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HomeMy WebLinkAboutPOLLOCK HOMESTEAD BLK B LT 10Pollock Homestead Block B Lot 10 #017-112-38   907 Water Well Services P.O Box 210249 AK 99521 (907)230-1868 johnnie.netherton1702@gmail.com N V" D) 5 "ted''E__ BILL TO Matt 15330 Pollock Dr Anchorage, Ak 99516 ACTIVITY Service Call Flow test is not being charged due to insufficient water down hole. 7/28/17 Pump Rig Removal of all down hole components in order for drill rig to set up over well 8/1/17 1 In Long Body Check Valve 1 check valve was placed 100 ft above the pump and the other one was placed a 1 00f below the pitless Touque Arrestor Placed directly above pump to keep wear and tear away from wires from pump thrust when pump kicks on Pump Rig 8/2/17 reinstallation of pump,pipe and wire after drilling well deeper pump directly from well head to clear out sediment 10/2 AWG Super Blue Drop Wire Additional wire down hole due to well being drilled deeper 1 in PVC Drop pipe 80ft added to pre-existing 140ft of 1" pvc drop pipe Q,07 C RESIDENTIAL 8 COMMERCIAL WATER AND WELL SERVICES 24HR EMERGENCY SERVICES AVAILABLE FREE ESTIMATES John Merherron P.O 6ox 210249 Anchorvge, AK y� "y ? �"�. 99521 90 —.a ,3 0— INVOICE # 1410 DATE 08/02/2017 DUE DATE 08/02/2017 TERMS Due on receipt OTY RALE AMOUNT 1 145.00 145.00 1 165.00 165.00 2 56.00 112.00 1 36.00 36.00 4 165.00 660.00 70 2.35 164.50 80 2.25 180.00 BALANCE DUE $1,462.50 Erik Widger From: Matthew McSorley <matthew_mcsorley@hotmail.com> Sent: Thursday, April 16, 2020 12:25 PM To: Erik Widger Subject: holding tank Good morning Erik, Thank you for the call and update on the COSA. The water holding tank in the garage is 300 gallons. It was installed in 2014 by Anchorage Pure Water Products. Below is the receipt. We look forward to seeing your report. Sincerely, Matthew & Christina McSorley Sent from my iPhone 1 - �. _, pppp-f/-,� (( tiw i L - l i 6• St G 7 - .,:. l .q. C CC f 43 111 :. 4� .i 1 Municipality of Anchorage • Development Services Department=_ s7 Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SWO30483 PID Number: 017-112-38 Name: RYAN MATHIAS Wastewater System; ■New ❑Upgrade Address: 13120 LUPINE ROAD * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 24.0-8430 4 O Dsep Trench ■ Shallow Trench ❑ Bed jiMound ❑ Other LEGAL DESCRIPTION Seg Rating: 6.0 Total Depth from original grade: I GPD/Sq. Ft. SEE DWG. FL Block: Lot: Subdivision: B 10 POLLOCK HOMESTEAD Depth to pipe bottom from original grade: SEE DWG. Growl depth beneath pipe: 0.7 Ft. FL Township: _ Range: Section: FlII added above orginel grade: Grovel length: _ SEE DWG. Ft. 30 Ft WELL: ■ New ❑ Upgrade Gravel width: 5 Number of line•: 1 Distance between lines: _ Ft FL Classification (Priv" A.B,C): Total Depth: Cased To: Total obeorpNen area: Pipe material: PRIVATE 166 Ft. 72 FL 150 SO. Ft. D 3034/ F-810/SCH 40 PVC Dollar. Data Drilled: Islet. Water laud: Installer. Date installed: ALPINE DRILLING 1 19/20031 40 FL GEG, Ltd. 1/6-7/2004 1bld:Pump Set A4 Casing Haight Above Ground: 3.0 CPM UNKNOWN Fc 2 Ft. TANK SEPARATION DISTANCES 0Septic ❑Holding ■S.T.E.P. ■Other** Ta Septic Tank Absorption Field Lift Station Holding Tank Public/Private sewer unes Manufacturer. ORENCO Capacity in gallons: 1500 From Well 100'+ 100'+ 100'+ — 25'+ Material: FIBERGLASS Number of compartments: 2 Surface Water **100'+ **100'+ **100'+ — — LIFT STATION Lot Line 5'+ 10'+ 5'+ — — Size in gallons: 1500/76 Manufaahvvr. ANCHORAGE TANK ORENCO SYSTEMS Foundation 5'+ ***5' 5'+ — — 'Pump on' level ab TIMER/13.5" Pump level at. TIMER/13.5" High waler eleven ab 46"/24- Curtain Drain — — — — — Pump Mab @ Model: Dee Weal Inspections performed by. #20 OSI 05 HHF M.O.A. Remarks: BENCH MARK Location and Description: *THIS IS AN ADVANTEX TREATMENT SYSTEM TOP OF FILTER POD **CURTAIN DRAIN OUTFALLS TO DRAINAGE DITCH ALONG ROAD FILLED WITH DRAINROCK TO COVER Ascumed Elevation: 11)5.78 pt. SURFACE WATER. ***WAIVER GRANTED. ENGINEERS JEA. a®6p -NO F.C.O. BECAUSE GRINDER PUMP IN BASEMENT Inspections performed by: GEG, Ltd. Dates: 1st 1/6/2004 * ....... .... ...' *Q� 2nd 1/6/2004 3rd 1/7/2004 y p0 Development Services Department Approval c zs G�0 do4 /, ' Reviewed and approved by4 kmA"l Date: 9 /S e,,•, � a���'c���0 ��e0'Pr D��a (Rev. 12/01) o f essio� o0 �ODDOq�d -�` 91?-a1/S GAG has -FhoLf Mlle dr0.'riFi',W is hcavily Uegc.-werl. PERMITSWO NUMBER: AS DRAWING PARCEL INUMBER: SWO3O483 017-11 12-38 I I J F YI U O J J O \ n vl DRAINAGE DITCH ALONG ROAD FILLED WITH DRAINROCK� ST1 POD MH1 MH2 NEW WELL MT1 MT2 100'WELL �. RADIUS t OUTFALL I 1. OWNER, IAS - --•-i: -••e .