HomeMy WebLinkAboutKNIK VIEW BLK 3 LT 1Knik Vi w
Block 3
Lot I
#05!-031
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 S. Bragaw St. ~.~
P.O. Box 196650 Anchorage, AK 99519-6650 Page / of.~
wvc, v.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 5~0 ~q PID Number:
~ CO b'~ i. ~ ~} O~?~ / ~ . Wastewater System: ~New ~ Upgrade
~ ~ ~3 ~ ~o7o.H ~;~ ~ 7 ABSORPTION FIELD
Phone: r~~', .~ ~¢- Number of Bedrooms: ~ XDeep Trench ~ ShallowTrench ~ Bed ~ Mound ~ Other:
LEGAL DESCRIPTION SoiiRating: /' ~ GPD/FtZ TotalDepthfromoriginaigrade:
Block:~ Lot:I SubdMs[on:K~[~ ~'e~' , Depthtop,psbottomfromodg.nalgr~ Ft. G.veldepthbeneathpipe:
Township: Range So.ion: Fill added ab°ve °dglnal grade: < I Ft. ~Ft,
Well: ~ New ~ Upgrade Graver width: ~ Ft. ~ ...... Ft
Dr lief: ~ ~, ' Statrc Water Level: Ft Insta~ler:~ ~ ~ ~ ~
SEPARATION DISTANCES ~Septic B HoMing B S.T.E.P. B Other:
T~ Septic Absorption Lift Ho'ding 'ubliCPrivate Manufac rec R 4( Capac,ty:
Tank Field Station Tank Sewer Line ~ ;~ ~ ~ /~0 Gal
/¢ , j , ¢~ Size: ~ Manufact.re~ ~.~..~
Foundation ~ ~, ~, ~ "Pump on' level at: "Pu:~¢.¢ ~.r alarm at
~ c,r b,~,~ ~,v~& R~oa~r~O. BENCH MARK
S & S ENGINEERING
Inspections pedormed by:~..,~ K,ver. Alaska ~5~ 2"~ ~ -~--~
Development Se~ices Depa~ment Approval
Reviewedandapprovedby:~,~~ ~ Date: Itl~
PERMIT NO. SW020329 PAGE 2 OF 3
ivi~nicip. ~[i~ o6 Ancho~ac~e
DEPARTMENT OF HEAl_THAND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,[3, Box i96650 eAnchor~ge, ALosR~ 995Ig-6650eTeLephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LDGAL LOT 1, BLOCK 5, KNIK VIEW S/D P.]D ~0 051-051-49
ALDER LEAF COURT
SURFACE WATER SURFACE WATER
...................... =
~ ,
LOT
TBM ~ i m -
m
F m
PERMIT NO SW020529 PAGE 5 OF 5
b4unicip, alit oF Anc½opcc~e
DEPARTMENT OF HEALTHAND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
PG. Box 196650 eAnchor~ge, ALcsk~ 99519-6650e TeLephone~ 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 1, BLOCK 3, KNIK VIEW S/D P.I.D. NO. 051-031-49
ST1 ST2 ~ 97.3'
FINAL92.~2.6 G RAD..~ ................................... ~.~ INSULATION
FINAL GRADE
CO1 =90.6'
)2.2'
CO1 =8%7'
C02=87.4'
A B
FCO 26.5' 5.5'
ST1 57.0' 48.0'
ST2 59.0' 49.0'
TMT 55.5' 48.0'
DBL1 62.0' 50.5'
DBL2 65.0' 51.0'
C01 92.0' 79.0'
C02 80.5' ] 55.5'
MT1 81.0' 56.0'
MT1 =81.4'
NO
·
WATER FOUND
75.4' B,0.H.
S~S ENGINEERING
November 2, 2004
1211 P.01/01
ROBERTC, COWAN, RE.
ROBERTA. SI'IAI=ER, RE.
CIVIL ENGINEERS
(9O7) 6942979
FAX 0;~/') 604-1211
MUNICIPALITY OF AN ,CHOIL~,GE
Development Services Department
P:O. Box 196650
Anchorage, AK 99519-6656
REFERENCE: Lot 1; Block 3; Knik View Subdivision
Request you grant'a waiver on the referenced property for the horizontal separation
distance between the leachfield and the west property line at 1 toot,
We do not anticipate a!~y, ~verse effect on the adjacent property.
