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HomeMy WebLinkAboutCREEKVIEW ESTATES LT 5Creekview Estates Lot 5 #017-161-22 Inspection Report —1-1-12.doc p/ Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water & Wastewater Program 4700 Elmore St. a P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite a (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141388 PID Number: 017-161-22 ® New El Upgrade Name: ANDY HARVEY ABSORPTION FIELD SOUTHWEST & NORTHEAST ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound Address: NHN RABBIT CREEK ROAD; ANCHORAGE, AK ❑ Other Phone: No. of Bedrooms: Sall Rating: Total Depth from original grace: (907) 317-1848 4 1.0 GPD/Sq. Ft. 3 & 3 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: SEE DWG. Ft. Gravel depth beneath pipe: 0.50 & 0.52 Ft. Fill added above original grade: Grovel length: Subdivision: CREEKVIEW ESTATES S/D Block: Lot: — 5 SEE DWG. Ft. 120 (2®60) Ft. owns ip:Range: ec on: _ Grovel width: Bed. Number of linea Distance between linea: 5.0 & 5.0 Ft. — — R. SEPARATION DISTANCES Total absorption area: 600 4uml,er of trenches: 2 Dist. between trenches: 10+ To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SQ. Ft. Ft Well 100'+ 100'+ 100'+ - 25'+ TANK ® Septic ❑ S.T.E.P. CHolding ❑Other Monufacturer. Capacity: Surface water 100'+ 100'+ 100'+ — ANCHORAGE TANK 1250 cal. Lot Line 5'+ 10'+ s+ — N/A Material: Number of comparents: bn STEEL 2 LIFT STATION Foundation 5'+ 10'+ 5'+ — Manufu:turor. capacity: Curtain Drain NONE KNOWN Gal. "Pump on" level at: "Pump oH" level a[: Ni er alarm at: Remarks: Pump Make & Model MricaI Inspections performed by: PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer GLACIER MASONRY Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 105.75 R. Inspection Location and Dascriptian: Dates: 1 st 6/8/2015 2nd 6/8/2015 3rd 6/24/2015 4th 7/6/2015 BOTTOM OF TRIM; SW CORNER OF HOUSE N Community Development Department Approval F. r Conditional approval: Date: tr t ..........� �..P .. .......;'...� eyGoess QQ�s' CE-793 ,•' c0op t1p0�4ofess Approved: Date: %Z�" o Inspection Report —1-1-12.doc p/ PERMIT NUMBER: PARCEL ID NUMBER: 'OSP141388 RECORD DRAWING 017-161-22 TOP OF TANK AT INLET = 91.99 INVERT OF BUNG AT OUTLET = 91.72 SOUTHWEST TRENCH AT f OF PIPE - 88.54 OF SAND ELEVATION 88.04 —BOTTOM OF TRENCH = 86,04 FINAL GRADE = 98.97 ST2 /— TOP OF TANK / AT OUTLET = 91.91 NEW 1250 GALLON SEPTIC TANK INVERT OF BUNG AT OUTLET = 91.56 NORTHEAST TRENCH IIIMg1III O'�IBpIII ///` FINAL GRADE = I V�_, C� �'- t a y�.� ' �u �FlLTER FABRIC REIATIVE ELEVATION OF BOTTOM OF TESTHOLE - 81.04 MH ON 5/1/2015 GARNESS ENGINEERING GROUP, Ltd <:y q P= CIVIL & ENVIRONMENTAL ENGINEERS= n 3I01 E. TUDOR ROA➢, SUM 101 • AHCHgR . AN 99507 • PHONE (907) 337-8179 • FW (9077) 338-3248 • NF8S0£ w/•%A9Rw9NAgIMeN PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ANDY HARVEY 317-1848 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: CREEKVIEW ESTATES S D; LOT 5 D.J.G. TYPE OF WORK: DATE: �. PROFILE RECORD DRAWING 9/14/2015 OF PIPE = 91.02 OF SAN) ELEVATION - 90.50 arraM OF TRENCH - 88.50 RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 83.50 ORT ON 6/1/2015 f A. �B@iae.;% •LCI= E-79� '°ROFESS���i♦♦ 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: OSP141388 Tax Code Number: 01716122000 Work Type: Septic Initial Permit Effective Dates: September 22, 2014 to September 22, 2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: CREEKVIEW ESTATES Site Legal Address: CREEKVIEW ESTATES LT 5 G:3138 Owner/Address: HARVEY ANDY & TOBI 7010 POTTER HEIGHTS DR ANCHORAGE AK 995166138 Site Mailing Address: 5940 RABBIT CREEK RD, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy All construction must be in accordance with: Lot Size in Sq Ft: 96393 Total Bedrooms: 4 N Private Well N Water Storage 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 Issued By: MUNICIPALITY OF Community Development Department Development Services On -Site Water & Wastewater Program ANCHORAGE Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I. D. 011^ t(at– 7-2- Sq. Z Phone: 907-343-7904 Fax: 907- 343-7997 Property owner(s) ANDY HARVEY Day phone 317-1848 Mailing address NHN RABBIT CREEK ROAD *ANCHORAGE AK Site address NHN RABBIT CREEK ROAD *ANCHORAGE, AK Legal description (Sub'd, Block & Lot) CREEKVIEW ESTATES; LOT 5 Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: ❑ ( ,mall that apply) ❑ Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Sq. Ft. Number of Bedrooms 4 APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings BLIUJXW SF and/or D) WSPECTiON FEE FPJD SEP 12 2014 THIS APPLICATION INCLUDES A VARIANCE/ WAIVER R f Ri-- N/A Distance: — I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 55fj Date of Payment: ' Receipt Number: 02.11(v2G, Permit No. O`DfILI 1139 Waiver Fees: Date of Payment: Receipt Number: Waiver No. LE (Rev. 01/11) IF GARNESS ENGINEERING GROUP, Ltd --- --, =CIVIL&ENVIRONMENTAL ENGINEERS; September 10, 2014 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, All 99507 Ref: Proposed Initial Septic System for Creekview Estates; Lot 5 To whom it may concern: The referenced property is currently vacant and the owner is proposing to build a 4 bedroom house. The lot has an existing private well and is proposed to be served by a private septic system. We are proposing to install a 1250 gallon septic tank or a 1500 gallon S.T.E.P. tank, and a dual 5 -wide trench type drainfield. One testhole (TH#552) was previously excavated on the property and the drainfields will be designed around the 30 foot radius of this testhole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 2007 log which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There is a creek located to the south of the proposed septic system. There is well over a 100 foot setback to this creek, in short, there are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average topography around the proposed drainfield is 10-15% running northeast to southwest. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com NUMBER OF BEDROOMS: 4 LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER GALLONS PER DAY (GPD): 600 GPD CONTACT GEG. BY PROCEEDING FORWARD PERCOLATION RATE/S: <1 MIN/INCH WITH THIS INSTALLATION, THE ENGINEER, PROPOSED APPLICATION RATE: 1.0 WELL DRILLER, CONTRACTOR AND MINIMUM GRAINFIELD SQ.FT.: 600 FEET° PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND PRIMARY FIRAINFIFI n TTFgIrN• AGREE TO ACCEPT THE TERMS AND IM DEPTH OF EXCAVATION: 5 FEET 5 FEET I: 2 0 60 FEET = 120 FEET APPROVED SAND FILTER: 2 FEET IVE: 0.5 FEET FION FACTOR: N/A . SQ.FT.: 600 FEET _--- fl."I NOTE: THE CONTRACTOR SHALL HAVE THE NORTH EASEMENT,,WES1 LOT LINE, 100' STREAM SETBACK AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. 30, Nr 'CESS EpSEM oseo 1250 GALLON ORyVENl9V; SEPTIC TANK. (SEE NOTE REGARDING POTENTIAL`��'- CHANGE IN TANKS)•�;.i.. CO T \\ FCO PI S 1 BI RESERVED DRAINFIELD Tye\\ (WILL REQUIRE CATII), MT ' CO PROPOSED \ PADDOCK/ FENCING M CO I• I -r x x x 1 I_XL-A x� NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 GPD PERCOLATION RATE/S: <1 MIN/INCH PROPOSED APPLICATION RATE: *4.0 MINIMUM DRAINFIELD SQ.FT.: 150 FEET' *CAT II SYSTEM MAXIMUM DEPTH OF EXCAVATION: 5 FEET WIDTH: 5 FEET LENGTH: 30 FEET M.O.A. APPROVED SAND FILTER: 2 FEET EFFECTIVE: 0.5 FEET REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 