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HomeMy WebLinkAboutGOLDEN VIEW HEIGHTS LT 7FGolden View Heights Lot 7F #020-043-05 Municipality of Anchorage (\' Development Services Department i Building Safety Division - On -Site Water and Wastewater Program. 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.cl.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW000063 PID Number. 020-043-05 Nan": Scott A- Jones Wastewater System: ® New ❑ Upgrade Xldtals 610 ABSORPTION FIELD Prato: Nwobw of Sedroorre: ® Deep Trench I] Shallow Trench O Bea O Mowll 0 fhMr: LEGAL DESCRIPTION sad B,anp. 1.2 Tafel Depth horn agkW grade. 10.0 GPD/Fe FI. Block. Lal: sumvlalon: Depth b pipe Damm Man onpsw pace: (raved deph bensedt ppe: 7F Golden Vw. Hts. 3.62 Ft. 6.05 FL Townamp: Fanpe: section: FYI added above original pale: Graved Lanpth: 0.15-2.36 Fl. 34 Ff. Well: ® New ❑ Upgrade Gtvelwaa: 3.0 Number of kn«: 1 Distance Dedwean knes: Ft. FL CMasiacetion (Private. A. B. Q: Total Depth: cased to. Toed aDeapl,m area Poe Material. Privatp 145 FA 63 Fir 411 Ft D3034 & F810 Ddaer. Date Dried: SMae Waw Level: M'eWler: Data lmwued. Hefty Drilling Fl Scott Jones 2/17/00 vl.la: "'""sed ed: cak•p Neigh"'°°"° Draw°: TANK nPM nk wn Ft. 2 FI SEPARATION DISTANCES O Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Litt Holding PubhcrP,tvaf u .r. y. Fir, m Tank Field Station Tank Sewer Line Anchorage Tank 1000 Gat. Wed 100'+ 100'+ NA NA 25'+ Ma"` Steel Nunawacanpanmena. 2 Bud. waw 100'+ 100'+ NA NA LIFT STATION Led Line 5'+ 10'+ NA NA ,.e. Gal aara. $'+ 10'+ NA NA "ortloved ed. ump `vela` High waw aWm ed. Fowbation H. M F. NA *50'+ NA NA Ranp lAa\ee Mcded Et.oearl heP.aa^s paloa ler: cwtak, dem * e known *non non' BENCH MARK owWn ara yuan. Garage slab AsaumW Elevation: 100 FL Engineer's Stamp OF Ak Ott i* r4 L Inspections performed by: KND Engineering. Inc.Dates: list 2/17/00 a.a: a ....«.......« :... j 2nd 2/18/00 11 02 OV a I tie 6"" »•• r^ . Kennel M f •J y�A /� Developm nt Services Department Approval s so CE 71 Reviewed and approved by: Date:$ I��9Fpej0 ...* a'x•�'���� 1� P)9 ntr. tzaot ,/ // FESSI�N�+ AS -BUILT SYSTEM DETAILS/SITE PLAN GOLDENVIEW HEIGHTS S/D. LOT 7F 0 K N D F�jsr At I' -.14 9 lH* 1 c 7l1jof ` . ,(��Y;, ivuuuaso.awg 31. PREPARED FOR: SCOTT A. JONES ar57E 3366 ORION CIRCLE ANCHORAGE, AK 99517 `iROPOSE'.. FlELD BOOKS TH Kenley✓rL I Esmt sTNwc — ocaw- KMD SCALE:-: DAM JIZQJLC 94.36 95.1 au0 rae A -D=44' 99008ASB.DWG 99008 B -D=22.3' A -E=48.4' w B -E=27.4' 94.47 FINAL GRADE A -F=58.5' B -F=30.9' E A -G=88.5'1000 GAL B -G=48.1' SEPTIC 68.50 x 'r,;;;•;i;+.;' A -H=89.3' TANKSEWER ROCK - B -H=48.6' co 9n R49n ..: s• .. Hs�it'i•. ..-.[,,.:: ,:.:.�•. .M1-°v:�.. I' -.14 9 lH* 1 c 7l1jof ` . ,(��Y;, ivuuuaso.awg 31. PREPARED FOR: SCOTT A. JONES 3366 ORION CIRCLE ANCHORAGE, AK 99517 (907)248-8490 FlELD BOOKS COWUMD: 00AW WAC sTNwc — ocaw- KMD AST WA ATKA DAM JIZQJLC o"Q ^� cmo- 3238 au0 rae ,Ke H>: 99008ASB.DWG 99008 M SCALE: NTS Permit SW000063 PID# 020-043-05 VAl I for ILU W ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 1 FROM : SRJone6 HEM DRILLING .`.540 AKULA DIUVL ANCHURAGE• AK Mii; (907.1 345-0599 LOCATION OF WELL tolae.a complete Alta,, to, to t, to.) la. ■.rough SubdivI,:eo Let Slseh n. 1/•Alin. .� 7 F — —oi_.1 — Ia.11 1OIST, +C [� ND 0 [CYTON FROM ROAD INTERSCCYIONS Ik t! - 0n.