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Home My WebLink AboutILIAMNA ACRES TR 3-1Ck Alk" MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221342 Work Type: SepticTank Upgrade Tax Code Number: 01710145000 Site Legal Address: ILIAMNA ACRES TR 3-1 G:3037 Site Mailing Address: 14360 GOLDEN VIEW DR, Anchorage Owner: KNECHTEL JAMES S Design Engineer: FORGE ENGINEERING This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: o`��»cnt c �f Department 9/8/2022 9/8/2023 211740 ❑ 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 Received By: �, 1 Issued By: Date: Date: g Z Z 4 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-101-45 Property owner(s) James S Knechtel Day phone Mailing address 15360 Golden View Dr, Anchorage, AK 99516 Site address 14360 Golden View Drive Legal description (Sub'd., Block & Lot) Iliamna Acres, Tract 3-1 Legal description (Township, Range & Section) Lot Size 211,740 Sq. Ft. Number of Bedrooms/ APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo AD U) Septic Tank ❑X Upgrade p9 ❑ (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / 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: $2% q Date of Payment: N-2-&- 2 - Receipt Receipt Number: 0773 2 Permit No. OJT' P ZZ 13 y 2 Permit App_::- : .—.,:c; Waiver Fees: Date of Payment: Receipt Number: Waiver No. August 25, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Iliamna Acres, Tract 3-1 Septic system design Dear On-Site Services Engineer: The owner of the above lot has a septic tank that has reached its end of useful life, so we are submitting this permit application for its replacement. The attached site plan identifies the location of the home as well as the wells and septic location. No conflicts exist between this proposed system and any other wells or septic system, whether on this lot or adjacent lots. The home has 4 bedrooms, but the original septic design was sized for 5 bedrooms. We are replacing the septic tank with the same size. The new septic tank will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the absorption field. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221342, Deb Wockenfuss, 09/08/22 zW ` Llj Z W Chi Q W LL N �W�IR5 0 00 U S 1 I l a=� 1 I I I o Jo000<0-C Z U � u�� nP J O00 S�>z N LCL L w H LL _ 0 i- o S Z U I o z LL - X / \ O r I H w J o \�Ir w v 1 _ r Q 0 co � Z W X ( j/ f Q O UW t� S uj w I !I /0 Q o u' o - X1 ! 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T 10' TELE & EL EC ESM'T 2 10' TELE & ELEC ESM'T F?y9 IV 89 58'52 " W 98.67 0 o N 89 58'52 W8 O ^ M M � � Rl f/ERTOIV %VENUE o Rl VER TON A l/ElV 0 0 NO CORNERS SET THIS DATE N 89 58'52" W 461.57 Z AS-BU/LTSURVEY 1" =40' I HEREBY CERTIFY THA T l HA VE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY opppppOO TRACT 3-IILIAMNA ACRES(PLA T 9B-55) A�q�ap A NCHORA GE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLEIMPROVEMENTSSITUA TED THEREONAREWITHIN TH oOD THE PROPER TY L INES A NO NO VISISL E ENCROA CHMEN IS 0 49 O THE INFORMA TION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALL Y TO SHO WA NY EXIST0THERTHA NNOTED . � D CONFLICTS BETWEEN EXISTING STRUCTURES A ND PLA TIED L0TLINES AND/OR EASEMENTS,' AND IS DATED ATANCHORAGE,ALASKA THIS 12TH DAYOF NOT TO BE USED FOR POSITIONINGADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES 0 "� JULY , 2022 EASEMENTS OFRECORD, OTHER THAN THOSEAPPEARING ON