HomeMy WebLinkAboutTIMBER RIDGE #1 BLK 3 LT 3Timber Ridge #1
Lot 3
Block 3
#050-321-47
Qd_-\.A s6D
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP201118 PID Number: 050-321-47
Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade
Name
WALLACE HOMES, LLC
ORPTION FIELD
D Trench ❑ Wide Trench ❑ Bedound
r0l
Site Address
19416 UPPER SKYLINE DRIVE, EAGLE RIVER, AK 99577
Other
Z�JPhone
Number of Bedrooms
Soil Rating
Total depth fr original grade
230-9199
3
isF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from origin
ravel depth beneath pipe
EXISTING
Ft.
Subdivision Block Lot
TIMBER RIDGE #1 3 3
Fill added above original gr JGnh
Ft. Ft.
Township Range Section
- - -
Gravel width
Ft.
Beds: Number of Lines
Dist a between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
I Holding
Sewer
Total orption area
Number of trenches
Dist. between i ches
From
Tank
Field
Tank
Line
Ftz
Well
100'+
EXIST.
_
-
25'+
TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer Capacity
GREER TANK 1060 Gal.
Surface Water
100'+
EXIST.
_
_
Material
Number of compartments
Lot Line
54
EXIST.
—
—
NA
HDPE PLASTIC
2
Foundation
*10'+
EXIST.
—
_
L TION
ManufacturerCapacity
Gal.
Remarks *5'+ TO DECK SUPPORTS
�Alrm location
Electn ailed by
PIPE MATERIAL House to tank D3034 drainfieldTank to D3034
Installer
GREEN GENERAL
Drainfield EXIST. CO/MTD3034
Inspector GEG CONSULTANT, JODY MAUS
BENCH MARK (Assumed elevation) 100.00 ft
Inspdeact sn est 8/12/2020 -
Location and description
2
41
BOTTOM OF SIDING AT POINT "A"
3`d _ _
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
ooboop��
o OF
Conditional Approval: Date
o°4 ; T�/.... .�..0
(�l ........ ......�
00
Septic Syste
�. fr. qct Garn s.. 1.
Approved bzalDate 2 Z
i' Z.�
Note: this approv does not include well permit requirements.
wed �o\ o
P�
#aecces4�o000100
(Kev Ub/UL/'I 6)
PERMIT NUMBER:
OSP201118
EXISTING WELL
SKYLINE DRIVE
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/ NOTE: OLD SEPTIC TANK WAS
DECOMMISSIONED PER UPC
PER CONTRACTOR.
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r
/RETAINING WALL
/ ..4' • <'
/ NEW
/ 3 BEDROOM
/ HOUSE
1p�"
—INSTALLED
FOUNDATION
CLEANOUT (FCO)
-NEW 1000 GALLON
GREER PLASTIC HDPE
`—INSTALLED DOUBLE
CLEANOUTS (DBL1 & DBL2)
A B C
3.4
26.9
21.7
39.3
L
25.7
43.8
26.8
45.1
28.2
46.6
EXISTING 2000 DRAINFIELDS
ENGINEERING SALES - CONSULTING
3701 ETUDOR ROAD, SURE 101 -ANCHORAGE, AK 99507 -PHONE (907)337-6179- FAX (907) 33&3246 WEBSITE. w .gamessenginoMngxom
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
WALLACE HOMES 230-9199 2 OF 3
PROJECT/LEGAL DESCRIPTION: DRAWN BY:
TIMBER RIDGE S/D #1; BLOCK 3, LOT 3 J.L.M.
TYPE OF WORK: DATE:
�, RECORD DRAWING OF NEW SEPTIC TANK UPGRADE 11/24/2020
PARCEL ID NUMBER:
050-321-47
I =au
IL
®®-�E 0 s®
�P
OSP201118 RECORD D RAW i i �1 050-32
V PARCEL 1 NUMBER
1-47
TOP OF MANHOLE
LID = 102.22
-FINAL GRADE
= 101.30-101.65
TOP OF TANK @I I TOP OF TANK @
INLET= 97.98 --, OUTLET = 97.98
-2" OF INSULATION
(PER CONTRACTOR)
INVERT OF PIPE @NEW 1000 GALLON
INLET= 97.37 GREER HDPE
SEPTIC TANK INVERT PIPE @
OUTLET= 97.19
lk III
0.....��......t :gl...:.-.:......00
w ENGINEERING SALES CONSULTING 0 .LA
v
3701E TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 'PHONE (907)337-6179- FAX (907) 339-3248 WEBSITE. www.gamewengtnoeringoom _® • . .Li......uu..� ............
