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GLENN VIEW ESTATES NORTH BLK 1 LT 13
Glenn View Estates North Biock 1 Lot 13 #051-821-26 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211376 PID Number: 051-821-26 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ®Upgrade Name MARK & CORTNEY SKOLNICK ABSORPTION FIELD —ADVANTEX ❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound Site Address 23600 GOLIATH DR, CHUGIAK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2 GPD/SF 5.8 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.8 Ft. Gravel depth beneath pipe 2.07 Ft. Subdivision Block Lot GLENN VIEW ESTATES N. 1 13 Fill added above original grade VARIES 0.79-1.16 Gravel length Township Range Section Ft. 60 Ft. Gravel width 5 Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 428+ Ft2 1 Ft. Well 200'+ 200'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding M Other ADVANTEX Manufacturer Capacity Surface Water 50'+ 50'+ ORENCO / ANCH. TANK 1500 Gal. Mat rial 77. � Number of compartments Lot Line 5'+ 5'+ NA � 2 Foundation 10'+ 10'+ LIFT STATION Manufacturer ORENCO Capacity 1500 / AX SYSTEM Gal. Remarks NEW AX FAP 2.0 TAK INSTALLED W/ VAVLE. FIELD OVERSIZED PER PERMIT. Alarm location 1ST FLOOR Electrical installed by DRS Installer JRS PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection ddates: 15` 7/11/22 2nd 7/12/22 Location and description 3`d 7/12/22 4"' 7/13/22 TOP OF POD ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: l� Date •' %�_49 •••••• ••••v • ' Se Approve • Curtis Huffman / Date CE 8991 •.���`�/� r)�c��j.' • , 8/4/22 p110 /Note:ermitP ESS10Ni?'�" q this approval does not include well require en �� roo„nGi oi�Q� MUNICIPALITY OF ANCHORAGE �»cnt On -Site Water & Wastewater Program Is, PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite v Department On -Site Wastewater Disposal System Permit Permit Number: OSP211376 Effective Date: 9/9/2021 Work Type: Septic Renewal Expiration Date: 9/9/2022 Tax Code Number: 05182126000 Site Legal Address: GLENN VIEW ESTATES NORTH BLK 1 LT 13 G:1560 Site Mailing Address: 23600 GOLIATH DR, Chugiak Owner: SKOLNICK MARK A& CORTNEY Lot Size in Sq Ft: 42270 Design Engineer: FIRST WATER CONSULTING Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field d Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 j Special Provisions: Show the location of the water line on the Record Drawing. 0'1 di a.n dre c1 eQ; Heel Ato Lays , QW -0 .0 5' 3 ) a'Dzz Received By: Date: Issued By: ADate: v MUNICIPALITY F 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. 051-821-26-000 Property owner(s) Mark & Cortney Skolnick Mailing address P.O. Box 771845, Eagle River, Alaska 99577 Site address 23600 Goliath Drive, Chugiak, Alaska 99567 Day phone (907) 301-6581 Legal description (Sub'd., Block & Lot) Glenn View Estates North Blk 1 Lt 13 Legal description (Township, Range & Section) Lot Size 42,270 Sq. Ft. Number of Bedrooms q1� APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank � Upgrade ElDuplex (D) F-1Holding Tank ElRenewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: t� 1 q 5 Waiver Fees: Date of Payment: 1/Z Date of Payment: Receipt Number: 00% b Receipt Number: Permit No. 0 5 P a 1 t 3'1 160 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc PERMIT: OSP211376 PID: 051-821-26 0 0 e 0 -P C.T M A — C = 4 6.0' DCO DIVERTER CO MT CO MT B—C=15.4' FCO 9995 BM MH 96.77 FINAL GRADE 98.40 A—D=48.0' 9761 ORIGINAL GRADE B—D-20.6' E�Lj � FILTER FABRIC TH KND ORG/OL A—E=47.6' --- ---- 1.5 ` 96.88 3.88 93.88 B—E=21.6' ! 96.20 1500—GAL SEWER ROCK A—F=32.4' �\�7ef-0t ADVAANKTEX 91.81 91.81 w/Mgravel TAN B—F=39.2' Y \ GRND.VM. A—G=59.0'S<�Q a 10.8, SEPTIC SECTION 9/11/2003 B-6=54.0' \ FROf�PD/SFTO2 PD/SFNITH CED IRATE UON SCALE, NTS 12.5 A—H=59.7' INCREASED ED PER PERMIT. BOH 79.85 B—H=56.1' A—I=46.6' DESIGN PER ON SITE FILE B—I=78.5' GLENN VIEW ESTATES NORTH B1, L13 SUPPORT®SERVICES: ®®® AZ__ B—J-80.4' PREPARED FOR: ® qs MARK SKOLNICK17 23600 GOLIATH DRIVE C ® TH CHUGIAK, AK 99567 FIRST WATER CONSULTING 13030 Sues Way DATE: 8/4/2022 # t r, Huffman i Y SURVEY: LANG CE 128991 Anchorage, Alaska 99516 DRAWN: FWCS %8/04/20226®® (907)350-9566 SCALE: 1" = 30, firstwaterAK®gmail. corn ®®OFESS100® } W 3V w O=) > = V) N L=32.18' R=50.00' L=15.10' R=50.00' 15' T&E EASEMENT 9 � R6 �� Lot 13 Lot 14 ^4 ^ 42,270 S.F. Lot 9 4.0' STORAGE 2.0'x5.3' 8.7'x72.7' SHED RAMP FA GOLIATH DRIVE a3 xw a> <a. 0 CANT 71.0' 1 STORY RESIDENCE__ _, /—SEPTIC PIPE S 89'58'04"W 31 Lot 8 NOTE: THE LOT IS SERVED BY A COMMUNITY WATER SYSTEM. w 0 C Lot 1 M P N O PLOT PLAN ___ AS BUILT _X_ SCALE _1"_= 50__ GRID _ NW 1560__ Project No. ____?3-463f_A1 --- Lang & Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska (907) 522-6476 Phone 99515-3049 Professional Land Surveyors (907) 592-46y5 Fax kenOian curve com jonathanOlangsurvey.com So o''CCS SOP ,.