THE RECORD PLAT, ARE NOT SHOWN 0 HEREON (UNLESS INDICATED) 000`s SHANE A. HOLT..' O NOTEFENCELINES THATMA YAPPEAR ON T14ISDRA WINGARENOT TO BE USED TO DETERMNE HOLTbINDSURVEYING 0 eT t PROPERYLINES OR POSITIONADDITIONAL IMPRO VEMENTS LS -6914 O 9309GROVERDRIVE 44 0, a o ANYPA VING SHOWN HEREON MA YBEAPPROXIMA TE DUE TO EXCESSIVE SNOWAND/OR ICE ANCHOR9GE/iK 99507 0fessi0n0 15532 FB224-69 223-8615 S M O O Z 8rcgcw S-Irsel P,C). gag 196c 'ndl a naile, A 05 a Yc" (907-) 24--:-79rJ4 Pump Installation Log ell Drilling Permit Number: S7 Date O-Ic'Issue: Lr,ej Icleatifcatiola Number:- ,.Cral Description A A/ j5,stU.jjativa Date: III talce Depth Below Top of -W a B C as feel Imp u:f a ctu r e r's Name: jfi e -14(-c 'MP Size�,2 hp Hess Adapter Burial Depth: feet ,tiess Adapter 1yI=ufact"r9r3 Name: H Property Owner.N rz & Address: vi ttention: The pt=p installer sb2E provide a. pump installation log to the DSD within 30 dmfs of pump i=tadatian- . - Municipality of Anchorage Page ► of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater DisposI System and/or Well Inspection Report Permit Number: �W`l�o17,aW. PID Number: 0/7— /Di— O9 Name: A g7ilm t I N Wastewater System: ❑ New- YUpgrade Address: 3 v i scar Dy ABSORPTION FIELD Phone: No. of Begrpoms: a_..)" 1VDeep Trench ❑ Shallow Trench ❑ 8ed ❑ Mound D Other LEGAL DESCRIPTION L Soil Rating: U Total Depth fromo�ginalprade: Lot: Block: Subdivision: Tp-xcT 3 A ME GPD/S Ft OePth to pipe bottom from original grade: Gravel depth beneath pipe Township: pangs: Section: 3. Ff Fill added above orifi=nal grade: 3,6 Ft Gravel length: Ft �D Ft. WELL: ❑ New ❑ Upgrade Gravel width: Numberoflines: borons be ween lion: Classification (Private, A.B,C): Total Depth: Cased To: ft. Total absorption area: Ft Pipe material: Ft. Ft. Driller. Date Drilled: statK Water Level: 14L0 r5 1 L 3J O. Ft. Installer. SLG /J '30,31/ Data Installed: Ft. /CICI_,r. Yield: Pump Set at: Casing Height Above Ground: GPM Ft. I Ft.TANK SEPARATION DISTANCES _` 02/ Septic ❑Holding ❑S.T.E.P. To From Septic Tank Absorption Field Un Station Hoeing Tank DIWPrlvats Sewer Linn Manufacturer. r �' C F fL Capacity In gallons: 150-0 Well- I /O y f 7�b Material: Number of Ccrments: Surfac Water Water %/ iltrC� LIFT STATION Lot Line / / Size In gallons: Manufacturer. Foundation 4107 o� go It "Pump on" level at: "Pump off" level at: High water alarm at: Curtain Drain Pump Maks 6 Model Electrical Inspections performed by: Remarks: BENCH MARK 4 V 15 T Location and Description: G.ta.ar' rl fed' / 3J /f Assumed Elevation: - , , ENGINEER'S SEAL . S Inspections performed by: Dates: is �O 97 .... 2nd c. - C"._.5 . Department of He th and u ervices approval Reviewed and approved by: »vim Date: 06 ►:Ll9-� 7240 IRev. Watt UnA 2% ------,r-------------- I Ir -------------- Q, lvuuLiv 'rvnALA[vU r.C. 20J W 15 TH. A VENUE HeACT 3 ILIAAINA ACRESSEPTIC-SYSTEM As BUILT ANCH. AK. 99501 JOHN MARTIN DATE.• JAN. 8, 1997 (907) 279-3916 I 1 14360 GOLDENVIEW SHEET' IAT GRID. JOR I PERMIT # PID #IL 100 T31. D VC I i N_ i .oP�E..��c r• _ _ _ ay ` . _ _ _ _ _ _ _ _ _ _ _ _ _ -- / 0 ...> A th s i I��4 OJ . "•• _ ........... .. ..� I T .I EN •SPURKL ND t p i 1 tt(� O. CE -2225 V1 46. SS� ••� I 25 0 25 50 75 100 125 150 I 1 SCALE.- = 50 F I sWIND TIES. o� I 90 AC 68 FT OLD DANK CRQS}IC io BC 50.8 AND BURIEDCr 27 OF 45.5 OLD ORAINfIlLO ABANpQ D `� CC 11 I DC 51 \\ 1 MARK: BOIJOM�SIDI 1 I I I 95 I PROPOSED ADDITION PROPOSED !N C.O. ,y— 1Nsl0C •' AWur D Well I I II > 11I I 1 IUNNLN JU E 203 I'! 