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Home My WebLink AboutTHUNDERBIRD HEIGHTS #1 BLK 6 LT 18Thunderbird 'D Heights #1 Block 6 Lot 18 #051-582-11 aioa E inr Inspection Report_1- -12. W Municipality of Anchorage M Community Development Department 1 iuman On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP101047 PID Number: 051-582-11 ❑ New ❑✓ Upgrade Name: Thomas Katkus ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 24545 Thunderbird Drive Chugiak, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel Ft. depth beneath pipe Ft. Subdivision Block Lot Thunderbird Heights 6 18 Fill added above original grade Gravel Ft. length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Ft2 Ft. Well >200' >200' N/A NIA >25' TANK El Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity I 1,00OGal. Surface Water >100' >100' NIA N/A Material Steel Number of compartments Two Lot Line >5' >10' NIA N/A NA Foundation >5' >10' N/A N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain I None TNoted Pump on level at Pump off level at High water alarm at RemarksExisting Septic Tank Decommissioned in. in. in. in Accordance with Municipal Code. Pump make and model Electrical Inspections performed by PIPEMATERIAL Housetotank D3034 Tankto D3034 drainfield Installer Stuart Gilbert Drainfeld CO/MT Inspector MEA BENCH MARK (Assumed elevation) 100.Oft Inspection 1$' 6/22/10a 6/22/10 Location and description dates: 2" Garage Slab. s'° a'" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL o s 1 C i •`4••••r••�4 11 Conditional Approval: Date !7 t • auaaae. s nFtoetsoN . 4 ICE s 4381 oil - /11tw�E Approved Gf/, Date Inspection Report_1- -12. W PID No.: 051-582-11 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 t yASPHALT ` ',' I --PAVEMENT C 1 ` DECK Zr Oi1 z� Three t t Bedroom W : Home :.ryoter W':c�ervice i I 70 i v ; 5t o v 70 1n ;• 49th MICHAEL E. ANDERSON N0. CE -4381 a e S1 6.5' 51.4' S2 11.9 56.5' M1 44.7 76.0' Siv S2 Lot 19 Existing Septic Tank Decommissioned in Accordance with Municipal Code. M Lot 17 Lot 18 PLAN AS -BUILT SCALE 1" = 40' Permit Number: OSP101047 I Page 2 of 3 I Lot 10 Lot 11 Lot 12 Permit Number: OSP101047 Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report PID No. 051-582-11 1,000 Gallon Septic Tank 98.0 Tank Only Replaced Under This Permit. Existing Tank Decommissioned in Accordance with Municipal Code. PROFILE AS -BUILT - No Scale On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP101047 Tax Code Number: 05158211000 Work Type: Septic Upgrade Permit Effective Dates: June 10, 2010 to June 10, 2011 Design Engineer: ANDERSON ENGINEERING Subdivision: THUNDERBIRD HEIGHTS #1 Site Legal Address: THUNDERBIRD HEIGHTS #1 BLK 6 LT 18 GA865 Owner/Address: KATKUS THOMAS HENRY 24545 THUNDERBIRD DRIVE CHUGIAK AK 995675128 Site Mailing Address: 24545 THUNDERBIRD DR, Chugiak This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 22450 Total Bedrooms: 3 N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either. A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: 14't..t L� (�'— " '—� Issued By: Z ('—/0-10 Municipality of Anchorage Development Services Department ' Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Q5p1010 y7 Parcel I.D. 051-582-11 Property owner(s) Thomas Katkus Day phone 666-3696 Mailing address 24545 Thunderbird Drive Chugiak, AK Zip Code 99567 Site address 22545 Thunderbird Drive Chugiak, AK Legal description (Sub'd., Block & Lot) Lot 18, B Legal description (Township, Range & Section) Lot Size 22.450 Sq. Ft. THIS APPLICATION IS FOR (® all that