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HomeMy WebLinkAboutTWOLOTS TR A2BTwo Lots Tr A2B #017-074-02 Municipality of Anchorage _, e Development Services Department _ Building Safety Division On -Site Water & Wastewater Program. 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.cl.anchorage.ek.us (907) 343-7904 Onsite Wastewater Disposal System and/or Well Inspectioo, Report 4-02 $W070029 PID Number. Permit Number:U rade Name: Wastewater System: ❑New ■ p9 HOLLY COX Addfess:ABSORPTION FIELD 8051 RABBIT CREEK ROAD a ANCHORAGE, AK pother No. of Der me: o Deep Trench O Shallow Trench Deed O Llour,d Phone: (907) 345-1702 5•k eta": Tow 0-90Ir•m «ql.w' MAX LEGAL DESCRIPTION 0.5 alro/ea. o.o,,, m ek» banes, fry onll ,el sea.: cre W 4.9,h eeaee,h P': 6/6 n. Block: Lot: Subdivision: $EE DWG. n. TRACK A213 TWO LOTS a." ,,,,e, section: f° e°0i0 p°°"• °�aN gra4• 50+/50+ n. Township: Range: _ — SEE DWG. n — Numerr of I,.re: Oirland Mwren Irne cm'm W tl. 2.5/2.5 2 15 n. WELL: [I New ❑ Upgrade Tete/ Oec �"^ TO'(o•�) Te1o1 abOMPtan * so. n. Rb• D 3034/ F-810 cb.w,Kww, Rnwt.. we.c : 1200 In. R oa . o ubc M, pNM : s'° ` "° � E"� q+ HOMES SERVICES 4 17-19/2007 FL „.,,, W w ae."c lwsht ^ee . rte: TANK Ylrb: R cvN " D Otnare E T■ Septic O Holding 0 S...P. SEPARATION DISTANCES " 1250 To Septic Absorption Lift Holding �,� ,• AN H TANK Tank Field Station Tank. el eoapytmrhte: From STEEL 2 Well 100'+ 100'+ — _ 25'+ LIFT STATION Surface Water 100'+ 100'+ — — ,oeniNe - Sae " 9N : Lot Line 5*+ 10,+ — — ,+ae ell � "gh wm« eke n aL an Ierel a1: Foundation 5'+ 10'+ — owun al ".wades. We,,,,•e py, RieaR �•�• Curtain Drain NONE KNOWN BENCH MARK Remarks: OLD TANK PUMPED, CRUSHED AND ueel»~ eha IanRu�. COMPLETELY ABANDONED TOP OF SLAB NEAR SOUTHWEST•CORNER 100.00 ENGINEER? GEG, Ltd. Dates: 1st 4/17/2007 ooc� A op04 Inspections performed by: 2nd 4/18/2007 0 �;.. •...... . 95 0 3rd 4/19/2007 Development Services Department Approval ...:........ . rOV01: Date. OQ " • •. r ' . A. arnes:s Conditional app �AP C-7953 e[ Reviewed and approved by:gj (RW. 4/06) PERMR NUMBER: AS -BUILT DRAWING SW070029 \ JEW-_ \\ i ST1 97.81 75.69 \ \ col 153. 12 85.93 / 94 86.77 49 38.79 PARCEL ID NUMBER: 017-074-02 — — — — — _ _ _ — — }— — — — — _ _ _ — — OUP, Ltd. GARNESS ENGINEERING GRp;'...' 9 ...... .. _ ---- CONSULTANTS & GENERAL CONTRACTORS wumm At L 11wan 1roeD. *1 . tot • ri,"" w ro ? • wmiR (•o1Wt PAGE NUMBER: • . • • •. . PREPARED FOR: PHONE NUMBER: ••,Je A. 245; 345-1702 ` 2 ODRAwN BY: OQO'o• ., I79/j3 HOLLY COX LEGAL DESCRIPTION: K.D.M. ee. •'•S! �. +•0`T ��O TWO LOTS SUBDIVISION: TRACT A26, DATE: 4�4Pr00�sslo" TYPE OF WORK:5�1�2DD7 AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE (R". 01105) PARCEL ID NUMBER: PERMIT NUMBER: AS -BUILT DRAWING 017-074-02 SW070029 M. �FINAL GRADE - 98.74 do 99.18 ST2 TOP OF TANK AT TOP OF TANK AT OUTLET . 94.77 INLET . 94.74 t;t INVERT OF BUNG AT INVERT OF BUNG CUTLET . 94.09 AT INLET - 94.47 SOUTH TRENCH NORTH TRENCH IV7 DE RlW. CRADE Y7t7/9" C°ADE LTFA TAMC 0A1G si.a7 �MnR IAVX RELATIVE ELEVATION OF HOLE BOTTOM _79.67 RELATIVE ELEVATION OF BOTTOM OF TEST HOLE - 78.32 G_AR_N_LSS ENGINEERING GROUP, Ltd. ,per 4; ....+.