HomeMy WebLinkAboutELMORE #1 BLK 6 LT 3Elmore #1 Block 6 Lot 3 #018-172-09 inspecuon report _I—t—tz.aoc Municipality of Anchorage Community Development Department Page 1 of 3 Onsite Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http:/ANww.muni.org/onsite • (907)343-7904 ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSP141278 PID Number: 018-172-09 ❑ New EUpgrade Name: WILCO CONTRACTORS ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench E Bed ❑ Mound Address: 4700 NATRONA AVE *ANCHORAGE, AK ❑ Other Phone: No. of Bedroom$: Sail Racing: Taal Depth from original grade: (907) 345-6288 4 0.7 GPD/Sq. R. 3.0 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert Tram original grade: SEE DWG. Ft. Gravel depth beneath pipe: 0.58 R. Subdivision: ELMORE #1 Block: Lot: 6 3 FlII added above original grade: Grovel length: SEE DWG. Ft. 35 R. owns ip: _ Doge: — ec Ion: — Gravel wroth: Beds Number of linea: Distance between once: *25 Ft. 5 5 Ft. SEPARATION DISTANCES— Total absorption area: Number of trenches: Diet. between trenches: To Septic Absorption Lift Holding Public/Private 875 — From Tank Field Station Tank Sewer Linea SD. Ft. — pt Well 100'+ 100'+ 100'+ — 25'+ TANK ❑ Se tic E S.T.E.P. ElHolding El Other Manufacturer. capacity: Surface water 100'+ 100'+ 100'+ — ANCHORAGE TANK 1500 Gal. Lot Line 5'+ *1'+ 5'+ _ N/A Material: STEEL Number of comportments: 2 Foundation 5' 10'+ 5' - LIFT STATION Curtain DrainNONE KNOWN Manufacturer. capacity: ANCHORAGE TANK 1500 cal. Remarks: PER CONTRACTOR OLD TANK WAS 'Pump on' level at: 44 'Pump of" level at: 40 High water alarm at: 46 DECOMMISSIONED PER UPC Pump Make Is Model: Electrical Inspections performed by: *WR#OSP141279 PF200511 I MOA PIPE MATERIAL wIA0$ House to tank D3034 Tank toS 1 j" CH40 drainfield Installer WILCO CONTRACTORS Drainfield D3034 CO MT / 034 Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 83.1 Ft, Inspection Dates: 1 st 8/27/2014 2nd 8/27/2014 u°°°g°" and Deserlvtion: 3rd 8/28/2014 4th 8/29/2014 BOTTOM OF TANK Community Development Department Approval E«a p o D4 _006 Conditional approval: Date: e A. G mess.- ess.E-795 Approved: iii% Datero E-795 c1O � O •to �So Prof ession ;:z§� 04�000�� inspecuon report _I—t—tz.aoc PERMIT NUMBER: PARCEL 10 NUMBER: OSP 141278 RECORD DRAWING 018-172-09 A B I C FCO 27.4 24.6 24.4 i ST1 21.2 33.6 22.5 ST2 14.1 1 41.1 1 29.0 1— — 1 MT1 55.280.2 52.4 C01 56.0 79.9 52.0 [K•IG+ [7 !NI.1rrll�:lfl�I�lAII�E:L'J�:: C010 84.7 119.3 92.3 MT -4 85.4 119.5 92.4 i z APPROXIMATE LOCATION OF WATER SERVICE LINE TO HOUSE PER CONVERSATION WITH RYAN AT WILCO CONTRACTORS ON 11/6/2015 Pwfa as RI"( FA +o Try--- . ,jkDQ KA '0p we cL 10' GENERAL UTILITY EASEMENT ELMORE #1; BLOCK 6, LOT 12 VACANT `GARAGE j Q I GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3101 E. MI= 6010. 'alitE 101 • u1CxOXxGE.. 98907 • E E (991) ]18-81]9 • FM (908) 5.16-W46 • 9F651R: m.gomvgiinvin9.oem PREPARED FOR: I PHONE NUMBER: PAGE NUMBER: WILCO CONTRACTORS 345-6288 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: ELMORE 1; BLOCK 6, LOT 3 D.J.G. TYPE OF WORK: DATE: RECORD DRAWING 11/5/2015 W U g a - 1 40' BED / 1 (�SEPTIC ARS -APPROXIMATE LOCATION OF SEWER SERVICE LINE FROM SHOP PER CONVERSATION WITH RYAN AT WILCO CONTRACTORS ON 11/5/2015 'APPROXIMATE LOCATION OF \ WATER SERVICE. LINE TO SHOP PER CONVERSATION WITH RYAN AT WILCO CONTRACTORS ON 11/5/2015 a ELMORE S/D N1; o BLOCK 6, LOT 4 ELMORE #1; BLOCK 6, LOT 11 VACANT A. Z N J S E: 1 40' BED / 1 (�SEPTIC ARS -APPROXIMATE LOCATION OF SEWER SERVICE LINE FROM SHOP PER CONVERSATION WITH RYAN AT WILCO CONTRACTORS ON 11/5/2015 'APPROXIMATE LOCATION OF \ WATER SERVICE. LINE TO SHOP PER CONVERSATION WITH RYAN AT WILCO CONTRACTORS ON 11/5/2015 a ELMORE S/D N1; o BLOCK 6, LOT 4 ELMORE #1; BLOCK 6, LOT 11 VACANT A. PERMIT NUMBER; PARCEL ID NUMBER: OSP141278 RECORD DRAWING 018-172-09 T.H. INVERT OF BUNG ' AT INLET = 87.26 (CALCULATED) I-sa4l TOPSOIL ANDEEDED PER CONTRACTOR; DURING G.E.G.I INSPECTION THERE WAS SNOW ON THE GROUND SO ADEQUACY OF VEGETATION COULD NOT BE CONFIRMED. RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 87.53 G.W. AT 90.53' ON 6/23/2014 FINAL GRADE = 93.26-94.03 ST2 MH NEW 