PREPARED FOR PHONE NUMBER: PAGE NUMBER : /�,#4ey A -Gayness : o
WALLACE HOMES 230-9199 3OF3 ®��i�`;j C 79 3 .�AV
PROJECTlLEGAL DESCRIPTION: DRAWN BY: ® I ( �C� 2-n
TIMBER RIDGE S/D #1; BLOCK 3, LOT 3 J.L.M. ♦® Fp�p•..•.........
TYPE OF WORK: DATE: �®ESS®��®®
RECORD DRAWING OF NEW SEPTIC TANK UPGRADE 11/30/2020 #A`IECC88a III TA
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MUNICIPALITY OF ANCHORAGE
On-site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343.7997
http:Nw .muni,orglonsite
On -Site Wastewater Disposal System Permit
Permit N umber: OSP201118
Work Type: SepticTank Upgrade
Tax Code Number: 05032147000
Site Legal Address: TIMBER RIDGE #1 BLK 3 LT 3 G:0255
Site Mailing Address: 19416 UPPER SKYLINE DR, Eagle River
Owner: WALLACE HOMES LLC
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
❑ Disposal Field M Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
gent
10 A1
v.
e)Ja 1'tnlCnC
Lot Size in Sq Ft:
Total Bedrooms:
5/19/2020
5/19/2021
43946
❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received
Issued By
Date. 41 —0
Date. E/Zri
MUNICIPALITY OF H! 0
*e*.,
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
c
ON-SITE SEPTIC/WELL PERMIT APPLICATION
s
Parcel I.D. 050-321-47
Property owner(s) WALLACE HOMES Day phone 230-9199
Mailing address 11523 LOWER SUNNY CIRCLE, EAGLE RIVER, AK 99577
Site address 19416 UPPER SKYLINE DRIVE, EAGLE RIVER, AK 99577
Legal description (Sub's., Block & Lot) TIMBER RIDGE #1; BLOCK 3, LOT 3
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN
(® all that apply)
Absorption Field
❑
Initial
Septic Tank
Q
Upgrade
Holding Tank
❑
Renewal
Privy
❑
Private Well
❑
Water Storage
❑
TYPE OF DWELLING:
❑ Single Family (SF) x❑
❑ (w/wo AD U)
x Duplex (D) ❑
❑ Multiple Dwellings ❑
(SF and/or D)
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
k
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: A;26- 10,75 -
Date of Payment: 4 -/Iq lx -'W
Receipt Number: O(MM2
Permit No. 06P26111 8
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
G:\Development ServicesTuilding Safety\On Site Water and Wastewater\FormsUient FormsTermit Application.doc
CO
VID-19
2570 DISCOUNT APPLIED
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201118, Deb Wockenfuss, 05/19/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201118, Deb Wockenfuss, 05/19/20
Municipality of Anchorage Page —Lof�
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: SW000a1/8 PIDNumber: O50 -32 I - 117
Name'
S
Wastewater System: 11New [Upgrade
Address:
I tiN/6 V e� SK /;m 4e Eo le ��-a! AIt
9ss��- ABSORPTION FIELD
Phone:
No. of Bedrooms:
O Deep Trench (Shallow Trench ❑ Bed ❑ Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating:
�i
I
Total Depth from original grade:
CJ GPD/Sq. Ft.
Lot: Block: Subdivision:
3 i
Depth to pipe bottom from original grade:
x
Gravel depth beneath pipe
a
3I i, b e! 1�
y'/z Ft.
Ft.
Town hi
L/�
Range:
Section: /
Fill added above original grade:
'L
Gravel length: Q
a -I
Ft.
Ft.
WELL: El New ❑ Upgrad
Gravel width:
S
Number of lines:
a
Distance between lines:
Ft.
V Ft.
Classification (Private, A,S,C
I Cased To:
Total absorption area:
Pipe material: 1
S l l 3
Ft.
Ft.