• OF A/ %4 •.ls �0. I hereby certify that I have surveyed the following described property: LOT 13, BLOCK 1, GLENN VIEW ESTATES NORTH SUBDIVISION (PLAT No. 2003-94) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the 3 vcgvSc ------- 4.<.�; ;. _ Day of __ �1______ ____, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH*I A2, •. KENNET 6L -AN 2 000�FoSC202.. 5�4-1 � �D�t\�FeSSIONA� �oc AECC963 First S U L T 1 N G . _. 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com September 8, 2021 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: RENEWAL SEPTIC SYSTEM PERMIT #OSP201351 LEGAL: GLENN VIEW ESTATES NORTH B1, L13 The property owner has requested we renew the septic permit OSP201351 for the above referenced lot. Nothing has changed on the lot or adjacent lots that would affect the design as permitted. The lot and area are served by public and private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, ;mow Curtis Huffman, P.E. First Wal i �'F �f_ �'tF k�IEYSStEft ... 1 P�1!�tiltlG MUNICIPALITY OF ANCHORAGE„�„C On -Site Water & Wastewater Program No - �s1 PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite I�Cil8.1'Clll('.IIC On -Site Wastewater Disposal System Permit Permit Number: OSP201351 Effective Date: 9/16/2020 Work Type: Septic Upgrade Expiration Date: 9/16/2021 Tax Code Number: 05182126000 Site Legal Address: GLENN VIEW ESTATES NORTH BLK 1 LT 13 G:1560 Site Mailing Address: 23600 GOLIATH DR, Chugiak Owner: SKOLNICK MARK A Lot Size in Sq Ft: 42270 Design Engineer: FIRST WATER CONSULTING Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ 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: Show the location of the water line on the Record Drawing. Received By: Date: Issued By: �,(�p?� Date: Development Services Department On -Site Water & Wastewater Section Parcel I.D. 051-821-26 ON-SITE SEPTIC/WELL PERMIT APPLICATION Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) MARK SKOLNICK Day phone 9073016581 Mailing address PO BOX 771845, EAGLE RIVER, AK 99577 Site address 23600 GOLIATH DRIVE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) GLENN VIEW ESTATES NORTH B1, L13 Legal description (Township, Range & Section) Lot Size 42270 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Fx_1 Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank ElUpgrade 0 (D) ❑ Holding Tank ❑ Renewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: ^ q!d• 95 ��1�- `) Waiver Fees: Date of Payment: R,��� /Q6,9-0 Date of Payment: Receipt Number: %07 Q 71 Receipt Number: Permit No. 6sP X0135 .i Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 151-9 21 First Water CONSULTING _} 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com May 2, 2022 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: GLENN VIEW ESTATES NORTH BLOCK 1, LOT 13 The property owner has requested we obtain a permit to upgrade the aging septic fields of the above referenced lot. We originally proposed and were MOA permitted to install the reserve fields as shown in MOA record documents with the corresponding MOA soils data. However, the owner and buyer are now proceeding with an Advantex 2.0 system as shown on the attached design. Nothing has changed from the previous design and the proposed septic system goes beyond MOA code requirements with better application rates and trench length. Please let us know if the MOA needs any change order fees for the review. The slopes are moderate at 2-5% at the proposed upgrade location. The lot and area are served by public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. F, Uo i L Y En ieIs ;iiF Sti41N5 I DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD 600 GPD/2 GPD/SF. = 300 SF SAS 300 SF / 5'W X .70RF C2' ED) = 42 FT. TRENCH USE 1 TRENCH - 60' (L) X 5' (W) X 2' (ED) TOTAL DEPTH FROM ORIGINAL GRADES -5.8' MAX MAINTAIN AS SHALLOW AS POSSIBLE (-5.8' MAX) USED REDUCED APPLICATION RATE MOA CODE WOULD ALLOW 60'L X 0.5.ED —7.8' MAX OG PLEASE USE DESIGN IF ELEVATIONS ALLOW. OTHER OPTIONS: 42'L X 2'ED.... MAINTAIN SHALLOW AS POSSIBLE PER DESIGN. 0 2003-9 GLENN VIEW ESTATES NO LOT 13, BLOCK 1 N N 42,270 S.F. / GOLIATH DRIVE / NOTES: LOCATE WATERLINE PRIOR TO CONSTRUCTION to PUWAV 1N 1� N 69 55'40'E 155.62' 15' T. k E. ESWT. GRAVEL DRIVE N 89 58'04E 316.96' `1 APPROX. 100 m WELL RADIUS m SM. PRIOR rco TO CONST. 