HomeMy WebLinkAboutMCKINLEY HEIGHTS #1 BLK 7 LT 1McKinley
'D
Heights #1
Block 7
Lot 1
#051-213-21
Oct_10.2022 09:23 AM Anchorage Well & Pump Service Inc 9072430742
#1274 P 1/ 1
MUNICIPALITY OF ANCHORAGE
Afte
Development Services Department Phone: 907343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: Date of Issue: -�
Parcel Identification Number: 051213 - 21
)Legal Description Block Lot Property Owner Name & Address:
MOODY WILLIAM & HANSON HE=ATHER
MCKINLEY HEIGHTS #1 7 1 18221 AMONSON RD
CHUGIAK, AK 99567
Pump Installation Date: 10 - 07 - 2022
Pump Intake Depth Below Top of Well Casing: :330 feet
Pump Manufacturer's Name: STA -RITE
Pump Model: UNDHL-06
IPump Size: .7 hp
Pitless Adapter Burial Depth: 8 feet
Pitless Adapter Manufacturer's Name: ME=RRILL MANUFACTURING
Pitless Adapter Installer: HILAND EXCAVATION
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection: PELLETS
I Comments:
II Pump Installer Name: _
II Company:
II Mailing Address: __....._...
ANCHORAGE WELL & PUMP SERVICE
7640 KING STREET
ANCHORAGE, AK 995I8
907-243-0740
11 City_ State: Zip: �I
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Municipality of Anchorage
Development Services Department 3jj� jy.
Building Safety Division
On -Site Water and Wastewater Program, 4700 Bragaw St.
/
P.O. Box 196650 Anchorage, AK 99519-6650 Page of •3
www.ci.anchorege.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number:.5dO 50330 PID Number: 05/-Z! 3-2 /
"'N"O
Wastewater System: ew [IUpgrade
Ad"vNp�zZ/ 1" (J0A1 R
ABSORPTION FIELD
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CNV
Date: 7/19/07
To: Deb Wockenfuss
1110A On -Site Services
MEMO
Steve Eng, PE, PH
PO Box 770724, Eagle River AK 99577
(907) 694-7028 tel
NorthRimEng@aol.com
Subject: McKinley Heights SID #1, Block 7, Lot 1
Permit # SW050330
Debby,
Number of Pages: 3
During construction inspections in October `05 it was determined that the driveway was cut too
close to the wastewater system. The house also was built too close to the absorption trench @ 9
feet set -back instead of the required 10 feet. The owner of the property was alerted to this fact.
The owner, being a Civil Engineer, opted to enter into discussion with your office to alleviate the
problems.
I understand that this discussion did not take place and we are attempting to finalize the project.
A slope setback drawing has been produced. Before we submit for a C.O.S.A. certificate we
would like to obtain approval for the above discrepancies. Please review and if favorable, we will
submit the as -built with C.O.S.A. request.
We also plan on addressing your previous concerns for Lot 2.
Thanks -Steve
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M -W Drilling, Inc.
♦P.O. Box 110378#Anchorage, AK 99511•
•907-345-4000 ♦ 907-345-3287 Fax•
Job No.: 06-107 Parcel No.: 051-213-21 Permit No. SWO50330
Permit Dated: 01 Sept. 2005
Groundwater Well As -Built & Log
♦Well Owner: Stefrensmeir,
♦ Legal Description: McKinley licights S
Construction
♦ Hole Depth: 340' ♦ Casing Sl e: 6" • Cased To:
♦Drill Afethod: Air Rotary ♦ IVall. 0.25"
♦ Use of R ell:
♦ If ell Completion- Open end X Screen _ Perforated
♦Screen/Perforation descriptlon: None
♦Grout Notes: (10) Sacks- No. 8 bentonite granules; 10" fl
Domestic
43' ♦Aloterlar. A 53 Steel
Perf.
Afethod:
to 43',
♦Disinfection:
Yes No Method: Chlorine Tablets
♦ Well Development., Afethod: Air surge Notes:
♦Static water level (SIVL)
295.5' (above) (below) top of casing (TOC).
• 11 ell yleld test at 2
gallons per minute (GPIf)/gallon"w"ear{GP11)for 1 hours
Willi 100%
of drawdown (DD) from static level (S;VL).
♦Afethod: Airlift
8
♦ Date started..
30 March 2006
♦ Date ofcompletion:
05 April 2006 •Pumpinstal
fractures
Depth In feet from
top of casing.
Details of formations penetrated,
size of material, color and hardness.
