HomeMy WebLinkAboutT12N R4W SEC 10 LT 28 N2 Onsite File
T12N R4W
Sec 10
Lot 28 N2
#011 - 161 - 14
The proposed agricultural well is to remain in working
order and will be required to be tested for any future
CO5As .
. Municipality of Anchorage
Community Development Department Page 1 of 3
On-Site Water&Wastewater Program
4700 Elmore St. •P.O. Box 196650 Anchorage, AK 99519-6650•http://www.muni.org/onsite •(907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number OSP171257 PID Number. 011-161-14 0 New •Upgrade
Name:
kg10'y 1W--9- 4., FaXsi ABSORPTION FIELD
Address: ■ Deep Trench 0 Shallow Trench 0 Bed 0 Mound
8607 JADE STREET*ANCHORAGE,AK 0 Other
Phone: No.of Bedrooms: Soil Rating. Total Depth from original grade
242-9612 7 1.2 opoisq.FL 11.83 Ft
Depth to pipe invert from original grade- Gravel depth beneath pipe:
LEGAL DESCRIPTION
4.83 MAX 7
Ft Ft.
Subdivision: Block: Lot: Fill added above original grade: Gravel length:
- 28 N2 SEE DWG. Fl. 63
Ft.
Township: T12N Range: R4W Section: 10 Gravel width. eeds Number of lines: Distance between lines:
2.5 Ft - - Ft.
SEPARATIONDISTANCES Total absorption area. Number of trenches: Dist.between trenches.
To Septic Absorption Lift Holding Public/Private
From Tank Field Station Tank Sewer Lines 882 SQ.FL -1 Ft.
Well 100'+ 100'+ - - 25+ TANK • Septic 0 S.T.E.P. ❑Holding 0 Other
Manufacturer: Capacity:
Surface Water 100'+ 100'+ - - INFILTRATOR 1530/1060 Gal.
Material Number of compartments.
Lot Line 10'+ 10'+ - - N/A
H.D.P.E. 1/1
Foundation 10'+ 10'+ - -
LIFT STATION
Curtain Drain • NONE KNOWN Manufacturer: C
Gal.
Remarks: TOP OF TANK AND INSULATION INSPECTED BY MOA "Pump on"level at: 'Pump off"level at: High water alarm at:
ONSITE EMPLOYEE TIM ECKLUND ON 9/18/17.BOTTOM OF
TRENCH INSPECTED BY MOA ONSITE EMPLOYEE TIM Pump Make 8 Model' Electrical Inspections performed by:
ECKLUND ON 9/18/17.OLD SYSTEM WAS CRUSHED AND
FILLED PER CONTRACTOR PIPE MATERIAL
D3034 PER
House to tank CONTRACTOR Tank to D3034
drainfield
Installer
ARCTIC TERRA Drainfield D3034 CO/MT 03034
Inspector GEG, Ltd. BENCH MARK (Assumed elevation)
Inspection 100.79 F,.
Dates: 1st 9/18/2017 2nd Location and Description:
9/19/2017
3rd - 4th - TOP OF WELL CAP
ENGINEER' EAL
Community Development Department Approval .4 4.
4.,*..0 ./FNIlik.,,
tilt♦♦
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Conditional approval: Date: A
.
411 •••
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Approved. ` 4Date: !-3—/ ( 44 ITOFESS ,,,� 44
#AECC884 ,,"I1111‘\\�4
Inspection Report_t.l.12.doc
•
(7--PERMIT NUMBER: PARCEL ID NUMBER:
• OSP171257 RECORD DRAWING 011-161-14
I
T12N R4W SECTION 10 A B C
LOT 17 S2 DBL1 13.2 23.3
AWWU WATER `` DBL2 13.4 23.5
DBL3 182.2 168.6 202.6
DBL4 183.0 169.3 203.4
ST1 186.1 172.8 206.9
- - - ST2 194.7 181.8 216.1
DBL5 197.3 184.7 219.0
IX
\ --- _ --- ` DBL6 197.9 185.2 219.5
/
/ ST3 202.5 190.0 224.4
/
\ / \ ST4 208.9 196.8 231.3
\ DBL7 - 202.0 236.1
\ DBL8 - 203.1 237.2
O\JS / \
���� / \ CO1 - 223.8 257.7
,�pd t \ MT1 - 224.5 258.5
A ' CO2 220.0 217.2
y 33'ROWrs__ /
EASEMENT I I MT2 221.0 217.9 /
I-
I oo weuwDios RESERVE SITE /
i
WB
LL II / C •DBL &2 lMTZ /
II-
/ in.: / DBL7&8 1 I
Q I/ NEW 15301NFILTRATOF7SEPTICTANK I
I
�
Q 1
e 1
/:` 41DRIVEWAYr,a DBL3&4 I
t ` \ 1
I
• 7 \ -. .n \ \// 1 ST2 I CO MT1
APPROXIMATE LOCATION OF SEWER LINE FROM HOUS SHED SHED,"\ DBlS&6 ST3 E. SHED
\TO TANK PER CO TRACTOR(SEE ATTACHED EMAIL) _.....„. DBL9&10 \
` / \ ST4 \
NEW 1060 SINGLE COMPARTMENT
/
\ / \ INFILTRATOR TANK
\ /
\ ( 100'WELL RADIUS /
T12N R4W SECTION 10 LOT 28 S2
/
I III I I
IN 1
/
/ \ // 1
S ALE:
/ \\ / 1..=60' \
#I 44-cF- OF 44,44*A
4, 4410,11.11MIL IA
GARNESS ENGINEERING GROUP, Ltd ; •
ENGINEERING a SALES a CONSULTING 0• •41 i •
3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE,AK 99507'PHONE(907)3376179'FAX(907)338.3246'WEBSITE:www.gameS$engineerng.00m •
I,e • • 'f,•••
PR PARED FOR: iG�.S.T'i PHONE NUMBER: PAGE NUMBER: ' J ffI'' -. -- SS : ./
Y HERRINGTON 907-717-4187 2 OF 3 0 61 1 E-49513 '2�
PROJECT/LEGAL DESCRIPTION: DRAWN BY: . 4 •A•'•4•
T12N R4W SECTION 10 LOT 28 NORTH 1/2 D.J.G. •4'�O•�/•' llC� (`''p�, ••
TYPE OF WORK: DATE: LICENSE,, 1 ESS
\ •••
SEPTIC SYSTEM RECORD DRAWINGS 9/4/2018 #AECC884 ����� • J
TOP OF SEPTIC TANK AND INSULATION 'A
INSPECTED BY MOA ONSITE EMPLOYEE J
TIM ECKLUND ON 9/18/2017.
