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HomeMy WebLinkAboutSHANGRI-LA LT 16hangri -La Lot 16 #020-043-34 Municipality of Anchorage ., Development Services Department Building Safety Division / On -Site Water 8 Wastewater Program, 4700 South Bragaw St. .. .. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.sk.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW050430 PID Number. 020-043-34 Name: Wastewater System: ■ New I❑ Upgrade BILL TAYLOR Address: 9420 VANGUARD DRIVE. a ANCHORAGE, AK 99507 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 345-0371 5 0 Deep Trench ■ Shallow Trench 0 Bed O Wound I Oother LEGAL DESCRIPTION sw Rot+q; 1.2 GM/Sq. n. rota owlh r,om erlgk,•I o,•d« I SEE DWG. fL Block: Lot: Subdivision: Depth to pp• bottom hem a17'wI poor a.wN a Pth WO(Ah FW: 0.5+ 1 16 SHANGRI—LA SEE DWG. n 1 n Township: Range: — Section: — ry 000.0 a edgN gree.: GM.W wW I 130 2 ® 65) SEE DWG. n rt ro.eh« a ww.: I Dielar.oe W.••, sews: 10+ WELL: ■ New ❑ Upgrade 5 n 2 R ck.Nlrte4m(Pmob. Ae.D): TMO WPM 1 C nd ro:(�ppp,1 rebel ee•Nptlon ane: Pyo wwterkl: I D 3034/ F-810 PRIVATE 407 n. 43 n 650 SO. n. arN: Dan DnOw:l:swtk wmer tow/: kwi~ CATS EYE Dw N11/171 22/2005 ALPINE DRILLING 3/g/06 21 n nNd: P,.rip s-tu Co" Might Ake.. u'ww: TANK 4 cpY UNKNOWN n 2 r SEPARATION DISTANCES ■Septic 0Holding 0S.T.E.P. I 0Other 7o Septic Absorption Lift Holding Mti•t• I'""'I° CHORAGE TANK N 1500 From Tank Field Station Tank Se~ Uses 100'+ too'+ — — 25'+ Y'W1ol: STEEL IM.nkN' OI Wnlpe.tmeetr I 2 well Surface water 100'+ too'+ — — — LIFT STATION 5r M se••••: Yaodaelwer. Lot Line 5't 10't — — — on l*wM e1: orb ot: ,tish w'ter a1a,m al Foundation 5'+ 10'+ — — — Pv^V eecokal k,speck pwfomrd by: Curtain Drain NO KNOWN BENCH MARK I Remarks: FINAL GRADES TO BE COMPLETED OVER tM'40R an0 Oe•crip4oh: DRAINFIELDS AND SEPTIC TANK IN FALL OF 2006. BOTTOM OF TANK ALSO FILL WILL BE ADDED BELOW DRAINFIELDS TO ACHIEVE 3:1 SLOPES Aee,.ned ': I 95.89 n ENGINEER'S eEAL DRAINFIELDS MUST BE TOP SOILED AND SEEDED IN FALL OF 2006 oo�oOp� 7�� . OF,A.*'i %O I�j �-oo Inspections performed by: GEG, Ltd. Dates: 1st 11/17/2005 2nd 11/17/2005 0 �' 49 - . * P, ....i .. ..... 3rd 11/22/2005 '.,.DonnatC. MAs.:' O Development Services Department Approval ���4,e^s • �IKCE �•.•�000� Reviewed and approved by: Dote: 1S �� DOp° ro fessja�ao� OO�DDDOd (R.. 12/01) IJ PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID 020-043—NUMBER: I SW050430 34 A 9 j4.7 19944 99409 9131.9 420 2.2 735 90 90o99 911191 1246ii 17 3 1229 3 999 5.2 497M 3 123 022 9 125 3 I I I I I I I I I I I I I I I I I I I I I )II /I /I I � I I � I I I I I I I I I I I �I I y� I I\J MT4— :1. GARNESS ENGINEERING GROUP, Ltd. ; CONSULTANTS S GENERAL CONTRACTORS �+ IA1 L T1099 9019. WM 101 - MC1014CL Mt M507 . HIM( (907),U f" - IAi (9p»319�3249 . 693110 w..prrwW+w4ro.�-1 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: (, BILL TAYLOR 345-0371 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SHANGRI—LA SUBDIVISION; LOT 16, BLOCK 1, B.F.M. DATE: 23 2006 TWE OF WORK: $ AS—BUILT DRAWING FOR NEW WELL AND SEPTIC SYSTEM '1 (R".0Im5) � .......... . OF.AC',9S; �I 49 !.!!'`....i Donna C. Me0 s CE7�11)35 '•.klzllh'i..••• s�do0 NEW DRAINFIELDs I ADVANCED TREATMENT SYSTEM WASTEWATER I tirJ Hj1 OTH J NEW 1500 F_ I CALLON SEPTIC TANK BL2 ,I B NEW 5 BEDROOM II HOUSE I t'.