~.~-:r¢_. * ' : '- PERMIT NUMBER: AS BUIL DRAWING PARCEL ID NUMBER: 0SP111017 - 019-151-23 I \ ~JCI'[ '" '" X B c ST1 56.46 16.34 52.01 ST2 57.77 14.70 58.26 100' WELL RADIUS DBL1 56.02 17.05 50.25 r DBL2 ,56.25 16.80 50.91 ! / DBL,5 38.50 14.98 59,71 ! ! DBL4 ,58.89 15.2,5 60.59 ! FS 29.07 20.00 \ ~ / / C01 45.71 32.49 \/_~ / / MT1 42.41 29.55 \ ! / C02 12.99 24.97 \ I' Y APPORXIMATE LOCATION / MT2 12.10 24.56 I ~! OF WATER LINE / I // C03 41.98 37.88 ~ / MT3 42.80 ,58.76 \ I / // C04 4,5.97 40.65 \ ! / x / / / MT4 45.67 40.41 x ! / / / / / / "~ / 1&2 /" / ! ~jJ~ SKYWAY PARK / / ESTATES; BLOCK 6, C / LOT 13 /~e~ / ON AWWU SEWER ! / / DBL3&4 / / / / / / / / / / / / / / / /' EXISTING 3 / BEDROOM E / HOUSE / :03 CO: b~ // / SCALE: 1"= 40' GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENEP~AL CONT~CTOR$ 5701 E. TUDOR RO~D, SUITE 101 * ANCHORAGE, AK 99507 * PHONE (907)337--6'179 * FAX (907)'~58-5246 * ~/EBSITE: ,~n~w.gornessenglneerlncJ.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DONNA REDICK 522-2506 2 OF 5 LEGAL DESCRIPTION: DRAWN BY: SKYWAY PARK ESTATES; BLCOK 6, LOT 14 PNB TYPE OF WORK: DATE: ASBUILT DRAWING 1 A. Garness.: PERMIT NUMBER: AS BUILT DRAWING PARCELO NUMBER: OSP111017 - 019-151 -23 FINAL GRADE = 99.29-99°33 ST~ / S_T2 TOP OF TANK ~ = ~ - /-- TOP OF TANK AT INLET = 94.4~ ~./ -- ~TLET = 94.42 N I., ,,l INVERT OF BUNG I SEPTIC ORIGINAL G~DE ORIGINAL GRADE ~ HIGHEST POINTm ~ / ' = 99.78+MTCO ~FINAL G~DE HIGHEST POINT= 99.06~ ~FINAL G~DE = 99.65+  RESTIVE EL~ATION OF BOSOM OF TESTHOLE = 81.56(DRY)  . OF~~ DONNA REDICK 522-2506 2 OF 3 DRAWN BY: VO~, t/CE-79 ; .."A~/ LEGAL DESCRIPTION: SKYWAY PARK ESTATES; BLCOK 6, LOT 14 PNB ~ROF~LE *S~UlLT DRAWIN~ S/~/~ N 69 4~' 00" W. 2eo.eo WELL N 69 40' 00" W. 200.00 SHORE DRIVE AS-BUILT SURVEY 1 · = 30' NO CORN~S ~'mlS DATE I HEREBY CERTIFY THAT T HAVE PERFORMED ASURVEY OF THE FOLLOWIN~ DESCRIBED PROPERTY LOT [4~ BLOCK 6j SKYWAY PARK ESTATES ANCHORAGE RECORDTNG DISTRTCT, ALAS~A~ AND T~AT THE V~SIBLE IMPROVEMENTS SITUATED THEREON ARE WZTHZN Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit 0SPl11017 01915123000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: February 25, 2011 to February 25, 2012 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: SKYWAY PARK ESTATES Site Legal Address: SKYWAY PARK ESTATES BLK 6 LT 14 G:2729 Owner/Address: REDICK R RUSSELL & DONNA L 1401 SHORE DRIVE ANCHORAGE AK 995153206 Site Mailing Address: 1401 SHORE DR, Anchorage Lot Size in Sq Ft: 59677 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: ~ / ~ Date: Date: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services On-Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907- 343-7997 Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 019-151-25 Property owner(s) DONNA REDICK Mailing address 1401 SHORE DRIVE *ANCHORAGE, AK 99515 Day phone 907-522-2506 Site address 1401 SHORE DRIVE *ANCHORAGE, AK 99515 Legal description (Sub'd, Block & Lot ) Legal description (Township, Section & Range) SKYWAY PARK ESTATES; BLOCK 6, LOT 14 Lot Size Sq. Ft. Number of Bedrooms 5 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 [] THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: N//A 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: Date of Payment: Receipt Number: Permit No. (Signature of property owner or authorized agent) Waiver Fees: ~:~/,-~¢~ [ ~1 Date of Payment: 0 ~ d ~ q Receipt Number: 03¢ I/l (b 1-~ Waiver No. (Rev. Ol/1 1) Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP111017 O19151230OO Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: February 25, 2011 to February 25, 2012 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: SKYWAY PARK ESTATES Site Legal Address: SKYWAY PARK ESTATES BLK 6 LT 14 G:2729 Owner/Address: REDICK R RUSSELL & DONNA L 1401 SHORE DRIVE ANCHORAGE AK 995153206 Site Mailing Address: 1401 SHORE DR, Anchorage Lot Size in Sq Ft: 59677 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Date: ' ~ //t/ Date::~/~~/ GARNESS