150 FEET 4 HOUSE DEPENDING ON HOUSE ELEVATION THE 1250 GALLON SEPTIC TANK MAY NEED TO BE SWITCHED TO A 1500 GALLON STEP TANK. 100' STREAM EXISTING WELL EXISTING 100' WELL RADIUS L I II / 1 � 1 1 / 1 \ N WELL W GARNESS ENGINEERING GROUP, Ltd a� CIVIL & ENVIRONMENTAL ENGINEERS 5701 E. 10008 ROOD, SU 101 • O WWAM M 99597 • PHONE (907) 557-6179 • FM (907) 066-5246 c N4B99E: rrvr.po n9lnarMg.com 'REPARED FOR: PHONE NUMBER: PAGE NUMBER: ANDY HARVEY 317-1848 2 OF 2 EGAL DESCRIPTION: DRAWN BY: CREEKVIEW ESTATES; LOT 5 P•N.B. YPE OF WORK: DATE: INITIAL SEPTIC SYSTEM DESIGN 9/5/2014 -%FESS1C�Pi GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS- 3701 ONTRACTORS 3701 E. IOOOR 8040, Wn 101 • IMCMORWG- M. 99507 • PNONE: (90])33]-9179 • FM: (907)3W -M" ` *MTE: games Nl.& SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: REXVIEW TERRACE; TRACT B PERFORMED FOR: JEFF REGNART DATE: 10/19/200' DEPTH ---- (feet TEST HOLE 552 1 ORGANIC 2 'rt''ti:yre.- GP 4-^_ SAND GRAVEL AND LARGE ROCKS 53 ;,�,, 2 7 ML 9 TIGHT, WELL BONDED ROCKS 10 11 12 13 14 15 16 17 18 DEPTH TO GROUNDWATER DATE 8' 10/19/07 7.58' 10/31/07 q•01 to '1 '7-01 i 2 3:19 3 0" 6- 3 MR - NNN - • Val 3 0" 6- 5 3:24 - 6" - 6 3:27 3 0" 6" DEPTH TO GROUNDWATER DATE 8' 10/19/07 7.58' 10/31/07 q•01 to '1 '7-01 i DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/29/2007 1 3:16 - 6" - 2 3:19 3 0" 6- 3 3:20 - 6" - 4 3:23 3 0" 6- 5 3:24 - 6" - 6 3:27 3 0" 6" 19 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: KYLE MAUS COMMENTS: PERFORMED BY GEG, Ltd. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: (2 1 ALPINE DRILLING & ENTERPRISES Permit Number: #SW090037 Date of Issue: 4-21-09 Date Started: 4-24-09 Date Completed: 4-24-09 Legal Description: Rexview Terrace 7 Property Owner Name & Address: Jeff Regnalt Parcel Identification Number: 017-161-12 Is well located at approved permit location? ® Yes ❑ No Annhnrnnc Alne4n OOF4R Greekview ZS-Wc9 Lo -j- 5 1 Borehole Data: Soil Type, Thickness & Water Strata stick-up -+ Depth (ft) From To 0 18" Method of Drilling ®air rotary ❑cable to Casing type: steel Wall Thickness:.025 inches organics & silt 18" 3 Diameter: 6 inches Depth: 87 feet cobbly gravelly silt 3 20 Liner Type: silty water sand &gravel gravelly silt silty water sand &gravel cobbly gravelly silt water sand & gravel 3 gpm 20 23 32 37 45 23 32 37 45 47 Diameter: inches Depth: feet Casing stickup above ground: 18" feet Static water level (from ground level): 21 feet Pumping level: 87 feet after 2 hoursum in 6 m P P g_gP Recovery Rate: 6 gpm gravelly silt 47 84 Method of Testing: airlift water sand &gravel 84 87 Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 2 brs Depth: Start 0 feet Stopped ?feet Pump: Intake Depth feet Pump size _ hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises P.O. Box 110496 Anchorage, AK 99511-0496 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property owner or the well driller shall provide a well log to the Development Services Department within 60 days of completion. V1/26/2015 21:01 907 -?45-0202 ALPINE DRILLING PAGE 01101 Legal Description Yrapsrty Owner Name & Address: La! 5 r:rpekvien Estates (farn.erlg R&Wew Terrace) Andy ilantey P,C?. Bax 11?3?5 AnpYarag+�, AK 99511.1325 Pu alp Installationfiate: Drt220t5 _ _ Pump Intalte Depth Below Top of Well Casing: p3' feet Pump M?nufactnrer's Nance: Govt Pump Model: 7SB05 Pump Size tie hp Yltless Adapter Burial Depth: 12 feet Pitless Adapter Manufacturer's Name: Manenson Pitless Adapter Installer: Aarow Pump & v11e11 SAMM. etc Well Disinfected Upon Completion? © Yes L] No Method of Disinfection: Comments: Pump Installer Name: Aarow Pump & M11 