3- IWALL NEW 1000 -ca AOVAHM o FM 20 STSIEIi p p eco "�� DECOMMISS0N MMS Mmnm E70SIP10 SEPTIC TANK 1 CD W/ THE EXCEPTION OF LOT TO THE EAST — LOTS SERVED BY PUBLIC WATER NO PRIVATE WELLS W/IN 100' OF PROPOSED UPGRADE GLENN VIEW ESTATES NORTH B1, L13 PREPARED FOR: MARK SKOLNICK 23600 GOLIATH DRIVE CHUGIAK, AK 99567 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK©gmoil. com SUPPORT SERVICES: C e • DATE: 5/2/2022 SURVEY: JAG DRAWN: FWCS SCALE: 1" = 50' of AZ�' 9 T11 tis Huffman �v CE 128991 5/222 cs �hiomssio� F. -I DESIGN CRITERIA: INSTALL ONE 601 X 2'ED TRENCH — 5.8 MAX FROM GRADE W/ INSULATION & 2' OF COVER OR 3'+ OF COVER. INSTALL AX20 2.0 FAP AT TIME OF CONSTRUCTION & REPLACE IF REQUIRED PER AMC 15.65, 15.55, & MASS ... TANK BEDDING, SEPARATIONS, MATERIALS, SPURKLAND TH t 0 wr vxi L� N� COE K ° N� N 89 58'04"E 316.96' GRAVEL DRIVE 1 J 1 . CC L. LJM 1 . 0 a� 1sa' a ENTRY m 11.0' of 1i_o• � 1"•D r 71.3' EXISTING BUILDING � APPROX. 100' N WELL RADIUS STK. PRIOR 6.0' 32.0' FCO r TO CONST. b COVERED 4 INSTALL NEW c PATIO N 26 0•23 5' / 1500—GAL ADVANTEX FAP 2.0 SYSTEM. KND TH MH DCO DECOMMISSION o INSTALL DNERTER EXISTING DOSnNG RELD— — SEPTIC TANK SPLITTER x DUSTING FlELD NJ or -- I m co \INSTALL 1 60' L TRENCH ml itN N N x N� GLENN VIEW ESTATES NORTH 131, L13 PREPARED FOR: MARK SKOLNICK 23600 GOLIATH DRIVE CHUGIAK, AK 99567 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK©gmail.com co rn co cD 1 0 0 0 O SUPPORT®SERVICES: am om OF44�' o 9TH`� c TI DATE: 5/2/2022 tis Huffman . SURVEY: JAG CE 128991 �`p DRAWN: FWCS 5/2/22SSs Ao SCALE: 1" = 30' 1 X DFEsstoK�' MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 2 NS Day of Sv,) e of 20 7-_2- by and between Marl, A. S� dn,,lam , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN ADVANTEX SYSTEM located at (legal description) GLENN VIEW EST. NORTH 131, L13 2. Maintenance, Repairs and Alterations. Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in �R accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustments), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $404 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, /repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. 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CRUZ Notary Public State of Alaska My Commission Expires Sep 1, 2024 Date: 31�OQ _Q Title: (rev. 05/18/2018) Page 3 of 3 c 'r Municipality of Anchorage •,''` .."°,r i_ Development Services Department h' Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW030381 PID Number: 051-821-26 of Name:ce Homes WallaAddress: Wastewater System: rNew ❑ Upgrade 18306 Park Vw..Terrace Lp. E.R.. AK 99577 ABSORPTION FIELD Phone: Number of Bedrooms: 230-9199 4 i"3 Deep Trench ® Shallow Trench 0 Bed 0 Mound 0 Other: LEGAL DESCRIPTION Soil Rating: 0.6 GPD/Ft2 Total Depth from original grade: 4.0 Ft. Block: Lot: Subdivision: 1 13 Glenn View Estates North Depth to pipe bottom from original grade: 1.81/1.83 Ft. Gravel depth beneath pipe: 2.19/2.17 Ft. Township: Range: Section: Fill added above original grade: 3.98/3.08 Ft. Gravel Length: 140 Ft. Well: ❑ New ❑ Upgrade Gravel width: 5.0 Ft. Number of lines: 2 Distance between lines: 10 Ft. Classification (Private, A, B, C): Public Total Depth: Ft. Cased to: Ft. Total absorption area: 1000 Ft= Pipe Material: D3034 & F810 Driller. Date Drilled: Static Water Level: Ft. Installer: Cat's Eye Date Installed: 09/19/03 Yield: GPM Pump Set at: Ft. Casing Height Above Ground: Ft. TAN K SEPARATION DISTANCES 0 Septic ■ Holding ■ S.T.E.P. • Other: To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Line Manufacturer: Anchorage Tank Capacity: 1250 Gat. Well 200'+ 200'+ NA NA 251+ Material: Steel Number olCompartments: 2 Surface Water 1001+ 1001+ NA NA LIFT STATION Lot Line 5'+ 10'+ NA NA Size: Gal. Manufacturer: Foundation 5'+ 10'+ NA NA 'Pump on level at: In. 'Pump orf' level at: In. High water alarm at: in. Curtain Drain NA *50'+ NA NA Pump Make 8 Model Electrical Inspections performed by: *none known Remarks: BENCH MARK tank & field insulated Location and Description: Top of sona tube Assumed Elevation: 100 Ft. Engineer's Stamp II 4-.. • S+ • !le;,:,4' .,? w•..••. •. .,% 0. Inspections performed by: KND Engineering. Inc.Dates: 1st 9/19/03 2nd 9/19/03 Development Services Department Approval3^°l II2i/o Reviewed and approved by: .r' id. / Date: (2—, 7 O '- 1 -,•;-. Kenneth Kenneth M.D T S ::"it J'.• CE 7116 �% I4 be '•.• .•• �4�.a• , Fpp'••••••••``P\, �' ��WVO 0`t' (Rev. 12100) 4 .G, AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SW030381 GLENN VIEW ESTATES NORTH BLOCK 1, LOT 13 PID# 051-821-26 GOLIATH DRIVE 50.00', am 5q 18 0 M N 89.55'40-E 155.62' 15' T. & E. ESMT. NG) K LJ EXISTING BUILDING EXLSTING 1250 SEPTIC TANK A -C= 73.9' B -C= 12.3' A -D= 73.1' B -D= 18.8' A-E= 71.9' B-E= 28.0' A -F=17.8' B -F= 71.7' A -G= 33.8' B -G= 79.8' A -H= 76,6' B-H= 43.2' A -I=55.5' B -I=39.2' SPURKLAND 2002= s aEANrI,T it �a A ("1 ,1250 GAL (40; - SEPTIC 'v d TANK • • _ • RESERVE SYSTEM TH03-1 SCALE! 