-c�C.. Street Addn44 and A,.a of W411 L04e116n WATER WELL RECORD STATE Of ALASKA DEPARTMENT Of NATURAL RESOURES Division of Geological 0 Geophysical Survoys 0"181-11 101081 No. _S A.D.L. No. 6•sGon No. Township No 1 Ranee E❑ 11er141164 S� W� S. OWNER OF WELL' _ LJ 2. WELL LOG FeSar eelaw 4, W LL DEPTH: (fln.l) D. DATE OP COMPLETION r M alari61 ofees Type Too Dolle_FI• — �' 60 --- 6. QCeble teel 09Rotary QDTIVON 0Dug 0 Auger ❑4e11e0 O [orad 0 Olho, 1 _ T. V E E: M De_a a tic 0P.bllo Supply 0lnd.Nry O Irrigollon O Recharge Q Co__arleal 0 Taal W.II Q orharr • An era 6. CASING: O Threaded ;• Welded • glom.1—IA. to_ if. Depth Weight —lbs./ft. �Ck,J Slam. in. le—ft, Depth Sllcbup 11. • 1�'(4 91 FINISH /OAF W(LLI V / Ty Ft: OTeA 0 Q1 - Olemotee, O Sv Slot/Mask Sizei Length: ..- Sal between fl. and ft, ._ 900flIIIA4 Gra.al Ptak —•••i" 10. STATIC WATER LCVCVG'fl. O Abo,6 or 0 Solow land lwfoeo Daft —�••—^�� EaoiF_ant used: •-- 11. PUMPING LEVEL blew ION Aveto*, end YIELD fl. alter k1a. PVmPing_o.p�. .. _. .... fT. oftal hep. pumping —O.O.M. — -•• "� 13.411OUTING Well Grouted, �7 X71 V4e 0 No J 41414,161: ❑ Neat Cam.nt O Due,: I S. PUMP, (if ovalldblo) He -- —•� L.Atlh of O,op Pipe ft. 00006111 g. p.m —��_ —• --- ••- 0 Sub.. 0 Jet 0 Co.trlfleal 0 Who, Y— - 14.REMARKS: 30 q Pip - 16. WATER WELL CONTRACTOR'S CERTIFICATION: IS. Wa Hr Tom pole lore �.... This .411 woo drlttod .der _T /orNdiclinn wwd Thi. -Peri rt 1... In it.. b." FI F Anew Ndg• 0.4 be1141: --- m Re IUolaa Gus e . Nen• CC�oolll000t Lleam4 Nume41 P., AVIha11. R. ...nIa11V. Fpm OE•WWR 111/so)--•�--••.• COO,• 061111bun40a WNITL-S1en DOGS,►INN-D•III.r, OANARY•Custamor e C( F • FIC i -�� MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 i nlSl'F� �►�� a�l ��OD �IQOLv� 7/7/000 /ani ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Renewal Permit Number. SW000063 Date Issued: Apr 14, 2000 Expiration Date: Apr 14, 2001 Parcel ID: 020-043-05 Legal Description: GOLDEN VIEW HEIGHTS LT 7F Design Engineer. 0070 KND Engineering Site Address: 015830 FAR VIEW PL Owner Name: Scott A Jones Lot Size: 59989 SO. FT. Owner Address: 3366 Orion Circle Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99517 - This permit is for the construction of: El 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. Absence of ground water to 14+ feet and absence of impermeable layer to 16 feet shall be verified prior to installation of absorption field. Received By: Issued By: Date: r�T 'Crb Date: q— I H- 0 0 04/07/00 08:55 FAX 807 272 7733 KUMIN ASSOCIATES JEFF DHHS #343-6742 #343-4786(FA}) April 7, 2000 Ilool Dear JEFF, i 'fRFIIL I, Scott Jones will be performing my own excavation for my septic trench at 15830 Far View Pl. This is a new single family residence and the septic system has been dcsigned by KND Engineering. The legal description is: Lot 7F Golden View Heights Sub. My experience with the operation of track hoes and other heavy equipment is as follows: • Excavation work with both Hitachi 150 & newer model tx-160-v models Case bulldozer 550 series Trench work and backfilling with a VCB 217 back -hoe Please call with any questions. Sincerely, Scott A. Jones "•"�'Tt°!u►gY NdV OAOD38 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SW990045 Legal Description: GOLDEN VIEW HEIGHTS LT 7F Date Issued: Mar 31, 1999 Expiration Date: Mar 30, 2000 Parcel ID: 020-043-05 Design Engineer. 