HomeMy WebLinkAboutWINTER ESTATES LT 1MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Water System Permit
Permit Number: OSP211334
Work Type: Well Initial
Tax Code Number: 01740156000
Site Legal Address: WINTER ESTATES LT 1 G:2841
Site Mailing Address:
Owner: SQUIER DAVID & ELAINE
Design Engineer:
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date
G f.
Department
Lot Size in Sq Ft:
Total Bedrooms:
8/11/2021
8/11/2022
90162
Q Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
1) Insulation shall be placed over the sewer piping routing under the driveway/parking area for freeze protection
(AMC 15.65.210B.5).
2) To close out this permit please submit the following:
a) Well log
b) Pump install log
c) Water sample results for total coliform, nitrates and arsenic.
Received By: q A Date:
Issued By: Date:
3
MUNICIPALITY OF ANCHORAGE
Development Services Department '' Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-401-56-000
Property owner(s) David and Elaine Squier
Mailing address 9112 Dewberry St, Anchorage, AK 99502
Site address 8234 E. 130th Ave. Anchorage, AK 99516
Day phone 907-350-4568
Legal description (Sub'd., Block & Lot) Winter Estates Lot 1
Legal description (Township, Range & Section)
Lot Size 90,0162 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial
Single Family (SF) El
ADU)
Septic Tank
El
Upgrade
Upgrade ❑
E-1
(D)
Holding Tank
F-1Renewal
ElDuplex
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
0
Water Storage
❑
THIS APPLICATION INCLUDES
A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
David Squier
2021.08.10 13:44:42 -08'00'
(Signature of property owner or authorized agent)
Permit/Rush Fees: il 2.� 5
Date of Payment:k�Z /
Receipt Number: n 2 61 `i 17
Permit No. OS P a 113 3 `f
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
m
100' WELL
RADIUS
PROPERTY LINE (TYP)
100' WELL
RADIUS
l
HOLDING TANK
ENGLE LOT 1
100' WELL _
\ RADIUS
�o
!SEPTIC
AREA
ENGLE LOT 3
MOUNTAIN SHADOWS \
LOT 10, BLOCK 1 I
MOUNTAIN SHADOWS \ MOUNTAIN SHADOWS
LOT 9, BLOCK 1 100' WELL LOT 11, BLOCK 1
RADIUS
SEPTIC / SEPTIC
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a
V
PROPOSED 100'
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WINTER ESTATES 10' UTILITY , I
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SCALE IN FEET
WINTER ESTATES
LOT 2
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100' WELL
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PROPOSED WELL / �!
E1/2, SW 1/4 SW 1/4, NE
1/4, SECTION 25, T12N, R3W
SQUIER RESIDENCE
8234 E. 130TH AVE ANCHORAGE, AK.
WINTER ESTATES SUBDIVISION LOT 1
WELL LOCATION SITE PLAN
EPTIC
100' WELLOAREA
DATE 080../ 912021
RADIUS
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PROJECTION:
0 50 100
SCALE IN FEET
WINTER ESTATES
LOT 2
UPPER DEARMOUN ROAD
SEPTIC(
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100' WELL
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PROPOSED WELL / �!
E1/2, SW 1/4 SW 1/4, NE
1/4, SECTION 25, T12N, R3W
SQUIER RESIDENCE
8234 E. 130TH AVE ANCHORAGE, AK.
WINTER ESTATES SUBDIVISION LOT 1
WELL LOCATION SITE PLAN
DATUM:
DATE 080../ 912021
SHEET
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PROJECTION:
DWN. DES
j
SCALE 1^=100'
of
PROJECT No.
APPRVD. DES
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E 130TH AVENUE
EDGE OF TRAVELED WAY
EXISTING GRAVEL DRIVEWAY
PROPERTY UNE (TYP)
EXISTING SEWER LINE
/
EXISTING SEPTIC TANK
s
EXISTING GRAVEL
PARKING AREA
I
PROPERTY LINE (TYP)
10' UTILITY
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NEW SEWER LINE
I 10.0'
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WELL
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RADIUS -� \
NEW WATER LINE
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8234 E. 130TH AVE, ANCHORAGE, AK.
WINTER ESTATES
SUBDIVISION LOT 1
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o 15 30
WELL LOCATION SITE PLAN
� N
DATUM:
DATE 08/09 2021
SHEET
¢
SCALE IN FEET
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PROJECT No.
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Municipality of Anchorage
Development Services Department ;
Building Safety Division
on-site Water 6 Wastewater Program, 4700 South Bragaw SL ....:
P.O. Box 196650 Anchorage, AK 995196650
www.d.anchorage.8k.us (907) 3417904 Page t of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number.
9we5934A. SweyoH3Z Pio Number. 017-401-56
Nam.: Wastewater System: ■ New O Upgrade
JOE CRAIG
Addnee: ABSORPTION FIELD
P.O. BOX 202254 • ANCHORAGE. AK 99520
Pham: No. M eadroome_ 0 04s Trench ■Shottow Tnnch (3 led C3 wound aother
(907) 274-8317 3
sea pW,F tar Wt, reiw enyar waw;
LEGAL DESCRIPTION 0.8 van,. n SEE DWG. n
eUck: [ac $YDd wMOn. 0wh Y PM town evn ere.. weN. G= a.pM b M W: 0.5+ n
1 WINTER ESTATES SEE DWG. n
roaneh:p: Range: section: — n eee.e eew+ e.y..+ ww: 12D (2 ® 60) n
SEE DWG. n
WELL: 0 New C7 Upgrode
I rMa► 7f.1 /L . I`ve ..Tn
CPU R
SEPARATION DISTANCES
To Sept;e Aoeorpl'an Uft Hetd:ng
Tpµ i'wW Station Tank
wen — — —
surface watt,
Lot Une
roundotioo
Curtain Drain
1000+ 100'+
5'+ 10'+
e n.I.eMr M u...:
5 n 2 15
a eoa tar t,.� 600 sa rL ►w 0 3034/ F—e 10
n
rL A+ HOME SERVICES 8/8/2005
n TANK
■ 540C O Nplding 0 S.T-E-P. 0 other
rwrx .