0
TO 2.5
Casing stickup
2.5
TO 8
Fractured and weathered bedrock
8
TO 340
Bedrock: black siltstone ar
illite, small water sea s insporadic
fractures
TO
TO
1.0 gpm by 200'
TO
1.5 SpIrt by 300'
TO
TO
2.0 g m by 340'
TO
TO
TO
WAYNE-E, WESTBERG
I R9edentM-W-Dr1111ngjnc�
TO
TO
,.
NOR Certified Master GttwOdaaW Cattractor
Corttractors Ucertse No.1000
TO
TO
MUNICIPALITY OF ANCHORAGE
Development Services Department D VVV
On -Site Water& Wastewater Program \, O\�
4700 South Bragaw Street 1 ` lel
P.O. Box 196650, Anchorage, AK 99519-6650 \O
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SWO50330
Date Issued: Sep 01, 2005
Expiration Date: Sep 01, 2006
Parcel ID: 051-213-21
Legal Description: MCKINLEY HEIGHTS #1 SUBDIVISION BLOCK 7 LOT 1
Design Engineer: 0838 North Rim Engineering
Owner Name: CHUCK STEFFENSMEIER
Owner Address: 18221 AMONSON ROAD
CHUGIAK , AK 99567 -
Site Address: NHN AMONSON ROAD
Lot Size: 41382 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑✓ Disposal Field E Septic Tank ❑ Holding Tank ❑ Privy ❑Q 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 ( 1 BAAC72 ) 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:
Date: G�
Date:
Issued By, //or
\ Municipality of Anchorage
1 Development Services Department
Building Safety Division
_ On -Site Water and Wastewater Program
4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 05/-'q/3 / Permit Number SW
Property
phone, 490y—'3071<
Mailing address JeP2 Z / AC4jdAj 0K.) 1046 Zip Code T f s'`A%
Site address Zip Code
Legal description (Lot, Block & Sub'd.) n /��� tf/ 97 --
Legal
%
Legal description (Section, Township & Range)
Lot Size L4131 Acres/Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms
Sewer Only ❑ Well Only ❑
Sewer and Well ,® Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
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.
Permit/Rush Fees: 440-04 IRS --60 Waiver Fees:
Date of Payment 213010
zJ Date of Payment:
Receipt Number., 6tT_ Receipt Number:
(Rev. 09/04)
bTF�IM
ENGINEERING
NorthRim Engineering
17237 Bear Paw Circle
Eagle River, AK 99577
907.694-7028
August 29, 2005
MOA On -Site Water & Wastewater Program
4700 Bragaw St
Anchorage, AK 99519
RE: Septic System Design & Well Location; McKinley Heights SID, Block 7, Lot 1
A lot is being developed. Suitable soil was discovered. This is a new septic system and
water well. Some of the neighboring lots are developed. This site should not negatively
impact any of the other area lots. The drainage slopes from back of lot towards front of
lot toward Amonson Road. Adequate separation exists between the proposed site and
neighboring lots.
Please review the wastewater system design for the single family home. I have included
design plans & specs, design guidelines, & soil tests. If there is need for additional
information or clarification please give me a call.
Sincerely,
eve ng, PE
Design Enclosures
1TF�IM
ENGiNEERiNG MCKINLEY HEIGHTS S/D, Block 7, Lot
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: This is a future single family home projected at 4 bedrooms.
This requires a 1250 gallon septic tank. This lot is over 1 acres in size, as are neighboring
lots. Some of the neighborhood lots have been developed. No adverse impacts are
expected from developing this lot. The proposed water well is located on the drawing as
are the neighboring wastewater systems & water wells. The lot slopes from back to front,
toward Amonson Road. Portions of the lot are over 25% slope; the area of the septic
system is about 20% slope. No conflicts to any neighbor lots is anticipated. One soil test
was conducted; a silty gravel soil with an excellent percolation rate. An application rate
of 1.2 GPD/FT= with 0.5 reduction factor for utilizing a 5' wide trench was utilized.
Specification Requirements: All components and work must comply with the
Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water
Regulations and Wastewater Regulations.
• Two compartment, 1250 gallon septic tank.
• Watertight couplings on inlet & outlet.
• 5 foot minimum between the tank and bed. 10 foot to property lines.
• 3 feet of cover or insulation is required for trench; an equivalent of I" insulation for each foot
soil cover.
• Tank & solid pipe must be set on well compacted, stable soil.