0070 KND Engineering Site Address: Owner Name: Scott A Jones Lot Size: 59989 SQ. FT. Owner Address: 3366 Orion Circle Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99517 - 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 ( I8AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by catling (907) 343-4744 ( 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. Absence of ground water to 14+ feet shall be verified prior to installation of the absorption field. Received By: Issued By: Date: Date: 3.191.19q 03/31/99 20:58 FAX 907 272 7733 KUMIN ASSOCIATES U002 SCOTT A. JONES 3366 ORION CIR ANCHORAGE, AK 99517 (907)248-8490 RE: LOT 7F GOLDEN VIEW HEIGHTS SUBDIVISION 6540 WEST CIRCLE ANCHORAGE, AK 99516 RECEIVED APR 1 1999 Municipality of Anchorage Dept Health & Human Services To Whom It May Concern: WE WOULD LIKE TO EXERCISE OUR RIGHT AS PROPERTY OWNERS TO PERFORM OUR OWN SEPTIC SYSTEM EXCAVATION AND PLACEMENT. WE INTEND TO RENT EQUIPMENT LOCALLY AND PERFORM WORK IN CONJUNCTION WITH REQUIRED ENGINEERING AND PERMITS. SINCERELY, Scottv Jones KNDD ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 March 13, 1999 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New sewer/well permit — Goldenview Heights SID, Lot 7F Gentlemen: The owner has requested we proceed forward to obtain a well and septic permit on the subject lot. On January 11, 1991, one testhole and percolation test was conducted by another engineering firm for the proposed system. The result of this test is attached. The general slope of this lot is from southeast to northwest at approximately 10% - 15%. We have designed our system utilizing the testhole excavated for the three-bedroom house, which is proposed for this lot. The lot will be served by individual well. We propose to install a 2' wide deep trench. Per the attached soils log and percolation test the soil percolated 3 min./inch. In addition, the soils log and report indicate there was no ground water encountered during the excavation of the testhole or after monitoring There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, UMID Engineering Cenneth M. Duf E. attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test (original) WELL/WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN G❑LDENVIEW HEIGHTS S/D. LOT 7F NO PUBLIC WELLS WITHIN 20D OF PROPOSED SYSTEM NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 20D' OF PROPOSED WELL EXCEPT AS NOTED. DESIGN DETAILS 3 BDRM X 150 GPD = 450 GPD 450 GPD/1.2 GPD PER S0. FT. (3.0 MIN/IN.)= 375 S0. FT 375/(2'(W) X 6'(D)) (6' GRAVEL) = 31.25 FT. TRENCH USE 1 TRENCH - 31.25(L) X 2' (W) X 6'(D) Total depth of system Is 10' from original grade. Total depth of gravel below distribution pipe Is 6.0' . NOTES, 1. USE 1000 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS 8 SEPTICS. AAr 1111111" .4 OF AL9s91 %//' '� ` / FESSIOTIN' PREPARED FOR: SCOTT A. JONES 3366 ORION CIRCLE ANCHORAGE, AK 99517 (907) 248-8490 FIELD BOOKS COUNTED: BouNDARY: _ DRAM: KM STAKING: _ CHECKED: KMD ASEURT: DATE: 3/11/ 1 DN nLE: GRO.. 3238 ACAO FILE` 99008.DWG "H" 99008 Scale+ 1'= 100' PAGE 1 OF 2 LL,ll LU) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 KD d 0 WASTEWATER DISPOSAL SYSTEM DETAILS GOLDENVIEW HEIGHTS S/D. LOT 7F i -v10x 1XI- 1000 GAL -i[ey# SERVE 0 SIT, r�� OF AL9s9 PREPARED FOR, SCOTT A. JONES 3366 ORION CIRCLE 4KENNETH TH* II ANCHORAGE, AK 99517 ........_.