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Home My WebLink AboutTUNDRA JEWEL RANCH LT 11Onsite File Permit Number: OSP151321 Tax Code Number: 05119317000 Work Type: Septic Permit Effective Dates: April 27, 2016 On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Initial to April 27, 2017 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: TUNDRA JEWEL RANCH Site Legal Address: TUNDRA JEWEL RANCH LT 11 G:1159 Owner/Address: TUNDRA JEWELL RANCH SIMS STEPHEN M & KELLEY C & H TRUST 821 N ST STE 205 ANCHORAGE AK 995013285 Site Mailing Address: 22743 SHERMAN ST, Chugiak Lot Size in Sq Ft: 43560 Total Bedrooms: 6 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. ::d, and heated to prevent freezing. s: The water line easement is to be recorded and a copy submitted to Onsite L .,off ?n i i eport approval. Received By: _~_~' - 2"/ Municipality of Anchorage P.O. Box 196650 · 4700 Elmore Road Anchoraqe, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997 http:llwww.muni.orqlOnsite Development Services Division On-Site Water and Wastewater Pro~Jram Depai'tmm~t **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV151t27 COSA#: Permit#: OSPt51321 PID#: 05%195-17 Legal Description: Tundra Jewel Ranch Lot 1t Engineer: Garness En.qineerin.q Group Applicant: John Thomson Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot. In addition, the field will not be constructed parallel to the slopes. See the design criteria. This waiver approval applies to the proposed absorption field only. Any furore upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. [] The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. [] Notarized letter(s) of nonobjectioa have been received from the owner(s) of the affected adjacent property. [] Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: Name of Reviewgr **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Development Services On-Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907- 343-7997 Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. O~)-l~''-~'''j Property owner(s) JOHN THOMSON W/C&T CONSTRUCTION Mailing address 11404 JESSIE MAE CIRCLE, EAGLE RIVER, AK 99577 Day phone 240-2020 Site address 22743 SHERMAN STREET, CHUGIAK, AK 99567 Legal description (Sub'd, Block & Lot ) TUNDRA JEWEL RANCH S/D; LOT 11 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: ([~allthatapply) Initial [] Single Family (SF)[] Absorption Field [] (w/wo ADU) Septic Tank [] Upgrade [] Renewal [] Duplex (D) [] Holding Tank [] Multiple Dwellings[] Privy [] (SF and/or D) Private Well [] Water Storage [] THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: LOT LINE WAIVER TO DRAINFIELD Distance: 1 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) PermiVRush Fees: '~-'"~ Date of Payment: ~' Receipt Number: Permit No. (~r,~¢~ Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev, 01/11) GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS October 6, 2015 - REVISED Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System for Tundra Jewel Ranch Subdivision; Lot 11 To whom it may concern: The proposed 6 bedroom duplex is to be served by a community water system and an onsite septic system. The water line easement has not been recorded at this time. If there is complication with connecting to this water system, we have provided a proposed well location on the site plan and design drawing. We are not requesting a well permit at this time, but we are showing that there is adequate area available for a well