If you require additiona, l,',i~i~ation, please contact us.
Sincerely,
Robert C. Cowan,
R.CC/ts ', '
't7034 NOI~'H EAGLE RIVER LOOP · SUITE 204 · EAGLE F~IVER, .N..~KA 9~$77
Municipality of Anchorage
P.O. Box 196650 *Anchoragc, Alaslm ,(~)519-6650 ·Tclcphone (907) 8~]-8501 · Fax (9()7) 343-8200
4700 Bragaw Strcct ° Anchorage, Alaska 99507
Mayor Mark Begich
Building Safety Division
11/3/2004
S & S Engineering
17034 Eagle River Loop Road
Suite 204
Eagle River, Alaska 99577
Subject:
Waiver Request for Knik View Subdivision, Block 3, Lot 1
Waiver Request #WR040083
Parcel ID #051-031-49
HAA# Ha040584
Dear Mr. Cowan:
Your request for a wmver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
1.0 foot.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
Julie Makela, P.E.
Civil Engineer
On-Site Water & Wastewater Program
Community, Security, Prosperity
wR~:"WR0~0083
Development Services Department
Building Safety Divis~ion
On-Site Water ~nd W~fEW~it~
4700 Bfa~W Street
P.O. B0k 196650 Anch0ia~, AK 99519-6650
www .ci.anchgrag~.~.ili
~(907) 3~:3 '-7904
Waiver Review W~ksl~eet~
PID~: 051;031'-49 HA#: HA0a,0584 ' '
B. S6il Sorptidh'
C. 'permeability
E. Horizont;
T6t~il:
Waiver is not Granted:
By:
Amount: ·
I~sr~c,O~
~0n~l'ont9
wLLihsl'~tlc~l
&FLOWI{~st
no~t~$1GU
r~hool~i$OU
~OBERI' C. COWAH, P.E.
ROBERT A. SIIAFER, P.E.
Date:
CIVIL EH(31HEEnS
(go?) 694-297g
FAX (go7) 694-12J 1
DEPARTME~ OF tiBALTg AHD HUMAN SERVICES
825 ~ street
p.O, Box t9~50
nnoho~age~ ~iaSka 99519-6650
REFERENCE
The septic insp~ions for _the referenced property were
performed on q-[ DF and ~-~-~ . prior to submitting
tile O~-s~te Wastewater DtspoSai System and/or Well InSpection
Report we are wailk~ng for the -~,:a~a~.~/~$-~u~/~ to be
completed. ' ~Y~y
if We may be of fUrtl~er serVice, please contact us.
Sinoe~ely~
Robert C~ Cowati, P.E.
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
Renewal
Date Issued: Sep 05, 2002
Expiration Date: Sep 05, 2003
Permit Number: SW020329
Legal Description: KNIK VIEW BLK 3 LT
Design Engineer: 0003 S & S Engineering
Owner Name: R&S Homebuilders
Owner Address: PO Box 521577
Big Lake, AK 99652-
Parcel ID: 051-031-49
Site Address:
Lot Size: 48990 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
?1 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:
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.
Permit Number SW
Propertyowner(s) ~ ~ 5' H<;,,,~ ~v~-,~.~-.~
Mailing address (1) ~-'¢- 8¢;~ ..~A. I ,¢ '7 7
Day phone
Mailing address (2) /~ (.- /--4-~,~ / /)t~
Legal description (Lot, Block & Sub'd.) L o T
Legal description (Section, Township & Range)
Lot Size ¥ ~'¢ ¢i fro Acres/~----'-~
Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
~ Well Only []
[] Water Storage []
[] Jacuzzi []
[] Water Softening Unit []
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,
S & S ENGINEERING
~__~Z ~.-.---- 17034 Eagle River L°eP R°ad N°' 204
;;~_ale River, Alaska 9~$77
(Signature of property owner or authorized agent)
~_,~j~,,.~W a iv e r Fees:
Permit Fees: /~.'~<~ /
Date of Payment: ~.~¢/Z~/~'~ Date of Payment:
Receipt Number: ¢:~ ~'? ~ ,~¢ Receipt Number:
(Rev. 12./00)
MuNicIPALITY OF ANCHORAGE
Development Sen/ices 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
Renewal
Date Issued: Sep 05, 2001
Expiration Date: Sep 05, 2002
Permit Number: SW010359 Parcel ID: 051-031-49
Legal Des~ip~r0~ KNIKV~IE~ ~LK,. ,. ~ LT1
Design Engineer: 0003 S & S Engineering Site Address:
Owner Name: Ted Schmelzer Lot Size: 48990 SQ. FT.