15TH.TH. AVENUE TRACT 3 ILIAMNA ACRES SEPTIC SYSTEM AS BUILT A ' ANCH. AK. 99501 JOHN MARTIN DATE.JAN. 8, 1997 907 279-3916 11 14360 GOLDENVIEW SHEET.' 2/3 GRID: 3037 PERMIT k PID k 017-101-09 IL100T32.DVG �i 49th 'J SPURKLAND q.� • ,N� �p,V r— BENCH 4' Mn Ct over INV ELE 92.6J-,' NV ELE. 1,38 INV 88.1 1500 got. septic tank 0 C.O. TH TH EXISTING Cleanouts Monitor 3' Cover NO SCALE 6 Ft TH N1 0 I/- INV ELE 91.54 3' INSULATION -- 88.0 3.5 Ft of Septic Rock STANDARD TRENCH.• 4' WIDE 7' TOTAL DEPTH 3.5' EFFECTIVE ROCK DEPTH 90' LONG 3' INSULATION IUUULN WJUNKLANU P.L. 77?ACT 3 ILIAAINA ACRE'S SEPTIC SYSTEM AS BUILT 203 YJ TH. AVENUE JOHN MARTIN DATE. JAN. 8, 1997 (NCH AK.K.99501 907 279-3916 11 14360 GOLDENVIEW SHEET. 313 GRID. 3037 PERMIT N PID # 017-101-09 IL100T32.DWG PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 ^L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON—SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970130 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:MARTIN JOHN C d MICHELLE 0 OWNER ADDRESS:P.O. BOX 113068 ANCHORAGE, AK. 99511-3068 PARCEL ID:01710109 LEGAL DESCRIPTION: ILIAMNA ACRES TR 3 LOT SIZE: 198000 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 6/12/97 EXPIRATION DATE: 6/12/98 pep -mil 7TSSupo /'F7&1- SyC7Ek& WASLN 97ALLEo. SF-P71C Sysysvk Ai ei" o By bap -T. ON 6II��ta 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING S. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE: DATE l •' .(ENGINEER'S SEAL) • .." Municipality at Anchorage + DEPARTMENT OF HEALTH & HUMAN SERVICES .. 825 "L" Street, Anchorage, Alaska 99502-0650 T`C ILA �( SOILS LOG — PERCOLATION TEST PERFORMED FOR: T1 yO� �N r1 M A R-� nl DATE PERFORMED:__ LEGAL DESCRIPTION:t tvTLj' 3 IItt Township, Range, Section: DEPTH 1LK IAMNA rTL��'S SLOPE SITE PLAN (FEET! I I I -t• I I 1 FILL AND O ILG 2 / /�NICS 3- 6 6 .o •0 Slravt� - n 9 -J 10 U -o WASGROUNDWATER EACOUNTERED? N10 S �! L IF YES, AT WHAT LO 12 DEPTH? _ P + e Depth to water Abe! '9 13 L [i0TT10 1-1 0 F Monitor:np7 Date 14- Is- 17- is- 19- 20 - Reading Data Grote Time Not Time Depth to Water Not Drop / 3c 1 L 3• is 3' / '5 _60 t I r r I • v v e )/ PERCOLATION RATE < (mm-devinth) FERC HOLE DIAMETER rEST RUN BETWEEN 7 FTAI`O 73 FT COMMENTS re- Lei/,e, l:Tq,j if f 6f V X p T• i e r �o e' S'i� PERFORMED BY: ( _ CERTIFY THAT THI$s�TE5T WAS PERFORMED IN f - / 1: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE - 47 72-008 (Rw. 4/85) • .r- Municipality of Anchorage DEPARTMENT OF HEALTH 6 HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-065C .../ SOILS LOG — PERCOLATION TEST PERFORMED FOR: I ONN Hlke: I N LEGAL DEPTH IL1 AMM AcI2—fz'-S 1 2 o►�Ea/}NICs 3 4 1 i p 5 ! sue ul 4 {a i�rotV1,e � t a 7- 8- e- 10- 11- 12- 13- 14. 2•13•14• 15. 16• 17- 18 - 19 20 Township, .�-IIENGWEERSSFAtl DATE PERFORMED: ' O 1 Ck -J Section: WAS GROUND WATER ENCOUNTERED? s IF YES, AT WHAT L DEPTH? O P E Depth to Water After 1EonitcrinD? Data: 4eadin9 Date Trm� Not Time Depth to Water Net Drop •.70 3S 3?s / / If 6 G 71.2 urr PERCOLATION RATE (minuteLinth) PERC HOLE DIAMETER o /^/ D TEST PUN BETWEEN X. FT AND % FT COMMENTS Pe I't �p-(,( Pr.t/N.! ,/ g21( /�riny- PERFORMED BY: - o • S �'S CERTIFY THAT THIS TEST WAS PERFORMED IN `: ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE — Fe O Se/197 72.008 (Rev. 4185) T.