+CONSULTANTS 6 GENERAL CONTRACTORS 0 t101 t Tp011 11°'C' ate[ 101 ,ao7 •mow[ Ind PAGE NUMBER: PREPARED FOR: PHONE NUMBER: 0i HOLLY COX 345-1702 30 F3 oRAwN Br: Q�r,� '• , LEGAL DESCRIPTION: K.D.M. �� a TWO LOTS SUBDIVISION; TRACT A2B, DATE: OC TYPE OF WORK:5�1�2DD7 AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE (R". 01105) NTRACTORS— Ltd. GARNLSS�o NGINEER ANG GROUP, . _. ... , a•. per.«` SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: PERFORMED FOR: HOLLY COX DEPTH (feet) _�a TEST HOLE 2 1 2 3 4 1 FILL ORGANICS ML w/SOME SAND AND GRAVEL P•• app, .. ... .... .......*. ffr y . arness., ' J�s� � • d CE/ -7953 •' FG Nig Sf 2.�. cj Profess}o�-c enu G ncSIFICATI0N5_ \ GP ML ExlrnNa 4 GMSCLBEDROOM HOUSE fGCOL N SWMHExIrnNG M�C SPCH SM OH SC THJ14 rA PERCOLATION RATE 10 (MIN.11NI.I-) rC TEST RUN BETWEEN 6 FT. AND 7 FT. A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO --JODY MAUS SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: RECOMMEND A 0.5 TRENCH SOIL APPLICATION RATE COMMENTS: PERFORMED BY CEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PRF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: C. GARNESSCONSULTANTS E 9, GENERAL GROUP. _� FACSIMILE TRANSMITTAL F PAGES*i- NBERt DATE: �O t I (INCLUDING COVER TO: FROM: ci�o . REF: co,MMENTS: �-v W �-•'' 1 tee`• •� 9,� --^" rnesseW '`• Js r er !� �°<r'•� . CE 7953 f�r� f0 pROFESSt�� G a e- �--� q_a,a, f,Dor to 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507-1259 ca Ph: (907) 337-6179' Far: (907) 335-3246' Website: mww'•°m _aessengineerm�•m Municipality of Anchorage I!o. D)x 1("60 * ,knchomge, Alaska (Y9519-fra) • Tckphmic (!X)7) a1R-8'V)1 • rax (IMM","O j 47(X) Ihngaw SWO • Mxhomge, Alaska IMIi1)7 U,, .munl.org Dlagor Dark Begich Iluilding Safety Division April 19, 2007 Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Subject: Two Lots Tract A213 Groundwater Monitoring Testholes Dear Jeffrey Garness, P.E.: During a recent site inspection at the above legal description, we found testholes that did not meet code, AMC 15.65.060B. Therefore there is no acceptable groundwater monitoring. If these testholes are not brought to code, any surface water intrusion into the testholes will effect groundwater and will be used as the high groundwater reading for septic design. If there are any further concerns or questions regarding this letter, please call our office at 343-7904. Sincerely, J e oodall ivil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Apr 04, 2007 Expiration Date: Apr 03, 2008 Permit Number: SW070029 Parcel ID: 017-074-02 Legal Description: TWOLOTS TR A213 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 008051 RABBIT CREEK RD Owner Name: HOLLY COX Lot Size: 123093 SO. FT. Owner Address: 8051 RABBIT CREEK RD Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-3847 This permit is for the construction of: ❑✓ Disposal Field Q 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, seated, and heated to prevent freezing. Received By: Date: S11) Issued By. Date: ;/01 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.enchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. _ oI'i-niQ-QO t ° Property owner(s) HOLLY COX Day phone 345-1702 Mailing address 8051 RARRIT CREEK ROAD * ANCHORAGE. AK Site address Legal description (Sub'd, Block & Lot ) TWO LOTS. TRACT A B Zip Code 99516 Legal description (Township, Section & Range) N/A n Lot Size /J1:r 613 Sci.Ft. Number of Bedrooms _ 4 THIS APPLICATION IS FOR ([Dail