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HomeMy WebLinkAboutMCKINLEY VIEW ESTATES BLK 3 LT 1, 2Onsite File McKinley View Estates Block 3 Lot 1,2 #051-792-39 Lots 1 & 2 are Economic Parcels Municipality of Anchorage . On-Site Water and Wastewater Section • (.907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201100 PID Number: 051-792-39 Dwelling: R-11 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Theodore Carlson A ORPTION FIELD ❑ D Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 21221 Baron Drive Other Phone Number of Bedrooms Soil RatingTotal depth from original grade 4 D/SF Ft, LEGAL DESCRIPTION Depth to pipe invert from originalGravel de depth beneath pipe Ft. Subdivision Block Lot McKinley View Est 3 2&1 Fill added above original grade Ft. Gr el length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dist A e between lines Ft. SEPARATION DISTANCES ToI Septic Absorption I Lift Station Holding Sewer Total absorption area Number of trenches Dist. between t ches From Tank Field Tank Line. Ft` Well n/a n/a n/a n/a ` n/a TANK ❑ Septic © S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1500 Gal. Surface Water 100'+ n/a n/a n/a Material Number of compartments Lot Line 51+ n/a n/a n/a ! NA Plastic 2 Foundation I 10'+ I n/a n/a n/a LIFT STATION Manufacturer Capacity Remarks Orenco 250 Gal. Alarm location see site plan Electrical installed by same circuit —i Installer PIPE MATERIAL House to tank 3034 Tank to drainfield Jr's Septic Services Drainfield CO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 102.0 ft Inspect ectiosn v, 5/13/2020 5/18/2020 Location and description 2nd 3 d _ 4111 Deck Height @ Point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date \ ,�� OF. AL4 ---- -- �: 49 TH =� Ste.eri Ponnr,;•.e C,E 81 It I" Septic System Approved( C1( �l Date Note: this approval does not include well permit requirements.��^`����� �l\GV VJ(VG/IVB �C jU) oo__a:CC) OJ .O cn� Dz_� o rn z 0 co FT CA �-100m v --i M I -�OOOOrx A N –i N � � n �.. (nrn> D N� — 6-q�zcoz=j -v > z r- !T U) rD�-uDmoC)-o_{ t� o wpm rOr� 0 r,. Q rn I N P,D z N� –{ (f) corn z D z Z v o °' 0) o U o PnD `Q Z��zo z �� o �0 M m> " z m 0'�D 0 o � rm r+ CO m A A o_ D r W � m 6 m --I p Z O) J u m� � �m I '1 I III TI , I m `I� I �Iz I Z I I � I I o I O I m O Nm I � I 0 >� z o o I o ( II I I 1 I) I I I I I D� I I I i j I NOTES: PANNONE ENG SVC LLC C.I. 1088) ..�`��1`�\� REVISIONS DATE RECORD DRAWING PHONE 90B0 7458200 PALMER, FAX 9079745-8201 `POF q( �S++' SCALES/2020 *" ., = 60' MCKINLEY VIEW EST B3 L2 & L1 "' " ' P.I.D. NO 792-39 L!DRAWN ACP THEODORE CARLSON r Steven ft. Pa.rl' �e I TE PLAN CHUGIA21221 BA ON 995167 j�1 tt cE 8149 ` 'r/IT — SHEEP20�100 \��� 2 OF 2 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201100 Effective Date: 5/6/2020 Work Type: SepticTank Upgrade Expiration Date: 5/6/2021 Tax Code Number: 05179239000 Site Legal Address: MCKINLEY VIEW ESTATES BLK 3 LT 1, 2 G:1459 Site Mailing Address: 21221 BARON DR, Chugiak Owner: CARLSON THEODORE R Lot Size in Sq Ft: 52207 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: 11 Disposal Field 0 Septic Tank El Holding Tank 0 Privy 11 Private Well El 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 (2417). 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: Date: Issued By: — Date: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201100, Rebecca Carroll, 05/06/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201100, Rebecca Carroll, 05/06/20 Municipality of Anchorage Development Services Department • e` Building Safety Division -eS On -Site Water & Wastewater Program, 4700 South Bragaw St. sil E " P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW040351 PID Number. 051-792-37 T Y of 3 Name: TED CARLSON Wastewater System: 0 New ■ Upgrade Address: 21221 BARON DRIVE * CHUGIAK, AK. 99567 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 223-2401 4 0 Deep Trench 0 Shallow Trench • Bed 0 Mound pother* LEGAL DESCRIPTION Sol lam: 0.3 0P0/s^. $$ Total Depth from original rade: *3.5 MAX n. Block: lo Bt: Subdivision: Depth to pipe bottom hem original graft growl depth beneath 3 2 MCKINLEY VIEW 2.6 MAX n. pre: 0.65 pc Township: — Range: — Section: — Fa added above original wady SEE DWG. n. Gravel length: 100 n. WELL: ❑ New Gravel wldtic 20 pt Numbs of eve: 4 Distance between Ines: 5 Claealpatio^ Gate. MAN\� g` pc aa.M Twp m. Total mearplbn area: 2000+ Ea. n. PC. mabrltl: D 3034/ F-810/ pt SCH 40 Mien COMMt\1 Dab DnlNd: Stotts water to*: n badalNr: TWEED EXCAVATION bele bwbl 8%25-27/2004 Yield: Pwnp set At FL Cooing sight Above Gaunt pt TANK SEPARATION DISTANCES aSeptic 0Holding ■S.T.E.P.