1' = 50' N 89'58'04.E 316.96' ONITOR TUBE FILTER +�I,W,Ir-,..+�....n....�"9I P`•IIP"11 X71f-iI i I ilrtY+4rri+lr*+I .� FABRIC` �INS�TIDN FINAL GRADE SCALES NTS 07:s.-c)OF .ALS 100.5 DUF CE -7116 ti. \ FESSI00) Air \'1110:411".. FILTER 70' FINAL GRADE FABRIC / WSIA,ATIIBi SEWER ROCK TRENCH 2 II I �X�93.6 93.5 k�ICIL'yll-IIHIHIHIH1F�Il�II� MONITOR TUBE 100.6 • 95.7 VARIES 219 CLEAN]n • II VARIES II. 1_ 1:;iT =, 70' PREPARED FOR: WALLACE HOMES 18306 PARK VW. TERRACE LOOP EAGLE RIVER, AK 99577 230-9199 SCALE' NTS (84.50) IDN FIELD BOOKS COMPUTED: BOUNDARY: NA DRAWN: VBG STA/NC: NA CHECKED: KMD ASBULT: NA DATE: 2 /7 /04 DWG. FILE: OPo°: NW1539 ACRD FILE 03089.DWG '108 "° : 03089 END ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW030381 Legal Description: GennView.Estates North.Block 1,Lot 13' Design Engineer: 0070 KND Engineering Owner Name: Wallace Homes Owner Address: 18306 Parkview Terrace Loop Eagle River , AK 99577- �I�QIp3 e �c m Cilketp5 2.',3brv-‘ Date Issued: Sep 17, 2003 Expiration Date: Sep 16, 2004 Parcel ID: 051-821-26 Site Address: Unknown Lot Size: 42270 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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. Received By: Issued By: Date: Date: 74-3 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and 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 FOR A SINGLE FAMILY DWELLING Parcel I D C\—Q6 LI -71p Permit Number SW o3D8/ Property owner(s) WALLACE HOMES Day phone 230-91 99 Mailing address (1) 18306 PARK VW. TERRACE LOOP, EAGLE RIVER, AK 99577 Mailing address (2) Zip Code Legal .description -(Lot, Block & Sub'd) GLENN VIEW EST. NORTH, -B1, -L13 Legal description (Section, Township & Range) Lot Size Acres q.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ Well Only ❑ Water Storage 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. (Sig at e of property owner or authorized agent) Permit Fees: .Srsv# Waiver Fees: Date of Payment: V/17()I Date of Payment: Receipt Number: d y/69y/Q Receipt Number: (Rev. 12/00) KND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 September 12, 2003 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New sewer permit — Glenn View Estates North, Block 1, Lot 13 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. Tobben Spurkland performed one testhole on January 12, 2002 and on September 4, 2003 an additional testhole was performed for the proposed system.. The results _of these tests are attached. The general slope of the proposed septic system location on the lot is from north to south at a grade of approximately 3-8%. We have designed our system utilizing the existing testholes that were excavated for the proposed 4 -bedroom house. The lot will be served by public water. We propose to install two 5' wide shallow trenches. Water was not encountered during the excavation and observed at 10.8' & 10' during 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, IMID Engineering, Inc. nneth M. Duffus, P.E. Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Owners/Excavators Specs WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN K�jD u GLENN VIEW ESTATES NORTH BLOCK 1, LOT 13 NO PUBLIC YELLS VITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS VITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS VITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. OFESS1011P i WPM DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD 600 GPD/0.6 GPD PER SQ. FT. (24 MIN/IN.) = 1000 SQ. FT <1000/5'<W)) X .7(RF) <2.0' GRAVEL) = 140 FT. TRENCH USE 2 TRENCHES - 70 <L) X 5' <W) X 2.0'(D) Total depth of system Is 4.0' frorl original grade. Total depth of' gravel below distribution pipe Is 2.0' . NOTES: 1. USE 1250 GAL SEPTIC TANK, INSULATE IF <4' OF COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INT❑ SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS, LOT LINES, FOUNDATI❑NS AND ALL OTHER SETBACKS. PREPARED FOR: WALLACE HOMES 18306 PARK VW. TERRACE LOOP EAGLE RIVER, AK 99577 230-9199 Scale: 1"= 100' PAGE 1 OF 2 FIELD BOOKS COMPUTED: BOUNDARY: DRAWN: VBG STAKING: CHEa(ED: KMD ASBUILT: DATE' 9/12/03 DWG. FILE: 000 NW1539 ACAD FILE' 03069.DWG 400 No.: 03069 /ERB ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577.-8736 (907)696-6111/FAX (907)696-8111 KND WASTEWATER DISPOSAL SYSTEM DETAILS GLENN VIEW ESTATES NORTH BLOCK 1, LOT 13 SPURKLAN D 2002 -TMJ CO 0 0 P(�OPOS D\PRIMARY SYSTEM 5, .