that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ 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: &0 Date of Payment: pffi)0 T Receipt Number: r a( (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: GARN i SS ENGINEERING GROUP, Ltd. - - CONSULTANTS & GENERAL CONTRACTORS -- March 21, 2007 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Two Lots, Tract A213, To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgrade. We are proposing to install a new 1250 gallon septic tank and a dual deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log 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. TOPOGRAPHY: As can be seen on the attached design drawingfthe average topography around the drainfield is generally flat. There is a 50-100% sloped cutbank on the property that will be 50 feet or more away from the proposed septic system. 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. .Sincerely, Je re ness, .E., LS. Pr si t NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.C. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: www.gamessenginccring.com KIMBERLY MANOR /2 TRACT Al EXISTING SEPTIC SYSTEM � PROPOSED SEPTIC SYSTEM � \� CREEK EXISTING 4 � �/ BEDROOM HOUSE -ham KIMBERLY MANOR /2 LOT 11, BLOCK 3 KIMBERLY MANOR /2 KIMBERLY MANOR /2 KIMBERLY MANOR }2 KIMBERLY MANOR /2 LOT 3. BLOCK 3 LOT 4, BLOCK 3 LOT S, BLOCK J LOT 6, BLOCK J (NO CONCERN) (VAS) (NO CONCERN) (NO CONCERN) GARNESS ENGINEERING GROUP, Ltcl. •• CONSULTANTS 6 GENERAL CONTRACTORS •-----•-.•.•-.�..,.....--...— Q....' . c nnw ■o.o. fort 101 . u,obn.x, w "W7 nnK (mrun-ei» . FM ryoBva-u.e • .... ZEPARED FOR: PHONE NUMBER: PACE NUMBER: •• HOLLY COX 345-1702 1 OF 2 A � Q Al. DESCRIPTION: TWO LOTS; TRACT A2B OF WORK: SITE PLAN B.F.M. �. . 1y GO ess: -E-7953 :g' NUMBER OF BEDROOMS:4 GALLONS PER DAY (CPD): BDO PERCOLATION RATE/S: 10 MIN./INCH PROPOSED APPLICATION RATE: 0.5 MINIMUM DRAINFIELD SO.FT.: 1200 DRAINFIELD DESIGN: MAXIMUM DEPTH:12 FEET WIDTH: 2.5 FEET LENCTH:100 (2 O 50) FEET M.O.A. APPROVED SAND FILTER: N/A EFFECTIVE: S FEET REDUCTION FACTOR: N/A ACTUAL SO.R.: 1200 CONTRACTOR MUST HAVE ALL SURROUND WELL RADII AND 50' SETBACK FROM CUTBANK, FLAGGED BY A REGISTERED LAND SURVEYOR, PRIOR TO CONSTRUCTION. EXISTING SEPTIC SYSTEM TO BE PUMPED, CRUSHED AND COMPLETELY ABANDONED - LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER :ONTACT CEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPOSED PROPERTY OWNER AGREE THAT THEY DRAINFIELDS HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND i N S E: 9 INSTALL FLOW SPLITTER CO I INSTALL FOUNDATION / CLEANOUT -PROPOSED 1250 GALLON SEPTIC TANK — — — — — — — — — — — — — — - - — — — — — — — — — — — — — — — ooaoo 4 �t 0 GARNL:SS ENGINLLRING GROUP, Ltd. -- - CONSULTANTS & GENERAL CONTRACTORS .....,,via- .- --. �....... .. ... ... ....... fil L T00011 N1 A 5151[ 101 • M CHORCL W MSO) • NOT[ (COn{SO-01]1 . MV (,oYAM " SIC .w. apn O PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• . . ... ....... ....... HOLLY COX 345-1702 2 OF 2 Q a t C A. ss. LEGAL DESCRIPTION: DRAWN BY: C -7953 TWO LOTS; TRACT A213B.F.M. O' p e '3 r /D7 (Ao TYPE OF WORK: DATE: 40OOP, D f0 OOo� PROPOSED SEPTIC SYSTEM 3/21/2007 GARNESS ENGINEERING GROUP, Ltd. -- - �• CONSULTANTS 6 GENERAL CONTRACTORS o--�V.-.