Z
n
ST1 ST2 DBL1 DBL2 ST3 ST4
GRADE=99.49-99.58(ST1-ST2) FINAL GRADE=99.53-99.59(ST3-ST4)
7FINAL
_!ii
.n w" ,
.
w m_ w M
wWW^II' z0" 06 :\c-",. � zOY w N v, M J O)w ON 0
co CC x a
d 4. a 0 0 0 0
2"INSULATION BOARD
TOP
TOP OF TANK @ INLET TANK
@ r.�.,
OUTLET=96.70 4.4
V
TOP OF TANK @ 2"INSULATION BOARD
INLET OF TANK @ v.
=96.65
/iz f/2/ / /// /// i2l/5%ili , ;iiiiT,: OUTLET=96.29
J 711,`-44" 1 1 -P I • •" _ / / 7:'177717/,
INLET �i 1 J T-i't A s
I
I OUTLET (
INVERT OF INLETj
BUNG=95.98 I I , INVERT OF INLET C7
BUNG=9559 7 CIII zgg
1-\\
c- IM-1530 GALLON SINGLE COMPARTMENT(PER CONTRACTOR) J J W
INFILTRATOR TANKttl--i- -' ' .-- --,--1-1TILIN-L/T\--1-/IN'iTi-,-6-, INVERT OF OUTLET INVERT OF OUTLET
BUNG=95.79 IM-1060 GALLON SINGLE COMPARTMENT(PER BUNG=95.13 V=]m
t.
CONTRACTOR)INFILTRATOR TANK Z
. 1-4a?
ii j �y M
I ' _ill
w wa
W N
W
Iti
Zz 0
ISI Eck z
Lt wZ
GTH#1 B 4 MT CO BOTTOM OF TRENCH INSPECTED BY MOA ONSITE `./ CNI
�
FINAL GRADE=99.0-99.32 EMPLOYEE TIM ECKLUND ON 9/18/2017. ` Z �g O
B
=
ORIGINAL GRADE @ HIGHEST POINT=99.79 - ` LV J
FILTER FABRIC w
AIL +� vv) g Z
W WZ� g
_ r Z " off 0
��:°�1��t:, N o a Y 0
0' .!or-L�� w 0c\I 0111
>' �:•o•�•� INVERT OF PIPE=94.96 h E. .j~ w W
'O 41:C r:Y-..
ft
i0 °i-.-._ .4`c. Al 41
> ...0000....• • • � i
>o o.�.� . ./ .. 1.
•
/
o
:$ o I : BOTTOM OF TRENCH=87.96
io:-,////"--
RELATIVE ELEVATION OF BOTTOM TH#1 =81.79 4.•!o~�o�00 , •
0.�:� -•r•yA. t: 4- • .1
(2014 GEG TH#1B WAS DRY ON 9/18/2017) 4:o!.�aI•- •./� C 7 3 :=q 11�'44 I-NOFESS\° �♦
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1,+ 5f-17
"'""r� MUNICIPALITY OF ANCHORAGE ,c r,
.,_ -_ , o, 130 E{
On-Site Water& Wastewater Program
PO Box 196650 4700 Elmore Road ' TO P
Anchorage.Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
http://www.muni.orglonsite
oisi
111 16111_101
I l :ti 'in‘ ni
On-Site Wastewater Disposal System Permit
Permit Number: OSP171257 Effective Date: 9/13/2017
Work Type: Septic Upgrade Expiration Date: 9/13/2018
Tax Code Number: 01116114000
Site Legal Address: T12N R4W SEC 10 LT 28 N2 G:2324
Site Mailing Address: 8607 JADE ST, 000002, Anchorage
Owner: DENALI HOUSE LLC Lot Size in Sq Ft: 39400
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 7
This permit is for the construction of:
0 Disposal Field I Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
1. The proposed agricultural well is to remain in working order and will be required to be tested for any future
COSAs.
2. The sewer service line must maintain 25'from the well.
Received By: �����. Date: I /14/1q
Issued By: á4r4 Date: I / //;7
MUNICIPALITY OF ANCHORAGE
Community Development DepartmentPhone: 907-343-7904
Development Services Fax: 907- 343-7997
On-Site Water & Wastewater Program
Mayor Dan Sullivan
On-Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 011-161-14
Property owner(s) CHRISTY HERRINGTON Day phone 717-4187
Mailing address 8607 JADE STREET*ANCHORAGE,AK
Site address 8607 JADE STREET`ANCHORAGE,AK
Legal description (Sub'd, Block & Lot )
Legal description (Township, Section & Range) T12N, R4W, SECTION 10, LOT 28, NORTH 1/2
Lot Size Sq.Ft. Number of Bedrooms 7
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
t®all that apply) Initial ❑ Single Family (SF) ❑
Absorption Field ® ® (w/wo ADU)
Septic Tank ® Upgrade Duplex (D) El
Renewal ❑
Holding Tank El Multiple Dwellings El
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage El
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 569 Waiver Fees:
Date of Payment: 8/50 7 Date of Payment:
Receipt Number: CK 46S105 Receipt Number:
Permit No. C1 /71712-51 Waiver No.