1500 GALLON S.T.E.P. TANK TOP OF TANK = 88.05 (CALCULATED) FIELD SHOT 83.18 O STI & 83.17 O ST2 FINAL GRADE = 99.32-99.75 F 2" INSULATION PER CONTRACTOR r FILTER FABRIC GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. LUOOR ROW. AMIE 101 • NIpWPoWY. M A 7 • R CW7) 337 -BIN • FU (07) 33E -M" • •FEEIIf mMl•M•�+9'•�/ 7REPARED FOR: PHONE NUMBER: PAGE NUMBER: WILCO CONTRACTORS 345-6288 3 OF 3 _EGAL DESCRIPTION: DRAWN BY: ELMORE #1: BLOCK 6. LOT 3 D.J.G. OF WORK: PROFILE RECORD DRAWING ORIGINAL GRADE O HIGHEST POINT - 98.53 TOP OF SAND = 95.53 INVERT OF DISTRIBUTION LINE = 96.11 (AVG.) BOTTOM OF BED = 93.53 (AVG.) Rob Campbell From: Rob Campbell Sent: Friday, November 13, 2015 11:04 AM To: Rob Campbell Subject: FW: Grecian Hills B2 L7 - design for Grant Stockly From: Ryan Wilkinson [mailto:ryanwilco.excavateC&gmail.com] Sent: Friday, November 13, 2015 10:59 AM To: Rob Campbell To whom it may concern I Ryan Wilkinson with Wilco contractors insulated 4 feet wide 4 inches thick all sewer lines in or around driveway at property Elmore 1 blk6, lot 3 if you have anymore questions you're free to call me at 242-9863 thanks Sent from my Phone Inspection I[ecm Item Description Evaluation ElecFin Final Electrical Partial Result Notes: Main house, ADU and attached garage. Electrical final approved. Detached shop on same permit not yet complete. Do not close out permit. a ao<_7001 Page I of 1 Municipality of Anchorage Community Development Department Development Services Division P.O. Box 196650 - 4700 Elmore Road Anchorage, Alaska 99519-6650 Info and Help: (907) 343-8211 INSPECTION: Voice: (907) 343-8300 Fax (907) 249.7777 11/9/2015 Inspection Report License/AP#: E14-2086 Parent AP#: Inspection #: 385228 Type: RES Status: Issued Address: 4700 NATRONA AVE Parcel: 01817209000 Inspector: Mike Green Project: Resp Party: Deser: Child of Bldg App R14-23124284 SF LIVING 1373 SF GARAGE TC EXEMPT INDEPENDANT REVIEW PERFORMED MIKE ANDERSON DAVE OWENS - Address:Anchorage, AK, 99516 Inspection I[ecm Item Description Evaluation ElecFin Final Electrical Partial Result Notes: Main house, ADU and attached garage. Electrical final approved. Detached shop on same permit not yet complete. Do not close out permit. a ao<_7001 Page I of 1 'J-3-2[15 10:358 FROH: Mark Begich Mayor TO: 3313246 Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: RA' Parcel Identification Number: Date of Issue: P.1 Legal Description E 1Aav( S Lo} 3 Property Owner Name & Address: y'7oo- Vk Pump Installation Date: 7- 9 7 - i 5 Pump Intake Depth Below'rop of Well Casing: /UD feet Pump Manufacturer's Name: 60,u4 /' � Pump Model: /d 5 QC V 7-.) qv Pump Size & hp Pitless Adapter Burial Depth: /(i feet Pitless Adapter Manufacturer's Name: %' Ar4N S0,7 3 hU Pitless Adapter installer: �/ j I tp/Ae.147 Well Disinfected Upon Completion? It I Yes F No Method of Disinfection.l, Io6n C.aSI S boy Pump lnstaller Name: Y►. u! 116' Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141278 Tax Code Number: 01817209000 Work Type: Septic Upgrade Permit Effective Dates: August 25, 2014 to August 25, 2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: ELMORE #1 Site Legal Address: ELMORE #1 BLK 6 LT 3 G:3036 Owner/Address: PIERCE SHIRAH & JEREMY 4631 EDINBURGH DRIVE ANCHORAGE AK 995020000 Site Mailing Address: 4700 NATRONA AVE, Anchorage Lot Size in Sq Ft: Total Bedrooms: This permit is for the construction of: 36405 4 Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (9 7) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program inept r ti° ` F �r Department **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP141279 COSA#: Permit#:OSP141278 PID#: 018-172-09 Legal Description: Elmore #1. Block 6. Lot 3 Engineer: Garness Engineering Group Applicant: Jeremy Pierce Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: b ! L Approved b D ame of Reviewer ............................................................................ MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 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. 