HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 1 LT 6Birch Tree
Estates
Block i
Lot 6
#017-141-45
Development Service_ Department
� Building Safety Division
On-site Water & Waste
� ,voter Program
4' P.O.BroStreet
.nBoxx 19 196650
Mark Begich Anchorage, AK 99519-6650
Mayor svww.muni.m'a/onsite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW_ Date of Issue:
Parcel Identification Number:
Legal Description irs�flqD
erty Owner Name &Address:
-el r Tri 5'Fz �S
(,,ti�,tirK3
I,o 1 �l� I r2;ver4t-1 Ave.
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: I Meet
Pump Manufacturer's Name: R f � d- e -f
Pump Model: 75 G 311 g S q,.
Pump Size 3jt-/hp
Pitless Adapter Burial Depth: feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer: —
Well Disinfected Upon Completion es ❑ No
Method of Disinfection:
Comments: e
Anchorage Pump & well Service
Pump Installer Name: 330 East 76th Avenue
Anchorage, Alaska 99518
Phone: 907-243-0740
Fax: 907-243-0742
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Municipality of Anchorage
Development Services Department '•e.
Building Safety Division
On -Site Water 8 Wastewater Program, 4700 Bragaw St.
-- P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Pogo 1 of 3
Onsite Wastewater Disposal System and/or Well Inspection Report
Permit Number. SWO90127 PID Number. 017-141-45
Name:TRUDY ELDER
Wastewater System: ❑ New ■ Upgrade
eway
Address:
5140 RIVERTON AVE, ANCHORAGE, AK, 99516
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 345-4850 4
ODeep Trench ■Shallow Trench OBed OUound OOther
LEGAL DESCRIPTION
Rte:-ADVANCED.mnaNn.
Total SE DWG.
R
Block: Lot: Subdivision:
D.9" to PIPo baaum Gam wipkwl pea.:
Grew d.pth bwwoth Pb.:
1 6 BIRCH TREE ESTATES
SEE DWG. n
0.5 rl
Township: Range: Section:
— — —
he aad.a sew..r1p ileac
Gr" W.0h:
30
SEE DWG. n.
n
Grew ween:
Nw,w.r of Ir,..:
OMana Mt...n In.c
WELL: ❑ New ❑ Upgrade
5 In.
1
— R
GI...il'woti.n (PrNW., ",c): Total
Go..d To:
total obwption area:
150 so. n
Pip.
D 3034/ F-810/SCH 40
In.
We Ddbid:
EX
state wabr LwM:
IMa1Nr:
WILCO CONTRACTORS
Me krt
7%31-8/3/2009
n
reM:
wn
Pp s.t ft
ca" "of Atw�w Gr
TANK
,�„
In.L
F
SEPARATION
DISTANCES
■Septic 0Holding OS.T.E.P. 0Other"
—7
io
Septic
Absorption
Lift
Holding
enc/Point.
manufw hN.r:
PREMIER PLASTICS
k' e•�arw�
1000
From
Tank
Field
station
Tank
s..« once
Well
too'+
too'+
too'+
—
25'+
"w"";
H.D.P.E.
of
Nome« ewnpMnwnt.:
2
Surface water
too'+
too'+
too'+
-
-
LIFT STATION
Lot Line
5'+
10'+
5'+
—
—
six. in 9^k^^•:
5ASTICS
00
NaMaclww:
PREMIER PL FAT ALBERT
0I1 Iww of
w .N IMM M:
Nph Mw Warm et:
Foundation
5'+
10'+
5'+
—
—
TIMER
I TIMER
46'
vamp Nak. a Noah:
a.eveW bwo.ctbrw Wii wwd by.
Curtain Drain
NONE
KNOWN
P—TE-30—PLUS
M.O.A.
Remarks: OLD TANK AND CRIB WERE COMPLETLEY
BENCH MARK
Locaaon ana D.•orlpe :
TOP OF MANHOLE LID (LIFT STATION)
ABANDONED PER UPC.
A. "W EM.Wen: 98.97 n.
Inspections performed by: GEG, Ltd. Dates: 1st 7/31/2009
ENGINEER? SEA
_oo�oo
OF
2nd 8/1/2009
c.
3rd 8/3/2009
Development Services Department Approval
o°O:?' 49- :�4
�.A......... . .
Conditional approval: Date:
• • ••• ••: p
A. am s:
Q
E-79 3 :O
by: 04 ° Date: 0
Pro
Reviewed and approved
fesslonao�
o4�O��p00
(Rw. 4/05)
PERMITNUMBER:
-
ASBUILT DRAWING
PARCEL ID NUMBER:
017-141-45
SW090127
SWO
RIVERTON
COURT
DBL1
4.54 131.46
..'.-
DBL2
5.77
31.96
I`
I
t �•. '*.
DBL3
25.08
42.95
\
'." • ' +'
f�
DBL4
ST1
25.86
28.16
43.28
43.81
ST2
30.94
44.73
40.99
\\
TMT
29.94
PT
33.54
45.68
\
2
LIFT
ACL1
37.09
48.02 157.63
47.67
\
HOUSE
u
f�
\\
N
ACL2
50.36 158.63
\\
.• '�
JV
43.68
56.00
\
C01
60.64
63.34,1
CO2
42.22
55.74�
DBI
B
f
CO3
40.35
55.60
/
MT1
55.51
59.69
DBL3
MT2
42.13
57.45
RECIRCULATING LINE DBL4
NEW 1000 GALLON
TH/2+
PLASTIC SEPTIC TANK
STI a
ST2 e
TMT
Co3 PT
MT2 0 4' SEE ATTACHED
OLD TANK AND CRIB
WAIVER LETTER
/CO2
WERE COMPLETELY \ TH/I O
ABANDONED.
NEW GALLON
JA
FATTAA LBERT'
Mit LIFT STATION
RESERVE SITE""'
C01
\
N
/
NEW DRAINFIELD�
00
GARNESS
ENGINEERING
GROUP,
Ltd. ooh.
�
- . CONSULTANTS d GENERAL CONTRACTORS
"' """"Q
JAI L rAwk M[ 101 • M DIDR ML M( exam • Fi01[ (N1)} 7) In • FM (001).1Ja 0 • Ow.prwenrYyaw.
PAGE NUMBER: ••
......•• •••; D
PREPARED FOR:
ELDER
PHONE NUMBER:
345-4850 2
OF 3 f
A• as p
TRUDY
� a''
DRAWN BY: QOgJ
CE -79 3
LEGAL DESCRIPTION:
BIRCH TREE ESTATES;
BLOCK 1. LOT 6
`F`o0
A. G. �Q'e. ''•g�t3�09' o°o
0 edp
TYPE OF WORK:
DATE: 3 O44440�p0��
I1 9
�ofeaalon0\
AS -BUILT
OF NEW
SEPTIC
SYSTEM
(R«. 01m)
pumw
,•.
. ,�'
pol.
,17-141-45
�
9�9 ��Y.N.9991A,I
LF NEW 1300 CALLONrc
-y-rrll VIC, PUss-
B� *AID SEPIIC TALK
MOUND WAS TOPSOILED
AND SEEDED
THOI
WERT OF
M OULE
23M
VOMIT OF PIPE
93.00
To:
1— WATER . 95.01
FIN& GRADE -
95.92_90.92
ELEVATION OF BOTTOM OF TEST HOLE - 79.92
FABRIC
-ORIGPMl GRADE
BOTTOM OF TRENCH
. 99.92
TO
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS 6 GENERAL CONTRACTORS - Q••••• ••• •• •••• .............
3101 L MOOR NLA NIR 191 • A•K+1CRA9G AI 90> • F (99T)]A_01n • FAA (9p7)T.N_37N ..®1R w..pn•--.Pn•.Ay.w
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • • • • • • ............ •
KEN MORHAIN 345-4850 3 OF 3 Q o ' f A. amess:
LEGAL DESCRIPTION: DRAWN BY: Q� r CE— eAG
TRUDY ELDER A.J.G. �Q'e/ ' •4Z !31.P5 c°'oo
TYPE OF WORK: DATE: 4�Q4ppO(�s�e 9Q10000
PROFILE DRAWING 8/13/2009
.v. OIM5)
Y,
y
ISP
. 4
Vork-t
I"6jP. .. P640rniE
cqmmqnts'or.