(Rev.01/11)
GARNESS ENGINEERING GROUP, Ltd
CIVIL&ENVIRONMENTAL ENGINEERS
September 11,2017
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
Ref: Proposed Septic System for T12N,R4W,Section 10; Lot 28,North 1/2,
To whom it may concern:
Per Jason Wood (representative for the owner), the two existing structures, which are served by a private
well and a septic system, are to be replaced with a new 7 bedroom duplex. Two testholes were excavated
on the property. The septic system is designed within the 30' radius of GEG Testhole #1 (2014).
Comments regarding the design are summarized as follows:
1. SOILS: See the attached soil log and sieve analysis which shows the soil classification, groundwater
monitoring, and the percolation test results. Although the soil perked at a rate of less than 1 minute per
inch, we believe the insitu soils (sand) will sufficiently protect the local aquifer from contamination and a
sand filter is not necessary. A copy of the sieve analysis and soil classification is attached.
2. TRENCH 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 topography site plan, the average slope in the area
of the drainfield is flat.
5. WAIVER: We are requesting that your department allow for the use of a 1.2 application rate for soils
that percolate faster than 1 min/inch and utilize a sand filter. The proposed code allows for the use of this
application rating for sandy soils that perk faster than 1 min/inch.
We are unaware of any adverse impacts this installation or waiver would have on adjacent wells or septic
sys - . . If you hay: any questions,please contact us at 337-6179. Thank you for your assistance.
incere ,
effrey • 1. • e• P.z,M.S.
Presid nt
Note: Attached is a site plan, design drawing, I soil log, 1 sieve analysis and an 8 page construction
specification letter which are all part of the design package for this septic system.
3701 E.Tudor Road,Suite 101 *Anchorage,AK 99507-1259
Ph:(907)337-6179 *Fax: (907)338-3246 *Website: www.garnessengineering.com
T12N,R4W,SEC 10,
LOT 17,52
T12N,R4W,SEC 10, I
LOT 16,S2
T121SEC 10,
LOT
18,S2
[UNDOCUMENTED)
AWWU WATER VACANT
$
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\ �� �
// \ /- `�\
/ WEST 86TH AVENUE //
/ 1` \\ ��� �\
I /
I 100'WELL RADIUS / � 1 ' \i
/ / \
f I I 1 100'AGRICULTURAL 1 / \
1
1 w I I WELL RADIUS / \
, JOHNNA'S WOOD S/D ¢ I / (PROPOSED) 1 /
LOT 1 I- II
/ f tot/ !
\• Q �' // I 100'WELL RADIUS 1
\\ a __—— _ /o o I T12N,ROW,SEC 10,
�—► \\ ' //\ i� �\ / 1 LOT 27,N2 /
ASEPTIC AREA�N-`` �/ y; \\ / �` /
/'� ti`` 1 // ``` `/!\ II \ "... �` /
/ ` \ // \\ //
/ -- .,,,,;>.\
e/ WIGGSHINSON \\ f/ 1 / \�� �5, \�
/ LOT 1 1 II 100'WELL RADIUS 4 / -- 1
WIGGS HINSON ; I •
I / 1
LOT 2 100'WELL RAD US I I
1I
1 1\ // T12N,R4W,SEC 10, ( ,�ty
/ I \ // LOT 28,S2 11 /
1 / • / \ T12N,R4W,SEC 10, IT /
"\ // \\ �// \ LOT 27,S2 OCG /
\\ S //
\i\WEST87THAVENU�// �SE����� N. /
N
SCALE
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1'=100
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GARNESS ENGINEERING GROUP, Ltd .- ' In
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3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE.AK 99507'PHONE(907)337.6179'FAX(907)338-3246•WEBSITE.www.garnessenglneenng.com
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PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 1. - f''ti '• 0S3 -
CHRISTY HERRINGTON 242-9612 1 OF 3 iti%, , C1-7453 '�,�
PROJECT/LEGAL
SECTION 10, LOT 28, NORTH 1/2 �ORAL.K.B,WN BY. •�. cD�p'1' �\, �
I� ('�
TYPE OF WORK: DATE: •,1 ESS " .••
SITE PLAN 9/7/2017
LICENSE ,�
..... •
1 '
DESIGN CRITERIA:
NUMBER OF BEDROOMS: 7
GALLONS PER DAY(GPD):1,050
PERCOLATION RATES: <1 MIN./INCH `
PROPOSED APPLICATION RATE: 1.2
MINIMUM DRAINFIELD SO.FT.: 875
DRAINFIELD DESIGN: N
MAXIMUM DEPTH: 12 FEET
1(
WIDTH: 2.5 FEET GEG,Ltd.HAS AN 8 PAGE SPECIFICATION
LENGTH: 63 FEET LETTER THAT PERTAINS TO THIS DESIGN.TO SCALE:
M.O.A.APPROVED SAND FILTER: N/A OBTAIN A COPY OF THE LETTER CONTACT
ii
GEG.BY PROCEEDING FORWARD WITH THIS 1'=40'
EFFECTIVE: 7 FEET INSTALLATION,THE ENGINEER,WELL DRILLER,
REDUCTION FACTOR: N/A CONTRACTOR AND PROPERTY OWNER AGREE T12N,R4W,SEC 10,LOT 17,S2
ACTUAL SOFT.: 882 THAT THEY HAVE READ THESE
SPECIFICATIONS AND AGREE TO ACCEPT THE AWWU WATER
\- TERMS AND CONDITIONS OUTLINED.
KEY BOX �1—��\......
WEST 86TH AVENUE
/ N.
