HomeMy WebLinkAboutNORTH WOODS UNIT 3 BLK 11 LT 4Northwoods #3 Block I I Lot 4 #051-732-02 SueMITTAI Municipality of Anchorage AUG 19 2013 Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.orglonsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131146 PID Number: 051-732-02 ❑ New ®Upgrade Nome:TIM & SARA ALLWOOD ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ® Other ISF Address: 23029 SHELTERING SPRUCE *CHUGIAK, AK 99567 Phone: No. of Bedrooms: (907) 301-9826 4 soil Ratlng: 2.0 GPD/Sq. R. Told Depth from original grade: SEE DWG.. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: Gravel depth beneath pipe: SEE DWG. Ff. 0.36 Ft. Subdivision: Block: Lot: NORTHWOODS #3 11 4 ownsIp: — anger — ec Ion: — FlII added above original grade: SEE DWG. R. travel width: Grovel length: 20 Ft. We Number of linea. Distance between lines: 18 Ft. 9 2 FIL SEPARATION DISTANCES Total absorption area: 360 SO. Ft. Number of trenches: — Diet. between trenches: — Ft. To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Linea Well EXISTING 200'+ EXISTING — 25'+ TANK ❑ Se tic ❑ S.T.E.P. ❑Holdin ❑Other Surface Water EXISTING 100'+ EXISTING — Manufacturer: EXISTING CapacBy: Gal. Lot Line EXISTING 1D'+ EXISTING — N/A Material` Number of compartments: Foundation EXISTING 10'+ EXISTING — LIFT STATION - Curtain Drain NONE KNOWN Manufacturer. capacity: EXISTING Gal. Remarks: RE—BUILT EXISTING IDSF. 'Pump on level at: 'Pump all, level at: H' er alortn at: Pump Make & Mode- eMcal Inspections performed by: PIPE MATERIAL House to tank EXISTING Tank to EXISTING drainfield Installer NORTHERN EXCAVATION MT D3034 Drainfield SCH40 CO CO/MT GEGr Ltd. BENCH MARK (Assumed elevation) 100.00 Fl, Inspection Dates: 1st 7/24/ 3 2nd 7/24/13 Location and Description: 3rd 7/24/13 4th — TOP OF MANHOLE LID Community Development Department Approval Conditional approval: Date: ENli1NEERY REAL o ............. 9 4 o ° - ... QO ,;3 f r y arness.- .2 C 7[53 dp profession q� ��4000��0 Approved: Date: O-( Wil PERMIT 1: AS DRAWING PARCEL ID NUMBER: OSP 131146 I -BUILT — 051-732-02 I /t l 1 A B 91.59 87.17 94.78 85.51 IMT3 111.26 106.65 112.89 103.89 1 I I /t l NORNWOODS S/D #3; IAT 5, BLOCK 11, 1.25" PRESSURIZED PVC EXISTING ORENCO PUMP STATION EXISTING 1.300 GALLON POLYETHYLENE TANK FCO IDSF IN PLACE MT4 NOMDS S/D /3: LOT 4, EWER 11, MT2 It %1 AIR S PPLY 7/EXISTING LINE FROM TH AIR tCOMPRESSOR T THE D IDSF. 1 MR EXISTING 4 BEDROOM HOUSE J t 1 a , SHELTERING SPRUCE AVENUE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S, GENERAL CONTRACTORS 3701 E. TIOM ROM. SURE 101 • WVCNOPME, AN 99507 • NONE (907)331-6179 • FM (907)=-3246 • WEB . wx .Vmnnnpinndn9.nm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TIM & SARA ALLW00D 301-9826 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: NORTHWOODS #3; PNB TYPE OF WORK: DATE: AS -BUILT DRAWING 8/2/13 (Rev UM5) §OIRf.11T - NUMBER: AS—BUILT DRAWING � ING PARCEL ID NUMBER: OSP131146 051-732-02 11 I ORIGINAL )P SOIL & SEEDED ON 8/1/13 3/4" PVC LATERALS (TYP) 2" INSULATION 1/8" ORIFICE SIZE SPACED FIL1 2' ON CENTER (10 TOTAL MT -FINAL GRADE= 104.20+ J7 EXISTING AIR LINE 7 INCHES OF ISF PEAGRAVEL FABRIC OF DISTRIBUTION LINE = 101.69 OF ISF SAND = 101.33 LIMITS TO REMOVAL OF CONTAMINATED MATERIAL = 100.17-100.43 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S GENERAL CONTRACTORS 5701 E. 1 00R R , Wn 101 • ANCHORAGE, AN 99507 • PHONE (907)117-6179 r FAX (907)336-3216 I ME9SRE: �amawipi n9.aam PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TIM & SARA ALLWOOD 301-9826 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: NORTHWOODS #3; BLOCK 11, LOT 4 PNB TYPE OF WORK: DATE: PROFILE AS—BUILT DRAWING 8/2/13 (Rev. 01105) SAND PER S&S ENGINEERING REPORT IN ,4 T v* e f A. arness oy CE 79f)3 6v� tico0 Jeff Garness From: Rob Campbell Sent: Friday, August 16, 2013 4:04 PM To: Sonja Blewett; Jeff Garness Subject: Fwd: 23029 sheltering spruce Sent from my iPhone Begin forwarded message: From: Aaron <nlc.chambersCa,ernail.com> Date: August 16, 2013, 3:25:05 PM AKDT To: <Rob@garnessen inea eering com> Subject: 23029 sheltering spruce Power lighting and Control 13841 Savage dr Eagle River ,Ak 99577 Aaron Chambers 907 242 5211 Plc.chambersawnail.com Scope of work, Originally air pump and alarm were tied to same circuit. To change this I extended the crawl space circuit which only had 3 service receptacles tied to it and hard wired the pump leaving the breaker which is in sight as the means of disconnect for servicing. Thanks Aaron Chambers 242-5211 On -Site Wastewater Disposal System Permit Permit Number: OSP131146 Tax Code Number: 05173202000 Work Type: Septic Permit Effective Dates: June 26, 2013 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 to June 26, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: NORTH WOODS UNIT 3 Site Legal Address: NORTH WOODS UNIT 3 BLK 11 LT 4 G:1459 Owner/Address: ALLWOOD TIMOTHY D & SARA E PO BOX 672375 CHUG IAK AK 995672375 Site Mailing Address: 23029 SHELTERING SPRUCE AVE, Chugiak This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 32205 Total Bedrooms: 4 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 an „hatad to ptavenLfrsea�n Special Provisions: Provisions: A gauge and an audible alarm must be added after the air compressor to help ensure that when the pump goes out, repairs will be made. The alarm will be on a separate circuit. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 051-732-02 Property owner(s) TIM & SARA ALLWOOD Mailing address 23029 SHELTERING SPRUCE *CHUGIAK, AK 99567 Day phone 301-9826 Site address 23029 SHELTERING SPRUCE *CHUGIIAK,K, AK 99567 Legal description (Sub'd, Block & Lot ) NORTHWOOD3"#3; BLOCK 11, LOT 4 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (Z all that apply) Initial ❑ Single Family (SF) Absorption Field ® ® (w/wo ADU) Upgrade Septic Tank ❑ Duplex (D) ❑ Renewal F1 Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ 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. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Jbc Waiver Fees: Date of Payment: 4 IL//�1.�3J �J Date of Payment: Receipt Number: b is>"[O! Receipt Number: Permit No. (%)02 HWaiver No. (Rev. 09/12) June 12, 2013 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 Northwoods #3; Block 11, Lot 4; To whom it may concern: The existing 4 bedroom house is served by public water and a private septic system consisting of a bottomless intermittent sand filter. The drainfield is in a state of failure and needs to be upgraded. We are proposing to excavate the IDSF, remove all contaminated sand and re -build the IDSF per the attached design. We are proposing the utilize the existing 1300 gallon Premiere Polyethylene septic tank and the Orenco pump station which follows. 1. SOILS: See the 1998 log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: The average topography around the IDSF 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. Sincerely, d l l P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengincering.com June 24, 2013 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: Utilizing Existing Groundwater Monitoring for Northwoods #3; Block 11, Lot 4; To whom it may concern: Per Robert Cowan, P.E. groundwater was monitored during the high groundwater season on 5/1/98 and was at 5 feet. The initial installation of the drainfield was excavated 1 foot below the original grade, then import 2 feet of ISF approved sand, creating a separation to groundwater of 6 feet to the season high. In short, the proposed re -build of the existing ISF will have at least 6 feet of separation to the seasonal high groundwater table. It is in our opinion that new groundwater monitoring should not be required. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, A P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengincering.com (PER 1998 DESIGN & INSPECTION REPO NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 6.7 MIN/IN PROPOSED APPLICATION RATE: 2.0 MINIMUM DRAINFIELD SQ.FT.: 300 SQ FT DRAINFIELD DESIGN: MAXIMUM DEPTH: LIMITED TO REMOVAL OF CONTAMINATED MATERIAL ONLY WIDTH: 18' LENGTH: 20' F0 APPROVED IDSF SAND 2'+ F CnVE: 0.3' r DUCTION FACTOR: N/A NORIHWOODS S/D /3; LOT 5, BLOCK 11, 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. C -x C�7 AND RE PROVIDE ��� MT MT I I EXISTING AIR LINE FROM 1 STING 1.26" PRESSURIZED PVC LINE` COMPRESSOR I IDSF. EXISTING ORENCO PUMP STATION �. C� EXISTING 1300 GALLON POLYETHYLENE TANK FCO m 4 BEDROOM HOUSE C snt�fesfl1er p1�pfM� MNf� `! �iSi�rl) )eGw}�YM. SHELTERING SPRUCE AVENUE GARNNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 1 E. NDOR R0N1, SURE 101 • NiCHOMGE. N< 99507 •PHONE (90])3]]-81]9 • FM (807)338—]248 • VIFBSRE: rw.9omwen9fieMn9.eom EPARED FOR: PHONE NUMBER: PAGE NUMBER: O no PR TIM &SARA ALLWOOD 301-9826 LT IN PLACE 4TERALS PER DESIGN. ` 1 NO WOODS S/D #3; LOT 4, BLOCK 11, / 'PLY of 2 AIR LEGAL DESCRIPTION: /THE (Rev. 01105) JV A.. y ness: CE -773 �G •bji..-4 13 of 2 pa 0Vo�9•C LEGAL DESCRIPTION: DRAWN BY: NORTHWOODS #3; BLOCK 11, LOT 4 PNB �DO TYPE OF WORK: DATE: 6/12/13 DESIGN FOR SEPTIC UPGRADE (Rev. 01105) JV A.. y ness: CE -773 �G •bji..-4 13 N �RF-TIIC S ALE: RAMSEY S/D; \ TRACT A, 100' W LL IU - I 700' WELL RADIUS NORTHWOODS S/D # LOT 4, BLOCK 11, 0 rI r SHELTERING SPRUCE AVENUE --------------------------------- ------- I NOTE: ALL PROPERTIES SHOWN SERVED BY PUBLIC WATER SYSTEM om om Sm _� sp Oi IRE r z° ZB z° I GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS $ GENERAL CONTRACTORS I E. i000R ROAD. SUITE 101 • ANMM4E, M 99SW • NNE (907)337-6179 • FAX (907)536-3216 • WEBSITE: wxv.9amaeen9tnneln9.co IEPARED FOR: PHONE NUMBER: PAGE NUMBER: TIM & SARA ALLWOOD 301-9826 1 OF 18 - GAL DESCRIPTION: DRAWN BY: NORTHWOODS #3; BLOCK 11, LOT 4 PNB -E OF WORK: DATE: SITE PLAN 6/12/1 Anchorage Tank & Welding, Inc. Intermittent Sand Filter SAND FILTER CONFIGURATIONS PL FRG GOF TOP VIEW 18 x 20 BOTTOMLESS SAND FILTER Page 36 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SV✓99014-3 PID Number: b.61 -73,o ;Z Name: NORiHwan,as 1>✓e Wastewater System: New 11 Upgrade Y Address: � 31) 1 5`SS' ANt-14. 