Owner Address: PO Box 999 Total Bedrooms: 4
Naches, WA 98937-
Permit Bedrooms: 4
This permit is for the construction of:
[~ Disposal Field ~ Septic Tank L~ Holding Tank [~ Privy
[] Private Well [] Water Storage
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.
Issued By: ~ Date:
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
RECEIVED
FOR A SINGLE FAMILY DWELLI'NG
JUL 23 20l)1
Municipality.o.f Anchorage
ParcelI.D. 0~-( -o 31-
Permit Number SW OIO,~,~-~'
Property owner(s)
Mailing address (1) P.8 . /~oK ~q ~
Mailing address (2).
Legal description (Lot, Block & Sub'd.) Z._O 7"
Legal description (Section, Township & Range)
Lot Size L~ ¢~1 ~ q 0 Acres~
Day phone
Zip Code
Number of Bedrooms
THIS APPLICATION 1S FOR:
Sewer OnLy
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
'[] Well Only []
[] Water Storage []
[]
[] Jacuzzi []
[] Water Softening Unit []
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. Si S ENGINEERING
~j/ ~ 17034 Eagle River Loop ROld No. 2G4
~ F. aCe Rlwr, Alaska, 99577
(Signature of property owner or authorized agent)
Permit Fees: Waiver Fees:
Date of Payment:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Receipt Number:
MUNICiPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Sap 07, 2000
Expiration Date: Sap 07, 2001
Permit Number: SW000357
Legal Description: KNIKVIEW BLK 3 LT
Design Engineer: 0003 S & S Engineering
Owner Name: Ted Schmelzer
Owner Address: PO Box 999
Naches, WA 98937-
Parcel ID: 051-031-49
Site Address:
Lot Size: 48990 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] SepticTank ~] 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 ( '~8AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to Apri~ 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:
Date: ~'- ~- ~O
Date: ?- 7- 0
I~sP~cnoN
W~LL iNSpEctiON
~LOWtESt
§o~LtE~t
~icbLAfloN
?~t
ROBERT C. COWAN, P.E
August 10, 2000
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 1, Block 3, Knik View S/D
c1VIL ENGiNEEm
(907) 694-297g
FAX (907) e94-12it
It is requested that you issue a permit to install a septic system to serve the proposed
four bedroom dwelling on the referenced property.
A test hole was excavated and a percolation test was p~rformed. The approximate location
of the test hole is located on the attached site plan. At the time of excavation 7/20/95 water
was not found. After ground water monitoring, no water was found.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you require additional information, please contact us.
Sincerely,
RCC/bjj
Enclosure
SiTE-PLAN
DESIGN
1"=60'
--S-C~ -
g
KNIK VISTA DRIVE
PERFORMED FOR:
LEGAL DESCRIPTION:
1
3
4
8
9
10
11
13-
14-
15-
16-
17
18-
1g-
2O
COMMENTS
Municipality of Anchorag. Y'~l ..., ~~'~
DEPARTMENT OF HEALTH & HUMAN SERVICES :,...~ ..' ,,'~ .~. · ............. ~
SOILS LOG -- PERCOLATION TEST ~ ~ ~O~[~T c, COWAN ~,~,
'~-;'.,
~t~ t~ Township, Range, Section:
SLOPE SiTE PLAN
WAS GROUND WATER
ENCOUNTERED? ~'~
S
IF YES, AT WHAT ~"~l L
DEPTH? ~ pO
Oe~F~ Water Afle[n' j
MonimrinD? ~ Da~:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~-~ (minutes/inch) PERC HOLE DIAMETER L~
TEST RUN BETWEEN ~ FT AND ~'~ FT
S & $ ENGINEERING
PERFORMED BY; ..... .---~- ~b.'~'? ! ~4~a Road No. 2 ~ w~ J o CER'rlF
IZU'~-- --~ .... (~t ~ Y THAT THiS TEST WAS PERFORMED IN
99571 '
ACCOR?ANCE WlTI'~S~I~['A~$1~NICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ "' ~ '~ ~
72-008 (Re~;. 4/85i
Municipality ol Al'lchorage
DEPARTMENT OF I-IEAL"rH & HUMAN SERVICES
825 "L' S[reet, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAl. DESCRIP~ ,ON:
2
3
4
5
6
7
8
9
10
12
13
t4
15
16
17
18
19
20
SLOPE
--iI
/
ENCODNTERED?