'"Ott" `Re'
w,P0",r."...._.,._
1.111, - _,. .. -.! .. ti
o
1padjtybf. Anchorage; 4uHung Safety -Division
Road
W
I%
'.•-,JNFOA HELPS
e.
TION:Voltff(P5b343 (6)249-7777.'wwwmuni.org
P
ermit 09-9058
;e�An yWesse w
r3V Mependable'SONice. rl:_ nspectlon.Dafe - 17 Aug -2009 Pm
ss'914b-p1VER1.ONIAVE
Phone 982-2690
OjF
4;�
i5rj-1BIRCH FREE ESTATES.' -ATE&e144*LOT s BK1 TR Na
1�4 INSPECTION PAID
in". SERVLCE;PANEL
in 'DAY;-jINNY.R.'-'.!.,,
5' lift gtitOri hbbkiiFs1666'Vspected. pleasei'call before inspect.
ieyElectrical:Othe-E:I'Qytncal..'.*':
or,i:m
Z,
-5�
m
15:
Ins'p,ek,tor.
Date
V129CVEL06 a5DJOqOUV 30 AjTjOdToTunK KV 90:1T 9 1 l'bnVO - 600,
MUNICIPALITY OF ANCHORAGE
Development Services Department
Onsite Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jul 28, 2009
Expiration Date: Jul 28, 2010
Permit Number: SWO90127 Parcel ID: 017-141-45
Legal Description: BIRCH TREE ESTATES BLK 1 LT 6
Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 005140 RIVERTON AVE
Owner Name: Elder, Trudy & Newman Frederick Lot Size: 27900 SO. FT.
Owner Address: 5140 RIVERTON AVE Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99516.4228
This permit Is for the construction of:
❑-1 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Date: Z. a
Issued By. Date: C'
Municipality of Anchorage
•
Development Services Department
On -Site Water and Wastewater Program
punt
Ucpartmcnt
�� 1. * VARIANCE/WAIVER REVIEW *
WR#: 090040 HAM_ Pennit#:090127
PID#: 017.141-45
Legal Description: Birch Tree Estates, Block 1 Lot 6
Engineer: Garness Engineering Group
Applicant: Trudy Elder
Your request for a waiver of the required 6 feet vertical separation from the bottom of an
absorption field to an impermeable layer has been approved. The approved separation distance
is 4 feet.
This waiver approval applies to the proposed absorption field only. Any future upgrade to the
on-site wastewater disposal system will require all separation distances be met or another
approval from this department.
......... .............. ............ ....................... ....................a
Waiver is Granted: X Waiver Is not Granted:
Date: /27 612009 Approved by:
Name of R
.......................................................... ...................
Rec#: 065303 Amount: $200.00 Date Paid: 7127109
**** VARIANCE/WAIVER REVIEW ****
Municipality of Anchorage
Development Services Department
Building Safety Division
Onsite Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519.6650
www.ci.anchorage.ak.us
(907) 343-7904 ✓'
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017- 1q1- r{ 6
Property owner(s) TRUDY ELDER Day phone 345-4850
Mailing address 5140 RIVERTON AVENUE • ANCHORAGE. AK
Site address Zip Code 99516
Legal description (Sub'd, Block & Lot ) BIRCH TREE ESTATES: BLOCK 1. LOT 6
Legal description (Township, Section & Range) N/A
Lot Size 'Z7,q0 Sq.Ft.
THIS APPLICATION IS FOR (gall that apply):
Absorption Field
❑
Septic Tank
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms 4
THIS APPLICATION IS AN:
Initial
❑
Upgrade
Renewal
❑
certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
GARNESS ENGINEERING GROUP. Ltd.
(Signature ef pF(3peFty owner OF eulheNzed agent)
Permit/Rush Fees: S 3 y+ J I o
Date of Payment: -7 f a -71 Ori
Receipt Number. 1 h_5 7l / J
(Rev. 11/05)
rus►,
Waiver Fees: D-0 q
Date of Payment: / I :t Z l o9
Receipt Number.
GARNESS ENGINEERING GROUP, Ltd.
- - - _� ---: CONSULTANTS & GENERAL CONTRACTORS,,,: - - ....._.-.'•---
July 24, 2009,
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: Proposed Septic Upgrade for Birch Tree Estates; Lot 6, Block 1,
To whom it may concern:
The existing 4 bedroom house is served by a private well and septic system. The septic system is in a state
of failure and needs to be upgrade. We are proposing to install a 1500 gallon S.T.E.P. tank with Quanics
controls/floats, a 650 Aerocell Unit and a 5 -wide trench type drainfield. Two test holes were excavated on
the property. The drainfield will be designed around the 30 foot radii of these holes. Comments regarding
the design are summarized as follows:
1. SOILS: See the attached logs which show 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: As can be seen on the attached design drawing the average topography below the
drainfield is a 15-20 percent slope running approximately northeast to southwest.
5. VARIANCE FROM IMPERMEABLE SOILS: The soils in both tcsthole's were classified as
impermeable at an approximate depth of 4 feet. We are requesting that the vertical separation distance
between the bottom of the drainfield, and the subject soil layer, be waived to 4 feet. Justification for this
reduced separation distance is summarized as follows:
The effluent being discharged to the drainfield is from a Quanics treatment system, which has
CBOD and TSS levels that are expected to be less than 10 mg/L. In addition, the total nitrogen
levels are expected to be less than the effluent from a lined Intermittent Sand Filter (effluent from
an ISF can be discharged into a drainfield that is only 4 feet from bedrock and impermeable soils)
There will still be a 4 feet separation distance between the bottom of the drainfield and
groundwater
There will be no discernable benefit (reduced BOD, TSS, or total nitrogen) achieved by passing
the effluent through 6 feet of soil vs. 4 feet of soil. It is generally agreed upon that the pathogen
reduction occurs within the first 4 feet of soil, hence the 4 feet required separation distance to
groundwater. It is reasonable to assume that by the time the effluent passes through 2 feet of
imported sand and then 2 feet of the insitu 12 minute per inch soil that the BOD and TSS levels
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259
Ph: (907) 337-6179' Fax: (907) 338-3246' Websitc: www.gamcssenginccring.com
will be essentially zero (0). It is further assumed that there will be no more reduction in total
nitrogen achieved by building the mound several feet higher. The highly treated effluent will
probably not see further reduction in nitrogen levels without introduction of a carbon source (as is
the case with ISF effluent).
Based upon the facts presented we are requesting that the vertical separation distance between the bottom
of the proposed drainfield and an impermeable soil layer be reduced to 4 feet.
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.
M.S.
NOTE: Auached is a site plan drawing, a design drawing. one soil log, which are all part of the design package for
this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.)
3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259
Ph: (907) 337-6179' Far: (907) 338-3246 • Website: www.gamcssengincering.com
I
I
ILIAMNA ACRES LOT 7C I
I
CSEPnC
/
I
I
ARS
I
I
I
I
/100• I
WEA
I \
ILIAMNA ACRES TRACT 8 I
I IUAMNA ACRES LOT 7D1
Rgpl� I
I I ILW4NA ACRES TRACT 8
I
I I
WELL AND SEPTIC:
/100.
\\ I
I / NO CONCERN
I
I wELt RADIus
\ 1
RIVERTON COURT
----------------
\ 1/
1 >'
IXISITNC
/
\
BEDROOM
-CANT
\\
HOUSE
/
///
I
_
-�'/ /
i
I
BIRCH TREE ESTATES
BLOCK 1. LOT 8
BIRCH TREE ESTATES
BLOCK 1, LOT 7
/
--� ASEPTIC
BIRCH TREE ESTATES
BLOCK 1, LOT 4
TM#2* LEN)
O
ARE
—
OPOOSSE
PROPOSED
' —
SEPTIC EDE
•� /
BIRCH TREE ESTATES
__
_____ RESERVED
—r.`� /
SITE ____ �� _
BLOCK 1. LOT 5\
_______a-_________
—
_________
_________
_-
___�______
_
/
1
�---
`-SEPTIC
ARS
1 RADIUS
I.