-w NEW / /) ®- - 4 BEDROOM / HOUSE TH#2 THA � I� NEW DRAINFIELD- I TH#3 FOR LOT 11- -5' LOT LINE WAIVER GRANTED WITH PERMIT NEW 1500 GALLON ADVANTEX TANK. r---- ) L----_ J A B 40.81 28.80 45.68 34.39 39.69 38.16 43.03 41.69 39.94 48.02 37.80 66.95 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS SCALE: 3D 'k . T 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 ' PHONE (907)337-6179' FAX (907)336-3246 — PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RYAN MATHIAS (907) 240-8430 2OF 3 ..... Q� J Gamess: LEGAL DESCRIPTION: P Si 95 eG POLLOCK HOMESTEAD SUBDIVISION; LOT 10, BLOCK B ppQrm '- :3�Z3�o+��g�o� TYPE OF WORK:o E AS -BUILT OF NEW WELL SEPTIC SYSTEM 4��p40oo�00�0 PERMITNUMBER: SWO SW030483 AS—BUILT DRAWING PARCEL INUMBER: 7TOPOF L 017-11 12-38 SAND TOP OF ADVANTEX POD TOP OF MANHOLE _ = 104.05 (AVG.) = 105.78 (AVG.) 105.66 (AVG.) >) INCH HOLES SPACED 10 INCHES ON TOP OF MANHOLE _ FINAL GRADE = BOTTOM OF TRENCH = 105.76 (AVG.) 103.8+ 100.09-101.55 LIMITED TO RELATIVE ELEVATION OF GROUNDWATER THE REMOVAL OF ORGANICS OATS INSULATION 99.47 (EAST END OF TRENCH) TOP TANK RELATIVE ELEVATION OF BOTTOM OF TEST HOLE = 92.09-93.55! = 100.87 10 •I TOP 10 TANK I / = OF TANK _..._,. . 1504 GALL( AGVANIEX TANK INSTALLED BRACT AND STAKING ORIGINAL GRADE = 101.09-102.55 INVERT OF = 101. BOTTOM OF VAULT = FINAL GRADE _ 107.24 (AVG) INSULATION FILTER FABRIC TO DRAIN I FIELD ORENCO PUMP VAULT TH#3 7• ' APPROVED ` :g lSA�D. FlLTER�s _ 7TOPOF L INVERT OF PIPE = 104.75 (AVG.) THE SAND rj�l DISTRIBUTION LINE IS 1.25 INCH PVC WITH = 104.05 (AVG.) >) INCH HOLES SPACED 10 INCHES ON CENTER (30 HOLES TOTAL) BOTTOM OF TRENCH = 100.09-101.55 LIMITED TO RELATIVE ELEVATION OF GROUNDWATER THE REMOVAL OF ORGANICS 98.01 (WEST END OF TRENCH) 99.47 (EAST END OF TRENCH) RELATIVE ELEVATION OF BOTTOM OF TEST HOLE = 92.09-93.55! DRAWN BY: yl....... .... (� 1( M.E.W./C.J.G. GARNESS ENGINEERING GROUP, Ltd. SCALE: y o TE N1 - ANCHOR E GENERAL CONTRACTORS N.T.S a....... ... ,. • ... ....... 3701 E. TUDOR ROAD, SUITE 101 •ANCHORAGE, AK 99507 •PHONE (907)337-6179 *FAX (907)338-3246 Q PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RYAN MATHIAS (907) 240-8430 3 OF 3 o. a A. SS: LEGAL DESCRIPTION: QO C - 95 of POLLOCK HOMESTEAD; LOT 10, BLOCK 8 �9r coo TYPE OF WORK: 4 Qe�-eyp $ .3 •bop PROFILE AS -BUILT DRAWING OF NEW SEPTIC SYSTEM Opp tofesstoaq 40ooq RightFax 1/19/2004 7:10 PAGE 1/1 RightFax Inspection Report Municipality of Anchorage, Building Safety Division 4700 South Bragew INSPECTIONO VOICE 343-8300 INSPECTIONi FAX (9071248-7777 INFO: 343-7962 Name Dave Permit 04-7076 Address 19330 POLLOCK DR Phone 727-0972 i 622-6777 Legal BK B LT 10 Inspection Date 1/1912004 PM Subdivision POLLOCK HOMESTEAD Commends or Directions Inspection Retro Electrical Reinspection N NO NONCOMPLIANCE OBSERVED ❑ CORRECTIONS ESSENTIALAS EXPLAINED BELOW ❑ WILL RE-EXAMINE AT NEXT ❑ DO NOT CONCEAL UNTIL REINSPECTION INSPECTION { COMMENTS: (for inspector use only) SC-sn4 Lr fl f; i' k i t R Data-/ ^ 01 Municipality of Anchorage Department of Health and Human Services 825 °L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom httpJAv vw.d.anchorage.ak.us Mayor / Permit Number: #SW 03048 Date of Iss e: 11-19-03 Parcel Identification Number: 017-112-38 Date Started:16 1-04 Date Completed: 11 04 Is well located at approved permit location? ® Yes ❑ No Legal Description: Pollock Homestead Block B Lot 10 Property Owner Name & Address: Ryan Mathias 13120 Lupine Road Anchorsoe. Alaska 99516 Borehole Data: Depth (R) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel Stick-up 0 2 Wall Thickness: .250 inches gravelly stat Bedrock 2 70 70 166 Diameter: 6 inches Depth: 72 feet - Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 40 feet Pumping level: 186 feet after 2 hours pumping 3 gpm Recovery Rate: 3 gpm Method of Testing: air Ar Well Intake opening Type: ❑ Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Startfeet Stopped feet Grout Type: bentonite # 8 Volume: 1 Depth- Start 0 feet Stopped 1!2+ feet Pump: intake feet - — - -Depth Pump size - hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property 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 I WATER SUPPLY PERMIT Initial Permit Number: SW030483 Legal Description: 9 ato A Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Ryan Mathias Owner Address: 13120 Lupine Road Anchorage , AK 99516 - Date Issued: Nov 19, 2003 Expiration Date: Nov 18, 2004 Parcel ID: 017-112-38 Site Address: 15330 Pollock Drive Lot Size: 18958 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:/ (/3 Municipality of Anchorage o Park x:'i Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D.—) I ! Z y 03 4i33 ( � Permit Number S (.t/ � Property owner(s) RYAN MATHIAS Day phone 240-8430 Mailing address (1) 13120 LUPINE ROAD * ANCHORAGE AK Mailing address (2) Zip Code 99516 Legal description (Lot, Block & Sub'd.) LOT 10. BLOCK B• POLLOCK HOMESTEAD IS'UBDDIVISION - Legal description (Section, Township & Range) ±U%�j � t F I I n C 1 I�J Lot Size_ IS t C4 Acres/E) cres q.