apply) Absorption Field ❑ Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Code 99567 Number of Bedrooms Three (3) THIS APPLICATION IS AN: Initial ❑ Upgrade El Renewal ❑ 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. (Signature of property owner or authorized agent) Permit(Rush Fees: �— 3 Z) Waiver Fees: _ Date of Payment: 1,9 — I ` / <) Date of Payment: Receipt Number. D :2 3 Receipt Number. (Rev. 11/05) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX May 30, 2010 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 18, Block 6, Thunderbird Heights Subdivision No. 1 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The septic tank on Lot 18, Block 6, Thunderbird Heights Subdivision No. 1 is near failure and must be replaced. We are proposing to replace the tank with a new 1,000 - gallon steel septic tank to serve the three-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new septic tank to serve the home. The attached Site Plan and backup documentation identify the location and configuration of the existing septic system and the location of the new tank. Also identified on the plans is the existing water service on the lot. The subdivision is served by a community water system. The existing tank on the lot will be properly disposed on the property and backfilled. The drainage patterns on the property will be maintained after construction. The ground surface on the lot slopes to the southeast at a 3% grade in the area of the new tank. It is located near the base of a 4' high fill. The ground slopes from the east at an approximate 10% slope to the edge of the fill. The new septic tank will be constructed near the location of the existing septic tank and tied in to the existing service line. The tank will be constructed parallel with the contours of the land as much as possible in conformance with Municipal requirements. If the tank is constructed in accordance with our design the following statements apply: The tank, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The tank, if constructed as designed, will have no adverse impact on existing Lot 18, Block 6, Thunderbird Heights No.1 May 30, 2010 Page 2 of 2 septic systems in the area or those to be constructed in the future. 3. The tank, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The tank, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, -74 <5 _ Michael E. Anderson, P.E. Attachments {+? G�,h x • 'JL5 VC A._ _ A%]E 2S0\ \c �. -. Vin• r 0 a O V C«_ O J lZ snUmi! (, I I 1 I J�io5i 3„L0.L0.0 N O Z Z 0 O_ _ _ V V) 4 V\� W VI Q (/) Y E Q (n U N ~ L—O S o W n II V ^^ = J n 1__L 1� /'y''� Wy WN oOU'N �# Icy (r) W V- ^ � Q 2 WN M rYW� c V) C y �� O uaz u N O V V0,A v J Fn Of A W v`aE Q U o Z clo Z Vf E^� o 0 o d v)EL F— Jo f C O V a) 2 LFII C ua n In 31: c o m H a )o 0 Z s �� .1z ;)N r enk Ease _ _ 0,--V#0 '•s sz� I Ti j p 1 i HUNp Rg1Rp ��' 0�:....::. (/ • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ,_D �1 MUNICIPALITY OF ANCHORAGE II ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ONSITE SEWAGE DISPOSAL SYSTEM !4» INSPECTION REPORT NAME( IC1vt COyl s-4rJ C�Oh PHONE 7Ys %,3I NEW ❑UPGRADE MAILING ADDRESS knxs.