(907) 248-8490 M FIELD BOOKS cwwrta CE -711 }��t OWNI)Mt — ORA": KM 1 7 s*unHc: _ acaED: KMD AWAS LT.. _ DAM: 3/11 \FESSIO'O' Dw ME: CMD: 3238 `_•! ACAD RE: JOB "' 99008.DWG 99008 Scale, 1'= 20' �nl PAGE 2 OF 2 LE��D ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8730 (007)696-6111/FAX (907)696-8111 Kenley Comtruchon Services 7910 Honesuckle Dr. Anchorage, Ak 99503 (907243-5372 January 15, 1999 Mr. Scott Jones 3366 Orion Circle Anchorage, Alaska 99517 Re: Percolation test performed at 6540 Far View PI., Anchorage, Alaska. Legal: Lot 7F, Goldenview Subdivision Anchorage, Alaska Dear Mr. Jones: The above -referenced property was inspected on January 9, 1999 to determine whether the parcel was suitable for the installation of an on-site well and sewage disposal system in accordance with Municipality of Anchorage design criteria. The parcel is 1.37 acres and heavily wooded with spruce and some birch. The property slopes from from east to west at approximately 10% and appears to drain adequatley. A single test hole was dug in the southwest comer of the property to determine subsurface soil conditions. The hole was dug with a track mounted backhoe to a depth of 15-1/2 feet. Subsurface soils were found to consist of 18 inches of organic material underlain by sand with some gravel to the bottom of the test hole. The ground was frozen to a depth of approximatley two feet. No groundwater was present at the time of excavation however, a monitor tube was installed for future inspection. A falling head percolation test was conducted with a resulting rate of 3 minutes per inch. No soaking was required because of the sandy soil present. The measured drop in water level , after the last of four readings taken at 10 -minute intervals, was 3-5/16 inches. _ The test was conducted between 4-1/2 feet and 5 feet below the surface. From our observation of the site, it apprears that the above referenced parcel is suitable for the installation of an on-site well and wastewater disposal field. Please note that our findings are based upon the conditions of the site at the time it was inspected. Over time, both man-made and natural events may take place that could impact the suitability of the site and the findings of this report. When you wish to develop the site, an engineered plan for the installation of the on-site well and septic will need to be submitted to the Municipality of Anchorage, On-site Services Department for plan approval. If we can be of further assistance or if there are any questions concerning the above information, please contact Doug Kenley at 746-1073 or 243-5372. Sincere y, c4e Doug as T. Kenle P.E. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: -::F'e_e. Tf JO.✓ES DATE LEGAL DESCRIPTION: L o /' %f Go6.Gtr'/-��%/6�C..i Township, Range, Section: DEPTH SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 FEET) �Ajevs l�.cl/i'oa�! ur��IJG' yJiYr/ S'eF7e''6-eV lad B. or ,y1 WAS GROUND WATER /0 ENCOUNTERED? 4 S IF YES, AT WHAT L DEPTH? p / E DO to Water Alter / Alonibring7 •UA.�•'Y Date Reading Date Gross Time Net Time Depth to Water Net Drop / 2 /0 N,..r 1r 2 t �✓ 'LA 20 -{ 3 6 „ 11_ JI PERCOLATION RATE (mmutevmch) PERC HOLE DIAMETER TEST RUN BETWEEN y/Z FT AND >r FT COMMENTS ��'GY 0000 SO/LSA PERFORMEDBY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS 12-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: 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.d.