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well 0 Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit F9 Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: z Date of Payment: I i� ) Receipt Number. LT L 1 Waiver Fees: Date of Payment: Receipt Number: '-- ALASKA. WATER & WASTEWATER CONSULTANTS, INC. - November 10, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Ref: Proposed Well and Septic System for Lot 10, Block B; Pollock Homestead Subdivision ADVANTEXT"r TREATMENT SYSTEM To whom it may concern: 1. GENERAL: The proposed 4 bedroom home will be served by a private well and septic system. Three test holes were excavated on the property. We are proposing to design the septic system around the 30 foot radius of test hole #3 for lot 11. Due to the limited amount of receiving soils and high groundwater we are proposing to use an Advantex treatment system with a pump vault and a pressurized 5 -wide trench type drainfield. The well is to be located in the area shown on the site plan and design drawing. 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex Treatment System that will allow the use of a small drainfield in the area around the 30 foot radius of the test hole. The Advantex system has received class III approval and we are going to assume an application rate of 4.0 GPD/FT2. 4. PRESSURIZED 5 -WIDE DESIGN: a. Percolation Rate: <1 & 6.7 minutes/inch b. Proposed Application Rate: 4.0 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 150112 f. Total Depth: 1.0 feet (max. limited to the removal of organics) g. M.O.A. Approved Sand Filter Depth: 2.5+ feet h. Effective Depth: 0.5 feet i. Width: 5 feet j. Minimum Length: 30 feet long k. Effective absorption area: 150112 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507 Ph: (907)337-6179 * Fax: (907)338-3246 * Website: akwwc.com 5.ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. 6. SURFACE WATER: There are no surface waters within 100+ feet of the proposed septic system. 7. TOPOGRAPHY: As can be seen on the attached topography site plan the area around the proposed drainfield is relatively flat. In short, there are no slope concerns. 8. LOT LINE WAIVER REQUEST: We request that a 5 foot lot line waiver be granted from the south lot line to the proposed primary and alternate drainfields. We are unaware of any adverse effects on the adjacent property with the granting of this waiver. 9. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose o adjacent wells, or septic systems. If you have any questions, please call us at 337-6179. 1 11 .E., M.S. NOTE. Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail, three soil logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907)337-6179 * Fax: (907)338-3246 * Website: akwwc.com 1 I ,'\ LOT 4, BLOCK A ;LOT 3, BLOCK A I , I� POLLOCK HOMESTEAp/t.> POLLOCK HOMESTEAD E�IIi�` j) `MRIC �1 I % IC R \ oI LOT 2, BLOCK A 1 ( ! AA POLLOCK HOMESTEAD I LOT 5, BLOCK A \V� 1 1 POLLOCK HOMESTEAD I I 01 LOT 1, BLOCK A i POLLOCK HOMESTEAD I i LOT 6, BLOCK A _ ! IPOLLOCK HOMESTEAD ! i (VACANT i! € I jf PROPO ! I �I WELL Y I I LOT 8, BLOCK B I PPLLOCK HOMESTEAD S/D I I RABBIT CREEK _ROAD_ PROPOSED WELL - LOT 1A, BLOCK 1 POLLOCK HOMESTEAD Y� i CSEPTIC 1 \ARI LOT 9, BLOCK B POLLOCK HOMESTEAD, I \ 11 LOT 1B, BLOCK 1 POLLOCK HOMESTEAD ALTERNATE SITE LOT 3, BLOCK 2 �\ POLLOCK HOMESTEAD �\ ABANDONED WELL -PROPOSED SEPTIC SYSTEM (SEE DESIGN PAGE 2 OF 4) CLASS "C" WELL SITE PROPOSED i i \ 4 BEDROOM / HOUSE i LOT 2, BLOCK 1 POLLOCK HOMESTEAD ALASKA WATER & WASTEWATER CONSULTANTS, INC. . 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507 * PHONE (907)337-6179 " FAX (907)338-3246 1 = 1 DO' ✓ ' PREPARED FOR PHONE NUMBER: PAGE NUMBER: �� RYAN MATHIAS 240-8430 1 OF 4 ". Af LOTS 10 AND 11, BLOCK B; POLLOCK HOMESTEAD SUBDIVISION OF WORK: SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATION ' CELL 7953 Pio f P.s sioo HOLADNIING -PROPOSED 4 BEDROOM HOUSE ALTERNATE SITE LOT 3, BLOCK 2 �\ POLLOCK HOMESTEAD �\ ABANDONED WELL -PROPOSED SEPTIC SYSTEM (SEE DESIGN PAGE 2 OF 4) CLASS "C" WELL SITE PROPOSED i i \ 4 BEDROOM / HOUSE i LOT 2, BLOCK 1 POLLOCK HOMESTEAD ALASKA WATER & WASTEWATER CONSULTANTS, INC. . 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507 * PHONE (907)337-6179 " FAX (907)338-3246 1 = 1 DO' ✓ ' PREPARED FOR PHONE NUMBER: PAGE NUMBER: �� RYAN MATHIAS 240-8430 1 OF 4 ". Af LOTS 10 AND 11, BLOCK B; POLLOCK HOMESTEAD SUBDIVISION OF WORK: SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATION ' CELL 7953 Pio f P.s sioo NOTE: THE CONTRACTOR SHALL HAVE THE SOUTH LOT LINE, THE EAST LOT LINE, AND THE 100 1 FOOT WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. WELL —--' s PROPOSED 4 BEDROOM HOUSE , •U•, CLEANOUT, CO TH#1 / TH#2� H PROPOSED 1500 GALLON ADVANTEX / �' MH TREATMENT SYSTEM (/S ^ f.�9S_ r, SEE DETAIL DRAWING '%/// ry// PAGE 3 OF 4.)