015-172-09 Property owner(s) JEREMY PIERCE Day phone C/0 CONTRACTOR Mailing address 4631 EDINBURGH DRIVE, ANCHORAGE, AK, 99502 Site address 4700 NATRONA AVENUE, ANCHORAGE, AK, 99516 Legal description (Sub'd, Block & Lot ) ELMORE S/D #1 BLOCK 6 LOT 3 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Initial ❑ Absorption Field Septic Tank Upgrade ReneWl ❑ Holding Tank ❑ ; Privy ❑ Private Well ❑ JEJI._ 9 5 2,014 Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: DRAINFIELD TO LOT LINE TYPE OF DEWELLING: Single Family (SF) (w/wo AD U) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: 1 FOOT 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: Date of Payment: �-cr U Receipt Number: D`✓f-1D- Permit No. 045 194la3 o p. Date of Payment: Receipt Number: (Rev. 01/11) a GARNESS ENGINEERING GROUP, Ltd`"""" - CIVIL & ENVIRONMENTAL ENGINEERS- - - July 17, 2014 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: Septic Design for Elmore S/D 41; Block 6, Lot 3. To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. The existing well is not in use and will be brought up to code to serve the proposed house. Two testholes were excavated on the property and logged by GEG, Ltd. The septic systems will be designed within the 30 foot radii of these testholes. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are two logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. BED DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no permanently flowing surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the topography in the area is relatively flat. In short, there are no slope concerns. 5. WAIVER FOR BED WIDTH: Due to site constraints, we are proposing to construct a 20 foot wide bed. Care will be taken during construction to keep the heavy equipment from driving over the bottom of the bed. 6. LOT LINE WAIVER: Due to site constraints, we are requesting a 1 foot lot line waiver to the north and east lot line. The septic system on the lot to the east is over 20 feet away from the proposed system and should not be affected by the proposed system. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Page 2 of 2 I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. Sincerely, P. E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, 2 soil logs and an 8 page construction specification letter which are all part of the design package for this septic system. 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com Hefty Drilling Inc. 3540 Akula Dr. Anchorage, AK 99516 345-0593 345-4700 Fax L.,_ E-mail test pumping & drawdown Well Depth: )) q `�i Cased: / % 7 Well intake opening type: ORP'n F K Test pumped @: 5 J >rn L! Static water level: Pumping level: Dy awdown: i < Date: 63191 Name: w O C O Site: 7l"n e SCtto, N1, tY'm et Ave . Comments: Pid j/tdeo 1►14Vecj?vl in �1//Qt, frVft i�aVt� [��-� t✓etP e�y;h� hte�5 �v � ��C���c� � Test com leted by: ° ------------------------- ELMORE SID #1; BLOCK 3, LOT 11 APPROXIMATE LOCATION OF SEPTIC SYSTEM BASED UPON MICHAEL N. ANDERSON, P.E. DRAWING Lo'—W.Esmt ELMORE SID #1; BLOCK 3, LOT 10 PROPOSED HOUSE & GARAGE LOPOSED SEPTIC '� —_ SYSTEM {--------- NATRONA AVE ELMORE SID 41; I I EXISTING WELL BLOCK 6, L0T2 i UNDOCUMENTED ------------------------------ _--- __ Irl'! 10' Utll Esmt i CPOP �ll J ELMORE SkD #1;I I ELMORE S/D #1; BLOCK 6, LbT 13 i BLOCK 6, LOT 12 ---------------- WI 100WELL RADIUS � 11, � I I I I I I I I .I I I I /� ' r J of I ELMORE SID #i; DRAWN BY: ELMORE SID #1; BLOCK 6, LOT 3 BLOCK 6, LOT 4 A.J.G. TYPE OF WORK: ----------------- --------- DATE: _ W --________ --- __J L___ Y Q � 100' WELL RADIUS ELMORESID #1; I1 11 J ELMORE SID 91; , f`1 BLOCK 4, LOT I , N II--------------- I I ARES I LOPOSED SEPTIC '� —_ SYSTEM {--------- NATRONA AVE ELMORE SID 41; I I EXISTING WELL BLOCK 6, L0T2 i UNDOCUMENTED ------------------------------ _--- __ Irl'! 