sarylre, uC P.O. Box 110496 Anc+lorage, AK 99.511.0496 Attention: The pump installer shatll provide a pump installation log to the. DSD within 30 days of pump installetlon. M P.2 T� Development ,Services department Building safety division °'v On -Site Water & Wastewater Program 4700 Elmore Road P.O, aox 296660 MarKBegich Anchorage, AK 99507 Mayor �1War.muni o pr /onsliz (997) 343.79044 ® Pump Installation Log Well Drilling Permit Num her: SW 090037 Date of Issue' 4,12log Parcel Identification Number; e1 r-16112 Legal Description Yrapsrty Owner Name & Address: La! 5 r:rpekvien Estates (farn.erlg R&Wew Terrace) Andy ilantey P,C?. Bax 11?3?5 AnpYarag+�, AK 99511.1325 Pu alp Installationfiate: Drt220t5 _ _ Pump Intalte Depth Below Top of Well Casing: p3' feet Pump M?nufactnrer's Nance: Govt Pump Model: 7SB05 Pump Size tie hp Yltless Adapter Burial Depth: 12 feet Pitless Adapter Manufacturer's Name: Manenson Pitless Adapter Installer: Aarow Pump & v11e11 SAMM. etc Well Disinfected Upon Completion? © Yes L] No Method of Disinfection: Comments: Pump Installer Name: Aarow Pump & M11 sarylre, uC P.O. Box 110496 Anc+lorage, AK 99.511.0496 Attention: The pump installer shatll provide a pump installation log to the. DSD within 30 days of pump installetlon. M P.2 T� GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS April 15,2009 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 Attention: Dan Roth Ref: Exploratory Well Permits for a new subdivision to be known as Creek View Estates (subdivision of Tract B, Rexview Terrace S/D) 41iiw;1 01 We have been hired by Mr. Jeff Regnart, the developer of this subdivision, to obtain exploratory well permits and perform an aquifer study for the purpose subdividing the referenced property. Attached is a site map that shows the majority of the subdivision with the proposed well and septic sites. There is an existing well located on proposed lot 6. We are proposing that two additional wells be drille d and a well drawdown test be completed using these three wells. We are proposing the well located on Lot 6 be inspected and documented. If the well is found to not meet MOA well ordinance requirements, we would propose a new well be drilled next to this one and the existing well be abandoned per MOA code. We are proposing a well be drilled on Lot 5 approximately 200 feet northeast of the well on Lot 6. We are also proposing that a third well be drilled on Lot 4 which is approximately 140 feet north/northeast of the well on Lot S. We will require all wells to be surveyed and staked prior to drilling to insure proper separation distances to the proposed platted reserve sites. These well locations were chosen for the accessibility for a well rig. All other lots would require extensive grading and driveways to be installed in order to drill wells on any other lots. We request three exploratory well permits be issued for the purpose of performing an aquifer test (see attached permit applications) . We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any q"tions, please contact us at 337-6179. Thank you for your assistance. f .E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessenginecring.com MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Apr 21, 2009 Expiration Date: Apr 21, 2010 Permit Number: SW090037 Parcel ID: 017-161-12 Legal Description: REXVIEW TERRACE TR B Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 005820 RABBIT CREEK RD Owner Name: JEFF REGNART Lot Size: 1159567 SQ. FT. Owner Address: 5820 RABBIT CREEK RD Total Bedrooms: 0 Permit Bedrooms: 0 ANCHORAGE , AK 99516-4342 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify 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. THIS