' 1000
r Lin" ANCHORAGE TANK
kete..r. ...... a ..Tp.v....
_ STEEL 2
LIFT STATION
- La M P.r..r Yen.Iecty�
K•
Remarks. SHALLOW TRENCH WITH 2 FOOT SAND LINER. BENCH MARK
WELL NOT DRILLED AND HOUSE NOT BUILT. BOTTOM OF TANK
w... 99.77 n
[warc[its.u�
a
GEG, Ltd. Dates:1st e 5 Zoos ?'.:..4 .••....•.•...
Inspections performed by: "'
2nd 8/5/2005 Qom/
3rd 0 8/8/2005 p 0 arness.
Development ervices Department Approval
Da
te: f+ OpdPrar.[staea�4
Reviewed and approved b : ��000
SWO50389 AS -BUILT DRAWING °'��` ,
017-401-56
1
I
1
130th AVENUE //
NVAUED rt0w
SPMffR-1
+TH12
ALTERNATE STE WILL
REOUIRE THE USE
OF AN ADVANCED
WASTEWATER
TREATMENT STSTEU•
GARNESS ENGINEERING GROUP, Ltd.
- - CONSUITANT3 • GENERAL CONTRACTORS 1
IM t t�ON bG •IR MI � K.M.OL M. Mf01 � A� heI)UI.�INI � IK iblltNdtM � OIG w�1�ti^ I
PREPARED FOR:PHON£ Nl74NER: PACE NUMBER;
JOE CRAIG 274-8317 2 OF 3
wn BW:
AL DaaaPTroN: B.F.M.
WINTER ESTATES SUBDIVISION. LOT t,
atE:
E OF WORK: 2/17/2006
AS -BUILT FOR SEPTIC SYSTEM ONLY
co•`'r4q •
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GARNESS ENGINEERING GROUP, Ltd.
- - CONSUITANT3 • GENERAL CONTRACTORS 1
IM t t�ON bG •IR MI � K.M.OL M. Mf01 � A� heI)UI.�INI � IK iblltNdtM � OIG w�1�ti^ I
PREPARED FOR:PHON£ Nl74NER: PACE NUMBER;
JOE CRAIG 274-8317 2 OF 3
wn BW:
AL DaaaPTroN: B.F.M.
WINTER ESTATES SUBDIVISION. LOT t,
atE:
E OF WORK: 2/17/2006
AS -BUILT FOR SEPTIC SYSTEM ONLY
pERNR NUMBER:AS-BUILT DRAWING P017 401-56
SWO50359
'rNAL CRADE • 1(6.64♦
.R TRENCH DRAwncws 12RE TOP50 rNAL GRADE . 19.52-100.4
ANO SEEDED PER OWNER.
INVERT Of DI MOLRION
rt)AL CRADE - tIL1ER fADR7C UNE • 17.02
99.00-99.17 2M TER FTKNI
r-ORiCw9 GRADE •
FILTER FA8RIC /
2' INSULATION RT of OISTRI8UT10N
tRt[ • 95.92
TOP or
FILTER .
Top or
FILTER .
BOTTOM OF SYSTEM .
93.20 (AVC.)
N20 O 90.92
pELATIvE ELEVAr•ON or BOTTOM
Or TEST NOLO • 57.92
BOTTOMor SYSTEM WEEP O
94.13 (AVC.)
RCLATNC (MATK)N t
OF TEST NOTE •
GARN - SS �NGiNLLRING GROUP, Ltd. �.../ .. •.•......::'.
CONSULTANTS i OEN�FU: CO�NACNORL Q
na c ■1.0• •o.o. f•R N1 •.1.O L M]Ol • v� IONS PACE NUMBER: O L re ••••. COfflew ••'
Z62 CFO FOR: PHONE NVMBLR:
3 OF 3
JOE CRAIG 274-8317 dQ�;o 0 7 53 = 'to
WN by:
LECAL DESCRIPTION: BF.At. QOM.''i?.:1j.0
WINTER ESTATES SUBDIVISION: LOT 1• DA L.OQ�OFO„;o0d
40105)
TOP Or TANK OUTLET
TOP OF TANK ATYINEW
.6
104.64
. tDt.e•
FROM
NO=q=BCMD.
FIE
1000 CAl-LuON
NVERT of BUNC AT
WART or 6LNSEPTIC
TANK
OUTLET • 103.79
INLET . 10•
.R TRENCH DRAwncws 12RE TOP50 rNAL GRADE . 19.52-100.4
ANO SEEDED PER OWNER.
INVERT Of DI MOLRION
rt)AL CRADE - tIL1ER fADR7C UNE • 17.02
99.00-99.17 2M TER FTKNI
r-ORiCw9 GRADE •
FILTER FA8RIC /
2' INSULATION RT of OISTRI8UT10N
tRt[ • 95.92
TOP or
FILTER .
Top or
FILTER .
BOTTOM OF SYSTEM .
93.20 (AVC.)
N20 O 90.92
pELATIvE ELEVAr•ON or BOTTOM
Or TEST NOLO • 57.92
BOTTOMor SYSTEM WEEP O
94.13 (AVC.)
RCLATNC (MATK)N t
OF TEST NOTE •
GARN - SS �NGiNLLRING GROUP, Ltd. �.../ .. •.•......::'.