� MT — — —' MTL-___—__—J L_—____—J 1. PROPOSED DRAINFIELD. EXCAVATE A TRENCH THAT IS 1.0 FEET DEEP MAXIMUM (REMOVE ALL ORGANICS) BY 5 FEET WIDE BY 30 FEET LONG. ADD 2.5+ FEET OF M.O.A. APPROVED SAND FILTER AND THEN 0.5 FEET OF CLEAN, WASHED SEWER DRAINROCK. THE DISTRIBUTIOIN LINE IS TO BE 1.25 INCH PVC PIPE WITH 1/4 INCH HOLES DRILLED EVERY 10 INCHES ON CENTER, 30 HOLES TOTAL. (SEE DETAIL DRAWING, PAGE 4 OF 4) T FOR LOT LOT 11- INCH 1- \ PROPOSE ----`W'--- \ SEPTIC ALASKA WATER & WASTCWATER J•L.M. CONSULTANTS, INC. scALE: 01 E TUDOR ROAD SUITE 101 - ANCHORAGE, AK 99507 ' PHONE (907M37-6179 ' FAX (907)338-3246 PARED FOR: PHONE NUMBER: PAGE NUMBER: RYAN MATHIAS 240-8430 2 OF 4 4L DESCRIPTION: POLLOCK HOMESTEAD SUBDIVISION; LOT 10, BLOCK B OF WORK: DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM —0F SITE •..* jJf A. On.a es�s: C 7953 ;' 0 \ NOTE: THE CONTRACTOR SHALL HAVE THE SOUTH LOT LINE, THE EAST LOT LINE, AND THE 100 1 FOOT WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. WELL —--' s PROPOSED 4 BEDROOM HOUSE , •U•, CLEANOUT, CO TH#1 / TH#2� H PROPOSED 1500 GALLON ADVANTEX / �' MH TREATMENT SYSTEM (/S ^ f.�9S_ r, SEE DETAIL DRAWING '%/// ry// PAGE 3 OF 4.)� MT — — —' MTL-___—__—J L_—____—J 1. PROPOSED DRAINFIELD. EXCAVATE A TRENCH THAT IS 1.0 FEET DEEP MAXIMUM (REMOVE ALL ORGANICS) BY 5 FEET WIDE BY 30 FEET LONG. ADD 2.5+ FEET OF M.O.A. APPROVED SAND FILTER AND THEN 0.5 FEET OF CLEAN, WASHED SEWER DRAINROCK. THE DISTRIBUTIOIN LINE IS TO BE 1.25 INCH PVC PIPE WITH 1/4 INCH HOLES DRILLED EVERY 10 INCHES ON CENTER, 30 HOLES TOTAL. (SEE DETAIL DRAWING, PAGE 4 OF 4) T FOR LOT LOT 11- INCH 1- \ PROPOSE ----`W'--- \ SEPTIC ALASKA WATER & WASTCWATER J•L.M. CONSULTANTS, INC. scALE: 01 E TUDOR ROAD SUITE 101 - ANCHORAGE, AK 99507 ' PHONE (907M37-6179 ' FAX (907)338-3246 PARED FOR: PHONE NUMBER: PAGE NUMBER: RYAN MATHIAS 240-8430 2 OF 4 4L DESCRIPTION: POLLOCK HOMESTEAD SUBDIVISION; LOT 10, BLOCK B OF WORK: DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM —0F SITE •..* jJf A. On.a es�s: C 7953 ;' 0 NOTE: JIM CROSS, Ad1lanTeVM Treatment System P.E. HAS THE �1 ••G1�6 GGAA Treatment hv�{J System �! ADVANTEX MANUAL AX20 - Mode la _ 40x94Pod INLET7INSULATION orsa� KTR/,E LIFT STATION NOTE: THE B TO PROPOSED DRAINFIELD -- INSTALLED OVER THE SEPT BEYOND ON ALL SIDES EX THE ADVANTEX FILTER. THI FOR HEAT TO ESCAPE FR RISE TO THE FILTER ABOVE IT. 6" JIM CAP FINAL GRADE (TYP.2)- ADVANTEX �AX20 POD 30 INCH INSULATED RISER-, 6" PJC PUMP-OUI MP.2, 6" PVC COUPLING GLUED TO TANK (TYP.2) SEWER SWb4t.ROCK INLET ORENCO -- --1 BIOTUBE OPTIONAL SCREENED SLIDE SECTION VAULT OF 6' PIPE OVER THIS CONNECTION TO PROVIDE4 BEDROOM ORENCO SHEER PROTECTION— EFFLUENT EXTEND TO FIBERGLASS TANK PUMP BRIDGE EXCAVATION DATE: p06� 4 11/10/2003� OF;q �qa ars I DRAWN BY: ALASKA WATER & WASTEWATER I.L.M.oaf`.4 S��a0 CONSULTANTS, INC. SCALE: Q * : 3701 E. TUDOR ROAD, SUITE 101 ` ANCHORAGE, AK 99507 . PHONE (907)337-6179' FAX (907)338-3246 N.T.S. • • 4 D PREPARED FOR: PHONE NUMBER: PAGE NUMBER: }' Q RYAN MATHIAS (907) 240-8430 3 OF 4 � •• • s d �, f e G me s,- � LEGAL DESCRIPTION: QA 9. E 7953 0O0 POLLOCK HOMESTEAD SUBDIVISION; LOT 10, BLOCK B TYPE OF WORK: u�4e01P O�Eo DETAIL DRAWING OF ADVANTEX TREATMENT UNIT �Opp�0000� FEET LON 1 MTO I 5 FEET WIDE I INSTALL VISOU ND / �OM PUMP VAULT BARRIER AROUND J PERIMETER OF TRENCH. THE DISTRIBUTION LINE IS TO BE 1.25 INCH SCH 40 PVC WITH 1/4 INCH HOLES FACING DOWN EVERY 10 INCHES ON CENTER (30 HOLES TOTAL), FINAL GRADE INSULATION FILTER FABRIC 0.5 FEET OF EFFECTIVE INSTALL BRACING AND STAKING AS NEEDED INSTALL BRACING AND STAKING AS NEEDED ORIGINAL GRADE \ ORIGINAL GRADE 2.5+ FEET OF M.D.A. ..' /`/ ;' .� -APPROVED SAND FILTER:-"-` \ THE DISTRIBUTION LINE IS TO BE 1.25 1.0 DEEP MAXIMUM �r\ r\�/i\\n\ \\n\�n\ INr\�/i\\n\ \\n\�n\ INCH Sum. 40 PVC WITH } INCH DIAMETER (REMOVE ALL ORGANICS) FEET WIDE HOLES SPACED 10 INCHES ON CENTER. ALASKA WATER & WASTEWATER CONSULTANTS, INC. 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507 " PHONE (907)337-6179 • FAX (907)338-324 'REPARED FOR: PHONE NUMBER: RYAN MATHIAS 240-8430 .EGAL DESCRIPTION: POLLOCK HOMESTEAD SUBDIVISION; LOT 10, BLOCK B YPE OF WORK: DETAIL DRAWING OF PRESSURIZED TRENCH 11/10/2003 '•• DRAWN J.L.M. O��P .+. .S��p SCALE: N.T.S. .......... . . .......... PAGE NUMBER: 4 OF 4 Q ' .J Q� s '• fr GGrness 953 •' �O ALASKA WATER & WASTEWATER CONSULTANTS, INC. 3701 E TUDOR ROAD, SUITE 101 • ANCHORAGE. AK. 99504 " PHONE (9W)N7-5179 • FAX: (-9-07T338-32M " WEBSITE: okw ... SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: POLLOCK HOMESTEAD SUBDIVISION: LOT 10, BLOCK B PERFORMED FOR: CHARLES VANDERGAW DATE: 6/12/2002 DEPTH Z�--- (feet) = _ TEST HO -LE --#-l] 1 —? ORGANICS 8 9 10 11 12 13 14 15 16- 17- is - TO GROUNDWATER DATE WEEP WEEP 0 7' SOIL CLASSIFICATIONS 2 6/21/2002 DRY 10/17/03 12:14 — 6" _ us GW _ _ 30 3 1/4" ORG 3 3 12:44 OLi 6" GP H�3 / H# ~THj ML 0 a L� 'VV���, mTH02 1 / I 5 GMWOH — 6" CL4 6 1:44 30 ! GCOL d _2 — n ism SWMH /1 1"=100' 5 iSPCH 6 SC 7-1 LENSES OF 8 9 10 11 12 13 14 15 16- 17- is - TO GROUNDWATER DATE WEEP WEEP 0 7' 6/12/2002 10.5' 6/21/2002 DRY 10/17/03 12:14 — oF ASN *�; ................ e f e A. G ss.: o y C 7953 o DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 6/13/2002 1 12:14 — 6" _ us 12:44 _ _ 30 3 1/4" 2 3/4- 3 12:44 OLi 6" — H�3 / H# ~THj I / 0 a L� 'VV���, mTH02 1 / I 5 ; — 6" — 6 1:44 30 ! 3/4" d _2 — n SITE PLAN /1 1"=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 6/13/2002 1 12:14 — 6" _ 2 12:44 _ _ 30 3 1/4" 2 3/4- 3 12:44 — 6" — 4 1:14 30 3 1/4" 2 3/4- 5 1:14 — 6" — 6 1:44 30 3 1/4" 3/4" _2 19 PERCOLATION RATE 10.9 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ZACHARIAH GALL PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA4 PqRFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 11//0/0.3 DEPTH TO GROUNDWATER DATE WEEP ® 4' 3' OF 71/4/03 S�4 73:10 ALASKA ATER �P �0 WATER &WASTEW _ CONSULTANTS, INC. p DD 3701 E TUDOR ROA. SUITE 101 • ANCHORAGE, W. 99504 • PHONE (907)337-6179 • FAX: (907)338-3246 • WEBSITE: ok..mm ........ ... . ..... .... 0" g" SOIL LOG — PERCOLATION TEST Q LEGAL DESCRIPTION: p POLLOCK HOMESTEAD SUBDIVISION; LOT 10, BLOCK B OQ •. 'ff y ar ess:' PERFORMED FOR: P pp RYAN MATHIASOso• CE 79 1 p DATE: 11/3/2003 QO s �.. • ,. •' c�0 DEPTH _ 4 (feet) 9 ORGANICSrofe 9710 TEST HOLE #2 6" 5 13:30 — g" _ SOIL CLASSIFICATIONS 6 13:39 9 0" g" 4 °;>s•e' GP/SP TO GC OL \— w I t .... GM/SM °$ 0 0 n SWMH I ��w€�� I I V 5 ;°;:'..;?:c•a' SP CH \ �\ I / /✓ SC .......a0• TH# `✓ 4TH#2 mai B.O.H. t 811/3/2003I / R l� 4 9 / \ — — SITE PLAN / 1 "=100' 10 71 12 13 14 15 61718 16- 17- 18 t9 PERCOLATION RATE *1.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.0 FT. AND 3.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS- *PERCOLATION TEST PERFORMED IN A BENCH BETWEEN TH#2 AND TH#3 PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: it 110103 DEPTH TO GROUNDWATER DATE WEEP ® 4' 3' 11/10/03 71/4/03 1 73:10 —_ DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 71/4/03 1 73:10 —_ g" _ 2 —3 73:19 9 0" g" 13:20 — g" _ _ 4 13:29 9 0" 6" 5 13:30 — g" _ 6 13:39 9 0" g" ALASKA WATER & WASTEWATER CONSULTANTS, INC. 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, W. 99604 • PHONE: (907)33]-61]9 • IM (907)33a-3246 - WEBSITE: ok.... SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: POLLOCK HOMESTEAD SUBDIVISION; LOT 10, BLOCK B PERFORMED FOR: RYAN MATHIAS DATE: 11/3/2003 DEPTH ��_...^ (feet)t " � ORGANICS TEST HOLE #3 1 a®. L 3 5 6 7 8 9 10 11 12 13 14- 15- 16- 17- 18- 19- 20 - GP/SP TO GM/SM SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER GW GP GM GC SWMH SP SM SC c ~I ~i ORG ML CL CH OH 3' 11/10/03 I °12 NOL DEPTH TO GROUNDWATER DATE WEEP ® 4' 11/3/2003 3' 11/10/03 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) Na P jN#2 pp"(, P KN#g. fif g�g1EN \ o J i 'H#3 TH#2 � 6 — SITE PLAN 1 1 I 1"=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) Na P jN#2 pp"(, P KN#g. g�g1EN P ERpp��\pN SEE PERCOLATION RATE — (MINANCH) PERC. HOLE DIA. — (INCHES) TEST RUN BETWEEN — FT. AND — FT. A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: IN ACCORDANCE ALASKA WATER & WASTEWATER CONSULTANTS, INC. 01 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK. 99507 • PHONE: (907)337-6179 • FAX: (907)338-3246 • WEBSITE: akwwa.wr SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: POLLOCK HOMESTEAD SUBDIVISION; LOT 11, BLOCK B. PERFORMED FOR: MATT LEDERHOSS DATE: 4/29/2003 DEPTH _:::- (feet) —_ ORGANICSTEST HOLE #3 ®•••Qac SOIL CLASSIFICATIONS 2 wee®flao "ww•Qao SP/SW GW ORG wesoaaa ,,._ GP ML 3 we w.. o„a 5 6 7 9 10 11 12 13 14 15- 16- 17— is— GM 5161718 GM DEPTH TO GROUNDWATER GM 5.0' 4/29/2003 CL 5/6/2003 GC 10/17/03 !, OL o°> o SW MH — SP 0" 6" CH msc SM _ — ' OH DEPTH TO GROUNDWATER DATE 5.0' 4/29/2003 37" 5/6/2003 5.0' 10/17/03 5.0' 10/31/03 A. arness: O —7953 ' •"p0 p ' eA 1 LOT 10, BLOCK B / ), I POLLOCK HOMESTEAD I // / 5 o C) O TF{ 3 o f *TH#1 TH$ h I� 3 , I SITE PLAN 1 "-100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/29/03 2 — 4 0" 6" 3 _ — — 6- 4 — 4 0" 6" 5 — -- — 61, — 6 — 4 0„ 6„ 7 — _ — 6" — 8 — 4 0„ 6„ -- 9 — — 6" - 70 — 4 0" 61, 19 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 1.5 FT. AND 2.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: SUSAN OSWALT COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Ir�Iu 0 Municipality of Anchorage Mark Begich, Mayor Building Safety Division P.O. Box 196650 • 4700 Bragaw Street Anchorage, Alaska. 99519-6650 • (907) 343-8301 • Fax (907) 343-8200 http://m�,.mimi.org November 20, 2003 Jeff Garness, PE Alaska Water & Wastewater Consultants, Inc. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Subject: Waiver Request for Pollock Homestead Block B Lot 10 Waiver Request # WR030107 PID #017-112-38 Dear Mr. Garness: Vaf N } C S A F F T Your request for waiver of the required 10 feet horizontal separation from a property line to a wastewater absorption field has been approved. The approved separation distance is 5 feet from the South Lot Line to the proposed Primary and Alternate Drainfields. This waiver approval applies to the existing on-site wastewater disposal system to property line separation only. Any future upgrade to the on-site wastewater disposal system will required 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, 17 Daniel Roth Civil Engineer On -Site Water & Wastewater Program WR#: 030107 PID#:017-112-38 Date Received: 11/20/03 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.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet HA#: Permit#: SW030483 Legal Description: Pollock Homestead Block B Lot 10 Engineer: Alaska Water & Wastewater Consultants, Inc. 3701 E. Tudor Road, Suite 101 Applicant: Ryan Mathias Waiver Requested: 5 foot Lot Line waiver from the South Lot Line to the Primary & Alternate Drainfields Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Tota I: ............................................................................... Waiver is Granted: Waiver is not Granted. List Conditions or Reasons for above: LG t AL j,9 '; F lv) i_ Z_- TT {i' c L ib57/i-i(1471LAL1 Vc L lL,7 " ,=) %/NC,vF /'�) Date:J1211(,-5 By: f _W 6v Name of Reviewer ............................................................................... Rec#: 44786 Amount: $150.00 Date Paid: 11/2012003 EPLALS ® Municipality of Anchorage ° ?V On -Site Water and Wastewater Program - (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 017-112-38 Expiration Date: 1. GENERAL INFORMATION: Complete legal description POLLOCK HOMESTEAD; BLOCK 8, LOT 10 Location (site address) 15330 Pollock Drive 'Anchorage 99516 Current Property owner(s) Matthew McSorley Day phone 230-4124 Mailing address Real Estate Agent 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well © Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. claW 12 COSA Fee $ 5661 Q 12.6b Waiver Fee $ Date of Payment L1 I7212®4 Date of Payment Receipt Number csga2scg Receipt Number COSA 4 Q a® l tS Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site 'Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewaterdisposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering' Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: t4 Ili In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and oocsdo� O industry practices. The reported results describe the condition of the system/s on the date/s of the o �� evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells �Q and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and Q� workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of..... • • . ... . the well or septic system. GEG makes no representation whether an alternative well or septic system Q �, ''. fr Garness• can be installed on the property in the event either of the current systems fail to perform adequately in Qn 9 CE -79 c�Op the future. The content of this report is for the sole benefit of the person/party that retained GEG to v J Ut• o p perform the evaluation. Reliance upon the information provided in this report by any other person or ' _ p party (including subsequent property Purchasers)is not authorized, nor will it confer any legal right OO'o�lfeo�sst�o0�°6� o whatsoever. #AECC884 6. DSD SIGNATURE OFA/���/ System #1 Approved for bedrooms System#2 Approved for bedrooms _� ON-SITE �� r `�JpTER A"TEP R c� v STEV'`' Conditional approval for bedrooms, with the follg stgl��� rt By: Original Certificate Dater y Q2 6 g The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist __ Nitrate Advisory Septic System Advisory' Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: POLLOCK HOMESTEAD; BLOCK B, LOT 10 Parcel ID: 017-112-38 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ■❑ Well log is filed with Onsite (or attached) Well production at time of test 2.1+ 9 p Date drilled 1/11/04 Water storage tank volume 300 gallons Total depth *245 ft Well disinfected for coliform test? ❑ Yes ❑■ No nCA Cased to **70 ft EP<'Cliform bacteria is Negative'4j 0 Sanitary seal is functioning correctly Nitrate mg/L trate less than MRL (ND) 0 Wires are properly protected Arsenic ug/L rsenic less than MRL (ND) d Casing height (above ground) 18+ in. Collected by GEG,LTD Date of flow test for COSA 4/8/20 Date of Sample 4/10/20 Static water level at beginning of test 69.1 ft. Comments *WELL DEEPEND 8/2/17 (SEE ATTACHED DOCUMENTS) "TO BEDROCK B. TANK DATA Age of tank(s) 16 years Tank type/material FIBERGLASS Measured operating fluid level in septic tank ❑■ Standpipes/foundation cleanout per record drawing Date of pumping 6/14/19 D. ABSORPTION FIELD DATA F1 -GEG DID NOT EVALUATE THE WATER STORAGE SYSTEM P C. LIFT STATION ❑■ Required maintenance completed' Age of lift station 16 ears 9 Y Lift station material FIBERGLASS Comments: *LIDS FROZEN SO MEASUREMENTS NOT TAKEN Which system tested (date installed) 1/7/04 Adequacy test date 4/8/20 Al ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade *3.25 ft (max) Fluid depth prior to test 3 in Measured depth to pipe invert from grade ft (min) Water added 609 gal ❑■ N/A — pressurized field New depth 4 in ❑■ Monitor tubes go to bottom of effective. If not, state Elapsed time 10 min depth into effective 3 ❑1 Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) N/A Gallons introduced gallons If yes, enter date N/A Comments/Deficiencies: 'DRAINFIELD IS INSULATED .