&EDURKLAND P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN TRACT 3 ILIAMNA ACRES JOHN MARTIN Municipality of Anchorage Department of health and Social Services 8201 Street Anchorage, Alaska 99501 February 4, 1997 We are submitting an application for the approval of a well and septic system for this lot. The property was originally developed prior to 1970. In 1976 a well and septic system was issued for a three bedroom residence. The well was existing at that time. No well log has been found. The present owner replaced the septic system two years ago. lie is in the process of rebuilding the residence into a . 5 -bedroom house. The septic system consists of a 1500 gal Greer tank and a 4 foot wide trench, 90 feet long with 3.5 feet of sewer rock. Based on testholes and percolation tests performed on Jan. 30, 1997, 625 sqft of absorption area is required. The existing system has 630 sqft if considered a standard trench, or 666 sqft considered as a 4 wide with 0.54% reduction factor. The required absorption area is obtained as follows: No Ground Water or Impervious Layer to 13 ft. Use Standard Trench Soil Rating. <5 min/in = 1.2 gal per sq.ft/day No. of Bedrooms 5 Required Area per Bedroom: 150/1.2 = 125 sq.ft.. Total area required: 125 x 5 e 625 sqft. Testhole depth 13 feet Bottom Rock At 7 feet Top Rock At 3.5 feet Rock Depth 3.5 feet Total Trench Length 625/7-89.311. SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 90 FT TOTAL WIDTH 4 FT TOTAL DEPTH 7 FT ROCK DEPTFI 3.5 FT COVER 3 F 1500 GAL SEPTIC TANK The installation of this septic system will not prevent wells from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. „ GRE, ~ER ANCHORAGE AREA BO dGH Department of Environmental Quality s' 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE (�SEWAGE DISPOSAL SYSTEM NAME _JSl.�+o'+l MAILING ADDRESS PO- C1 �S3 PHONE �4%�`� 23 LOCATION (1\R-RCVQgS -I_A_A7✓ LEGAL DESCRIPTION ,TRA:1 3 7-1114mnA SEPTIC TANK: DISTANCE (] NUMBER M .� FROM WELL � MANUFACTURER 1ATERIAL +�1' COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ��0GALLONS. 'pRiEDRAIN E1EI:DT9_Enf_4 y/Qp 1TOTAL LENGTH '� DISTANCE FROM WELL .�-++�' FOUNDATION 3o NEAREST LOT LINE '� OF LINES 133 NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH � IN. TOTAL EFFECTIVE ABSORPTION AREA 33 SQ. FT. LENGTH OF EACH LINE ,p-�� DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE -Ty - ABOVE TILE WELL: TYPE S_? -i CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST FOUNDATION_, LOT LINE . SEWER LINE_ CESSPOOL . OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES. INSTALLED BY: — D SEWER LINE DEPTH: PIPE MATERIAL: K�Azan- LOT SLOPE: REMARKS: <TO _01� o-3,4&_ DAT Form EQ -032 SEPTIC SEEPAGE TANK , SYSTEM_ DIAGRAM OF S APPROVED G.A.A.B. W aSi4 miir-F I C i }FAL I TY OF Fir-FCF .a7R1=1GE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 E. TUDOR RD., ANCHORAGE. AK. 99507 276-2221 11:3WA joj7- WELL F4t4E> CAP4—S3I TE "xEWEFZ F='ERM I T PERMIT NO. ( 7634: ) APPLICANT JOS RASE P 0 BOX 453 349-4734 LOCATION MERCEDES LANE LEGAL TRACT 3 ILLIAMNA ACRES LOT SIZE 200000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSQ FT/BP.)