site. Due to the limited area available outside the well radii in the area, we are proposing that a Cat II advanced wastewater system be utilized for this property. We are proposing that a Cat II Quanics Aerocell treatment system be used which will consist of a 1530 gallon Infiltrator septic tank (single compartment), a 1050 gallon Infiltrator tank (single compartment) with Quanics pumps & controls, and a 1050 gpd Aerocell unit. Two (2) test holes were excavated on the property. We are proposing that a 5- wide drainfield with a 2 foot sand filter be installed within the 30 foot radii of test hole #1 lA and #118. 1. SOILS: See the attached soil logs which shows the soil classifications, groundwater monitoring, and the percolation test results, 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY AND SLOPE WAIVER: As can be seen on the attached design drawing, the average topography around the proposed drainfield ranges 1 to 5 percent running approximately Southeast to Northwest. We ara requesting a slope waiver for the drainfield to no be installed parallel to the slope contours. Due to the limited araa for an onsite septic system, the drainfield is proposed to be installed East to West. Based upon our site visits, thera is approximately a 2-foot elevation difference from the East end of the drainfield to the West end. The maximum depth of the drainfield is 9 feet deep (at highest point). The drainfield can be installed deeper since the test holes depths range from 16.5 to 17.5 feet deep with no groundwater or impermeable soils. In short, there is no risk with the granting of this slope waiver. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com Page 2 of 2 5. LOT LINE WAIVER REQUEST: We are requesting a 1-foot waiver be granted from the North property line to the proposed drainfield. The property lines will be flagged by a registered land surveyor prior to construction to insure this setback will be met. We are unaware of any adverse effect this waiver would have on the adjacent property. We are unawar~e of any adverse impacts this installation or waivers would have on adjacent wells or septic ~stems. If you have any questions, please contact us at 337-6179. Thank you for your assi~nle. [Jef'fr'e-yy~! d~ar"hes]s, P.E., M.S. Presid~ht 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507~1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. gamessengineering.com TUNDRA JEWEL \ RANCH S/D; LOT 19 / -- -- LOT .......--' t~-r ~ x _ // x SH~MA~TREET MO~GOMERY , [~/MO~GOMERY; MOCKERY; ~ I ~ ~ND~J~EL , ,~, , -..--__~_/ , ~. _ GARNESS E~GI~EERING GROUP, Ltd PREPARED FOra PHONENUMBm PAGE NUM~ S/D,' TUND~ JEWEL ~NCH LOT 11 J.L,M. ~PE OF WORK~ ~ OATE: REVISE~ SITE P~N FOR PROPOSED SEPTIC SYSTEM 10/6/2015 r, I AND 2 FOOT SAND ~ / I NOTE: THE CON~TOR S~L -- ~ / I DUP~ I I HA~ ~E 200 F~T WE~ ~1~ J I I I I FOR ~E NEIGH~RING GEG, L~, H~ A 8 PAGE SPECIFICATION ~R J J ~ J PROCEEDING FORW~D WITH THIS INST~, I LINES F~GGED BY A THE E~IN~ W~ ~IL~R, CO~CT~ I ~GISTERED ~D SUR~ PRIOR TO CONS~UCTION. DESIGN CRITERIA: .... ~ : ..... ' ' ' ' WIDTH: 5FE~ % /I %~ / GARNESS ENGINEERING GROUP Ltd JOHN THOMSON 24~2020 2 OF 4 ~ DESIGN OF PROPOSED SEPTIC SYSTEM 10/6~0~5 '/ · .60 FEET LONG · ,~6 FEET LONG LATERAL · / O ~ 4" MONITORING TUBE ~'~-' 4" PERFORATED PIPE 4" CLEANOUT~"-~', (~4" CLEANOUT S' WIDE 1 DESIGN CRITERIA: NUMBER OF BEDROOMS: 6 (DUPLEX) GALLONS PER DAY (GPD): 90~ PERCOLATION RATE/S: <1 MINUTE/INCH PROPOSED APPLICATION RATE: '4.0 GPD/SQ.FT. MINIMUM DRAINFIELD SQ.FT: 