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. Dao -b L/3 aS" HAA# Dib y 3S 1. GENERAL INFORMATION Expiration Date: I — I S" 0-6, Complete legal description GOLDEN VIEW HEIGHTS SUBDMSION: LOT 7F Location (site address or directions) 15830 FAR VIEW PLACE • ANCHORAGE, AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address SCOTT AND ANETTE JONES Day phone 440-6606 C/O LINDSEY BURNETT W/ COLDWELL BANKER Day phone LINDSEY BURNETT W/ COLDWELL BANKER Day phone 2525 "C' STREET " ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well E Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ 441-0007 TYPE OF WASTEWATER DISPOSAL: Individual On-site is Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 Health Authority Approval Guidelines forthis 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 ls(aro) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the lost, 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 llucfuate during the year, and the water usage of the family being served by the system. These conditions are outside the control oflhe evaluator of the system. Satisfactory lest 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 3 bedrooms. Disapproved. Phone 337-6179 Date 0 lc o Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist C/ Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other ON-SITE �•�= WATEAN: M= �WA��S�TEEy lgAT�FR __ •,0�. By: C /�:/�1. , / l� OV Original Certificate Date: —A5, — 0 (R.. 1710,) Municipality of Anchorage Development Services Department �J Building Safety Dkrision On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 89519-66W www.ci.anchorage.ak.us (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: GOLDEN VIEW HEIGHTS SUBDIVISION: LOT 7F Parcel ID: QA 0 - D'(/' 3- 0,S A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/1/2000 Sanitary seal (Y/N) YES Total depth 145 ft. Cased to 63 ft. FROM WELL LOG Date of test 5/1/2000 Static water level 24 ft. Well production 30 — 9 -p.m - WATER SAMPLE RESULTS: Coliform —JL` colonies/100 ml. Nitrate i -21 mgJL. Well Log (Y/N) YES Wires property protected (YIN) YES Casing height (above ground) 18+ in. AT INSPECTION 8/17/2005 24 ft. 3.3 g.p.m. Other bacteria --tJ^oolonies/100 mi. Arsenic: N/A mg./L. Date of sample: 8/17/2005 Collected by: GEG. LID. B. SEPTIC/HOLDING TANK DATA Tank Type/Material ANCHORAGE TANK/STEEL Date installed 2/17-18/2000 Tank size 1000 gal, Number of Compartments 2 Cleanouts (YIN) YES Foundation deanout (Y/N) YES Depression over tank (YM) NO High water alar (Y/N) N/A Date of pumping B/17/2005 Pumper McDONALD'S PUMPING C. ABSORPTION FIELD DATA F68ELDW COVING 010M Date installed 2/17-1e/2000 Soil rating 40.p.d ft%bdr) 1_2 Length 34 ft. Width 3.0 ft. System type DEEP TRENCH Gravel below pipe 6.05 ft. Total depth 'e.5 ft. Eff. absorption area 4111 fe Monitoring tube YES Depression over field NO Date of adequacy test 17/2005 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth In absorption field before test DRY in. Water added 497 gal. New depth 18 in. Elapsed Time: 1150 min. Final fluid depth DRY In. Absorption rate r_ 450+ g,p,d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date – D. LIFT STATION Date installed Size in gallons "Pump on" level at _in. E. SEPARATION DISTANCES High water alarm level at in. Cycles tested Meets alarm & circuit