** Oother To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Un.. Monufactw.n PREMIER PLASTIC Carsick, N gallons: 1300 Well 200'+ 200'+ 200'+ — 25'+ Mot • PLASTIC Number or eamPa bmeab: 2 Surface Water 100'+ 100'+ 100'+ — — LIFT STATION Lot Lina 51+ 10'+ 51+ — — sa. In gallon: 500 ldanufaelwr. PREMIER PLASTIC Foundation 5'+ 10'+ 5'+ — — *Pumpme levelat rump of SS at 44" I 38" Nigh water alarm at 48" Pump Mab k Mad.b wooled Yrpection. Curtain Dalin NONE KNOWN T2500 performed by. RISING SON ELECTRIC Remarks: *0.9 FEET OF M.O.A. APPROVED SAND BENCH MARK FILTER ADDED TO TOTAL DEPTH. Location and D..odpton: DOOR THRESHOLD FOR BACK DOOR **TANKS ARE PLASTIC TANKS WITH 1300 GALLON Seawnea TANK FOLLOWED BY A 500 GALLON "FAT ALBERT" 11$.00 pt LIFT STATION. ENGINEER'S SEA ooaopN.. \ ' `4 Inspections performed by GEG, Ltd. Dates: 1st 8/25/2004 �O$:. 4 ' I V ... y*Y/% 2nd 8/26/2004 0 / 3rd 8/27/2004 • A Development Services Department Approval Reviewed and approved by: . b �4 \L Q1)„ Date: e / nessr 4 �p°=�` C: _7 'veil �tp, Pro —0 feealo,,o �‘O0000§o PERMR NUMBER: SW040351 AS BUILT DRAWING LOT 18. BLOCK 3. MCKINLEY VIEW S/D PARCEL ID NUMBER: 051-792-37 OLD sonic SYSTEM TOBEUSEDASA RIVED SRE \ LOT 17, BLOCK 3, MCKINLEY VIEW S/D EY BOX// ATER UNE (APPROXIMA LOCATION NEW 500 am LON 'FAT ALBERT' TANK WITH UFT STATION INSTALLED IN IT. ALTERNATE SITE DNERTER VALVE INSTALLED IN CRAWLSPACE TO DIVERT FLOW BETWEEN THE OLD SYSTEM AND NEW SYSTEM A I B FCO 29.06 6.35 5T1 33.27 16.84 5T2 35.23 20.25 MH 38.36 24.96 STMT 33.05 14.45 MT1 94.43 71.24 1,1T2 107.66 81.54 MT3 175.60 160.49 MT4 186.56 108.90 NEW DRAINFIELD 15' LIDUTY EASEMENT HOMESTEAD ROAD GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-3146 PREPARED FOR: PHONE NUMBER: TED CARLSON (907) 223-2401 LEGAL DESCRIPTION: MCKINLEY VIEW ESTATES; LOT 2, BLOCK 3, TYPE OF WORK: AS—BUILT OF NEW SEPTIC SYSTEM DATE 9/1/2004 DRAWN BY: R.A.L. SCALE: 1"=50' PAGE NUMBER: 2 OF 3 .••'i47 `Qpdproteeefone ��O000� PERMIT NUMBER: SW040351 AS -BUILT DRAWING PARCEL ID NUMBER: 051-792-37 2' OF INSULATO FINAL GRADE 97.88(AVG.) TOP OF TANK AT INLET As 94.54 INVERT OF BUNG AT INLET El 94.06 ST1 Liffe.”/"/ /ZSZI/Z/iii NEW 1300 'PREMIER PLASTICS' SEPTIC TANK TOP OF TANK AT OUTLET - 94.08 TOP OF MANHOLE •• 98.10—, 2' OF SPRAYED INSULATION 2' INSULATION INLET NVERT OF BUNG AT OUTLET 93.83 BOTTOM OF PUMP VAULT in 89.14 FLOATS / 4■ TO DRAIN FIELD 500 U ON 'FAT ABEtr I PUMP VAULT ORIGINAL GRADE 99.25 0 HIGHEST POINT TH#2 • '.. !.. :' mta •;�... r : w±;ti r. . X09 OF MOA ^h . YM. t: "-.:�:;`.• • 'e < `-.'iv APPROVX.D SAN) FlLTER'."' i•. � � ::>• `v _;.?.. ,+: BOTTOM OF BED 95.75 (AVG.) --3r--RELATIVE ELEVATION OF GROUNDWATER O 89.25 --IS—RELATIVE ELEVATION OF BOTTOM OF TEST HOLE O 88.75 0' WIDE OF DISTRIBUTION LINES as 97.30 (AVG.) THE DISTRIBUTION LINES ME 1.25 INCH SCH 40 PVC WITH 1/8 INCH HOLES SPACED 65 INCHES ON CENTER. (18 HOLES PER LATERAL 72 HOLES TOTAL GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS i GENERAL CONTRACTORS 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)537-6179 • FAX (907)338-3240 PREPARED FOR: PHONE NUMBER: TED CARLSON (907) 223-2401 LEGAL DESCRIPTION: MCKINLEY VEIW ESTATES; LOT 2, BLOCK 3, TYPE OF WORK: AS—BUILT OF SEPTIC SYSTEM UPGRADE TOP OF SAND FILTER 96.85 RELATIVE ELEVATION OF GROUNDWATER 0 89.25 RELATIVE ELEVATION OF BOTTOM OF TEST HOLE 0 86.75 DATE: 9/1/2004 DRAWN BY: R.A.L. SCALE: i = 40' PAGE NUMBER: 3 OF 3 ‘i*�p,P,%0,.98iOn -"VOppOo Rising Son Electric Inc. 907 622 6777 09/21/04 11127A P.001 September 21, 2004 Gayness Engineering Group Attn: Kevin 3701 E. Tudor, Ste. #101 Anchorage, AK 99507 Fax #338-3246 Rising oon Electric. Inc. 14916 \Voodl.and Prive LagLe River. AIC 99577 (907) 622-6/// Re: 21221 Baron Drive - Chugiak, AK 99567 for Ted & Cyndl Carlson Dear Kevin: The lift station at the above referenced property has been wired in accordance with NEC and State/Local codes. Thank you. �Siincerely, /tel °4icc1-/14-- Kevin S. Hornbuckle, Owner Administration License Number 1284 Specialty Contractor license Number 27285 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water It Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Aug 19, 2004 Expiration Date: Aug 19, 2005 Permit Number: SW040351 Parcel ID: 051-792-37 Legal Description:W,K)(1( YVIEYVITSTATESSUBDIVISION.BLOCK,LOT2r Design Engineer: 0855 Garness Engineering Group, LTD Owner Name: TED CARLSON Owner Address: 21221 BARON DRIVE CHUGIAK , AK 99567 - Site Address: 21221 BARON DRIVE Lot Size: 22197 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: e/1/oy Parcel I.D. 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.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING /51- 29p.- ?iW Property owner(s) TED CARLSON Mailing address (1) P.O. BOX 671829 CHUGIAK * ALASKA. AK. Permit Number Day phone 923-2401 Mailing address (2) IL?21 eit f r7n Furl lig —DAV? It °L Legal description (Lot, Block & Sub'd.) MCKINLEY VIEW ESTATES: LOTS Legal description (Section, Township & Range) N/A Lot Size �fq7 Acres/Sq.Ft. Number of Bedrooms Zip Code 99567 1 & 2. BLOCK 3. THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool O • 0 4 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. GARNESS ENGINEERING GROUP, Ltd. Permit Fees: 960 e Date of Payment: g/y2/01/ Receipt Number. 