10' Utll Esmt i CPOP �ll J ELMORE SkD #1;I I ELMORE S/D #1; BLOCK 6, LbT 13 i BLOCK 6, LOT 12 RIVERTON AVE a GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 100WELL RADIUS � 11, � I I I I I I I I ` (ZSEPTIC \ I I I I /� ' r ARE a' LEGAL DESCRIPTION: ELMORE SID #i; DRAWN BY: ELMORE SID #1; BLOCK 6, LOT 3 BLOCK 6, LOT 4 A.J.G. TYPE OF WORK: ----------------- --------- DATE: SITE PLAN FOR SEPTIC UPGRADE ------------------ ------------------ELMORE 7/15/2014 ELMORESID #1; BLOCK 6, LOT 11 N RIVERTON AVE a GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 9761 E TUDOR ROPU, SUITE 101' ANEDORAGE, AR 99667' PHONE (907) 337E199' FM (907) SS&0246' WEOSIiE:—N.gam—eng,neeNg.wm PREPARED FOR. PHONE NUMBER: PAGE NUMBER: WILCO CONTRACTORS ( 907) 242-9863 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: ELMORE SID #1; BLOCK 6, LOT 3 A.J.G. TYPE OF WORK: DATE: SITE PLAN FOR SEPTIC UPGRADE 7/15/2014 Lnreyq�.yBrness ::�j= "ROFESS\Ct"J♦ NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 11 MINIINCH PROPOSED APPLICATION RATE: 0.7 GPDIFT' MINIMUM DRAINFIELD SQ.FT.: 858 MAXIMUM DEPTH: 5 FEET WIDTH: 25FEET LENGTH: 35 FEET M.O.A. APPROVED SAND FILTER: 2 FEET EFFECTIVE: 0.5 FEET REDUCTION FACTOR: N/A ACTUAL SQ. FT.: 875 NATRONA AVENUE PROPOSED DRIVEWAY GEE, Ltd. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG, BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. NOTETHE CONTRACTOR SHALL HAVE THE NORTH & EAST LOT LINES, AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. PROPOSED BED SHALL UTILIZE 'PROXIMATE LOCATION OF OLD 125" SCH 40 W/ 3/16" HOLES ABANDONED SEPTIC SYSTEM SPACED 24" O.C. 1 f 5'� dote 11b San GEG,THff PROPOSED .`.DRIVEWAY. I I WATER SERVICE LINE FROM HOUSE TO GARAGE IS TO REMAIN 10 FEET FROM SEWER SERVICE LINE PROPOSED GARAGE WI NO BEDROOMS MT INSTALL \1 FCO 1 SPECIAL PROVISION: PRIOR TO FINAL APPROVAL, NOTE: NO FOUNDATION DRAIN 11, WELL MUST BE INSPECTED FOR WELL FLOW, MAY BE INSTALLED WITHIN 50' 11 WATER QUALITY AND CODE COMPLIANCE OF THE SEPTIC SYSTEM 11 IF GRAVITY FEED I TO S.T.E.P. TANK i CAN NOT BE 100'WELL RADIUS I ACHIEVED,A PUMP VAULT SHALL BE UTILIZED GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS _ 3]01E. TUDOR ROAD, SUITE 101'ANCHORAGE, AR9RU7- PHONE (907)3376179' E PJ7)336J24B' WEBGITE:mm'gamesse,gi—Mffl.— PREPAREDFOR: PHONE NUMBER: PAGE NUMBER: WILCO CONTRACTORS (907) 242-9863 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: ELMORE S/D 91; BLOCK 6, LOT 3 A.J.G. TYPE OF WORK: DATE: �, DESIGN DRAWING OF PROPOSED SEPTIC SYSTEM (REVISED) 8/25/2014 1" = 30' PROPOSED DRAINFIELD NOTE. 1' LOT LINE WAIVER REQUESTED PROPOSED 1500 GALLON S.T. E.P TANK (ANC ORAGETANK) T GEG TH#2 r� I I I I I I I I I I I I I I I J RESERVE SITE SHALL USE CATEGORY II ADVANCED TREATMENT. 4.0 GPD/FT', 4' MAX DEPTH, 2' M.O A. SAND, 5' WIDTH, 30' LENGTH, 0.5' EFFECTIVE. 150 FP pROFESSIONP4 E2 PROPOSED HOUSE 6 mm -am) GEE, Ltd. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG, BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. NOTETHE CONTRACTOR SHALL HAVE THE NORTH & EAST LOT LINES, AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. PROPOSED BED SHALL UTILIZE 'PROXIMATE LOCATION OF OLD 125" SCH 40 W/ 3/16" HOLES ABANDONED SEPTIC SYSTEM SPACED 24" O.C. 1 f 5'� dote 11b San GEG,THff PROPOSED .`.DRIVEWAY. I I WATER SERVICE LINE FROM HOUSE TO GARAGE IS TO REMAIN 10 FEET FROM SEWER SERVICE LINE PROPOSED GARAGE WI NO BEDROOMS MT INSTALL \1 FCO 1 SPECIAL PROVISION: PRIOR TO FINAL APPROVAL, NOTE: NO FOUNDATION DRAIN 11, WELL MUST BE INSPECTED FOR WELL FLOW, MAY BE INSTALLED WITHIN 50' 11 WATER QUALITY AND CODE COMPLIANCE OF THE SEPTIC SYSTEM 11 IF GRAVITY FEED I TO S.T.E.P. TANK i CAN NOT BE 100'WELL RADIUS I ACHIEVED,A PUMP VAULT SHALL BE UTILIZED GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS _ 3]01E. TUDOR ROAD, SUITE 101'ANCHORAGE, AR9RU7- PHONE (907)3376179' E PJ7)336J24B' WEBGITE:mm'gamesse,gi—Mffl.— PREPAREDFOR: PHONE NUMBER: PAGE NUMBER: WILCO CONTRACTORS (907) 242-9863 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: ELMORE S/D 91; BLOCK 6, LOT 3 A.J.G. TYPE OF WORK: DATE: �, DESIGN DRAWING OF PROPOSED SEPTIC SYSTEM (REVISED) 8/25/2014 1" = 30' PROPOSED DRAINFIELD NOTE. 1' LOT LINE WAIVER REQUESTED PROPOSED 1500 GALLON S.T. E.P TANK (ANC ORAGETANK) T GEG TH#2 r� I I I I I I I I I I I I I I I J RESERVE SITE SHALL USE CATEGORY II ADVANCED TREATMENT. 4.0 GPD/FT', 4' MAX DEPTH, 2' M.O A. SAND, 5' WIDTH, 30' LENGTH, 0.5' EFFECTIVE. 150 FP pROFESSIONP4 E2 44 iff t F, a3, t I~ LanJe�Pk�:,h �. 