BIRCH TREE ESTATES
,09�
BLOCK 1• LOT 14
BIRCH TREE ESTATES
BLOCK 1. LOT 11
\ BIRCH TREE ESTATES
BLOCK 1, LOT 13
/
\
/BIRCH TREE ESTATES
\
rr��
WACANTD
/
BLOCK 1, LOT 12
\ \`
/
/
/
/
� _ _
\ gEPTIC
1
1 AREA
I
ON'
1\ I EAST 145 AVENUE atm
---------
-------�---------- 1° - too• -
�o�ppp0
GARNESS ENGINEERING
GROUP, Ltd._
- • ----• ---•-�•--� CONSULTANTS S GENERAL CONTRACTORS �� • • • • • • • • • • .......
10, • won a. m w . n b ...I» . r.+ .nsnc 12M .ww. awn 0,, D
PREPARED FOR:
PHONE NUMBER: PAGE NUMBER: ••• ••••
oO
TRUDY ELDER
Je 1r A.... GOrn ss;
907-345-4850 1 OF 4
OVO 79
LEGAL DESCRIPTION:
BIRCH TREE ESTATES
DRAWN BY:
A.J.G. e 1 %. 0) oA o
�0�ion0000
. Q 1 Leo <)4�"
TYPE OF WORK:
pr
400pp0�0i1
�7/24/2009
SITE PLAN
(R.. 01105(
NUMBER OF BE 4 I / RIVERTON COURT
GALLONS PER DAY (CPD): 600 CPD
PERCOLATION RATE/S: 12 MIN/INCH
PROPOSED APPLICATION RATE: 4.0
MINIMUM ORAINFlELD SO.FT.: 150 SO.R
MAXIMUM DEPTH: 2 FEET
'
WIDTH: S FEET
LENGTH: 30 FEET
I
M.OA APPROVED SAND FILTER: 2.5 FEET
EFFECTIVE: 0.30 FEET
1\
REDUCTION FACTOR: N/A
ACTUAL SO.FT.: 130 SOFT
LETTER THAT PERTAINS TO THIS DESIGN.
\
TO OBTAIN A COPY OF THE LETTER
CONTACT CEO. 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.
FLAGGED BY
1
ulun• I \
EXISTING 1000 GALLON SEPTIC `
TANK IS TO BE COMPLETELY
ABANDONED PER UPC
ASSUMED LOCATION OF EXISTING r
CRIB TO ED PERBE PCODELY
a�I
lyo�' TH 2 J
14
INSTALL JANDY VALVE
�ryprh
PROPOSED 630
AEROCELL UNIT -------- TH/1 \
EXISTING
4 BEDROOM
HOUSE
—EXISTING UNE TO UNDOCUMENTED
SYSTEM TO BE CONNECTED IN
-�� FIELD TO PROPOSED 1500
GALLON STEP TANK
e
ALTERNATE SITE
PROPOSED
J r(� DRIANFlELD
ABANDONED PER CODE I
,O
_ 040
'd���FA'o`r�pV
GARNLSS ENGINEERING GROUP, Ltd. p°;? 4
CONSULTANTS d GENERAL CONTRACTORS �+�-•�-- --'.•��4-- �"""""' ' .. "" ""
0i01 L MlII 110.0. M11[ 101 . MdC1YfG Mi OclO) FIL.S 004OI In • FM (001}lY-]iM • bfllL w�.p wKawY,1
PREPARED FOR: PHONE NUMBER: PACE NUMBER: ... .
E Gar ESS••
TRUDY ELDER 345-4850 2 OF 4 .
LEGAL DESCRIPTION: DRAWN BY: O� E-7 .•' �F`O�
BIRCH TREE ESTATES: BLOCK 1. LOT 6 PNB 713.��rv�gdo
TYPE OF WORK: DATE: 4�QO rp FE»lO oo
PROPOSED SEPTIC SYSTEM DESIGN UPGRADE 7/24/09 4, 0
(R.. 01105)
2 INCH RECIRCULATION UNE
TO THE FST COMPARTMENT
OF THE TANK-,,
DANDY
INCH PRESSURIZED UNE
FROM S.T.E.P. TANK
AEROCELL UN(T
LMENU'
'Q�L=�Al=
NOTBEE: MOUND AND 3:1 SLOPES ARE TO
TOPSOILED AND HYDRO -SEEDED
SvOp�S
FILTER
4 INCH PERFORATED PIPE O�
rrn)I
MT
CO
650
AEROCELL
UNIT
GARNESS ENGINEERING GROUP, Ltd.
-- - - CONSULTANTS 6 GENERAL CONTRACTORS »---p+-n----- --�
3]01 L TAM a NAC 101 MIbCMGL AI! Mg01 RICK (00))1.1 lft • IM (Y01)SX-]iM SIL �w.y/�wMiyY�rY�ya,ni
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
TRUDY ELDER 345-4850 3 OF 4
LEGAL DESCRIPTION: DRAWN BY:
BIRCH TREE ESTATES, BLOCK 1, LOT 6 KDM
TYPE OF WORK: DATE:
PROFILE DRAWING 7/24/2(
(Rev. 0IM5)
2-
Vo
pj
I i
�IMt p�11[R
M,11R y
11,
I
�*vol
DRAWNBY: Q.. .:.. .. .......0
7/24/2009 K.D.M. �.. 0
L DESCRIPTION: - 50 4' .-- -�� ••, (F y A. a Hess;'
BIRCH TREE ESTATES, BLOCK 1, LOT 6ROUP Ltd. �0 ^ CE -79 ep
GARI�CSS ENGINEERINGG ��; �• .• �xv
OF WORK:CONSULTANTS&GENERAL CON TFA CTOFS•���
DESIGN OF QUANICS AEROCELL SYSTEM ,,, �,,, „o�N,e,..b,. �..�„b�, .mnro v m"•.vm.••�•—w —w. �4poeypr
llJ p��Eo
�O/G9S10n p�
'AHED FGR' PHONE NUMBER: PAQ : OF 4 oO
TRUDY ELDER 345-4850
oodopppp
� _.. -- 04 ��• OF
GARNESS ENGINEERING GROUP, Ltd. T
......- ........... CONSULTANTS E GENERAL CONTRACTORS •�•�••�- ��••�'^'-' (% T� �'. • 1 oO
3]°I ROM. WM 101 • N,CIgR14C. AK i 7 • P1,OI,E. GO] T:00 • fwt YO N • WEBWL ymr•Wgti••.hFown • • • • • • • • • • • .O
SOIL LOG — PERCOLATIONTEST ...................
LEGAL DESCRIPTION: BIRCH TREE ESTATES; BLOCK 1, LOT 67/17/09
fr y Gorness: OO
TRUDY ELDER DATE:°or. C 7 53 ,• `F`vp
PERFORMED FOR: 2µ 0•�j•'a p
DEPTH
(feet) =Zz
1 ay7a
ORGANICS
TEST HOLE #1/UPPER
_= SOI OSSIFICATIONS
2 `y ORG
--
o` GW
GM„ GP -- — ML
3 GM CL
4 GC OL
°W °°° o SW MH
5 �•• SP CH
SM x : OH
6 SEEPS 19 6.5' Sc
7 DEPTH TO DATE
GROUNDWATER
TH/1
g 10` 7/17/09
ML 6.91' 7/23/09
9
10
tt
12 B.O.H.
13
14
15
16
17 10 5:01 30 3.5" 2.5
18
PERCOLATION RATE 12 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
t9
TEST RUN BETWEEN 2 FT. AND 3 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES C3 NO
SOILS LOGGED BY: ANDREW GRAY PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS:
PERFORMED BY GEG, Ltd. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ER ORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: -7 24 0
DATE READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
7/17/09
i
I
Ilt 1
N
\�
1
1
-
6"
-
2
3:41
i
3.5"
2.5"
3
3:41
-
6"
-
4
3:51
10
3.75"
1.25"
5
♦
—
��
�'
6
4:01
10
4.5"
/ s®
f 1' - 100'
1
3:31
-
6"
-
2
3:41
10
3.5"
2.5"
3
3:41
-
6"
-
4
3:51
10
3.75"
1.25"
5
3:51
—
6"
—
6
4:01
10
4.5"
1.5"
7
4:01
—
6"
—
8
4:31
30
3.5'
2.5"
9
4:31
—
6"
—
"
GARNLSS ENGINEERING GROUP, Ltd.