CONSULTANTS i OEN�FU: CO�NACNORL Q
na c ■1.0• •o.o. f•R N1 •.1.O L M]Ol • v� IONS PACE NUMBER: O L re ••••. COfflew ••'
Z62 CFO FOR: PHONE NVMBLR:
3 OF 3
JOE CRAIG 274-8317 dQ�;o 0 7 53 = 'to
WN by:
LECAL DESCRIPTION: BF.At. QOM.''i?.:1j.0
WINTER ESTATES SUBDIVISION: LOT 1• DA L.OQ�OFO„;o0d
40105)
Altmicipality of Anchorage
11.0. nu[ 1WrZ0 i ,bichnmgc, Alaslul 99519.6660 i Telephone ('.N)7) 343-9301 i rax UX)7) 343.8_0(K1
4700 magas• Strect i Anchomgc, Alaska 99507
mim.nmd.org
,lMyor Jlark Begich
Building Safety Division
19 September 06
Joseph Craig
8234 E. 130'h Ave
Anchorage, AK 99516
Subject: Expired On -Site Water and/or Wastewater Permit
Permit Number: SWO50389
Legal Description: Winter Estates Lot 1
Dear Mr. Craig:
An On -Site Water/Wastewater Permit, number SW050389 issued by this office for a single-family
system, will expire on 07 October 06. Permits are valid for 365 calendar days from date of issue.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report must be
sent to this office for review, approval and documentation. This as -built inspection report must be
signed by the licensed Professional Engineer who inspected the installation of the system. As -built
inspection reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A one-time renewal fee for a
second year may be issued for a $115.00 if the renewal application is received on or before the
expiration date of the original permit. When applying for a new permit, the fees are $460.00 for a
wastewater permit and $175.00 for a well permit.
If you have any questions, please call this office at 343-7904.
Sincerely,
Daniel J. Ro
Program Manager
On -Site Water and Wastewater Program
Enc: Copy of permit
Conzmunity, Security, Prosperity
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Renewal
Permit Number: SWO50389
Legal Description: WINTER ESTATES SUBDIVISION LOT 1
Design Engineer: 0000 None Required
Owner Name: JOSEPH CRAIG
Owner Address: 8234 E 130TH AVENUE
ANCHORAGE. AK 99516 -
Date Issued: Oct 07, 2005
Expiration Date: Oct 07, 2006
Parcel ID: 017-401-56
Site Address: 8234 E 130TH AVENUE
Lot Size: 90162 SO. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
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.
-THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST
BE VEGETATED SUFFICIENTLY TO PREVENT EROSION.
Received By:
Date: _ Al)�05—
Issued B✓ I" Date: o 't —IT
Municipality of Anchorage O
-�� Development Services Department
Building Safety Division ;r., r.. :.••;
On -Site Water and Wastewater Program S� °
4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519$650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWERNVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. f{61- 5(,:;, _ Permit Number SW
Property owner(s) X1705 ,Q tt tA _
Mailing address Po Zc ZZS-N
phone
G Code - O'lSZc7
Site address 8Z 3 C — t sc)I� A \j f rV �/ � Zip Code
Legal description (Lot, Block & Sub'd.) . ,t K:qj-q S—, Lo -r (
Legal description (Section, Township & Range)
Lot Size E0Z&,P Acres q.F
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
I certify that the above
Single Family Dwelling
of ptoperty owner or
Number of Bedrooms 3
❑ Well Only
❑ Water Storage ❑
El
❑ Jacuzzi ❑
❑ Water Softening Unit ❑
El
s cor I further certify that this application is being made for a
in rdance�h applicable Municipal Codes.
Permit/RushFees: //5_ -Uy Waiver Fees:
Date of Payment: L6 &05_ Date of Payment:
Receipt Number: Receipt Number:
(Rev. 09/04)
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SWO40432
Legal Description:':WINTER ESTATES SUBDIVISION LOT 1
Design Engineer: 0855 Gamess Engineering Group, LTD
Owner Name: JOSEPH CRAIG
Owner Address: 8234 E 130TH AVENUE
ANCHORAGE. AK 99516-
Date Issued: Oct 14, 2004
Expiration Date: Oct 14, 2005
ParcelID: 017-401-56
Site Address: 8234 E 130TH AVENUE
Lot Size: 90162 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of.
Q Disposal Field 3 Septic Tank E] Holding Tank [] Privy Private Well E] 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.
Received By-
Issued
y
Issued
Date: T 0t
Municipality of Anchorage
Development Services Department
� Building Safety Division
On -Site Water & Wastewater Program '
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
A FOR A SINGLE FAMILY DWELLING
Parcel I.D. / / 9 — 40I — 57?r Permit Number
Property owners) — JOE CRAIG Day phone 274-8317
Mailing address (1) P.O. BOX 202254 • ANCHORAGE ev
L address (2) X39 E l n Ave -5 Zip Code eq5m ql sl e'
Legal description (Lot, Block & Sub'd.) LOT 1: WINTER FSTATFS e /D
Legal description (Section, Township & Range) N/A
Lot Size ��. �� Acre Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
❑
Well Only
❑
Sewer and Well
0
Water Storage
❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑
Water Softening Unit
❑
Therapy Pool
❑
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.
eG yf' `}
Permit Fees: u�i�, } �7�j / XIII i�'YyVaiver Fees•
Date of Payment: 10/1jOy Date of Payment:
Receipt Number. _ �1��7�yCi� Receipt Number..
UA -K N ESS ENGINEERING GROUP, Ltd.