/ NOTE: LOCATION OF SEWER
SERVICE LINE BETWEEN EXISTING PER CONVERSATIONS WITH OWNER;THE
HOUSES IS UNKNOWN. EXISTING WELL IS TO BE CONVERTED TO AN
— — - - - — AGGRICULTURAL WELL AND THE PROPOSED —
DUPLEX WILL BE SERVED BY AWWU
/ APPROXIMATE LOCATION OF KEYBOX \
/ EXISTING STRUCTURE
\ NOTE:CONTRACTOR SHALL HAVE
PROPOSED WATER SERVICE LINE \ THE NORTH,SOUTH,AND EAST
PROPOSED 7 BEDROOM DUPLEX ` LOT LINES AND 100'WELL RADIUS
FLAGGED BY A REGISTERED
APPROXIMATE LOCATION OF 1 PROFESSIONAL LAND SURVEYOR
EXISTING WATER LINE
•
INSTALL FCO 1 PRIOR TO CONSTRUCTION
l
• •
4• • IPROPOSED PRIMARY
DRAIN FIELD
• `e'4 100'WELL RADIUS;TO BE CONVERTED TO I 61\3'2
• • ^ //2
DRIVEWAY /.� AN AGRICULTURAL WELL PER OWNER I �� 2001 GEG THAI+
'•-A - a. ___y�� EXISTING SEPTIC SYSTEM TO � O CO
• I EXISTINGIBE DECOMMISSIONED PER UPC7 Ii a� t-J HC USE I EXISTING STRUCTURE / SEWER SERVICE'LINE PROPOSED DOUBLE MT MT
.I___ .-
_ __T - ff CLEANOUTS
IS TO BE INSTALLED
L 25'+FROM WELL 2014
•• /
•
/ FLOW DIVERTER GEG
• THA1B
• a ` _ ` m
d a 4 NEW DRIVEWAY TO FUTURE \ INSTALL DOUBLE
k. ' BUILDING PAD,TO EVENTUALLY 4 \ CLEANOUTS / PROPOSED 1000 GALLON ONE
REPLACE CURRENT DRIVEWAY / COMPARTMENT INFILTRATOR
yNEW SEWER SERVICE LINE MUST BE
a 25+FROM THE AGRICULTURAL WELL SEPTIC TANK:MAXIMUM BURIAL
// 4\� ``// DEPTH OF 4 FEET
\ A • . 4 , . /` PROPOSED 1500 GALLON ONE CO CO
\ / \ COMPARTMENT INFILTRATOR SEPTIC 6.,,,„7:2��
\ / \ TANK;MAXIMUM BURIAL DEPTH OF 4 FEET/��/`/J
\_`1�_ `--- \ li
— \ PROPOSED RESERVE DRAINFIELD
TO BE INSTALLED WITH PRIMARY SITE
..t� OF • It.
[><ARNESSN(;<INEERING GROUP, LtdOf 4IL• 4'� ':� � '� * �%
•
CIVIL&ENVIRONMENTAL ENGINEERS 0 •
3701 E TUDOR ROAD SUITE 101'ANCHORAGE,AN 99507'PHONE(907)3376179'FAX(907)3383246'WEBSITE.www.9arnessengmeenng com •. • • r
PREPARED FOR: PHONE NUMBER: PAGE NUMBER' . t- Ga ess : t..
CHRISTY HERRINGTON (907)242-9612 2 OF 3 1,6%,'• E-79- r' �
PROJECT/LEGAL DESCRIPTION' DRAWN BY .0 •• 9/4 .I3....4'141.
T12N, R4W, SECTION 10; LOT 28, NORTH 1/2 L.K.B. 0��p'•/,',�•�� '•• �, �.
TYPE OF WORK: DATE: ,,4/LICENSE .III wawa**aSSO\ •
SEPTIC SYSTEM DESIGN UPGRADE 9/7/2017 4AECC884 ��
NOT TO SCALE
MT CO MT CO
�I ORIGINAL GRADE
oni--
FILTER FABRIC
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37C+F TU:I%F ROAD.Suc'E'0,'ANCHORAGE AK 99507'PHONE 1907 337.5'79'FAX'9071338.3246'WEBSITE wwwgrnesse^9,.rrq.:. �..I. . ` : It.`
PREPARED FOR: PHONE NUMBER: PAGE NUMBER 0 J• rey A. e s : 4J■
CHRISTY HERRINGTON 242-9612 3 OF 3 I 0 CE- 953 11 ' *i
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Ili Vrey ". ..- ness -iSOIL LOG - PERCOLATION TEST 0j� C 79 3 `:
LEGAL DESCRIPTION: T12N,R4W,SECTION 10,LOT 28,NORTH 1/2 �. �<(` q "'
PERFORMED FOR: JASON WOOD DATE: 5/28/2014 _ �1�1'°RIFESSI�• �
DEPTH -- #AECCB84 ,��aaa•+•
(feet) !moi �:;
10010 GRAVEL/FILL TEST HOLE #1-6
r� ORG W/SILT
SOIL CLASSIFICATIONS SITE PLAN
2 r^.;,7.
*;:l.,-.4-<-16.,.; GW E, ORG
0,<',- GW MIS GP 1 ML
3 •••e•e• EMI GM / CL
•••
4 �•��'+' I 4 GC , OL �'
s...'..
.°.;' �v'o•
•:a • "o•o •. SW 1 MH
IR ' SP CH C.'
•i•••• NMI SM / .ice OH Q
6 ,*:le10 .' ~4 SC G�
P
7 •••••.• DEPTH TO DATE Q' N
•;.•.• GROUNDWATER
•`P:1. 5
8 es s„s DRY 5/28/2014
•a t•e • DRY 6/4/2014 '• SCALE
a •see*.
•• ••••• 1'=100'
•..a•••
10 e...,:::• -
••••••' SP, UNIFORM SAND CLOCK NET TIME WATER LEVEL NET DROP
•••96.0 W/SOME GRAVEL
11 ,,.;�.. DATE READING TIME (MINUTES) READING (INCHES)
•..•.•
••11•0•• 5/28/2014
12 •'ie..
••iii•
••a •
14 ▪•i a•••
.••• PERK HOLE ABSORBED 6"OF WATER IN LESS THAN 3 MINUTES,3 TIMES
•.15 .•••
Yee
•`i.e.**•.•••a
16 •aa
600 ells•
17 "...so
•••••••
**see'
18
B.0 H.