4K ABSORPTION FIELD Phone: No. of Bed r oms: ❑ Deep Trench ❑Shallow Trench XBed Mound ❑Other LEGAL DESCRIPTION soil Rating: O. Total Depth f© original grade: GPD/Sq. Ft Lot: ��.f/�/ Block: /� /p�//�/ S/ub iv lion::: 4A1,1--,3 � woa 441,1- 3 Depth toyipee bottom from original grade: /e 3 42141, Gravel depth beneath pipe 0.3 I r"I, /!Y 006- <5;-C .f. Ft. Township: Range: Section: Fill added above //orlininal grade: Gravel length: Ft. Ft. WELL: ❑New ❑ Upgrad Gravel width: �y 5� Number flines: Dista�Qyeenlines: Ft. fL Classification (Private, A,B,C): Total Cased To: Total absorption ar w/� Pipe material: 93 0 3 'f "(, C 6lYJ/d? Ft. Ft. 6 SO. Ft. Y- - ` Driller: Date Drilled: Static Water Level: Installer; /1',/c�D Date installed: 41—- Ft.�g /l ,,;7 Yield: Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 116eptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: /� /2ffe49;M1E_R Capacity in gallons: 2 /� 13oo From Tank Field Station Tank Sewer Lines Welh material* 1POZ i//yLE E Number of Compartments: 2 irelop4. /poWa LIFT STATION Lot / �i / %�! // `� � ! (O �- ��,,, Size Ions: Manufacturer: O;F4E�e© K Line Foundation ! 2 $ I �% ! .3g -- -- "Pump on" level at: �f !! "Pump off" level at: 3Z l� High water la m at: // aJ Curtain d�E � Pump Make & Model Electrical Inspections performed by: Drain ,20off/ B -V Remarks: S/,A/0 h/GitlP BENCH MARK A / & T 9, T DS INy., Location and Description: ___ �v/ 3 41 R, 2 LI t4 It 1 S f h 5vL,,1-7h0 amp �Assumed ��ic.l�0 ll✓d18,� H30 3y Fo.2 �Aor�cLnnnl Elevation: �7 Q Ft ` •- "O "At$ ••'�...!/� S & S ENGINEERING•' !h Inspections performed by97034 Eagle Rive r Loop Road, N0.tes:1 sL�, Eagle River, Alaska 99577 ��_ �� 2nd �+ 9 R08ERT G COWAN ���r^�s:. /0 43 —cis, CE - 880100 Department of Health and Human Services approvalX41 '.1 Reviewed and approved by. ✓ Date: '', 72-013 (Rev. 9/91) MOA 25 PERMIT NO. SW9801 43 PAGE 2 OF 3 DEPARTMENT ANDhHUKAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.0, Box 196650 • Anchorage, Alaska 99519-6650 • Tele hones 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4, BLK 11, NORTH WOODS S/D UNIT III P.I.D. NO. 05173202 LOT 5 MT4 s i �I I 111.1" I I I L_-iMT1 TBM=TOP OF MH-\ ORENCO PUMPING SYSTEM 57 J;T NEW DRAINFIELD 18'x20' (BOTTOMLESS SAND FILLTER MT2 TH A TH X3/4" AIR LINE NEW 1300 GAL POY. TANK W /aS�w7Y�o�� A FCO B Q LOT 4 �� ¢ 0 a 0 a WATER SERVICE LINE ----- 15' UTILITY ESMT. KEY BOX I SHELTERING SPRUCE AVE. LOT 3 TH NEW 4 BR HOUSE a 0 SCALE 1" - 40' II ROBERT C. COWAN t CE - 8801 ,f�ti� „. 6. � .•fi PERMIT NO. SW980143 PAGE 3 OF 3 DEPARTMENT OF ANDhHUKAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 9 Te�l�ephonet 343-4744 W ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4, BLK 1 1 , NORTH WOODS S/D UNIT III P.I.D. NO. 05173202 99.5' NEW 1300 GAL. POLY. TANK N.T.S. GRADE — 99.5' I NSvL4 P00d 95.5' MT1=104.7 MT1 MT2 FINAL GRADE MT3 MT4 MT3=104.5' MT2=104.8' MT4=104.4' ORIGINAL GRADE INSULATION MD.SANDMT1=100.8'T3=100.8'MT2=100.8'T4=100.8' TV BOTTOM OF SAND=98.8' DIST. LINE=10 N.T.S. GROUNDWATER AT 94.8' 91.3' B.O.H. I I I 11103/1998 15:05 9076941211 S AND S ENGINEERING Nuv-aa-stf I U I- ;.a nom••,. tines .._.._ - - �MYq—.;�•stNPn .. 9&aom4'564Af&giP.C� LOR m"*'f 491 Willow Street • Wasilla, Alaska 99654 Phone# (907) 373-3893 • Pax# 373-3894 PAGE 02 ,t.► 071 Li J�elxf J5 IXtt (11 t -7u- I? a 73 be) a 0 C &A, S ,_dlwz�3 t� PAGE Il 1 OF 1 MUNICIPALITY OF ANCHORAGE Z V1 DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW980143 DESIGN ENGINEERS & S ENGINEERING OWNER NAME:NORTHWOODS INC OWNER ADDRESS:3111 C STREET, #555 ANCHORAGE, ALASKA 99503 PARCEL ID:05173202 LEGAL DESCRIPTION: NORTH WOODS UNIT III BLK 11 LT 4 LOT SIZE: 32205 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 6/01/98 EXPIRATION DATE: 6/01/99 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS PERMIT ISSUED FOR THE CONSTRUCTION OF AN ALTERNATIVE INTERMITTENT DOSING SAND FILTO TEWATER SYSTEM. THE ATTACHED PROPERTY OWNER A EMENTS THAVE A PROFESSIONAL ENGINEER INSPECT THE :NS EM ANNY SHALL BECOME A PART OF THIS PERMIT PACKAGE. U L RECEIVED BY: ISSUED BY: DATE: I Age DATE: - /a HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER& WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN S&S\ ;ineeRinG ROBERT C. COWAN, P.E. ME MNAWA CIVIL ENGINEERS May 19, 1998 (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 4; Block 11; North Woods Subdivision Unit 3 Request you issue a permit to construct a Bottomless Intermittent Sand Filter System on the referenced property. This system will include a 1500 gallon STEP tank and will be adequate to serve the proposed four bedroom home. The construction of the wastewater disposal system will not adversely effect the adjacent properties. The construction will be in accordance with the attached drawings sheets 1 - 4. This home will be connected to an existing key box on the Municipal Public Water System. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/gk 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 co r-1—�s ooa \ Q � 3 t. 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Date: 14 15 16 17 18 19 ROBERT C. COWAN Reading Date Gross Time Net Time Depth to Water Net Drop I -C J- 3 3 rw f eL,4 20 I I PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER L—J TEST RUN BETWEEN Z FT AND FT COMMENTS IF PERFORMED BY: S1sr 3— Ehtfa$dEEl�l[J6 �i`�� __ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE Wit Wt Xyff1k87WL'1F dG%& NES IN EFFECT ON THIS DATE. DATE: 'S� /2 � /'�7 72-008 (Rev. 4/85) Eagle River, Alaska 99577 ® Municipality of Anchorage 5 67 1 On -Site Water & Wastewater Program ti _ (907) 343-7904 SCP 2 zoos CERTIFICATE OF ON-SITE SYSTEMS APPROVA << ti 0� 6 8 L'9 511 Parcel I.D. 051-732-02 Expiration Date: 9-Z2-2020 1. GENERAL INFORMATION Complete, legal description Location (site address) NORTHWOOD S/D #3: BLOCK 11. LOT 4 23029 SHELTERING SPRUCE AVE., CHUGIAK, AK 99567 Current Property owner(s) NATHAN & BETSY RICE Day phone Mailing address Real Estate Agent 23029 SHELTERING SPRUCE AVE., CHUGIAK, AK 99567 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 912-271-9145 I 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System Public Sewer ❑ WaiverNariance request for N/A Distance: ' Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ "OD Waiver Fee $ Date of Payment Date of Payment Receipt Number Oc�C7 a �1j Receipt Number COSA # 0.5(,- 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. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name Engineers Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6. DSD SIGNATURE L System #1 Approved for bedrooms. Phone 337-6179 Date ct 1,2_ (, 1) 11 System #2 Approved for bedrooms. T Y( OF r �(�✓oi� Disapproved. ``�� Conditional approval for bedrooms, with the following ` tions:0N-SITE WATER _`_ rom III%.A CCTe-. . ® m Z,___ — vvv/riIt �m PROO' °Ails a� J n...._. .. nG N t" By: 1iw �� > Original Certificate Date: The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 10112/12) *!M Legal Description: NORTHWOOD S/D #3; BLOCK 11, LOT 4 Parcel ID: _051-732-02 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA PUBLIC WATER is filed with Onsite (or attached) Well production at time of test g Date drilled Total depth Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) Date of flow test for COSZ. Static water leueflt beginning of test ft. B. TANK DATA Age of tank(s) 21 years Tank type/material PLASTIC Measured operating fluid level in septic tank a,.s•-ar ❑ Standpipes/foundationleanout per record drawing Date of pumping le /Z Z I / C) D. ABSORPTION FIELD DATA BOTTOMLESS I.D.S.F. Water storage tank volume gallons Well disinfected for " rm test? ❑ Yes ❑ No ❑ Colif acteria is Negative I rate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Date of Sample C. LIFT STATION N 0 1 N `i`EA) 0 Q- ❑ Required maintenance completed Age of lift station 21 years Lift station material PLAsnc Comments: THIS SERVES A BOTTOMLESS I.D.S.F. Which system tested (date installed) 7/24/13 Adequacy test date 9/5/19 ❑ ALL standpipes present per record drawing Results R Pass For 4 bedrooms Total measured depth from grade *2.8 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade ft (min) Water added 711 gal ❑ N/A — pressurized field 0 New depth in ❑ Monitor tubes go to bottom of effective. If not, state 0 depth into effective Elapsed time min ❑ Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: `SHOT ELEVATIONS ON BOTTOM OF MT'S. FOUND THE SOUTH MTS TO BE THE SAME AS THE RECORD DRAWING AND THE NORTH MTS TO BE 0.03 TO 0.04 FEET DEEPER THAN THE RECORD DRAWINGS. COSA Checklist yellow sheet E. SEPARATION DISTANCES JPUBLIC WATER r ivate Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Sta blot > 100' Community Sewer Manho snout > 100' Yes if No ft Neighboring Tank > 100' ❑ Yes if o ft Absorption Field on Lot > 100' ❑ Yes if No ft Neighboring Absorption Field _ ❑ Yes if No ft Co Ity Sewer Main > 75' ❑ Yes if No ft ❑ Yes if No �SewerlSeptic ne> 25' ❑ Yes if No Tei ' Tank > 100' LJ Yes if No Animal Containm 0' ❑ Yes if No Manure/Animal Excreta Storage > if No ❑ Yes i From Septic/Holding Tank on Lot to: (Please enter distances if less than required) ft ft ft ft Mt Building Foundations > 10' ❑ Yes if No *5+ ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100'✓❑ Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' ✓❑ Yes if No ft Water Service Line > 10' Q Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALLATION. G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet #AECC884 014 6 tj%a k OaSt'[t gottw<Aos A S R I} 11 T 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THEE EXISTENCE OF ANY EASEMENTS, COVENANTS„ OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. Z)UKvhxlfgU b94 SCALE. , iii 3D a�taei��� DATE- . Ay �H GRID= ...... ....._. 