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HomeMy WebLinkAboutSCHROEDER EAST BLK 6 LT 8 KELSO MANOR PUDchPo der asr lock 6 Lot 8 050-071 -23 147 S' U L L_L_IV ! i B/AT'E ELL$ Domestic - Commercial - Geothermal Phone 907-688-2759 www.su Ilivanwaterwells.com Well Log Permit Number: #SW 101092 Date of Issue 6/29/2010 Date Started: 6/29/2010 Date Completed: 6129/2010 Property Description SHROEDER EAST Lot 8 Block 6 Property Owner Name & Address: c & T CONSTRUCTION 11404 JESSIE MAE CIRCLE EAGLE RIVER, AK 99577 Borehole Data: Soil Type, Thickness & Water Strata Depth From To Casing Stickup 0 2 Fill 2 6 Peat 6 12 Gravel & Clay 12 21 Gray Shale 21 75 Gray Bedrock 75 102 Purple Bedrock 102 106 Gray &White Bedrock 106 163 Yellow Bedrock 163 170 Gray &White Bedrock 170 192 Brown Bedrock 192 200 Green Bedrock 200 224 Yellow Bedrock 224 231 Green Bedrock 231 249 Brown Bedrock 249 253 Green Bedrock 253 262 Gray Bedrock 262 300 Parcel Identification Number: Is well located at approved permit location? Section: Town: Water Sample Results: Arsenic: ug/1 Nitrates mg/1 Total Coliform Bacteria colonies/100mL Other bacteria: col/l 00mL 05007123000 Range: Method of Drilling ~ air rotary [i~ cable tool Casing type: Wall thickness O.25 inches Diameter 6 inches Total: 44 feet Liner type: Diameter inches Depth: feet Casing stick-up above ground: 2 feet Static Water Level(from top of casing) Pumping Level: feet after 1 hours pumping gpm Recovery Rate 6 gpm Method of Testing: Air 6 feet Well Intake Opening Type [ii1 Open End /~] Open Hole [1 Screened Start _ feet Stopped feet [.,,] Perforations Start feet Stopped feet Grout Type: Bentonite dry granular Volume: 350 Pounds Depth 44 Start 0 feet Stopped 44 feet Pump Intake Depth: feet Pump size: HP brand name Well disinfected upon Completion? [X l Yes [._} No Method of disinfection CHLORINE 50 PPM Comments: YIELD IS FROM PUMP TEST AFTER HYDRO- FRAC. WELL CONFORMS TO DEC/MOA STANDARDS. Well Driller: Cole Sullivan Sullivan Water Wells P.O. Box 670272 Chugiak, AK 99567 (907) 688-2759 Attention: The property owner shall provide this log to DSD (onsite) and DNR within 30 days of completion. ARCTIC PUMP & WELL INC. Jim Snllivm~ ~D ~,ox 7701 Eagle ~iver, (907) 6~-2510 (~v) 25a-zs~o (~v) apw~gci.ne~ Pump Installation Log Well Drilling Permit Number: Parcel Identification Number: SWosp101092 05007123000 Date Of Issue: 6/29/2010 Legal Description: Schroeder East B6 L8 Lot: 8 Block: 6 Property Owner Name Address: C&T Construction 11404 Jessie Mae Circle Eagle River AK 99577 Pump Installaion Date: Pump Intake Depth Below Top of Well Casing 8/18/2010 286 Feet Pump Manufacturer's Name Pump Model: Pump Si~e: Pitless Adapter Burial Depth: Pitless Adapter Manufacturer's Name Pitless Adapter Installer: Well Disinfected Upon Completion? Method of Disinfection: Comments: Dem pster MBF2-100-S2 I hp 13 Fe~ ~50 Yes Chlorine Pum pi nstallerNam e: Amtic Pump & Well, Inc. IVe~te.sd~; December 01,201 0 Permit Number: OSP101092 Tax Code Number: 05007123000 Work Type: Well Permit Effective Dates: June 29, 2010 On-Site Water 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 Initial to June 29, 2011 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: SCHROEDER EAST Site Legal Address: SCHROEDER EAST BLK 6 LT 8 G:0353 Owner/Address: C & T CONSTRUCTION INC 11404 JESSIE MAE CIR EAGLE RIVER AK 995777964 Site Mailing Address: 12644 SPRING BROOK DR, Eagle River Lot Size in Sq Ft: 24872 Total Bedrooms: 3 De, p~'~r tment This permit is for the construction of: N Disposal Field N SepticTank N Holding Tank N Privy Y 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 B .