CONSULTANTS 8 GENERAL CONTRACTORS
October 7, 2004
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Proposed Well and Septic System for Winter Estates Subdivision; Lot 1,
To whom it may concern:
The proposed 3 bedroom house is to be served by a private well and septic system. The well is to
be drilled in the area shown on the attached site plan and design drawings. Two test holes were
excavated on the property. The drainfield will be designed around the 30 foot radii of these test
holes. We are proposing that a new 1000 gallon septic tank and dual 5 -wide trench type
drainfields be installed. Comments regarding the design are summarized as follows:
L SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results. It is our opinion that an application rate of 0.8 gallons/day/!i'
should be used.
2. TRENCH DESIGN:
a. Percolation Rate: 10 minutes/inch
b. Proposed Application Rate: 0.8 gallons/day/ft'
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 563 ft'
f. Total Depth: 2 feet (maximum -remove all organics)
g. M.O.A. Approved Sand Filter: 2+ feet
It. Effective Depth: 0.5 feet (minimum- below distribution lines)
i. Width: 5 feet
j. Minimum Length: 120 feet total length (2 @ 60 feet long each)
k. Effective absorption area = 600 ft'
3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507
Ph: (907) 337-6179' Fax: (907) 338-3246' Website: gamessengineering.com
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 surveyors plot plan, the average slope in
the area of the proposed drainfields is a 5 to 16 percent running northwest to southeast. In short,
there are no slope concerns.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance. A
P.E., M.S.
NOTE: A site plan drawing, a design drawing, a detail drawing, two soil logs, and a 7 page
construction specification letter which are all part of the design package for this septic system.
3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507
Ph: (907) 337-6179' Fax: (907) 338-3246' Website: gamessengineering.com
I
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N 1/2. SE 1/4, SE 1/4,
NW 1/4; SECTION 25, T12N, R3W
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LOT 1,
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LOT 9, BLOCK T
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♦ MOUNTAIN SWIDOW$ S/D; I I
1_SEpnc ♦\ OT 11, BLOCK 1,
AP �1 I
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LOCATION
130th AVENUE
PROPOSED
ALTERNATE 3 BEDROOM
SITE HOUSE / 1 .:a I WELL RADIUS
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i
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1 I I
I 1
ENGLE S/D: 1 ���---_�♦♦
\ LOT J, y� I I'k, ♦ �PROPo
g I l'y I r$EPTIC
O _11
ARS
POSED 100'PLRWELLRA RADIUS
APPROX. ' \ WINTERS ESTATES S/D /
LOCATION I \ LOT 2,
I \ /
I
DATE:
r` 10/6/2004
I �I �i ♦ DRAWN BY:
GARNESS ENGINEERING GROUP, Ltd. JLM
CONSULTANTS 6 GENERAL CONTRACTORS- SCALE'
3101 F Tl1DM ROAM $MTF 101 • AWH00p0F AK Ooa01 • PHANF (W7)137. 170 • FAX (007)33+-0746 1 „ = 100,
PREPARED FOR PHONE NUMBER: PAGE NUMBER:
JOE CRAIG 274-8317 1 OF 3
LEGAL DESCRIPTION:
LOT 1; WINTER ESTATES SUBDIVISION
TYPE OF WORK:
SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATIONS
-D SEPTIC SYSTEM
ICN, PACE 2 OF 3)
I
I
I
I
I
I
I
E 1/2. SW 1/4, SW 1/4,
NE 1/4; SECTION 25, T12N, R3W
I,
�.' T
y,
-O
...... ... .. . . .... ........
. . .............
P r rn SS,:
.c• 7953 el.
ALTERNATE
130th AVENUE
PROPOSED 1000 GALLON
SEPTIC TANK
INSTALL
I�
PROPO
INSTALL FOUNDATION I )~ ••
CLEANOUT
Jp�pO
I 1 �b�Oq$f0
Co I
CO 1 \ I
v
YCo \
vsLU URAINFIELDS. EXCAVATE TWO
HES THAT ARE 2 FEET DEEP MAX.
VE ALL ORGANICS) BY 5 FEET WIDE
FEET LONG EACH (120 FEET TOTAL
I. ADD 2+ FEET OF M.O.A. APPROVED
ILTER AND THEN 0.5 FEET OF CLEAN.
SEWER DRAINROCK. INSTALL PARALLEL
(TOURS (SEE DETAIL. PACE 3 OF 3).
DATE:
OF
10/4/2004
kil .......................
DRAWN BY;
GARNESS ENGINEERING GROUP, Ltd. JLM
— CONSULTANTS 6 GENERAL CONTRACTORS ���� SCALE:
5701 F TUDOR ROAD, SUITE 101 • ANr.. RAGF. AK 00507 • FNONF (00])33)-0170 • FAX (007)336.3746 1 ~ - 40'
'REPAIRED FOR: PHONE NUMBER: PAGE NUMBER:
JOE CRAIG 274-8317 2 OF 3
EGAL DESCRIPTION:
LOT 1; WINTER ESTATES SUBDIVISION
YPE OF WORK:
DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM
6ma
•e. fir
7 SEpnc TAN(
FILTER FABRIC
INSULATION -
2'+ OF COVER FILTER FABRI
INSULATION
VISSOUEEN
R AROMD
OF TREKHCSr\\,----
SZt---
- FKAL GRADE
2'+ OF COVER
F-2 FEET DEEP MAX.
�)FINR Z ; -: Z
_.LREMOVE ALL ORGANICS
—5'
10,
NOTE: THERE MUST BE 0.5 FEET OF CLEAN. WASHED SEWER DRAINROCK ABOVE AND BELOW THE INVERT OF THE
UNE.
DATE:
10/4/2004 0000F
DRAWN ... ...
