HomeMy WebLinkAboutGOLDEN VIEW HEIGHTS LT 7FGolden View
Heights
Lot 7F
#020-043-05
Municipality of Anchorage
(\' Development Services Department i
Building Safety Division
- On -Site Water and Wastewater Program. 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.cl.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW000063 PID Number. 020-043-05
Nan":
Scott A- Jones
Wastewater System: ® New ❑ Upgrade
Xldtals
610
ABSORPTION FIELD
Prato: Nwobw of Sedroorre:
® Deep Trench I] Shallow Trench O Bea O Mowll 0 fhMr:
LEGAL DESCRIPTION
sad B,anp.
1.2
Tafel Depth horn agkW grade.
10.0
GPD/Fe
FI.
Block. Lal: sumvlalon:
Depth b pipe Damm Man onpsw pace:
(raved deph bensedt ppe:
7F Golden Vw. Hts.
3.62 Ft.
6.05 FL
Townamp: Fanpe: section:
FYI added above original pale:
Graved Lanpth:
0.15-2.36 Fl.
34 Ff.
Well: ® New ❑ Upgrade
Gtvelwaa:
3.0
Number of kn«:
1
Distance Dedwean knes:
Ft.
FL
CMasiacetion (Private. A. B. Q:
Total Depth:
cased to.
Toed aDeapl,m area
Poe Material.
Privatp
145 FA
63 Fir
411 Ft
D3034 & F810
Ddaer.
Date Dried:
SMae Waw Level:
M'eWler:
Data lmwued.
Hefty Drilling
Fl
Scott Jones
2/17/00
vl.la:
"'""sed ed: cak•p Neigh"'°°"° Draw°:
TANK
nPM
nk wn Ft. 2 FI
SEPARATION DISTANCES
O Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Litt
Holding
PubhcrP,tvaf
u .r.
y.
Fir, m
Tank
Field
Station
Tank
Sewer Line
Anchorage Tank
1000 Gat.
Wed
100'+
100'+
NA
NA
25'+
Ma"`
Steel
Nunawacanpanmena.
2
Bud. waw
100'+
100'+
NA
NA
LIFT STATION
Led Line
5'+
10'+
NA
NA
,.e.
Gal
aara.
$'+
10'+
NA
NA
"ortloved ed.
ump `vela`
High waw aWm ed.
Fowbation
H.
M
F.
NA
*50'+
NA
NA
Ranp lAa\ee Mcded
Et.oearl heP.aa^s paloa ler:
cwtak, dem
* e known
*non
non'
BENCH MARK
owWn ara yuan.
Garage slab
AsaumW Elevation:
100 FL
Engineer's Stamp
OF Ak Ott
i* r4 L
Inspections performed by: KND Engineering. Inc.Dates: list 2/17/00
a.a: a ....«.......« :... j
2nd 2/18/00
11 02 OV
a I
tie 6"" »••
r^ . Kennel M f •J y�A
/�
Developm nt Services Department Approval
s so CE 71
Reviewed and approved by: Date:$
I��9Fpej0 ...* a'x•�'����
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FESSI�N�+
AS -BUILT SYSTEM DETAILS/SITE PLAN
GOLDENVIEW HEIGHTS S/D. LOT 7F
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PREPARED FOR:
SCOTT A. JONES
ar57E
3366 ORION CIRCLE
ANCHORAGE, AK 99517
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SCALE:-:
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94.36
95.1
au0 rae
A -D=44'
99008ASB.DWG
99008
B -D=22.3'
A -E=48.4'
w
B -E=27.4'
94.47 FINAL GRADE
A -F=58.5'
B -F=30.9'
E
A -G=88.5'1000
GAL
B -G=48.1'
SEPTIC
68.50 x 'r,;;;•;i;+.;'
A -H=89.3'
TANKSEWER
ROCK -
B -H=48.6'
co 9n R49n
..: s• .. Hs�it'i•. ..-.[,,.:: ,:.:.�•. .M1-°v:�..
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PREPARED FOR:
SCOTT A. JONES
3366 ORION CIRCLE
ANCHORAGE, AK 99517
(907)248-8490
FlELD BOOKS
COWUMD:
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Permit SW000063
PID# 020-043-05
VAl I
for
ILU W ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
1
FROM : SRJone6
HEM DRILLING
.`.540 AKULA DIUVL
ANCHURAGE• AK Mii;
(907.1 345-0599
LOCATION OF WELL tolae.a complete Alta,, to, to t, to.)
la. ■.rough SubdivI,:eo Let Slseh n. 1/•Alin. .�
7 F — —oi_.1 —
Ia.11 1OIST, +C [� ND 0 [CYTON FROM ROAD INTERSCCYIONS
Ik t! - 0n.-c�C..