~..:~. ~ - Date: Parcel I.D, Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak, us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Property owner(s) JOHN THOMSON W/ CAT CONSTRUCTION Day phone 240-2020 Mailing address 1 1404 JESSIE MAE CIRCLE. EAGLE RIVER. AK Site address Zip Code 99577 Legal description (Sub'd, Block & Lot) SCHROEDER EAST S./D; BLOCK 6, LOT 8 Legal description (Township, Section & Range) N/A Lot Size Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR ( [~all that apply): Absorption Field Septic Tank Holding Tank Pdvy Private Well Water Storage THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: Date of Payment:. Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS ~~~'~~; June 21,2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Wells for Schroeder East S/D; Lots 5, 6, 7, & 8, Block 6, To whom it may concern: We request a well permit be issued for each referenced property. An application and the MOA permit fee have been submitted for each property. As can be seen on the attached site plan/design drawing, we are proposing that a .community wastewater system be installed to serve these properties. A design package was submitted to ADEC and on June 16, 2010, we received an "Approval to Construct" for the wastewater system. We have attached a copy of the Approval to Construct. Construction of the wastewater system started on June 17, 2010 and is progressing. The contractor would like to drill all four wells sequentially so the well driller can remain on-site until all the wells are completed. As can be seen on the attached site plan/design drawing, there are no encroachments concerns. or septic systems. If you have any questions, please contact us at 337-6179. you for you~istance. We are unaware of any adverse impacts this installation would have on adjacent wells Thank 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com ucc zz zulu ]b:15 P. 01 Jeff%fy A. Garness, p. Ga-mess Er~gineering 3701 E. Tlldor Road, Anchorage, Alaska 99 }roup {uite 101 507-1259 / D=cemb~ 22, 2010 Fax: (907) 269-3497 $chroeder East Operational Disposal ST Dear Mr. Garness: n, Block 6, Lots 5-8- Eagle River-~-lnal for a Community Wastewater Trea~-nent and Plan Tracking Number 8125 On December 15, 2Oll the Department received documentation on r_he construction, a_nd contact information along with the record drawings for an on/or wastewater treatment system. This system is a new Quanics t_res system and a new sol/absorption system that vail serve four (4)- three (3 ~-bedroom homes (total of 12 bedrooms served) at the above locad~n In a~ ,+he ev_is~g s~gle ' '~ .... -- ~a~muy sO'o_rce well has been decommissioned to this wastewater system to be const~-acted at the site. The rlev¢ 5~500 gallon tank w/I/pump into four in parallel 650 Aerocell units. The soil analys s on site was confirmed to be an SP and the soil absorption 5eld was slightly larger than the approved design. (2 feet longer and 2 feet Thc Departrnent has the commllrlity onsite Wastewater for this construction for the communiW plan number in cortes the documentation and the record drawings for disposal and treatment system and per the .s ][8 AAC 72.240, therefore Final Operational Approval hereby issued. A completed "Certificate to Construct" system is enclosed. Please use the referenced :e regarding this system. This approval does nol LmDty the gra~ng of aad~_rzon~ authorizations nor oc.~ga~e ~y s~te, or toc~J reg-~o~ body ro ~an+ ~ ,;~ .