• 4 inch diameter cleanouts with airtight caps are required 1 to 4 feet from foundation wall,
prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent
opposing cleanouts between the tank and the absorption field, not more than 10 feet from the
tank positioned to provide cleanout access towards the tank and towards the absorption field.
• All cleanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
• Trench to be placed level, minimum of 4 feet to groundwater, 6 feet to bedrock from drain -
rock.
• Drain rock to be %3 inch to 2'/: inch screened. Drain rock to be distributed uniformly
throughout the trench.
• Perforated pipe to be installed level with perforations down.
• Silt barrier (filter fabric) to be installed above the drain rock.
• Smeared trench sides must be raked or scarified before drain rock placement.
• Backfill over drain rock must not be less than 36".
• The finish grade must be mounded to promote drainage over the trench.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS
ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam III or equal)
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VACANT
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eptic System Constructlon
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rVacant
ents. System 10• util E_nt——WP1l—.
900 ,E... .:38913 128.3a N59.59'00"w 1155.06 (P629A)
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i eptic Well
a -
NOP, THP,IM
Et4GI14EERING
17237 Bear Paw Circ/41
Eagle Rl~. Alaska 99377
907.694.7026
" MCKINLEY HEIGHTS
BLOCK 7, LOT 1
LOT PLAN
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I' = 50' —
SUBDIVISI❑N
LAYOUT
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8/29/05
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SOILS LOG - PERCOLATION TEST
Thi M _ Date Performed: 8/18/05
ENGINEERING
Performed For: Chuck Steffensmeier
Legal Description: McKinley Hts, Block 7, Lot 1
DEPTH
(FEET)
T.H. Location: See Drawing
Organic
GM
Silty Gravel
w/ Low Silt Groundwater7_No
Depth
Water Depth
LA All, r5 nn+o, a/pr/Iig1
pi 1,rr
#
rrv, I
Date
W.
Gross Time
Net Time
Depth
Net Dro
1
6/3
3
--
4 -.:
-
5 -
"s
6
2 min
6'
1'
7 -
6/3
3
--
8
-
4
6/3
5
2 min
9
1'
10
6/3
6
--
11
•
6
„�•
8
2 min
13 -
, :•,
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
T.H. Location: See Drawing
Organic
GM
Silty Gravel
w/ Low Silt Groundwater7_No
Depth
Water Depth
LA All, r5 nn+o, a/pr/Iig1
pi 1,rr
#
rrv, I
Date
W.
Gross Time
Net Time
Depth
Net Dro
1
6/3
0
--
5'
-
2
6/3
2
2 min
6'
1'
3
6/3
3
--
5'
-
4
6/3
5
2 min
6'
1'
5
6/3
6
--
5'
--
6
6/3
8
2 min
6'
I'
Percolation Rate 2 min./Inch Perc Hole Diameter 6=
Test Run Between4' and5'
Comments' PrP-SOak d ,OOd rPric
Performed ByNnrthRim Eng. I
Performed in Accordance with A
ON THIS DATE, DATE: 8/26/05
NORTHRIM
ENGINEERING
117237 Bear Paw Circle
,Eagle River. Alaska 99577
907.694. 7026
CERTIFY THAT THIS TEST WAS
i State/Municipal Guidelines in Effect
TESTH❑LE
GE❑TECHNICAL
iI
T. H. 1
pate OcEr
—
8/26/05 11 of I
Parcel I.D. 051-213-21
er a�
Municipality of Anchorage
On -Site Water and Wastewater Program q `
(907) 343-7904
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Expiration Date:
Complete legal description McKinley Heights #1, Block 7, Lot 1
Location (site address)
18221 Amonson Rd.
Current Property owner(s)
Mailing address
Real Estate Agent
William & Kay Humphries Day phone _
18221 Amonson Rd. Chugiak, AK 99567
Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU) t;
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
WaiverNariance request for:
Received by:
COSA to be released to i
TYPE OF WASTEWATER DISPOSAL:
❑
Individual
0
❑
Holding Tank
❑
❑
Community
❑
❑
Public Sewer
❑
Date: r f
requested by the engineer.
COSA Fee $ 52(P Waiver Fee $
Date of Payment ��ricJf ��( (� Date of Payment
Receipt NumberC��[2 �G Receipt Number
COSA# m)c) -i 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.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MCA 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.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Alk. 99510
Engineer's Printed Name Steven R Pannone
Date 9/18/2014
EXIAW1 \�
6. DSD SIGNATURE "' >`. "•"""•.
Lll System #1 Approved for —f— bedrooms Steven w ahrione
CE 8149
System #2 Approved for bedrooms 4 . Sc V
Disapproved ���[l� �OFESS"
Conditional approval for bedrooms, with the following stipulations:
By: ,� <t' Original Certificate Date: l 0
i� �
The MICipVrty�1of Aeiefiorage 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 Arsenic Advisory
Well Flow Advisory _"Sli Other
COSA blue sheef f ..
