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HomeMy WebLinkAboutGLENN VIEW ESTATES WEST PH 1 BLK 2 LT 10Glen View West Phase 1 Block 2 Lot 10 #051-793-14 Municipality of Anchorage Development Services Department Building Safety Division - �•.i1 eOn-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page www.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW010005 PID Number. 051.793-14 , of Nemec Arctic Devco. Inc. Wastewater System: 0New ■ Upgrade Address: PO Box 3489. Palmer. AK 99645 ABSORPTION FIELD Phone: Number dBedrooms: 4 Trench DDeepTr0SMaowTrench DSed 13 Mound Doow: LEGAL DESCRIPTION 5ai Ram 0.6 GPDIFI9 Total Depth from agncl Wad.: 5.48.6.00 Ft. &act Lot aumwlon: 2 10 Pitt-, / Glenn View West Depen to pipe bottom from anginal pads: 2.45.3.09 Ft. Gravel depth beneath ppe: 3.03.2.91 FL Townley: auq.: S.dcn: Fm added Woe original grade: 1.17 Ft. Grovel Length: 117 Ft. Well: 0 New5 0 Upgrade Gravel `"m: Ft. Number a Met Distance bee en in.t 2 10 Ft Ctaaubobon (Prmu, A. B. C): Public Water Total Depth: Ft. Goad to: FL Taal absorption avec: 1008 Fr Pipe IA+a W: SCH40 & F810 Dow: Dat. Dried: Sum Waw Levet: FL kn*sI.: Turner Const. Data Installed: 01/10/01 Yield: GPM Pump Sod at FL Casing Height Amo. Grand: FL TANK SEPARATION DISTANCES ® Septic 0 Holding • S.T.E.P. 0 Other: T.. From Septic Tank Absorption Field Lin Station Holding Tank Public/Privatec•pa�lr� Sewer Line M'ulaclua: Anchorage Tank 1250 Gal. Well 200'+ 200'+ NA NA 25'+ SM el Number 2D"�"" "" &tramwaw 100'+ 100'+ NA NA LIFT STATION Lot Lino 5'+ 10'+ NA NA srt.: Gat Manufacturer Foundation 5'+ 10'+ NA NA lev 'Pump of el at in. -Pump iron larat F. High waw Mum at H. Detain Drain NA *50'+ NA NA pump Maks a Madel E•,.Mtal Impecbone p-rwm.d fry. Dueto Due to elevation at foundation, the depth of gravel was reduced 1' BENCH MARK and trench lengthened 17'. Locauon and Descnpu n: Top of door sill. Assumed lleraLan. 100 Ft. Engineer's Stamp P�EOF q................ e* •'49.1H «e..1 Inspections performed by: KND Engineering Dates: 1't 01/11/2001 Zed 1112/2001 -e«tie •Ya••.•••• a-s Kenne.n .. uuffu �� Je CE 7116 ! fir"/ 6'' '•• . ' G` 0 tl1FokROF ••810 so Development Se ices Department Approval l Reviewed and approved by: Date: 8'2�'O t (prove WOO) AS—BUILT GLE VACANT ot 11 B—D=23.8' C—D=27.6' B—E=16.1' C—E=32.9' A—F=57.9' B—F=30.8' A—G=63.0' B—G=42.4' A—H=44.3' B—H=74.8' SYSTEM DETAILS/SIT NN VIEW WEST S/D, LOT 10, CD+ Ci 1! MT 00, VE FIELD MARY r KND9-2/10 1250 GAL SEPTIC TANK LIT B CO 4 BORN MOUSE E N }CO MT E BL ABLE A DRIVEWAY 1' a PLAN Perr'li OCK 2 PID#0 rC 10 rnC 50' t S 51— W010005 793-14 ami FINAL GRADE rr9u T T �, no:cn-Ilti�� FILM ru,M\ _ P SLLAIK. I�111JIP SEVER ROCK TRENCH 1 SCALE: NTS 4. -Pc QY C) °F..` 9S C*49 FT CE -7116 (©A& V iStreSS1OS ' SEVER ROCK 1 +„ 91.18 TRENCH 2 91.19 blty1gIGIGICINIti:r-�:I--III--nI--IIIyI1�IC IH IOD' (--85.197 PREPARED FOR: TURNER CONSTRUCTION P.O. BOX 3489 PALMER, AK. 99645 242-4555 SCALE: NTS FIELD BOOKS °01M0"" LANG Signe: LANG Is" 'ft* VBG °t°Eo KMD 411.at LANG °At 6/13/01 LEND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 DNC, FIE: ca - NW1459 "CAO ^'E' 01001.0WC a N" 01001 (907)898-8111/FAX (907)698-8111 )K ID ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for. Arctic Devco Project Depth (Feet) 1- 2- 3- 4- i* r91;:tirts 49� ti e• 1. f4 �9tO� R7SS_Nf e i""Kann.h M. Uuf Date Performed: 01/11/01 Lot 10, Block 2, Glenn View West TEST HOLE # 01-1 SEE Til 99-2/10 5- GVW, B2, L10 Material consistent 6- Perc performed at bottom 7- of trench 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? No What depth? NA Depth to water after monitoring? NA Date? NA Reading Date Gross Time Net Time Depth to Water Net Drop 1 01/11/01 11:30 - 6" - 2 12:00 30 min 412/16" 14/16" 3 • 12:01 - 6" - 4 12:31 30 min 413/16" 13/16" 5 * 12:32 - 6" - 6 1:02 30 min 4 13/16" 13/16" * Water Added Percolation Rate 25.26 (min/in Perc Hole Diameter 6" Test Run Between 6 fee and _7_ feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. • Aug. 6. 