-C°}300 10' OUGIT PROPO&Th �. ZABEL 2000 ,FLITTER MT 31' 5' CO I 70' MT A-/` PRO OSED RESERVE SYSTEM PROPOSED SEPTIC TAN 250 GAL 0 CO TH034 - 11' PREPARED FOR: WALLACE HOMES 18306 PARK VW. TERRACE LOOP EAGLE RIVER, AK 99577 230-9199 Scale: 1"= 20' PAGE 2 OF 2 FIELD BOOKS COMPUTED: BOUNDARY: DRAWN: VBG STAKING: CHECKED: KWID ASBUILT: DATE: 9/12/03 DWG. FILE: CRI°' NW1539 AGA° FILE' 03069.DWG 108 No.: 03069 ENDENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 I ,NID ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for: Wallace Homes 4` pF .......q /kit. o '• 9 �•... ,� ....�•.Ii`.../ j 9n • Kenneth M. t c�/ • 0, 6,% CE 711• •• %„,% .• i ,:1 pR0FESS\ '.40 Date Performed: 9/4/WAA".1 Project: Glenn View Estates North, Block 1, Lot 13 TEST HOLE # 03-1 Depth (Feet) •,....s:al• 1- FAT- 2- r2- r is 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- Org/OL SM/ML w/gravel Silt, density, gravel & moisture increasing w/depth. B.O.H. HOLE PRESOAKED 20- PRIOR TO TEST SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monitoring? 10.8' What depth? NA Date? 9/11/03 Reading Date Gross Time Net Time Depth to Water Net Drop 1 9/11/03 1:00 - 6" - 2 1:30 30 min 411/16" 15/16" 3 * 1:31 - 6" - 4 2:01 30 min 412/16" 14/16" 5 2:02 - 412/16" - 6 2:32 30 min 3 8/16" 14/16" * Water Added Percolation Rate 24 (min/in) Perc Hole Diameter 6" Test Run Between 4 feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Aug 06 03 04:25p Performed For: Legal Description: Depth Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www nchorace.ak.us • (907) 343-7904 • Soils Log - Percolation Test 6LEN V l l=W No 27-1-1 Sib o (eet) /( 0 RG A NI I($ 2- - 2- 5- 7- s- 8- 0. 19. 1p. 1- 12- 13 2-13 Id - 15• 15- 1 7- 2r0 - r rOm ENTS Sa.Kdy S; l-1- ter/rocr7 11-%vLcs Slope WAS GROUND WATER ENCOUNTERED? No p.1 (ENGINEER'S SEAL) � e Date Performed: Township. Range. Section: s IF YES. AT WHAT DEPTH? 1. 0 Depth to Water After Monitoring? —JC:TMonitoring? �- E E Date: �/a%y/O Site Plan J Reading Date Gross Time Net Time Depth to Water I `e: D •oz. ,I P ILL. TP-5S.c 1 i J 9 a/4 t 1)Z-/02. 12.: 25 --- I 50 1 lin 734 12 67g 1-1/9 i:LIG 1.{p 7' z° 1 i 3:o5 yo b3/V I ..g .o i 1 . 1 I ! I • J Reading Date Gross Time Net Time Depth to Water I `e: D •oz. ,I P ILL. TP-5S.c ( J 9 a/4 t 1)Z-/02. 12.: 25 --- I 50 I : of lin 734 12 67g 1-1/9 i:LIG 1.{p 7' z° 3:o5 yo b3/V I ..g .o (mTugesr.Acn) PERC HOLE DIAMETER TEST RUN BETWEEN =3 FT ANO 14 FT 6" c=rrOht,tEO SY j S 1 • S CERTIFY THAT THIS -EST v:AS ER=C•t? .tED ttJ ACCORDANCE WITH ALL STATE ANO MUNICIPAL GUIDELINES IN EFFECT ON THIS GATE. DATE '%z.Z/O Z KND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907) 696-6111/FAX (907) 696-8111 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: Glenn View Estates North, Block 1, L13 GENERAL: 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single-family residence on the referenced property as delineated on the attached Municipality of Anchorage (MOA) permit and site plan. 2. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. KND Engineering, Inc (KND) assumes no responsibility of the accuracy of the as -built survey provided by the ,owner or owner's representative. _ ...... 4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 5. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. 6. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 8. The MOA Development Services Department On -Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK / HOLDING TANK / LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. Page 1 a 3 Reference: GVN Est. N., Bl, L13 Date: 09/12/03 Page: 2 of 3 7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high -groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall_ be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 2. The following pipe materials are MOA approved for use in septic system installations: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or DEC requirements. Reference: GVN Est. N., Bi, L13 Date: 09/12/03 Page: 3 of 3 INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non-compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. KND's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS. Owner: Contractor: Y OF HCPMO RAMEF Development Services Department ��� P P � Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-821-26-000 Expiration Date: 10/6/2023 Legal description GLENN VIEW ESTATES NORTH BLK 1 LT 13 Site address 23600 GOLIATH DR Chugiak AK 99567 Current property owner(s) SKOLNICK MARK A & CORTNEY X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: Original Certificate Date: 7/6/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaLJune 2022 MUNICIPALITY OF ANCHORAGE Development Services Department a Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-821-26 Complete legal description GLENN VIEW ESTATES NORTH BLOCK 1, LOT 13 Location (site address) 23600 GOLIATH DRIVE, CHUGIAK, AK 99567 