.. •, �- •-----� CONSULTANTS 6 GENERAL CONTRACTORS•---a+-+��-
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: BIRCH TREE ESTATES; BLOCK 1, LOT 6
PERFORMED FOR: TRUDY ELDER DATE:
DEPTH
(feet) syyy
ORGANICS TEST HOLE #1/LOWER
1 y399
Alirev A. Gbr}:ess
19 PERCOLATION RATE 240 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4 FT. AND 5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: ANDREW GRAY PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS. CERTIFY THAT THISWAS ERF RMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: i 6
SOIL CLASSIFICATIONS
2----
------
ys•: o'. GW
—== ORG
----
GM
:W,dGp
ML
3
IMIGM
CL
4
GC
OL
N
ttt 1
°° •�> o SW
MH
': �'• : SP
CH
5
SM ' i OH
6
SEEPS O 6.5'
SC
16
7
DEPTH TO
DATE
TH/Z •
---
GROUNDWATER
o
TH/i•
��
��
8
10'
7/17/09 ----�----
ML
6.91'
7/23/09
_ _____
SCALE:
10
CLOCK
NET TIME
WATER LEVEL
NET DROP
11
DATE READING
TIME
(MINUTES)
READING
(INCHES)
7/17/09
1 3:31-
12
B.O.H.
2 4:01
30
5.675
0.125
13-
314151617
14-
15-
16-
17
18
19 PERCOLATION RATE 240 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4 FT. AND 5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: ANDREW GRAY PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS. CERTIFY THAT THISWAS ERF RMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: i 6
_oo600pp0
ENGINEERING GROUP, Ltd. y�0
••
•
GARNLSS
CONSULTANTS&GENERAL CONTRACTORS— ��
................ ........... O,�
W Hln • FN' W K • MEBSIfL P+• —�^Y
'
"°
SOIL LOG - PERCOLATION TEST . ........ ... ........�
LEGAL DESCRIPTION:
BIRCH TREE ESTATES; BLOCK 1, LOT 6 •, a ey rness: O
�J CE 795 •
PERFORMED FOR:
TRUDY ELDER DATE: 7 17 09 `FvpO
/e^e .•��Z4•�D
DEPT
fe t�
E.�oO
�0'/'Fo/esslon0\
TEST HOLE #21�Opoo�o
»ate
ORGANICS
1
n:==
SOIL CLASSIFICATIONS
---
.o.`. GW y ORG 7 1 — - — - — - 4 — - — - — --
GM '>M GP ML
3
_
GM CL I
GC OL 1
4
N
°• 00000 SW MH
\
5
e., : SP CH
ML SM � : OH
6
Sc
7
DEPTH TO DATE
B.o.tl•
GROUNDWATER
nil
il
8
�g
4' 7/17/09
4' 7/23/09
9
/ s®
� 1' -
10
11
12
13
14
15
16
17
18
PERCOLATION RATE N/A (MIN./INCH) PERC. HOLE DIA. N/A (INCHES)
19
TEST RUN BETWEEN N/A FT. AND N/A FT.
20
A FOUR HOUR PRESOAK WAS PERFORMED: F-1YES E3 NO
SOILS LOGGED
BY: ANDREW GRAY PERCOLATION TEST PERFORMED BY: N/A
COMMENTS:
PERFORMED BY
GEC, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER ORMED IN ACCORDANCE
WITH ALL STATE
AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 2 0e
loo•
I AC ES LOT 7C 1
I
AAEREEAC
/100. I
1
I NA R 8
,
, IAA/ CR LOT
1v
1 RAOIUS
TRACT 6
I
I
WEAND IC
I
NO CONCERN
I
I
IS
I
PT
EA �—
\
ERTON COU
/
4 BEDROOM
HOUSE
I
�
/
I
IRC TR ESTATES
B K 1, LOT 8
IRCH T E ST
BLOC 1 OT 7
)2*0
i
— EPTIC
BIRCH TREE TES
BLOCK 1, LO 4
ARS
BIRCH TRE S S
BL LOT 5
1
BIRCH TREE ESTATES
BLOCK 1, LOT 14
CH TREE
B K 1, LO
ATESQ
11
�
TRE
\ 81 TRE TA13
/
/
BO CK 1, 0 13
/
BIRCH
BLOCK 1, OT 2
T
\ CSZpT —
'
1 AREA
1
N
\
I
-
45 AVENUOF
-
/
ooh pp�o
0
0
GARNL_SS
ENGINEERING
GROUP, Ltd. 9 v,�0
• CONSULTANTS
b GENERAL CONTRACTOR
�....:.. ..... ..............�
AI L 11.Of.M 11.],D. Y1T 101 � MORN/L(. AI( IY]01 � h,dL -01T � IY b 1]N � �(D511[:.w.
PAGE NUMBER: 0 ••• •••••••••• ••• Q
PREPARED FOR:
PHONE NUMBER:
907-345-4850
1 OF 1 oes.:p
'. f
TRUDY ELDER
Q ; C 7 53
DRAWN BY: V V,
LEGAL DESCRIPTION:
BIRCH TREE ESTATES
7 �' .,•cQ��
K 00 l..
4o�ppppO��000
TYPE OF WORK:
DATE:
7/24/2009
TOPO
P
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Permit Number: SW030281
Legal Description: tBIRCH TREE ESTATES BLK' 1 LT 6
Design Engineer: 0000 None Required
Owner Name: Elder, Trudy & Newman Frederick
Owner Address: 5140 RIVERTON AVE
ANCHORAGE. AK 99516-4228
Date Issued: Jul 31, 2003
Expiration Date: Jul 30, 2004
Parcel ID: 017-141-45
Site Address: 005140 RIVERTON AVE
Lot Size: 27900 SO. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy
All construction must be in accordance with:
1. The attached approved design.
❑? Private Well ❑ Water Storage
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By.
Issued By:
Date:
Date: 7blLo3
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
---ON-SITE ZEWERMELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. ON- IqI-LIS - Oco'a1 Permit NumberSWO3Q28I
Property owner(s) Ed �rUdl1 �'maA. Frcd, 'cri tlL- Day phone 4 3 -600'0
Mailing address (1) TJ40 litJeCton. AI i?, Ajej1oraje I -At 91�g.
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) �tL 1 LTOlD
Legal description (Section, Township & Range) bl*rc h _rrCe. ES o-
�e5
Lot Size—P %, 900 Acres Number of Bedrooms -3
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only [
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Waiver Fees:
Date of Payment: /�Z^ Q b Date of Payment:
Receipt Number:c�Receipt Number:
(Rev. 12100)
07/30/2003 16:01 FAX 907 563 3734 N,{BOAS AR DRILLING 0001
0111)Nabors Alaska Drilling, Inc -
.Always looking for better ways to provide safe, environmentally
sound, cost-e,{jicieni service to our customers.
MEMORANDUM
TO:
Dan Ross
FROM:
Trudy Elder
RE:
Well Permit
DATE:
July 30, 2003
M Dan — I hope I spelled your last name right. At any rate, I went out and measured this
layout last night and drew it to scale. That's how I measured through the house. I hope
this is sufficient for you to grant the permit: I don't want to drill a well that isn't correct,
but I'm confident that the existing well is more than 100' from the septic tank and leach
field. (Not a lot more, but a few feet.) Please let me know. My work number is 263-
6000 (if I don't answer, have the receptionist page me) and my home number is 345-
4850.
Tbmk you.
'07/30/2003 18:02 FAX 907 583 4734 NABORS AR DRILLING
F
/".= aS,
/ S
e1
A
t i(C�o n. IT�ell.�
[a 002
M -W Drilling, Inc.
*P.O. Box 110378#Anchorage, AK 99511•
♦907-345-4000 • 907-345-3287 Fax•
Job No.: 03-155 Project No.: None Permit No. SW030281
Groundwater 11"ell As-Ruilt & Lour
♦ Well Owner: Elder, Trudy ♦ Use of Well: Domestic
♦ Legal Description: Birch Tree Estates, Block 1, Lot 6
5140 Riverton Avenue- Anchorage, Alaska
Construction
♦ 11ole Depth: 405' ♦ Casing Si:e. 6" ♦ Cased To: 165.27'
♦DrillMetrod. Air Rotary
•Alaterial. A 53 Steel
Perf.
♦ well Completion- Open end X Screen Perforated _ Aletkod:
♦Screea/Perforation description: None
♦Grout Notes: (1) Sack- No. 8 bentonite granules
♦ Notes:
♦ 1 {'ell Development: Method: Air surge Notes:
•Static water level (SWL) 141' (above) (below) top of casing (TOC).
• Well yield test at 2-3 gallons per minute (CPAI)lgallo ns-per-hour{CPII) for I hours
with 100% of drawdown (DD) from static level (Sl {'L).
•Alerhod• Airlift
♦ Dare of completion: 16 October 2003 ♦ Pump Install:
Wolf l.no
Depth in feel from
top of casing.
Details of formations penetrated, size of material color and hardness.
0
TO
2
Casing stickup _
_-
2
TO
60
Gravel: silty, sand
60
TO
131
Interbedded layers of silt, small gravel,
and clay
131
TO
145
Water bearinggravel: sib
14_5
TO
158
Clay: dry, gravel/ ,silty
158
TO
405
Bedrock: small water soaps insporadic
fractures
--TO-
TO
— ----
—
TO—
--
---- —
-
TO
_
TO
—
—
TOPresident,
---- - — - - _-------
WAYNE E-WESTBERG--
-M --W Drilling, Inc.
—
TO
_---_ _—_
NQWA Certified Contractor ------
TO
Certificate Nos../99&lck;<_--__-
TO
Contractors License No. 1000
TO
V
GRAS MDI GI�'LTER ANCHORAGE AREA BORO" H
DEPARTMENT OF ENVIRONMENTAL QUALM
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
.7ysl—
NAME xmwr�N ���C`-� MAILING ADDRESS PHONE
LOCATION'=�/�G�_c��/9� LEGAL DESCRIPTION
JtC
SEPTIC TANK:
p NUMBER OF
DISTANCE FROM WELL �/ MATERIAL A7 COMPARTMENTS -�-
�%�%/ LIOUID ._
LIQUID CAPACITY /.-O U U GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT: a�od� 6y f"�L
NUMBER OF PITS OUTSIDE DIAMETER V- OR WIDTH XYZ , LENGTH ��� DEPTH
LINING MATERIAL BOG C/`�l1� �XSXS� , DISTANCE FROM WELL X00 ,BUILDING FOUNDATION
NEAREST LOT LINE l���
/• TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 1� f SO. FT.
TILE DRAIN FIELD:
DISTANCE FROM
NUMBER OF
CE BETWEEN LINES
SO. FT. LENGTH OF EACH LINE
TOTAL LENGTH
NEAREST LOT LINE , OF LINES ,
WIDTH IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: Br7NL oti�rr DISTANCE FROM WATER ��
TYPE /'"�/s�N� DEPTH �� , BUILDING FOUNDATION. ✓ SAMPLE NEAREST
NEAREST SEPTIC i SEEPAGE OTHER �C�✓�
LOT LINE ��� ��" , SEWER LINE ✓,TANK %% , SYSTEM SOD , CESSPOOL �-. SOURCE5'�__:4_�
DIAGRAM OF SYSTEM
DISTANCES:
DATE
( 1 �^,
GREATER ANCHORAGE AREA BOkOUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6.650
ANCHORAGE. ALASKA 99502
TELEP.ON[ 279.6665
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
a
NAME OF APPLICANT ' ft�rw rL4�C` MAILING ADDRESS
INSTALLATION LOCATION
��`• 6'
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY 12 133EE'JSERVED J.r_
FINANCED THROUGH " l
SOIL TEST RESULTS w -
COMPLETION DATE ANTICIPATES
SEEPAGE PIT
TO BE INSTALLED BY
FI
PERMIT NO. "' /
OTHER
FINAL INSPECTIONI 24 HOUR NOTICE REQUIRED.'*13 CKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT PROSECUTION.
SEPTIC TANK SIZE /mv TYPE
AREA SIZE .���'` ""+� TYPE
MINIMUM DISTANCES. REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK ^
5'
FOUNDATION TO SEEPAGE PIT IQo DRAIN FIELD
'
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK . SEEPAGE PITS DRAIN FIELD
TO NEAREST LOT LINE. JI
SO '
WELL TO SEPTIC TANK .SEEPAGE PIT �l7f
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK. d ^
i�- SEEPAGE PIT DRAIN FIELD
TO RIVER. LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREA R CHORAGE AREA
DESCRIB SYSTEM IS IN ACCORDANCE WITH SAID CODE.
1-7
DATE 1. I APPLICANT'S SIGNATURE
NO. 28.08 AND THAT THE ABOVE
v
GRE, -.TER ANCHORAGE AREA Bohr )UGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
l f 0500 TUDOR ROAD POUCH 6.670
ANCHORAGE. ALASKA 99502
I T[L[FNON[ 279-6666
SE AGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME
INSTALLATION LOCATION
LEGAL DESCRIPTION
A
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
ADDRESS
X
PERMIT NO.C7766- :V
PHONE �-20
NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION, 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPE -• SEEPAGE AREA S12E rte""' " TYPE
MINIMUM DISTANCES. REQUIREMENTS
FOUNDATION TO SEPTIC TANK
'f I
FOUNDATION TO SEEPAGE PIT LN DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL IS I -
I�
SEPTIC TANK . SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK �D .SEEPAGE PIT
/0 U
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK.. SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK. 5'0 SEEPAGE PIT DRAIN FIELD
TO RIVER. LAKE. STREAM.
CAST IRON INTO eun n,T OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROU EG LATIONS REGARDING INSTALLATION. \
HEALTH AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUG ORDINANCE NO. -6B AND THAT THE ABOVE
DESC RI B/ O YSTTEM IS IN ACCORDANCE WITH SAID CODE.
4.
DATE j" "� APPLICANT'S SIGNATURE
•
• .c e ,
•, Municipality of Anchorage °
On-Site Water and Wastewater Program
(907) 343-7904
Certificate of On-Site Systems Approval
Parcel I.D. 017-141-45 Expiration Date: t.2---°( --1
1. GENERAL INFORMATION:
Complete legal description Birch Tree Estates; Block 1, Lot 6
Location (site address) 5140 Riverton Avenue*Anchorage,AK 99516
Current Property owner(s) Channing&Sheila Lillo Day phone 952-6213
Mailing address 5140 Riverton Avenue`Anchorage, AK 99516
Real Estate Agent Sam Daniel Day phone
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
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request Distance:
Received b / Date: ��-�l "4"
COSA to be ref-.�to the -ngi --r,unless otherwise requested by the engineer.
COSA Fee $ 32 • ' Waiver Fee $
Date of Payment 3\1c0 [ 11 Date of Payment
Receipt Number Receipt Number
COSA# 05C-11 U Y 3(p Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road,Suite 101-Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: S'{4.11
!3-
,7z
In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system o
in accordance with the guidelines and regulations established by the Municipality of Anchorage and o OF • L.
,c
industry practices. The reported results describe the condition of the system/s on the date/s of the O 0•' 00
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 0 tr ; -[ *`TH ••Z v00
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and 4
workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and /... .. r
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the ►
'f'G A. Torness,•'
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of 0A 0 CE 79 3 `1
the well or septic system. GEG makes no representation whether an alternative well or septic system 0 '.,�Pa ] ' .•� ct0
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to Q 6rofessior
perform the evaluation. Reliance upon the information provided in this report by any other person or 0� �
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
#AECC884
6. DSD SIGNATURE
System #1 Approved for L( bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations:
•
• L:'!..1
By: 1
�—� `= / 2,9
Original Certificate Date: `7 7
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory / Arsenic Advisory
Well Flow Advisory Other
COSA blue shee1_1 o-1 o-12.doc
•
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Birch Tree Estates; Block 1, Lot 6 Parcel ID: 017-141-45
A. WELL DATA *Per GEG inspection **Tested flow of domestic well only
Private/
Well type Agricultural If A, B, or C provide PWSID# N/A Well Log (Y/N) No/Yes
1971(?)/
Date completed 10/16/2003 Sanitary seal (Y/N) Yes Wires properly protected (YIN) _ Yes/Yes
Unknown
Total depth*170/405 ft. Cased to 165.27 ft. Casing height (above ground) 12+/18+ in.