�( C) SC. Ft.
n I 03
Driller: Date Drilled:
Static Water Level:
Installer:
't E�74f! -e
Date installed-
' ' O 0
Ft.
ere. ei 1.
.3
Yield:
Pump Set at:
Casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION
DISTANCES
Xseptic ❑ Holding ❑ S.T.E.P.
To
Septic
Absorption
Lift
Holding Public/Private
Manufacturer.'
AM
Capacity in gallons:
From
Tank
Field
Station
Tank Sewer Lines
r-6 OPO pe /4rIK
Wel FI
1
'
A
rlL
Material: /12. e) \
CC 1
5 4
Number of Compartments:
o�.
Surface
Water
✓12
LIFT STATION
LotI
3
1
SU
Size in gallons:
Manufact rer. -
Line
/� a
Foundation�
6 I
"Pump on" level at: "Pu 'level at:
High water alarm at:
I
/✓�
c
Curtain
Pump Make el
Electrical Inspections performed by:
Drain
/v,r
Cj
Remarks:
BENCH MARK
CY-0 5
Location and Description
d' av1
4� $u✓ irr i c��Y LJ os
S w �.orn cr �r �s e
p
M c s urs t om. el �l �a
Assumed Elevation:
/0(-) Ft
rr
n cv ei cS �✓' e, Ccve �. C—
E
Inspections performed by: 1, ko e,- m K*l^^C/ ates: lst
2nd
9 ♦.I!
�� Chris,opher Al. Kinneysx-
/
CE-9134
Department of Health and Human Services approval
�'. •;�
�ig'�� •�9/°U •°�`°d�
-2L T
Reviewed and approved by: Date: 9
72-013 (Rev. 9/91) MOA 25
7
-�!
3 i �
P49< S 'f::�
Municipality of Anchorage
DEPARTMENT O' nEALTH & HUMAN SERVICES
825 "L" Street, -%wu horage, Alaska 99502-0650
SOILS LOG • PERCOLATION TEST
PERFORMED FOR: --,2T QynCS Wjt'i I`ej'7;
�aaee.�g8
OF At
49TH
10,
1A �! hriztopher� Kinney �'yqME
DATE PERFORMED. r.
LEGAL DESCRIPTION: L/ 3 19LX3 71'^6,e., 'RJ5e Township, Range, S=Ction: ���� )e ' W
( nFPT N1 SLOPE SITE PLAN
1
� � t
A�r se% rJy -tf4.v �,
z 3
10 a'[}
r
11
12
13-
14-
16
17
314 16
17
18
19
20
Cfgk
su71� Cf4�tl
A'
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Water Alter
Monitoring? _
/V O
S
L
OIF
P
E
Date:
reading Oate Grozs — Net Depth to Net
Time Time Water Dro
-- a
i —
�.1
PERCOLAi ION RATE
(nnn-Aesrmch) PERC HOLE DIAMETER
TEST RUN EETWEEN
FT AND FT
DISCLAIMER
Crolindwa`Pr
rD_nd -inns indir_.Pd
arP fnr the dat < drown Only
P„st and future
presence
and/or depth of
groundwater can not be predicted
trom these
ooserva-lons.
PERFORMED EY: ell
V"'C ✓' Nn-_J�h-Ph,
CERTIFY THAT THIS TEST WAS PERFORMED IN
0
ACCORDANCE WITH ALL
STATE AND rj✓UNICIP,IJQL
GUIC ELI NE- � EFFFCT ONfTHIS
DATE.. DATE.
/
."<-OOH (Rev. J/ES)
e�^
4, 7 %k .3
M4vzj'c/ 706e
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ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jul 20, 2000
Expiration Date: Jul 20, 2001
Permit Number: SW000248 Parcel ID: 050-321-47
Legal Description: TIMBER RIDGE #1 BLK 3 LT 3
Design Engineer: 0809 Christopher M. Kinney Site Address: 019416 UPPER SKYLINE DR
Owner Name: James Wilkens Lot Size: 43946 SQ. FT.