225 *USING CAT. II QUANICS AEROCELL SYSTEM DRAINFIELD DESIGN: MAXIMUM DEPTH: 9 FEET WIDTH: 5 FEET LENGTH: 60 FEET MOA. APPROVED SAND FILTER: 2 FEET EFFECTIVE: 0.5 FEET ACTUAL SQ.FT.: 300 PUMP TANK WITH Q UANICS PUMPS AND CONTROLS TH#11B TH lA FILTER FABRIC~ 9 FEET DEEP MAX. 0.5'EFFECTIVE ;OTTOM OF TEST HOLES 16.S TO 17.5 FEET DEEP (NO GROUNDWATER) t 2' OF M.O.A. APPROVED SAND FILTER RANCH S/D; LOT 11 ~tK~RAWING OF PROPOSED D~INFIELD ENGINEERING GROUP' Ltd cIVIL & .E~NVIRONM.ENTAL E?.GINEER~S.,~*~,;,,~g~' LEGAL DESCRIPTION: TUND~ JElL ~NCH S/D; LOT 11 __ ~ PERFORMED FOR: C AND T CONSTRUCTION DATE: 7~/2015 ORGANICS LOAN (SM) DEPTH -- (feet) ITEST HOLE#11AI DEPTH TO GROUNDWATER DATE DRY 7/7/2015 DRY 7/10/2015 DRY 7/30/2015 SOIL CLASSIFICATIONS SITE PLAN ORG HL GL NH OH ,~6,O SC SCALE; Gm P ~¥1TH OCCASIONAL BOULDERS/COBBLES DATE READING CLOCK NET TIi~E WATER LEVEL NET DROP TIHE (NINUTES) READING (INCHES) ,~o?'~'° ~ ~¢.vo~~ o~ 19 -- TEST RUN BETWEEN 5.0 FT. AND 6.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORNED: EYES ~NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORHED BY: JODYMAUS CONHENTS: PERCOLATION READINGS AREWlTHINI/16 OFINCH. PERCOLATION RATE <~ (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) PERFORMED BY GEG, Ltd· I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF(~RM~D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ¢~ [1~//]- ENGINEERING GROUP, Ltd ·: ,; ,,&a CIVIL & ENVIRONMENTAL ENGINEERS ISOIL LOG - PERCOLATION TESTI LEGAL DESCRIPTION: TUNDRA JEWEL RANCH S/D; LOT 11 PERFORMED FOR: C AND T CONSTRUCTION DATE: 7~7/2015 ORGANICS ITEST HOLE #11 B SOIL CLASSIFICATIONS LOAH (SM) 5 6 7 8 9 GP OR SP WITH OCCASIONAL BOULDERS/COBBLES IO 1i 18 GW BORG GP ML GH CL GC OL SW HH __ SP CH SPI OH SC DEPTH TO DATE GROUNDWATER DRY 7/7/2015 DRY 7/10/2015 DRY 7/30/2015 SITE PLAN SCALE: DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIME (iqlNUTES) READING (INCHES) ~1~ls¢~'i,,gs°¢~gc''°~v°¢"°~ ~ ~''~ PERCOLATION RATE <1 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 5.0 FT. AND 6.0 FT, 20 A FOUR HOUR PRESOAK WAS PERFORHED: I--lYES .NO SOIiS LOGGED BY: JOBY MAUS PERCOLATION TEST PERFORHED BY: JODY MAUS COHHENTS: PERCOLATION READINGS ARE WITHIN1/16 OFINOR. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF~RyED~ IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: STANDARD TANK CONFIGURATION IM 1§30 TOTAL CAPACJTY 1765 GALLONS 1247 GALLONS WORKING CAPACITY 1§09 GALLONS ~070 GALLONS LENGTH 176.6" 127" ¢¢IDTH 6¢ 7" 62 2" NOT£: FLOAT LEVELS ARE FROM BO%OIVl OF PUMP COMPONENTS SUPPLY NOTE: 1. TANKS AND RISER ADAPTER RING ARE INFILTRATOR TANKS, AND ARE SUPPLIED FENGUSON. 2. THE INSULATED RISER/LID, PUMP~ FLOATS, INTERNAL PIPING, GROMMETS~ CONTROL PANEL~ AND AEROCELL UNIT ARE SUPPLIED BY GARNESS ENG]NEERING~ THE ALASKA STATEWIDE DISTRIBUTOR FOR QUANICS INC. :3. ALL OTHER EXTERNAL COMPONENTS SUCH AS PIPING~ PITTINGS~ WIRING, [NSULATION, ETC. SHALL BE SUPPLIED BY THE CONTRACTOR. INFILTRATOR TANK NOTES: · PER INFILTRATOR SYSTEMS, INC., THESE TANKS HAVE A MAXIMUM BURIAL DEPTH OF 48 INCHES OVER TOP OF TANK. PER INFILTRATOR SYSTEMS, INC., THE TANKS ARE TO BE BURIED SO THAT THE INVERT OF THE OUTLET OF THE IM-1530 INFILTRATOR TANK IS NOT SUBMERGED DURING HIGH GROUNDWATER LEVEL CONDITIONS. · GEG RECOMMENDS ALL PENTRATIONS/JOINTS ASSOCIATED WITH THE INFILTRATOR TANKS BE ENCASED IN BENTONITE CHIPS. · IF GROUNDWATER IS ENCOUNTERED, THE CONTRACTOR SHALL INSURE THAT SOIL COVER AND/OR BALLASTING IS PROVIDED AS OUTLINED IN THE INFILTRATOR "SEPTIC TANK BUOYANCY CONTROL GUIDANCE" BROCHURE. QUANICS AEROCELL CAT. II QUANICS AEROCELL SYSTEM CATEGORY II CONFIGURATION (6 BEDROOM SYSTEM) 3L PANEL '48" MAXIMUM iNLET FINAL GRADE (SEE NOTE)~ ELECTRICAL WIRE/S (SUPPLIED BY CONTRACTOR). SEE INSTALLATION MANUAL FOR SPECIFICATIONS ~ 4"CLEANOt 24" INSULATED LID SIMFFECH PRESSURE FILTER~ UL LISTED SPLICE BOX 2" UL LISTED INSULATION CENTERED OVER PIPES , 4" VISUAL 4' RY4 WIDE R~C, ID PORT? 4" OF INSULATION OVER TANKS IS REQUIRED ON ALL INSTALLATION REGARDLESS OF BURIAL DEPTH% OPERATING LIQUID LEVEL- 24" RISER. TOP 4 FEET INSULATED WITH 2 INCHES U RE ]-HANE WITH PVC CONDUIT FOR ELECTRICAL CONNECTIONS (FLOATS & PUMP - 2" RECIRCULATION LINE - HIGH WATER FLOAT DRAINFIELD DRAINFIELD. SEE APPROVED ENGINEERED DESIGN DRAWING/S TIMER OVERRIDE FLOAT IM-1530 GALLON SINGLE COMPARTMENT INFILTRATOR TANK C O M pIAMF~ ICM6E0 NG¢ILNLFOI LN7 ~ TANK GOULDS PE51M FROM ALASKA PUMP OR EQUIVALENT (SUPPLIED BY GARNESS ENO.) LOW LEVEL CUTOFF FLOAT (ON/OFF) NOTE: ALL PIPING FROM PUMP TANK TO AEROCELL MODULE SHALL BE PLACED ON SUITABLE BEDDING MATERIAL THAT IS MECHANICALLY COMPACTED, ALL LINES SHALL SE GRADED SO THAT THEY WILL DRAIN AFTER EACH PUMP CYCLE AND WILL NOT RETAIN ANY STANDING WATER, INOTE: ALL PIPE IS TO BE SCHEDULE 40 PVC UNLESS NOTED OTHERWISE. Z Apr,25, 2016 9:16AM Gar~ess Ensineerins Oroup, Ltd, No,8268 P, 2 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this ~' 6~-~ay of /~2 fT/~/~ of 20..~, by and between __ ., herein the "OWNER," and thc Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained berei~, panics to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description). 2. Definitions. Alteration, Any change to thc design or function of an AWWTS that includes the installation or removal of any p~s, components or pieces not included in the original construction permit and design. Certificate of On-Site Systems Approval (COSA). An appro,~al by the Municipality ot' existing water and wastewater disposal systems given at the time or' property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that Apr,25. 2016 9:16AM Garness Engineerin~ Group, Ltd, No,8266 ?, 3 the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system frem performing as designed. Maintenance and Repair. The scheduled and as needed replacement cf existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On-Site Wastcwatcr Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS, 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance cfa COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or lransferee of the property. 4. Alterations, Installation and Removal of Additional Equipment, Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the tem~ of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS jna satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS Apr.25. 2016 9:]6AM Oarness Engineerins Group, Ltd. No.8266 P. 4 service and maintenance l~rovider atmroved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacemem costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been pefform~ on the system. When a. record of maintenance is documented and maintained by the system vendor, the owner agrees to allow thc Municipality access to this information. D. Owner acknowledges that thc fine lbr Ihiling t~ maintain m~cl repair an AWWTS may be assessed in accordance with AMC 14.60 lbr improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur w~thout a new Certificate of On-Site Systems Appmval. Apr,25, 2016 9:IGAM Oarness EMineerin8 Group, Ltd, No,8266 P, 5 II. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by thc Municipality are the governing guidelines/'or the conslmction, maintenance and repair of the Owner's AWWTS. 6. Nonw~tiver. Thc failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity ortho Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereofi 7. A. Amendment ..... This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authoriT~d representatives of thc parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties am: b. Municipality: Director, Communit~.D. cvelopment or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. Apr,25, 2016 9:IGAM Garaess Engineerins Group, Ltd, N0,8266 P, 6 8. Jurisdiction: Choice of Law.. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District o£the State of Alaska at Anchorage. Thc laws of the State of Almqka shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severabili~.. Any provisions of this Maintenance a~d Repair Agreement decreed invalid by a court of competent jurisdiction shall not invatidate the remaining provisions of thc Maintenance and Repair Agreement, By: /~¢~//-~ ~¢"/ff¢./~'~,~; ~ - _(signature) v / : (print name) STATE OF ALASKA ) ) SS, TIqTIRD JUDICIAL DISTRICT tbregoing instrument was acknowledged beIbre me 2026, by NOTARY PUBLIC FOR ALASKA My Commission expires: 0 ~/~ MUNICIPALITY: By: _(signature) .(prim name) Date: Title: • . Municipality of Anchorage On-Site Water&Wastewater Program 6 1 8 ` Yp (907)343-7904 ^)v 77 AUG 3 1 2018 �d CERTIFICATE OF ON—SITE SYSTEMS PPROVAL co Parcel I.D. 051-193-17 Expiration Date: 1. GENERAL INFORMATION Complete legal description SKY MANOR S/D; UNITS 15 & 16 (OLD TUNDRA JEWEL RANCH S/D; LOT 11) Location (site address) 22743 SHERMAN STREET, CHUGIAK,AK 99567 Current Property owner(s) C&T CONSTRUCTION Day phone 240-2020 Mailing address 11404 JESSIE MAE CIRCLE, EAGLE RIVER,AK 99577 Real Estate Agent _ JACKIE THOMSON W/SOMERS REALTORS Day phone 689-6550 2. TYPE OF DWELLING: ❑ Single Family(w/wo ADU) U Duplex n Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 1 I Individual On-site U Individual Water Storage Individual Holding tank I 1 Community Class A Well U Community On-site U Public Water System n Public Sewer n WaiverNariance request for N/A Distance: - Received by: _ Date: 5-16 COSA to be released t e engin er,unless otherwise requested by the engineer. COSA Fee $ (.1q Waiver Fee $ Date of Payment D ')I tS. Date of Payment Receipt Number CaBqC)6\ Receipt Number COSA# oSCS vet 51 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are)safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP,Ltd. Phone 337-6179 Address 3701 E.TUDOR ROAD,SUITE 101 *ANCHORAGE,AK,99507 Engineer's Printed Name JEFFREY A. GARNESS,P.E. Date (?)7I )i e Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the *will\11\ k, guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the �44r OF .i Ott condition of the system/s on the date/s of the evaluation.Separation distances were measured to readily identifiable features. ��. \ ..•• 4 qA Hidden defects or encroachments may exist that were not identified during the evaluation.The operational lfe of all wells and septic ♦ 7\. •�••.....r... �• systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate during I • ••• / �).••• �• the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the system's.These ; 4( m r AN ;•* -. conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the system's;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the 1. .!,/ . ` •current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the �� i / ♦�:..