�•a>t•� '01 L T1D011 PUN. SURE 101 • MC1g N 99S01 • P a W7 71179 • FA 101 - " • •EBSOL ysw�rywrin SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: TWO LOTS; TRACT A2B PERFORMED FOR: HOLLY COX DATE: 345-1702 DEPTH (feet) F-1-flORGANICS TEST HOLE 1 2 3- 4- 5- 6- 7- 8- 9- 10- 11 4567891011 12 13 14 15 16 17 18 19 •'M SOIL CLASSIFICATIONS NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 3/19/2007 1 •" — GGWi IIIIIIIIIML 2 16111,1GM 30 H/NH• CL 3 2:20 — • — SWMH IIIIIIIII 30 1 3" _ 5 CH lith 6" • �idB. 3:20 ,q SC 3" ML w/ SOME POCKETS OF GRAVEL DEPTH TO DATE GROUNDWATER DRY 3/16/2007 DRY 3/21/2007 Vey N n � i EXISTING 44 7v BEDROOM HOUSE N EXISTING SEPTIC SYSTEM � I I 1 � TH11� I DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 3/19/2007 1 1:50 — 6" — 2 2:20 30 3" 3- 3 2:20 — 6" — 4 2:50 30 1 3" 3" 5 2:50 — 6" — 6 3:20 30 3" 3" PERCOLATION RATE 10 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: KYLE MAUS COMMENTS: RECOMMEND A 0.5 TRENCH SOIL APPLICATION RATE PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 3 Z/ �^) MUNICIPALITY OF ANCHORAGE j ® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION --• 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE '3y ❑ NEW �kTIPGRADE MAILING ADD ESS ei3 t q qS-o LEGAL DESCRIPTION 2 l tN i f L^ 11A(L LOCATION C f � NO. OF BEDROOMS Uy DISTANCE TO: Well -{- �Gr Absorption area 5 Dwelling �.- 30 PERMIyV� O. n Tib �j I? Z. " I -Z Manufacturer Material No. ofsyompartments rn Lie. capaisn j Ions ty 4i Inside length IF HOMEMADE: Width Liquid depth ❑ Jt2Z DISTANCE TO: Well O. 2 z Fa- Manufacturer Material Liquid capacity in gallons ❑ m= DISTANCE TO: Well r Foundation r Nearest lot line PERMIT NO. �1 J LL zNo. PZ w of lines �+ Length of each line Total length of lines Trench width , inches Dist an FS b ween lines <I.. ❑ Top of the to finish grade a Material beneath tile ��-yy ) -ineffes Total eff ctive or tion area w L7 Length Width Depth PERMIT NO. Q F Type of crib rib diam Cr th effective absorpti ea ti � ell {i(STANCE TO: Building ou ion Near e J J .Bfa Depth Driller Distance to lot line PERMIT NO. w � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERJALS f` SOI L TEST RATI NG INSTALLER REMARKS 10 A tax APPROVED DATE LEGAL l° A ` t -Tr A-2- 6A RPrL, a -n 72-013 (Rev.3 ) PERMIT I TO INFORM THIS DEPARTMENT E:'URING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THI=; PROPERTY AND THE 10 F__ �4QLt, •` DEPARTMEya1 HEALTH AND EtdVItit NMEFIEHL t-•t!OTEC:T10PJ g� ¢� 82 I STREET, ANCHORAG > AK. 9-9501 26,.3r.'4; 20 Aas LL t CH 04 __ EE 1,L°.l L- 9=—_ — �' �._ `sem° � °� .� -T— PERMIT NO. r: 8I0927 APPLICANT JAMES W. CO.'.-,, LOCATION RABBIT CREEK LEGAL TR A-•2 SH;Ih7EEF'.''.LY MANOR #2 TYPE OF SOIL.. ABSORPTION SYSTEM IS: MAXIMUM NUMBER OF BEDROOMS = 4 2- :SRA BOX 40 ANC:H. 99507 344-25891.1 30 LOT SIDE 1!'?�!_I!_lt=0 _;QUARE. FEET DRA I NF I ELD 71s)l SOIL RATING ,:: a- h7r.E:F: THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I • .-.i a._ 5o CA F- Y C %A E= II.__ E fl E- tl ^ —Y 1 Y "._ -I- THE LENGTH DIMENSION IS THE LENGTH .,::IN FEET) OF THE TRENCH OR DRAINFIELD THE DEPTH OF H TRENCH OR: PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION 0N FEET). T ._ 0s. A=cv RI AD d'" K E_. `.E' .. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL. PIPE AND THE BOTTOM OF TETE: EXCAVATION (IN FEET). PERMIT APPL.IC:ANT HAS THE. - -- - RESPONSIBILITY TO INFORM THIS DEPARTMENT E:'URING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THI=; PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. I4 C9 < _A' ti I r -^N F� E_ PC:- T- :I: 13 F-°! No f=l FO E= F1 !E� a a R_� a � �= I.: • _. —. �. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THI'- DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND AP'd''f ON --SITE SEWAGE DISPOSAL SYSTEM I`= 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE OF PUBLIC: WELL. MINIMUM DISTANCE FROM A PRI'V'ATE HELL Ti_: A PRIVATE SEWER LINE I. 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTlON DIAGRAM'' ARE AVAILABLE. TO INSURE PROPER INSTALLATION. - Fo"Fo0notwl I E071,010, "f mo=o E" EA E= e Eo Pl E7 IE= FV? 000_1 "I _Y K00 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS, AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. __: I WILL INSTALL. THE SYSTEM IN ACCORDANCE WITH THE: CODE_. 3: I. UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS R ._ ;, 'r, TO it. L,_iDE. MORE: THAN 4 BEDROOi!_;: __(�LCC(� =1: 1Tt/g SIGNE_D:.___........_---------.._...._____._._.__..__.__.._....___. WD� � AF`F'L --ANT JAMES t.d. I :OX ISSUED B'r'_. _.__C_4_e�'�/ / InNZ f s5vya I SOILS LOG MUNICIPALITY OF ANCHORAGE +� .. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION A PERCOLATION • TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST Boring #1 PERFORMED FOR: JIM COX DATE PERFORMED: 7/1/81 LEGAL DESCRIPTION: Tract A-21 Kimberly Manor Subdivision, Addition #2 I.T, SLOPE. SITE PLAN Brown JHIVUT 3iLI, PIL w/organics Brown SILTY SANDY GRAVEL, GM moist Brown SANDY SILT, ML moist tu, ASA „I■'94®_■_FFIXra■ 111.■E��1�101��1� WAS GROUND WATER NO L ENCOUNTERED? O P TIt IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 13.50 7/1/81 10:33 - 8.25* - 12.53 7/1/81 10:34 30 min. 7.28 0.97 12.65 7/1/81 11:04 30 min. 7.40 0.12 12.75 7/1/81 11:34 30 min. 7.50 0.10 12.83 7/1/81 12:04 30 min. 7.58 0.08 12.92 7/1/81 12:34 30 min. 7.67 0.09 WAS GROUND WATER NO L ENCOUNTERED? O P TIt IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 13.50 7/1/81 10:33 - 8.25* - 12.53 7/1/81 10:34 30 min. 7.28 0.97 12.65 7/1/81 11:04 30 min. 7.40 0.12 12.75 7/1/81 11:34 30 min. 7.50 0.10 12.83 7/1/81 12:04 30 min. 7.58 0.08 12.92 7/1/81 12:34 30 min. 7.67 0.09 13.25 7/7/81 10:34 8.0 TOTAL DEPTH OF BORING - 20.0' _V PERCOLATION RATE ?� minutes/inch) TEST RUN BETWEEN '71 V FT AND -7 �L FT *Hole was drv, added 0.97" of water. PERFORMED BY: 8111 Queitzsch CERTIFIED 72-008 (6/79) PERFORMED i "'� ■ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ■ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST Boring #2 JIM COX DATEPERFORMED: 7/7/81 LEGAL DESCRIPTION: Tract A-2, Kimberly Manor Subdivision, Addition #2 I WNW SLOPE SITE PLAN 1 a 4 Brown SILTY SANDY GRAVEL, GM 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 Dark Brown ORGANIC SILT, ML moist Brown SILTY SANDY GRAVEL, GM moist Brown GRAVELLY SANDY SILT, ML moist lq1. Lombe 4254-E TOTAL DEPTH OF BORING - 20.0' PERCOLATION RATE 60 (minutes/inch) TEST RUN BETWEEN 4.0 FT AND 4-9 FT *Hole was dry, added 12-1/4" of water. WAS GROUND WATER NO L ENCOUNTERED? O P E IF YES, AT WHAT _ DEPTH? Reading Date GrossNet Time Time Depth to Water Net Drop 61-1/4" 7/7/81 ONEEMENNIEN - 54-3/4"* mom ■ INNEEMMONEN NEENJOINOUR® I..