-~ing hn accorm~cm ~mi~ 18 ~C !5.195- i8 ~C 15.340 or ~n h~o~ revzew by ~e Division ~=ctor ~n accord~ce ~hh 18 ~C 15.185. t~for~, ibc delivered to the Division Director: 555 Cordova ~,'n~ rax:=u,'-ad~-Z~lb ~ec 22 2UiU lb:I7 Po02 Tha_nk you for your cc h~s~tgt~ to contact ! 1 !800, Juneau, ~as:ka 99801, w~th~ 30 days of not requasted ~ ~0 days, ~e der to appeM operation. If you have ~ny quasdons please do not ~ 269-/519. Enclosure: As stated cc: William Smyth, W~ Respectfully, William R. Rieth, P.E. Environmenta/En~mhueer ~, W/O eriC. DOMES'TIC Wf,.;TF. WATER DIS?OS~L SvS..r=~,~ . . · ter I ~!stpmloc~.~o in .. ~, Ala~ka., ~ubmiRsd in '. ~ conditionally aCpra~ad (~a~ must be submi~d Yor mvi~ ~ ~nd ~prov~ APpROVeD O~ANG~ ORD$Rs " APPROVAL TO OPB~A~ ' ' ' ~ ' -c,l~n must be completed · . ' .-~j.' .... . =z- ,ua~vv~n~ thecomp,~tfon d~ts. ' .. DEPT. OF Ei~WIROI~IEi~'?AL CONSERVATION DIVISION OF WATER WASTEWATER DISCHARGE PROGRAM Sean ?arnell, GOVERNOR 555 CORDOVA ANCHORAGE, AK 99501 Phone: (907) 269-7519 Fax: (907) 269-3487 http://www, state.alcus/dec/ June 16,2010 deffery A. Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Re~ Schroeder East Subdivision, Block 6, Lots 5-8- Eagle River-Conditional Approval to Construct a Community Wastewater Treatment and Disposal System-ADEC Plan Tracking Number 8125 Dear Mr. Garness: On June 14, 2010 the Department received an engineering plan submittal for an onlot advanced wastewater treatment system with, a new Quanics treatment system and a new soil absorption system that will serve four(4)- three (3)-bedroom homes (total of 12 bedrooms served) at the above location. In addition an existing single family source well must be properly decommissioned to allow this system to be constructed at the site. The new 5,500 gallon STEP tank will pump into 'four in parallel 650 Aerocell units. The soil analysis on site determined 10 minutes per inch and 2.5 minutes per inch for field percolation ratings an onsite soil absorption system using an application rate of 2 gallons per day per ft2. Thus for the 1,800 gallons per day/2 gallons per day per ft2 application rate a field of 900 ft2 is required and has been sited for use on Lot 7 of this subdivision. The Department has reviewed the engineering plans submitted for the community onsite wastewater disposal and treatment system and per the Wastewater Regulations 18 AAC 72.235 Conditional Approval to Construct the proposed system is hereby issued. A "Certificate to Construct" for the community wastewater system is enclosed. Please use the referenced plan number in correspondence regarding this system. This approval is contingent upon compliance with the following conditions: 1) The soils information has results which are differing in value, to assure the design is met, please provide an engineer to inspect the site at the thue the soil absorption system is installed. 2) 3) 5) 6) 7) 8) Provide contact information for the following individuals who will managing the community wastewater system: Owner Director -John E. Thompson- provide contact number Engineer- Jeffery A. Garness- (907) 337-6179 Complaint Contact-(907) 337-6179 Pumper Service-provide contact number Electrical and Additional Service Providers-provide contact number This information must be kept current at the local ADEC Office should providers or individuals change contact (907) 269-7519 Bill Rieth. Tests for Nitrate as nitrogen will need to be provided along with the record drawings. Even though a nitrogen reducing system is being installed, the nitrate level of 12.6 mg/1 found at lot 9, Block 6, Schroeder East Subdivision is a concern and additional protection of Public Health may need to be provided based