Current property owner(s) MARK A SKOLNICK Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ® Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ® Fiberglass Age <1 YEAR - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ® AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ (r2 Waiver Fee $ / Date of Payment K� Z, 3 1 22 2 3 Date of Payment COSA # 2- 3 ( Z/ p Waiver # COSA Application 2022.doc COSA Checklist Legal Description: GLENN VIEW ESTATES NORTH BLOCK 1 LOT 13 Parcel ID: 051-821-26 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA - PUBLIC WOR CLASS "A" WATER ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping NA — NEW AX TANK ® Required maintenance completed, if AWWTS Comments:.Ft!3 7SS AX FAP 2.0 TANK ^NEW D. ABSORPTION FIELD DATAADVANTEX FIELD Which system tested (date installed) ® ALL standpipes present per record drawing Total measured depth from grade 6.96 ft (max) Measured depth to pipe invert from grade 4.60 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ® Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Well production at time of test gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date NA— FIELD <1 YR Results ❑ Pass Fluid depth prior to test _ in Water added _ gal New fluid depth _ in Elapsed time —min Final fluid depth _ in Absorption rate _ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) _ in Effective depth used _ in Effective depth remaining _ in Comments/Deficiencies: NEW ADANTEX TANK & FIELD INSTALLED & MOA INSPECTION REPORT SUBMITTED FALL 2022. COSA Checklist SEPTIC.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) - NA Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes if No ft ❑ Yes if No ft ® N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Tank to Property Line > 5' ® Yes if No ft Field to Property Line > 10' ® Yes if No ft Water Main > 10' ® Yes if No ft Water Service Line > 10' ® Yes if No ft F. ENGINEER'S COMMENTS Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' ® Yes if No ft ® Yes if No ft If tank or field is under driveway comment below G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer's Printed Name CURTIS HUFFMAN, PE Date 6/22/2023 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FACS COSA Checklist SEPTIC.docx tfA. j -49 TH j Curtis Huffman r� �c�G'/•,• CE 128991 1 ��'��� • 6/22/23 • • � �,F�pROFESSIONA -� (rev. 05/18/2018) Page 1 of 3 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the “AGREEMENT" made and entered into as of this ______ Day of ________________ of 20____, by and between _________________________________, herein the “OWNER,” and the Municipality of Anchorage, herein the “MUNICIPALITY”, in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as _____________________________________________________________ located at (legal description) _______________________________________________________________________ 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) ____ Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer’s representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment’s approval for operation in the Municipality. ____ It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). ____ Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer’s representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. ____ Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. AN ADVANTEX SYSTEM GLENN VIEW ESTATES NORTH B1, L13 20 June 23 ZACHARY M. AND JESSI J. GOLDMAN (rev. 05/18/2018) Page 2 of 3 ____ Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer’s representative or maintenance provider. ____ Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. ____ Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. ____ Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. ____ Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner’s AWWTS. ____ Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. OWNER: By:rr r- –,>r(ri— si nature ZACHARY M. GOLDMAN JESSI J. GOLDMAN (print name) Texas aipl STATE OF -AL -ASK -X 6/20/2023 ) County of Jefferson 6/20/3 ) ss. T! 11R:D -JUD1-£-jA-I-DFST-W—T ) Date: 06/20/2023 Zachary M. Goldman and Jessi J. Goldman who produced Alaska Drivers License as identification The foregoing instrument was acknowledged before me this20thday of June 2023 by Zachary M. Goldman and Jessi J. Goldman NOTARY PUBLIC FOR ALASKA Texas My Commission expires: 08/25/2024 Remote Online otary State of Texas, Jefferson County (rev. 05/18/2018) SPRY pUg ECHANDA MANETTE GOODMAN R1W _ Notary ID #132642149 6/20/2023 N� My Commission Expires August 25, 2024 This notarial act involved the use of remote online communication technology Date: G7 3 e) Title: ( 7 Page 3 of 3 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-821-26 1. GENERAL INFORMATION Complete legal description ' Lot 13, Block 1, Glenn View Estates COSA# I00n I 1 Expiration Date: / - 2. 