ENGINEERING G. ROUE Ltd. CONSULTANTS & GENERAL CONTRACTORS February 18, 2011 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Skyway Park Estates; Block 6, Lot 14 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. There is an AWWU sewer main that runs through Shore Drive. After contacting AWWU they informed us that there was no sewer stub to the referenced property. Due to initial high costs to bring a sewer stub to the property we are proposing to install a 1000 gallon septic tank and a deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, ~oundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached desi~on drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4~ TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the drainfield is relatively flat. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Singe~ely, ~ :q ~ JeffreY A.[G~arness~M.S. Presi~tent i/ NOTE: Attached is a site plan drawing, a design drawing, one soil log, 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 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com PUBLIC WATER SKYWAY PARK ESTATES; BLOCK 6, LOT 5 PUBLIC WATER PUBLIC WATER SKYWAY PARK ESTATES; BLOCK LOT 12 SKYWAY PARK ESTATES; BLOCK 6, LOT 4 /f.----------.~. iI SKYWAY PARK ?. ESTATES; BLOCK 6..' "' LOT 1.3 1 \ \\ \ APPX. EXISTING WELL BEDROOM LOCATION HOUSE SKYWAY PARK ESTATES; BLOCK 8, LOT 10 / SK A¥ PARK\ ESTAT'ES; BLOCK ~8, LOT 9 I I PUBLIC WATER SKYWAY PARK ESTATES; BLOCK 6, LOT 3 SKYWAY PARK ESTATES; BLOCK 6, LOT 2 lOO' WELL RADIUS= / / / /- SEPTIC SYSTEM SKYWAY P'~RK ESTATES; BLO(~K 8, LOT 8 \ SKYWAY PARK ESTATES; BLOCK 6, LOT 15 APPX. / WELL LOCATION / GAR. NESS EN'GIN:EERIiNG GROUP, :Ltd. CONSULTANTS & GENERAL CONTRACTORS E. TUBOR ROAD, SUITE 101 · ANCHORAGE, AX 99507 "PHONE (907)337-6179 · FAX (907)338-3246 · WEBSFrF.: ww~,'.gomes~engineering,com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DONNA REDICK 522-2506 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: SKYWAY PARK ESTATES; BLOCK 6, LOT 14 PNB 7h'PE OF WORK: DATE: SITE PLAN 2/18/2011 Gornes / / DESIGN CRITERIA: NUMBER OF BEDROOMS: GALLONS PER DAY (GPD): 4.50 PERCOLATION RATE/S: 20 PROPOSED APPLICATION RATE: 0.6 MINIMUM DRAINFIELD SQ.FTo: 750 DRAtNFIELD DESIGN: MAXIMUM DEPTH: 11 WIDTH: 2.5° LENGTH: 54' M,O.A. APPROVED SAND FILTER: N/A EFFECTIVE: 7' REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 756 GEG, Ltd. HAS A 7 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. 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. NOTE: THE CONTRACTOR SHALL HAVE ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO \ CONSTRUCTION. 100' WELL RADIUS / / / / / SEEPAGE PIT TO/ BE "DECOMMISSIONED" PER UPC / EXISTING TANK TO BEd/~,, "DECOMMISSIONED" PER~> UPC PROPOS'BD. ,/ 1000 GALLOi~' ~-. J / ~/_~ SEPTIC iASSUMED LOCATION DBL OF EXISTING C/Os DRAINFIELD. TO BE EXISTING 3 ABANDONED IN BEDROOM PLACE. / HOUSE ~MT TH#I.~ ~/-~ / INSTALL FCO ~- PROPOSED ¢~t>.~V~ D RAINFIELD s-~s? ~ ~o /4' SCALE: % 1"= 40' I I PAGE NUMBER: DRAw. BY: .." PNB / / GAR'NESS ENG.' ' "'f.:N.EERING .... GROUP, iLtd. CONSULTANTS & GENEP-J~L CONTRACTORS 5701 E. TUDOR ROAD. SUITE 101 ' ANCHORAGE, AK 99507 * PHONE (907)537-6179 * FAX (907)338-3246 ' WEBS[TE: ~w.gome~englneerlng.com PREPARED FOR: PHONE NUMBER: DONNA REDICK 522-2506 LEGAL DESCRIPTION: SKYWAY PARK ESTATES; BLCOK 6, LOT 14 TYPE OF WORK: SEPTIC SYSTEM DESIGN UPGRADE (Rev. 01/05) PERFORMED FOR: DONNA REOICK DATE:~~ (feet) %~%~: ORGANICS ............ ~ ~1~} ~ ,~ ATTACHED - ?.:.}¢} s~ ~:¢,X~ OH 7-- ~ I¢~:; DEPTH TO DATE H18~:~ GROUNDWATER .~:::~-~ , ~1~ GW-GM DRY 2/10/11' 8~ ~ I~ TO GM DRY 2/17/11 9- ~ I~ ~I¢;~%' _ sc,~E: ,o- ~1~ I 1~ ~ ~1~: TIME (MINUTES) READING (INCHES) ~4'"~"~1~;:~'. ~1~11 1 ,:o~ _ ~.oo.. - / ~ 1~3~: 2 ~:~ ~o ~zo" 1 ~o" , - '_ 1 / ~ I:~E.;;~ i 6 5:33 30 4.50" 1.50" 20 ~ - ' A FOUR HOUR PRESOAK WAS PERFORHED: SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL CONNENTS: PERFORMED BY GEG, Ltd. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS WAS BERFOBMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DEPTH TO GROUNDWATER DATE DRY 2/10/11 DRY 2/17/11 REAl ANCHORAGE AREA BORO"SH Department of Environment Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION _~E/~z~_~./7/~/ /~/]~//~,~/' LEGAL DESCRIPTION SEPTIC 'rANK: DISTANCE FROM WELL INSIDE LENGTH __ MANUFAC-rU RER ,~,~ ~Z~ MATERIAL ~NS~DE W~DTH. - UQU~D DEPTH NUMBER OF COMPARTMENTS --- LIQUID CAPACITY/~2~) GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL ?fi/ FOUNDATION ...... ~'~/ / .NEAREST LOT LINE /o~ / TOTAL OF LINES LENGTH//y~/ NUMBER OF LINES c~) _ DISTANCE BETWEEN LINES -- --' TRENCH WIDTHd~O. IN. TOTAL EFFECTIVE ABSORPTION AREA_ ~'~ ~'; ~''~'____ SQ. FT. LENGTH OF EACFI LINE ~ / ~Z /// / DEPTH: TOP OF 'FILE TO FINISH GRADE_ ~ / DEPTH OF FILTER // ~'~// MATERIAL BENEATH TILE ~ .IN. ABOVE TILE IN. WI--LL: TYPE CONST RUCTION _DEPTH _~'/~ · DISTANCE FROM: BUILDING ~,~/ FOUNDATION~__, CESSPOOL _ APPROVED NEARES1- LOT LINE OTHER SOURCES DISAPPROVED NEAREST / SEPTIC ./ SEEPAGE / INSTALLED BY: ./~'E~/u ~(C, , _ SEWER LINE DEPTFh ~* / PIPE MATERIAL; LOT SLOPE: DIAGRAM OF'- SYSTEM III / G.A.A.B. Form PW,O27 GREATER ANOHORAGE AREA BOROUGH SEWAGE DISPOSAL. SYSTEM -- APPLICATION AND PERMIT PERMIT NO.- INSTALLATION LOCATION -- SOIL TEST RESULT~ ~ MINIMUM DIBTANCE$, REQUIREMENTS 5 ft. FOUNDATION TO SEEPAGJ': PIT 20 ~te SEPTIC TANK TO SEEPAGE PIT WALL ]*5 ft ~* SEPTIC TANK 5 f'~9 --, SEEPAGE PIT ~0 ft, DRAIN FIELD -- '~.0 ft, D.AIN FIELD WATER MAIN TO BEPTfC 'rANK DRAIN FIELD -- 10 ft. S~PT,C T^N~. 25 ft. SEEPAGE P,T 100 f~.., D.Ai. ~,£LO ~0 ft. HEALTH AUTHORITY OR LICENSED DEBIGNER OA'~E [/2//?~ A,'PL'OANT'B B'O"'AT""E ' ' ¢ 28-88 AND THAT ]'HE ABOVE R&M Civil Engineers ENGh , I:RING & GEOLOGIO-.,_ CONSULTANTS 229 EAST 51st. AVE. - P.O. BOX 6087- ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419 Geologists Land Surveyors .lAMES W. ROONEY, P. E. MALCOLM A. MENZiES, P.E.. L.S. JAMES H, WELLMAN, P.E. August 31, 1972 No, 26540-26 RALPH R. MIGLIACCIO Engineering Geologist Marx Excavating P. O. Box 10232 Anchorage, Alaska Re: Test Hole and Soil Log Report for Sanitary System Lot 14 Block 6, Skyway ]?ark Estates Dear Mr. Marx: We are submitting herewith the test boring results and our comments re- gardlng soil conditions encountered at the subject site. This investigation was performed in accordance with your request of August 30, 1972 and those procedures outlined in a letter dated September 13, 1971 by 1V[r. Roll Strick- land of the Greater Anchorage Area Borough Dep~Lrtment of Environmental Quality. A single test hole was put down within the Lot i4 area for the purpose of defining general subsurface soil condkions ~or the proposed sanitary ~ystem. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 7 feet below ground surface. The final log prepared ~or the test hole has been included in Drawing A-01. Ground water was not encountered in 'the test hole. We appreciate being given 'this opportunity 'to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & IV[ ENGINEERING & GEOLOGICAL CONSULTANTS James W. Rooney JW R: wb Enclosure xc: Greater Anchorage Area Borough ANCHORAGE FAIRBANKS JUNEAU PUBLIC WATER SKYWAY PARK ESTATES; BLOCK 6, LOT 5 PUBLIC WATER PUBLIC WATER SKYWAY PARK ESTATES; BLOCK LOT 12 SKYWAY PARK ESTATES; BLOCK LOT 4 \ ~.~. SKYWAY PARK '~' ESTATES; BLOCK 8, LOT 10 ./ / / / · / SKYWAY PARK "~ ESTATES; BLOCK6,I ~ LOT 13 ' ~ \ \\ \\ \ 100' WELL RADI~: I / - APP×. EXISTING WELL BEDROOM LOCATION HOUSE SKYWAY PARK ESTATES; BLOCK 6, LOT 3 100' WELL RADIUS: / / / SK~AY PARK\ ESTAT'ES; BLOCK 18, SKYWAY / LOT 9 I ESTATES; BLO(~K''~' 8, LOT 8 PUBLIC WATER SKYWAY PARK ESTATES; BLOCK 6, LOT 2 SKYWAY PARK ESTATES; BLOCK 6, LOT 15 / APPX. WELL LOCATION 100' PREPARED FOR: DONNA REDICK LEGAL DESCRIPTION: SKYWAY PARK GARNESS EN'GINiEERING GROUP, iLtd. CONSULTANTS & GENERAL CONTRACTORS E. TUDOR ROAD, SUITE 101 * ANCHORAGE, A~ 99507 * PHONE (907)337-6179 ~ FAX (907)~38-324~ * WI~sr~ wvtw.gom~sengineedng.com I PHONE NUMBER: I PAGE NUMBER: 522-2506 1 OF 2 DRAWN BY: ESTATES; BLOCK 6, LOT 14 PNB TYPE OF WORK: DATE: SITE PLAN 2/18/2011 / / DESIGN CRITERIA: NUMBER OF BEDROOMS: 3 GALLONS PER DAY (GPD): 450 PERCOLATION RATE/S: 20 PROPOSED APPLICATION RATE: 0.6 MINIMUM DRAINFIELD SQ.FT.: 750 DRAINFIELD DESIGN: MAXIMUM DEPTH: 11.5' WIDTH: 2,5' LENGTH: 76' TOTAL (2 @ 38') MoO,A. APPROVED SAND FILTER: N/A EFFECTIVE: 5' REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 760 GEG, Ltd. HAS A 7 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN° TO OBTAIN A COPY OF THE LETTER CONTACT GEG. 