74 SY:
GARNESS ENGINEERING GROUP, Ltd. JLM o P.••'
4
� CONSULTANTS A GENERAL CONTRACTORS
5701 F T� ROA� .�,XTF 10- - AWW)RAGF. AK 99SO? - P�NF (0 0 713 3 7-01 79 - FAX (007)338-3746 11" = 40' ..... .... .. . ..... .
PREPARED FOR: PHONE NUMBER-.-- PACE NUMBER: —
JOE CRAIG 274-8317 3 OF 3. . . ......... ...
LEGAL DESCRIPTION: f Gar ss.:
LOT 1: WINTER ESTATES SUBDIVISION
TYPE OF WORK:
(al
DETAIL OF PROPOSED DRAINFIELD r oFessYo^boo
USE
ARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS 6 GENERAL CONTRACTORS
i7 c;z won. SUR jai • wcwwcc M. ww' • R W7 7- 13. • fM: Yp) -iiM • Y'C�ll[ yvti.•wq'n..,Yy.tan
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: LOT 1: WINTER ESTATES SUBDMSION
PERFORMED FOR: TOM BRASSFIELD DATE: 7/31/2000
DEPTH
(feet) 7!r=
(feet)
1 ORGANICS
2
ML
7-10 8-
1011 10-
11
12-
13-
14-
15-
16-
17-
181
2131415161718
19
TEST HOLE #11
(PAGE 1 OF 2)
-SOIL CLASSIFICATION
GW ---= ORG
`- • = GP 7M ML
F I GM CL
GC OL
J p p
>�p..p..p SW I MH
�'• SP CH
f�SM ,' OH
SC
DEPTH TO
GROUNDWATER
DATE
WEEP O 5' .7/31/2000
NET TIME
(MINUTES)
7.0'
8/6/2000
4.94'
4/14/2003
10.2'
1 10/21/03
DATE
130th AVENUE
CLOCK
TIME
NET TIME
(MINUTES)
PROPOSED i>
3 BEDROOM
NET DROP
(INCHES)
HOUSE I ,
1
I �
—
,
o,
_
�
2
3
� J
,
30
—
2 3/4-
6'
3 1/4'
—
��-- "k
4
4:42
30
,
3-
i
,
SITE PLAN ;
5
1'=100' 1
—
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
8/l/2000
1
3:42
—
6•
_
LOWER
ERC
2
3
4:12
4:12
30
—
2 3/4-
6'
3 1/4'
—
4
4:42
30
3-
3-
5
4:42
—
6•
_
6
5:12
30
3'
3'
PERCOLATION RATE 10 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
1E5I RUN BETWEEN 3.0 FT. AND 3.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES
❑ NO
SOILS LOGGED BY: CINDY ELLIS PERCOLATION TEST PERFORMED BY: JOE MARCHETTI
COMMENTS:
PERFORMED BY GEG, Ltd. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS qER ORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:_ t0/`L'l�0
o SOF pp0
�GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS O
i!GI L NOON son, fIMC 101 • .rcwn ct, ..c eD501 • wwe W rein • Iw: oo �l]N .•,[8511[ p. yq.arw 0• • • • • • • • • • • • • • • . • • • • . • • • •D
SOIL LOG - PERCOLATION TEST D
LEGAL DESCRIPTION: LOT 1: WINTER ESTATES SUBDIVISION OQ P •.J am ss:
PERFORMED FOR: TOM BRASSFIELDQ °g. E 79
DATE. --Z,/ 31/2000
DEPTH
(feet) Vero fess_ -l.0 ll^o\�
1 TEST HOLE 1 �pOp000000�
(PAGE 2 OF 2)
2 SOIL CLASSIFICATIONS
GW =—_= ORG g th AVENUE _
i
3 ` • GP ML i'—
I I GM CL /
4 N / GC OL
PROPOSED I
0 3 HOUSE M/ f
0 0,0..• SW MH HOUSE
...• . I
5 •••• SP CH '
SM OH
6 w SC
C9
Q
7 d DEPTH TO DATE __\�
GROUNDWATER _ +
e p �I
f 4 i
9 Z
SITE PLAN I
10 U 11".100,
LL-
it
L11 N
DATE READING CLOCK NET TIME WATER LEVEL NET DROP
12 8/11/2000 1 3:42
U
13 J �PCER
14
(n 5 4:42 – 6•
W
Ln
16
17
18
1
9 PERCOLATION RATE 10.2 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 2..0 FT. AND 2.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES
❑ NO
SOILS LOGGED BY: CINDY ELLIS PERCOLATION TEST PERFORMED BY: JOE MARCHETTI
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE 0 MED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: v
TIME (MINUTES) READING (INCHES)
— 6• _
UP2 4:12 30 3• 3•
3 4:12 — 6• _
4 4;42 30 3• 3-
_
6 5:12 30 3 1 16• 2 15 16-
15
00000p 0
OF gS;pO
GARNESS ENGINEERING GROUP, Ltd.