�e rey A�r�ess /44.../: � • information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not 0# .6.- � authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. �I •.� CE-795 • ci ar 6. DSD SIGNATURE LICENSE��ROFESS� —1;3'4. #AECC884 ��"`, System#1 Approved for bedrooms. System #2 Approved for bedrooms. ,. Disapproved. 3' �� c• ON-SITE ' Conditional approval for bedrooms, with the following stipL atiogJ\-vER ANS �� WASTEWATER .c`_" � QRuGRp,Ph �� -,. L ..-._l Original Certificate Date: ' S--^ The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the represenatations 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 /IC Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10/12/12) 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 SKY MANOR S/D; UNITS 15& 16 Legal Description: (OLD LEGAL: TUNDRA JEWEL RANCH S/D; LOT 11) Parcel ID: 051-193-17 A. WELL DATA • - I type CLAss-A" If A, B, or C provide PWSID# 218807 Well Log (Y/N) Date comp - :. Sanitary seal (Y/N) Wires properly protected (Y ► Total depth ft. Cased to ft. Casing height .•. e ground) in. FROM W OG AT • 'ECTION 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: -nic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA 'THIS IS A CAT II QUANICS AEROCELL SYSTEM Tank Type/Material INFILTRATOR/PLASTIC Date installed 7/26/16-8/11/16 Tank size'1530n060gal. Number of Compartments *1 /1 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) *YES Date of pumping **NOT NEEDED Pumper **SEE ATTACHED ARM SERVICES,LLC'S MAINTENANCE CHECKLIST C. ABSORPTION FIELD DATA "BELOW EXISTING GRADE Date installed 7/26/16-8/11/16 Soil rating c�.p.d./ or ft2/bdrm)"'4.0 System type 5-WIDE Length 62 ft. Width 5 ft. Gravel below pipe 0.60 ft. Total depth *5.4-8.4 ft. Eff. absorption area 310 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **NEW Results (Pass/Fail) PASS For *6 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.) (Y/N &type) ***NO If yes, give date - **THIS ISA CAT II QUANICS AEROCELL SYSTEM. SYSTEM WAS STARTED UP ON 11/3/2016 BY GEG.SYSTEM IS LESS THAN 2 YEARS OLD AND SHOULD NOT REQUIRE AN ADEQUACY TEST. SEE SERVICE MAINTENANCE REPORT BY ARM SEPTIC SERVICES, LLC (QUANICS CERTIFIED SERVICE PROVIDER) . DRAINFIELD MT'S DRY ON 8/23/2018. ""SEE HOMEOWNER QUESTIONAIRRE *PER RISING SON ELECTRIC'S ELECTRICIANS REPORT D. LIFT STATION **SEE CERTIFIED SERVICE MAINTENANCE REPORT. Date installed 7/26/16-8/11/16 Size in gallons 1060 Manhole/Access (Y/N) **YES "Pump on" level at TIMER in. "Pump off level at TIMER in. High water alarm level at 44 in. Datum BOTTOM OF PUMP/TANK Cycles tested ** Meets alarm & circuit requirements? *YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: COMMUNITY WATER SYSTEM Septic . . station on lot On adjacent lots Absorption field on lot On adjacent lot Public sewer main " •lic sewer manhole/cleanout Sewer/septic service line Holding tank An'••- •• ainment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation *54. Property line 5'+ Absorption field 5'+ Water main **10'+ Water service line **10'+ Surface water 100'+ Wells on adjacent lots 100'+ PVT./200'+COMM. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ***1' Building foundation 10'+ Water main **10'+ Water service line **10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots100'+ PVT./200'+COMM. F. COMMENTS `MET SEPARATION DISTANCE AT TIME OF INSTALLATION. `*PER CONTRACTORS LOCATION OF WATER LINE. "*LOT LINE WAIVER GRANTED.SEE WAIVER#OCV151127. r ..•%, OF • "41 • G. ENGINEER'S CERTIFICATION P,`••'" .. .••..• •... l certify that/have determined through field inspections and • - review of Municipal records that the above systems are in • °01.-%)--conformance with MOA COSA guidelines in effect on this "i'' date. •♦ f -y • Gar. -ss// 31 ,e.t.:::: :, Engineer's Printed Name JEFFREY A. GARNESS t!f, .. J Vi i. Date LICENSE ,•l `S`%lS4 i#AECC884 (Rev.10/12/12) ARM Ser% ices. I ,I.C' Maintenance Checklist:Advanced Treatment System Operational Checklist Advanced Treatment System Legal Description 14iQ, *. j S.,41. It Street Address I 11.4 5L Jul i'J Service provided on Date e/ 4 Time Service provided by Company Y►gr[t felfi Employee ,iale or last set vice Hy You Other 1 Type 01 AerocelLTreatmrt System: V Cat II-AeroCeil Treatment System Cat III•AeroCeli Treatment System 2 Conditions at media filter Acceptable Unacceptable a Evaluate presence of odor within 10 ft of penmeter of system /None ,Mid Strong Chemical Sour b Sonr;".e of odor i' present 3 Manhole Risers and Pipe Caps. ✓Acceptable Unacceptable a Coveris intact ✓`es No b Method of securing cover 0 c Any plumbing leaks or water intrusion 'yes YNo d Surface waterirnhltration elle components . Yes ✓N// a 4 VenbngfAir supply 4Acceptable • Unacceptable a Air supply unit operating properly ..YYes No b venting appearss operable l '/s 1 No 5 Media surface .VAcceptable __ Unacceptable a Hiomat on surface Y� b Uniform spray pattern Yes d Ponding inion media Yes i!'No e t'ruggrngicloggrng of nozzles Yes •/o f Media appears to be settling Y No g Appropriate maintenance performed Y. Yes n Nest activity at surface Yes litrNo 6 Effluent quality / a Effluent odor after passing through media filter _ Mid . Strong o Effluent color after passing through media filter Near -.Brown Black 24738 Chugiak Drive 'Chugiak, AK 99567 Ph: (907) 317-9433 officer fax: 1907) 688.9433 Email: ARMServlcesA(c outlook.com PAGE 1 ARM tier% ices, I.1.0 TUnacceptable Tasks for recirculatmg+'dlscharge flows: , A A a H applicable .,arty valve functioning - _Yes .._ No n 4f applicable .handy Valve basin dry ves _. No Y/N,A c Cleaned collection system in Aerocell unit Yes :No ..V/Not Necessary d Design recirculation ratio 80 20 e Actual recirculation ratio iEstiniatedl SO 2.0 EXTRAS ./ Unacceptable yE� R Pump System .7 ., Control panel in Auto `,res No -Remote monitoring workm ? Phone line working? ___NIA o ismer settings q ON 7.n._Alift. OFF 1hitie. _. Override ON 1-'4_4, . _. Override OFF (t/11cn r. Floats in correct placement 3t//es No d High water alarm operahoonaaP .-✓Yes `No o High water alarm count: 7.__._ f Pump run time 1444M+htA_ g Pump run counts _girq _ / ✓ Effluent Filter serviced �[ves No Tank lids secured after inspection .y Yes No weep hole functional 1/S'es No 9. Primary Tank w Aooeptable _Unacceptable a Siudge and scum level checked /Yes ,/No p lank needs to be pumped -Yes Y Nc Tank lids/caps secured atter inspection _r<ves No 10.Drainfield: 648(,)a Type of Drainfield tc+roe ones Bed 5-wide [04,I rengy b Deign Effective depth __07_4- ___ incheaa ,� c. Checked liquid I evels in Drainfield .r Yes . No MT#1 Liquid level -e Inches MT*2 Liquid Level ,t, _ inches MTe3 Liquid Level inches MT$4 l quid Level inches d. Is there any surfacing eluent . Yes ✓No Other Comments: Servrc:e Provider. _ _ _ Date: 8/X3/18 Disatbu r- 24738 Chugiak Drive'Chugiak, AK 99567 Ph: 19071 3179433 office/fax: 1907) 688 9433 Email.: ARMServicesAK®outtook.com PAGE 2