1 - I( North Locatiori`(site address) 23600 Goliath Drive, Chugiak, Alaska 99567 Robert Tidwell (907) 688-0101 Current ProP' c ''wrjer(s) Day phone Mailing address 23600 Goliath Drive, Chugiak, Alaska 99567 Lending agency Day phone Mailing address Real Estate Agent Brooke Stiltner Mailing Address 11525 Old Glenn Hwy, Eagle River, Alaska 99577 @ RE/MAX Day phone (907) 244-6742 Unloss otherwise requested, COSA will be held by DSO for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: ..-- ---Individual Well---- -- Individual Water Storage Community Class Well Public Water System 4 TYPE OF WASTEWATER DISPOSAL: 0 Individual On-site ❑ Individual Holding Tank ❑ Community On-site ❑X 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 sample results. (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 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. l 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 Pinard Engineering Address PO Box 871347 Wasilla, Alaska Phone (907) 232-1347 99687 Engineer's Printed Name Paul E. Pinard, P.E. 5. DSD SIGNATURE Approved for �— bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: By: `s% Y OF•-.. ON-SITE .•'�c' WATER AND : tn: WASTEWATER s . PRlf;RAM Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev 11AS) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other /73,14---t—Original Certificate Date: I '.2 I — / 0 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 13, Block 1, Glenn View Est North Parcel ID: 051-821-26 A. WELL DATA Well type Public I1A, 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 (above ground) FROM WELL LOG AT INSPECTION In. Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Other bacteria colonies/100 mL Arsenic: ug/L date of sample: _ B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1250 gal.Number of Compartments 2 Collected by: Date installed 9/19/03 Cieanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping a/1/1/(19 Pumper Tus Pnmai na C. ABSORPTION FIELD DATA Date installed 9/19/03 Soil rating (g.p.d./ft2cXf&XMlq 0.6 System type 5 Wide Shallow Trench Length 2 @ 70 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth 5.1 ft. Elf. absorption area 10002 Monitoring tube Y Depression over field N Date of adequacy test 1/12 /10 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 1 in. Water added 640 gal. New depth 1 in. Elapsed Time: 120min. Final fluid depth 1 in. • Absorption rate >= 600+ Any rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes, give date g.p.d. D. LIFT STATION NA Date installed 'Pump on' level at _ in. Datum E. SEPARATION DISTANCES Size in gallons 'Pump off level at _ in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: NA — Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? No On—Lot Well in. On adjacent Tots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5' + Property line 1n!+ Water main 20'+ Wells on adjacent IotsNA SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption field 5' + Water service line 20' + Surface water 100 + Property line 10' + Building foundation 10' + Water Service line 20' + Surface water 100' + Curtain drain NA Wells on adjacent Tots NA F. COMMENTS Water main 20'4- Driveway. 0'+Driveway, parking/vehicle storage 10 ' + G. ENGINEER'S CERTIFICATION 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 Paul E. Pinard, P.E. Date 1/14/10 %:.,000z4.•1..• ask t'r riThyam, r. spiesji► •.i%EPnald :oil.P. fe•CE-4793. ; c , COSA Fee $ q0 Date of Payment Receipt Number (Rev. 11/05) 1—ii--/D /2fyoot/ Waiver Fee $ Date of Payment Receipt Number 4.1 111 118 -SV 15 1 ) 4.114. y' k, 0 3o. 2 0j Som SPRUCE 2. O m r3 PINARD ENGINEERING P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) ADEQUACY TEST LOCATION: Lot 13, Block 1, Glenn View Estates North APPLICANT: Robert Tidwell 23600 Goliath Drive Chuglak, Alaska 99567 SEPTIC TANK TYPEISIZE: SteeV1250 Gallons, per MOA Records ABSORPTION SYSTEM: -r Wide Shallow Trench, per MOA Records DAILY FLOW: 4 BEDROOMS x 150 GAL/BR • 600 Gallons TEST DATA JOB NUMBER: 10-003 DATE OF TEST: 1112110 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 4 SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes XX No Time Flow Rate Volume Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments PM (GPM) (GALS) (GALS) Liquid Level • A Level Monitor Tube 1' A SAS Level Mondor Tube 2' a SAS Level 12:15 5.3- - 4.0' - 0.1 - 0.1' - Start Flow - Meter 151140 12:30 5.3 80 80 4.1' 0.1' 0.1' 0.0' 0.1' 0.0' 151220 12:45 5.3 80 160 4.1' 0.0' 0.1' 0.0' 0.1' 0.0' 151300 1:00 5.3 80 240 4.1' 