IF YES, AT WIIAT!
Monilorin9? _./~'~c-7 Dale'.
Reading Date Time
SITE PLAN
Net
Time
Depth to
Water
/,Z *'
PE[ICOLATION BA'[E ~'~'- Bmnutes/irxch) PERC HOLE DIAME'IEB ~
1ES1 RUN BETWEEN /'-----~ F1 AND ~'- ~l
COMMENIS
I/u~-, ~.agle River Loop Road No. 204 / - . ~/. /.
ACCORDANCE WIT~ ~',IOTI~ ~i~,L GUIDELINES IN EFFECT ON THIS DATE, DATE; O/ ~/~(}
72 008 (Rev, 4/85)
ON-SITE WASTEWATER DISPOSAL sySTEM
CONSTRUCTION PRAcTIcES
and
MATERIAL SPECIFICATIONS
I~SP~cT~O~
b~l~it~
~9~st~V~t~
REFERENCE: Lot 1, Block 3, Knik View S/D
August 10, 2000
GENERAL:
1.
~oBERT C. COWAN, P.E.
CIVIL ENGiNEEP~
(907) 694-2979
FAX (907) 694-1
The scope of this project includes the installation of a 1300 gallOn Premier
polyethylene septic tank and a drainfield trench to serve the proposed four
bedroom residence located on the referenced property.
Construction shall be in accordance with the approved site plan and design
drawings, Municipal permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
The contractor shall be responsible for obtaining any necessary underground
utility locates.
Unless specifically agreed otherwise, the property owner shall be responsible
for final grading areas subsequently depressed from soil settling.
Contractors installing wastewater disposal systems must be certified by the
Municipal Health Depamnent for system installations. Owners installing
their own systems must also receive pnor approval from the Municipal Health
Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
t 7004 Noffti'N I~.AgL~ hlVE~ LOOP ~ 0 Oli'l~ 204 ~ JF.A~ LIE nlVER. ALASI~ eeszt
Page 2
Lot 1, BloCk 3, Knik View S/D
August 10, 2000
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
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 ft. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout shall be to clean toward the
septic tank.
Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
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 excavation become
smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock)
placement.
Once the gravel is installed, the distribution pipe is to be installed level with the
perforatiOns faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the fmal gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
Monitor tubes shall be of 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.
Backfill over the final gravel layer must not be less than twenty-four (24) 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.
Page 3
Lot 1, Block 3, Knik View S/D
August 10, 2000
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting engineer.
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
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.
All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement apphes.
INSPECTIONS:
TypicallY there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
Page 4
Lot t, Block 3, Knik View S/D
August 10, 2000
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.
The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of 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. Thus, 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 contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineeringl S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering 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. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
Parcel I.D.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
051-031-49
GENERAL INFORMATION
Complete legal description
Expiration Date: -~,~'"/'~ ~.,
/ /
KNIK VIEW, LOT J, BLOCK
Location (site address) 22330 KNIK VISTA STREET, CHUGIAK, AK 99567
Current Property owner(s) |AMES & LORI NIVA
Day phone
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
PO BOX 671228, CHUGIAK, AK 99567
JESSICA HORWATT - PRU
Day phone
Unless otherwise requested, COSA will be held by DSD for pickup.
NUMBER OF BEDROOMS: 4
Day phone 441-8196
TYPE OF WATER SUPPLY:
Individual Well
Individual Water StOrage
Community Class __ Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site []
[] Individual Holding Tank [--]
[] Community On-site
[] 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 pdvate 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 vedfy 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.
DSD SIGNATURE
Approved for
Disapproved.
Conditional approval for
Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3792
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engi~e~e~s P, rin~cJ~ame KENNETH M. DUFFUS Date 04/30/2011
Engineer, s C6mnlen~s: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the
water usage of the family being served by the system. 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,
ArcTerra can not give any estimate of how long a :~~....
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen
.
encroachments, deficiencies or discrepancies exist. ~.;;~. .. ~.'...'~'.!'~:.'
bedrooms.
bedrooms, with the following stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
( e. 1'f/o5) ~
Original Certificate Date:_
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: KNIK VIEW, LOT ;~, BLOCK~
A. WELL DATA
Parcel ID: 051-031-49
Well type PUBLIC IfA, B, or C provide PWSID # __
Date completed (Y/N)
Total depth __ff. ft.