� y '� �rnf c AK LEGAL DESCRIPTION / L 07' A6p d4,< LOCATION TN��ares�•�� 1�.c.vt NO. OF BEDROOMS D Y DISTANCETO: Well Comm✓i✓r Absorption are Dwelling 7 / PERMIT NO. �,D� a Z wF Manufacturer rear Materials J No. of compartments a Liq. capac yi allons (J IF HOMEMADE: Inside length Width L19Wtl depth 6O= DISTANCE TO: Well Dwelling PERMIT NO. If Manufacturer Material capacity in gallons W = DISTANCE TO: Well Foundation O Zt Nearest lot bne Z PERMIT NO. c? / /v O 7S— Z W No. of Imes Length of each line Total len th of linesif Trench width IOChei Distance between Imes s¢. Top of the to mishshgrde — Material bene h theS, ell Total effective absorption er S W c7 Length Width Depth PERMIT NO. if- wd Type of crib Cr iameter Cnb d on area Total effective absorptiLu 0 DISTANC Well Building foundation Nearest lot line J J Class Depth - Driller Distance to lot line PERMIT NO. W DISTANCE TO: BVjiOnVoundation Sewer line Septic Absorption Brea OTHER q � VLa A PIPE MATERIALS 'b3-3 SOIL TEST RATING aJ ZdrO�S r/ CIYI�r'h. `rE3T INSTALLER t, REMARKS o n� 11 ZJ 07' s'? r �. ✓ c Li 61 APPROVED DATE LEGAL izute tnev. atm MUtJ I C Ie -"L_ I TY OF AMCF-^+F:AGE DEPARTMEFIT HEALTH AND ENVIRONMENTAL .ROTECTION 825 'L' STREET, ANCHOP.AGE, AK. 99501 264-4720 QtJ—'S I TE SEWER PERM I T PERMIT NO. ( 810075 ) ° \� APPLICANT KLEIN CONSTRUCTION LOCATION THUNDERBIRD DRIVE LEGAL L18 B6 THUNDERBIR.D HEIGHTS BOX 2524 PALMER Af( a , nim S g � 6u 11� L 745-27 1J`j v LOT SIZE 21000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= THE REQUIRED S E OF THE SOIL ABSORPTION SYSTEM IS: GEF --r L_Et_413_r a / - �13RF=1krEL_ FJEPTH= Jk THE LENGTH DITIENSION IS THE LENGTH (IN FEET) OFT MCH OR LD. THE DEPTH OF A TR.EFJCH OR PIT IS THE DISTANCE ET E THE -5 RFR E OF TH GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEE THE TREFJCH t4I I>TH I S T THE GRAVEL DEPTH IS THE MIFJIMUM DEPTH OF GRAVEL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REGIU I REFJ SEPT I C TAt-4K S I 2f I—= 1QCE) Q GALLOtJS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER. OF RESIDENCES THAT THE WELL WILL SERVE. --- TWO <-.2> I "!5F}ECT I r3"S ARE REGkU I REO — BACKFILLING OF ANY SYSTEM IJITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTAFJCE BETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR, 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MIFJIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER, LIFJE IS 25 FEET AND TO A COMMUNITY SEWER LIFJE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F}ERM I T E}:P I RES 1>ECEMF3ER -1.s 15081 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 I -JILL INSTALL THE SYSTEM IFI ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDEFJCE IS REMODELED TO Vllrl, MORE THAN 3 EEDR.00M�. , SIGNED: ---------------- —— --------APPLICANT KLE N ION ISSUED BY_ _-_— L"_-- � __DATE__ 3/_, � V4.0 O & E ENG.NEERING & DEVELOr MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performedfor. Name: `� C�G}C.�-Ski-[�iJ'�-,Fcrc—�o:✓ /� Tel. No.� Mailing Address: �'• ✓-�� •—/�c�!-i�Jl�- iJt� , �� %�G� Legal Description: e W7- % R , 1 N inJ�i=E/'�.. '] 4 Depth (feet) Soil Characteristics 2 3 - 1 LtJ C,F ..'c+� , • t��'�l i t= [.c� rjll,v0 4 5 CC SANDY ez,£F:!<<`.. 6 vie OLI T.✓ 7 8 9 10 — 11 — ..— 12 — ID N PLOT PLAN 13— r+�;;'-aa PERC.TEST 1.014 / _ '°o ••.�, Wei . + ,!-; ID N PLOT PLAN 13— r+�;;'-aa PERC.TEST 1.014 15 18 — �m7a�1�! q, -r Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit_ Drain Field Comments: Performed by: 4"5;—Y'` Date: . W- /i S/ i .. � � - _ ... c I I c _. ._.. •. f nJ , may, -_j_ .. ,. - �t� uc.I,t,Y IQ-�n C� 3-J V W i � _ • `o v� . fir' iA:� _ _ R � �In•� f - ,- A��'-t , • ;,- 1�Z (5 Y\ 1 > -C oyn dot r -- PERFORMED LEGAL DESCRIPTION: DEP,TH 7 ' f'1 X SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264720 SOILS /LOG �L-/r PERCOLATION TEST Ila J'. / `� — " "5 7, DATEPERFORMED: 1 —�� 2 3- V 6- 7- 9 6 79 f1 zs sf� SLOPE SITE PLAN 1 Date Gross Time 10eA !, �� J / %��! 14 111 15 WAS GROUND WATER %. ENCOUNTERED? 