0. GCE✓ •. Duane Markf Seward FB- DR_A* WN: —Udz \-IUNICIPALITY m, ANCHORAGE • Community Development Deparunent ° On -Site \Vater & Waslenater Program P: 907-343-7904 • F: 907-3=43-7997 e P.O. Box 196650 Anchoraee. AK 99 19-6650. http:i;'wN\N�'.nnuti.orgrbuildin= Intermittent Dosing Sand Filter Owner s �iCc Street Address2-302.01 51n elre c-ivl v, s Drv�2 N rfib, t.Joo %& 3 Phone9)2,-27)-g146 Legal Desc. i1o�� to �b� 4- PIDn51-���-OZ Septic Tank: .Sludge level inches Absorption Field: I� „5 7 2-019' Pumping: required es no Pumping completed (6 no -Liquid level _inches Flushing valves per approved designV o -All flushing valves opened, distribution lines flushed, and flushing valves closed no Lift station: -Pump basket cleaned es no -Biotube effluent filter cleaned yes no -Timer float setting2Lhnches High level float setting 13 inches Reference point'ToV 0 -Pump on 36 seconds Pump off minutes -Cumulative lifetime cycles 107 32r7 -Operation satisfactory es no Air System: -Cumulative run time 9 815' 65 hours -Air pump filter cleanedes no -Air pressure 2.25 psi *Date of latest install or rebuild 2-0 _-Air system operation satisfacto not satisfactory Alarm System: -Dedicated electrical circuit es no -Audible and visual alarm inside dwelling yes Qno -Float setting 3 b inches -Alarm system operation(satisfactory not satisfactory Comments: 0*!�) ......................................................v............................................... ...... ...................................... . 'P.. ( ^1 Y. /...... rr- c� ................................................................................................................................................................ IM t!f'Cr!......1. S..... ..... 0-VCJ.► �2 ...) ✓1.��) r/ ..... .... �1 i � . Gj ................................................................................................................................................................ Maintenance Provider: / Technician ic�l a �1 ��� Date of maintenance q! - 5 l� Company �5 �PAL Signature Date C1/x5/1C1 1DSF Maintenance Log_040313.doc MUNICH--'�P,,L T Y OF A �xc,,X'0RAGE Development Services Department V I' ^ Phone: 907-343-7904 On -Site Water & Wasteriater Section Fac: 907-343-7997 Lift Station/Pump Vault Owner '&" Maintenance i � Street Address /�2G1 �7�ne 1 �j'P- -Sludge level inches •Pumping: required yes no -Pumping completed es no Lift station: *Pump basket cleaned no d�� �._ -Effluent filter cleave es no *Control floats cleaned es no -Proper float settings confirme e�no -Operation satisfactoryes no Alarm System: ,Dedicated electrical alarm circui es� no •Audible and visual alarm inside dwelling e�no *Alarm system operation satisfactory not satisfactory Manhole Riser ,Ground water intrusion at riser to tank connectionest n6 *Ground water intrusion around pipe penetrations es no -Weep hole functionCyt�Eno aes! no -Manhole lid: Functional esL no Insulate no Properly Secured Other -All manufacturer required inspections and maintenance completed es no Comments: Qualified Maintenance Provider: Technician ���ir c.�t uehr Date of maintenance/T l 7//q Company J f�\5 -lcQ 1G tl Signature t /r � Date �T i 7 f Cr 7 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 13 Day of of 20 I� , by and between Dylan Hobbs and Brittany Pamprin,herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY', in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Svstems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) North Woods Unit 3 L4 B11 2. Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement r� with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. I <- It shall be the responsibility of the Owner during the term of this Agreement to pay for all r/t repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to S600). '1_ Owner agrees that only maintenance and repair personnel approved by the Municipality �� or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential r7� failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 �k)�A Owner acknowledges that the Municipality may request records of maintenance and 6? ✓Ji repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be f assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. l r1 Owner agrees that the AWWTS installation and maintenance requirements as provided ( by the AWWTS vendor6nstallerand approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: �J O By: I�)�Il r /Gr; �/ZJ / k�l(signature) Date: Ih-� � i ELI hww int 1119 u/1 1D4(\' (pp�}print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this I1 3 day of 20(� ,by ��i'�'�, l7g�,5f�� r>.,I�. ►ju�h; NOTARY PUBLIC FOR ALANotWyFhAW My Commission expires: Y, 'vzZ.