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. / / EXISTING TANK TO BE / ~ "DECOMMISSIONED" PER UPC PROPOS~--D 1000 GALLO'I~' SEPTIC EXISTING BEDROOM HOUSE INSTALL FCO NOTE: THE CONTRACTOR SHALL HAVE ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. 100' WELL RADIUS / SEEPAGE PIT TO/ BE "DECOMMISSIONED" PER UPC TH#1-~ DOUBLE CLEANOUTS FLOW SPLITTER PROPOSED DRAINFIELDS GAR'NESS ENGINiEERING GROUP, iLtd. CONSULTANTS & GENE~:~,L CONTRSACTO~:S E. TUDOR ROAD. SUITE 10! * ~HOI~E, AK 99507 * PHONE (907)337-6179 * FAX (907)358-32~,6 * WEBSIT~ ww~.gome~engineering.com PREPARED FOR: PHONE NUMBER: I DONNA REDICK 522-2506 I LEGAL DESCRIPTION: SKYWAY PARK ESTATES; BLCOK 6, LOT 14 PAGE NUMBER: 20F2 IDRAWN BY: DATE}/ /20 ]h'PE OF WORK: REVISED SEPTIC SYSTEM DESIGN UPGRADE (Rev. 01/05) tASSUMED LOCATION OF EXISTING DRAINFIELD. TO BE ABANDONED IN PLACE~ / / / / SCALE: 1" = 40' / / Ii T.H.-I B~30-?~ ORGANICS O,OI ORGANIC SILT W/SOME GRAVEL. SANDS ~ GRAVEL W/SOME COBBLES , TO SOME SILT Medium Dense (SW~GM) No Water Table 7,0* Note: Hole excavated with tractor mounted backhoe. William Boordman Property Englneerlng~Geological Consultants LOG OF TEST BORING Anchorage Alask¢l ~-~o-',~ I~°*~ '": ,'.J~"~-""~ G.A.w. lo.~o ~ w.E.o J..o~..o. ~4o-~, .o. A-O, d' f` � � � NT co c'7 I-- r— � � W C ca ,no LL V a_ QN TO ♦i� V z LL 01 J Q c C U CO UL L 0 Q n z o� a)U) U a) 06 ^L` E CL O a) a) DO c� O Q Q Q cn N U) N 0 O N (Cf U W Io N N N LO ai cu D C O M 0- x x W 0 0 0 N LO T� CDV J r a) U ca H J LO Y LO J O7 m � U) Y w F- h- L U) O W U Y � Q Q. Q LLJ O U) �C) V O Q U) U N U) M J CO `-J x iii c O a V) 0) C 0 0 a) 3 ui 0 O a) 0 O 0 - CL N C 0 O W E 0 U \, v O 0O O � U) Q EL -a Q. O 3 'v v U) L c C O ~o U) 'a L d O O 0 0 C 'v) U) .a :3 y a) OL a _ Rf _� Q SOA > L+ o •E ❑ Q > N U) 2 Q Q Q E d.� N o — m as a) cn U)s p 3 c as o a .N �: z Q U E ,_, N E 0 O .Q ❑ Q CL N Q 0 0) c 0 U) >%% N c cn A 4- Q) U) +�, � 0 o N W .0N a cn N E Q M -N o a Q 0 4— O > O Q U) (1)2 L Uo )N IL >U Q L ❑ O U C O Q a) t4 O v_) L� L Q a L Q L U) Z U) 0 N C E O O U= m s N m t V s F- U) N Q =d U) % E� 03 \ U) 00 A 0 .\ CL E � O z � �3 . �g F c 0 \ J Q Z CD \ / 5 ELU U . § ƒ -1 =d U) % E� 03 \ U) 00 A 0 $ �� O z q LO & o . �g F c 0 \ J Q Z CD / — CL / 5 ELU U . § ƒ -1 \ � 3 2 L # 5 � � k k / / . U) � 2 / 2 a)O ® §CL CN \ \ E 0 E 3 / E E g 2 - E $ C E / / g ƒ El � w � ~ / § k § / q ƒ ❑ ❑/ 2 \ ( @ - 3 w / ®o C J 2 2 . El cu @ \ @ E z 2 @ f / 0 c ¢ ?>>/ Z El® 2 c C w J Q Cl) ❑ % 2| a§ > g \ / � \ m w / E O Z o O _IL El/ ❑ °.9 q a w / ❑/� E 7cn k W. cn 3 / § LU z - u 2 U� F LU � 2 .. � k / u '\ w w . _ C= % w w k �| O / 0 w\ f � 2 % 0 d « « : \ M0 k w m2 W cli d 2 L # 5 � � k k / COSA Checklist.docx COSA Checklist Legal Description: SKYWAY PARK ESTATES BLOCK 6, LOT 14 Parcel ID: 019-151-23 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled UNKNOWN Total depth *51 ft Cased to *40 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/28/24 Static water level at beginning of test 46 ft. Well production at time of test 3.4+ gpm Water storage tank volume NONE gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 5/22/24 Comments *Per MOA records & inspection. B. TANK DATA Measured operating fluid level in septic tank 49” Date of pumping 5/28/24 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 3/9/2011 ALL standpipes present per record drawing Total measured depth from existing grade 12.3 ft (max) Measured depth to pipe invert from grade 6.8 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 5/28/24 Results Pass Fluid depth prior to test 42 in Water added 470 gal New fluid depth 52 in Elapsed time 1380 min Final fluid depth 39 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 60 in (MOA 5’ ED) Effective depth used 39 in (Final Fluid Depth) Effective depth (ED) remaining 21 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximate. Tested E trench only as previous COSAs / tests. W trench had 49” of standing fluid. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No *5 ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *PER CODE AT TIME OF INSTALL. G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 5/31/24 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 5/31/24 Development Services Department On -Site Water & Wastewater Section Parcel I. D. 019-151-23 1111 l�� i Im 11111 1 11, iiiir��;11 I Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: _9-2 -21 Complete legal description SKYWAY PARK ESTATES BLOCK 6, LOT 14 Location (site address) 1401 SHORE DRIVE, ANCHORAGE, AK 99515 Current property owner(s) DON BROWN & CATHERINE OKESON Day phone Mailing address Real estate agent 1401 SHORE DRIVE, ANCHORAGE, AK 99515 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: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 50 Date of Payment 5421 1 boa 1 Receipt Number 4 11 a 1 b Date: Waiver Fee $ Date of Payment Receipt Number COSA # 05G 21 J 2 (;2 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350.9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 5/2012021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the r •�(� well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q: • . •,9 ��� for current or future occupants or guarantee that no unseen encroachments, deficiencies or JJ discrepancies exist can be given by First Water Consulting& FW[,5 ' *� 49 TH •�* // ... ...... 6. DSD SIGNATURE Curtis Huffman System #1 Approved for bedrooms CE 128991 System #2 Approved for bedroomsPROF S NP���� Disapproved Conditional approval for bedrooms, with the following stipulatR of ((� /`/// �. O W NS By: 1 EjOriginal Certificate Date: 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 Legal Description: SKYWAY PARK ESTATES BLOCK 6 LOT 14 Parcel ID: 019-151-23 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UNKNOWN Total depth *51+ ft Cased to *40+ ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/11/2021 Static water level at beginning of test 47 ft. Structure served by this system _ Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 0.79 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FWi:— Date of Sample 5/11/2021 Well production at time of test 5 gpm Comments *PER MOA RECORD DOCS & FWCS INSPECTION B. TANK DATA Age of tanks) 10 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49" ® Standpipes/foundation cleanout per record drawing Date of pumping 5/11/2021 D. ABSORPTION FIELD DATA Which system tested (date installed) 3/9/2011 ® ALL standpipes present per record drawing Total measured depth from grade 11.8 ft (max) Measured depth to pipe invert from grade 6.8 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not state C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 5/11/2021 — TESTED E TRENCH Results R Pass For 3 bedrooms Fluid depth prior to test 10 in Water added 450 gal New depth 20 in depth into effective Elapsed time 1400 min ®Code -required soil cover over field Final fluid depth 9 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: AS PREVIOUS TEST — WATER WAS INJECTED DIRECTLY INTO THE MT (E TRENCH) FW'%S E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No *5 Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *5 ft Surface Water > 100' ® Yes if No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® 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) Building Foundation > 10' ® 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' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *PER CODE AT TIME OF INSTALL. G. ENGINEER'S CERTIFICATION l certify that / 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. law Ave .. .... ....