requirements?, SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 1000+ 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 101+ Surface water 100'+ Driveway, parking/vehide storage 20'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 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 HAA guidelines in effect on this date. ......................... y A. eaa, Engineer's Printed Name JEFFREY A GARNESS a CE 79 Date $ f 19105 Prof *me a2 HAA Fee $ L Date of Payment Receipt Number 073i't't \AM (Rev 12'01) Waiver Fee $ Date of Payment Receipt Number 11 rn ;- • K t EASEMENTS OF FIECORD, OTHEA THAN `r.•, " x ;. k' THOSE SHOWN ON THE ti. ':�weih•. .�4; a E RECORDED PLAT ARE "OT SHOWN HEREON. F6 a Z• 5, .�, �'I�::w%ir'i•1 .f�.�'F9 - 04. 20 Z BBlb'GssaLo6 aunquo j .Ia'>jueg -UNb43D1VioCD. �CA LC 1"-30' AS -BUILT No CORNERS SET THIS DATE t here eDy cergty I a t have Pe Aormod a Mortgage of the toilowng descrihedproperty S Anchorage Recording Precinct• 11aska, an 0 not o encs situateor e d thereon aro within the prop, thereto, that noImprov ncroach on meets onpropertyeroperty ly encroach on the premises In lying adl estion roadways• transrnisshon fnes or other v sibledeasetn Property except as Indicated hereon• Dated at Anchorage Alaska INS Zed ���dayotDECemtin FRED WALATKA B A i i amp i oz) d{,Z : by I • 1 *7 . I/V .6 f O O h i �3 0 ,o ' � o WEST c/RCLC 1,; , , \ P \ ♦ \ , IN IV6LL ♦ - � m .3 ♦ ` ^„i 10 3 IN 'be has a o 4zr' .1 ;' - o a. / • 4 v w 6 , 2 rY w.•trq� Cr � ?Zl'of �dt V�v • t , 5eri•,c � KLMM(f•L / , , / r f r 1 ' � 1 • rr , b� ' 1 t 1 70' 1 4rrc�� /V 69'58'Z2gE /B/•60 1 rn ;- • K t EASEMENTS OF FIECORD, OTHEA THAN `r.•, " x ;. k' THOSE SHOWN ON THE ti. ':�weih•. .�4; a E RECORDED PLAT ARE "OT SHOWN HEREON. F6 a Z• 5, .�, �'I�::w%ir'i•1 .f�.�'F9 - 04. 20 Z BBlb'GssaLo6 aunquo j .Ia'>jueg -UNb43D1VioCD. �CA LC 1"-30' AS -BUILT No CORNERS SET THIS DATE t here eDy cergty I a t have Pe Aormod a Mortgage of the toilowng descrihedproperty S Anchorage Recording Precinct• 11aska, an 0 not o encs situateor e d thereon aro within the prop, thereto, that noImprov ncroach on meets onpropertyeroperty ly encroach on the premises In lying adl estion roadways• transrnisshon fnes or other v sibledeasetn Property except as Indicated hereon• Dated at Anchorage Alaska INS Zed ���dayotDECemtin FRED WALATKA B A i i amp i oz) d{,Z : by .. ; . i 9z ¢G W t • .I .58� 55."it I , . .. — r 13 txI 1 -_ __.-.- - _.----��__-- •sir--_-.'-:--- Y'_--.__ .. _- _-� �\� -1.� ♦=* : . • . • • .. __.. .. L ... I ♦ � ..iL/413V IDED,. .... i : kk , i 1 N i i •rit.r .: .: 77. 31 . . r i rY1 �+- Vit, i, ,_ f •� ` o ' ..... . -- T' j 1 { i •�44 �o � .. I t r' .•j�\ '— 1 •.713 1I r ... - ... • tU q �' ::: ' .. . CLY j.'CAL..F I ' ~; { ' , • .. ' . , .: t * t AS BUILT• •NO CORNERS SET THIS DATE 1 .:.__. -_) h6reby certify that: 1. performed a Mort agee's inspection . :..... I { ._ �.. _pf the Ibwin Got�EN9dvlc,,dProE... g i rib Lo 7 : i j ' I " •Y -Anchorage _Recording f Precinct,• Alaska, and that -Lthe mprov ments'sltuated thereon are within the property lines and . -_310'.'not overlap or -encroach on Iheproperty ;lying adjaOnt Ii I f -thereto! that no Improvements on property lying adjacent they to . _ ,encroach bn the premises In: question and that there arelo -roadweys,,transmission lines or other visible easements on said - EASEMENTS OF RECORD, OTHER