Owner Address: 19416 Upper Skyline Dr. Total Bedrooms: 3 Permit Bedrooms: 3
Eagle River , AK 99577-7922
This permit is for the construction of:
❑✓ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Date: Za
Issued By:�Date:
I " feC-f 7 6—)�)
MUNICIPALITY OFANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
// ///���Glut& 1'i'
ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jul 20, 2000
Expiration Date: Jul 20, 2001
Permit Number: SW000248 Parcel ID: 050-321-47
Legal Description: TIMBER RIDGE #1 BLK 3 LT 3
Design Engineer: 0809 Christopher M. Kinney Site Address: 019416 UPPER SKYLINE DR
Owner Name: James Wilkens Lot Size: 43946 SQ. FT.
Owner Address: 19416 Upper Skyline Dr. Total Bedrooms: 3 Permit Bedrooms: 3
Eagle River , AK 99577-7922
This permit is for the construction of:
❑✓ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Date: Za
Issued By:�Date:
June 21, 3000
Municipality of Anchorage
Department of Health and Human Services
825 L Street
Anchorage, Alaska 99502-0650
Attention: Mr. Jim Cross
Subject: On -Site Wastewater System
Lot 31 Block 3, Timber Ridge Subdivision
Section 18, T15N, R1W
Dear Mr. Cross,
The purpose of this letter is to request your review and approval to construct a replacement
absorption field on the subject lot. Attached are the following items:
1. MOA On-site Sewer Permit Application,
2. Soil Log - Percolation Test Report for TP -1,
3. Site Plan,
4. Sewer system details and calculations,
The lot is located on Upper Skyline Drive in Eagle River, Alaska. Single-family residences are
present to the north and east of this lot. The property to the west has not been developed. The
existing well on the lot and surrounding area are greater than 100 feet from the new or alternate
absorption field location.
The area of the lot is approximately 43,946 square feet. The lot is covered with native birch and
spruce to the south. The ground varies in slope from approximately 10 percent to 25 percent to
the south. The new and alternate absorption field are located in an area were the slope is less than
25 percent. There are no water bodies within 100 feet of the new field. The new absorption field
will consist of a two wide trench drainfield, each 26 feet long with 24 inches of sewer rock. New
PVC Ring-Tite (ASTM 3034) will be installed from the existing septic tank to the new field. The
existing drainfield will be exposed and disinfected with HTH during the placement of new solid
pipe.
We do not anticipate any negative impacts to adjacent properties or conflicts with the current
drainage feature on the subject site.
Please call (907) 250-7574 if you have any questions or need additional information.
Sincerely,
�/_?Z_
Christopher M. Kinney, P.E.
Attachments
/0 yrs Christoqpheerr M. Kinney •. ti�®�
`rs17" ; ; ) d
Project -
Job
OF! A i,,
iw 42.'
U
M� 490
-- ----- -------
Christopher M. Kinney
4
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Project- J/^" W' Ilk S Page / Of
-
Job
Job No: Date, 6-18-0,)
Title /�rcJ/n !�. C /c( By- A -01e
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ROCONSULTING ENGINEERS DNEY P. KIGINEY ASSOCIATES, INC. Project. 1� e h Page of
1&515 CE1R ED DRN SURE 101
PHONEO9 Il 1 FM. -(907) 89{-180)
Job No.- Deter � U
Title pe✓C i t•S l By. �
GIN EE
�•
• � �.� MuniciG ality of Anchorage ��'.....
DEPARTMENT 0' HEALTH&HUMAN SERVIC=S r• •••••••••
825 "L" Street,�.ur:horage, Alaska 99502-O65G Ill A•. •Christopher 1.4. Kinney •q,
�� f•• CE -.9134. ".4,
SOILS LOG •- PERCOLATION TEST itr.'q• 6 ZG C�,,••�o��
PERFORMED FOR: )'Y1e�J
if j? 5 DATE PEAFOgMEDiLot71r, er Rge Sb As,'m
LEGAL DESCRIPTION::- / _ Township, Range, S30on: T/2/ /✓ 1! I IA/ CC�`
1
2
3
4
_
: Q
��"p•,
a
�foWpp of
S4�'1 r:I.1 Crave
Depth to{>
Water
6
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7
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10-
11
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14
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1718- el
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20
9 20
SLOPE
WAS GROUND WATER J
ENCOUNTERED?