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 6.5 FT. AND 7.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES I. NO
SOILS LOGGED BY:_ ANDREW GRAY PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS,CERTIFY THAT THIS WAS PER R ED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: q7-1 9.
J
Client: Garness Engineering Group Ltd. Particle Size Distribution
Project: Various Residential
D 0 W L H K M Work Order: A34028 ASTM D422
Location: T12N R4W Sec 10 L28 North Ave Lab Number 2014-598 .
Received 5/28/2014
pu5 ITU
Reported 5/31/2014
Engineering Classification: Poorly Graded Sand with Gravel, SP
Frost Classification: NFS
t
l Size Passing Specification -
_ - _ = v coo cD o 0 vo sso8 3" 100%
100 . t2;1
100 ,
2" 100%
1 1 1 1 I I I I I I I I 1% 100%
90 I II I 1— I-1 ! I I I ---- 1• 100%
I I I 1 I I I I I I I 3/i• 98%
L 80 ! II I I 1 1 I I . I I I ---- %• 93%
01 II I I I I I %.. 90%
70 I II 1 I I I I I I I #4 82%
I 1 1 1 I I I I 1 I I I Total Weight of Sample 2540.9g
XI 60 - I I I I I 11 I I I I I #10 74%
0
fg) I I I I I I I I I I I I #20 57%
, I II I I J I I 1 I I J I
Cl)vi I I I I I I I I I I I I I #40 22%
to 1 1 1 11 1 1 I 11 1 1 #60 7%
40 0
a II I I I I I I I #100 3 io
0 30 - I I 1 11 1 .1 1 I 11 I 1 1 I #200 2.4%
v I I I II II I I II I I I I Total Weight of Fine Fraction 301.9g
16
20 I II II I c _l 11 ii 1 11 I
11111111 11111 II I
10 I II II IJ I II 111 .1 I I --
11 1 11 1 1111111 I
0 4 1 i 1 I J I J ,-4 ) i f 1 J 1114111 . ,+i ‘ i t 1
100 10 1 0.1 0.01 0.001
Particle Size (mm)
Maria E. Kampsen, P.E • 4041 B Street • Anchorage • Alaska • 99503 • 907/562-2000 • Fax 907/563-3953
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
On-Site Water & Wastewater Program Fax: 907-343-7997
Septic System Owner-installer Agreement
A real estate property owner(Owner) may install their own septic system.
The department may issue an approval for a homeowner to perform work on a conventional
(not AWWTS) on-site wastewater disposal system to serve that individual's owner-occupied,
single-family or duplex home if the homeowner satisfies and agrees to the following
requirements.
The property owner and excavation equipment operator may perform work on no more than
one owner installed project in a 12-month period.
As owner of (legal description) 1 I Z i\1 r. `1 V (Sec 10 Lar 21 N 2_ I agree the
following items are true and accurate.
1. My experience in ailing septic systems is as follows.
-4 1A s�a.ae y��ewt b 6C/''e
2. The name of the excavation equipment operator is. a_s o ry c)0,1 - 11r-lam
3. There will not be compensation for installation services rendered.
4. I will be actively involved with the septic system installation at all times.
5. The name of the inspecting engineer is J e4 (?cz r ne ss
6. I agree to discuss the following items with the inspecting engineer:
a. Permit design criteria and specifications.
b. Inspection requirements set forth in AMC 15.65.150.
c. 2-hour minimum advance notice given to the On-site Water & Wastewater
Program for all required municipal inspections.
7. I agree any changes I make to the items listed above will require a new approval before
performing work.
8. I agree to have the project-specific On-site Wastewater Disposal System Permit available
at the construction site for the duration of all related work.
Owner'srinted name:
P s r2 ivJ 6-76N�J
Owner's signature: Date: 9 / 17
Septic System Owner Installer Agreement_Feb2015.doc
STATE OF ALASKA
DE-PAR'rMENT OF ENWRONMENTAL CONSERVATION
CONSTitLIMON AND OPF-RATION CIERTWICATE
FOR
DOMMSW WASTIEWATER DISPOSAL SYSTEMS
f-tVEC I 1
A. APPROVAL TO CONSTRUCT
Pians for the construction bion of
c , A,r1�p �� C�v �ac2. _ _ t �� C���,, domestic wastewetrr disposal symm
Istcd ro ,tet , M T fk) Alaska. submitted in accordance wish 18 AAC 72.210
by
approved.
. conditionally app
r
o
ved (see attached condidum).
By
have been reviewed and are
rtrtf
DAIS
if w str-uction has not started within two years of the approval date. thea Certificate is void and new plaits and 5pecirwatims must
be submitted fvr review and approval before con5truaion.
& APPROVED CHANGE ORDERS
Change (contract order number or dcscriptive reference) Approved by Date
C. APPROVAL TO OPERATE
The "APPROVAL TO OPf RATF" section must be complemd and signed by the Department before this system is made: available
for use_
The construction of the _ — domestic wastewater disposal system was complcm-d
on (date). `lie system is hereby erimmd interim appaoval to operate for 90 days following the completion date.
ey
As-buildm-cord drawings, submitted to the Depastmen# or an inspection by the Departmcrit, has confirmed drat the domestic
wastewater disposal system was constructed insubstantial conformance with the approved plus, The system is hemby grouted
final approval to operate.
isy
(Rau 4147)
Til LE nA7E
Dionbupm; t White-Engwcrr (Complcu Stenon Ci
2. Wiow-Systrm File ([ omplete Scotian C)
3. P10k-Engi1rer MunilgaUXVb [Complete 5ectwn
4. GoUbwA-MunUBarvugtr (Complete Stenon ()
I + 4
I ° f
Ts N1 R4W,SEC NI4 iJ� yy TSH, R4W. 17, SEffH 110 �r T1214. R4W,
OR-DI 11SEG 2
w o %-1 �{
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LOT 17, SOUTH 1/2
T12k, R4W, SEC 10. D� 712N, R4W, SEC 10,
LOT 16, SDU H 1/2 TM+ LOT 16, SOUT14 1%2
r `
I � �
f �
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t 96th AVE E
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1
i El EXISllhl; SEPTI 4 RESERVE SUE
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WELL 130'+ FROM
4Ikh1PU $woap Sid y LdPROPOSED SEPTPC
If u SYSTEM UPGRADE
�
_ T12N. R4W, SM 113.
iDT 27. NORTH 1/2
PRDPOSEU SERNIZ
l SYSTEM UPOPADE.