Sanitary seal
Cased to
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform colonies/100mL
Nitrate
Well Leg (Y/N)
Wires properly protected (Y/N)
Casing heigM (above ground) in.
AT INSPECTION
rng/L Other bacteria
Arsenic: ___mg/I Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Sel~ticj~-IDPF. Date installed 9/1/2003
colonies/100 mL
Tank size 1300 gal.
Number of Compartments _2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) __N
High water alarm (Y/N) N Date of pumping 4/27/2011 Pumper J-Rs
C. ABSORPTION FIELD DATA
Date installed 9/2[2003 Soil rating (g.p.d./lt2 or ft2/bdrm) 1.2 System type Deep Trench
Length 42 ff. Width --3 f. Gravel below pipe 6 ft. Total depth 10.3 ft. (measured 4/27/11)
Eft. absorption area ~ft Monitoring tube Y Depression over field _N_
Date of adequacy test 4/28/2Oll
Results(Pass/Fail) Pass For zt bedrooms
Fluid depth in absorption field before test [ in. Water added 810 gal. New depth 0 in.
Elapsed Time: O min. Final fluid depth ~ in. Absorption rate >= 650+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) N__lf yes, give date __
D. LIFT STATION
Date installed
"Pump on' level at __
Datum
in.
E. SEPARATION DISTANCES
Size in gallons
~Pump off" level at __
Cycles tested
in.
Manhole/Access (Y/N).
High water alarm level at in.
Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Sewer/septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation $'+
Water main ;tO°+
Property line 5'+
Water service line ;loo+
Absorption field 5'+
Surface water 100'+
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line I~' I~ Building foundation 10'+ Water main ;loo+
Water Service line ;loo+ Surface water
Curtain drain soo+ (None Known)
COMMENTS
IOOO+
Driveway, parking/vehicle storage 10'+
Wells on adjacent lots 200'+
Vacant system pre-soaked with 2000 ~allons prior to test.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through ~eld 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 KENNETH M. DUFFUS
Date 04/'~/2011
COSA Fee $490.00
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
(Rev. 11/05)
Municipality of Anchorage
Development Services De partment
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
~ ,~P.O Box 198650 Anchorage, AK 99519-6650
www.ckanchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O~/- o$1- ~/c/ HAA# /")q'
-- . Exp~r~iJOn t.)ate:
1. GENERAL INFORMATION
Completelegaldescription Lot 1; Block 3; Knik View Subdivision
Location (site address or directions) 21530 Alder Leaf Ct.
Current Property owner(s) ~,~o~3 B*~T -J~o~$:, /~,c. Day phone
Mailing address ~',~37 ,quyo~4~v. ,~,e~c,~. ,8,vc¢¢, AK 995'0'7
Lending agency
Mailing address
Day phone
Real Estate Agent ~tc~ ~,/~,¢ ~ ~¢.~.
Mailing Address
Un/ess otherwise requested, HAA wi//be held by DSD for pickup.
2. NUM~BER OF'BEDROOMS: 4
Day phone
TYPE OF WATER SUPPLY:
individual Well
ndividual Water Storage
Community Class
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site
[] Individual Holding tank
[] Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a pdvate 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 Health Authority Approvat 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 alt applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
Name of Firm S & S Engineering
Address 17034 N. Eagle River Loop Ste.
Engineer's Printed Name Robert C. Cowan
Phone694-2979
204 Eagle River, AK 99577
Date
5. DSD S/,IGNATURE
V/' Approved for q
Disapproved.
Conditional approval for
bedrooms.
ROBOT C. COWAN
CE-8801
?
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Rev. 01/02)
I at ~n.
E SEPARATIO~ DISTANCES
,r main
foundation
,r main
Or
had ~cent I~)[§ ........
Pubhc sewer man~ole/cleanoui
Holding tanK
Propertyline ~ -z- Absorption field
Water service line ! O ~ Surface water
"%~~"~ ¢'- Water main ! eD
Surface water_ t 6)C~ '¢- Driveway, parking/vehicle storage
'1 recordS that the above systems are in
With MOA HAA effect on this date.
Waiver Fee $
Date of Payment
Receipt Number
6
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