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: L7EF'�'H= 10 LErJGTH= 31 C3FZF:=1%6{EL- 1?EF}TH= THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). Ft:EG!lJ I REd SEF T I C TF�rJFC I �E= 1C-1G�Q GFiLLOt+155 BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY 1. THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. I F WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F�EF-:M I T 'a/FFL I a FOR Or+tE VEnF Z F= F-iOM I S�lJE I CERTIFY THAT 1: I AM FAMILIAR, WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THBEDROOMS. SIGNED : __ "" "^ ---------------------- � _ - :7 -700- ISSUED BY �HBQ) Perfornled for _ �o Legal Uescription:_ This form reports: Depth Feet _ i•oonic 3 - r.IZEATER ANCIIORAGL AI!,A DUROUZ,Ir'"� �L.,:partment of LnviroriwenLal ()UalILy 3330 °C" Street Anchorage, Alaska 99t)03 SOILS LOU - VEROLATION TEST Date Perfon:e-d Z�e_Z/976 S log X q -o: 5-•d, v SO/70�ef. Gi-a✓e/ G!Y/.SlY — •.a Gross Time 8 —'i•-. Net Uro1, 9-'0 10 - 12 13 14 - r� Fla} Sone +0 z0' {e West ation test — GY S�%/y Gia✓e� GrJ Was'groand water encountered? Alb__— If yes, at what depth: ds. . Reading TUate Gross Time Net Time Depth to Water Net Uro1, Percolation rate minute. Proposed installation: Seepage PitDrain Field _.•_— —__ —___ IleptII of Inlet — Depthll tobottom of ;,Pit or trench __—.—_—__-- CUITIENTS: — - -- --- -------- — ----- — ------ - --- Perfonled ay:r _Qa+y _. CcrtifieU Uy:�C-- �ate:GlllTG__ yo-nan rr/74i • • •_ � _ Municipality of Anchorage rP On-Site Water and Wastewater Program (907) 343-7904 SAFETY ID , "5• Certificate of On-Site Systems Approval Old ("� - Parcel I.D. 017-101-09 `- 1(k e)C(S� Expiration Date: C( oZe 1 e 1. GENERAL INFORMATION: Complete legal description ILLIAMNA ACRES; TRACT 3-1 Location (site address) 14360 Golden View Drive *Anchorage 99516 Current Property owner(s) Mark&Lucy Mahan Day phone 240-1465 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: �. Date: fib COSA to be released to the engineer,unless otherwise req jested by the engineer. COSA Fee $ 52.(sc Waiver Fee $ Date of Payment U l 9:1)1g Date of Payment Receipt Number 0-118SG7 Receipt Number COSA# O5G((6102 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: ),)1/1 000000OO In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system ol' OF 4 C QQ in accordance with the guidelines and regulations established by the Municipality of Anchorage and K —.• .,qA industry practices. The reported results describe the condition of the system/s on the date/s of the O P.•• ()n evaluation. Separation distances were measured to readily identifiable features. Hidden defects or � TH encroachments may exist that were not identified during the evaluation. The operational life of all wells *"" 4• d� •S' v0 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 0 workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and .. 0 are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q e'fr/ Gor essi 0 system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of 00111304 C —79 3 � the well or septic system. GEG makes no representation whether an alternative well or septic system f �c�0 can be installed on the property in the event either of the current systems fail to perform adequately in �� ,P '� � f °c'� the future. The content of this report is for the sole benefit of the person/party that retained GEG to Z-Zi3rpf ess‘01-6 perform the evaluation. Reliance upon the information provided in this report by any other person or �DoOoo�� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for