�..�.`. P Curtis Huffman ����F�/•.• CE 128991 .••�`w,�� e�'•S(2o/2J.•Flo '��v�o ft ft ft ft ft ft ft ft EPL NS • ••, t J E Municipality of Anchorage r Q On-Site Water and Wastewater Program (907) 343-7904 '� 5 A f E Certificate of On-Site Systems Approval IParcel I.D.019-151-23 Expiration Date: ' U 1. GENERAL INFORMATION: Complete legal description Skyway Park Estates; Block 6, Lot 14 Location (site address) 1401 Shore Dr.Anchorage,AK 99515 Current Property owner(s) Sherry Walley-Hoff Day phone 907-538-5727 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex I 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 $ 56D / Waiver Fee $ Date of Payment 5/2$1/'7 Date of Payment Receipt Number ©34510 C-1 Receipt Number COSA# QJCI q !'e.3 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: S/23/'1q 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 ,,,000ONti,� industry practices. The reported results describe the condition of the system/s on the date/s of the o OF A 4�d evaluation. Separation distances were measured to readily identifiable features. Hidden defects or o ' s�A�q encroachments may exist that were not identified during the evaluation. The operational life of all wells Q�•�.••• V and septic systems depend upon a variety of variables, including but not limited to, soil conditions, ,' • �.A* 01 groundwater levels (that may fluctuate during the year), quality of construction (materials and / ' 9 ,I ''.37( workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and / VA 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 ' ,., ••, G the well or septic system. GEG makes no representation whether an alternative well or septic system / '••Je f • A. Gorn:.s•: a can be installed on the property in the event either of the current systems fail to perform adequately in O,'13 9 • CE 79' �`QGi the future. The content of this report is for the sole benefit of the person/party that retained GEG to V s • •c Q perform the evaluation. Reliance upon the information provided in this report by any other person or 04"'e, '54? .j. ,o party (including subsequent property purchasers) is not authorized, nor will it confer any legal right 4peap�o/essio^°oma whatsoever. miummetv4 6. DSp SIGNATURE ' aeze.613i �C System #1 Approved for 3 bedrooms �lllllll((((f/��� System #2 Approved for bedrooms `` ��„%.,\PALITY0,c�er�i'' Disapproved '' p ONS y. Conditional approval for bedrooms, with the follow` tiphj97Bt cR �T�c O r.'r �p'-4 Tic q"D E::".. 'IN 9-14 Ad ir "--. By:., 1 1.,.---(= Original Certificate Date: (63- 17 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 N Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: SKYWAY PARK ESTATES; BLOCK 6, LOT 14 _ Parcel ID: 019-151-23 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 5.3+ gpm Date drilled UNK Water storage tank volume N/A gallons Total depth ..50.8+ ft Well disinfected for coliform test? 0 Yes No Cased to X40'+ ft ❑t Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate I'a8 mg/L ❑ Nitrate less than MRL(ND) ❑■ Wires are properly protected Arsenic ug/L j 'Arsenic less than MRL(ND) Casing height(above ground) 12+ in. Collected by GARNESS ENGINEERING GROUP Date of flow test for COSA 5/9/19 Date of Sample 5/10/19 Static water level at beginning of test 47.8+ ft. Comments *PER AAROW PUMP AND WELL CAMERA INSPECTION IN MOA RECORDS PER GEG INSPECTION B. TANK DATA C. LIFT STATION Age of tank(s) 8 years 0 Required maintenance complete. Tank type/material SCviCSTEE Age of lift station ye. ❑■ Standpipes/foundation cleanout per record drawing Lift station material "Date of pumping 5/6/2019 Comments. D. ABSORPTION FIELD DATA Which system tested(date installed) 3/9-11)11 Adequacy test date 519/19 ALL standpipes present per record drawing Results ❑✓ Pass For 3 bedrooms Total measured depth from grade 12.2+ft(max) Fluid depth prior to test 17.5 in Measured