WELL 14614 FROM
r ti 1 PNOPQ= SEPTIC
4� X S syszm UPGFt t
wIGCS HrNS[1+e w1CG5 HrWSflN I � I
LOT 2 LOT 1 II J
t 1
i T12H, 114% SEC 10, 712H, Row, 5ED 10,
LCT #E. FDLrrH 1/2 LOT 271, So1mi 1/2
4
I
I
I
,
L 71u, R4yf, SEC 10,
LI]T 32. NORTk T/2 4W
I TIM R, SEC 14, T12M. 944. SEC 10,
WT 33, NOR7k 112 LOT 34, NORTH 1%2
DATE= t�w^'~•w
6/6/2001 =
t,
At -A KA WATER& WAS E ATER J-W.m.
•nuuIIIIII1M.14111W LMnp#FYJa+raw,., CONSULTANTS INC SICALr-'
Wl GEBARR iNAD, SUIT€ Z9 • Y4CHMVE. AX O65014' FWD?e 000 33T4JJO * FAJ€ 907)314-3 8 I"
1 v51+ • . .......,,1
FTEPARED FOR PHONE NUMBM: PF.GF h•UMBER-.
SLANE AND MYRNA BROWN€ (907) 344--24900 1 OF 1•- .•. ,.
f ..r..
=GAL nE5CRIV,TON: . CE 795.3
T12N, R4W. SEC 10, �OT 29. FORTH 1/2 a
SITE PLAN
t• aHed ; e;�: t, l k LE - Tnr !9VU9 9EE 1O6 !uOQ Ja;elhe;s8M PQ a Je;etA L-XGaTV :AU lrs2S
SOnt 6y; Alaska Alater and Wamowai—% Can; 907 338 3246; Aug -
20.24,- Page 213
TIME CONTRACTOR WL1- FIE RESPONSIPLE FOR
ESTARUSHIW. ALL WELL RADII SETBACKS
AND PROPERTY LINES PRIOR TO CONSTRUCTION.
86th AVE P°o' EXC2FAYf?r� H 4nERVE S1iER,EkUQPC'P FEET
PY 40 FLET LGHCr. ADD 7 FEET OF CLEAN,
WASHM, SEWER DRAWROCK.
POWER POLE
IEXISTING
LI Z, TANK"�EHSS 5EJ-PC
u r f l
- QOM v p4r- I I 1 I
Il
'c .10U.0, TAM VIEWS
IW5TALL
— J J DOUBLE Ct-CANOUT&
PROPOS
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ri
POWER POLL ,�
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fro
CONSULTANTS INC
sCbl DE9bR4 "bD SUT'E_ 2$ ' AhrMCFAGE+ AK 94304 • PHONE [4677357.0174 • rAx t9lV x-324
PREPARED MR! PMdNE NWMR;
BLANE AND MYRNA BROWNE (907) 688-3216
T12N. R4W, SEC 10. LOT 7-8; NORTH 1/2
OF WORX:
SITE PLAN! OF PROPDSED SEPTIC SYSTEM UPGRADE
7f30fOt
��' �
RAWN By!
6.5.G./J.W.m.
AGE NVUBER,
1 of 1
. �. y. .. ..
Fm 19
s 1; 953 •'- � �
�TfHE CONTRACTOR SHALL BE PESPOSSIBIE POR
IESTABLISH:NG ALL 'HELL. RADII SETBACKS
AND PRf)PFR-IY LINES PR40R TO CONSTi*UCTION.
8 5th, AVE PTTHAT 15j u ffM ORMNFIEL0.
, BY
4+2 FEET WEA sr�e
SY +4 FEET LONG. ADD 7 FEET OF MEM.
WASHED, SEWER rJRAlHRaCX-
LPOWER POLE
U,G. TA HK VENTS M"NG SEPTIC r
PeP_ U 1P� r
i I I
cd — —N
fa +J.c- rnk VENTS l I I I
/ -- IN,
I
POWER POLE
n rri uni nr,au iF p x NI � {�� i}7�nir ��li viii
M,AS KA WATER & WASTE, WATER
., CONSLJI TANTS INC :-...... ,,
89111 Q --SWR R= SUM n ' AHC}#Q�-. AK Q4' 4 • NDNE M7)jV-df7*' FAX Mr�M4•1?4
?REP►RED FOR: PHONE NUMBER --
BLAKE AND MYRNA IRROWNE (907) 688-3215
LEGAL DMRIPTI[}}J:
T12N, R4W, SPEC 10, LOT 28, NORTH 1/2
7WE or WORK.
SITE PLAN OF PROPOSED SEPTIC SYSTEM UPGRADE
7/30/01
iSRA'khl E{f:
1" = 40'
PAGE NPAGE NU
1 OF 1
oauel F �LE�riaurs
Isar-asEt�
1200 GALLON
SCPTIC TANK
S a3ed :C :b4 l F T�f tgi'ec Bps L06 ;uaC Ja4wha:aem Aua .,a4em Exse-Ev
rN
Al ASKS WAITWAS'FEWATER
�.. ..:..............
CONSULTANTS, INC- -• ...r��,....�„� ..,..-.+M.