If more than 1 septic system is on the lot:
COSA Checklist # I of
Structure served by this system 1
Certificate of On -Site Systems Approval Checklist
Legal Description: McKinley Heights #1, Block 7, Lot 1
A. WELL DATA
Well type Private If A, B, or C provide PWSID #
Date completed 4/5/2006 Sanitary seal (Y/N) Y
Total depth 340 ft. Cased to 43 ft.
FROM WELL LOG
Date of test 4/5/2006
Static water level
295.5 ft
Well production 2
9-13 m.
Parcel ID: 051-213-21
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 18+ in.
AT INSPECTION
9/15/2014
133 ft.
0.5
9 -
p.m -
WATER SAMPLE RESULTS:
Coliform N E 61 colonies/100 mL Nitrate N D mg/L
Arsenic WD ug/L Date of sample: 9/15/2014 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,250 gal. Number of Compartments 2
Date installed 10/4/2005
Cleanouts (Y/N) Y
Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (YIN) N
Date of pumping 12 i Pumper
C. ABSORPTION FIELD DATA
Date installed 10/4/2005 Soil rating (g.p.d./ft2 or ftz/bdrm) 1.2 GPD/SF System type Shallow Trench
Length 52 ft. Width 5 ft. Gravel below pipe 4 ft.
Total depth 8 ft. Eff. absorption area 520 ft Monitoring tube Y Depression over field N
Date of adequacy test 9/15/2014 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 0 in.
Elapsed Time: 140 min. Final fluid depth 0 in.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO
Water added 606 gal. New depth 0 in.
Absorption rate >= 600+ g.p.d.
If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons
in. "Pump off' level at
E. SEPARATION DISTANCES
WELL ON LOT TO:
Cycles tested
Septic tank/lift station on lot 100+
Absorption field on lot 100+
Public sewer main 75+
Sewer /septic service line 25+
Animal containment areas 50+
Manhole/Access (Y/N) _
in. High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots 100+
On adjacent lots 100+
Public sewer manholelcleanout 100+
Holding tank 100+
Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+
Water main 10+ Water service line 10+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+
Water Service line 10+ Surface water 100+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
Water system has 300 gallon holding tank.
G. ENGINEER'S CERTIFICATION
Absorption field 5+
Surface water 100+
Water main 10+
Driveway, parking/vehicle storage 10+
i ,�..... rte.
t certify that I have determined through field inspections and ✓.rg+�P �9
review of Municipal records that the above systems are in M,F-SevW
'•,*
conformance with MCA COSA guidelines in effect on this date.... ,
Engineer's Printed Name Steven R. Pannone 3onnon....
9/18/2014-8149
Date '�.
COSA brown sheet 10-10-12.doc
in.
Municipality of Anchorage as a
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci. anchorage. ak.us
(907) 343-7904
Water Well Advisory
Certificate of On -Site Systems Approval (COSA) # 141508
During a recent COSA on-site inspection and test of the potable water
supply well on Block 7, Lot 1 of McKinley Hts. 91 subdivision, the well's
productivity was determined to be 0.5 gallons per minute. The minimum
well productivity required by this Department (AMC 15.55) for a 4 -bedroom
residence is 0.41 gallons per minute. Although the subject well currently
exceeds this minimum requirement, all parties concerned are advised that the
production capacity of the well may fluctuate. Restriction of non-critical
water uses such as washing cars and watering lawns and gardens may be
required.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
CS
Municipality of Anchorage o'
Development Services Department �� /
Building Safety Division
On -Site Water and Wastewater Program `
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.a 5/"- Z/3-ZI COSA#
Expiration Date: / D -10 7
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s) _Yc/C%G S%F.fFE &*vf(IL Day phone CM- O°33
Mailing address
Lending agency
Mailing address
Day phone
Real Estate Agent A'ji JOAJ Day phone d -ZZ "33[Ey
Mailing Address Pi,An f)e of ?s4cr.6 /2mc-fte-
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
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 On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. 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 4oy- �-t rs. FINC py— Phone %0-zr}-
Address! Fu 6O< :z -?,,2q
Engineer's Printed Name "S!7 F'✓F_ 45AJ G Date Z�? 040 7'
qtr
OF
49—
.......... t -;•c
.........«..:...