THAN - f I 1 , --"??roper(y ekceptaslndlcated hereon. THOSE SHOWN ON THE REQORDEp"`'j f� I •! ; , ; y Dated Anchorage, Alaska t PLAT ARE NOT SHOWN HEREON. I-fbOZ,S 1' t i r rl r t f j 1 I 4 nc/ r f'' ' HPg.t3� I «� ,�1.4 ` 1�7 -(a i r _i ihlS 4't �{ day of �ECEMeEq 20p • >248-1666f - y i- FRED WALATKA & ASSOCIATES (907) Engineers and Surveyors 06-26-05;16:23 -&a%- SGS Rcf1t 1055255001 Client Name GarmssEngineering Group, Ltd. Project Name/9 Goldenview Htc UP ClicotSampleH) GoldenviewHtsL7F Matrix Drinking Water Sample Remarks: 907 561 5301 # 2/ 7 All Dares?Imes are Alaska Standard Time Printed Datc/fime 08862005 8:42 CollectcdDatc/rime 08/172005 15:35 Received Date/rime 08/172005 15.39 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Date Date Inst Nitrate -N 1.29 0.100 mg/L EPA 353.2 B 08/17/05 AZS Nitrite -N 0.100 U 0.100 mg/L EPA 353.2 B 08/17/05 AZS Metalm Department Hardness as CRC03 Private Individual Analysis Aluminum Antimony Arsenic Barium Cadmium Calcium Chromium Copper Iron Lcad Magnesium Manganese Phosphorus Chloride Fluoride Potassium Selenium Sodium Silicon Silver Thallium Sulfate 922 5.00 mg/L SM20234013 D 08/19/05 0822/05 SCL 20.0 U 20.0 ug/L EP200.8 D 08/19/05 09=5 SCL 1.00 U 1.00 ug/L EP200.8 D (o-6) 08/19/05 0822/05 SCL S.00 U 5.00 ug/L EP200.8 D (<-SO) 08/19/05 0822/05 SCL 11.8 3.00 ug/L EP200.8 D (<-2000) 08/19/05 0822/05 SCL 0.500U 0.500 ug/L EP200.8 D (<-S) 08/19/05 0822/05 SCL 30600 500 ur)L EP200.8 D 08/19/05 0822!05 SCL I.00U 1.00 ug/L EP200.S D ("100) 08/19/05 0822/05 SCL 44.6 1.00 ap/L EP200.9 D (<-1300) 08/19/05 0822/OS SCL 250 U 250 ug/L EP200.8 D (<-300) 08/19/05 OS2.2105 SCL 0.200U 0.200 ug/L EP200.8 D (<-15) 08/19/05 0822/OS SCL 3860 50.0 ug/L EP200.8 D 08/19/05 0922105 SCL 1.04 1.00 ug/L E•P200.9 D (<-50) 08/19/05 0822/05 SCL 200 U 200 ug/L EP200.8 D 08/19/05 0822105 SCL 2.42 0.100 mgt EPA 300.0 B (<-250) 0823105 DSH 0.100 U 0.100 mg/L EPA 300.0 B (<-2) 0823/05 DSH SOO U 500 ug/L E•P200.9 D 08/19/05 0922105 SCL 5.00 U 3.00 ug/L EP200.8 D (<-50) 08/19/05 0822105 SCL 2500 500 ug/L EP200.8 D (<-230000) 08/19/05 0822/05 SCL 3930 200 ug/L EP200.8 D 08/19/05 0322105 SCL 1.00 U 1.00 ug/L EP200.8 D (<-100) 08/19/05 O8 -VOS SCL 1.00 U 1.00 up/L. EP200.8 D (<-2) 08/19/05 08/21/05 SCL 11.9 0.100 mg/L EPA 300.0 B (<-250) 0823/05 DSH 08-26-05;16:23 -sf2$- SCS ReLp 1055255001 Client Name Gamess Engineering Group, Ltd. Project Name/11 Goldcnvicw Hts OF Client Sample rD Goldenview Hts VF Matrix Drinking Water ;907 561 5301 # 3/ 7 All Dates/rimes are Alaska Standard Time Printed Datelrlme 08262005 8:42 Collated Date/rlme 08/172005 1535 Received Daterrima OS/172005 15:39 TechnicalDirector Stephen C. Ede Allowable Prop Analysis Parameter Results POL Units Mcdlod Container ID Limits Date Data Inst Private Individual Analysis Zino 5.00 U S.00 urjL EP200.8 D (<-5000) 08/19/05 081=5 SCL Total Dissolved Solids 136 10.0 mg/L SM202340C C (t-500) OS23/05 ISC Nickel 2.00U 2.00 us/L EP:00.8 D (o.100) 08/19/05 0822/05 SCL EC03Alkalinity 92.0 10.0 mg/L SM -102320B C 0824/05 ISC CO3 Alkalinity 10.0 U 10.0 MOIL SM20 23208 C 0824/05 ISC Olt Alkalinity 10.OU 10.0 me/L SM202320B C 0824/05 ISC Conductivity 205 1.00 tmthos/em SM20 251OB C 0822/05 ISC PH 7.72 0.100 pH units EPA 150.1 C (6.5-8.5) 08/17/05 ISC Alkalinity 910 10.0 mg/l. SM202320B C OS/24105 ISC Total Coliform 0 coUl00mL SM209222B A (al) 08/17/05 TLF