ONTRACTORS ��;. 4 I y�0p
CONSULTANTS b GENERAL C�� p D
7>01 L figgi IIWo. YRI[ lol • MCIgNMF MC HISo) • H10,IC: Wl )-�Iri • FM: W -uM • FCgyR ...... • • • • • • . • • • ......: • • • •0
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: LOT 1: WINTER ESTATES SUBDIVISION O p ness:
PERFORMED FOR: TOM BRASSFIELD 7953 •' `F`O�
DATE: 7/31/2000 Q ,,
(feeTH
t) =__ p4°°p.o/ess{ol`0\���
TEST HOLE 2 �4000000��
1 ORGANICS
SOIL CLASSIFICATIONS
GW ORG 130th AVENUE ,�
^GP 1111111 I GM CL
ML / GC FFFT-iOL PROPOSED
'1 3 BEDROOM -� I
•°• SW MH HOUSE I
g r WEEPINGA: SP CH 1 �� A
1 SM OH 4 1\ �� I M
6 Sc �I I
7 DEPTH TO GROUNDWATER
ML/SM
�E
8
1
9 i
i
SITE PLAN
SM I
10 , 1'a 100' ;
11 8.0.11. DATE READING CLOCK NET TIME WATER LEVEL NET DROP
12
13
14
15
16
17
18
19 PERCOLATION RATE 10 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 3.0 FT. AND 3.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: CINDY ELLIS PERCOLATION TEST PERFORMED BY: JOE MARCHETTI
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. CARNESS, CERTIFY THAT THIS WASP F RMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: /J
DATE
WEEP ®5.5'
7/31/2000
7.0'
8/6/2000
4.5'
4/14/2003
7.3'
10/21/03
TIME
(MINUTES)
READING
(INCHES)
8/1 2000
1
3:43
—
6�
_
2
4:13
30
2 3 4'
3 1 4'
3
4:13
-
6-
_
4
4:43
30
3'
3'
5
4:43
-
6^
_
6
5:13
30
3'
3'
i
LOT 1
ENGLE
SUBDIVISI
LOT 3
30' i
A !
J iLJ
Q
=I
U
30' 30'
I
SCALE: I' = 6d
GRID: 284 1
ZONE:
C:\2004uoe Craig\lot.dwg, 10/4/200410:05:18 AM
• .6 6l)78,?;. -� a
• ic.A": Municipality of Anchorage �`� • -° s
,
Program On-Site Water and Wastewater �; <
MV1.1.71111
(907) 343-7904 BIO? r r ,(► s
Certificate of On-Site Systems Approva�// ® ff ='�,'
Parcel I.D. 017-401-56 Expiration Date:
1. GENERAL INFORMATION:
Complete legal description Winter Estates; Lot 1
Location (site address) 8234 E. 130th Ave*Anchorage,AK 99516
Current Property owner(s) Lidia Wasiak Day phone (224) 805-7352
Mailing address
Real Estate Agent Andrea Senn Day phone 602-0867
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
n Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank
Community Class Well ❑ Community l ❑
Public Water System n Public Sewer n
WaiverNariance request for: Distance:
Received by:// % Date: .1)--.3//4
COSA to be releAed to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 521Waiver Fee $
Date of Payment 6121016 Date of Payment
Receipt Number 657;1-3 Receipt Number
COSA# 06L /2. 1'2 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101-Anchorage, Alaska 99507 Ji
Engineer's Printed Name: Jeffrey A. Garness Date: J I( t
,00000ppO
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o� OF �A ..44�
in accordance with the guidelines and regulations established by the Municipality of Anchorage and ,�..••..•' •..�s�o
industry practices. The reported results describe the condition of the system/s on the date/s of the QOk -.•• l) •. ,�00
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �� • O
encroachments may exist that were not identified during the evaluation. The operational life of all wells *-44 *r 0
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and f VA
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 i • • f' -y .ness;
system/s; therefore, GEG makes no warranty(express or implied)regarding the future performance of f�
the well or septic system. GEG makes no representation whether an alternative well or septic system V ' CE795 e.• oZQQ
can be installed on the property in the event either of the current systems fail to perform adequately in v k °,.P •..di.. c�°o
the future. The content of this report is for the sole benefit of the person/party that retained GEG to V .O'Pr0 essiO11°oma
perform the evaluation. Reliance upon the information provided in this report by any other person or 0000 000
party (including subsequent property purchasers) is not authorized, nor will it confer any legal rightCHG
whatsoever. W
�� # CCB ',
v
6. DSD SIGNATURE O, ' ��� �.
System #1 Approved for bedrooms �Q����PP� C
System #2 Approved for bedrooms �1PG' OGS ��
Disapproved eo
Conditional approval for bedrooms, with the following stipulations:
NiDetw-4 SFM/. &art 1 c S. s'-- Ad!. No Qf ,-,S cp..,
pvt.e_Ai.41kAA ei ,s i e (Lill ed a iV. P 'u. c (Ail (if
r
P 0Ivt-il
--EV t."--- (.; -C, Original Certificate Date: 6—" Z-3 —6
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 X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Winter Estates; Lot 1 Parcel ID: 017-401-56
A. WELL DATA NO WELL DRILLED AT THIS TIME
Well type If A, B, or C provide PWSID# Well Log (Y/N)
Date completed Sanitary seal (Y/N) Wires properly protected (Y/N
Total depth ft. Cased to ft. Casing height (abo - •round) in.
FROM WELL LOG AT I ' CTION
Date of test
Static water level ft. ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RES :
Coliform colonies/100 ml. Nitrate mg./L. Collected by:
enic: ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA *Home not constructed
Tank Type/Material Septic/Steel Date installed 8/5-8/2005
Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Yes
Foundation cleanout (Y/N) *No Depression over tank (Y/N) No High water alarm (Y/N) N/A
Date of pumping * Pumper
C. ABSORPTION FIELD DATA *Below Existing Grade
Date installed 8/5-8/2005 Soil rating ap.d./ 'or ft2/bdrm) 0.8 System type Shallow Trench
Length(60 & 60) 120 ft. Width 5 ft. Gravel below pipe 0.5+ ft.
Total depth *3.4+ ft. Eff. absorption area 600 ft2 Monitoring tube Yes Depression over field No
Date of adequacy test ** Results (Pass/Fail) Pass For 3 bedrooms
Fluid depth in absorption field before test Dry in. Water added ** gal. New depth ** in.
Elapsed Time: ** min. Final fluid depth ** in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) None If yes, give date —
**Home not constructed, septic system has been idle since time of installation. Septic system dry
upon GEG inspection on 5/14/2018.