S
IF YES, AT WHAT L
DEPTH? O
P
E
Oepth to Water Alter
Monitoring? T),ry0ale: b /-S o
pealing Date
Grass
Time
Net
Time
Depth to{>
Water
Drop
2 �?1=14
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PERCOLATION RATE r" -r a�7
- Sllb (mmv:esnnch) PERC HOLE DIAMETER � 37,% cL
�( TEST RUN BETWEEN 41 FTA(40 S FT ftrer 1/1/41
DISCLAIM E.- Srnnnritca`ar -nnrii'-inns iadira' gra for the dates hown only.
P„st and future presence and/or depth of groundwater can not be predicted
Trom � ese �pserv-t1 ns. _
PERFORMED SY: 1 r IC " ✓J�rr _ 1 Y) Q� t
CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUI( ELINES IN EFFECT CN THIS OATS. DATE: 6LI S/ o U
72-008 (Rev. 4/85) I'
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7
MUNICIPALTt OF ANCHORAGE
/ \ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
I ENVIRONMENTAL ENGINEERING DIVISION
9 825 L Street • Anchorage, Alaska 99501 Telephone 2641720
\ ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME/%O
PHONE
NEW
❑UPGRADE
' C/
MAILING ADORE ;t" Vf' �ZO / �� ` ��
/� C=
LEGAL DES C IPTI
�-- .3
LOCATION
NO. OF BEDROOMS,
`
Well
�
Absorpyr ea/
Dwelhng
PER
.7uo
DISTANCE TO:
�l%Q
�j
O Y
d Q
Manufact
Ma P
No. of compartments �i
O
W
NG
F
a
Liq. c naut in � Ions
IF HOMEMADE:
Inside length.
Width
Liquid depth
dDZ
DISTANCE TO:
Well
Dwelling
PERMIT NO.
O Z ¢
Manufacturer f 7 -Material
Liquid capacity in gallons
I H
p
-WLLi
Wel
n0NCETO:DISTAs
Fou ( n /,
Near
PEb 01T
1
No.of 1
Le►e lino— /
Total len Th of dines
Trench vingift
Distance a in s
/O
ZJ
Q
inches
FZ
Top of bile to fi isl/grade
Material beneath ble/ •//
inches
Total a acJyle s on area
L"
O
I•
Length Width
Depth
PERMIT NO.
W
aH
Type of crib
Crib diameter
Crib deptly
Total effective absorption area
1
W
W
Well
Building found ion
Nearest lot line
to
DISTANCE TO:
D 'r
' T
Distance to lot line
PER►OIT �p
.JDepth
/7
W
�+
Building foundation
Sewer link
Septic
O �
Absorpti n !IG
L'
DISTANCE TO:
/
OTHER
PIPE MATERIALS
T
,-eC C l
SOIL TE HATING
I N S T;ALg R
REMARKS,
d ),f rnw t' 7.7 /' S f �' oma✓
a
D d
�v�f lJ
,
r
r 1
r
..
114 IL
an.�.,•••1•..
S
Cn �••• ••f �soLl
APP OV EOMDATE LEGAL �SR�j �rJ6Xi
�y ! Y;,= LIVE& ALACK
Q a PH. E94 2�7�
'If 01 (Rev.3/78i ,
. 1 �
rid
SOILS LOG
MUNICIPALITY OF ANCHORAGE
,r r , O PERCOLATION
.� r DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST
625 L. Street. Anchorage, Alaska 99501 2643720
SOILS LOG
'-�jPERCOLATION TEST
PERFORMED FOR:, Y—�z
rzm � A, / DATE PERFORMED:
LEGAL DESCRIPTION: Z-'5 e - / ``f7 ZeZ ' ' `e
4
PERFORMED
72-009 (6/79)
O1-7e?/7L �
C�cy SL=Y sua✓�+
WAS GROUND WATER
ENCOUNTERED?
p0 iyOiL! �d /f Z7
IF YES, AT WHAT
Gross
Time
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
-N
2
3
s
LS
w
h t
`/
/ Z
PERCOLATION RATE G 10 (minutes/inch)
TEST RUN BETWEEN FT AND FT
r
Z. % /d'n
i[3Oti Al\CIIORAGEv ALASKA 00502
344-7714
SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 310 4ec t
DRILLED AT THE RATE OF $24.00 PER FOOT.