• I •y i. . I.ti.. I I :1. GARNESS ENGINEERING GROUP, Ltd. ; CONSULTANTS S GENERAL CONTRACTORS �+ IA1 L T1099 9019. WM 101 - MC1014CL Mt M507 . HIM( (907),U f" - IAi (9p»319�3249 . 693110 w..prrwW+w4ro.�-1 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: (, BILL TAYLOR 345-0371 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SHANGRI—LA SUBDIVISION; LOT 16, BLOCK 1, B.F.M. DATE: 23 2006 TWE OF WORK: $ AS—BUILT DRAWING FOR NEW WELL AND SEPTIC SYSTEM '1 (R".0Im5) � .......... . OF.AC',9S; �I 49 !.!!'`....i Donna C. Me0 s CE7�11)35 '•.klzllh'i..••• s�do0 I I I I I ALTERNATE SITE WILL 1 I I 1 1 1EOUIRE AN ADVANCED TREATMENT SYSTEM WASTEWATER Hj1 rFS BL2 ' II :1. GARNESS ENGINEERING GROUP, Ltd. ; CONSULTANTS S GENERAL CONTRACTORS �+ IA1 L T1099 9019. WM 101 - MC1014CL Mt M507 . HIM( (907),U f" - IAi (9p»319�3249 . 693110 w..prrwW+w4ro.�-1 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: (, BILL TAYLOR 345-0371 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SHANGRI—LA SUBDIVISION; LOT 16, BLOCK 1, B.F.M. DATE: 23 2006 TWE OF WORK: $ AS—BUILT DRAWING FOR NEW WELL AND SEPTIC SYSTEM '1 (R".0Im5) � .......... . OF.AC',9S; �I 49 !.!!'`....i Donna C. Me0 s CE7�11)35 '•.klzllh'i..••• s�do0 PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SW050430 020-043-34 GRADE - 106.06-106.39 ST2 TOP OF TANK AT I TOP OF TANK AT. INLET - 100.76 OUTLET - 100.76 n ------fir-- La NEW 1500 GALLON INVERT OF BUNG SEPTIC TANK INVERT OF BUNG AT OUTLET100.01 AT INLET - 100.18 I FILTER FABRIC *FINAL GRADE •NOTE: ADDITIONAL FINAL GRADING - 100.95 + AND TOP SOIL AND SEEDING TO INSULATION BE DONE IN FALL OF 2006. TOP OF SAND FILTER - 97.48 -FINAL GRADE 98.64 + ORIGINAL GRADE O HIGHEST FILTER FABRIC POINT - 97.00 INSULATION ORIGINAL GRADE O 9F' HIGHEST POINT - ; 93.70 SAO?�SOa\a\t\ +; .i.>rx`=:�::�•r.-' Ti 2.5' OF M.OA %ti ANT' 6 :APPRINVERT OF Npl. di DISTRIBUTION UNE 98.41 5' OF M.OA=r TOP OF SAND FILTER94.20 i APPROVED r` ��' SAND FILTER �L" 'v:;, INVERT OF BOTTOM OF SYSTEM 95.00 rr�.,, ,w4. '7TN� .•_v.'-... DISTRIBUTION U94.8NE � 94.89 BOTTOM OF I SYSTEM 91.70 BEDROCK* 91.00 (TESTHOLE DRY)- RY)-21— 21—BEDROCK O 87.70 (TESTHOLE DRY) GARNESS ENGINEERING GROUP, Ltd. O4 CONSULTANTS & GENERAL CONTRACTORS. IMI c noa ouw. fmc ,oI • era�oucr. wI o»o>' • na[ (n+Wi-•�» • »t ho>)}v-aw • �mnc ....,.•...yn..w+•^ O I PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �•• BILL TAYLOR 345-0371 3 OF 3 AP LEGAL DESCRIPTION: SHANGRI—LA SUBDIVISION; LOT 16, BLOCK 1, B.F.M. TYPE OF WORK: DATE: AS—BUILT PROFILE DRAWING OF SEPTIC SYSTEM 8/23/2006 (Rw. 0105) Jul 21 2006 10:20nM Colony Huilders,Inc. 9073456934 P•2 FROM : ALPINE DRILLING FFN N0. 907 345 0202 Jul. 21 2006 11:43LM1 Pi ALPINE DRILLING & ENTERPRISES petmitNumben NSW Daft ofIssuct 11-1 Pwctl ldentifiestiosl Number Dab started: 3-7-06 Date Comptdd -afed a9 -M is well loat approved Permit location? ® Ya No LKdDescriPtim: SftanajF•La tot 1B prgwrty Owner Nsm do AM vw Cofony Bufidc a 9.420 Yanpuatd SL WAA Hor'ahola Data: , . SOU Type. TwAr4a a: Wow stnua fM tnatWW bedruCk � (1t) prem ' To 0 5 14 5 14 Method of Ddrang ® sirrotary O cabletool Casing type: Affi1 Wall Tbic gym: AN Inches Diameter. Q bcbes DcptL- 0 feet 407 Liner Type: i Diameter inches Depth:, Sed Casing stiekap above ground: 2 feet Static water leve! (horn ground level): Weet pumping kvd .fafeet after 24 bolas ptlmpialg 1 fM Recovery Rawl Qpm Method of TcsW !e r tial wen Lombe opeoint'Mp (] Open Bad ® open Holc ❑ Screened Stars feet Shopped I fat O PerForatloos • Start fed Stopped I feet Groat Type•. kxeMre aeut vohsase: 30 Par Death: start tat Stopped n fad Puap: Intake Depth feet Wen Dirinfeeted Upon Completion? ® Ya [] No I Method of Disinfection: ehbrkre tablets Comments: owr&Wcd to43 feet wklygroat paged ,)lane bottom ar oadstde CWft I Well DtiUar. At" Drll ng 6 EnWprfsw PO Boz 110496 Ancborago AK 99511 Atsentisa: The well driller shall Pmvido uwe� 109 the the property they owner within 30 days oteatlpktioo and fbo pktka. owner w eb WOU driller sha11 Development Servkea Department wcom le im a d thepmperty JLIN-2_2006 02:37A FROM: .. ._ 70:3437997 I P.2/3 osvelopma* aatvksa p4p4PW=t IAtildtgo aeMy ohm • On -Site Wer A Westeoatar Program 4700 gf"* Street P.O. I" t0aa90 Fant ArAhavaps, AU 9901"50 sato► Pump igatallat997Lail Wtp Dt91la{ PueH NstnMrt !steal ldtatitlratWh Ntttahert �'�0- a-31 Date of hmel LSPI I1reApatoe :'IQ Blatt Y I ]At 16 prop" Owner Natal ! Addsttx \ L� 5 PCMv L aft Datat : 3Lr I Pump lahits Depth Bdaw Top @(Wstl Caalest . � � hat Pump Masubdum s Nesri APC�zlei r r Pomp Model: prtop Stan pltisw Adsptaristtal Dsplht 1� Mt Ytt3w Ad.praMaoanduNemsr 1i% i [,tt res Qm"a PitlenAdapterlmtallsrt / pl%,n, W#U DdclatKW tlpea G;Ipiedost 9 Ysc 13N* method ollHdhttstdoet P�rrr, Gtutatsabt lamp Isstalter Name, t Cempaapn& rot:,� U^ -P l % M.Wsd Addreut Pr r) - Rn )C l�� Y� cHr attstat 7Jpt Attestlest no ptttop ttutdlw dull ptoYtde a pomp lasions$ob los to UM widda 30 days of $ 168WIstieu MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number. SWO50430 Legal Description: SHANGRI-LA LOT 16 Design Engineer: 0855 Gamess Engineering Group, LTD Owner Name: COLONY BUILDERS Owner Address: 9420 VANGUARD STREET UNIT A ANCHORAGE. AK 99507 - Date Issued: Nov 14, 2005 Expiration Date: Nov 14, 2006 Parcel ID: 020-043-34 Site Address: 6673 SHANGRI-LA CIRCLE Lot Size: 97655 SO. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank p Privy Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. -THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST BE VEGETATED SUFFICIENTLY TO PREVENT EROSION. Received By. Date: l Issued By. fy Date: &140;— Municipality of Anchorage •. • Development Services Department Building Safety Division �- - On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. bPD -C)LA; j - 50 Permit Number Property owner(s) COLONY BUILDERS Day phone 345-0371 Mailing address (1) 9420 VANGUARD STREET UNIT A • ANCHORAGE AK PAV NKiMg address (2) j f(r �?) 7hll►1CiYt_ LR &_V-)Pj cjq57U Zip Code 99507 Legal description (Lot, Block & Sub'd.) SHANGRI—LA SUBDIVISION• LOT 16 Legal description (Section, Township & Range) N/A Lot Size Q�� �P.10 Acre Number of Bedrooms 5 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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 Fees: W &O f 1-6 Date of Payment: 11 -6 "0'5 Receipt Number: -7 i+L1'6U S Waiver Fees* Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. _ _ _� CONSULTANTS & GENERAL CONTRACTORS - -- - November 3, 2005 Municipality of Anchorage Development Service Department On -Site Water R. Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Shangri-La Subdivision; Lot 16 To whom it may concern: The proposed 5 bedroom house is to be served by a private well and septic system. We are proposing to install a 1500 gallon septic tank and a dual 5 -wide trench type drainfield. Two test holes were excavated on the property. The drainfield will be designed around the 30 foot radius of these test holes. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD 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.TOPOGRAPIIY: The average topography around the drain6eld is a 20-25 percent slope running approximately east to west. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have aiA questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part ofdie design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: garnessengineering.com SwwD� a S/D: / I ` SHANGRI-LA S/D; PTARMIGAN ROOST 2. / I / I _ 7. LOT 13. BLOCK 2, I I / II Y„o,•'�`tl�J_••✓a,�p1Y��1• I I PROPOSED ROSE r, �— JN-- ^/ i —I —� — —�—/— G— SHANCRI-U S/D; LOT 15• J PROPOSED SEPTC SYSTEM (SEE PACE 2 OF 2)iPoD — I NEW S BEDROOM HOUSE L'E U I II j PTARMICTR T 1. S/D; I� I I ' •WELL RAOIus rCJT I \I I / I I I I I PROPOSEDWELL I s"A"LOT 19. S/D: I I I SHANCRI-U S/D; 1 I N I I I LOT 17, 1 I I I 1 1 I I I I I I I I I I I I �s G I I I I AR= 1 PROPOSED - � Joao D4 . � off. �F ' •�gS40 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS �•••••• .. •• • •••• •••••••••'YJ• 1 C TAOIt •01D. M.RC 101 • MKMpOZ Mt R Mol[ -Gin • M N gum[ PA PREPARED FOR: PHONE NUMBER: PACE NUMBER: ••••• • •••••• BILL TAYLOR 345-0371 1 OF 2 QQ e t A. mess: LEGAL DESCRIPMkI: DRAWN BY: O4 a CE— 53 SHANGRI—LA SUBDIVISION; LOT 16, C••1•G• TYPE OF WORK: DATE'• SITE PLAN 10/20/2005 1R". 01N5) NUMBER OF BEDROOMS:5 GALLONS PER DAY (OPD): 750 PERCOLATION RATE/S: <1 MIN./INCH PROPOSED APPLICATION RATE: 1.2 MINIMUM DRAINFIELD SO.FT.: 625 IM DEPTH:2 FEET S FEET 1:2 O 05 FEET APPROVED SAND FILTER:2.5 FEET WE -0.5 FEET RON FACTOR: N/A . SO.TT.: 550 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 NOTE: THE CONTRACTOR SHALL I I HAVE THE WEST EASEMENTS AND THE 1 PROPOSED WELL RADIUS FLAGGED 1 BY A REGISTERED LAND SURVEYOR I PRIOR TO ANY CONSTRUCTION. I NEW DRAINFIELDS I I I I �--•ALTERNATE SITE WILL REQUIRE AN I ADVANCED WASTEWATER TREATMENT SYSTEM //71---INSTALL AN UTSBLE 'I iNSGLL FLOW I I SPLTITER INSTALL NEW 1500 + -GALLON SEPTIC TANK IV INSTALL FOUNDATION ' I CLEANOUT NEW \r S BEDROOM HOUSE 1 foo. *4 PROPOSED WELL LoanoN / GARNESS ENGINEERING GROUP, Ltd. p C CONSULTANTS d GENERAL CONTRACTORS Q••• •• I e Hoof fao, fort 101 • MOCRUL M fam •nae ff0�lsn-fm •rut f�lTy-s=w •ane ....,..�yww.� Q PREPARED FOR: PHONE NUMBER: PACE NUMBER: BILL TAYLOR 345-0371 2 OF 2 LEGAL DESCRIPTION: SHANGRI—LA LOT 16 OF WORK: PROPOSED NEW SEPTIC SYSTEM (Ra. 0IM5) 11 B.F.M. Qi .••••.Tess.: CE -7 .71.53 53 `G INSTALL PLYWOOD BRACING AND STAKING WITH VISOUEEN BARRIER ON DOWN HILL SIDE — ORIGINAL GRADE FINAL GRADE � TER FABRIC 2' APPROVED_ '-!J- 5. -! 2' GARNESS ENGINEERING GROUP, Ltd. p� CONSULTANTS b GENERAL CONTRACTORS • • •' 1101 L T NY& � 101 • II1o1PACL N( M • hCt • F" (W>)S " • OOYRi wapl�yrpw PREPARED FOR: PHONE NUMBER: PACE NUMBER: BILL TAYLOR 345-0371 1 OF 1 OQ y LEGAL DESCRIPTION: DRAWN BY: SHANGRI—LA SUBDIVISION: LOT 16. B.F.M. 00 TYPE OF WORK: pA7E, CCC DRAINFIELD PROFILE DRAWING 11/4/2005 (R". 