7 pF�►AF Pob4}. & + M. YPa{W • 7-9174 94 i& * WREGM dkommn
SOIL LOG — PERCOLATI I $T
LEGAL DESCRIP#10NJ T12M R4W, SEC t0 —or 2a, N2
PERFORMED FOR; BLAZE AND MIRNA ffROWNE DATE: 5115I240i
(FaO) - = = ORGANICS
1 -
2
i41 I gM
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SOIL
T s
CLASSIFICATION
ORG
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SEF SITE PLAN FOR
TEST HIL£ LOCATION
Gw
`f OFPTH TO
'.*;�•,;• GROUNDWATER SATE
DRY 6 15/01
..•■r•
13RY _—V22/q.1
01
1k'1.'m
T O tv
■ +.■.*
DATE RING CLOCK NET TIME WA iR LEVEL NET DROP
11 .dab.'� * sP TAME (MINUTE) READING (INCHES)
13 . e r+#.
PERK HOLE ARSDROED WATER AS FAIT AS iT VYAS ADDED
r •i � rr' - - --
17-
19—
7 19 PERCOLATION RATE S (MIN.rtINCH) PERC. HOLE DIA_ 6" (INCHES)
20 TEST P?L)N BLTWEEN E.D FT. AND 7•0 FT.
COMMENTS:
PERFORMED By ALASKA WATER & WASTTWATER r, JEFFREY A. GARNESS, CERTIF-y IHAT THIS WAS 1PERFORMED
IN ArXORDANCE WITH Ai -L STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. O W
cog eBEd !9i'?c on L46 `Uv0 JazumaTsm Pus JalaA� emsely :AB 1ua5
DEPT.. OF ENVIRONMENTAL CONSERVATION
DIVISION OF ENVIRONMENTAL HEALTH
DRINKING WATER AND WASTEWATER PROGRAM
555 CORDOVA STREET
ANCHORAGE, ALASKA 99501
October 17, 2001
TONY KNOWLES, GOVERNOR j y,no,
Telephone: (907) 269-7519
Fax: (907) 269-7650
Jeffery Garness, P.E.
Alaska Water and Wastewater
6901 Debarr Road, Suite 2B
Anchorage, Alaska 99504
Re: Septic System upgrade for T 12 N, R 4 W, Section 10,Lot 28, N1/2,
ADEC Project # 1541
Dear Mr.Garness:
This is in response to your submittal received on August 9, 2001, requesting the Department grant three
waivers and approve the design of a proposed wastewater disposal system that will serve the two single
family homes located on the above -referenced property. The proposed wastewater disposal system [a
1,250 gallon two compartment septic tank and a deep trench type soil absorption system with 560 square
feet of useable area] will replace the failing existing wastewater disposal system. I have completed my
review of the submitted information and the Department's files on other systems in this area. Based on this
review, I have the following comments.
Waivers
Before the proposed wastewater disposal system can be approved, there are several waivers that needto be
reviewed, and, if appropriate granted. The waivers that you requested the Department to review and grant
are as follows:
• The separation distance between the existing Class C public water system source well and the
proposed community sewer line.
• The separation distance between the existing Class C public water system source well and the
three proposed community sewer line cleanouts that are located within the 150 foot protective
radius of the source well.
After reviewing the information submitted on August 9, 2001, discussing the waiver requests with you, and
the information faxed to this office on August 9, 2001 covering installation of the community sewer line
and cleanouts, it appears that the requested waivers are reasonable. Therefore, in accordance with State
Wastewater Disposal Regulations [18 AAC 72], the following waivers are granted.
• The separation distance between the existing Class C public water system source well and the
proposed community sewer line, both located on Lot 28 North 'h, Section 10, T. 12N., R.
4W., has been waived from 100 feet to the minimum separation distance of 39 feet.
• The separation distance between the existing Class C public water system source and the two
proposed cleanouts to be placed in the proposed community sewer line, both located on Lot
28, North 'h, Section 10, T 12N, R 4W, has been waived from 150 feet to the minimum
separation distance of 43 feet and 50 feet.
These waivers are valid as long as the community sewer line and cleanouts installed within the 150 foot
protective radius of the source well are made of Cast or ductile iron with tyton joints that are shrink
wrapped. The community sewer line will need to be pressure tested following the most current testing
procedures accepted by the Anchorage Water and Wastewater Utility. All test results verifying that the
community sewer line passed pressure testing will need to be submitted to this office.
The above noted distances are from the August submittal. It appears that these distances are from the
nearest edge to community sewer line and cleanouts to the nearest edge of the existing Class C public water
system source well. If any component of the wastewater disposal system fails or contamination of the
existing and/or other source wells in the area can be traced back to the proposed system and sewer lines, the
waivers will be invalid.
Wastewater Disposal System
It appear that the wastewater disposal system has been designed in accordance with State Wastewater
Disposal Regulations and Guidance. Therefore, in accordance with State Wastewater Disposal Regulations
(18 AAC 72.225), construction approval for the system is granted. The signed construction approval
portion of the Cor~truction and Operation Certificate, constituting this approval, is enclosed.
To obtain f'mal operational approval, the following items will need to be submitted for review and approval
by this office for this system: -
I. Provide verification that all community sewer line joints were shrink wrapped within 150 feet
of the Class C public water well and the cleanouts were located per your proposed plan.
2. Record drawings will need to be submitted to this office under the stamp of a Professional
Engineer. The Record drawings will need to verify that the construction was per the approved
construction contract and changes were approved by this office. Please remember that the
inspection of the project on which the record drawings are based upon is the responsibility of
the Professional Engineer sealing the record drawings.
3. Verification of the existing soils and ground water separation distances will need to be
included on the submitted record drawings.
This approval does not imply the granting of additional authorizations nor obligate any state, federal or
local regulatory body to grant required authorizations.
If construction has not begun within two two years after issuance of plan approval, the approval is void,
and plans must be submitted to the Department for review and approval.
Public Water System
It appears that the existing water system is a Class C public water system. My review of this offices files
has failed to locate verification that the existing public water system has received operational approval from
this Department.
· Please either provide a copy of the existing approval letter or the enclosed Class C public registration form
(completed with the required test results and fee) as soon as possible.
All future correspondence should include the above project number. If you have any question please do not
hesitate to contact me at 269-7519.
Respectfully, f
William R. Rieth, P.E.