upon sampling information. If the applicant fails to construct, alter, install, or modify the system within two (2) years after the date that the department issues an approval to construct, the approval is void, and plans must be resubmitted, [along with associated fees], for department review and approval. Deviations from approved plans which affect capacity, flow, operation, major design of units, point of discharge, materials of major system components (such as pipe, lagoon liners, etc.), or separation distances, must be approved by DEC in writing prior to their implementation. This approval is contingent upon compliance with the conditions of Wastewater Disposal Regulations, 18 AAC 72.235, Construction Certification. The noted section of the regulations requires that a "Certification of Construction" be completed and submitted to the Department within ninety (90) days of completion of construction. As- built plans or record drawings should indicate any changes or deviations from the approved plans to facilitate final review. A "Certification of Construction" form is enclosed for your use. This approval is contingent upon your receipt of any other state, federal or local authorizations which are required for your project. You are required to obtain al! other necessary authorizations before proceeding with your project. You a_re advised t_hat ff t.h~is development v. a3! requ~e placing fffi fin wetlands or working in a stream, river, or lake, permits from the U.S. Army Corps of Engineers and the Alaska Department of Natural Resources may be required. A Coastal Projects Questionnaire will help you identify other permits and approvals that may be required for your project. This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division Director, 555 Cordova Street, Anchorage, Alaska 99501, within 15 days of receiving the decision. Guidance information on the informal review process may be found at http : / /www. dec.state.ak, us / commish / ReviewGuidance.htm. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.O. Box 111800, Juneau, Alaska 99801, within 30 days of the decision. If a hearing is not requested within 30 days, the right to appeal is waived. Thank you for your cooperation. If you have any questions please do not hesitate to contact me at 269-7519. Enclosure: As stated cc: William Smyth, WW, w/o enc. Respectful/y, William R. Rieth, P.E. Environmental Engineer STATE OF .... A~, M_N ,, ,~,~ :NVI,~CNMENTAL CCNS~R',/A%ON CONSTRUCTION AND OpERATiON CERTiFiCATE DOMESTIO WASTEWATER DISPOSAL SYSTEMS . ' ' ' "' ' ~omastlc v,~stew~t~r disposal sys~m loc~ta~ in ~A~D~ ~/¢~, Alask~, submi~ed in ~ccord~nca wRh 18 AAC 72'..225 ~ ~ppr~v~d. ' .. DATE · fl constnJctJon'h~s not sta~d w~hin b~o ya~ of ~s ~pp~,/~ da~, ~f~ cedlffca~a is v~d ~pe~ifi~on~ must be submi~d ~or ~view and ~prov~ before APPROVED CHANGE Ch~g~ (mon~'mct o~ar no, or da~=dp.d;l~ r~fer~nce) Approved by , APPROVAL TO OP~_RAT~ The "APPP, OVAL TO GPE;:~,&T~' ~=-cti=n .... ~= ~.,=~ ' ' ' TITLE N I o SCHROEDER EAST COMMUNITY ~'-i ~~ ~-~ ~ ..... 'O'--'"--'O'' I GARNESS ENGINEERING GROUP. Ltd SCHROEOER E~ SUBDI~SION; LO~ 5 ~ 8, BL~K 6 CHECKED BY J~O. ~ ' SI~ P~H FOR ADVAHCED WA~ATER SyS~. DATE, ,/,,/2010 ~ ........ ~*'" ............. CONSULTANTS&GENE~LCONT~CTO~ ..................... PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8-- 9 10 11 12 13- 14- 15 16 17 18 19 2O DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST o¢.,g&M t c £ Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT ~ ~ DEPTH? ~ pO Depth Io Water AFter Monitoring? ~ ' Date: SITE3 PLAN rl Reading Date Gross Net Depth to Net Time Time Water Drop . ,<"., 15 {'-~/ PERCOLATION RATE __ TEST RUN BETWEEN __ tminutes/inch) PERC HOLE DIAMETER __ FT AND__"'"--" FT COMMENTS PERFORMED BY: '17034 b'_agl. I~lv,,,. l ~p Read No.