12 is ; asAd 17- IF YES, AT WHAT i •............ DEPTH? 13 Date Gross Time Net Time Depth to Water 14 15 %. `%�easMbge. is ; asAd 17- i •............ 18 •e• '.. itebert A. 5h r � '. No. 7457. V,•'•. .• r. 19 I Reading Date Gross Time Net Time Depth to Water Net Drop A, ! �' i 20 PERCOLATION RATE (minutes/inch) T/EST RUN BETWEEN - FT AND FT COMMENTS SS�f �/TGL Lv / Gl •=—,-- L7/ PERFORMED BY: LS IS S EII1' C6,riT.n CERTIFIED BY DATE -.2311 r-0 72-008 (6/79) 5. LEGAL DESCRIPTION 0/., a RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE ❑ One ❑ Four ❑ Other -1. - rS INSPECTOR INSPECTOR INSPECTO MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE �\ DEPARTMENT OF HEALTH a ENVIRONMENTAL PROTECTIONEPT. CF L'E_%dPi & 1 825 L Strort • Aoahoraaa. Aloka 99501 ENVIRONMENTAL F: GT:CTION ENVIRONMENTAL SANITATION DIVISION AUG 13 1981 Telephone 2644720 depth (attach log if available.) CC CC'' ``,, ((�� 0r- REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE�R�AgIHLl3 DIRECTIONS: Complete all parts on page 1. Incon4geta requeab will rsrl M Processed. Pleese allow ten 110) days for processing. 1. PROPERTY OWNER 1981 YEAR ON-SITE SYSTEM WAS INSTALLED. PHONE Klein Construction NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 745-2731 MAILING ADDRESS 2524 Palmer, AK 99645 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Thomas & Barbara Katkus 349-8634 MAILING ADDRESS 7808 Lumbis Avenue, #3, Anchorage, AK 3. LENDING INSTITUTION PHONE Alaska Statebank; Attn: Cathy 277-5661 MAILING ADDRESS 310 E. Northern Lights Blvd Anchorage, AK 4. REALTOR/AGENT Totem Realty/William J. Schlegel 272-0571 MAILING ADDRESS 724 E. 15th Avenue, Anchorage, AK 99501 5. LEGAL DESCRIPTION Lot -,18, Blk 6, Thunderbird Heights STREET LOCATION Thunderbird Drive S. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other (11 SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ® Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL' 'ATTACH WELL LOG. Awell log is required for all wells drilled IN COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM ® INDIVIDUAL/ON-SITE" 1981 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 010 (Rev. 6/79) I THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED _ 91 INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area r Line Nearest Lot line Absorption Area to nearest Lot Line 6. COMMENTS CD�APPROVED FOR 3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED / DATE BY 72010 (Rev. 6/79) OV/WH OD „UTY OF PUCHORA GEE ------------------ \\I Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval - Parcel I.D. 051-582-11 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 18, Bk 6, Thunderbird Heights, Addition #1 Location (site address) 24545 Thunderbird Drive, Chugiak, AK 99567 Current property owner(s) Daniel & Tara Wise Day phone (214) 934-0909 Mailing address 24545 Thunderbird Drive, Chugiak, AK 99567 Real estate agent Brooke Stiitner/RE/Max Dy Day phone (907) 244-6742 2. TYPE OF DWELLING: KI Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ® Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment 7/?��Z/ Date of Payment Receipt Number Receipt Number COSA # 0 e 0 2_t I u 10 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Pinard Engineering Phone (907) 232-1347 Address PO Box 871347, Wasilia, AK 99687 Engineer's Printed Name Paul E. Pinard Date 7/20/21 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, F`O 4 16� S pWOna»� a G1 r%na. i O6G bq { W � 00 L: •a I \nr-� \fl �. C' •' fid o Paul E.