Street Addn44 and A,.a of W411 L04e116n
WATER WELL RECORD
STATE Of ALASKA
DEPARTMENT Of NATURAL RESOURES
Division of Geological 0 Geophysical Survoys
0"181-11 101081 No. _S
A.D.L. No.
6•sGon No. Township No 1 Ranee E❑ 11er141164
S� W�
S. OWNER OF WELL' _ LJ
2. WELL LOG FeSar eelaw 4, W LL DEPTH: (fln.l) D. DATE OP COMPLETION
r
M alari61 ofees
Type Too Dolle_FI• — �' 60
--- 6. QCeble teel 09Rotary QDTIVON 0Dug
0 Auger ❑4e11e0 O [orad 0 Olho, 1
_ T. V E E: M De_a a tic 0P.bllo Supply 0lnd.Nry
O Irrigollon O Recharge Q Co__arleal
0 Taal W.II Q orharr
• An era 6. CASING: O Threaded ;• Welded
• glom.1—IA. to_ if. Depth Weight —lbs./ft.
�Ck,J Slam. in. le—ft, Depth Sllcbup 11.
• 1�'(4 91 FINISH /OAF W(LLI
V / Ty Ft: OTeA 0 Q1 - Olemotee,
O Sv Slot/Mask Sizei Length:
..- Sal between fl. and ft,
._
900flIIIA4 Gra.al Ptak
—•••i" 10. STATIC WATER LCVCVG'fl.
O Abo,6 or 0 Solow land lwfoeo Daft
—�••—^�� EaoiF_ant used:
•-- 11. PUMPING LEVEL blew ION Aveto*, end YIELD
fl. alter k1a. PVmPing_o.p�.
.. _. .... fT. oftal hep. pumping —O.O.M.
— -•• "� 13.411OUTING Well Grouted, �7 X71 V4e 0 No
J
41414,161: ❑ Neat Cam.nt O Due,:
I S. PUMP, (if ovalldblo) He
-- —•� L.Atlh of O,op Pipe ft. 00006111 g. p.m
—��_ —• --- ••- 0 Sub.. 0 Jet 0 Co.trlfleal 0 Who,
Y— - 14.REMARKS:
30 q Pip -
16. WATER WELL CONTRACTOR'S CERTIFICATION:
IS. Wa Hr Tom pole lore �....
This .411 woo drlttod .der _T /orNdiclinn wwd Thi. -Peri rt 1... In it.. b." FI F Anew Ndg• 0.4 be1141:
--- m
Re IUolaa Gus e . Nen• CC�oolll000t Lleam4 Nume41
P.,
AVIha11. R. ...nIa11V.
Fpm OE•WWR 111/so)--•�--••.• COO,• 061111bun40a WNITL-S1en DOGS,►INN-D•III.r, OANARY•Custamor
e C( F • FIC
i
-�� 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
i nlSl'F� �►��
a�l ��OD �IQOLv�
7/7/000 /ani
ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Renewal
Permit Number. SW000063
Date Issued: Apr 14, 2000
Expiration Date: Apr 14, 2001
Parcel ID: 020-043-05
Legal Description: GOLDEN VIEW HEIGHTS LT 7F
Design Engineer. 0070 KND Engineering Site Address: 015830 FAR VIEW PL
Owner Name: Scott A Jones Lot Size: 59989 SO. FT.
Owner Address: 3366 Orion Circle Total Bedrooms: 3 Permit Bedrooms: 3
Anchorage , AK 99517 -
This permit is for the construction of:
El Disposal Field [;� Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either. A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
Absence of ground water to 14+ feet and absence of impermeable layer to 16 feet shall be verified prior to
installation of absorption field.
Received By:
Issued By:
Date: r�T 'Crb
Date: q— I H- 0 0
04/07/00 08:55 FAX 807 272 7733 KUMIN ASSOCIATES
JEFF
DHHS
#343-6742
#343-4786(FA})
April 7, 2000
Ilool
Dear JEFF,
i 'fRFIIL
I, Scott Jones will be performing my own excavation for my septic trench at
15830 Far View Pl. This is a new single family residence and the septic system
has been dcsigned by KND Engineering.
The legal description is:
Lot 7F Golden View Heights Sub.
My experience with the operation of track hoes and other heavy equipment is as
follows:
• Excavation work with both Hitachi 150 & newer model tx-160-v models
Case bulldozer 550 series
Trench work and backfilling with a VCB 217 back -hoe
Please call with any questions.
Sincerely,
Scott A. Jones "•"�'Tt°!u►gY
NdV
OAOD38
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
ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Permit Number: SW990045
Legal Description: GOLDEN VIEW HEIGHTS LT 7F
Date Issued: Mar 31, 1999
Expiration Date: Mar 30, 2000
Parcel ID: 020-043-05
Design Engineer. 0070 KND Engineering Site Address:
Owner Name: Scott A Jones Lot Size: 59989 SQ. FT.
Owner Address: 3366 Orion Circle Total Bedrooms: 3 Permit Bedrooms: 3
Anchorage , AK 99517 -
This permit is for the construction of:
❑� 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 ( I8AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by catling
(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.
5. The following special provisions.
Absence of ground water to 14+ feet shall be verified prior to installation of the absorption field.
Received By:
Issued By:
Date:
Date: 3.191.19q
03/31/99 20:58 FAX 907 272 7733 KUMIN ASSOCIATES U002
SCOTT A. JONES
3366 ORION CIR
ANCHORAGE, AK
99517
(907)248-8490
RE: LOT 7F GOLDEN VIEW HEIGHTS SUBDIVISION
6540 WEST CIRCLE
ANCHORAGE, AK 99516
RECEIVED
APR 1 1999
Municipality of Anchorage
Dept Health & Human Services
To Whom It May Concern:
WE WOULD LIKE TO EXERCISE OUR RIGHT AS PROPERTY OWNERS TO PERFORM OUR OWN
SEPTIC SYSTEM EXCAVATION AND PLACEMENT. WE INTEND TO RENT EQUIPMENT
LOCALLY AND PERFORM WORK IN CONJUNCTION WITH REQUIRED ENGINEERING AND
PERMITS.
SINCERELY,
Scottv
Jones
KNDD ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
March 13, 1999
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer/well permit — Goldenview Heights SID, Lot 7F
Gentlemen:
The owner has requested we proceed forward to obtain a well and septic permit on
the subject lot. On January 11, 1991, one testhole and percolation test was conducted
by another engineering firm for the proposed system. The result of this test is
attached. The general slope of this lot is from southeast to northwest at
approximately 10% - 15%. We have designed our system utilizing the testhole
excavated for the three-bedroom house, which is proposed for this lot. The lot will
be served by individual well.
We propose to install a 2' wide deep trench. Per the attached soils log and
percolation test the soil percolated 3 min./inch. In addition, the soils log and report
indicate there was no ground water encountered during the excavation of the
testhole or after 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,
UMID Engineering
Cenneth M. Duf E.
attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test (original)
WELL/WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN
G❑LDENVIEW HEIGHTS S/D. LOT 7F
NO PUBLIC WELLS WITHIN 20D OF
PROPOSED SYSTEM
NO PRIVATE WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS NOTED.
NO SEPTIC SYSTEMS WITHIN 20D' OF
PROPOSED WELL EXCEPT AS NOTED.
DESIGN DETAILS
3 BDRM X 150 GPD = 450 GPD
450 GPD/1.2 GPD PER S0. FT. (3.0 MIN/IN.)= 375 S0. FT
375/(2'(W) X 6'(D)) (6' GRAVEL) = 31.25 FT. TRENCH
USE 1 TRENCH - 31.25(L) X 2' (W) X 6'(D)
Total depth of system Is 10' from original grade.
Total depth of gravel below distribution pipe Is 6.0' .
NOTES,
1. USE 1000 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS 8 SEPTICS.
AAr 1111111" .4 OF AL9s91
%//' '�
` /
FESSIOTIN'
PREPARED FOR:
SCOTT A. JONES
3366 ORION CIRCLE
ANCHORAGE, AK 99517
(907) 248-8490
FIELD BOOKS COUNTED:
BouNDARY: _ DRAM: KM
STAKING: _ CHECKED: KMD
ASEURT: DATE: 3/11/
1
DN nLE: GRO.. 3238
ACAO FILE` 99008.DWG "H" 99008
Scale+ 1'= 100'
PAGE 1 OF 2
LL,ll LU) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
KD
d
0
WASTEWATER DISPOSAL SYSTEM DETAILS
GOLDENVIEW HEIGHTS S/D. LOT 7F
i -v10x 1XI-
1000
GAL
-i[ey#
SERVE
0
SIT,
r�� OF AL9s9 PREPARED FOR,
SCOTT A. JONES
3366 ORION CIRCLE
4KENNETH
TH* II ANCHORAGE, AK 99517
........_.(907) 248-8490
M FIELD BOOKS cwwrta
CE -711 }��t OWNI)Mt — ORA": KM
1 7 s*unHc: _ acaED: KMD
AWAS LT.. _ DAM: 3/11
\FESSIO'O' Dw ME: CMD: 3238
`_•! ACAD RE: JOB "'
99008.DWG 99008
Scale, 1'= 20'
�nl PAGE 2 OF 2
LE��D
ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8730
(007)696-6111/FAX (907)696-8111
Kenley Comtruchon Services 7910 Honesuckle Dr. Anchorage, Ak 99503 (907243-5372
January 15, 1999
Mr. Scott Jones
3366 Orion Circle
Anchorage, Alaska 99517
Re: Percolation test performed at 6540 Far View PI., Anchorage, Alaska.
Legal: Lot 7F, Goldenview Subdivision
Anchorage, Alaska
Dear Mr. Jones:
The above -referenced property was inspected on January 9, 1999 to determine whether the parcel was
suitable for the installation of an on-site well and sewage disposal system in accordance with
Municipality of Anchorage design criteria.
The parcel is 1.37 acres and heavily wooded with spruce and some birch. The property slopes from
from east to west at approximately 10% and appears to drain adequatley. A single test hole was dug in
the southwest comer of the property to determine subsurface soil conditions. The hole was dug with a
track mounted backhoe to a depth of 15-1/2 feet. Subsurface soils were found to consist of 18 inches of
organic material underlain by sand with some gravel to the bottom of the test hole. The ground was
frozen to a depth of approximatley two feet. No groundwater was present at the time of excavation
however, a monitor tube was installed for future inspection.
A falling head percolation test was conducted with a resulting rate of 3 minutes per inch. No soaking
was required because of the sandy soil present. The measured drop in water level , after the last of four
readings taken at 10 -minute intervals, was 3-5/16 inches. _ The test was conducted between 4-1/2 feet
and 5 feet below the surface.
From our observation of the site, it apprears that the above referenced parcel is suitable for the
installation of an on-site well and wastewater disposal field. Please note that our findings are based
upon the conditions of the site at the time it was inspected. Over time, both man-made and natural
events may take place that could impact the suitability of the site and the findings of this report. When
you wish to develop the site, an engineered plan for the installation of the on-site well and septic will
need to be submitted to the Municipality of Anchorage, On-site Services Department for plan approval.
If we can be of further assistance or if there are any questions concerning the above information, please
contact Doug Kenley at 746-1073 or 243-5372.
Sincere y,
c4e
Doug as T. Kenle P.E.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: -::F'e_e. Tf JO.✓ES DATE
LEGAL DESCRIPTION: L o /' %f Go6.Gtr'/-��%/6�C..i Township, Range, Section:
DEPTH SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
FEET) �Ajevs
l�.cl/i'oa�! ur��IJG'
yJiYr/ S'eF7e''6-eV lad
B. or ,y1
WAS GROUND WATER /0
ENCOUNTERED? 4
S
IF YES, AT WHAT L
DEPTH? p /
E
DO to Water Alter /
Alonibring7 •UA.�•'Y Date
Reading Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
/ 2
/0 N,..r
1r
2
t
�✓
'LA
20 -{ 3 6 „
11_ JI PERCOLATION RATE (mmutevmch) PERC HOLE DIAMETER
TEST RUN BETWEEN y/Z FT AND >r FT
COMMENTS ��'GY 0000 SO/LSA
PERFORMEDBY:
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS
12-008 (Rev. 4/85)
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE:
Municipality of Anchorage
Development Services Department
Building Safety Division ..