depth to pipe invert from grade 5.5+ ft(min) Water added 706 gal 0 N/A—pressurized field New depth 40 in ❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 120 min depth into effective 5.2. p 0Code-required soil cover over field Final fluid depth 34 in 0 System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) N/A date of test) N/A Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies:TESTED SOUTH TRENCH ONLY AT MT1;NORTH TRENCH HAD 17.3"OF LIQUID PRIOR TO START OF TEST 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' 0,/ Yes if No ft E Yes if No ft Neighboring Tank > 100' ✓QYes if No ft Private Sewer/Septic Line>25' ElYes if No ft Absorption Field on Lot> 100' ['Yes if No ft Holding Tank> 100' ✓Q Yes if No ft Neighboring Absorption Fields> 100' Animal Containment> 50' 0 Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage> 100' Community Sewer Main > 75' 0 Yes if No ft D 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' g Yes if No ft Property Line>5' 0✓ Yes if No ft Driveway/Parking > 0' ✓0 Yes if No, comment Absorption Field> 5' ✓Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells> 100' E Yes if No ft Water Service Line> 10' E Yes if No ft Community Wells>200' ✓O Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation> 10' 0 Yes if No ft Driveway/Parking> 0' ✓0 Yes if No, comment Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells> 100' 0✓ Yes if No ft Water Service Line> 10' ❑✓ Yes if No ft Community Wells>200' 0✓ Yes if No ft Surface Water> 100' 0✓ Yes if No ft F. ENGINEER'S COMMENTS INPUTING WATER INTO THE CLEANOUTS OF THE DRAINFIELD CAUSED A RISE IN THE DIVERTER VALVE LIQUID LEVEL; THEREFORE WATER WAS INPUT THROUGH THE MONITORING TUBE TO ENSURE ALL METERED WATER ENTERED THE DESIRED TRENCH od�oopp� G. ENGINEER'S CERTIFICATION o . '3- 7-... oP' .•�. .... .•,�54t 1 certify that 1 have determined through field inspections and review -4.- '..-i-00 of Municipal records that the above systems are in conformance with 4° T i' 7.‘ ;00 MOA COSA guidelines in effect on this date. 0 D v J- f'.,4 A. Garn ss: 0 tiO .1 CE— . �p� 1\Q,P, '•S 23 .1'ic<s0-7 COSA Checklist yellow sheet U4�pr o f ess'oao� #AECC88a '..QO qi Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O, Box 196650 Anchorage, AK 99519-6650 w-ww.muni.orglonsite (907) 343-7904 CERTIFICATE FOR A OF ON-SITE SYSTEMS APPROVAL SINGLE FAMILY DWELLING Parcel I.D. 019-151-25 1. GENERAL INFORMATION Expiration Date: 8" ~ 3 "/// Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent ., Mailing address SKYWAY PARK ESTATES; BLOCK 6~ 14.01 SHORE DRIVE *ANCHORAGE, AK DONNA REDICK 14.01 SHORE DRIVE *ANCHORAGE, AK LOT 14- Day phone 522-2506 Day phone DAR WALDEN W/ KELLER WILLIAMS Day phone 865-6520 101 W. BENSON BLVD SUITE 50,3 *ANCHORAGE, AK 99505 Un/ess otherwise requested, COSA will be held by DSD for pickup. NUMBER'OF BEbRoOMS: 5 3. ,TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individua Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class__Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF !NSPECT]ON BY ENG!NEER 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 . ~" "· ~'' '~.'~'~ ......... wo,er s,pp, z and/or wastewater di ..... ! system ~ (are) safe, func;ional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the ,n,o,,,,~L~un obtained '"~ the ~,,,,,~.,p=,,,.~ o, 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 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA' DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how Iong 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 w,~atsoever. DSD SIGNATURE L/ Approved for 3 bedrooms, Disapproved, Conditional approval for COSA Ch~khs~ Septic System Advisory Well Flow Advisory Nitrat By: (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: 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: SKYWAY PARK ESTATES; BLOCK 6, LOT 14 Parcel ID: 019-151-23 WELL DATA Well type PRIVATE IfA, B, or C provide PWSID# N/A Date completed PRE 1969 Sanitary seal (Y/N). YES Total depth *52+ ft. ~ Cased to **40+ ,ft. *PER GE(; INSPECTION. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) **PER AAROW PUMP AND WELL INSPECTION. SEE ATTACHED, NO YES 12+ in. FROM WELL LOG AT INSPECTION Date of test NO WELL LO(; 1/21/11 Static water level ,/"'"' ft. 49 Well production ,,--/ g.p.m. 5.3 ,ft. .g.p.m. WATER SAMPLE RESULTS: Coliform ~;.~i colonies/100.ml. Nitrate~l~.'/.~mg./g Arsenic~:tJg./L. Date of sample: ~ Collected by: GE(;, Ltd. SEPTIC/HOLDING TANK DATA *DOUBLE C/O'S PRIOR TO TANK Tank Type/Material SEPTIC/STEEL Tank size 1000 gal. Number of Corn partments 2 Foundation, cleanout (Y/N) *YES Depression over tank (Y/N) Date of pumping NEW Pumper. NO Date installed 3/9-12/1 1 Cleanouts (Y/N) YES High water alarm (Y/N) N/A ABSORPTION FIELD DATA Date installed 3/9-12/11 (2 o Length 76 'TOTAL .ft. · 11.68+/ Total depth .11.85+ ft. Eft. absorption area 760 ft2Monitoring tube YES Date of adequacy test NEW Results (Pass/Fail) PASS Fluid depth in absorption field before test - in. Water added - gal. Elapsed Time: - min. Final fluid depth - in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) I'BELOW FINAL GRADEI Soil rating (g.p.d./ft2o~ 0.6 System type DUAL DEEP TRENCH Width 2.5 .ft. Gravel below pipe 5 .ft. Depression over field NO For 3 bedrooms ., New depth - in. Absorption rate >= 450+ g.p.d. KNOWN If yes, give date - NONE D. LIFT STATION Date installed "Pump on" level at . in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons Manhole/Access (ff~ ~ "Pump off" leveJ_at~ High water alarm level at Cycles tested. Meets alarm & circuit requirements? 100'+ Septic tank/lift station on lot Absorption field on lot: 100'+ Public sewer main 75'+ Sewer/septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas 100'+ 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'-t- Water main N/A Water service line. 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption field. 5'+ Surface water, 100'+ Property line Water service line Curtain drain NONE COMMENTS 10'+ 10'+ KNOWN Building foundation 10'+ Surface water 100'+ Wells on adjacent lots. 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Prin/ted t)lame JEFFREY A. GARNESS Date ~./l~,/iI- t COSA Fee $ qqO "'" Date of Payment ~J|~ I~ Receipt Number. (~)'~-~v=,.-~ (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number SG, S SGS Reft# 1111746001 Client Name Gamess Engineering Group, Ltd Printed Date/Time 05/13/201 I 8:19 Project Name/# Skyway Park Estates Collected Date/Time 05/06/2011 13:00 Client Sample ID Skyway Park Est B6, LI4 Received Date/Time 05/06/2011 13:25 Matrix Drinking Water Technical Director Stephen C. Erie PWSID 0 Sample Remarks: 4500NO3-F - Total Nitrate/Nitrite - MS recovery is outside of QC criteria. Refer to LCS for accuracy requirements. Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 05/09/11 05/10/11 NRB Waters Department TotalNitrate/Nitrite-N ND 0.100 mg/L SM20 4500NO3-F B (<10) 05/06/11 AYC Microbiology Laboratory E. Coli Neaative 1 100mL SM20 9223B A 05/06/11 DSH Total Coliform Negative 1 100mL SM20 9223B A 05/06/11 DSH m~,r21· 11 01:44p Donna Redick Aarow Pump & Well Service, LLC P.O. BOx 110496 Anchorage, AK 99511 Office: (907) 346-9355 · Fax (907) 333-8976 Eagle River: (907) 622-9335 907-644-4906 NO '08935 CUSTOMER ,JOB SITE LABOR HOURS RATE AMOUNT TOTAL MATER [AL TOTAL LABOR WORK ORDERED BY DATE COMP. TOTAL ~BOR PAY THIS AMOUNT Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree ~hat if above work is not paid for in 90 days I agree to allow Aarow Pump & Well Service, L.L.C. the right to remove unpaid for equipment and charge for labor &lready performed & la. hot to remove unpaid for equipmenl.) 'TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE- SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BF' CHARGED ON O~rERDUE ACCOUNTS. Aarow Pump & Well Service LLC (907)346-9355 Inspection Report 1401 Shore Drive Camera ran down to 42' in well with no perforations found in casing. Brian R. Wille Aarow Pump & Well Service