01105) FABRIC fflfl_9� ey Aess CE 7953 •� GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS ]701 ilNp1 Q. Wn 101 • N•C,10•N[. N "W? • Pq•G YO) )MIJp • iwi 001 -]]•• • MCMIIL ymr•.rq+rrw SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: SHANGRI-LA S/D: LOT 16 BLOCK 1, 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER 10/20/2005 DRY 11/3/2005 DRY +TH/1 $TH/2 NEW 5 BEDR1 0 DATE READING CLOCK TIME NET TIME (MINUTES) PERFORMED FOR: BILL TAYLOR NET DROP (INCHES) DATE DEPTH - 6' (1G°`) '=== ORc ITEST HOLE # 1 0' 6' - 4 - 3 0' SOIL CLASSIFICATIONS 5 2 - 6- 6 d ro: GW - - ORG 6' GM CL 4SM GC OL . •'• o SW MH 5 • SP CH SM : OH 6 SC BR 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER 10/20/2005 DRY 11/3/2005 DRY +TH/1 $TH/2 NEW 5 BEDR1 0 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/21/2005 1 - - 6' - 2 - 3 0' 6' - 4 - 3 0' 6' 5 - - 6- 6 - 3 0• 6' 19 I PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 3 FT. AND 3.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES 0 NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: SUSAN OSWALT PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: IN ACCORDANCE GROUNDWATER DATE 10/20/2005 DRY il:_ • • • - GARNESS ENGINEERING GROUP, Ltd. A 4 0� CONSULTANTS 6 GENERAL CONTRACTORS �'. . ... ...... ... . .0 3701 L 1lOW. t%AIF 101 • AMIOkUG M. MW? • P 40) J-11)4 • Fw JW7-M" • 4iC851IF: 4e.rrq.rr.q. SOIL LOG — PERCOLATION TEST 0 LEGAL DESCRIPTION: SHANGRI—LA 5/D; LOT 16, BLOCK 1, 0 1 ey CE A.5 mess... PERFORMED FOR: BILL TAYLOR DATE: 10/20/2005 •�Q ____ DEPTH°Pro/esslo^ot (feet) ORG ITEST HOLE 2 �040000�� 1 SOIL CLASSIFICATIONS I 1 2 3 -+ GP ML { S GM CL I ; q GC OL, ; SW MH 4TH/1 ' S ' 5 SM ..�.: •. �•. S SP CH SM ; OH I ' 1 r $TH12 J 6 SC BR ; �/ It 11 1 1 7— DEPTH TO I i t 1 1 X;iA,1.NY( B FRACTURED 11/3/2005 DRY I IE NEW 9 BEDROCK � � � S BEDROOM Nou s B.O.H. i i i t00' 10 11 12 13 14— 15 16 17 18— PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 3 FT. AND 3.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES N NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: SUSAN OSWALT COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1/ GROUNDWATER DATE 10/20/2005 DRY • • • aaaaa • • • aaaaa ��aaaa� ��aaaaa ��aaaaa ��aaaaa ��aaaaa �\ Municipality of Anchorage Development Services Department i Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 /„ www.muni.org/onsite (/// (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 Z. -O -O!!4 3 - 3 i COSA# Cn 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 SHANGRI-LA SUBDIVISION: LOT 16, NHN SHANGRI-LA CIRCLE * ANCHORAGE. AK 99516 BILL TAYLOR w/ COLONY BUILDERS Day phone 9420 VANGUARD STREET • ANCHORAGE. AK 99507 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 5 Day phone Day phone 345-0371 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site N 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 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 Engineer's Comments: In conducting this evaluation, GEG, VD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for __6� bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other A. V�..,.....,.�,y ONSITE WATER AND WASTEWATER PROGRAM By: A ( Original Certificate Date: Q ' 1 L% —07 Municipality of Anchorage Ke,,'l �o�r� I •. • / Development Services Department': Building Safety Division On -Site Water S Wastewater Program 4700 Bragaw Street P.O. Box 1966505 Anchorage. AK 99519519.6650 www.m 43onsite (907) 343-7-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVALa FOR A SINGLE FAMILY DWELLING Parcel I.D. 0:20 COSA# ¢rb0 1. GENERAL INFORMATION Expiration Date: Illujilil I Complete legal description SHANGRI–LA SUBDIVISION: LOT 16. Location (site address) NHN SHANGRI–LA CIRCLE • ANCHORAGE AK 99516 