PROPERTY OWNER GJonk o�tdCon,4t 349-2571
LOCATION OF WELL SITE a 3 M 3 Sub Timber Ridge N1
DRILLER BeAnte C.1a" Olt Rampart t D4Ltting Vosk.4 U' `R D
586: £ Z JItlW
WELL LOG:
0---19' TtU and 4uAlace bouAdeA4- 400% 4,LU4 cAmi. bdndet. NOU103103d 1VIN3WNOSIAN3
19---78' Comtoe q uwet. 20,E 4 t b., maten.,to t. gcworcw do A111VdDII' W
78--126' Hatdpan.. A C_emten ted g uwe-l. wVA 15% 4andy C.tay do the. {a4Q4lt-tan.
126-310' R cangtomaAaie matteA at. R weathe4ed {am o/- bedtock; A04Z 4p94t/2Cntt4r
Qhate ,tack.. (a �,U4t& Mock) OLt4 a mbUtlaL amount. o� "4.1t4r' watvt at 245-247 A.
Th.t4 welt t4 Ca4ed cU .the way. out .to 302 .deet, dnto a good ateat water bea2!ng
gravel. Congton&taie a..that Jew" Teton 302 .to 310 {.eet .t4 OAm hole .Fn. bedtcck..
Tht4 atea 14 p"ducb4 ono about 3/4 iTGT & t4 a 4"etvO4t alla. U .td doukt4ll
.that them t4 any. new watet beating cAea4 Of a 41gn f2ZOnt natu te., be4ond 310-1{t.
7otat water ptodacttonr ma44 of .LL Comdng titan 302 {fir Lo a.iu,LL 180 g .Eton pek
hour. The wate�t pumped CLean dn. two hoWL4. One H024e SwlmtZ14tUde Tump MU44 be
dnota.U.ed at 299 A. 9rt4ddz the 4teeL ca4trzl• The bottom Aw .fit newt 310 may. be
4V4. Although .Lt .Lo aatheh. una4uad-, th.e�te .Lo only. 25 A o{_ watet 4tan4tng Of4
bottom. Ranethele.44, th24 IJeU..tuAn.ed out .to be a ue # good ptoduce�t!
70taL C04 -t O¢ the D�ttL oAvwttoa: 324 peer, A X 310 :fit: 87440.00
nC�OSgT INCLUDES
�ALL
lLABOR
�AAN�D�MATERIAL
oFOR COMPLETION OF SAID DRILLING.
WRITl egtC tVA'YA�BL TO F2Al�1gW DoRILL ffC! WORKS FOR THE SUM OF 97440.00
THANK YOU VERY MUCH.
Thank YOU ldeo. BERNIE CLAUS OF RAMPART DRILLING WORKS
DATE Deceabet 17th, 1984 Jv1a�J.)
SERVICE CHARGE 0F IKY. PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS.
Municipality of Anchorage °
•\ j 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 APPRO AL
FOR A SINGLE FAMILY DWELLING
Parcell.D. COSA#
1. GENERAL INFORMATION Expiration Date: 7 - 6 — 0 -7
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
TIMBER RIDGE 11 LOT 3 BLOCK 3
19416 UPPER SKYLINE DRIVE • EAGLE RIVER AK 99577
JAMES WILKENS Day phone 694-4020
19416 UPPER SKYLINE DRIVE ' EAGLE RIVER AK 99577
Day phone
Real Estate Agent
CRATG-8ENNET7PRUDENTIAC-VISTA Day ptione 669=6472
Mailing address 16635 CENTERFIELD DR. • EAGLE RIVER AK 99577
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
0
❑
Individual Water Storage
❑
Individual Holding tank
Community Class Well
❑
Community On-site
O
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 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. /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 6 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
---opera! onar requirements of the ADEC orMOA DSD. -The contentof this report is for --
the sole benerit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
S. DSD SIGNATURE
✓ Approved for _0 bedrooms.
Disapproved.
Phone
337-6179
Conditional approval for bedrooms, with the fllowing stipulations:
ON-SITE -'
WATER AND
WASTEWATER
PROGRAM
- 11
Attachments:
COSA Checklist Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Reort
Nitrate Advisory Other
By:—Y/
4 " '� Original Certificate Date:. - �l
fNw H,tl51
Municipality of Anchorage
-� Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Streat
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsde
(907) 343.7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description:
TIMBER
RIDGE
1
LOT 3
BLOCK 3
Parcel ID: Q,5'0- 321—Y7
A WELL DATA •
302 FEET PER
WELL
LOG,
BUT R
IS ASSUMED
IT IS ONLY CASED TO BEDROCK
Well type PWATE If A, B, or C provide PWSID# N/A
Date completed 12/17/1984 Sanitary seal (YIN) YES
Total depth 310 ft. Cased to 040+ ft.
FROM WELL LOG
Date of test 12/17/1984
Static water level 245 ft.
Well production 3 9 -P.M.
WATER SAMPLE RESULTS:
Well Log (Y/N) YES
Wires properly protected (YIN) YES
Casing height (above ground) 12+ in.
AT INSPECTION
8/8/2007
278 ft.
4.5 g.p.m.
Coliform Q_ colonies/100 ml. Nitrate;_2_Y_ mgJL. Other bacteria 0 colonies/100 mi.
Arsenio. GEG Ltd.
IU (� � JL, Date of sample: 8/9/2007 Collected by:
B. SEPTICIHOLDING TANK DATA
Tank Type/Matedal SEPTIC/STEEL Date Installed 8/3/2000
Tank size 1500 gal. Number of Compartments 2 Cleanouts (YIN) YES
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A
Date of pumping 8/8/2007 Pumper JR'S PUMPING
C. ABSORPTION FIELD DATA foan.QW EXUHNG 0N TttENCH
Date Installed a/s/2000 Soil rating .p.d. or ft'ibdrm) 1_2 System type SHALLOW TRENCH
Length 58 (ASSUME ft. Width 5 ft. Gravel below pipe 2 ft.
•7.41 (ASSuuEM
Total depth 8.41 ft. Eft. absorption area 375+ fe Monitoring tube YES Depression over field NO
Date of adequacy test 8/8/2007 Results (Pa3WFail) PASS For 3 bedrooms
Fluid depth in absorption field before test** 15/16 in. Water added ••"465 gal. New depth 15/16 in.
Elapsed Time: 0 min. Final fluid depth 15/16 in. Absorption rate >= 450+ g.p.d.
Any rsiuvenatlon treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date —
•*►• ADDED WATER TO BOTH TRENCHES
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N
"Pump on" level at _in. "Pump oft le High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAlft station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+
Public sewer main N/A
Sewer /septic service line 25'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicie storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 1000+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
1� '• T
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. Gorn s ...
.
Engineer's Printed Name JEFFREY A. GARNESS E_
Datedt�eve$�..
COSA Fee a V ')(? )Ci
Date of Payment
Receipt Number 33 5 I I
(Rev. 11105)
Waiver Fee $
Date of Payment
Receipt Number
AUG -23-07 09:50 FROM- T-641 P.002/002 F-041
A�—,GY;ht::1- , Y B"/v � -- '7
ll-wlo-
ASBUILT
dot
•`` i1'•��•��f+• as
�zsB
w
�` �p`r�K`•
5 •Y1ii(�
�
••P11J1111
w s-
�e�
. -r •'ris-
F3
SURVEYING
I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE SCALE-
FOLLOWING DESCRIBED PROPERTY: xt OF,ACq
74 0r r �ie6d rd .Pss.vo % <or ..2�.P DATE, > . Q •, • • • S 0
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS jw
vj'�. •'':� 4
WNERT O IT IS THE RESPONSIBILITY OF THE * .Hee
OWNER TO DETERMINE THE EXISTENCE OF ANY GRIDS •s
EASEMENTS, COVENANTS, OR RESTRICTIONS �Ylwrx-r I e •, �
WHICH DO NOT APPEAR ON THE RECORDED SUBDI- �j . Duane Mark 3s"rd : ' p t
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' -s7-S3� #01 US -6 l�B+ 4
ANY DATA HEREON BE USED FOR CONSTRUCTION t41-
OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN+ A,R*Ars`F
ARY LINES. Lo"*, f
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264.4720
Application Date
1. GENERAL INFORMATION
Legal Description (include lot. block. subdivision. section. township. range)
(a)
Location (address or directions)
Applicant NameI140 f r 66 7Telephone: Home Business
Applicant Address /6 O / r S, ` LLL///
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder�l : Buyer ❑ ; Other ❑ (explain);
(d) Lending Institution /'-TU Aj-)C-- Telephone
Address
(e) Real Estate Company and Agent
,ucsu�
Address
Te phone
4-,0
the HAA to the following address:
2. TYPE OF RESIDENCE
Single -Family Multi -Family❑ Other
Number of Bedrooms
3. WATER SUPPLY