-PIPE LABLED ST1 ON RECORD DRAWING IS ACTUALLY A 24" MANHOLE COSA Checklist yellow sheet In t NONE E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100'Community ❑✓ Yes 50 + Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ✓❑ Yes if No Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' ✓❑ Yes if No Absorption Field on Lot > 100' ❑ Yes if No 50'+ ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ❑ Yes Animal Containment > 50' ✓❑ Yes if No ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' —✓❑ Community Sewer Main > 75' ✓❑ Yes if No ft Yes if No ft ft ft ft ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' ❑ Yes if No 50'+ ft Property Line > 5'✓❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' ❑ Yes if No 50'+ ft Water Main > 10'✓❑ Yes if No ft Community Wells > 200'✓❑ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *5 ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' ❑ Yes if No 50'+ ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200'✓❑ Yes if No ft Surface Water > 100' ❑ Yes if No 50'+ ft F. ENGINEER'S COMMENTS *WR#030107 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. COSA Checklist yellow sheet #AECC884 05/06/2019 13: 15 0l P6770 t� ■i iMi■1� M■■ ■- ■ 'i ■ ■■M iii 0 1M■■ ■ 111111111 APLUS 3313 950 M■ )Mii�A >r FA �dvanmaxll Field Maintenance Report Annual inspection prep" thvr>wr/rmukh. F Mathew MoSorley SIM AComss 15330 Pollock Drive, Anchorage AK 99518 AX ako IDN �;03048�-- AX-105110 i?etrieve O&M info Dally flow Recirc ratio_ Timer settings; Perform Field SarnplinglObservations T•frLl (15;t MTUs) p9) Inspect i` -s} Riser/Lld ........ . ........... gr Splice Box .................... Float Cords .. ........ ....... 4 Odor of Sample - Typical .Igty ❑I Earthy ❑ Moldy Non -typical ❑ Sulfide ❑ Cabbage ❑ flecaY oily film in PVU ❑'Yes �No Foam in tank ❑Yes Check Contra[ Panel Retitc Amps Comments , Pisch Amp$ 1arcge Audible and visual alarmsCK Dial tone (telemetry only)Yas ❑ No Inspect/Clean PumP System clean Inspect Clcon Riser/Lld ........ . ........... gr Splice Box .................... Float Cords .. ........ ....... 4 Floats . . ........ ........ .... Pump...................... .� . • . • . Biotub,e Filter... • • .. • • • Blctuba Pump vault ....... • • • • . Recirculating SPlitter ValVO........ ! �-Yd Comments , Signature Z f 1A■■ ■ O ■ » 111111111111115 operator Larry Betts PAGE 01 Anchoracll,'Tank 907-2 :: '.-354:3 corttnct Pone 907-248-4199 Pod 8 m'll 81U6 N Data of Last lnapocilort 20-446 RTU10255.3 05/07!2015, measure Sludge/SCUM Sludge Scum --� 1 at com�aartmAnt Current previous Curmnt TrelvkollS 2nd Compartment Current Previous current PmVioU$ Inspect/Clean Advanitex Filter Odor: fk—�Normnl ❑Pungent aiamat; Normal ❑ F-Xcossive BtldgingiPonding: �Nono/Mlnor I J Excessive Inspoct/Clean Discharge PUMP system Inspect Riser/Lld SPlide Box Float cords Inspect/Service Other System) Components Insppefct Clean I -y. Olalnfectlon Equipment I.- claps Observations Im"Oect clean Laterals/prfficas p'S En pod Bottom Inteka Vent 4 impect Clesn Floats Pump Innpect clson rfal Latet'aiS/orlticeio 2s— 4111 Additional Services Rendered ❑ Gleaned tox lie sheets? ❑ Replaced UV Items? ❑ ReplaceclMsed other items? Parts Used: W = Warranty, B = Billable (vl appropriate selactlon) Final/Safety inspection IaSV reinstalled &'.ids bolted an danlfeld reconnected; flush valves closed f Control pants reactivated Summary/Recommendatlons ❑ System performing; na further action needed `.ink needs pumping ❑ Cail for service ❑ Other? Date 5 pax completed form) to i-866-384-7404 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered t into as of this Day of ��� (/ of 20 AAO, by and between UI VIN 1��yN , 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 Svstems. 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) 6`5 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 5400 to $600)_ �7 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 drainfleld replacement. (rev. 05/18/2018) Pagel of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. b$77 Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. &F2 Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. 615 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. Cf7 Owner agrees to maintain remote monitoring of the AWWTS as required by the A W WTS approval. 3. Tcrm. 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. Severabilitv. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: G��!"�/ (signature) Date: (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) They ga`eg(ing in trument was acknowledaed before me this day of i <l`RY PU LIC FOR ALASKA 7KATTHERINEA.HALVORSON tary Public bv nexpires: € 1�(/ eoiAlaskan Expires Dec 7, 2021 MUNICIPALITY: By: �1 Alii toy (signature) i-0 (print name) Date: i a ?i' 9017a t Title: (rev. 05/18/2018) Page 3 of Municipality of Anchorage • �` Development Services Departm Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH FOR A SINGLE FAMILY Parcel I.D. 017-1 12—X 3g 1. GENERAL INFORMATION ITY MM` W APPR6VAL Expiration Date: Complete legal description POLLOCK HOMESTEAD SUBDIVISION; LOT 10, BLOCK B, Location (site address or directions) 15330 POLLOCK DRIVE * ANCHORAGE, AK. 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address RYAN MATHIAS Day phone 240-8430 13120 LUPINE ROAD * ANCHORAGE. AK. 99516 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, t verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 0 Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory M (Rev. 12101) Other Original Certificate Date: Municipality of Anchorage • "'� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST uE Bpi O P S. �O sa ery Legal Description:POLLOCK HOMESTEAD SUBDIVISION; LOT 10, BLOCK B, Parcel ID: 017-112- 1 `ib A. WELL DATA *CASED TO BEDROCK Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 6/11/2004 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 166 ft. Cased to *72 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 6/11/2004 L� Static water level 40 ft. � ft. Well production 3.0 g.p.m. 9— p.m-WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 0.1 mg./L. Other bacteria 2 colonies/100 ml. 8/2/2004 & Arsenic: N/A mg./L. Date of sample: 8/5/2004 Collected by: GEG, Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material FIBERGLASS/ORENCO Date installed 1/6/2004 Tank size 1500 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) *NO Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping NEW Pumper — C. ABSORPTION FIELD DATA BELOW FINAL GRADE Date installed 1/6-7/2004 Soil rating .p.d./ rft2/bdrm) 6_0 System type Length 30 ft. Width 5 ft. Gravel below pipe TRENCH 0.7 ft. Total depth *3.19 ft. Eff. absorption area 1150 ft' Monitoring tube YES Depression over field NO Date of adequacy test — Results (Pass/Fail) Fluid depth in absorption field before test Elapsed Time: = min.NEW—= in. Absorption rate >= (past 12 mo.) (Y/N & type) For 4 s New depth =in. g.p.d. If yes, give date — D. LIFT STATION Date installed 1/6/2004 TIMER/ "Pump on" level at 13.5 in, Datum B.O.T E. SEPARATION DISTANCES Size in gallons 1500 TIMER/ "Pump off' level at 13.5 in. Manhole/Access (YIN) YES High water alarm level at 46/24 in. Cycles tested NEW Meets alarm & circuit requirements? YES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption Feld on lot 100'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line **5' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 25+ Wells on adjacent lots 100'+ F. COMMENTS *CURTAIN DRAIN OUTFALL AND DRAINAGE DITCH FITTED ALONG ROAD WITH G. ENGINEER'S CERTIFICATION i certify that I have determined through geld inspections and Y* review of Municipal records that the above systems are in "" ""' "' "" conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS aQ mY-7 5Y Date �� 3010 tic �— ........... HAA Fee $ Date of Receipt Number (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number 08/13/2004 09:36 Y ScA1-r /"a 30` 9072432081 FRED WALATKA & ASSO I ZS //81''58'z 5'E 14•0,l� I ftaben L. `crinrr �"a' LS 7071 ASEMENTS OF RECORD, OTHER THAN F6 04- Al HOSE SHOWN ON THE RECORDED LAT ARE NOT SHOWN HEREON. %5' $-0 ON C REv15gD f CORREcT(rp 2 -11 -64 - AS -BUILT -II -6 --AS-BUILT NO CORNERS SET THIS DATE ME PAGE 01 SL" 3?,4 -3- I hereby certify that I have performed a Mortgagee's inspection of the following described property: /U 54 DlvrSloal Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said Property except as indicated hereon. Dated at Anchorage, Alaska this /o 4 day of TLILY 20 0 FRED WALATKA & ASSOCIATES (907) 248-1666 Engineers and Surveyors Wr I 0 WELL 1! Ih ' N 2 STORY � ZB•-' N I w \ HOUSE 13 77AMa .. ? 4 Cit I e Q I 7 ti 55P�1a*P� Wr�I 1S I/V e9° 58 'zs "E ftaben L. `crinrr �"a' LS 7071 ASEMENTS OF RECORD, OTHER THAN F6 04- Al HOSE SHOWN ON THE RECORDED LAT ARE NOT SHOWN HEREON. %5' $-0 ON C REv15gD f CORREcT(rp 2 -11 -64 - AS -BUILT -II -6 --AS-BUILT NO CORNERS SET THIS DATE ME PAGE 01 SL" 3?,4 -3- I hereby certify that I have performed a Mortgagee's inspection of the following described property: /U 54 DlvrSloal Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said Property except as indicated hereon. Dated at Anchorage, Alaska this /o 4 day of TLILY 20 0 FRED WALATKA & ASSOCIATES (907) 248-1666 Engineers and Surveyors