2 r t� i t� m c l a „ Q m G j o j 1 -- j 1 r t aj r`• GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS — 3]01E. TLDOR ROAD, SUITE 101ANCHORAGE, AK 99507' PHON O.n 33]L1]9'1. M9 13383240'WEBSITE: w.w.garne55engineeMg.eam SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: ELMORE S/D #1; BLOCK 6, LOT 3 PERFORMED FOR: WILCO CONTRACTORS DATE: 6113/2014 DEPTH -- (feet) ��ORGANICS ____ TEST HOLE #1 1 ORGANIC LOAM 2 3 4 5 GW WELL GRADED 6 d . p GRAVEL W/ SAND LOTS OF COBBLES ._ AND BOULDERS 7 11 B.O. H. 12 13 14 15 16 17 18 001ISilIGY.91aC47i11012 DEPTH TO DATE GROUNDWATER 8' 6/13/2014 8.5' 6/23/2014 IIIIIIIIIIIIimu DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 6/13/2014 1 3:05 - 6" - 2 3:07 2 0" 6" 3 3:08 NROW 6" �'Ill'Ill 4 3:10 2 0" 6" 5 3:11 6" vzzzloi 6 0111111 2 0" r1ml �'i�` DEPTH TO DATE GROUNDWATER 8' 6/13/2014 8.5' 6/23/2014 IIIIIIIIIIIIimu DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 6/13/2014 1 3:05 - 6" - 2 3:07 2 0" 6" 3 3:08 - 6" - 4 3:10 2 0" 6" 5 3:11 6" - 6 3:13 2 0" 6" PERCOLATION RATE <1 (MIN./INCH) PENG. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 2.0 FT. AND 3.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ONO SOILS LOGGED BY: ANDREW GRAY PERCOLATION TEST PERFORMED BY: ANDREW GRAY 0-IvMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASP FOR ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Z GARNESS ENGINEERING GROUP, Ltd - - CIVIL & ENVIRONMENTAL ENGINEERS - 3701E. TUME FOAO, SUITE 101' ANCHORAGE, AK 99507' PHONE (W3376179'F (907) M892<6' �ESSITEE w gamn,e,gine Mg wm SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: ELMORE S/D #1; BLOCK 6, LOT 3 PERFORMED FOR: WILCO CONTRACTORS -)ATF 6/2712014 DEPTH — ( feet) _ _ ORGANICS I'I�II i//i 12 W20. Z. B.O.H. 13 I"'Il"I 14 Q ��. 4 -''b 55,1 GW 17 WWo 18 7 TEST HOLE #2 061I196lIM—T&SAI06mmelm I'I�II i//i 12 W20. MEN B.O.H. 13 I"'Il"I 14 15 16 17 WWo 18 TEST HOLE #2 061I196lIM—T&SAI06mmelm DEPTH TO DATE GROUNDWATER 10' 6/27/2014 6.67' 7/7114 1"= 100' DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 7/7/14 ABSORBED 6 INCHES OF WATER IN <1 MINUTE, 3 TIMES PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 3.5 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASP RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 2S� I'I�II i//i W20. MEN EWE I"'Il"I WWo DEPTH TO DATE GROUNDWATER 10' 6/27/2014 6.67' 7/7114 1"= 100' DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 7/7/14 ABSORBED 6 INCHES OF WATER IN <1 MINUTE, 3 TIMES PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 3.5 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASP RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 2S� GI -!!TER ANCHORAGE AREA BORO�I-�H HEALTH DEPARTMENT _ i = 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 1%D/l/i9L0 //. /fJ CG MAILING �y/✓ '2/7��� ADDRESS_ n v -7/ PHONES! LOCATIONrCi /1l/ ,2 9f d✓iPO LEGAL DESCRIPTION LOr of/,'//ir/�r SEPTIC TANK: J DISTANCE FROM OF LIQUID CAPACITY-ZOl%O /�'..id'�/y/a VOUID GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH. SEEPAGE SYSTEM: SEEPAGE PIT: / NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH , LENGTH �DEPTH -3 / LINING MATERIAL -CONCH'/_ -Tc . DISTANCE FROM WELL l0 :f / , BUILDING FOUNDATION�� NEAREST LOT LINE '� O f TOTAL EFFECTIVE ABSORPTION AREA (WAIL AREA) �� V SO. FT. 7 - TILE -TILE DRAIN FIELD: _. DISTANCE FROM WELL ,FOUNDATION ,NEAR LINE', TOTAL LENGTHOF LINES NUMBER OF LINES D STANCE BETWEEN LINES TRENC WIDTH IN. TOTAL EFFECTIVE ABS/O/Rj�TION AREA SO. FT. LEN F EACH LINE- DE INE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL. TYPE7 DISTANCE FROM WATER �� T DEPTH ,BUILDING FOUNDATION. �n t SAMPLE __c le, NEAREST J NEAREST SEPTIC SEEPAGE/ OTHER LOT LINE , SEWER UNE—.TANK to , SYSTEM ���L— L CESSPOOL ,SOURCES_ DIAGRAM OF SYSTEM DISTANCES: DATE Gl�u�//'%O 7 ' APPROVED ti RQ t DATE Gl�u�//'%O 7 ' APPROVED GREATEI"r4NCHORAGE AREA "�:)ROUGH Case Na. 7N IIEALTII DEPARTIIIENT 327 Eagle St. Anchorage, Alaska 99501 279.2511 / SEWAGE DISPOSAL SYSTEM - APPLICATION 81 PERMIT NAME OF APPLICANT���%LP / ACII, L MAILING ADDRESS IOZ —,�yV. �c ,/HONE NO. 7V.,./ RESIDENCE ADDRESS SRn�F LOCATION OF INSTALLATIONL/l% LEGAL DESCRIPTIONle 7- 3. 6 i'574in £-' APPLICATION TO INSTALL: SEPTIC TANK /,-' SEEPAGE PIT , DRAIN FIELD OTHER TO SERVE THE FOLLOWING FACILITY 6,C--Dt FINANCED THROUGH �C+L� TO BE INSTALLED BY SC1 L_ VdAILZI BEST RESULTS ANTICIPATED DATE OF COMPLETION �C�. 7, != BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS , PERMIT TO INSTALL A i AS DESCRIBED BELOW. SIZE OF UNIT TO BEiERVED e:P !YI-71X.A' 14'_ . SEPTIC TANK SIZE L20 TYPE��L-,t7L=,SEES GE`AREAwt'AS IF >; 6 rbIAGRAM OF S TEM• . A_ r lT DISTANCES({/i1i 0IM0t1) 7°17 7LfP To7i1 tiIC',� S Te (/% 7 7/tof li�J� ° 4d � HCALTH AUTHORITY V OR UCCNSCD OCSIGNER I; I certify that I am familiar with the requirements of Greater An forage Area BorougF ,Ordinance No. 28-6 nd that the above described s stem is in accordance with said code. ��u�e1C.-Sj1U 7.�T� DATE ! APPLICANTS SIGNATURE(_-�+�`�/IfI ■■■■MEMEEM■■®■■■■®I■■■■ ■■■■■■Ea■■■®®■■■®®1®■■■ ■■■■■■®■■■■■■N■■®®I■■■■ moon ■■r�■■n■■■®1n■■■ lion`l ■■■■ ■ s'10■It■■■■■■■Ion■■ MMMM ©vo• ■■®I■■n■ SOME ■n■nO■■I■NEM ■■■M ®M■■■N a ENRON■■ ■■■■IN :SON►o■n■■MINI MINE ■■■■■■MI "100 ONE MIRnn■ ■■■■Ont.■■■■ MORE lJINoI■■■■ ■■■■■E NINE in M®imomm ■■■■■■■■■■■■■■■■■®®■■■ HCALTH AUTHORITY V OR UCCNSCD OCSIGNER I; I certify that I am familiar with the requirements of Greater An forage Area BorougF ,Ordinance No. 28-6 nd that the above described s stem is in accordance with said code. ��u�e1C.-Sj1U 7.�T� DATE ! APPLICANTS SIGNATURE(_-�+�`�/IfI I., MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water &Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC241521 Parcel ID 018 -172-09 Legal description ELMORE #1 BLK 6 LT 3 Site address 4700 NATRONA AVE Current propertyowner(s) PIERCE SHIRAH X The On-site system(s) is/are approved for By: Conditional approval for Comments or conditions: No comments Expiration Date: 12/10/2025 4 bedrooms bedrooms, with the following stipulations: Original Certificate Date: 1/3/2025 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject sy9tem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE Development Services Department ; Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 01817209000 Complete legal description ELMORE #1 BLK 6 LT 3 Location (site address) 4700 NATRONA AVE Current property owner(s) PIERCE SHIRAH 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 376-7653 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑■ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 10 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 5 ST) Waiver Fee $ Date of Payment 2 / Z 3 / v 2 `> Date of Payment COSA # S C 2 `i f S Z Waiver # COSA Application—June 2022 COSA Checklist Legal Description: ELMORE #1 BLK 6 LT 3 Parcel ID: 01817209000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1970? Total depth 116 ft Cased to 116 ft ❑■ Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) 36 in. Date of flow test for COSA 12/10/24 Well production at time of test 5+ gpm Water storage tank volume0 gallons Well disinfected for coliform test? ❑ Yes ❑■ No ❑■ Coliform bacteria is Negative Nitrate 1.38 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L AArsenic less than MRL (ND) Collected by NRimEng Static water level at beginning of test 55 ft. Date 12/10/24 Comments * Hefty Drilling test pumping & drawdown B. TANK DATA Measured operating fluid level in septic tank na* Date of pumping 11/25/24 ❑■ Required maintenance completed, if AWWTS Comments: *STEP D. ABSORPTION FIELD DATA Which system tested (date installed) 8/28/14 ❑■ ALL standpipes present per record drawing Total measured depth from grade 4 ft (max) Measured depth to pipe invert from grade 3.6 ft (min) ❑ N/A — pressurized field. ❑■ Per record drawings, field is insulated. ❑■ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficienci COSA Checklist June 2022 C. LIFT STATION ❑■ Required maintenance completed Age of lift station 10 years Lift station material Steel Comments: Adequacy test date 12/10/24 Results g Pass Fluid depth prior to test 0 Water added 600 gal New fluid depth 1 in Elapsed time 30 min Final fluid depth 0 in in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 7 Effective depth used 0 in Effective depth remaining 7 in in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No 5* ft Community Sewer Manhole/Cleanout > 100' Yes if No ft ❑■ Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' ❑■ Yes if No ft Holding Tank > 100' ❑■ Yes if No ft Neighboring Absorption Fields > 100' Water Service Line > 10' ❑■ Yes Animal Containment > 50' ❑■ Yes if No ft ❑■ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑■ Yes if No ft r■ Yes if No ft ❑ NA — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 5* ft Surface Water > 100'■❑ Yes if No ft Tank to Property Line > 5' ❑■ Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No ft Private Wells > 100' ❑■ Yes if No ft Water Main > 10' ❑■ Yes if No ft Community Wells > 200' ❑■ Yes if No ft Water Service Line > 10' ❑■ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS * Tank @ 5', field > 10' ** waiver G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm NorthRim Engineering I'hcmc Engineer's Printed Name Steve Eng Datc _ COSA Checklist June 2022 694-7028 1/2/25 ..:...Steve .......9. .'..'moi IF* CE-6256 2� mr X44 1/121/ 2 5 AW 12/17/24, 12:52 PM image0.jpeg https://mail.google.com/mail/u/0/?q=label%3Apending-bull-moose-4411-krystal+natasha#inbox/WhctKLbNGTLLtjBhlFDDrCmqsnWrGTZfsznbvqkHJTT…1/1 - n I * y Municipality of Anchorage On -Site Water and Wastewater Program /NFW S! (907)343-7904 J NOV 12 2015 Certificate of On -Site Systems Appr v I z Parcel I.D. 018-172-09 Expiration Dat et 7-a 1. GENERAL INFORMATION Complete legal description ELMORE #1; BLOCK 6, LOT 3 Location (site address) 4700 NATRONA AVE Current Property owner(s) WILCO CONTRACTORS Mailing address AK Day phone 345-6288 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: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class _ Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: N/A Received by: COSA to be released unless engineer. Date: 11 / I COSA Fee $ 0�`I 42y= III W Waiver Fee $ Date of Payment I, 1112415- Date of Payment Receipt Number 6_70t`9 Gl Receipt Number COSA # o,5 Cl Jam' I (P3 ✓ Waiver # # 3 t70(2 Il/g/jb 0729$( (re -t, SWot, % bean. 266.0•Yruyh) 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 (907) 337-6179 Address 3701 E. Tudor Rd., Suite 101, Anchorage AK, 99507-3246 Engineer's Printed Name Jeffrey A. Garness Date—A,106- In conducting this evaluation, GEG provided an engineering evaluation of the wall and/or septic system in accordance with the guidelines and regulations established by the Municipality or Anchorage and industry practices. The reported results describe the condition of the system/s on the dates of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These 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 future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report rA - Original Certificate The Municipality of Anchorag�evelopment Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsiblefor errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist k__- Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluea eet 9-1-12doc .;-t4tth OFq/yt, 1 r�. t cy� 6. DSD SIGNATURE ON-SITE tl`� System #1 Approved for Lbedrooms WATER AND System #2 Approved for bedrooms `"IASTEWATER _- Disapproved T i'ROGRAV ; _= Conditional approval for bedrooms, with the following stipulation' SEWr rA - Original Certificate The Municipality of Anchorag�evelopment Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsiblefor errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist k__- Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluea eet 9-1-12doc 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: ELMORE #1; BLOCK 6, LOT 3 A. WELL DATA Well type PRIVX Parcel ID: 018-172-09 *PER HEFTY DRILLING, INC. INSPECTION ON 8/8/2014 & 7/27/2015 SEE ATTACHED WELL FLOW TEST DATA & PUMP INSTALLATION LOG. If A. B. or C movide PWSID# N/A Well Loa (Y/N) RG7 Date completed 1970' Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *116 ft. Cased to *116 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test *8/8/2014 G Static water level �0 ft. *55 ft, 0 Well production N g.p.m. *5 g.p.m. WATER SAMPLE RESULTS: *WATER SAMPLE PULLED AND SUBMITTED TO LAB BY HEFTY DRILLING, INC. Coliform 0 colonies/100 mi. Nitrate 1.03 mg./L. Collected by: HEFTY DRILLING. INC. Arsenic: ND ug./L. Date of sample: *10/21/2015 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed 8/27-28/2014 Tank size 1500 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) Date of pumping NEW Pumper — C. ABSORPTION FIELD DATA Date installed 8/27-28/2014 Soil rating.p.d./ r ft2/bdrm) 0_7 Length 35 ft. Width 25 YES System type BED Gravel below pipe 0.58 ft, Total depth *4.2 ft. Eff. absorption area 875 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 600+ g.p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date D. LIFT STATION *PER MOA ELECTRICAL INSPECTION **NEW Date installed 8/27-28/2015 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at 44 in. "Pump off level at 40 in. High Slater alarm level at 46 in. Datum BOTTOM OF TANK Cycles tested ** Meets alarm & circuit requirements? *YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent Iotas 100'+ Absorption field on lot 100'+ On adjacent lots *100'+(WITH CAVEAT) Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5' Properly line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line **1'+ Building foundation 10'+ Water 10' Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage ***l' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *SEPARATION DISTANCE FROM WELL TO DRAINFIELD ON ELMORE #1; BLOCK 6, LOT 2 IS LIKELY OVER 100' BUT CANNOT BE PHYSICALLY VERIFIED **WR#OSP141279 ***S.T.E.P. TANK IS UNDER GRAVEL PAD, BUT NOT IN PATH OF TRAFFIC. G. ENGINEER'S CERTIFICATION i certify that i have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date - I I )13 JJS- (Rev. 71/05) OF �gs�00 �(5)..'.. 4.- y A. G rness; 09 —79 mi NATRONA AVENUE PLOT PLAN _ AS BUILT X SCALE i 50' GRID SW 3036 Project No. 14-089 Lang &Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax kenOlongsurvey com / jonathanOlongeurvey.com F A 4-41S�Oo 1 hereby certify that 1 have surveyed the following described properly. '� Q LOT 3, BLOCK 6, ELMORE SUBDIVISION (PLAT P -635A) 4glti ` 9 Anchorage Recording District, Alaska, and that the Improvements situated thereon are .............. ..... within the properly lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible Kt?1ttt HHH Ct easements on sold property except as Indicated hereon. 'Lot Dated this the Z-& Day of �s ns,e �raeii- ,'lnt� at Anchorage, Alaska _'. ..- 2 2 • a e it is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Time � A Time me Date Date Date Inspector Inspector Inspector i Comments " Conditional Approval 1 . , ,,0 iii C- -3 3 —S 3'ks Date Sewer Installed Permit No. Septic Tank Size 2--70 Holding Tank Size Soils Rating Well To Absorption Area r o 11� Well Log Received Well to Tank -b6"JnLh APPLICANT FILLS OUT LOWER HALF ONLY Property Owner CAJc. (� Phone Mailing Address 3y S So A Nor{ A , Buyer 95nucc Address '32,tf _ 106.2rs-4 "4L q �0 S� fn 1 � + Lending Institution A LA Address 'i.(n0U 'T 13„ / Phone Realty Co. & Agent .� N `• Phone Address +. Y( r v r v /1” v;� r - Legal Description L.o'TK/ Street Location �{ 3 O It — / KjA Type of Residence A Single Family - ❑ Multiple Family O Other No. of Bedrooms 3 Wat@r Supply Fti Individilat ATTACH WELL LOG. A well log Is required for all wells drilled since June ❑ Commun O Public Utll 1975. For wells drilled prior to that date, give well depth (attach Ing If available. Sewage Disposal L? Individual ❑ Public Utility ,.,, '� f rc/� , - -. Year Individual Installed. M70 c' 1 -`- - When Connected to Public Utility ❑ Holdln Tank ...... NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH QUEST -BEFORE PROCESSING CAN BE INITIATED. M, I A 4 Don Mencel 343 SRA Anchorage, (0) EXCAVATION ROBERT A.SHAFER WORK CIVIL ENGINEER 694-2979 Alaska 99507 February 3, 1982 MUNICIPALITY OF ANCHORAGE t"T. CF IILALTA & ENVIE :4t.':ENTA'- PGO.ECTI011 Dear Mr. Mencel, Reference: Lot 3; Block 6; Elmore Subdivision FEB 91982 RECEIVED A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity in excess of 1000 gallons. The seepage pit was charged with 1000 gallons of fresh water and after a period of 24 hours 825 gallons had percolated out of the crib. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further assistance, please do not hesitate to call. .E. cc: Municipality of Anchorage Department of Health and Environmental Protection SRS 196X EAGLE RIVER. ALASKA