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm & circui -.uirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO: NO WELL DRILLED AT THIS TIME
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer/sep .. ervice line Holding tank
.mal containment areas Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation * Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line * Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation * Water main 10'+
Water service line * Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain None Known Wells on adjacent lots 100'+
F. COMMENTS
*Well not drilled and home not constructed.
,,,.o000QOO
G. ENGINEER'S CERTIFICATION o,�� OF. A e����p
vo > s�ti0
I certify that I have determined through field inspections and * 4T •,3*0p
review of Municipal records that the above systems are in /
conformance with MOA COSA guidelines in effect on this t VA
date. /O J ' r : e.- ess.
Engineer's Printed Name JEFFREY A. GARNESS Q CE-795 op
Date 4Oedprofessiol'^o\
��DoOoo��
#AECC884
(Rev. 11/05)
ii i- coo '1 0
0 VICINTY MAI
Q
T.LLLI1413L ‹ ' R-,I,1
01 22 23 24
I 7 . :i:
30' 1 _� 26 ,25
�� 34 35 ' 36
CO EAST 130TH AVE. .1111, r RtIAC
EAST 130Th AVE. O SCALE '' 2 MIL
CO m N89°5640°E ' 280.67 1
7 56.4 0126.31 116.5 FND 21
I-. -it:189°56'40u
0Q o co BC MONUMENT
30 30 �, X
L=31 .40
StPnC AN -.1. I
X PIPE5 P
1 � X } � �J 40- ~- II
_ ;
m — Pew
` •
a GRAVEL DRAIN NX,/ �o "—�
FIELD a I
LOT; 1 ! LEGEND
90, 162 3 . F. u_:
} ,$ o STAND PIPE
44.Zi- OF 11Cd7o ._• p I 8 . ® FND 2i BC MONUMENT
idclb. -.--.... n 1? •
Q I '°
"'co / .:,.`�"4,-r# •t ,Z •• FND �,� REBAR
,*?49L 1.2;„::.•..mn :: >ZC I T4E TELEPHONE $
` _ -- —1 TELECOMMUNICATIONS ESMT.
1`c ; ..A. k•A. Q �� .,r I co CLEAN OUT
ft:..c.,;,•-..2-7,4=t,'4"..:- cD - ..-. ,
SURVEYOR CERTIFICATE :�• I , • PLOT F
LOT
I tteREDTH
Y CERTIFY AT I t1AVC SURVEYED TnE IMPRDVCMENTS I I ti�•��,��� '`-.
EAST 300.65 FND i' REBAR WINTER E
51OAN rtERfON ANO ThAT TMC o�1PROVEMENT Da9T A5 5r1O*N. �: ` i net 85-179.And+or:
NEW SuRVEY 2#09AX.LOT I WINTER[STATES. I OWNER: JO!
PLAT 65-I 79 ANCtIORAGe WARDING Dt5TRia. I TWA SUR\
rril
r �A W T
A. WILSON DATE 30' 30' 11 ° � 4TW'
RL5 4725-5 I � �.M»sus
w
OATt: 2/1 3/10G `_
PRAWN Cr AG IC
r-Hrr Err)Rv• Tw p
Municipality of Anchorage
On -Site Water & Wastewater Program
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 017-401-56 Expiration Date:
1. GENERAL INFORMATION
Complete legal description WINTER ESTATES S/D; LOT 1
Location (site address) 8234 E. 130TH AVENUE, ANCHORAGE, AK, 99516
Current Property owner(s) LIDIA WASIAK Day phone 224-805-7352
Mailing address 1524 W. 11TH AVENUE, ANCHORAGE, AK, 99501
Real Estate Agent Day phone
2. TYPE OF DWELLING:
N Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
E
Individual Water Storage
❑
Individual Holding tank
❑
Community Class - Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request for: /A
Distance: _
Received by:
Date:
COSA to be released to the engineer, unless otherwise regLW by the engineer
COSA Fee $
Date of Payment /'! �� 7q ([�
Receipt Number G+
COSA # �L1 1 4- a5
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, t 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. 1 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
F-1510MM
GARNESS ENGINEERING GROUP, Ltd.
3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE, AK, 99507
Engineer's Printed Name
Engineers Comments:
JEFFREY A. GARNESS, P.E.
In conducting this evaluation, GEG, UD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOR
DSD Guidelines B Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
6. DSD SIGNATURE
System #1 Approved for 3r_ bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
bedrooms.
Phone 337-6179
Date
bedrooms, with the following stipulations.
r
Original Certificate Date: I :Z— %"�"
The MurftcipftVor,_"Chorage Developemt 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. ATTCHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
(R— 117119ne)
V Nitrate Advisory
Arsenic Advisory
Other
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description:
A. WELL DATA
Well type
Date completed
Total depth ft.
Date of test
Static water level
Well production
WATER SAMPLE RE:
WINTER ESTATES S/D; LOT 1
Parcel ID: 017-402-56
NO WELL DRILLED AT THIS TIME
If A, B, or C provide PWSID# Well Log (Y/N) _
Sanitary seal (Y/N)_ Wires properly protected
Cased to ft. Casing height (abo n
FROM WELL LOG
Coliform --- colonies/100 ml. Nitrate mg./L.
Arsenic: ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA
ma 2Jg6gmig"ILou
1
Collected by:
ft.
n.
Tank Type/Material 8/5-8/2005 Date installed 8/5-8/2005
Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Date of pumping - Pumper TANK HAS NEVER BEEN USED
C. ABSORPTION FIELD DATA -BELOW EXISTING GRADE
Date installed 8/5-8/2005 Soil rating kDor ft2/bdrm) 0_8 System type DUAL SHALLOW TRENCH
2@so
Length 120 TOTAL ft. Width 5/5 ft. Gravel below pipe 0.5/0.5 ft.