Current Property owner(s) BILL TAYLOR w/ COLONY BUILDERS Day phone 345-0371 Mailing address 9420 VANGUARD STREET • ANCHORAGE. AK 99507 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System11 0 El TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ — I ne u i i Gty-ofMc horagi=DevetopmentServlces-Department jDSDrlssuestertificates 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 engineers work. I 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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 riles 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 DONNA C. MEARS P.E. Date /0& Engineers Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, 0006�0�40 conscientious engineering analysis of the system in accordance with ADEC and MOA oC OF q L ' DSD Guidelines & Regulations. The reported results described the performance of theQoP`� .........."'9\r00Q system under the conditions encountered at the time of the test, and separation �/� distances measured to readily Identifiable features. The operational lite of alt wells and 0 �: 49 18 9nQQ septic systems depend on the local soils condition, groundwater levels that may 0• '`'A 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 Q results do not guarantee future performance of the system, nor do they guarantee that Q .Dorno C. ors •1 there are no hidden defects or encroachments. GEG, LTD. can therefore not provide Q ° CE -11 any warranty orhiture estimate othow long the system will continue to meet the QQ�r°''. ....X!.•'��q operational requirements of the ADEC or MOA DSD. The content of this report Is for 04°dP�o fesslo^°o� the sole bene(l of the owner listed above. Any reliance upon or use of this report by any °OOOp0000 other person or party Is not authorized, nor will It confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. / Disapproved. \l\QP'. OF4 Conditional approval for bedrooms, with the fllowing stipulations: �> X ••� SFE F'N') ty.4eic 'C S,)pp llee+f4A-1 K502& f ON-SITE •,�= Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineers Reort Nitrate Advisory Other By: Original Certificate Date: S (Rv. IM) Municipality of Anchorage Development Services Department �J Suikling Safety Division On Ste Water 6 Wastewater Program 4700 Bragew Street P.O. Box 196650 Anchorage, AK 995196650 www.muni.ory/onake (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVA Legal Description: SHANGRI-LA SUBDIVISION LOT 16, A. WELL DATA Well type PATE K A, B, or C provide PWSID# N/A Date completed 3/9/2006 Sanitary seal (YM) YES Total depth 407 ft. Cased to 43 ft. FROM WELL LOG Date of test 3/9/2006 Static water level 21 ft. Well production 4 g.p.m. WATER SAMPLE RESULTS: L CHECKLIST Parcel ID: Well Log (YM) YES I Wires property protected (Y/N) YES I Casing height (above ground] 24+ in. AT INSPECTION Coliform 0 colonies/100 ml. Nitrate NO mgA. Arsenic: ND ug./L. Date of sample: 8/6/2006 B. SEPTIGIHOLOINO TANK DATA Tank Type/Material STEEL Tank sae 1500 gal. Number of Compartments E Foundation cleanout (YIN) YES Depression over tank (Y/N) NO Date of pumping NEW Pumper C. ABSORPTION FIELD DATA i I Other bacteria 5 colonies/100 ml. I Collected by: GEG. Ltd 1 Date Installed 11/17-122/2005 i Cleancuts (Y/N) YES High water alarm (YIN) N/A Date instaked 11/17-22/2005 Sok rating CPAft2rodrm) 1_2 System type TRENCH I Length 2 O 65 ft. Width 5 ft. Gravel below pipe 10.5+ ft, Total depth '3.47-4.44ft. Eff. absorption area 650 ft' Monitoring tube YES Depression over field NO I Date of adequacy test NEW Results (Pass/Fail) - For 5 bedrooms I 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 moa (YM & type) - If yes, give date - 'ADDITIONAL COVER TO BE ADDED IN FALL OF 2006 AND FILL ADDED BELOW DRAINFIELO IN ORDER TO ACHIEVE 3:1 SLOPE D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) 'Pump on" level at _in. 