Environmental Engineer
Enclosures: As stated
cc: Thomas Tiley, ADEC,DW/WW w/o Enc.
James Cross, MOA w Enc.
•
•
Municipality of Anchorage o
i_ On-Site Water&Wastewater Program = "'• •:,` ' `
•41. (907)343-7904 °iA E.Y
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 011-161-14 Expiration Date: Lr_ J—j c
1. GENERAL INFORMATION
Complete legal description T12N R4W SECTION 10 LOT 28 N2
Location (site address) 8607 JADE STREET*ANCHORAGE,AK
its
Current Property owner(s) `HERRINGTON Day phone 907-717-4187
Mailing address 8607 JADE STREET'ANCHORAGE,AK
Real Estate Agent Day phone
2. TYPE OF DWELLING:
▪ Single Family(w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 7
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well • Individual On-site
Individual Water Storage ❑ Individual Holding tank ❑
Community Class Well ❑ Community On-site ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: N/A Distance: -
Received by: �� tii Date: / 7 / ( 9
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee$ e`Z• O d� Waiver Fee$
Date of Payment11,r�rr j!��"1�� Date of Payment
Receipt Number `- OWY-'a Receipt Number
COSA# 05L161100*aWaiver#
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. Phone 337-6179
Address 3701 E.TUDOR ROAD,SUITE 101 *ANCHORAGE,AK,99507
Engineer's Printed Name JEFFREY A.GARNESS,P.E. Date i Z/3 i t U
c,
Engineers Comments:
In concluding this evaluation,GEG provided an engineering evaluation of the well enact rseptic system in accordance with the �
�,u,� ••■I i,
guidelines and regulations established by the MunicipaliityofAnchorage and inabstypractices.The reported results desaibethe �4 � a 4414
condition of the systems on the date/softhe evaluation.Separation distances were measured toreadtyidentifiable features. t�\ .... .....
....••.,,� •.
Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of au wells and septic =C.);• ••♦
systems depend on a variety of variables including,but not limited to,soil conditions,groundwaterlerels(that may fluctuate drdng
the year),quality of construction(materials and workmanship),and theWater usage of the family utilizing the system/s.These - A )%\ *
conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the „ /
systems:therefore,GEG makes no warranty(express or implied)regarding the futureperfomrance of the well orseptic system.
SEG makes no representation whether an alternative well or septic system can be installed on the properly in the event either of the / .) ff •
current systems fail.The content of this report is for the sole benefit of the persa✓pady who regained GEG.Reliance upon the • •I e rei.A.Games- (1�., -
information pro eided in this report by any other person or party,including but not limited to subsequent property purchasers,is not ♦Gj% :tie
authorized.In shod,GEG disavows any legal duty to anyone other than the person/party winopaidfor this report ••!p 47-'12 v. :
6. DSD SIGNATURE 44 � rt 0.- ��
LICENSE ,1III u as***
#AECC884
System#1 Approved for bedrooms.
System#2 Approved for bedrooms.
•
Disapproved. •L
,c
Conditional approval for bedrooms,with the following stipulations: ON-S�TE �V�
WATER AND
W ASTE` ER
pROGRAM
_ � (4 2
Original Certificate Date: / V^�
The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only
upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory • • X
Well Flow Advisory Other
(Rev.10/12/12) i•r �'
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: T12N R4W SECTION 10 LOT 28 N2 Parcel ID: 011-161-14
A. WELL DATA *PER GEG INSPECTION
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO
Date completed UNK Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth *109.1+ ft. Cased to UNK ft. Casing height (above ground) , 12+ in.
FROM WELL LOG AT INSPECTION
Date of test10/4/2017
G
Static water level sm��..\-�G ft. 100.6 ft,
N�
Well production g.p.m. 10+ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd.
Arsenic: 21.9 ug./L. Date of sample: 8/14/2018
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material 1530/1060 Date installed 9/18/2017
Tank size 1530/1060 gal. Number of Compartments 1/1 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 NEW Pumper -
C. ABSORPTION FIELD DATA 'BELOW FINAL GRADE
Date installed 9/17-18/2017 Soil rating -p.d./f r ft2/bdrm) 1.2 System type DEEP TRENCH
Length 63 ft. Width 2.5 ft. Gravel below pipe 7 ft.
Total depth *11.04+ ft. Eff. absorption area 882 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) PASS For 7 bedrooms
Fluid depth in absorption field before test - in. Water added - gal. New depth - in.
Elapsed Time: - min. Final fluid depth - in. Absorption rate>= - g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) NONE If yes, give date -
D. LIFT STATION
Date installed Size in gallons Manhole/Access (YIN)
"Pump on" level at in. "Pump off' level at •• wa er alarm level at in.
_ . •- Cycles tested Meets alarm & circuit requirements?
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 10'+ Property line 5'+ Absorption field 5'+
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
*PER CONTRACTOR
CERTIFICATION :�•��•�• �1'•P'14 %,/4 44
G. ENGINEER'S '`
..
I certify that I have determined through field inspections and '9 4' a�
review of Municipal records that the above systems are in • • .��1 •
•
conformance with MOA COSA guidelines in effect on this •
; :
date. •� f •y A. arness &
Engineer's Printed Name JEFFREY A. GARNESS �,,J,TI...••CE 7• 3 • .4-1 �
Date t2/?t/I �' al- ♦.�1k PR. E• �1p:�.•.
C�1 �'N LICENSE illim` 'Si
#AECC884
I ZIP/ 6 a/jr
(Rev.10/12/12)
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT o '•e 907-343-7904
On-Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite
Arsenic Advisory
Certificate of On-Site Systems Approval # OSC191001
Subdivision: T12N R4W Sec 10 Lot 28 N2
A water sample revealed an arsenic concentration of 21.9 micrograms per liter
(ug/L). The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. information on arsenic is available from the On-Site Water and
Wastewater Program website (www.muni.org/onsite) or at 343-7904.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address:P.0.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org