-204 '~-'-' CERTIFY THAT THIS TEST WAS PERFORMED IN Eagle Rive. Al ACCORDANCE WITH ALL STATE ~I~D ~C~II~iUIDELINES IN EFFECT ON THIS DATE. DATE: ~ ~'- / I ~' / ~ 7 72-008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 g 9 10 11 12 13 14 15 16 17 18 19 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST COMMENTS ,,-.,-: ~ ,¢ :,,,. .,,p,. ~.~ I~ ©... Cc-8801 .,~.~..'j DATE PEH Township,~snge. Section: ~ ~ ~ ~ ~c. J WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ,~, .~ OL DEPTH? p E , . Oepth to Water After ) Monitoring? '~ Date: I SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (mmuIes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN __ FTAND __ FT · ~ & $ ~.NGiNE~R;NG 17034 Ea~le River Loop Road No. 2~04 PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT QN THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality o! Anchorage DEPARTMr ' OF HEALTH & HUMAN SERVICES 825 "L" Sueet, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: L. of 8 9 10 11 12 13 14 15 16 17 18 19 / ..... ' DATE PERFORMED: SITE PLAN Township, Range, Section: SLOPE 2O WAS GROUND WATER ~ ENCOUNTERED? ' S L IF YES, AT WHAT .~ O DEPTH? P E 0epth t0 Water After .~ I ~ i Gross Net Depth to Net Reading Date Time Time Water Drop __ PERCOLATION RATE '~ immures/inch) PERC HOLE DIAMETER TEST RUN BETWEEN .__~_____.__ FT AND _ FT S & S ENGINEERING PERFORMED BY: -- 'i 70"'.~l-EaTe River Loop Road No,-204" ACCORDANCE WITH ~OIS~I~,N~[CNI~GUIDELiNES )N EFFECT ON TFtlS DATE' DATE: ~ I -~/I 7 /c~ '7 72-008 (Rev. 4/85) X' NOTE It is the responsibility of the Builder to field check dis'~ances to lot lines prior to COl~llt~eBcing cor~$trtlction, hereby certify that I ?~ave surveyed the following posed improvements, as planned thereon by the builder will be within the property lines and will not ore'lap or encroach on the property y ~g ad acent thereto, that no mprovements on proJ~erty lying aclj:ment thereto encloach on the premises m questio ~ and flint there are merits on said property excepl ns indicMed hereon. Dated at Ea~le River. Alaska ROBERT C. JOHNSON SCALE: Registered Land Su wevor No. 88g-LS 1" :: ~ ~. t Box 450, Eagle River, Alaska Phone 694-2543 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 470~0 Bragaw~ Stre~t P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEHS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050- 0-1 ~, 1, GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address SCHROEDER EAST S,/D; BLOCK 6, LOT 8 SPRINGBROOK DRIVE * EAGLE RIVER, AK C & T CONSTRUCTION, INC. Day phone 240-2020 11404 JESSIE MAE CIRCLE * EAGLE RIVER, AK 99577 Day phone Day phone Unlessotherwise'~queste~ COSA willbeheldbyDSD ~rpickup. 2. NUMBEROFBEDROOMS: 5 3. 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 [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed heFeto and as u, ,,,e. w,,daL,on ~,~ o,,~,Vv,, below, I verify,,,~,"*"* ,,,~,~" 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. Address 3701 E. TUDOR ROAD, SUITE i01 * ANCHORAGE; AK 99507 Engineer's Printed Name JEFFREY A. GARNESS,. P.E. Phone 337-6179 Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in .accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features..-The operational life of afl wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE ~/ Approved for bedrooms. Disapproved. Conditional approval for OF _~, %x.