FROM WELL LOG AT INSPECTION
Unknown/
Date of test 10/16/2003 **7/13/2017
Unknown/
Static water level 141 ft. 98 ft.
Unknown/
Well production 2-3 g.p.m. 0.98 g.p.m.
WATER SAMPLE RESULTS: Domestic/Agricultural
Coliform 0/0 colonies/100 ml. Nitrate 0.647/ T tp.mgg,/.LL.. Collected by: GEG. Ltd.
NO 5-
Arsenic: ND<5/ " ug./L. Date of sample: 7/13/2017 & 7/24/2017
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/ H.D_P_E_ Date installed 7/31/2009-8/3/2009
Tank size 1000 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 10/7/2016 Pumper Around the Clock Pumping
C. ABSORPTION FIELD DATA "'Below Existing Grade
Date installed7/31/200x-8/3/2009 Soil rating kp.d./f or ft'/bdrm)**4.0 System type Shallow Trench
Length 30 ft. Width 5 _ft. Gravel below pipe 0.5 ft.
Total depth '3.25+ ft. Eff. absorption area 150 ft Monitoring tube Yes Depression over field No
Date of adequacy test 7/13/2017 Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added***698 gal. New depth 0 in.
Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) None Known If yes, give date -
**Advanced Treatement System
***422 gallons of water were pumped from the domestic well and storage tank during the initial
105 minutes of the adequacy test. 276 gallons of water was then pumped from the agricultural
well over the remaining 60 minutes (698 gallons total).
Pre tank double cleanouts had approximatley 1 inch of standing water on 7/27/2017.
(No operational problems reported)
*See inspection report by Quanics service provider
D. LIFT STATION **Per MOA electrical inspection report
Date installed 8/3/2009 Size in gallons 500 Manhole/Access (Y/N) Yes
"Pump on" level at Timer in. "Pump off" level at Timer in. High water alarm level at 46 in.
Datum * Cycles tested * Meets alarm & circuit requirements? **Yes
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75 + Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 75'+
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 *4'
Water main 10'+ 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 10'+
Water service line 10'+ Surface water 100'+ Driveway. parking/vehicle storage 10'+
Curtain drain None Known Wells on adjacent lots 100'+
F. COMMENTS
*WR#090050
oo�op0\
G. ENGINEER'S CERTIFICATION OF A \Op-
�dc..•• '. ` IliA
/certify that f have determined through field inspections and fiL4 ,���Qreview of Municipal records that the above systems are in ' ; t
conformance with MOA COSA guidelines in effect on this 4 'I Q
date. '•,Jeff . G�rn.- _
Engineer's Printed Name JEFFREY A. GARNESS v.01111. • d, 79 3 epi
Date g/1447.. Ore,, ' . �...•lg.'\o•Op
40 �pr0 f e ssioo°ad
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#AECC884
(Rev. 11/05)
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S 89-43'44"W 143.00'
AS•BUILT SURVEY(NO CORNERS SET THIS DATE)
1-■SE
I MEREST CERTIFY THAT 1 HAVE PERFORMED A
MORTGAGEES INSPECTION OF THE FOLLOWNG
DES:RIBF 7 PROPERTY
LO1 6.B:O CK 1.BIRLM TREE ESTATES
. ANCHORAGE RECORDNNG DISTRICT_At AND THAT
- THE v151B-E IMPROVEMENTS SITUATED THEREON ARE
THE AIFORMATON HEREON IS FOR THE USE OF LENDING NSTTTUTIONS SPECIFICALLY TO SHOW MIT CONFLICTS BMW EN WITwH TME PROPERTY LINES AND HO v1SIBU E
EBISTINO STRUCTURES AND PLATTED LOT LINES OR EASEMENTS ARID IS NOT TO OE USED FOR POSrt1ON.IG ADDITIONAL. EN•zRD.CN*AENT3 DOST OTHER THAN NOTED
STRUCTURE S ORF ENCELINES
DATED AT ANCHORAGE.ALASKA THIS STN_
EASEUENTS OF RE CORD.OTHER THAN THOSE SHOWN ON THE RECORDED PLAT,ARE NOT SHOWN HEREOF((t LESS INDICATED) DAT OF AUGUST 2009....
HOLT LAND SURVEYING
NOTE ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO OETERMME PROPERTY LINES TEL 315.3513 71096.FB 13A-34
OR LOCATE STRUCTURES .
ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND STEPHEN AND JENNIFER REESMAN
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
30 th Day of August of 2017, by and between STEPHEN AND JENNIFER
REESMAN, herein the "OWNER,"and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein,the
parties to this Maintenance and Repair Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS), described as
Quanics Aerocell
located at(legal description).
BIRCH TREE ESTATES L6 & L7 B1 (5140 Riverton Ave,Anchorage AK 99517)
2. Definitions.
Alteration. Any change to the design or function of an AWWTS that
includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design.
Certificate of On-Site Systems Approval (COSA). An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with Anchorage
Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that
the systems are adequate for the homes that they support and meet the
codes that were in place at the time of system construction.
Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included
in the original design which would allow the AWWTS to continue to
perform as designed.
Permit. An On-Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AWWTS.
3. Term. The term of this Maintenance and Repair Agreement shall begin on the
date of approval by the Municipality to operate the installed system or issuance of a
COSA, and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations, Installation and Removal of Additional Equipment. Prior to
performing any alterations to an AWWTS,the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay
for any and all: (1)repair(s), (2) maintenance, (3) adjustment(s), (4)replacement
costs, and(5) inspection costs.
B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules
and orders for the AWWTS.
C. Upon request by the Municipality, the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On-Site Systems Approval.
H. Owner agrees that the AWWTS installation and maintenance requirements as
provided by the AWWTS vendor/installer and approved by the Municipality are
the governing guidelines for the construction, maintenance and repair of the
Owner's AWWTS.
6. Nonwaiver. The failure of either party at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof, or the right of such party thereafter to enforce each and
every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement,the only authorized representatives of the parties
are:
a. Owner: STEPHEN AND/OR JENNIFER REESMAN
b. Municipality: Director, Community Development or designated authority
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair 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 Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER:
By. / (signature) Dater ) (-1
Stephen J Reesman Jennifer L Reesman (print name)
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this, b\-klday of ki9 "
20 h , by l( k Th QtcNion {eAvF Rev n
NOTOY PUBLIC FOR ALASKA
My Commission expires: 1kce Nott 1-0-0
MARKy Public
LACSAMANA
State of Alaska
My Corot*elan Expires Dec.12,2020
MUNICIPALITY:
(signature) Date: 7'7-1 7
(print name) Title:
�• Municipality of Anchorage �t.'
f a1 r'4'.
Development Services Department g9.qp�E_:_,..=
i8Fi 7
Building Safety Division SA E T. .
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Water Well Advisory
Certificate of On-Site Systems Approval (COSA) # OSC171356
During a recent COSA on-site inspection and test of the potable water
supply well on Block 1, Lot 6 of Birch Tree Estates subdivision, the well's
productivity was determined to be .98 gallons per minute. The minimum
well productivity required by this Department (AMC 15.55) for a 4-bedroom
residence is .41 gallons per minute. Although the subject well currently
exceeds this minimum requirement, all parties concerned are advised that the
production capacity of the well may fluctuate. Restriction of non-critical
water uses such as washing cars and watering lawns and gardens may be
required.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval.
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
FOR A SINGLE FAMILY DWELLING
Parcel I.D. (9/:Z— IqI` q COSA# () I a %
1. GENERAL INFORMATION Expiration Date: / % — --)- 0 '
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
BIRCH TREE ESTATES: BLOCK 1. LOT 6
5140 RIVERTON AVENUE • ANCHORAGE. AK • 99516
TRUDY ELDER & FREDERICK NEWMAN Day phone 345-4850
5140 RIVERTON AVENUE • ANCHORAGE. AK • 99516
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
❑
Community On-site
❑
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 We (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 engineers work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat affixed hereto and as of the validation date shown below, I verily 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) sale, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system !slate) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS. P.E. Date
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 8 Regulations. The reported results described the performance of the
system under the conditions encountered at the time ofthe fest, and separation
distances measured to readily Identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG. LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
S. DSD SIIGGNATURE
Approved for � bedrooms.