Individual Welty Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite J2S( Public ❑ Community ❑ Holding Tank ❑
Note: If community well system. must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
12-025 111.8+1
Page 1 of 2
5 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
14
As certified by my seal affixed hereto and as of the validation date shown below,) verify that my investigation of this Health
Authority Approval 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 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name
Addre
Date
DHEP APPROVAL
Approved for 3 bedrooms by Date
Approved X Disapproved Conditional
Terms of Conditional Approval
k2
CAUTION
0
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a Courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA) Q �' 3
CHECKLIST - FEBRUARY 1884 J J
264.4720
Legal scription:
s%/J No�,alona TvtN3wrlonlnN3
9 HLlY3H do '100
A. WELL DATA BOYtl01DNY iO /,111WIDIN(1W
Well Classification ,' If A, B. C, D.E.C. Approved
(Y/N)
Well Log Present ) Date Completed Pec ��`T�Yiiel Uz -
Total Depth Cased to Depth of Grouting
Static Water Level 2 i s z Pump Set At
M Z9 9
Casing Height Above Ground — ?b Sanitary Seal on Casin (Y N)
Electrical Wiring in Condui (Y N)
D lances from Well
_ Depression Around Wellhead (YR
Separat on is
To Septic/Hel9iog-Tank on Lot 60 4 ; On Adjoining Lots l�J '{
To Nearest Edge of Absorption Field o Lo SOD r4 ; On Adjoining Lots
To Nearest Public Sewer Line To Nearest Public Sewer Z :S" I
Cleanout/ManholeV To Nearest Sewer Service Line on Lot 7
Water Sample Collected by (I Mee 14 7 ;Date
Water Sample Test Results SH « SF ra ':r W--*
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed �?' T Size AVyJ No. of Compartments
Standpipe N) Air -tight Cap(Y/ ) Foundation Cleano t (Y )
Depression over Tank (Y6N) Date Last Pumped e�
Pumping/Maintenance Contract on File (Y/N) .—;for
Holding Tank High -Water Alarm (Y/N) /' Temporary Holding Tank Permit (Y/N) h/
Separation Distances from Septic/Motdr g Tank: f
To Water -Supply Well ld ,r— To Building Foundation
t
To Property Line Ld j r To Disposal Field S
To Water Main/Service Line ly To Stream, Pond, Lake, or Major Drainage
Course
Comments
Page 1 of 2
72-026(11,84)
v v .y
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 2 S �/` Type of System Design C7L�
Date Installed Length of Field - y a
_ �o r
Width of Field 7
Depth of Field
Square Feet of Absorption Area
Depression over Field (YON _
Results of Last Adequacy Test
Gravel Bed Thickness
76
Standpipes PresenGN)
— Date of Last Adequacy Test
N
Separation Distance from Absorption Field:
r
To Water -Supply Well l/00 To Property Line
To Building Foundation
Lot
'2-O `� -6
N O r-/ 11
On Adjoining Lots
I
O if IC
To Existing or Abandoned System on
3a ` f'
To Water Main/Service Line L0 f To Cutbank (if present) /v' v e -
To Stream/Pond/Lake/or Major Drainage Course AY U W I57'
To Driveway, Parking Area, or Vehicle Storage Area SU
CF
Comments
D. LIFT STATION
Date Installed
A-./ �) -J/s`
— Dimensions
Size in Gallons Manhole/Access (Y/N)
"Pump On" Level at _
"Pump Off' Level at
High Water Alarm Level at Vent (Y/N)
Tested for Pumping Cycles durin Ad
V equacy Test. Meets MOA
Electrical Codes (Y/N)
Comments
•• Check Permitted Bedroom Rating Against HAA Request --
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed Date _
Company MOA No. GJu 3
8 & v E':Gl'NEEAiP::z
Receipt No. SR13 196X � )ZO1{
.
Date of Payment PH. 694-2379 = –,,3Jas–
If
Amount:$ U�,00 — seEn rsp/nyi�i/ r 1
Page 2 of 2
72-026 111,841
/bbbwl A. Shafer
'i', •. he. 1467-5