� A}'d!?RE �a ditaka My Caraniaskn 93q*wAu8.11, 2022 17U-NICIPALM: By: 1 f� (signature) (print name) Date: 10-1-1.19 Title: (rev. 05/18/2018) Page 3 of 3 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on cedures outlined in the Certificate of On -Site Systems Approval Guidelines for t (s application, shows that the on-site ate? supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 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. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers 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 lost, end 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. Those conditions are outside the control of the evaluator of the systom. Satisfactory lost 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 bonefit of the owner listed reliance other personor party Is notauthorized, norr will it confer an legal right whatsoever. any 5. DSD SIGNATURE Approved for __�_ bedrooms. Disapproved. Conditional approval for bedrooms, with the flowing Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Phone 337-6179 Date 11 F 1 Ov 4 ip,IQ�i�Ks. r[+h WATER AND WPROA GRAM ,J��IrN)1 Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Nitrate Advisory Other By: f✓ !�/ (Ft" (1105) Original Certificate Date: D $ Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water 8 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: NORTHWOODS /!3• BLOCK 11 LOT 4 Parcel ID: 051--75z-oz A. WELL DATA COMMUNITY WATER Well type CLASS •A- If A. B, or C provide PWSID# 213001 Well Log (Y/N)_ Date completed Sanitary seal (Y/N)_ Wires properly protected (Yffi Total depth ft. Cased to ft. Casing height (abo round FROM WELL LOG AT CTION Date of test Static water level Well production g.p.m. 9.p -m. WATER SAMPLE RESU Coliform colonies/100 ml. Nitrate mg./L. Other bacteria colonies/100 ml. ntc: ug./L. Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/POLYETHYLENE Date installed 9/24-10/13/08 Tank size 1300 gal, Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 11/4/08 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA Date installed 9/24-10/13/Ce Soil rating .p.d./ 'or ft'/bdrm 0.5 )_ System type IDSF Length 20 ft. Width 18 ft. Gravel below pipe 0.3 ft. Total depth *3 25 ft. Eff. absorption area 360 ft' Monitoring De tube YES Depression over field NO Date of adequacy test 10/17/08 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test "' 11 in. Water added 850 gal. New depth **5.5 in. Elapsed Time: 180 min. Final fluid depth 1 in. Absorption rate >= 600+ P g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 8 typo) NONE KNOWN If yes, give date - "SEE ATTACHED LETTER' D. LIFT STATION *SEE ATTACHED A+ INSPECTION REPORT 9 2a-10/26/96 UKN Manhole/Access (YIN) YES Date installed / Size in gallons a2 in. "Pum off' level at 32 in. High water alarm level at 44 "Pump on" level at P in. Datum BOTTOM OF TANK Cycles tested • Meets alarm &circuit requirements? YES E. SEPARATION DISTANCES COMMUNITY WATER SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on Public sewer main On adjacent On adjacent sewer manhole/cleanout Sewer /septic service line Holding tank Anlrr�atra mment areas Manurelanimal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 5'+ Property line 5'+ Absorption field 5'+ Building foundation P Y Water main 10'+ Water service line 10'+Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 10'+ Building foundation 10'+ Water main 10'+ Property line g Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date If v'2/11)� COSA Fee R�lo+ I i S Date of Payment I :) 10 D Receipt Number 6)31 "f q (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number ■ :w en-Cuua U4:53P FROM: TO:3333246 P:1/1 A+ ' 'oIr"lle SeivitC,es, Inc. ` InShPc;tinnS Tank Typc: Namc:_W Acl-e Address:p-- Phone Number: _(e fT Inspection it Timer Setting Air Plow ---- Elapsed Time Event Counter Plate & Time Yroblcm:_G���f�e(j-�5�.; C�rtc�� �/a�� f ��4h f�o�, G1�f ��l►�.c�.�.s GARNESS ENGINEERING GROUP, Ltd. . .