' Y� F• � Steven W. Eng y.
5. DSD SIGNATURE i` FE ansa40
Approved for �^ _ bedrooms. t�itp�•PdoFEsstq�P--
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
WATER AND
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: !ve Original Certificate Date:
(Rev.11,05)
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program • • °'
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-850
www.muni.org/onshe
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: /1c1c��/ 1 9146tG 7 L* f L Parcel ID:O S/ -Z/3 -2t
A. WELL DATA
Well type P If A, B. or C provide PWSID # _ Well Log (YIN) �
Date completed4ffVO6 Sanitary seal (YM) Wires properly protected (Y/N) T
Total depth ILL6 fl. Cased to �,_ft. Casing height (above ground) stn.
FROM WELL LOG
Date of test S O'6-
Static water level _-0 � S .s fl.
Well production Z g.p.m.
WATER SAMPLE RESULTS:
AT INSPECTION
i(/f..r..)
ft.
9.p -m.
Coliform ! coloniesl100 mL Nitrate o. ro mg1L <*a Other bacteria Q colonies/100 mL
Arsenic: 0, 2 i 7 **Date or sample: 1 07 Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material 44k- 09AMce�'y��"T' f� Date installed _/0J666 S
Tank size IZ5C3 gal. - Number of Compartments
Foundation des rout (Y/N) 4— Depression over tank (YM) _A(L
Date of pumping 44a6J- Pumper
Cleanouts (Y/N) y
High water alarm (Y/N) At
C. ABSORPTION FIELD DATA
Date installed 1011410.5 Soil rating (g.p.dJfe or WFhdnn) /.Z System type 796UC.ft
Length .SZ ft. Width 5' ft. Gravel below pipe Y ft.
Total depth - ft. Eff. absorption area ZO ft' Monitoring tube -Y_ Depression over field AL_
Date of adequacy test Xt�oJ Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test _ In. Water added_ gal. New depth_ in.
Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (YM & type) If yes, give date
D. LIFT STATION
Date installed
'Pump on' level _ in.
Datum
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level _ in.
Cycles tes
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot _/6O r f"
Absorption field on lot 14 6 r !
Public sewer main
Sewer /septic service line /O O f&
ManhoielAccess zel
High water alar
Meets ala circuit requirements?
On adjacent lots 400 rf-
On adjacent lots l Q Q ,,-
Public
Public sewer manholelclearwut AiIA
Holding tank
Animal containment areas /O 0 rt Manurelanimal excrete storage areas 40,1 rr
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation Property line / Absorption field S /
Water main 9X Water service tine Z S t Surface water
Wells on adjacent lots 44 r{'
In.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line rt Building foundation" s r f Water main
Water Service line �0 It Surface water /00 r* Driveway, parkinglvehicle swap SEs f
Curtain drain Wells on adjacent lots 60 t
F. COMMENTS
G. ENGINEER'S CERTIFICATION : p�c•••":tiS�� +
1
I certify that I have determined through fled inspections and* .49M*
:k
review of Municipal records that the shove systems are in i • •
conformance with MOA COSA guidelines in effect on this date.
N
Engineer's Printed Name _J`—Tt�� /_ i.1 G �I, ��"�� "4
7%aa�� rF, •'•
Date � �I:Fn,:'•......•;'A` :�
COSA Fee $—
Date of Payment �f 0
Receipt Number 02.57-.1)a",o
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
_- _ .. ._. - . . _.. .
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196850 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWERIWELL SUBMITTAL COMMENT SHEET
To: Steve Ena
Legal description: McKinley Heights #1 Block 7 Lot 1
®Permit ®C.O.S.A. ❑Inspection Report
The attached paperwork has been reviewed and is being returned for the following reasons:
1. Field less than 35 feet from a slope of 25%.
2. Field 9.5 feet from foundation.
3. Tank 4.5 feet from foundation.
4. No area for altemite site as shown on Inspection Report
5. Excavator NOT MOA approved.
Name of reviewer: M
Date: August 22, 2007
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
GROUP
Northrim Eng
Atm: Steve Eng
17237 Bear Paw Circle
Eagle River, AK 99577
907.694-7028
Fax: 907-694-7026
Client Sample ID:
Sampling Location: Chugiak I
Client Project: Northrim Eng
Sample Matrix: Aqueous
COC #:
PWS#:
Residual Chlorine:
Comments:
Lab#: A0707179 -02A
Analytica International, Inc.