Disapproved.
Conditional approval for bedrooms, with the flowing stipulations:
Attachments: L/
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineers Report
Other
Profess%O
P '
ON-SITE
• WATER AND ; m=
WASTEWATER
s PROGRAM —
By. Original Certificate Date: O r
(iter. 1+105)
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: BIRCH TREE ESTATES; BLOCK 1, LOT 6 Parcel ID: 01 Z— 7�
A. WELL DATA "PER GEG INSPECTION. ""ASSUMED BASED ON SURROUNDING WELL LOGS
PRNATE/ SEE ATTACHED. TESTED FLOW OF DOMESTIC WELL ONLY.
Well type AGRICULTURAL If A, B, or C provide PWSID# NIA Well Log (Y/N) NO/YES
UN NOWN/
Date completed 10/ 1 6 20003 Sanitary seal (Y/N) YES Wires property protected (YIN) YES
""40+%
Total depth *168+/40 ft. Cased to 165.2 ft. Casing height (above ground) 12+ 18+in.
FROM WELL LOG AT INSPECTION
UNKNOWN/
Date'oftest 10/16/03 ""•7/17/2009
UNKNOWN/
Static water level 141 g, 102 g,
UNKNOWN/
Well production 2-3 g.p.m. 1.03 g.p.m.
WATER SAMPLE RESULTS: DOMESTIC/AGRICULTURAL
0.464/
Coliform 0/0 colonies/100 ml. Nitrate 0.456 mg./L. Other bacteria 0/0 colonies/100 ml.
Arsenic: NDND/NDugJL. Date of sample: 7/17/2003 Collected by: GEG Ltd.
B. SEPTICIHOLDING TANK DATA
Tank Type/Matedal SEPTIC/H.D.P.E Date Installed 8/3/2009
Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (YIN) YES
Date of pumping NEW Pumper -
C. ABSORPTION FIELD DATA E OW FINAL GRADE
Date installed 7/31-e/11/2009 Soil rating (g.p.dMo /bd "40 System type SHALLOW TRENCH
Length 30 ft. Width 5 ft. Gravel below pipe 0.5 ft.
Total depth*3.42-4.42 ft. Eff. absorption area 1150 112 Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) - For --bedrooms
Fluid depth In absorption field before test= in. Water added=gal New depth =In.
Elapsed Time: = min. Final fluid depth= ih. Absorption rate >= - g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) - If yes, give date -
""ADVANCED TREATMENT SYSTEM.
D. LIFT STATION
Date installed 8/3/2009 Size in gallons 500 Manhole/Access (Y/N) YES
"Pump on" level at TIMER in. "Pump off' level at TIMER in. High water alarm level at 46" in.
Datum BOTTOM OF TANK Cycles tested NEN' Meets alarm & circuit requirements? YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
DOM ESTIC/AGRICULTURAL
Septic tank/lift station on lot 100'+/100'+ On adjacent lots 100'+/100'+
Absorption field on lot 100'+/100'+
Public sewer main N/A
Sewer /septic service line 25'+/25'+
Animal containment areas 50'+/50'+
On adjacent lots 100'+/100'+
Public sewer manhole/cleanout N/A
Holding tank N/A
Manure/animal excrete storage areas 100'+/100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field *4,
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 1006+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation t0'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*SEE ATTACHED WAIVER LETTER.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field Inspections and
review of Municipal records that the above systems are In
conformance with MOA COSA guidelines In effect on this
date.
Engineer's Printed Name JEFFREY A. CARNESS
Date &I12loci
COSA Fee S aSU
Date of Payment 13 09
Receipt Number d 1 D —7 y %
(Rev. 11105)
Waiver Fee $
I � i
o6�4p I
OeQ(I o '.Je C -7 53 lel 9 'ems
Date of Payment
Receipt Number
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS • _- ^-
August 13, 2009.
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Attn: Jeff Poet.
Ref: Lift Station to Drainfield Waiver for Birch Tree Estates Subdivision; Lot 6, Block 1,
To whom it may concern:
We request that you issue a 4 -foot waiver from the new lift station to the new drainfield.
The following items are justification for this waiver:
• The lift station encroaches on less than 10% of the new drainfield.
• The lift station is made of plastic and is resistant to corrosion, thus the tank should never
need replacement. This will eliminate the possibility of the drainfield collapsing into the
excavation hole during a tank upgrade.
• The drainfield is a shallow trench; therefore, there is no sidewall absorption
We are unaware of any adverse impacts associated this waiver. If you have any questions, please
contact us at 337/16179. 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.garncssenginecring.com
Municipality of Anchorage
httn://www.m un i.org1Onsite
Development Services Department
On -Site Water and Wastewater Program
ment
O. h
Department
* * * VARIANCE/WAIVER REVIEW ****
WR#: 090050 HA#:090273 Permit#:
PID#: 017-141.45
Legal Description: BIRCH TREE ESTATES. BLOCK 1. LOT 6
Engineer: GEG
Applicant: Trudy Elder & Frederick Newman
Your waiver request to allow the items listed below has been approved.
1. 4 foot lift station to absorption field horizontal separation distance.
This waiver approval applies to the items listed above only. Any future upgrades to the on-site
wastewater disposal system will require all separation distances be met or another approval from
this department.
...............................................................................
Waiver is Granted: X Waiver is not Granted
Date: MO/09 Approved : !'` 97
Name of Re fewer
........................................... . ................................a
Rec#: 065303 Amount: $200.00 Date Paid: 7127/09
**** VARIANCE/WAIVER REVIEW ****
RA ERJJ r, - A LAE -MED
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN
EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL
STRUCTURES OR FENCELINES.
EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON{UNLESS INDICATED)
NOTE ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES
OR LOCATE STRUCTURES.
MY PANNG SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS
w
e
0
In
AS -BUILT SURVEY (NO CORNERS SET THIS DATE
1'•50
I HEREBY CERTIFY THAT I HAVE PERFORMED A
MORTGAGEES INSPECTION OF THE FOLLOWING
DESCRIBED PROPERTY
LOT S. BLOCK 1. BIRCH TREE ESTATES
ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT
THE VISIB.E IMPROVEMENTS SITUATED THEREON ARE
MnTIM THE PROPERTY LINES AND NO VISIBLE
ENCROACHMENTS EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE. ALASKA THIS STH_
DAY OF_AVGUST 1009_
HOLT LAND SURVEYING
TEL 3115515 IIM. FB IU.0
SGS ReLN
1093501001
Client Name
Ga mess Engineering Group, Ltd
Project Name/#
Water Samples
Client Sample ID
Birch Tree Est B1,L6
Matrix
Drinking Water
Sample Remarks:
Printed Datc/Time
08/06/2009 13:50
Collected Date/Time
07/162009 17:00
Received Datc/I'imc
07/172009 8:00
Technical Director
Stephen C. Ede
Allowable Prep Analysis
Parameter Results POL Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic
Haters Department
Total Nitratc/Nitritc-N
Microbioloav Laboratory
Colony Count
Total Coliform
Fecal Coliform
ND
5.00
ug/L
EP200.8
C
(<10)
0727/09 0729109
NRB
0.464
0.100
mg/L
SM204500NO3-1'
B
(<10)
0720/09
LCE
0 col/IOOmL
S\120922213
A
(C00)
07/17/09
DLC
0 col/IOOmL
SM20912213
A
(<I)
07/17/09
DLC
0 col/IOOmL
SM209222B
A
(<I)
07/17/09
DLC
SCS ReLN
1093501002
Client lame
Garncss Engineering Group, Ltd
Project lame/p
Water Samples
Client Sample 11)
Agricultural Well
Matrix
Drinking Water
PNYSID
0
Sample Remarks:
Parameter
Metals by ICP/MS
Arsenic
Waters Department
Total Nitratc/Nitrite-N
Microbiology Laboratory
Colony Count
Total Coliform
Fecal Coliform
Printed Datell'ime
08/062009 13:50
Collected Dalcrl'imc
07/162009 16:30
Rectired Date/time
07/172009 8:00
Technical Director
Stephen C. Ede
Alloaahlc Prep Analysis
Results POI. Units Method Container ID Limits Date Dam Init
ND
5.00
ug/L
EP200.8
C
(<10)
07/31/09 08/03/09
NRB
0.456
0.100
mgIL
SM20450ONO3-F
U
(<10)
08/05/09
LCI:
0 col/100ml.