- } CONSULTANTS & GENERAL CONTRACTORS n.. November 17, 2008 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref. Description of Adequacy Test for Northwoods #3; Block 11, Lot 4, To whom it may concern: Per the request of the homeowner a GEG employee went out to the property to perform a septic adequacy test. During the site investigation elevation shots were taken and tied back into benchmark (Top of Manhole on Lift Pump). The elevation shots were: Monitoring Tube 1- 100.43, Monitoring Tube 2- 100.41, Monitoring Tube 3- 100.55, Monitoring Tube 4- 100.55. During the adequacy test, MTI & 2 had a rise in liquid level, while MT3 & 4 stayed dry throughout the test. After 180 minutes all monitoring tubes went back to the levels they were at before the test If you have any questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Wcbsitc: www.gamcsscnginecring.com ASBUILT �/ib�/-L7 Lb 6 i7S- yJ I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: FOLLOWING DESCRIBED PROPERTY: rv!r� lGb�4! r v uvir_�foTy,.s�// AND THAT NO ENCROACHMENTS EXIST DATE - EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE TK EXISTENCE OF ANY EASEMENTS, COVENANTS, GRID: CH DONOTAPPEAR ON RESTRICTIONS WHICH THE RECORDED VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: ANY DATA HEREON BE USED FOR CONSTRUCTION FFENCE LINES, OR FOR ESTABLISHING BOUND• ARY LINES. DRAWN= ATES I.A.0 SORVEyjg(; 694-O82y Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-732-02 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent Expiration Date: / - a 14 - 15- :k3 23029 SHELTERING SPRUCE *CHUGIAK, AK 99567 TIM & SARA ALLWOOD Day phone 23029 SHELTERING SPRUCE *CHUGIAK AK 99567 301-9826 DONNA ALDERMAN W/ PRUDENTIAL Day phone 360-0158 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System 0 Public Sewer ❑ Received by: Date: Date: ` COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2a Date of Payment Receipt Number b5?0-11 COSA # oc�r_A-3N 5 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, l 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. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal tight whatsoever. 6. DSD SIGNATURE 1 / System #1 Approved for L71— bedrooms. System #2 Approved for Disapproved. Conditional approval for M bedrooms. Phone 337-6179 Date 19 13 bedrooms, with the following stipulations: 0. z Ota!-SV'Tew N1111 Z ^ VJ SA jEwAt aR 0: F PpOG Original Certificate Date: I - -z y - /-7 The M+rhicW61ity 6r Worage Develop, emt 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. ATTCHIMENTS: COSA Checklist Septic System Advisory Well Flow Advisory ra— wnsi y Nitrate Advisory Arsenic Advisory Other If more than I septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist / Uw r 3 Legal Description: NORTHWOODS BLOCK 11, LOT 4 Parcel ID: 051-732-02 A. WELL DATA Well type Date completed _ Total depth ft. Date of test Static water level PUBLIC WATER If A, B, or C provide PWSID# _ Sanitary seal (Y/N)— Cased to ft. FROM WELL LOG Well production g.p.m. WATER SAMPLE RESULTS. Coliform colonies/100 ml. Nitrate mg./L. A Ic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/POLYETHYLENE Tank size 1300 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping Pumper Well Log (Y/N)- Wires properly protected Casing height (abow-Ir'( AT Collected by: Date installed 9/24-10/13/98 Cleanouts (Y/N) YES High water alarm (Y/N) N/A n. C. ABSORPTION FIELD DATA *BELOW FINAL GRADE Date installed 7/24/13 Soil rating (g.p.ddit or 1/bdrm 2.0 System type ISF Length 20 ft. Width 18 ft. Gravel below pipe 0.36 ft. Total depth *2.87 ft. Eff. absorption area 360 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test — in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 600+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date D. LIFT STATION *SEE ATTACHED MAINTENANCE REPORT. Date installed 9/24-10/26/,98 Size in gallons UNKNOWN Manhole/Access (Y/N) "Pump on" level at TIMER in. "Pump off' level atTIMER in. High water alarm level at 44 Datum BOTTOM OF TANK Cycles tested * Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on Public sewer main Sewer/septic service line On adjacent On adjacent lots manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main 5'+ Property line 5'+ Absorption field 5'+ + Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water t 00'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION l certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's PrintedNameName JEFFREY A. GARNESS � Date 19./ J,2 (Rev. 11105) ASBUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE TH-E EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. IN SCALE: ' 30 OF A aW w DATE= ��... GRID- •., Duena Merk Seward An LS�6918� FB BRAWN 'ls�of a� yes c"4-2013 09:44 FRjI:JR'S FF'TT.0 PU."PING `307344982:1 70:3383E46 \t NR IIP.AI u'r t`f .Av Ftttld•A4d • (mirnunify C➢ce:aupmtnlfJcp.ns,cnt • On65ttl Wutcr& W'dskmaor Pr.igr n) P'907 -(46.7')(04•I -907.'i9; -74'}',-P.