0.0' 0.1' 0.0' 0.1' 0.0' 151380 1:15 5.3 80 320 4.1' 0.0' 0.1' 0.0' 0.1' 0.0' 151460 1:30 5.3 80 400 4.1' 0.0' 0.1' 0.0' 0.1' 0.0' 151540 1:45 5.3 80 480 4.1' 0.0' 0.1' 0.0' 0.1' 0.0' 151620 2:00 5.3 80 560 4.1' 0.0' 0.1' 0.0' 0.1' 0.0' 151700 2:15 - 80 640 4.1' 0.0' 0.1' 0.0' 0.1' 0.0' Stop Test - 151780 RECOVERY Date Time SAS MT1 SAS MT2 'All MEASUREMENTS IN FT. TEST: PASSED XXX FAILED COMMENTS: System appears to be functioning satisfactorily. There was 0.1' of measurable liquid In all SAS MTs prior to beginning the test With the addition of 640 gallons to the system for the test, slightly more than the design daily flow, the levels remained unchanged. Reviewed by Paul Pinard Date: 1/14110 P1/14;2e10 12:51 9073449821 A MrooK' JRs Pumping PC) Rix 773415 Eagle River. AK 99577 oi'1 ).1144 4454 Billing_Infprmgtion _. Robert Tidwell Po Uox 671783 Chuglak, AK 99567-1783 (907) 888.0101 Job Site Information Robert Job Comments Last Service 23600 Goliath Drive JPS SEPTIC Job Descnption 1250g P O Number. Terms. Net 30 Karlin SaMerep Map Book Cross Streets Sampson Drive PAGE 01 Service Agreement Number 029388 Order Date. 17 -Aug -20C9 Service Date: 18 -Aug -2009 12.0 Technician: Mike Tait % 0 Jeb Type New Mop Gm 15 Cr.ug:ak. AK 99567 (907) sea-oi01 Additiona' Location Comments DIagrsm Last house en left before Shadowy Spruce - Tan home w' Ws & American flag at end of garage 4bdrm septic on right - back side when facing street Service Type Septic Sery 1250K '10/3112008' 12509 ----System FULL ---- tank normal back flushed 2 times=clear. 5'.Dwtrnm3,)tti7 +Ss^ Gallons Planned. 1250 Qty Price Each 1 $165.00 Tax? No Gal. Actual. Hose Length Double Tank C Pump System: Baffles Inlet., Baffles Outle C Extension Actual $165 00 Estimated Charges Acluel Charges. Nontaxable Total S16500 Tenable Total 1000 Tax Total 10 00 Grand Total 11E500 Cus'nmer agrees to the terms rd eendibons shown THIS 1S A BINDING AGREEMENT rier vj TMe of Cusp Repreaertalve Dale Date Accepted Accepiel Cr JR, Pumpk CO, your added conven.en•e we eaept. American Express. Dicover. Vsa and Master Card payments over the rhone Are, 30 Deis account vitt Ce turned °vet 10 COLLECTIONS $30 00 For NSF CheCKe Returned Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I D 051-821-26 HAA# 0 CO 146 Expiration Date• / 3 - 0� 1. GENERAL INFORMATION Complete legal description Glenn View Estates North, Block 1, Lot 13 Location (site address or directions) 23600 Goliath Drive, Chugiak, AK 99567 Current Property owner(s) Wallace Homes Day phone 230-9199 Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: O Individual On-site ❑ Individual Holding tank ❑ O 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 sample results. (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. Municipality of Anchorage Development' Services, Department ' Building Safety; Division . On -Site Water & Wastewater Program ' 4700 South Bragaw St. Box 1196650 ; Anchorage, AK 99519-6650 www `ci.anchorage.ak.us 1 ` (907) 343-7904. ' HEALTH AUTHORITY APPROVAL CHECKLIST 11 Parcel ID: 0 5 1- 8 21 -2 6 Legal . Description: GLENN VIEW ESTATES NORTH, .6 . L13 A. WELL DATA Welt type Public I Date completed Total depth I ft 1' 1 Date -of test Static water level Well production I. 1 If A, B, or C:provide PWSID #_ j I se(YIN). Sanitary al Cased to ft. a �V FROM ,WELLLOG -I 1. Well Log '(Y/NI) Wires properly protected (YIN) Casing height: (above ground) r AT INSPECTION . WATER SAMPLE RESULTS:'1' Coliform colonies/100 mI. ' Nitrate mg./I Other bacteria __ colonies/100 ml. 1 "Date of samples Collected by: Arsenic: mg./I' ; I a ,, I: s I I� f I �' DATA E I . TANK K SEPTIC/HOLDING B. p ,III 1. ' :L 1 � - � :Date installed 9/1 9 / 03 Tank Type/MatenaJ septic/steel (Anch �Tanl� I L VIII 1 Y 1: i. kl, s 1 'I !I ,,�Irnou� l/N)''� ',' Tank size ''.1'250 ,.'gal. : . ; Number of Compartments 2 .Clealts (YY Foundation cleanout (Y/N) Y. Depression over tank (Y/N) N' High: water alarm (Y/N) .N ` 1: ; - `; , ; 1 .,' iH ,iLj I , it ( 1 ( I, II Date ;of 1pUniping 1 t NA NEW TANK i. 1.Ifl4 ,,1 ;Pumper r i r 1 C. ABSORPTION FIELD DATA'a. 11# i Date; installedP9/19/03'1;1l$oil rating ' (g.p d /ft2.,C ft2,/bdrm) 0 ?ii6 System type trenchTotal depth 4 ft.;Eff. absorption area 1000 ' ft' yonitOring' tube Y, Depression over,field Ns,u; Its (iple,!/77,111) 7,,as1 For 4 bedrooms Length 140 t ;1 Date of adequacy ltest NA:— NEW SYSTEM 1, f 1' I :1;! 1, + :1r ! ,, 1 FI lid depth in,absorption field before,test,i, + in 1,1 P11111 1—t1 Elapsed Time: I. 1 min : Finals fluid idepth i I' III 1. I: I 1 ; i. Any rejuvenationtreatment (past 12rho.) (Y/N &,type ;III l,. ':Water added gal , ,-New depth in. ! Absorption' rate'''> g •p•d: N if yes, give date