SM209222B
A
(<200)
07/17/09
DLC
0 col/IOOmL
SM209222B
A
(<0
07/17/09
DLC
0 col/IOOml.
SM209222B
A
(<1)
07/17/09
DLC
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNTERSTANDING
BETV1 EEN A LINICIPALT7'Y OF ANCHORAGE
AND ' d, / t;110
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
as Day of of200a,byand between C annin SS�eilaii�o
herein the "OWNER " and the Municipality of Anchorage, herein the
11.1UNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWVWTS),described as011attG4,Anotel/ located
at l i r el, T to E5 4 4 t t l /- Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AVWVv7S that
Includes the installation or removal of any parts. components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing Hater and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC 15.65.
These approvals certify that the systems are adequate for die homes that
they support and meet the codes that were in place at the time of system
construction.
C. Damage. Any than -made or natural change in a system that would inhibit
the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AW WTS that were included in
the original design which would allow the AWWTS to continue to
perform as designed.
E. Permit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit An annual permit, issued by the Municipality, that
allows the Owner to operate an AW WTS, upon meeting all the
requirements of this agreement, the conditions of Operating Permit, the
requirements of the On -Site Vdastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. Fee. Owner shall pay to Municipality an annual fee of O
(S O .00), payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
Municipality of installed system.
4. Term. The term of this Memorandum of Understanding shall be for the life of the
AWWl'S.
The term begins on the date of approval by,thc Municipality of the installed system and
shall continue while the ARrW►S system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of Ort -Site approval is issued to
the new owner or transferee of the property.
S. Alterations installation and Removal of Additional Fouipment. Owmcragrees
not to make any alterations, removal of parts or additions to the AWNVTS without a
Construction Permit from the Municipality.
6. Mointennnee and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owmer shall
maintain AVVWfS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2)
maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the AW'%7S.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's AW WfS
Operating Permit is: Tl m i
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWfS are codified in AMC 14.60.
D. Owner agrees that only maintenance. repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nomvniver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party thereafter to enforce each and every p, ovision
hereof.
S. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
Owner:
r. ;n r
54ep la
Anchorage:
Purchasing Officer
C. Any attempt to amend, modify, or chance this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding 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 Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
MUNUCIPALITY:
By:
Title:
Date:
ss.
The foregoing instrument was acknowledged before me thisJO day of �14
20oa, by f4Vei411er GVbIwCe- V J
(/ STATE OF ALASKA .
A 4A: - NOTARY NOTARY PUBLIC `j .
NOTARY PUBLIC FOR ALASKA Heather Crouse
My Commission expires: ,:/LD MYCwissimE1paM (0
TOn�—
l
M
i SUBIECT!�"/0
�n.��� / y DATE
MESSAGE
F
ME
REPLY
0
� IGNEYCJ
A
SIGNED DATE
REDTFC7RM ®'x$ ,72 PART 3 WILL at RETURNED WITH ND PARTS I AND 3 REPLY. POLY PAK (50 SETS) 4P472
DETACH AND FILE FOR FOLLOW-UP
Time
APPLICI''dT FILLS OUT,UPPER HAC—ONLY
Property Owl:' >,>, r Sfnccy CAOZIZIG
Phone
Mailing Addressjz
/ 21p Code
�
Buyer /,rN 0
p>Dwpel%
Address
Zip Code
Lending Institution
G_t me.zty�y�
Phone
Address
Zip Code
Realty Co. d Agent
m P,C$%U ti
Phone
Address
Zip Code
Legal Description
A or / P
Is Wit t ,It c L. lrizC C- ria ffJ
Street Location
v iNVIRONI+t=NTAL PdOTECTION
Type of Residence
[)✓Single Family
L,,lultiple Family
No. of Bedrooms
❑ Other
..
Water Supply
XIndividual
..�It 7,7n/
ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
log It
Community
( ) DISAPPROVED
For wells drilled prior to that date, give well depth (attach available).
❑ Public Utility
DATE
�c.Y
Sewer Disposal
� Individual
Year Individual Installed: rf;Z�?
f_. Public Utility
When Connected to Public Utility:
C. Holding Tank
Well To Absorption Area
Well Log Received
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Tlme
1 c -
Dale
Date
Date
Date tt
Inspector
Inspector
Inspector
Inspect
[[nn
MU
ICIPALte>~"^UORnOE
Field Notes:
v iNVIRONI+t=NTAL PdOTECTION
!•S'F,''�(/
RECEIVED
..
(3) APPROVED BEDROOM
'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( )CONDITIONAL APPROVAL'
DATE
�c.Y
BY:
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received
Septic Tank Size
I Well to Tank '--?
72013 rsen
May 9, 1983
Tim and Stacey Carrie
SRA 335
Anchorage, Ak 99507
Subject: Lot 6, Block 1, Birch Tree Lstates
Approval for the individual sewer and water facilities cannot
be granted until the following items have been co.apleted:
° Exposed electrical wires to the well head are in violation
of the Municipality of Anchorage codes and must be encased
in conduit.
The water analysis report needs to be submitted to this
11 office from the Chem Lab, 5633 B Street, for our review.
° A four (4) inch cleanout needs to be installed to the sep-
tic tank..
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
Robert C. Pratt
Associate Environnental Specialist
RP32/ej/E1
.1,
5. LEGAL DESC IPTION
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME
NUMBER OF,BEDROOMS
TIME
TIME
C< SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
` c rt vp
DATE
DATE
DATE
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
—)—
)—INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
�Y(1 Wi
❑ PUBLICUTILITY
MUNICIPALITY OF ANCHORAGE
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
MUNICIPALITY OF ANCHORAGE
DEFT. OF HEALTH 8
DEPARTMENT OF HEALTH 14 ENVIRONMENTAL PROTECTION PT.OTECTION
825 L Street. Anchorage, Alaska 99501 ENVIRONMENTAL
•
13 1981
ENVIRONMENTAL SANITATION DIVISION JUL
Telephone 264.4720 R F (� F I v E
WATER AND SEWEFTFAC�[ fifES D
REQUEST
FOR APPROVAL OF INDIVIDUAL
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be Processed. Please allow ten (10) days for processing.
1. PROP O N
PHONE
MAILING A.�ggD SS
PROPERTY RESIDENT (If
different from above) r
HONE
R
"IS -66
2. BUYER
O
PHUNL
MAILING DRESS
3. LENDINI STITUTION
PHONE
�L 3S
MAILING ADDRESS
%, C if
4. REALTOR/AGk, T
\N\
PH NE
MAILIN DD ESS
5. LEGAL DESC IPTION
STREqZ,LOCATION
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
❑ One ❑ Four ❑ Other
C< SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
Three ❑ Six
7. WATER SUPPLY
K INDIVIDUAL- '
ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
W INDIVIDUAL/ON-SITE"
YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLICUTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72010 (Ray. 6/79)
1 / /
r _ THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLICUTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON-SITE
❑PUBLICUTILITY
Connection Verified
PERMIT NUMBER
DATEINSTALLED KK
INSTALLER
❑Septi nor ❑Holding Tank
Size: (b If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER��.
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL TO:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must ompany certificate)
❑ DISAPPROVED
DATE
BV ^ n
72010 (Rev. 6/79)
r`I
• ALASKA EIIUIROC1UTAL COCITROL SERUICES, inn.
Engineering 6 Environmental Studies
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
EMJIRON,MENTAL F.'CTECTION
AUG 11 1981
RECEIVED
8/6/81
ALASKA BANK OF WtERSE
323 C STREET
ANCHORAGE AK 99503
SELLERNOBRDGA
:• • :1•M 'al ESTATES•M •
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 240 SST.
THE SYSTEM IS CAPARTE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 8/3/81 .
0
-----------
C. A" k._
J a•s, lio. Y!!1� C
'C`e pROFES510H:�.•"'
1220 West 25th Auenue • Anchorage, Alaska 99503 0 (907) 276-1361