200P: 2:09PWnco,9075622175, • No.1802 P. 2/3 7419 ac4 9344 - 2/ 3 Buil Run® Valve Specification Sheet SIZE: 4" Valve Ports MATERIAL: PVC WEIGHT: 2Y2 Pounds POSITIONER: Manual with Internal Stop Valve Body Direction Control Handle • ® Valve "IN" Port ® Valve "OUT" Port ® Riser Tube Connection ® Positioning Shape ® Indicator Number astritlyi O 'R/earfrti ayw or 0 1200 , 1 OPERATION OF VALVE The Direction Control Handle Is turned using the valve standardkey (a vided so the PO itJ ningShape on the Direct key) Control Handle Is perfectly In Ilne with the corresponding Positioning Shape labeled as No 1 or No. 2 on the valve body. The . indicator number shows which side of the field Is In ' ,Bae: 7.50" 6.50" 6.00" • The Internally tapered valve body and plug provide .' compression Beating for operation. This design may cause minimal resistance to the turning operation which Is perfectly normal. PATENT N0.4,217,933 Aug. 6. 2001, 2:28PMncor9075622175, INSTALLATION INSTRUCTIONS DIRECT BURIAL The valve is designed to be buried directly in the pipe trench requiring no concrete or hold down strap Installation. The valve must be installed with the septic tank effluent line connected to the valve port marked "IN'. The valve ports marked "OUT" are connected to each half of the drafnfield. ADAPTABLE TO VARIOUS PIPES Each valve port plus the riser tube connection are 4" schedule 40 female connections. Use ample PVC, ABS, or Multi-purpose glue to form a water -tight joint. Any of the following Can be used to connect the Valve: '1. Schedule 40 PVC or ABS pipe. 2. Adaptor Bushing (DWV hub to sewer a drain spigot) 3. ASTM D2729 (Schedule 30) 4. Belled of ASTM D2729 (Scedule coupling0 pipe OPERATION BY WATER METER KEY • A riser pap adapter, a water -tight access cap and valve key are provided. The valve should be burled at such a depth as to allow easy access and operation from the *ground surface with the standard water key provided. • PUMP SYSTEMS Effluent pumps can be used to dose the drafnfield. The top of the valve is o -ring sealed and pressure tight under normal effluent pump operating conditions. Maximum pressure 25 psi. The Internal plug is tapered to match the valve body seating vibe. This seating mechanism will prevent by- pass under minimum head pressure conditions. To prevent by-pass • under low pressure conditions, specify the Bull Run Valve gasket. LABEL AND INSTALLATION INSTRUCTIONS. A label is provided with each valve sold. The label is designed to be placed In a service area. possiblynear a fuse box or circuit breakers. The label should serve a5 a helpful reminder to turn the valve, thus prolonging the life of the septic system. Installation Instruction and Instructions for filling out and placing the label we provided with each valve sold. No.7802 P. 3/3 ;410 444 £344 • 3, 3 SAMPLE VALVE SPECIFICATION A noncorrosive alternating valve shall be provided with 4" schedule 40 female connections. The valve plug shall be non -removable, watertight, and externally operated. The valve shall be provided with an Internal atop mechanism for