066468ty Waiver Fees Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. August 10, 2004 CONSULTANTS & GENERAL CONTRACTORS smossisset Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Septic Upgrade Design for McKinley View Estates; Lots 1 & 2, Block 3, To whom it may concern: The existing 4 bedroom house is on lot 2, and is served by a private septic system and public water. The septic system is in the state of failure and needs to be replaced. Two test holes where excavated on the neighboring property. The proposed septic system will be designed around the 30 foot radii of these test holes. We are proposing that a 1500 gallon S.T.E.P. tank and a pressurized bed type drainfield be installed. The property owner owns both lots 1 & 2 and has granted himself and ingress/egress easement (see attached). Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 0.3 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 40 & 60 minutes/inch b. Allowable Application Rate: 0.30 gallons/day/ft c. Design Flow: 600 gallons per day d. Minimum Absorption Area: 2000 ft2 e. Total Depth: 3.5 feet (max.) f. Sand filter: 1 foot of M.O.A. approved sand filter g. Effective Depth: 0.5 feet (min.) h. Width: 20 feet i. Minimum Length: 100 feet long j. Effective absorption area = 2000 ftz Note: The distribution lines are to be 1.25 inch Sch. 40 PVC with 1/8 inch diameter holes spaced 65 inches on center (18 holes per lateral / 72 holes total). 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: garnessengineering.com 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the attached design drawing the area around the proposed drainfield is relatively flat. In short there is no slope concems. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistant ely Je ': Pres - P P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, two 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: gamessengineering.com i / 2 /i i/ / / LOT 18, BLOCK 3, / / / MCKINLEY VIEW S/D / / / / / / LOT 7A, BLOCK 3, / / / MCKINLEY VIEW 5/0 / / EXISTING ///4432 / // SEPTIC SYSTEM / WT 17, BLOCK 3. // �\ , / MCKINLEY VIEW S/D / ' �� LOT 6, BLOCK 3, / / / , >�iC�., . �� MCKINLEY NEW S/D ___- , CK 16,EBLOCK 3. // :•: .�� LOT 2 MCKINLEY NEW S/D / /, .�.;: !�'+ / COT 5, BLOCK / MCKINLEY VIEW 5/D / // 02.x/' / `C i / ,. / / 41LOT / .,ill EXISTING 4 BEDROOM HOUSE 3, BLOCK 3. MCKINLEY VIEW S/D / 'VTH/2 / . ; ' /' LOT LOT 1 j i / J L � CSEPTIC LOT 4, BLOCK 3. ARS MCKINLEY VIEW,.. 5/D HOMESTEAD ROAD \ PROPOSED SEPTIC bib!tM UPGRADE (SEE DESIGN PAGE 2 OF 3) RUSSEL OBERG FIELD NOTE: ALL PROPERTIES SHOWN ARE SERVED BY A COMMUNITY WEU 8/10/2004 `OF A`ti lip t '`�/ ,..... 41/4.5111': lei 4 s I ' '�ry*;;, t ..... �, �% DRAWN BY: GROUP, Ltd. R.A.L. GARNESS ENGINEERING CONSULTANTS 8 GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 SSE: „ , 1 — 1 00 PREPARED FOR PHONE NUMBER: TED CARLSON (907) 223-2401 PAGE NUMBER: 1 OF 3 �, ";i •, of 441r�. '•, 4i)( .e.•' �`'�1`.t«<v-<s-'- A 4 ss.: a —795'5 .' e(' . • f ...• •.•' 0,c14-.? LEGAL DESCRIPTION: RK Y VIEW ESTATES; LOTS 1 & 2, BLOCK 3 rnwME �CKIINNF SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPGRADE NOTE: THE CONTRACTOR SHALL HAVE THE NORTH SOUTH AND WEST LOT LINES FLAGGED BY A REGISTERED SURVEYOR PRIOR TO CONSTRUCTION. LOT 17, BLOCK 3, MCKINLEY VIEW S/D LOT 18, BLOCK 3, MCKINLEY VIEW S/D / (STING SEPTI SYSTEM TO REMAIN IN PLACE FOR POSSIBLE FUTURE USE REROUTE PLUMBING INSIDE CRAWLSPACE. INSTALL FLOW DNERTER IN INDOOR PLUMBING TO DIVERT FLOW BETWEEN OLD AND NEW SEPTIC SYSTEM. OPOSED DRAINFIELD. EXCAVATE A BED THAT 15 3.5 FEET DEEP MAXIMUM BY 20 FEET WIDE BY 100 FEET LONG. ADD 1 FOOT OF M.O.A. APPROVED SAND FILTER, AND THAN 0.5 FEET OF CLEAN, WASHED SEWER DRAINROCK. THE DISTRIBUTION LINES ARE TO BE 1.25 INCH SCH. 40 PVC WITH 1/8 INCH DIAMETER HOLES SPACED 64 INCHES ON CENTER. (18 HOLES PER LATERAL/72 HOLES TOTAL). (SEE DETAIL DRAWING PAGE 3 OF 3) PROPOSED 1500 GALLON S.T.E.P. TANK HOMESTEAD ROAD GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)336-3246 DATE: 8/10/2004 DRAWN BY: R.A.L. SCALE: 1"=50' PREPARED FOR: TED CARLSON PHONE NUMBER: (907) 223-2401 PAGE NUMBER: 2 OF 3 LEGAL DESCRIPTION: MCKINLEY VIEW ESTATES; LOTS 1 & 2, BLOCK 3, TYPE OF WORK: DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE ASEPTIC ARj ROM S.T.E.P. TANK I� r OMT MTit Imo"" 4�i I 1 I N 1 - i L OMTO MT 1 —.-2.1 I{ 95' LONG LITERAL^ I 100' LONG FINAL GRADE INSULATION FILTER FABRIC _MST ORIGINAL GRADE ...2‘./e-- 1 i >V_ VtVVIV J1 Y YY VY tt t4, VPMti 35' LSS i S! ♦Y �p I MAXIMUM OS 1 OF MOA APPROVED SAND FILTER 20' WIDE THE DISTRIBUTION LINES WITH 1/8 INCH HOLES SPACED CENTER. (18 HOLES PER TOTAL. ME 1.25 INCH PVC 64 INCHES ON LATERAL/72 HOLES �.,., DATE: 8/10/2004 .cSa. o f F1 O •,.• •' %'*P.•, ....:........Ifil 7 • • QQ�••J�e Q • ' • - % '•:.• ���1"..pp147A jA.� 7 I. • .. G.rness: ' 95 • ' 0000 Q4 � ••. *ovA VA Q • .' 