PERMIT IS FOR AN EXPLORATORY WELL ONLY. THE WELL SHALL NOT BE USED ASA DOMESTIC WATER SOURCE PRIOR TO AN MOA APPROVED SEPTIC SYSTEM BEING CONSTRUCTED ON THE PROPOSED LOT. THE WELL SHALL BE CONSTRUCTED IN ACCORDANCE WITH AMC 15.55.060. Received Issued By: Date: V11/01 Date: 1 Municipality of Anchorage s , • 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 Parcel I.D. D17 -161 -1? - Property 1 / - F1"12 - Property owner(s) JEFF REGNART Day phone 240-8978 Mailing address 15131 OXFORD BLUFF CIRCLE * ANCHORAGE AK Site address Zip Code 99515 Legal description (Sub'd, Block & Lot) RFXVIEW TERRACE TRACT B (PROPOSED CREEK VIEW EST., Lat 51` Legal description (Township, Section & Range) Lot Size I, 1.9q. 56 % Sq.Ft. THIS APPLICATION IS FOR ( []all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ *NOTE: THIS IS FOR AN EXPLORATORY WELL PERMIT FOR SUBDIVISION PURPOSE ONLY. 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: kt. D CD O Date of Payment: ( 1VI-67 o Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: VM A W WIN / oo �,,Sjh Juawqsr)-\\V1 0I. p�— -- + 3""" _fir- _,• � ` ` i l\ �. TZ Ak 900, 62 ri' M Ll pS biS \ / ,,.a �/ .f 8Z" L 1„9b,£ .o£sl I.N3W3SVjrq \ / 1 o 11 .> NVl.L3M V P, 3Sn 0I nci ,OF oc \r ' (£ OION a S) \ ' 'u I. �IV2JOdW31 ` / 1 Ca t�- 0 1 \ -- `•(' }, 1 � SONVIl FIM � \1�1NVN13M )\ 1MIlWJIS 6 SI �.0;/ X6'671% c' \ \ �V73�V 01.Ld3S ,BIC�I ; i •� ` 11 i �\\ i\1N-1W�V3 3Nn LI,.IM38 ,OZ 00OR1.1 M.100,00,06N •+� 1NJW35VJ VJ2JV 011 --�.o uaw s \ JUIDN ) o D } ...Aid -_ Pu woail i Da 9 3 -W 33vavo i y I I l• gas a . oz � •. r ��� +gym, x zam a a7ef 3 �� p ,vcue/%top,1 ' V) s,4l al 1\ .i 3 Ekhms CCSA # Waiver # 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 (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In Conductingthis evaluation, GEG provided an engineering evaluation of the well and/or septic stem G v�' it V 31 P 9 9 P Y .. .. ! Ll;t� in accordance with the guidelines and regulations established by the Municipality of Anchorage and .. M1 industry practices. The reported results describe the condition of the system/s on the date/s 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 sstems depend upon a variety of variables, including but not limited to, soil conditions,1............. groundwater levels (that may fluctuate during the year), quality of construction (materials and ! workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and � ...... . ........ ..... are outside the control of GEG. Satisfactory test results do not guarantee future performance of the 11=f 0yj Cnr ` 1 system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of (; (r`_ the well or septic system. GEG makes no representation whether an alternative well or septic system Citi rI. can be installed on the property in the event either of the current systems fail to perform adequately in j'ej 1 the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or�ti��`��o�� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for bedrooms \`pjY OF,, lll�«ttt f f f r, System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the fON-SITE of� ng t iSITN� m "J))))11)111W1'. / Original Certificate Date: " _ R ri 7 The Municipality of Anchorage Development 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 responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10.10-12.doc Legal Description: Creekview Estates; Lot 5 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ffil Well log is filed with Onsite (or attached) Date drilled 4/09 Total depth 87 ft Cased to 87 ft Fiffl Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in Date of flow test for COSA 7/9/19 Static water level at beginning of