{). lirrei 66,0. mhiink;&. hh !:1119{(rC•^Q •h:tp: tirlYw.fl7Unt.org hutifdtnl! Intermittent Dosing Sand Filter Maintenance Log Owner -1,%r .air U � � Street Address g�,R 5 �s�r .r y� 5 f10' a G Phone Legal Desc. PiD rr�q eek 2c T nk: — -Sludge levet __�_inches-PumOing; required !" -Pumping completed yes Abserntion Rl 1 •l.iquld level -0 inches +cushing valves per approved design to ,All Crushing valves opened, distribution lines flushed, and flushing valves nosed no U ft station: , •Pump basket cleaned t; n-Blotube effluent filter cleaned n •Timer float setting,,lAinches -High level float setting 7� _3'„lnches -Reference point, ��7 -pump onq seconds -Pump oti__e!Z minutes ,Cumulative lifetime cycles_____ -Cumulative run time hours -Operation satisfactory e o r stem: .Air pump filter cleaned e -Date of latest instaii cr rebuild Alarm stem: -Dedicated electrical circuit a ne -Float setting � S inches -Airpressure ,fps; -Air system operation s- sfa t not satisfactory -Audible and visual alarm inside dwelling --M -Alarm system operation safac not Satisfact C menta• ............ ..........,,... , ............. .................... ......... ............... .,...........,._...,. ............ Technici f n- 42 e.Zz �� ?.• . , / �„+„ 1%V ,X,�as Date of maintenanCef49/—/- Compani Signature Parcel I. D. # MUNICIPALITY OF ANCHORAGE Alk • DEPARTMENT OF HEALTH & HUMAN SERVICES rMLIOM Division of Environmental Services loom On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 051-732-02, °l �-- � 1 HAA # 1. GENERAL INFORMATION Complete legal description Lot 4, Block 11, Northwoods Unit #3 Location (site address or directions) NHN Sheltering Spruce Property owner Wade & Theresa Smith Day phone 337-2845 Mailing address 3 3 7 TvC--i.4ic `?`5`c G Lending agency Day phone Mailing address Agent Target Realty/Dick Brown Day phone 694-2388 Address 17034 North Eagle River Loop Road, Eagle River, AK 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well Community well Public water xxx NOTE: _ If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING Name of Firm 17034 Eagle River Loop Road No 204 Phone q y Eagle River, Alaska 99577 Address Engineer's signature 6. DHHS SIGNATURE V Approved for FD 01S' bedrooms. Disapproved. Conditional approval for Additional Comments M LT I F Date i o ./ ­.). -&- / 9 r OF .fl ROBERT C. COWAN CE - 8801 bedrooms, with the following stipulations: Date /0-,2 6"18 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rw. 1/91) Back MOA 021 it Municipality of Anchorage OCT 2 DEPARTMENT OF HEALTH :& HUMAN SERVIGe"'`"'"`��� EWjjt WENTAL SKIVICIS DI Environmental Services Division 825 L Street, 'Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: L�13GKl A/e ,dW®ob 5D U��rparceII.D.: A. WELL DATA Well type If A, B, or C, attachADEC letter. ADEC water system number A/ 3 n ) Log'p nt (Y/N) Date completed TotaldepthCased to Casing height (above ground) Sanitary seal ,(Y/N) Wires properly protected (Y/N) FROM W OG ` AT INSPECTION Date of test Static water level Well production gp.m. g•p=m• WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by:; B. SEPTIC/HOLDING TANK DATA Date installed �a Y Tank size 7 3 6 O Number of CompartmentsCleanouts (Y/N) Foundation :olbanput (Y/N). _ 77 Y✓ Depression (Y/N) .A/ High water alarm (Y/N) Date of Pumping > ` 14 ^' Pumper C. ABSdRPTION FIELD DATA p, Date'installed / ' Z`fi `/ ,` Soil rating (g.p.d./W or ft2/bdrm) 0-5 System type a Length Width// �� Gravel thickness below pipe / -� Total depth Effective absorption area cpd �i z Monitoring Tube present (Y/N) / Depression over field (Y/N) ��w: sYsr�M Date of adequacy test 1414 Results (Pass/Fail)^ For bedrooms Fluid depth in absorp id re test (in.); Immediately after_ gal, water added (in.): Fluid depth (ins) Minutes later: tion rate g.p.d. Peroxide treatment to 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)` D. LIFT STATION Date installed I/ Size in gallons N /4 Manhole/Access (Y/N) /` "Pump on" level at* `T2 /r "Pump off" level at* 3. High water alarm level at* *Datum Be r ro " Cycles tested a E. SEPARATION DISTANCES DISTANCES FROM WELL ON LOT TO: Septic/holding tank on Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots adjacent lots Public sewer man Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ppi� Foundation 0 Property line �7 Absorption field Water main/service line 71 / Surface water/drainage ADO Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: / / Property line //g F Building foundation 3 Water main/service line O® `-7L- 1-7 / 7 1-7/ Surface water QUO �'t Driveway, parking/vehicle storage area Curtain drain Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that l have determined thru field inspections and review of Municipal in conformance with MOA HAA guid Ines in effect on this date. Signature 7W/1 .�""-' Engineer's Name 7e9Cn-�- C. Caw.o�✓ Date / o% a e• I a V HAA Fee Date of Payment /Q LZ Receipt Number U 4 7 72-026 (Rev. 3/96)* Y ( ( 457 Waiver Fee $ Date of Payment Receipt Number •c ROBERT C. COWAN 45 .• �� 1IFFO.., .. @ 4h.!'RO> ESS10N� dog'• are