0-0 .1}4,'Op 40 DRAWN BY: GARNESS ENGINEERING GROUP, Ltd.: R.A.L. CONSULTANTS 8 GENERAL CONTRACTORS 5701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 — 1 — 40• PREPARED FOR: PHONE NUMBER: TED CARLSON (907)223-2401 PAGE NUMBER: 3 OF 3 LEGAL DESCRIPTION: MCKINLEY VIEW ESTATES; LOTS 1 & 2, BLOCK 3, TYPE PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E TUDOR Nag. SURE 101 • ONCHOIUGE. M. 90607 • PHONE: (907)337-4179 • FM: (907)339-3240 • •EB91E pomw•ngInw gsa,p SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: MCKINLEY VEIW ESTATES; LOTS 1 & 2 BLOCK 3, PERFORMED FOR: TED CARLSON DATE: 8/4/2004 DEPTH ORGANICS (feet) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOILS LOGGED BY: JODY MAUS 1 1 • • • • ti B.O.H CLEAN FILL ORGANICS SM/ML w/ SOME GRAVEL TEST HOLE #1 SOIL CLASSIFICATIONS GW s ORG GC GP ^^^^IML GM tl CLGCOL SW MH SP 1� CH SM / � i OH SC LIES 11;111!11 p Opp RARRO 11)S111C11 DEPTH TO GROUNDWATER DATE MOIST 0 7' 8/3/2004 10.5' 8/4/2004 10' 8/10/2004 5:24 — Q ess: 0 7953 • \coo,, 1.ofessVOC e 0000�� i L HOMESTEAD ROAD SITE PLAN 1"=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/3/2004 1 5:24 — 6" — 2 5:54 30 5 1/4" 3/4" 3 5:54 — 6" — 4 6:24 30 5 1/4" 3/4" 5 6:24 — 6" — 6 6:54 30 5 1/4" 3/4" PERCOLATION RATE TEST RUN BETWEEN 40 (MIN./INCH) 3.0 FT. AND A FOUR HOUR PRESOAK WAS PERFORMED: PERC. HOLE DIA. 6 (INCHES) 3.5 FT. ■ YES ❑ NO PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PEF F MED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 6111�1/L 0F,' OF. GARNESS ENGINEERING GROUP, Ltd 3701 E TIDO RCN, CONSULTANTS & GENERAL CONTRACTORS NICIRIRKE M. 99507 • PHONE: (107)337-5179 • r*: (907)339-3940 • MEM ysn.•wwanNq.can Q A SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: MCKINLEY VEIW ESTATES; LOTS 1 & 2 BLOCK 3, PERFORMED FOR: TED CARLSON DEPTH ORGANICS (feet) w 1 1-- , CLEAN FILL 2 ==_=:ORGANICS 3- 4- 5- 6- 7- 8- 9 10 — 11 — 12 — B.O.H 13- 3- 14- 14- 15- 15- 16- 16- 17- 17- 18- 18- 19-- 19— SM/ML SM/ML w/ SOME GRAVEL 20 SOILS LOGGED BY: COMMENTS. TEST HOLE #2 DATE: 8/4/2004 SOIL CLASSIFICATIONS GW ORG Ii;iir11 'r�% 0D O�0 U aunt;iloRcto GP GM GC SW SP SM SC JJ)) ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE MOIST 0 7' 8/3/2004 10.5' 8/4/2004 10' 8/10/2004 5:24 — Q ess;' n _7953F`O� tea, '�DODdptOfess%O' e oo�c HOMESTEAD ROAD SITE PLAN 1"=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/3/2004 1 5:24 — 6" — 2 5:54 30 5 1/2" 1/2" 3 5:54 — 6" — 4 6:24 30 5 1/2" 1/2" 5 6:24 — 6" — 6 6:54 30 5 1/2" 1/2" PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 3.0 FT. AND 3.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASPE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: spyof • A L aIIIuQlfiIIIU 2004-058826-0 Recording Dist: 301 - Anchorage 8/6/2004 2:07 PM Pages 1 of 3 INGRESS/EGRESS EASEMENT 111111 11111111 1111111 GRANT made this 6th day of August, 2004. between Ted R. and Cynthia Y. Carlson, P.O. Box 671829, Chugiak, AK 99567, hereinafter referred to as the Grantors, and of Ted R. and Cynthia Y. Carlson, P.O. Box 671829, Chugiak. AK 99567, hereinafter referred to as the Grantees. WHEREAS, the Grantors are owners as tenants in the entirety of the following described realty: Lot 1, Block 3. McKinley View Estates according to the official Plat #82-225 in the Anchorage Recording District, Third Judicial District, State of Alaska; and, WHEREAS, the Grantees are desirous of enjoying the use of a certain portion of the Grantor's land for the sole purpose of ingress and egress to Grantees land for the purpose of maintaining a private septic system: and, WHEREAS, the Grantors have agreed, in consideration of $1M0 (one dollar and no cents) and other good and valuable consideration, the receipt of which by Grantors are hereby acknowledged, to grant to the Grantees as easement solely for said defined purposes and for no other; NOW, this grant witnesseth that in return for said specified consideration paid by the Grantees to the Grantors, the Grantors hereby grant unto the Grantees, their heirs and assigns, full and free right to maintain a private septic system upon a portion of Grantors land. This Grant of Easement is intended to be appurtenant to Grantees above-described land and touches, concerns and runs with said lands. This is not intended to be an exclusive easement: the Grantors herein expressly reserve unto themselves equal rights of ingress and egress and all other rights as the owners as tenants in the entirety of the described premises. Any dispute or disagreement arising under or in any way concerning this instrument shall be submitted for resolution to the process of binding arbitration in accordance with the Alaska statutes made and provided for said arbitration. The jurisdiction of the Arbitrator shall camnence 60 days from the onset of the dispute and shall operate to toll all ---applicable Statues of Limitation- Page 1 of 3 111111 IN WITNESS WHEREOF the Grantors and Grantees have hereunto set their hand the day and year above written. STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this 6 — ctay of 4001 , before me the undersigned, a Notary Public in and for the State of aska, duly commissioned and sworn, personally appeared Ted R. Carlson and Cynthia Y. Carlson. to me known to be the persons described in and who executed the above and foregoing instrument, and acknowledged to me that they signed and sealed the same freely and voluntarily for the uses and purposes therein mentioned. written. WITNESS my hand and official seal the day and year in this certificate first above 'dJdCzt/ ez rc Notary Public in and for Alaska My Commission expires (, / / oL/ o a Paee 2 of 3 01 111111 J1111 RI 2004468826-0 • • TEP R. CARLSON. GRANTEE q-it\ • CTHIA Y. RLSON. GRANTEE STA 1E OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this [off day of • 4 ,1Cci , before me the undersigned, a Notary Public in and for the Sta of Alaska, duly commissioned and sworn, personally appeared Ted R. Carlson and Cynthia Y. Carlson, to me known to be the persons described in and who executed the above and foregoing instrument, and acknowledged to me that they signed and sealed the same freely and voluntarily for the uses and purposes therein mentioned. WITNESS my hand and official seal the day and year in this certificate first above written. ;‘,45/(C; Ce/3 /-3-e)76 7/ 07 eAke�1r Page 3 of 3 Lt aux c_, Notary• Public in and for Alaska My Commission expires a/ rL/ C4. �I I�QI U IuIlhIIIII � �I 3 of 3 2004-068826-0 ' Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report 5141 %/0305 Permit Number. PID Number. Name Igemel L'tl&A Wastewater System: XNew ❑ Upgrade Address: �73lsLGG✓.TR A� 99-5'77 ABSORPTION FIELD Phone: GeV -.16,17 u-k+Xjc­ 6 9 f4 __2S-,7,sSlf No. of Bedrooms: 3 ❑ Deep Trench ❑ Shallow Trench P, Bed O Mound ❑ Other LEGAL DESCRIPTION Soil Rating: 01 Total Depth from original grade: GPD/Sq Ft. ,V, Lot: Block: Subdjvision• Depth to pipe bottom from original grade: Gravel depth beneath pipe Ft. Township:/ Range: Section: Fill added above original grade: Gravel length: Ft. Z Ft. WELL: ❑ New ❑ Upgrade ' Gravel deli wv07 Number of lines: : Distance belvrem lines: I & "VIA Ft Ft. Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. 8 SO Ft. 4"OVG Djo3lZ DnlleC Date Drilled: Static Water Level: Instal er. n E4V!,t Date Installed: FL 4XKCX_ C A/5 7-, /o ZG.47/ Yield: Pump Set at: I Casing Haight Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 01(Zeptic E3 Holding ❑S.T.E.P. To Septic Absorption Un Holding blic/Privata Manufacturer. Capacity in gallons: From Tank Field Station Tank Sewer U. Well 20�r �� Material: Number of Compartments: Surface LIFT STATION water Water Zoo r- z.Mm.- Lot/ ` '- Size In gallons: Manufacturer: ,, Line 30 /S - /uo/'/�L Foundationr / "Pump on" level at: `Pump off" level at: High water at at: Curtain Pump Make & Model Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: ��/++�cxs O,We,7_mcwCC e- - � Ole ✓ v� trNe� .. Cir ,CGtG Assumed. Elevation: oE>, ENGIryNEvE. 't%!EAL .j IL r r•"'a *+ 9 Inspections performed by: < <�Dates:1 2nd i z� ' ... ze �i+`"�9 Department of Heal tl d n rvi pproval •.ANO fe„l / ,,F~t°'''m�"N'�~ Reviewed and approved by:"190FE ate:�*%�`�` SO 72-013 (1N1) MOA 25 Permit No. 6v-1 Page e Z— of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report .egal Description: Ger Z %!jc«rc 3 f: Permit No Page J of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal ��System %and/or Well Inspection Report for r �L J? /r ',f"/.)Esi /E) PID No • l j7` Legal Description: e 0 o P Ds o OD 0 W 72-013 A (2/91) MOA 25 LoJ Q ENGINEERS SEAL % rod 't4� .w 48).1? 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 PERMIT PERMIT NUMBER:SW910305 DATE ISSUED: 9/27/91 DESIGN ENGINEER:DAVID R. DAYTON, P.E. EXPIRATION DATE: 9/27/92 OWNER NAME:CHARLES WILFORD W & OWNER ADDRESS:BOX 323 ER, AK 99577 PARCEL ID:05179236 LEGAL DESCRIPTION: MCKINLEY VIEW ESTATES BLK 3 LT 2 LOT SIZE: 30010 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PR RECEIVED B ISSUED BY• OVISIONS Y• DATE• DATE• Z 7 D. R. DAYTON, P.E., R.L.S. HC 78 Box 1026 Chugiak. Alaska 99567 (907)6881W 696-2417 September 26,1991 DESIGN NARRATIVE Lot 2, Block 3, McKinley View Estates The test holes revealed the same soils in the locations for the original and replacement systems. The recieving soils are a silty gravel with a percolation rate of 30 min./inch, which requires an application rate of 0.6 gpd/sf. For a 3 bedroom home the bed size is calculated at (3x150)/0.6 = 750 square feet of absorbtion area. The lot slopes from South to North at a 5%.f grade. It slopes sloghtly from East to West. The subdivision is served by a community water system and therefore contamination of domestic wells is remote. The system will have no significant impact on future systems on adjacent lots, reserved space/surface or subsurface, or on drainage. R pectfull 1 j f� � i+..e...:�� L David R. Dayton RECEIVED - SEP 21 t9't ::,, WJO Munldr- 53v ces Dept.H::N - r;urna i L3-,- Z. M. ct� L L. Y! 57;4 -TES � 3 e- 1 0 < C) Cao, Tic••.v WA,G, 7 . o ()cam 24-y- 3 Z' 5a -to oGr Ci goo No 4-DO,Tto A.v.e.- 3Z )- 34-2.�,,u nr+ n (..0 77 cc) 2., 0' e)e,, 4, G a..au+.ro `..PrctM Co SErt ert. gc x... Uf.3O lL 4-" # R-Pti PLAezZ" �IQSvt N-; cpn) ovLr—e S I�_.x+L R, PreVt z ' �hC-K-lz�LA_ 1 NSU eA'CzosJ (n) soTom,__ . P i p, t 4, W_ '6,0rtX t C.CIJ s Gs s -n P." 3� cti A e «, Municipality o1 Anchorage r,«�/ DEPARTMENT OF HEALTH & HUMAN SERVICES % S 825 "L" Street, Anchorage, Alaska 99502-0650 ! V-'-% �~�~r f . t' rn t . David L Cayon e , SOILS LOG - PERCOLATION TEST sNo ¢ PERFORMED FOR: -�3-.ec'sa�/ DATE PER LEGAL DESCRIPTION:_T15G3//%C/li.vze-1 Township, Range, Section: 5�� DEPTH SLOPE (FEET) TuP•601L — fIIFTII}I- 1 OR4n�ew r SnrY $p..r0 Lj I I I 2 511-rx 3- 4- MUNICIPALITY OF ANCHORAGE ENVIRONMENIALSLWIeESDIVISION 6 SEP 2 6 1991 6 RECEIVED 91 1 5s'r'{ G a4, -j cti 11 12 131 1 t3.5e 14 d I ' 72ete' W 18 19 WAS GROUND WATER ENCOUNTERED? YL'� S IF YES, AT WHATr L DEPTH? 13.5' 0 P E Depth to Weser Alter , Monitoring? Z.0 Det r. 9 2 PLAN 20 O PERCOLATION RATE � (mmutesimcn) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND _ FT - COMMENTS P�4!G /aULB So��'.aG p>L' �¢/ff.' Phe g.Jtd u3 PERFORMED BY: L-1 •I ` ' ///S2yP-Ur✓ ( �•�''>'etl�• Y/iY'!�/D� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage. Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION -- `'/ DEPTH (FEET) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 S. -r-r Seo SLOPE C7 07/ L,7 J �j/t9vC3Cr WAS GROUNDWATER ENCOUNTERED? XC75 S IF YES, AT WHAT1�/ L DEPTH? O P E Depth to Water After / Mwitxinl17%•� Date: 20 PERCOLATION RATE (minutesnnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND - , FT COMMENTS �L STJe'MVM5 S/hNLr /JAS T/f i PERFORMED BY: //•� • ��"✓7L'�✓ ITHAT T,S TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: %/A 72-008 (Rev. 4,85) Parcel J.D. 051-792-39 i Certificate of On -Site Systems Approval J A Expiration Date: o-ki (21 Complete legal description Mckinley View Est B3 L2 & Ll Location (site address) 21221 Baron Drive Current property owner(s) Theodore Carlson Day phone Mailing address 21221 Baron Drive Chugiak, AK Real estate agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex El Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Private Well Water Storage Community Well Public Water System Day phone TYPE OF WASTEWATER DISPOSAL: 0 Private Septic fX_1 El Holding Tank 0 FAI Community ❑ ❑ Public Sewer', El Waiver request for: Distance: Received by: COSA to be released to the unless otherwise requested by the engineer. Date: COVID-19 2570 DISCOUNT APPI 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe 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 soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Date Z::510S7F1/ ARW 00 * , 49 TH 1, CE 8149 °ol��stt��a:.m bedrooms, with the following stipulations: t'T Y OF A! 61, P Original Certificate Date:`�� X 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 X Nitrate Advisory Septic System Advisory X Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: McKinley View Est B3 L2 & L1 Parcel ID: 051-792-39 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) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments B. TANK DATA Age of tank(s) 511312°2° years Tank type/material STEPRP uc Measured operating fluid level in septic tank 0 OR Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Bed Which system tested (date installed) Aug/2004 ❑ ALL standpipes present per record drawing Total measured depth from grade 4.5 ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: See part F. COSA Checklist yellow sheet Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station 0 years Lift station material Plastic Comments: Adequacy test date 5/1/2020 Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test 4/4/3/3 in Water added 600 gal New depth 515/4/4 in Elapsed time 1160 min Final fluid depth 4/4/3/3 in Absorption rate '600 gpd Any rejuvenation treatment (past 12 months) no If yes, enter date 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' Yes Yes . Community Sewer Manhole/Cleanout > 100' M Yes if No ft [71 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 ft Holding Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑ Yes if No ❑ Yes if No ft Drain Field is operating at approximately Manure/Animal Excreta Storage > 100' the end of its useful life. Community Sewer Main > 75' ❑ Yes if No ft ❑ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q✓ Yes if No ft Surface Water > 100' ft ft ft ft ki R Yes if No ft Property Line > 5'✓Q Yes Yes . if No ft Wells on Adjacent Lots: Absorption Field > 5'C]✓ if No Yes if No ft Private Wells > 100' r77] Yes if No_ Water Main > 10' ft Yes if No ft Community Wells > 200' ✓V Yes if No_ 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' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓V Yes if No ft Private Wells > 100' ®✓ Yes if No Water Service Line > 10' p✓ Yes if No ft Community Wells > 200' 121 Yes if No Surface Water > 100'✓0 Yes if No ft F. ENGINEER'S COMMENTS Drain Field is operating at approximately 95%-97% used. The drain field is reaching the end of its useful life. G. ENGINEER'S CERTIFICATION �� OF AC,�S�� I certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with `� TH MOA COSA guidelines in effect on this date. t� ��7 t � • Steven •K� •Pon none. y� CE 8149 "�U �•,,ryry•},. [.'�-..1.. •p LSSt�t:t^�'- COSA Checklist yellow sheet ft ft M, ft Septic System Absorption Field Advisory Certificate of On -Site Systems Approval # OSC201212 Subdivision: McKinley View Estates, Block: 3, Lot: 1, 2 During the absorption field adequacy test, 3-4 inches of standing water was observed in the absorption bed. This indicates approximately 95%-97% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. �, ,� � � IV�ail�ng Address P ;O � Box 196650': * �Anchorage,�Alaska 99519 6650 h* www muni org � 2020— 021257— o Recording 01etrict 301 Anchorage cc 05/27/2020 01:67 PM Page 1 of 3 MA TANUSKA ELECTRIC A SSOCIA TION, INC. LETTER OF NON -OBJECTION May 27, 2020 Theodore Carlson 21221 Baron Drive Chugiak, AK 99557 Re: Lot 1 and 2, Block 3, McKinley View Estates {Plat 82-225, Anchorage Recording District} Encroachment of septic drain fields in 15' utility easement, as depicted on As -Built Survey dated April 29, 2020. Dear Theodore Carlson, The enclosed tetter of Non -Objection is a copy of the un -recorded original. After the document is recorded MEA will send you a copy of the recorded document. Thank you, Cindy Coughli?r- ROW Supervisor Matanuska Electric Association 163 East Industria[ Way Palmer, Alaska 99645 Office Phone: 907-751-9255 MA TANUSKA ELECTRIC ASSOCIATION, INC. LETTER OF NON -OBJECTION May 27, 2020 Theodore Carlson 21221 Baron Dr. Chugiak, AK 99567 Re! Lot 1 and 2, Block 3, McKinley View Estates (Plat 82-225, Anchorage Recording District) Encroachment of septic drains in MEA 15' Utility Easement as depicted in As -Built Survey dated April 29, 2020, attached. Dear Name, MEA has no abjection to the encroachment of a septic drain field encroachment located in the utility easement as depicted on the attached As -Built survey dated April 29, 2020, subject to the following conditions: 1. The Improvement will in no way restrict or limit the current or future ability of MEA to fully enjoy the benefits of the easement for any and all utility purposes that it presently enjoys under the easement. 2. MEA will be held harmless by the landowner from liability for any and all damages or injury to any person or property that may result from the existing and future use of the easement by MEA, its contractors, or assigns. 3. MEA will be held harmless by the landowner for any and all IiabiIity arising cut of or relating to any use of the easement by others under a Letter of Non -Objection. 4. The landowner will be liable for any damages caused to MEA facilities by the improvement in the easement. S. The landowner will be responsible for any special construction costs incurred by MEA due to the improvement in the easement. 5, The landowner will assure compliance with all applicable safety codes relating to the improvement in the easement. 7. Use of this letter by the landowner, their successors or assigns will constitute acceptance of these conditions. 8. Alteration of these conditions shall invalidate this letter. Q. This letter is not effective unless it is recorded in the Palmer Recording District before ownership of the referenced property is than d from the above-named landowner. SinckServiQ Man Lananacer STATE OF ALASKA) SS - THIS IS TO CERTIFY that on this day of , 2020, before me, the undersigned; -a• Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally.aMe6red Manny Lopez. SRfWA, MEA Land Services Manager Known to me and to me known to be the �d'ividuAl named - in and who executed the foregoing instrument and acknowledged to me that helshelthdy sign;d-atd sealed : the same as a voluntary act and deed for the uses and purposes therein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day and yearfirst above written f Cmb6laed Nemon Is My "to CfAJaska Notary Pc4dic Seal GAly Candissian Fxpirms Jure 25, 202! L CY NTI 1IAA CC UGH Notary Pu lie'in'a nd of A[1ka My commission expires w►u Return to: MEA, PO Box 2929, Palmer, AK 99645 I k Ill Page 2 0131 # 2020 — 021257-0 r.—, 1 HEREW 00r"Fy THAT I HAVE WPVrM THE WALDkyr 0` AND rmr No "M DMiTf T f 'Se A{�SEa 11�1G1TFL ff IS TW lamw 7i UTT M. T7; ref% +q ? f r MOM TOLETAJa� TIK OF AMT mm .' • � { F4YIIICNTi. OCV�1ANia THF RL7 *WKT1 oG H6T APPEAR wl • 1 .r. *.,w . Awvtww 1' " 1Ap Ew tlRa�AIATAfIC28 bTIp1AL �xf-a�' T�� i3•na = ' �A WT 61811 Hc11FA11 � RjF ODN3TTd7GTlp1 T �' 9F RF M UNV% OR FOR L'$TAL�gIMMO BOIRIa• ARY Ll11RU. 6gAiltrl+ +,T�Eww.w' AYRr 111111`YX1Ii11I Milk Page 3 uE 3 2020 —621257-0 NON-OBJECTIO-,,11) EASEMENT ENCROACHMIT r i)OCls LENT By this document Matanuska 'telephone Association, Inc, (l\�ITA) declares that it has net objection to file existing encroachment of a dtntin [`field in the platted 15 foot I'&J. casement within Lot I A, 2, Block 3 of \McKinley View Estates Subdivision, filed as flat Number 52-225in the Anchorage Recording District, State otAlaska. it+4+x:ti4{.yP*,ki g4 a.#xYKi: :1 i.tkf.4tt* rtx*l e.tY:+a: ..,�r:h lisp z+4x{*fi}x; ri#.xv• xvg.+ cttt a-}-t's fi-:",F<5a. "'case be advised shat \1TA through the issuance or this docuntcnt docs not forfeit any or its tights m the use or the arca cited_ In the c�crcise of these -tights �4'I'1\ will, if needed, upgrade, maintain, rcloair, an�3�'or rehlacc buried or aerial telecommunications facilities Whin the casement. Any repairs that nr<ty be required to the cncroachntent as a result o1' utility eonstntction will be borne by the property omier oC record. This docuntcnt docs not authorize the placement of any additional cncroachntents within the casement arca. Properlt owliers arc raluired to obtain utility locates before doing ;my kind of work in the utility cascmcnts and will be liable for anv dautagcs caused by their construction work, in the casements. ibis JL, cunLl! nat, s n no wai�_;m aw! DocuSign Envelope ID: 98D67901-A564-4BC5-812r-l••E2A38A863BBA May 20, 2020 Pannone Engineering Services, LLC Re: 21221 Baron Drive Chugiak, AK To whom it may concern, Subject to your agreement to indemnify the company as set forth below, GCI Communication Corp has no objection to the drain field encroaching into the T&E utility easement of McKinley View Est B3 L2/L1, also known as 21221 Baron Drive, city grid NW1459, GCI WO#20-0006-16. This letter of non -objection in no way precludes GCI Communication Corp from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of-way, including unlimited access for servicing its facilities. Also, any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI Communication Corp harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to me at the address below. Sincerely, DoauSigned by, Signature 74[A42871F7741C... Date Markus Kofoid Manager Sr. Field Services Central Region GCI Communication Corp 5151 Fairbanks St. Anchorage, AK 99503 907-868-6168 Office 907-868-8580 Fax MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # Llm\ — i 9 O - 7-1 ., HAA # - 0LCI \ Q 625 1. GENERAL INFORMATION Complete legal Location (site address or directions) &&eoN 9'en F/ �5Fs� a2c.4- - A'_ -;ors ��/ no!\ l� 1C . � 1�1 � � �6 -.24,77 a,..< Property owner 4eP /� Daly phone 49f- .2573 .fey Mailing addresst'�•g'#� a 7732 f8 S4?7 ,,4t 4 99577 Lending agency Mailing address Agent Day phone Day phone Address Unless otherwise requested, HAA will be held for pickup. l�2e S tJ?J T 2. NUMBER OF BEDROOMS: N 1r2 3. TYPE OF WATER SUPPLY: Individual well Community well Public water J NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site J Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 22m5 Qi«. 1A1) F. l MOA 621 S. 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm 's ,Cef• / Phone 6' f6 '9,4el7 Address Engineer's signature 6. DHHS SIGNATURE M Approved for .3�2_ve bedrooms. Disapproved. Conditional approval for Additional Comments Date Or ....<1YMMM• • � � Dov«i L v K �yiJ+.ti. No. 2203-E_ bedrooms, with the following stipulations: -��� V a• – The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending Institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct Inspections or analyze data before a certificate is Issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. naxs fin«. iA+� 8< MOAC21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ? 3, /�/""���y v/04J Parcel I.D. GST A. WELL DATA Well type k If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Wires properly protected (Y/N) AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout P r%LLJ o � ,YToW V o g.p.m. i~ 7 Un o �. W o J W i� Public sewer service line-7—Petroleum tank / iy0W? ���G �+1!:v' 000�3-�5✓m 41r. isll L�7'�r4 ��j% WATER'SAMPLE RESULTS: 1 Coliform Date of sample: Nitrate Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date Installed�941hl Tank size /000 Compartments 'L Cleanouts (Y/N) y Foundation cleanout (Y/N) ✓ Depression (Y/N) A/ High water alarm (Y/N) Date of pumping A✓rcO Alarm tested (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK/TO: Well(s) on lot 1 V0^1On adjacent lots 00 0 437 Foundation 2� To property line -30 Absorption field 17 Water main/service line Surface water/drainage Z-e'm"' n-M(Rw. vil) From MOA 21 CONTINUED ON BACK PAGE C LIFT STATION Date installed Manufacturer Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots — "Pump off" level at Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed ���ZC; 9� Soil rating -System type Length '32 Width 2 Gravel thickness �2 G 6 Total depth s 7 7 7iLWI Total absorption area 746 -5 Cleanouts present (Y/N) Depression over field (Y/N) /el Date of adequacy test /Ilrw Ssisrr� Results (pass/fail) Peroxide treatment (Past tz months) (Y/N) for SEPARATION DISTANCE FROM ABSORPTION FIELD TO: If yes, give date bedrooms Well on lot ./t/oNr- Onadjacentlots /t/otiC Propertyline /-5,- To building foundation To existing or abandoned system on lot - x4e7 On adjacent lots Cutbank 11/0'V`0 Water main/service line _-30 Surface water Zoe) -I-- Driveway, parking/vehicle storage area 4o s - Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. N `�^" lf •.~~ Signature A � �� 6' �� POZ Engineer's Name DIAO 10 t/ Date ,� , Doral w Darton !'R0FE5 tS 0I� P HAA Fee $ 170 _ Waiver Fee: $ Date of Payment I A` S _ 911 Date of Payment Receipt Number R 3 ALE 7 3 57 Receipt Number 72-M(Rw. 3101)Bx4 MOA 21