'Pump off" E. SEPARATION DISTANCES water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line t O'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION f 1 certify that I have determined though field inspections and *Y • 491ti ..�i review, of Municipal records that the above systems are in conformance with MOA COSH guldeNnes in effect on this .!."s,.If • • .e;p°'ti,.. date.Donna C. ors vi Engineer's P ' Nam DONNA C. MFARS p�•� •. 11Y35 /�iiA� Zf'+t s1�.^s rro Date d�Drohssla^d J lay./; f odp- 1. COSA Fee!t (SIO 1 Waiver Fee $ 1 j Date of Payment _$Tf � Date of Payment T I Receipt Number to 4ho— Receipt Number Oq i iI ti (Rev. i iroa) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS August 23, 2006 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Conditional COSA for Shangri-La; Lot 16, To whom it may concern: I A permit (SW050430) was issued on 11/14/05 for the installation of a septic system and a well. The well was drilled on 3/9/2006 and the septic system was installed on 11/17-22/2005! Due to the recent heavy rains, final grading, topsoil, and seeding has not been done. We are requesting a conditional COSA to be issued. The builder, Bill Taylor with Colony Builders, has discussed the situation with Dan Roth and it was verbally approved that a conditional COSA will be issued for the property. The final grading and topsoil and seeding will be done in the fall of 2006. 1 If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, t/ "'Pvx-� Donna Mears, P.E., Engineer 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246' Websitc: gamessengineering.com SGS Ree# 1064532001 Client Name Garness Engineering Group, Ltd. Project Name/# Shangri La Lot 16 Client Sample ID Shangri La Lot 16 Matrix Drinking Nater Sample Remarks: All Dates/rim" are Alaska Standard Time Printed Date rime 0821/2006 16:54 Collected Date rime 08108/2OD6 10:40 Received Date/time 08/08/2006 12:53 Technical Director Stephen C. Ede I Allowable Prep Analysis Parameter Results POL Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (Q O) 08/09/06 08/17/06 hill Waters Department Nitrate•N ND 0.100 mg/L EPA 353.2 D (<10) Microbiology Laboratory Total Coliform 5 OD, No Coli col/IOOmL SN1209222B A (<I) 08/08/06 ALR 08/08106 TLF 2002-118 SHANGRI-LA' SUBDIVISION LOT "I 6 97.655 S.F. grtlC SYSIEY t 1 � 1 � 1 N a9.5773ZE I ' 30.00• 1 r -J • 1 ' I -BU GASTALDI LAND SURVEYING. LLC JEFF A. GASfALDI, R.L.S. 4728 WEsrw H AVENUE ANCHORAGE, ALASKA 99502 PHONE 246-5484 GRIDDAT£ 3239 a/3/2OOE F.B. JOB N0. 08-09 ss16 1 HEREBY COMFY THAT 1 FNVE.SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMEN,5 EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASIDAENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON TFC. RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE. NO CORNERS SEI' -THIS DATE BUILDING', DETAIL SCALE: 1 "=20' ♦ Q ••"do AN tk' 49TH ; *. .. ...............ai .bH�ry A GastatU : o` ♦�� i :•.d •.• LS -6091 AVa ♦ �'p 'l......•••� 5 ♦��411t•t•M�•