�- On -Site Water 8 Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.d.anchorage.ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Dao -b L/3 aS" HAA# Dib y 3S
1. GENERAL INFORMATION Expiration Date: I — I S" 0-6,
Complete legal description GOLDEN VIEW HEIGHTS SUBDMSION: LOT 7F
Location (site address or directions) 15830 FAR VIEW PLACE • ANCHORAGE, AK 99516
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
SCOTT AND ANETTE JONES Day phone 440-6606
C/O LINDSEY BURNETT W/ COLDWELL BANKER
Day phone
LINDSEY BURNETT W/ COLDWELL BANKER Day phone
2525 "C' STREET " ANCHORAGE, AK 99503
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
E
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
441-0007
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
is
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid
water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Health Authority Approval Guidelines forthis 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 riles and from my Investigation and inspection, the
on-site water supply and/or wastewater disposal system ls(aro) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Finn GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineers Comments:
In conducting this evaluation, GEG, Ltd. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines 8 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the lost, 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
llucfuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control oflhe evaluator of the system. Satisfactory lest
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
Approved for 3 bedrooms.
Disapproved.
Phone 337-6179
Date 0 lc o
Conditional approval for bedrooms, with the following stipulations:
Attachments:
HAA Checklist C/
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
ON-SITE �•�=
WATEAN: M=
�WA��S�TEEy lgAT�FR __
•,0�.
By: C /�:/�1. , / l� OV Original Certificate Date: —A5,
— 0
(R.. 1710,)
Municipality of Anchorage
Development Services Department
�J Building Safety Dkrision
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 89519-66W
www.ci.anchorage.ak.us
(907)343.7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: GOLDEN VIEW HEIGHTS SUBDIVISION: LOT 7F Parcel ID: QA 0 - D'(/' 3- 0,S
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed 5/1/2000 Sanitary seal (Y/N) YES
Total depth 145 ft. Cased to 63 ft.
FROM WELL LOG
Date of test 5/1/2000
Static water level 24 ft.
Well production 30 —
9 -p.m -
WATER SAMPLE RESULTS:
Coliform —JL` colonies/100 ml. Nitrate i -21 mgJL.
Well Log (Y/N) YES
Wires property protected (YIN) YES
Casing height (above ground) 18+ in.
AT INSPECTION
8/17/2005
24 ft.
3.3 g.p.m.
Other bacteria --tJ^oolonies/100 mi.
Arsenic: N/A mg./L. Date of sample: 8/17/2005 Collected by: GEG. LID.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material ANCHORAGE TANK/STEEL Date installed 2/17-18/2000
Tank size 1000 gal, Number of Compartments 2 Cleanouts (YIN) YES
Foundation deanout (Y/N) YES Depression over tank (YM) NO High water alar (Y/N) N/A
Date of pumping B/17/2005 Pumper McDONALD'S PUMPING
C. ABSORPTION FIELD DATA F68ELDW COVING 010M
Date installed 2/17-1e/2000 Soil rating 40.p.d ft%bdr) 1_2
Length 34 ft. Width 3.0 ft.
System type DEEP TRENCH
Gravel below pipe 6.05 ft.
Total depth 'e.5 ft. Eff. absorption area 4111 fe Monitoring tube YES Depression over field NO
Date of adequacy test 17/2005 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth In absorption field before test DRY in. Water added 497 gal. New depth 18 in.
Elapsed Time: 1150 min. Final fluid depth DRY In. Absorption rate r_ 450+ g,p,d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date –
D. LIFT STATION
Date installed Size in gallons
"Pump on" level at _in.
E. SEPARATION DISTANCES
High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?,
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main N/A
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 1000+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 101+ Surface water 100'+ Driveway, parking/vehide storage 20'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
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 HAA guidelines in effect on this date.
.........................
y A. eaa,
Engineer's Printed Name JEFFREY A GARNESS a CE 79
Date $ f 19105 Prof *me
a2
HAA Fee $ L
Date of Payment
Receipt Number 073i't't \AM
(Rev 12'01)
Waiver Fee $
Date of Payment
Receipt Number
11
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• >248-1666f - y i- FRED WALATKA & ASSOCIATES
(907) Engineers and Surveyors
06-26-05;16:23
-&a%-
SGS Rcf1t 1055255001
Client Name GarmssEngineering Group, Ltd.
Project Name/9 Goldenview Htc UP
ClicotSampleH) GoldenviewHtsL7F
Matrix Drinking Water
Sample Remarks:
907 561 5301 # 2/ 7
All Dares?Imes are Alaska Standard Time
Printed Datc/fime
08862005 8:42
CollectcdDatc/rime
08/172005 15:35
Received Date/rime
08/172005 15.39
Technical Director
Stephen C. Ede
Allowable Prep Analysis
Parameter Results PQL Units Method Container ID Limits Date Date Inst
Nitrate -N 1.29 0.100 mg/L EPA 353.2 B 08/17/05 AZS
Nitrite -N 0.100 U 0.100 mg/L EPA 353.2 B 08/17/05 AZS
Metalm Department
Hardness as CRC03
Private Individual Analysis
Aluminum
Antimony
Arsenic
Barium
Cadmium
Calcium
Chromium
Copper
Iron
Lcad
Magnesium
Manganese
Phosphorus
Chloride
Fluoride
Potassium
Selenium
Sodium
Silicon
Silver
Thallium
Sulfate
922 5.00 mg/L SM20234013 D 08/19/05 0822/05 SCL
20.0 U
20.0
ug/L
EP200.8
D
08/19/05 09=5
SCL
1.00 U
1.00
ug/L
EP200.8
D
(o-6)
08/19/05 0822/05
SCL
S.00 U
5.00
ug/L
EP200.8
D
(<-SO)
08/19/05 0822/05
SCL
11.8
3.00
ug/L
EP200.8
D
(<-2000)
08/19/05 0822/05
SCL
0.500U
0.500
ug/L
EP200.8
D
(<-S)
08/19/05 0822/05
SCL
30600
500
ur)L
EP200.8
D
08/19/05 0822!05
SCL
I.00U
1.00
ug/L
EP200.S
D
("100)
08/19/05 0822/05
SCL
44.6
1.00
ap/L
EP200.9
D
(<-1300)
08/19/05 0822/OS
SCL
250 U
250
ug/L
EP200.8
D
(<-300)
08/19/05 OS2.2105
SCL
0.200U
0.200
ug/L
EP200.8
D
(<-15)
08/19/05 0822/OS
SCL
3860
50.0
ug/L
EP200.8
D
08/19/05 0922105
SCL
1.04
1.00
ug/L
E•P200.9
D
(<-50)
08/19/05 0822/05
SCL
200 U
200
ug/L
EP200.8
D
08/19/05 0822105
SCL
2.42
0.100
mgt
EPA 300.0
B
(<-250)
0823105
DSH
0.100 U
0.100
mg/L
EPA 300.0
B
(<-2)
0823/05
DSH
SOO U
500
ug/L
E•P200.9
D
08/19/05 0922105
SCL
5.00 U
3.00
ug/L
EP200.8
D
(<-50)
08/19/05 0822105
SCL
2500
500
ug/L
EP200.8
D
(<-230000) 08/19/05 0822/05
SCL
3930
200
ug/L
EP200.8
D
08/19/05 0322105
SCL
1.00 U
1.00
ug/L
EP200.8
D
(<-100)
08/19/05 O8 -VOS
SCL
1.00 U
1.00
up/L.
EP200.8
D
(<-2)
08/19/05 08/21/05
SCL
11.9
0.100
mg/L
EPA 300.0
B
(<-250)
0823/05
DSH
08-26-05;16:23
-sf2$-
SCS ReLp
1055255001
Client Name
Gamess Engineering Group, Ltd.
Project Name/11
Goldcnvicw Hts OF
Client Sample rD
Goldenview Hts VF
Matrix
Drinking Water
;907 561 5301 # 3/ 7
All Dates/rimes are Alaska Standard Time
Printed Datelrlme 08262005 8:42
Collated Date/rlme 08/172005 1535
Received Daterrima OS/172005 15:39
TechnicalDirector Stephen C. Ede
Allowable Prop Analysis
Parameter Results POL Units Mcdlod Container ID Limits Date Data Inst
Private Individual Analysis
Zino
5.00 U
S.00
urjL
EP200.8
D
(<-5000)
08/19/05 081=5
SCL
Total Dissolved Solids
136
10.0
mg/L
SM202340C
C
(t-500)
OS23/05
ISC
Nickel
2.00U
2.00
us/L
EP:00.8
D
(o.100)
08/19/05 0822/05
SCL
EC03Alkalinity
92.0
10.0
mg/L
SM -102320B
C
0824/05
ISC
CO3 Alkalinity
10.0 U
10.0
MOIL
SM20 23208
C
0824/05
ISC
Olt Alkalinity
10.OU
10.0
me/L
SM202320B
C
0824/05
ISC
Conductivity
205
1.00
tmthos/em
SM20 251OB
C
0822/05
ISC
PH
7.72
0.100
pH units
EPA 150.1
C
(6.5-8.5)
08/17/05
ISC
Alkalinity
910
10.0
mg/l.
SM202320B
C
OS/24105
ISC
Total Coliform
0
coUl00mL
SM209222B
A
(al)
08/17/05
TLF