-Pin_.PRO rd `Yvs�L with the following stipulations: -� \N NT J J _ JJi `nn JJJ��JJ 1;� SERII��`� Original Certificate Date: r2 r2 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 Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet • � s Legal Description: Lot 18, Bk 6, Thunderbird Hts, Add #1 Parcel ID: 051-582-11 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system PL"b1 i C_' -RMC— A. A. WELL DATA NA _ i*y Water System ❑ Well log is filed with Onsite (or attached) Well production at time of test qpm Date drilled Water storage tank volume gallons Total depth ft Well disinfected for coliform test? ❑ Yes ❑ No 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) 11 years -- Tank type/material Sep i.c/Steel Measured operating fluid level in septic tank4.0 1 [X Standpipes/foundation cleanout per record drawing Date of pumping 10/8/20 D. ABSORPTION FIELD DATA Which system tested (date installed) _8,44/81 ® ALL standpipes present per record drawing Total measured depth from grade 12_ft (max) Measured depth to pipe invert from grade _4_,_3_ft (min) ❑ N/A —pressurized field [ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collect6d by Date of Sample C. LIFT STATION NA ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 7412-121 Results E9 Pass For _3 bedrooms Fluid depth prior to test 0 _ n in Water added r gal New depth n _ n in Elapsed time 75 min [yd Code -required soil cover over field Final fluid depth 0 _ n in ❑ System presoaked Absorption rate4 ,n+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) None Known date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet 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' [A Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ❑ Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if Nor ft Surface Water > 100' ® Yes if No ft Property Line > 5' [A Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' [l Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' El Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' [ Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet �8 OF/, cb .:. > 7 E Paul h Pinard 3 OrC5S1d ;! (Zc �21 • Municipality of Anchorage e==` On-Site Water and Wastewater Program < ri tt_h12 (907) 343-7904 s. ETV Certificate of On-Site Systems Approval Parcel I.D. 051 -582-11 Expiration Date: - 1 1. GENERAL INFORMATION Complete legal description Lot 18, Bk 6, Thunderbird Heights, Addition #1 Location (site address) 24545 Thunderbird Drive, Chugiak , AK 99567 Current Property owner(s) Thomas Katkus Day phone(907) 947-5133 Mailing address PO Box 875297 . Wasilla, AK 996878g oo Real Estate Agent Carl Wuestehube/Tri-Star Day phone(g29) 621 -4258 2. TYPE OF DWELLING: a Single Family (w(wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class A Well El Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for. Distance: c.ri! Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 52-160 Waiver Fee $ Date of Payment q/sl 2011 Date of Payment Receipt Number 2.10025 Receipt Number COSA# t J5l✓171`-i`CS 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 Pinard Engineering Phone (907) 232-1347 Address PO Box 871347, Wasilla, AK 99687 Engineer's Printed Name Paul E. Pinard Date 9/4/17 `ddb OFI/ 41 a co," ti r' ••s * ' 9th ./ 6. DSD SIGNATURE 114 :w r��,r„�.,,,” System#1 Approved for 3 bedrooms System#2 Approved for bedrooms +Paul E. Pinard�:�� `4 � • CE - 4793 �� 4 Disapproved `�Pc'•••aq,pd•*`�;a`� d� ��AROPE SSIO�� Conditional approval for bedrooms, with the following stipulatic7r1Wa- 'QUiTY Or+rtf t Gly ci O-SIT ��: E 'C7 R ANp m WAST r� EWATER PROGRAM o_ •7SERV10E , B' '^^ � r��.•-^�i Original Certificate Date: 2 ( / ( 7 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 Arsenic Advisory Well Flow Advisory Other OSA blue sheet j c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Cerrt f tate of On S to Systems Approvall Checklist Legal Description: Lot 18, Bk 6, Thunder Heights , Add #1 Parcel ID:051-582-11 A. WELL DATA NA — Community Water System Well type Class "A" If A, B, or C provide PWSID# 211156 Well Log (YIN) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level _ ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg1L Arsenic ug/L Date of sample: Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 6/22/1 0 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (Y/N) I Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 1 /16/17 Pumper Sanitary Pumpers C. ABSORPTION FIELD DATA Date installed 8/4/81 Soil rating c t r ft2/bdrm) 85 System type Trench Length 25 ft. Width 2. 5* ft. Gravel below pipe 5 . 5 ft. Total depth 12 ft. Eff. absorption area 275 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/26/17 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 450 gal. New depth 0 in. Elapsed Time: 75 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) None Known If yes, give date D. LIFT STATION NA Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. m Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: NA Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 ' + Property line 10'+ Absorption field 51 + Water main 101 + Water service line 10 + Surface water 100 '+ Wells on adjacent lots200' + ABSORPTION FIELD ON LOT TO: Property line 10' + Building foundation 10' + Water main 10' + Water Service line 101 + Surface water 100' + Driveway, parking/vehicle storage 20' + Curtain drain None Known Wells on adjacent lots 200' + F. COMMENTS *Width of Backhoe Bucket; assumed,not specified. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and jJf OF A review of Municipal records that the above systems are in p '� S+r„ conformance with MOA COSA guidelines in effect on this date. 1 �'� �'•. • t Engineer's Printed Name Paul E. Pinard � T=� - .wA Date_ 9/4/17 . Paul E. Pinard ,P,.:•a CE -4793 .i 6"--` `��•rr.ra��` k� tl 7PRoFESS0 1' COSA yellow sheet_2-6-15.doc 1 11 N 78 006/35 -4 l% c \ Z Q ',1 i---- 00 t 239.07, IVR �� 20' 1 Paved Drive 1- 11 �o Deck ; c 11 -20 " 26' L T 18 o0 1 1 0 1 Frame B K CO6 i = House '� d CP ` .1.5' d a 12.5' `�-19.5'-.x_ In 3 0' °° 23' G 16' 3 1 Ed 5/8' • RbrShed 8, •-1 1N 78°34 554, ' o W `,,,,��N‘‘1t 0 ;'��E OF A(q''r,r o I hereby certify that I have surveyed the following described ..:::;10'..... • .S/1- fii� property:Lot 18,Block 6,Thunderbird Heights Addition No. 1. .• 1i '� 1 Plat No.78-0201,Anchorage Recording District,and that no *: 49 It i1 * 10 2-16,3-), encroachments exist except as indicated hereon. This As-built NR Fd 5/8' will only show the easements that appear on the recorded .... . . LEGEND Rbr - Anchorage District: eAr(thon P. Boneta subdivision Plat No. 78 0..01, Recording , �, , Y under no circumstances should this data hereon be used for /1,�' LS-10393 .• * ® Septic Pipe the construction or establishing of boundary or fence lines. err .••, giji I t1 D4 Water Key rr NR Non Radial APB Land Surveying ,s Thunderbird Heights Subdivision ASBUILT SURVEY SHEET Y SCALE IN MET Addition No. 1 1 / 12204 East Prince of Peace DriveLOt 18,Block 6 Katkus Thomas Henry 1"-30' 78-0201 24545 Thunderbird Drive Eagle River,Alaska 99577 of Anchorage Recording District Chugiak,Alaska 99567 / 1 (907)227-1361 Surveyed:August 30.2017 Y 9 GRID: NW1865 DRAFTED: RWR I CHECKED: APB