I bedrooms System #2 Approved for bedrooms Disapproved 0\-"‘ Conditional approval for bedrooms, with the following ttpulatt1ds$1TE G .. WATER ANCER z TCWA m� W pROGRAM 7n GG. S.en y: 1 �,,,� Original Certificate Date: (9 Z�— I 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 ?6' Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10.12.doc If more than 1 septic system is on the lot: COSA Checklist# of_ Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: ILLIAMNA ACCRES;TRACT 3-1 Parcel ID: 017-101-09 A. WELL DATA 'PER GEG INSPECTION Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed 1964(?) Sanitary seal(Y/N) YES Wires properly protected (Y/N) YES Total depth *62.9+ ft. Cased to UNK ft. Casing height(above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 6/12/18 Static water level _ \.- ft. 26.2 ft. O1 Well production N g.p.m. 3.6+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 2.43 mg./L. Collected by: GEG, Ltd. Arsenic: <5.0 ug./L. Date of sample: 5/30/18 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 1/8/97 Tank size 1500 gal. Number of Compartments 2 Cleanouts(Y/N) YES Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) YES Date of pumping 5/19/18 Pumper A+HOME SERVICES C. ABSORPTION FIELD DATA I'BELOW EXISTING GRADE AT MONITORING TUBE) Date installed 1/8/97 Soil rating .p.d./ r ft2/bdrm) 1.2 System type TRENCH Length 90 ft. Width 4 ft. Gravel below pipe 3.5 ft. Total depth *13.2+ ft. Eff. absorption area 630 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 6/13/18 Results(Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 3 in. Water added 638 gal. New depth 7 in. Elapsed Time: 120 min. Final fluid depth 3 in. Absorption rate>= 600+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N&type) NO If yes, give date - 2042 GALLON PRE-SOAK PERFORMED ON 6/12/18 MONITORING TUBE(DRIVEN STEEL PIPE)ONLY EXTENDS 33 INCHES BELOW THE INVERT D. LIFT STATION Date installed Size in gallons Manhole/Access(Y/N) "Pump on"level at in. "Pump off'level at .• wa er alarm level at in. I - - Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 5'+ Absorption field (UNK) Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION :� ,.• ' .....4. 11.. ... 111 AV i . ••• I I. i N ''". * •••� I certify that I have determined through field inspections and w ,•• review of Municipal records that the above systems are in i i conformance with MOA COSA guidelines in effect on this • ..•• 1_, • date. t�^. _` r. A. Gam: s e iu Engineer's Printed Name JEFFREY A.GARNESS •�J' ••• �G�� • ...• 0. 11 i.0•P� : 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 ae . e �e Y 1 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING �or Parcel I.D. OI -4- IOt- alti 45 HAA# 05LW1 Expiration Date: 14 — g " 03 1. GENERAL INFORMATION. Complete legal description Track 34 11.6,mna. Acrw Location (sit@ addressor directions) 19 foo Cola. \%,;L ; Pride, Current Property owner(s) Alor 60, Welbe�t Day phone Mailing address P,0 goti liosg - AnAar'ay . AK 9101 Lending agency Day phone Mailing address Real Estate Agent c1hris S - reo Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: S 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well A ® 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 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 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 W of structure Indicated herein. l further verify that based on the information obtained from the Muni ' tj7 i�horage files and from my investigation and inspection, the on-site water supply and/or s osal system is(are) in compliance with all applicable Municipal and State codes, ordinances, lations in effect at the time of installation. Name of Firm zgNric - n Fnatn ��ns Address 902 w Imok 5wi6 Zo3 Am4ore-jo AcSoi Engineer's Printed Name "r66y, 5,,46 1- 5. DSD SIGNATURE ✓ Approved for bedrooms. Disapproved. Phone Z-41-31lto" v0 Date tt-ii=oS i'�cw'l'1.1Rea� Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: JPW. 01102) Municipality of Anchorage e . • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: TraLA 3 ILia,..nc Acrts Parcel ID: Oil -101-09 A. WELL DATA Well type -Lih fie, If A. B, or C provide PWSIID # Date completed 160 5 Sanitary seal (YIN) T Total depth4*4*00 ft. Cased to' 0'J.n• 73� 1 FROM WELL LOG >* r Date of test /fie W Ll, Lc� Static water levet Well production ft. Well Log (Y/N) ^01 Wires properly protected (Y/N) Y_ Casing height (above ground) a0 in. AT INSPECTION 1-11- RODS zZy .n. 3 g.p.m. WATER SAMPLE RESULTS: Coliform —0--colonies/100 ml. Nitrate 2. Lmg./I. Other bacteriacolonies/100 ml. Arsenic: mg./l. Date of sample: _L:JI --2065 Collected by: L Sow►�w -� B. SEPTIC/HOLDING TANK DATA Tank Type/Material Grter' Sfee J Date installed 1181n Tank size 1500 gal. Number of Compartments Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) High water alarm (Y/N) N/A Date of pumping 113120oS Pumper 64- C. ABSORPTION FIELD DATA Date installed IJ,Q1 1 Soil rating (g.p.d.lfe or ft2/bdrm) ILL 1 System type IQ Ire. ,k Length 90 ft. Width y ft. Gravel below pipe 35 ft. Total depth ft. Eff. absorption area 3Q_ft2 Monitoring tube Depression over field 1� Date of adequacy test Ii Ili 05, Results (Pass/Fail) -&60L_ For .5 bedrooms Fluid depth in absorption field before test O in. Water added gal. New depth f0in. Elapsed Time: — min. Final fluid depth 6 in. Absorption rate >= _450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) /lone k4a,O, If yes, give date —� D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on' level _ in. "Pump off" evel at in. High water alarm el at in. Datum Cycles tested Meets alar circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: r Septic tank/lift station on lot (( S Absorption field on lot 101t Public sewer main N.A. Sewer /septic service line > 50 On adjacent lots >100, r On adjacent lots >100 Public sewer manhole/cleanout Al. A . Holding tank A/ A . SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 3,a Property line > 10 r Absorption field I r r Water main 14• I\ • Water service line > O Surface water *.> 100, r Wells on adjacent lots 7 ICt, SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line > t0 Building foundation � I I Water main Water Service line > 50 Surface water > 100' Driveway. parking/vehicle storage1i S Curtain drain N. A . Wells on adjacent lots >100 F. COMMENTS G. ENGINEER'S CERTIFICATION /JO—;e— 1 certify that I have determined through field inspections and t �' review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Io 66CO SJ24i h land Date 1-�I'ZOd� \ plprrv,.ct"y HAA Fee 5 430 26 + / 7 DateofPayment 1/1410S Receipt Number _6i�, 2 3 (Rev. 12/01) Waiver Fee 5 Date of Payment Receipt Number R C E d � M k. 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