■■■0■L010I00 EEMENE1 NOMINEE 1100 9:19 ■■MEEMEN1_J■■ O �,� ..NIIIIIIIIIEW mEWINIMMWEEZURNARMONEENNONEE 51.0 7/7/81 9:49 30 min. 44-1/2" 2.0" 52.0" Reading Date GrossNet Time Time Depth to Water Net Drop 61-1/4" 7/7/81 9:18 - 54-3/4"* 49.0" 7/7/81 9:19 - 42-1/211 51.0 7/7/81 9:49 30 min. 44-1/2" 2.0" 52.0" 7/7/81 10:19 30 min. 45-1/2" 1.0" 52-7/8" 7/7/81 10:49 30 min. 46-3/811 7/8" 53-1 2" 7/7/81 11:19 30 min. 47.0" 5/8 " 54.0" 7/7/81 11:49 30 min. 47-1 2" 1 2" 54-3/8" 7/7/81 7 81 12:19 30 min. 7-7 " " 55.0" 7/7/81 12:49 30 m:in. 48-1 2" " 55-1 2" 7 7 81 1:19 30 min. 49.0" 1 2" PERFORMED BY:. Mark Hall CERTIFIED BY: „�/f� �`' ` _ DATE: 72-008 (6/79) r, �� ■ SOILS LOG MUNICIPALITY OF ANCHORAGE ■ PERCOLATION • �e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST Boring #3 PERFORMED FOR: JIM COX DATE PERFORMED: 7/7/81 LEGAL DESCRIPTION: Tract A-2, Kimberly Manor Subdivision, Addition #2 fl SILTY Topsoil w/ORGANICS, OL SLOPE T� SITE PLAN `� 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1s 19 20 1010 TIu Brown SILTY SANDY GRAVEL, GM moist Brown GRAVELLY SANDY SILT, ML moist >1SR hL txm5i No. 4254-C WASGROUND WATER NO L ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? ------ Reading Date Gross Time Net Time Depth to Water Net Drop 31-1/211 7/7/81 9:13 - 21.0" - 31-1/2" 7/7/81 9:43 30 min. 21.0" 0 31-5/8" 7/7/81 10:13 30 min. 21-3/8" 1/8" 32.0 _77 10:43 30 min. 21-1/2" 3/8" 32-1/8" 7/7/81 11:13 30 min. 21-5/8" 1/8" 32-1/4" 7 7 81 11:43 30 min. 21-3 32-1/2" 7/7/81 12:13 30 min. 22.0" 1/4" 32-5/8" 7/7/81 12:43 30 min. 22-1/2" 1/8" 32-3/4" 7/7/81 1:13 30 min. 22-1/4" 1/8" TOTAL DEPTH OF BORING - 20.0' PERCOLATION RATE Z46;, (minutes/inch) TEST RUN BETWEEN Z FT AND LFT PERFORMED BY: Mark Hall CERTIFIED BY: 72-008 (6/79) JMLAMBE AND ASL'CIATES 4101 ARCTIC BLVD., SUITE 205 276-0007 WATER TABLE LEVEL OF WATER BELOW GROUND TIME TOTAL DEPTH OF PIPE BELOW GROUND ,_1 (;.TENT Jim Cox JOB # TECH. mwer //4z - DATE /0-7-B/ PERC. HOLE LEVEL OF WAVER FROM TOP OF PIPE Dky TOTAL DEPTH OF PIPE Cod PIPE IS 60 ABOVE/BELOW GROUND. TIME 8=3CD 9=06 9=36 wolf iv:3(o / • OCo /2: 3(o CHANGE IN TIME WATER LEVEL CHANGE IN TO TOP PIPE DEPTH 30 miN n 5) %/r -7i N J5cJ ,/n 25/s 1 7/-1( 57 3/S it I /5" Sg SI y2�i — 53%4" 3�cf a ,5 4 3/4, ) %2" PERL. I wra 2UMIN Prfoz. 1NLt1 12.1" HOLE � 4 WATER IN HOLE WATER ADDEDI 7 '/R 9 7 �v % _yam.»eas ��.OF 44. �s s� X. Lambe 4254•E /o17/si MUNICIPALITY OF ANCHORAGE Development Services Department\' -' _`, Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-074-02 1. GENERAL INFORMATION Complete legal description Location (site address) TWO LOTS TR A2 B 8051 Rabbit Creek Rd Expiration Date:1g ZwZ0 Current property owner(s) FEDERAL NATIONAL MORTGAGE ASS. Day phone 522-5220 Mailing address Real estate agent Bob Brock 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 522-5220 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic Fx_1 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number COSA # 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm NorthRim Eng. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 4/13/20 By: Original Certificate Date: JZZ13 The Municipality of Anporage 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet 6. DSD SIGNATURE l/ System #1 Approved for bedrooms�/� System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulatioris� f'u .., By: Original Certificate Date: JZZ13 The Municipality of Anporage 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: TWOLOTS TR A213 If more than 1 septic system on lot: COSA Checklist # A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled unk Total depth unk ft Cased to unk ft ❑ Sanitary seal is functioning correctly OR Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 10/23/19 Static water level at beginning of test 86.4 ft. Comments Well casing extended- new well cap B. TANK DATA Age of tank(S) 4/18(07 years Tank type/material steel Measured operating fluid level in septic tank 46 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 10/21/19 D. ABSORPTION FIELD DATA 4/18/07 Which system tested (date installed) 4/18/07 ❑ ALL standpipes present per record drawing Total measured depth from grade 13 ft (max) Measured depth to pipe invert from grade 7 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: ALL STANDPIPES PRESENT COSA Checklist yellow sheet Parcel ID: 017-074-02 of Structure served by this system Well production at time of test 5+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ N ❑ Coliform bacteria is Negative Nitrate 1.5 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by NRimEng Date of Sample 4/1/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: 2nd Measurement Proves Tank OK Adequacy test date 10/23/19 Results E✓ Pass For 4 bedrooms Fluid depth prior to test 18 in Water added 600 gal New depth 29 in Elapsed time 30 min Final fluid depth 20 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) no If yes, enter date 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' ✓0 Yes Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft M Yes if No ft Neighboring Tank > 100' p✓ Yes if No ft Private Sewer/Septic Line > 25' F✓ Yes if No ft Absorption Field on Lot > 100' P Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10' Animal Containment > 50' P/ Yes if No ft F/ Yes if No ft 0 Yes if No ft Water Service Line > 10' E✓ Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' Q✓ Yes if No ft F/I Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ✓0 Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' Q7 Yes if No ft Wells on Adjacent Lots: 0 Absorption Field > 5' F/ Yes if No ft Private Wells > 100'✓0 Yes if No ft Water Main > 10' ✓Q Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' E✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓1 Yes if No ft Private Wells > 100' Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS Outhouse Located On Survey Is Removed G. ENGINEER'S CERTIFICATION I certify that 1 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 U✓ Yes if No ft F/ Yes if No ft MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section �- Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel 1. D. 017-074-02 1. GENERAL INFORMATION Complete legal description TWOLOTS TR A2B Location (site address) 8051 Rabbit Creek Rd Expiration Date: 3 Current property owner(s) FEDERAL NATIONAL MORTGAGE ASS. Day phone 522-5220 Mailing address Real estate agent Bob Brock 2. TYPE OF DWELLING: Fx_1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Private Weil Q Water Storage ❑ Community'Well ❑ Public Water System ❑ Waiver request for:. Received by� i — ,2`� - COSA to be relised-td-a engineer, unless otherwise COSA Fee $ 57,5-b Date of Payment 11/1,5 jig Receipt Number NA54L) COSA # OfKM542 M by the engineer Day phone 522-5220 �6 7 8 g �0 >> ti ITV 2 2019 b 6 g � 9 TYPE OF WASTEWATER DISPOSAL: Private Septic 0 Holding Tank ❑ Community ❑ Public Sewer ❑ Distance: Date: la L1.3 Ll d Waiver Fee $ Date of Payment Receipt Number 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm NorthRim Eng. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng 6. DSD SIGNATURE Date 11/12/19 �17, System #1 Approved for Lj bedrooms ., -p. • c rte. E.a •o Stever'r:..`: i,.J 4P 6°•,° System #2 Approved for bedrooms > J PF 62564,0 Disapproved 4., "80FESSI���Q Conditional approval for bedrooms, with the following stipulations: ,kal,l(1(l( i"- By:kz Original Certificate Date: /3 / The Municipality of Ancho ge 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 Septic System Advisory Well Flow Advisory COSA Checklist blue sheet X Nitrate Advisory...; Arsenic Advisory: Other COSA Checklist Legal Description: TWOLOTS TR A213 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled unk Total depth unk ft Cased to unk ft ❑■ Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 10/23/19 Static water level at beginning of test 86.4 ft. Comments Well casing extended- new well cap B. TANK DATA Age of tank(s) 4/18107 years Tank type/material steel Measured operating fluid level in septic tank 46 ❑■ Standpipes/foundation cl , anou per record drawing Date of pumping G 2 a D. ABSORPTION FIELD DATA 4/18/07 Parcel ID: 017-074-02 Structure served by this system Well production at time of test 5+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑■ N ❑N Coliform bacteria is Negative Nitrate 1.6 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by NRimEng Date of Sample 10/281 19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: 'S C- C-0 N IA T— PleovF _ T `7;;v\ nk Which system tested (date installed) 4/18/07 Adequacy test date 10/23/19 ❑■ ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 13 ft (max) Fluid depth prior to test 18 in Measured depth to pipe invert from grade 7 ft (min) Water added 600 gal ❑ N/A - pressurized field New depth 29 in ■❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 30 min depth into effective FEWCode-requiredsoil cover over field Final fluid depth 20 in F-1 System presoaked Absorption rate 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: 6 LL _S COSA Checklist yellow sheet 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' 71 Yes 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' ❑✓ Yes if No ft Absorption Field on Lot > 100'✓❑ Yes if No ft Holding Tank > 100' ✓❑ Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ✓❑ Yes if No ft 0✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑✓ Yes if No ft R] Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' 71 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100'✓Q Yes if No. Water Main > 10' ✓l Yes if No ft Community Wells > 200'✓0 Yes if No. Water Service Line > 10' Q✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10'✓❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓❑ Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10'✓❑ Yes if No ft Community Wells > 200' ❑✓ Yes if No Surface Water > 100'✓Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that / 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 C Phi wEEIR'S " SUFESS •�`� r:: u'1 ft ft ft ft� I•