positioning the plug, and the plug shall be non -Jamming when turning from stop to stop. There shall be no metal parts In contact with the wastewater. The Inlet and outlet ports shall be dearly labeled for easy installation and the postion of the valve shall be clearly indicated on top of the valve. At no time shall the operator have contact (physical or visual) with the wastewater. The valve shall be Installed In such a manner as to be easily accessable from the ground surface and operated with a standard water key provided. Simple Instructions for use and maintenance, printed on durable material. shall be supplied along with each device. The valve shall be a Bull Runt Valve. • MUNICIPALITY OF ANCHORAGE 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 1:`.,%s Asar //'ooq.M, /-//-0 /a 3:o0p,n 2 1vsT I _ I2-0/ 2: oC,c,M. ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jan 09, 2001 Expiration Date: Jan 09, 2002 Permit Number: SW010005 Parcel ID: 051-793-14 :Legal Description: Lot 10 Block 2 Glenn View Estates West Phase 1 Design Engineer: 0070 KND Engineering Site Address: Voyles Avenue Owner Name: Tumer Construction Lot Size: 40000 SQ. FT. Owner Address: PO Box 3487 Total Bedrooms: 4 Anchorage . AK 99645 - Permit Bedrooms: 4 This permit is for the construction of: Q✓ Disposal Field Q Septic Tank fl Holding Tank fl Privy 0 Private Well 0I 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. arc Kt -4 /A,L 44_ -nu 1-flintis noel j 70 3 c ' t�`jn, sca.7i;c /c t3aca-vss- .'4 *L -•y. '/L,.. {vb.) ti;„./Ltky t net 4. II/� / /AMA. /OK /I r !e /✓.L,l • //Glc„ 6G C. pee.f /.9 Received By: % Date: _ —CY Issued By: iWte Date: / – 7- 0/ • 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 RECEIVED JAN 5 2001 ON-SITE SEWER/WELL PERMIT APPLICATION Municipanty tat Anchorage. FOR A SINGLE FAMILY DWELLING Parcel ID O.S/— 793-/4 Permit Number SWo/OocS Property owner(s) Turner Construction Day phone 242-4555 Mailing address (1) PO Box 3487, Palmer, AK Mailing address (2) Jip Code 9 9 6 4 5 Legal description (Lot, Block & Sub'd.) Lot 10, Block 2, Glenn View Estates West PL/ 1 Legal description (Section, Township & Range) Lot Size 40.000+ Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ® Well Only Sewer and Well 0 Water Storage Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi Swimming Pool 0 Water Softening Unit Therapy Pool 0 E 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. ��ssalM-tee �� d (Signature of property owner or a fed agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12/00) (3&(e,Sil Waiver Fees: Date of Payment: Receipt Number: KIND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 January 4, 2001 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New On-site Sewer Permit — Glenn View Estates West S/D, Block 2, Lot 10 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. One testhole was dug and percolation test conducted on April 20, 1999 and April 22, 1999 respectively. The result of this test is attached. An additional testhole will be dug prior to construction of the proposed system. The general slope of this lot is from north to south at a grade of approximately 0 — 3% as indicated on the drawing. We have designed our system utilizing an absorption rate of 0.6 gpd/sf for the 4 - bedroom house, which is proposed for this lot. The lot will be served by public water. We propose to install a 5' wide shallow trench. The soils consistently percolate at 20 minutes per inch and the material appears to be uniform per the soil. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, IKNIU Engineering enneth M. Duffus, P.E. Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test 'WELL & NT WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN GLENN VIEW WEST S/D, LOT 10, BLOCK 2 OT u ) i VACANT l Ir VOYLES A ENUE Lot 12 Lot 11 Lot 14 NO PUBLIC WELLS WITHIN P07 IT PROPOSED SYSTEM. PO PRIVATE WELLS WITHIN P00' Of PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS VITHIN P00' d' PROPOSED WELL EXCEPT AS NOTED isS ..OF. ALgs KEN DUFF 1 CE -7116 % AyA"^ 0� SS10' Lot 9 DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD 600 GPD/0.6 GPD PER SO. FT. (20 MIN/IN.)= 1000 S0. FT (1000/5'(V)) X .50(RF) (4.0' GRAVEL) = 100 FT. TRENCH USE 1 TRENCH - 100 CO X 5' (V) X 4.0'(D) Total depth of system is 6.0' from original grade. Total depth of gravel below distribution pipe is 4.0' , NOTES: 1. USE 1250 GAL. SEPTIC TANK. INSULATE IF <4' OF COVER. 2. INSULATE TRENCH WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS L SEPTICS. VACA Lot 1 Lot 2 Lot 3 PREPARED FOR: TURNER CONSTRUCTION P.O. BOX 3489 PALMER, AK. 99645 242-4555 Scale: 1'= 100' PAGE 1 OF 2 FIELD BOOKS Ca+urm: B01"'D"R" LANG ORAwc VBG ram= LANG ocaEa KMD ASRua. LANA CNC Mt. DATE: 1 /4/41 END ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 °113'NW1459 ACRO nU 01001.DWG '08 NN` 01001 (907)696-6111/FAX (907)696-8111 KND WASTEWATER DISP❑SAL SYSTEM DETAILS GLENN VIEW WEST S/D, LOT 10, BLOCK 2 PROPOSED SERVE S TEM ///A MT PROP ED PRIMARY SYSTEM CO PROPOSED 12' GAL. S.T. FCD 47.0' 0 0 cPlC❑ MT 6.0 KENNETH N. DIM CE -7118 5 "rEss10‘' \aNN`__e* crl 0 27.0' 29.0' •PROP❑SE •DR1� 2.8' HOME -1.3' - 4.2' 29.2' 75.' 15.5' -O PREPARED FOR: TURNER CONSTRUCTION P.O. BOX 3489 PALMER, AK. 99645 242-4555 TH#KND9 2/10 Scale: 1'= 20' PAGE 2 OF 2 F 0 800Ks "HUED "u""" LANG ""Ave VBG STMC*G LANG °coup KMD "g"`" LANG "it 1/4/01 lEAV D ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER. AK 99577-8736 ".C. FILE: o • NW1459 "C"" C L 01001.DWC a "" 01001 (907)898-8111/FAX (907)898-8111 • !CND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for: Arctic Devco Project: 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- Depth (Feet) Org �Ps� OF Atqs 11 iliF1 0*�di C2 04, N it * 1 p .a.. '� _.. 0 r 0 re ' Kennet.. Dut q . t� CE 7116 J'aG"% Date Performed: 4/20/99 Lot 10, Block 2, Glenn View West TEST HOLE # 99-2(10 GM —w/ boulders to 3' , loose to med. density Increasing density w/ depth tight at bottom BOH SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? No Depth to water atter monitoring? NO What depth? NA Date? 05/15/99 Reading Date Gross Time Net Time Depth to Water Net Drop 1 4/22/99 12:40 - 6" - 2 110 30 min 47/16" 19/16" 3 110 - 47/16" - 4 1:40 30 min 215/16" 18/16" 5• 1:41 - 6" - 6 2:11 30 min 48/16" 18/16" • Water Added Percolation Rate 20.00 (min/in) Pere Hole Diameter 6" Test Run Between 3.5 feet and 4.5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING CosA# 615C/a /3360 Parcel I. D. 051 —793-14 1. GENERAL INFORMATION Complete legal description Expiration Date: / GLENN VIEW ESTATES WEST, PHASE #1; BLOCK 2, LOT 10 Location (site address) 21322 PAULA SUE CIRCLE, CHUGIAK, AK, 99567 Current Property owner(s) WILLIAM & MAIKE HENNING Mailing address Lending agency Mailing address Real Estate Agent Mailing address Day phone 21322 PAULA SUE CIRCLE, CHUGIAK, AK, 99567 C/0 AGENT Day phone BARBARA CRITTENDEN W/ PRUDENTIAL Day phone 242-2227 16635 CENTERFIELD DRIVE, EAGLE RIVER, AK, 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 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 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 p pperties 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 sea! affixed hereto and as of the validation date shown below, 1 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. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation. GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system unde" the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE rl Approved for 11' bedrooms. Disapproved. Conditional approval for Date `8'6/11 AOF��`�� ey A. orness, CE 7953 1•p- Prof essiono"c 040000�� t'IOFf Citffr (( J2 ON-SITE �Z WATER AND 5- WASTEWATER ^ PROGRAM pr z,,.." bedrooms, with the following stipulations: 9 l�l11)1111111\\ Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date r _1 0 1—Z Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: GLENN VIEW ESTATES A. WELL DATA Well type Date completed Total depth ft. Cased to FROM WELL LOG WEST PHASE #1; BLOCK 2, LOT 10 Parcel ID: 051-793-14 PUBLIC WATER If A, B, or C provide PWSID# Sanitary seal (Y/N) Date of test Static water level ft. ft Well production g.p.m. g p m. WATER SAMPLE RES Well Log (Y/N) Wires properly protected (Y/N ft Casing height (abo ATI CTION round) in. Coliform colonies/100 ml. Nitrate mg./L. Collected by: nic ug /L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 1/12/2001 Tank size 1250 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) N/A Date of pumping 6/29/2012 C. ABSORPTION FIELD DATA Pumper JR'S PUMPING I*BELOW EXISTING GRADE Date installed 1/12/2001 Soil rating.p.d./ or ft2/bdrm) 0.6 too & 17 Length 117 TOTAL ft. Width 5 System type 5—WIDE TRENCH ft. Gravel below pipe 2.91/3.03 ft Total depth *7.3/7.0 ft. Eff. absorption area 1008 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **8/3/2012 Results (Pass/Fail) PASS Fluid depth in absorption field before test 2 in. For 4 bedrooms Water added 780 gal. New depth11 0 in. Elapsed Time: 130 min. Final fluid depth 8 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — **TESTED 100' TRENCH ONLY. 17' TRENCH HAD 23" OF LIQUID UPON INSPECTION. D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level Datu Cycles tested Manhole/Access (Y/N High water alarm level at in Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Sewer /septic service line F. ontainment areas PUBLIC WATER sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 51+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN COMMENTS G. ENGINEER'S CERTIFICATION Wells on adjacent lots 200'+ I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date ess. CE 7 53 •` vp� • t• 0 Prof essioCoo COSA Fee $ (-1q0- w Date of Payment Receipt Number (Rev. 11/05) X/ 9/fa CL/SSYt) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 sivic/ CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D D.57— 7q 3 - /Y 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address CosA# ORO 12 Expiration Date: 5 5 — 0 CI GLENN VIEW ESTATES WEST PHASE 41; BLOCK 2, LOT 10 21322 PAULA SUE CIRCLE •CHUGIAK, AK LARRY & DEBBIE WHETHAM Day phone C/O AGENT 21322 PAULA SUE CIRCLE •CHUGIAK, AK Day phone BARBARA CRITTENDEN W/ PRUDENTIAL Day phone 242-2227 16635 CENTERFIELD DRIVE *EAGLE RIVER, AK 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System • 4 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 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, 1 verify that my investigation, based on procedures outlined 117 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. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. . Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the 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 fest 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 moot the operational requirements of the ADEC or MOA DSD. The content of this report is for the solo benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE / I Approved for T bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Date 4130/2./,06 vd 0 y ess: O CE -79 m**opt .!1/30 �000�'�ecY 0Fff r�i, C �.Q -...... ••h''o j=: • ON-SITE • • 07: WATER AND Tr'= WASTEWATER = PROGRAM Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory By Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other (Rev. 11/05) Original Certificate Date: S 3_— O C? Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: GLENN VIEW ESTATES WEST #1; BLOCK 2, LOT 10 A. WELL DATA Well type PUBLIC If A, B, or C provide PWSID# N/A, Date completed Sanitary seal (Y/N) To . • Cased to ft. FROM WELL LOG PUBLIC WATER Date of test Static water level ft. Well production WATER SAMPLE RESULTS: g.p.m. Parcel ID: Dsl— 7 9'3 -11 Well Log (Y/N) Coliform colonies/100 ml. Nitrate mg /L Arsen' ' ate of sample: B. SEPTIC/HOLDING TANK DMA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal Number of Compartments _2 Foundation cleanout (YIN) YES Depression over tank (Y/N) NO er y protected (Y/N) Casing height (above ground) In. AT INSPECTION :p;m. Date of pumping 4/14/08 C. ABSORPTION FIELD DMA Other bacteri Collected by: Date installed 1/12/01 Cleanouts (Y/N) YES High water alarm (Y/N) N/A Pumper JRS PUMPING I•BELOW EXITING GRADE Date Installed 1/12/01 Soil rating (g.p.dJft'o Length 100/17 ft 0_6 System type 5—WIDE Width 5 ft. Total depth "7.25 ft. Eff. absorption area 1008 ft' Gravel below pipe 2.91/3.03 ft Monitoring tube YES Depression over field NO Date of adequacy test "4/28/08 Results (Pass/Fail) PASS Fluid depth In absorption field before test ""DRY in Water added 720 gal. Elapsed Time: 60 min. Final fluid depth 4 in Absorption rate >= For 4 bedrooms New depth 10 in. 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — "TESTED THE 100 FOOT TRENCH. ***NOTE: THE LIQUID LEVEL IN THE 17 FOOT TRENCH ON (4/28/08) WAS 14 INCHES BELOW THE INVERT. D. LIFT STATION Date installed "Pump on" level at in Datu Size in gallons "Pump offlevel Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Ani . ment areas Manhole/Access (Y/N High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots On adjacent lots wer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main Wells on adjacent lots Absorption field 5'+ 10'+ Water service line 10'+ Surface water 100'+ 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN F. COMMENTS G. ENGINEER'S CERTIFICATION Wells on adjacent lots 200'+ I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Date L4 -!)o /lou 9, JEFFREY A. GARNESS Driveway, parking/vehicle storage 10'+ COSAFee$ / 30• la° Date of Payment '1� 3 Clog Receipt Number 103 5%0 (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number 07/10/01 OED 12:19 FAS 0000100 •INSIN Mm. 141 Lot 11 VISTA REAL ES7AIY rat «+ . V 0 ROSS VOYLES AVENUE 5 09•50'03111 Ik0.01' 15'TELEcow. 0• ELECT. EASEMENT SEPTIC SEAN ours a>•Tia^ WOuo Frslplw.. 7 fill J Int 10 40.00.0 ..f. N /Y50'al'E 150.10' 1 Lot 9 30.00' NJ 1 4 PLOT PLAN _ ASBUILT SCALE I' ' eC GRID NM 1458 Proi.ot No CD -254 Lang AffcC�Qtff� Ina.11500 Doryl Avenue, Anchoray., /Jaska Registered Lot id Surveyors (907) 522—mss Phone ax e 1 11ef•by .elegy N1.1 I Inn sunned the fain Nbyy d...RN L.1 70. 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