4307 Arctic Blvd.
Anchorage, AK 99503
Phone: 907-258-2155
Fax: 907-258-6634
Report Date:
7/30/2007
Receipt Date:
7/16/2007
Sample Date:
7/16/2007
Sample Time:
9:30:OOAM
Collected By:
T Eng
Hatt Definitions:
MRL = Method Reporting Limit
MCL = Maximum Contaminant Limit
B - Present also in Method Blank
11= Exceeds Regulatory Limit
M = Matrix Interference
J = Estimated Value
D = Lost to Dilution
•• = RL higher than MCL; target not detected
TNC = Too Numerous to Count - result rejected
CF = Confluent Growth - result rejected
TCNG = Turbid Culture No Growth - rejected
Analysis Method
Prep Prep Analysis
Parameter Result
Units Flags
MRL
MCL Method Date Date Analyst
92228 (Aqueous) - Membrane Filtration MF
Test was conducted by: Analytica - Anchorage
Bacteria, Other <MRL
CFU/IOOmL
1.0
7/16/2007 7/16/2007 PL
Total Coliform <MRL
CFU/IOOmL
1.0
1 7/16/2007 7/16/2007 PL
Lab#: A0707179 -02B
Analysis Method
Prep Prep Analysis
Parameter Result
Units Flags
MRL
MCL Method Date Date Analyst
4500-NO3E (Aqueous) - Nitrate
Test was conducted by: Analytica - Anchorage
Nitrate as N <MRL
mg/L
0.10
10 7/17/2007 7/17/2007 Al
Lab#: A0707179 -02C
Analysis Method
Prep Prep Analysis
Parameter Result
Units Flags
MRL
MCL Method Date Date Analyst
200.8/200.8 (Aqueous) - Family Well Water 1
Test was conducted by: Analytica - Thornton
Arsenic 0.287
ug/L
0.15
10 200.8 7/24/2007 7/24/2007 KS
Reported by: Claire Toon,
Laboratory Project Manager
Page 2 of 2
b6T�I,Rim
rr�',IlrMEMO
Date: 9/7/07
To: Jeff Poet
AfOA On -Site Services
Steve Eng, PE, PH
PO Box 770724, Eagle River AK 99577
(907) 694-7028 tel
NorthRimEng@aol.com
Number of Pages: 1
Subject: McKinley Heights S/D #1, Block 7, Lot 1 -Waiver
Permit # SW050330
Jeff,
The separation distance from septic tank to foundation is 4.5 feet. This should not negatively
impact the foundation as the tank is adjacent and elevated. Foundation will remain stable.
The separation to the absorption field is 9.5 feet instead of the required 10 feet. The drain -field is
downslope R. dowmgmdient. The drain -field will work as intended in this instance.
Thanks -Steve
Lot � ! Lot 5 j Lot 6
PLOT PLAN _ An L J'Z,' „ SCALt1- 1510' GRID NW -10-53 Project HOA.j-172
Lang 6G Ns.sociatt95e Inc, IHUD Daryl Avenue, Anchorage. Alaska 99S1S,-3049
(907) 322-84711 Phone
Reglsiormd Land Surveyors (907) V2-4625 Fox
_ _ _M en bOnlr_kcr,e! ^len teoolayko.ne{. CI•,•••!,(,gSp�a
I homby rortlty that I have P,trre,-.d fh• 101vwtn0 desertbed property __ �P' +(•I"�
LOT 1. BLOCK 7, N0(19LEY HEIGHTS SU90MSION ;' L}g + •:pyr
Anahcn gu it•oortln G1e":et, .Vasks. and that the imprawmants aMuated thereor, are..................
• ,..•.. / ........
JJJ
wHhLt "to pnoperf!ru.!eot s ra:! neneneaeh enta the properly adjaeent fh•rsk•, tld N,. �+}.•
na Improyernents an the property Mnq adjaoent th"o sncrso,!h on the sulveprd
pfttAte.m and that tl:xa art im rcutuv,- , fransndealon DKtnes w vlh•r risible �• Y rrH
eas,r»ants on sold r^ -r 4r re,3..r.l w 01cafed hsroon.
-5202
Doted this the 704 T.y of Ziuy L24Z. of Anchorog*, Alaska
1t la the rssponNbtlify of the owner to dets•rtrine the ezt:fenoe of any eoeementi,
`y yzssa+�:
eev.naMl nr rywt+t.:.:u:a eP,:z:: I+.•• 1++-t a+.na,w u:. $.. r.e M.A w1.4.