Total depth *3-3+/3.8+ ft. Eff. absorption area 600 ft' Monitoring tube YES Depression over field NO
Date of adequacy test NEVER USED Results (Pass/Fail) For - bedrooms
Fluid depth in absorption field before test in. Water added =gal. New depth m in.
Elapsed Time: — min. Final fluid depth — in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
NOTE: TRENCH WAS INSULATED WITH 2" INSULATION. 24"+ SOIL COVER SATISFIED FOR BOTH TRENCHES.
1
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at wa er alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lot:
Absorption field on lot On adjacent lots
Public sewer main
NWELL DRILLED AT THIS TIME
manhole/cleanout
Sewer /septic service line Holding tank
---------------
ontainment areas Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation N/A Property line 54 Absorption field 51+
Water main N/A Water service line N/A Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Water service line N/A
Curtain drain NONE KNOWN
F. COMMENTS
G. ENGINEER'S CERTIFICATION
Building foundation N/A Water main N/A
Surface water 100'+ Driveway, parking/vehicle storage 10'+
Wells on adjacent lots 100'+
1 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.
Engineer's Printed Name JEFFREY A. GARNESS
Date 1 'LI ZJ1 Li
(Rev. 10112/12)
■
� n
Municipality of Anchorage
••
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program "
4700 Bragaw Street l
P.O. Box 196650
Anchorage, AK 99519519
-6650 1
www.muni.org/onste
(907) 343-7904 0
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
t FOR A SINGLE FAMILY DWELLING
Parcel I.D. _ C- l'1-yO i"5la COSA# 1oOna
1. GENERAL INFORMATION Expiration Date:_4214—
Complete
r
Complete legal description WINTER ESTATES SUBDIVISION- LOT 1
Location (site address) MICHAEL ROAD k 130th • ANCHORAGE AK 99516
Current Property owner(s) JOE CRAIG Day phone 274-3317
Mailing address P.O. BOX 202254 • ANCHORAGE AK 99520
Lending agency Day phone
Mailing address
Other Party Day phone
Mailing address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat axed hereto and as of the validation date shown below, 1 verify that my
investigation, based on procedures outlined in the Certiricate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines 6 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily ldentirtable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
Iluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will if confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for T— bedrooms.
Disapproved.
Conditional approval for bedrooms, with the flowing
Phone 337-6179
Date
�1ttt�`l OF AMC, r6-
: • • nN-SATE.,, •:�'cn
Attachments: /
COSA Checklist ✓ Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Reort
Nitrate Advisory Other
By:
r
IRr IIS
Original Certificate Date: _Y7 o
Municipality of Anchorage
Development Services Department
'i Building Safety Division
On-Ske Water & Wastewater Program
4700 Bragew Street
P.O. Box 1988.50
Anchorage. AK 99519 -WW
www.mwli.org/onafte
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: WINTER ESTATES SUBDIVISION; LOT 1 Parcel ID: 017-401-56
A. WELL DATA IWELL T R Y
Well type If A. B, or C provide PWSID# _ well
Date completed Sanitary seal Y/
Total depth Cased to ft.
FROM WELL LOG
Date of last
Static water level ft.
Well production g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 ml. Nitrate
B. SEPTICIHOLDING TANK DATA
Properly protected (Y/N)
Casing height (above ground) in.
AT INSPECTION
Of sample: Collected by:
SHOUSE NOT BUILT YET
ft.
g.p.m.
— colonies/100 ml.
Tank Type/Material
STEEL
Data installed _
8/5/2005
Tank size 1000 gal,
Number of Compartments 2
Cteanouts (Y/N)
YES
Foundation cleanout (YIN) NO Depression over tank (Y/N) NO High water alarm (YIN) N/A
Date of pumping NEW Pumper -
C. ABSORPTION FIELD DATA
Date installed e/e/2005 Soil rating (g.p.ddft'or� 0_8 System type 5 -WIDE
Length 120 (2 O 60) ft. Width 5 ft. Gravel below pipe 0.5 ft.
Total depth 0•3.6-3.9 ft, E{f, absorption area 600 ft' Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) - For 3 bedrooms
Fluid depth in absorption field before test = in. Water added =gal. New depth =in.
Elapsed Time: = min. Final fluid depth = in. Absorption rate >= - g.p,d.
Any rejuvenation treatment (past 12 mo.) (YM 8 type) NEW If yes, give date -
D. LIFT STATION
Date Installed
*pump on" level at _in.
E. SEPARATION DISTANCES
Size in ganons
High water alarm level at In.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankili t station on lot
Absorption field on lot
Public sewer main
Sewer /septic service
WELL NOT DRILL D Y
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Ani inment areas Manureianimal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation N/A Property line
5'+ Absorption field 5'+
Water main
N/A Water service line N/A Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation N/A Water main N/A
Water service line
N/A Surface water 100'+ Driveway, parkingtvehide storage 10'+
Curtain drain N/A Wells on adjacent lots 100'+
F. COMMENTS
HOUSE AND WELL NOT CONSTRUCTED AT THIS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and. :... . ............::.'.
review of Municipal records that the above systems are in
contomrance with MOA COSH guidelines in effect on this ..........
date. ey A. rness:
JEFFREY A OARNESS 7w9
Engineers Printed Name Ai e, Z P. o.
6
Date 'IX -LA` sd professlo^off
COSH Feel 1.50
Date of Payment 31 Z I o ,
Receipt Number �"' o HKtj
(wv. tiros)
Waiver Fee $
Date of Payment
Receipt Number
m
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