test 19.1 ft. Comments B. TANK DATA Age of tank(s) 4 years Tank type/material © Standpipes/foundationtcleanout per record drawing Date of pumping y t G� D. ABSORPTION FIELD DATA Parcel ID: 017-161-22 Structure served by this system _ Well production at time of test 3.2+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ® Coliform bacteria is Negative Nitrate mg/L [T Nitrate less than MRL (ND) Arsenic ug/L Zrsenic less than MRL (ND) Collected by GEG, Ltd. Date of Sample F1288"' C. LIFT STATION ❑ Required maintenance completed Age of lift station ye Lift station material Which system tested (date installed) 2015 Adequacy test date *7/9/19 © ALL standpipes present per record drawing Results ✓� Pass For 4 bedrooms Total measured depth from grade 5.33 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 4.3+ ft (min) Water added 806 gal ❑ N/A — pressurized field 0 New depth in Monitor tubes go to bottom of drainfield. If not, state 0 depth into effective - Elapsed time min N-1 Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 600+ god (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N/A date of test) Gallons introduced N/A gallons If yes, enter date N/A Comments/Deficiencies: 'East trench tested only. West trench was surcharged with 7" of liquid. FS was not splitting flow evenly. Sae aReei�� tom`/✓ i���n,�=,�.., L..��%"''�� �C,�fc-=?l�ynt� e..i.ddt�:�-?�,r� COSA Checklist yellow sheet LA `-7T E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' F� Yes if No 'S+ ft Community Sewer Manhole/Cleanout > 100' 0✓ Yes if No ft [✓ Yes if No ft Neighboring Tank > 100' ®Yes if No ft Private Sewer/Septic Line > 25' ✓71 Yes if No ft Absorption Field on Lot > 100' ✓Yes if No ft Holding Tank > 100' E] Yes if No ft Neighboring Absorption Fields > 100' Surface Water > 100' Q✓ Yes Animai Containment > 50' FV Yes if No ft F✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' QYes if No ft ✓O Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F� Yes if No 'S+ ft Surface Water > 100' Property Line > 5' Q✓ Yes if No ft Driveway/Parking > 0' Absorption Field > 5' ✓Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' F✓ Yes if No ft Private Wells > 100' Water Service Line > 10' 0 Yes if No ft Community Wells > 200' From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' [✓ Yes if No ft Driveway/Parking > 0' Property Line > 10' M Yes if No ft Wells on Adjacent Lots: Water Main > 10' M✓ Yes if No ft Private Wells > 100' Water Service Line > 10' Q Yes if No It Community Wells > 200' Surface Water > 100' Q✓ Yes if No ft F. ENGINEER'S COMMENTS *Met code at time of installation. 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. COSA Checklist yellow sheet ✓Q Yes if No ft Yes if No, comment ✓� Yes if No ft Q✓ Yes if No ft ✓� Yes if No, comment ✓� Yes if No ft Q Yes if No ft Q' '�- 4 9TH .V 9, ,. VCE17951 �� dproiess�onoo� #AECC884 ���OOQQ�� Parcell.D. 017-161-22 Municipality of Ancp ora SEP 16 2015 On -Site Water and Wastewater Program g6 (907)343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: / ;z ";Z 2 —/s— Complete legal description CREEKVIEW ESTATES; LOT 5 Location (site address) NHN RABBIT CREEK ROAD Current Property owner(s) ANDY HARVEY Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo Ali U) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY Individual Well Individual Water Storage ❑ Community Class _ Well ❑ Public Water System ❑ WaiverNariance request for: N/A 9 Day phone 317-1848 Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: t/ Date: COSA to be release o the Iggineer, unless otherwise requested by the engineer. COSA Fee $ (A Waiver Fee $ _ Date of Payment CHI- I5 Date of Payment Receipt Number (727– 0G Receipt Number COSA# ©5G51 -5Z3 Waiver# 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 Gayness Engingering 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 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with tha guidelines and regulations established by the Municipality or Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s 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 system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the we 11 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/pally who paid for this report 6. DSD SIGNATURE System #1 Approv3d for bedrooms System #2 Approved for _ bedrooms Disapproved 0 The Conditional approval for bedrooms, with the following y OF'/q;�;�� .� ON-SITE WATER AND J WASTEWATER S.ir,�x PROGRAM Original Certificate Date:_ 9 -.2'a - /: Development Services Division (DSD) issues Certilicates 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 responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist V Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sl,eet_9-1-12.doc 0 If more than 7 septic system is on the lot: COSA Checklist # _of_ Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: CREEKVIEW ESTATES; LOT 5 A.. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 4/24/2009 Sanitary seal (Y/N) YES Total depth 87 ft. Cased to 87 ft. FROM WELL LOG Date of test 4/24/2009 Static water level 21 ft. Well production 6 g.p.m. WATER SAMPLE RESULTS Coliform 0 colonies/100 ml. Arsenic: NO ug./L. B. SEPTIC/HOLDING TANK DATA Nitrate 2.213 mg./L. Parcel ID: 017-161-22 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 9Z2/2015 27 ft. Date of sample: 8/3/2015 Tank Type/Material SEPTIC/STEEL 4l Collected by: GEG. Ltd_ - Date installed _6/8/2015-7/6/2015 Tank size. 1250 gal Number of Compartments2 Cleanouts.(y/N) .. YES Foundation cleanout (Y/N) YES Depression over tank (Y/JN) NO High,water alarm (Y/N) N/A Date of pumping - C. ABSORPTION FIELD DATA Date installed 6/$/15-7/6/15 Soil rating .p.d. r ft2/bdrm) 1_0 System type SHALLOW TRENCH Length 120 2066 ft., Width 5.0 & 5.0 ft. Gravel below pipe 0.5 & 0.52 ft. Total depth *5.3+ ft. Eff. absorption area 600 fe 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) — If yes, give date D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons "Pump ofr Manhole/Access water alarm level Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankfli(t station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank Animal containment areas 50'+ 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 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 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 SAarzaz,an.� Q�5,vwc� jr3r�-wrr �t%wF�L Ste.nct: C rnrE SeJ;-'vJ ct: 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 9 IN kr (Rev. 11/05) o J 15.0' o � 23� •3� Vt�Gt �a5emel �r N N _ 0 Easement g0' P°aes e rave\ 'o. o(0 o ® 2—Level Wood Frame QD Residence w/Basement 5.2' ^� -Clean Out (Typ.) Wood Frame Tac Building LOT 5 0 P a Well 0 o LOT 6 o -t eft / Go�A°t . 5.j5t1 TRACT A NOTE: Dimensions are measured to the wood trim. I hereby certify that an accurate survey of the following described property: CREEKVIEW ESTATES (2011-74) LOT 5 was made on September 2. 2015 and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Easements other than those shown on the record plat may not appear on this drawing. Anchorage Alaska, this 4th day of September 2015. M 4, SCALE : 1 " = 50' 0, LOT 4 25' Stream Protection & Maint. Easement S76°30'00"E 10.40' 25' Stream Protection & Maint. Easement Covered Wi Deck & St N M 0 0 10.6' F 'c' 10.6' 1.6' x 5.6' j/ 'Wood Deck & Steps DETAIL OF HOUSE SCALE:1 "=30' LJ N in ri w x