¢.. · ....... -;.. :~. .. .. ~: WATER AND :m= = : ~STEWAT~ : ..... ~ . PROu~M · bedrooms, with the following supu~auons~ ~ · · -- ~ Attachments: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 11/05) Arsenic Advisory, Maintenance Agreements Supplemental Engineer's Report Other ./"~0~/~' Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF 0N-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: SCHROEDER EAST S/D; BLOCK 6, LOT 8 Parcel ID: 0.5-'0'- 07!' WELL DATA Well type PRIVATE IfA, B, or C provide PWSID# N/A Date completed 6/29/2010 Sanitary seal (Y/N) YES Total depth 500 ft. Cased to 44 .ft. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) YES YES 24+ in. Date of test Static water level Well 'production WATER SAMPLE RESULTS: FROM WELL LOG 6/29/2010 8 AT INSPECTION g.p.m. J g.p.m. Coliform 0 colonies/100 mi. Nitrate ND mg./L. Other bacteria 0 colonies/100 mi. Arsenic: ND ug./L. Date of sample: 12/6/2010 Collected by: GEG Ltd. a. SEPTIC/HOLDING TANK DATA COMMUNITY SEWER SYSTEM Tan~rial Date installed ~ .. Tanksize gal. Num a m~ en~ anouts (Y/N)~~__ ~e~var tank (Y/N) ~__ C. ABSORPTIONFIELD DATA COMMUNITY SEWER SYSTEM ~alled Soil rating (g.p.d./ft2or ft2/bdrm) System type ,.~ Length ~ Width~ .ft. ~' ff. Date of adequacy test ~ ~ , i For__bedrooms Fluid depth in absorpti~ in. Water addeE'""'-~~ New depth ~in. Elapsed Time:_ ~n. Final fluid depth in. AbSorption rate ~ g.p.d. ~n treatment (past 12 mo.)(Y/N & type) If yes, give date-"'""'~---.~; ~ -. D. LIFT STATION "Pump on" level at in, E. SEPARATION DISTANCES Size in gallons ManhOle/ACceSs (Y_..y.~ ~ "Pump off', ~ High water alarm level at Cycles tested Meets alarm & circ~ ¸in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A Absorption field on lot N/A Public sewer main 75'+ Sewer/septic service line 25'+ Animal containment areas 50'+ On adjacent lotS 100'+ On adjacent lots 100'+ PubliC sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas 100'+ 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Water main SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Water service line Building foundation SurfaCe w_.~3.ta~ Wells on adjacent lOts. COMMUNITY SEWER AbSorption field___ ~ Surface water. SYSTEM COMMUNITY SEWER Water main J ~Driveway, parking/vehicle storage SYSTEM F. COMMENTS G. ENGINEER'S cER'~iPlCATION ! 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 [ 2.1~ 7~.,/1ol COSA Fee $ Date of Payment Receipt Number (Rev, 11/05) Waiver Fee $ Date of Payment Receipt Number SGS Ref.# 1106444001 Client Name Gamess Engineering Group, Ltd Printed Date/Time 12/10/2010 13:41 Project Name/# Schroeder East S/D L8 B6 Collected Date/Time 12/07/2010 8:27 Client Sample ID Schroeder East S/D L8 B6 Received Date/Time 12/07/2010 10:40 Matrix Drinking Water Technical Director Stephen C. Ede Saml~le Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals b~ ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 12/07/10 12/08/10 NRB Waters Department Total Nitrate/Nitrite-N ND 0.100 mg/L SM204500NO3-F B (<10) 12/08/10 AYC Microbiolo~l~ Laborator~ E. C01i Total Coliform Negative 1 100mL SM20 9223B A 12/07/10 DLC Negative 1 100mL SM20 9223B A 12/07/10 DLC \j SEWARD & ASSOCIATES r_,~r~ SL~_VEY!NG 694-0820 ! HEREBY CER, TWY THAT ! HAVE SURVEYED THE ~r_S~,~ :~r_~ PROPERTY: AND ~AT NO EN~OACHMENTS EXIST ~CE~ AS INDICA~D. IT IS THE RES~NS]~ILITY OF THE ~N~ TO D~ERMINE TH~ EXISTENCE OF ANY E~EMENTS, COVENANTS~ OR RESTRICTIONS WHICH DO NOT ~PEAR ON THE RE~D~ ~BDI- VISION PLAT. UNDER NO CIRCUMSTANCES S~ ~Y DATA H~EON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR EST~LISHING ~ND- ARY LINES. SCALE: DATE. GRID: