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HomeMy WebLinkAboutKNIK HEIGHTS BLK I LT 18Knl,*k Heights Block I Lot 18 #018-232-01 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221228 PID Number: 018-232-01 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ®Upgrade Name JOHN & CHERYL ANNESI ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 13200 SHELBURNE RD, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot KNIK HEIGHTS 1 18 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100'+ -- 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ -- GREER 1500 Gal. Material Number of compartments Lot Line 101+ __ NA HDPE 2 Foundation 101+ __ LIFT STATION Manufacturer Capacity Gal. Remarks Alarm location Electrical installed by Installer DENALI EXCAVATION PIPE MATERIAL House to tank 3034 d a n Tankto to 3034 Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 15, 7/13/22Location dates: 2 7/14/22 and description 3rd 4th BOTTOM OF DECK ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional �of�t "•�� l� Approval: Date •• •• •••• •••••••••• Septic System Approved - % �•,• Curtis Huffman d Date 7 2-( -z� CE 228992• ������1�. .�����/ lliF�pROFESSION�`�'-C' Note: this approval does not include well permit requirements. \Nt�111�1 PID: 018-232-01 O � ,,D O CtjCD -O 8 33 in . O O o O 0 O zo z u LOT 7 A—C=21.5' B—C=23,8' A—D=24,3' B—D=26.9' PERMIT: OSP221228 PAVED v� " 21.9' 39� N D/W I 7e- 01 o Ls vA STAKED 100' WELL BM: BOTTOM g RADIUS PRIOR �8- OF DECK TO CONST. A 100' WELL RADIUS CONNECTED TO H EXISTING FIELD CO DECOMMISSIONED CO ® C EXISTING S.T. D MT & INSTALLED NEW 1500 -GAL HDPE DCO SEPTIC TANK. 5'+ TO DECK SUPPORTS ®1H & EXISTING FIELD. F�E�O MT CO LOT 18 BLK 1 0 LOT 17 SEPTIC SECTION - SCALEi NTS KNIK HEIGHTS BLK 1 LT 18 PREPARED FOR: CHERYL & JOHN ANNESI 13200 SHELBURNE RD ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK@gmail.com SUPPORT SERVICES: ' OF .Azo Ny �THI DATE: 22 7 22 / / tis Huffman ,a SURVEY. JLS rCE 128991 w DRAWN: FWCS-7/22/2022 �aG SCALE: 1" = 30' '%oFEssloo' I LENDER ROAD I ROAD &GENERAL PURPOSE ESMT LOT 8 LOT 7 ANCHORAGE RECIJRDING DISTRICT.,L � A ALASKA FND BRASS CAP MON1;TMENT AS -BUILT OF: KNIK HEIGHTS SUBDIVISION � = FND 5!8" REBAR LOT 18 BLOCK I PLAT P -452B SURVEY CERTIFICATE: I John L. Schuller Have conducted a �' �Z� L � V Schuller, ` � 4 physical survey of this property as shown on this drawing and that the .4 0� Q improvements situated hereon are within the property lines and no tC�, . %1)40 • ,� 4L, �J enchroachments exist other than noted. Under no circumstance should/ � •' 49TH •. `�' � any information on this drawing be used for construction of fences, ' U structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine -.• ' : " ................:... .� � •,JOHN L. SCHULLER.• Q % the existence of any easements, covenants, or restrictions which �. �,/ •.f s v •• . do not appear on the recorded subdivision plat. LS --1.0408 { / ter.• ..Awe • ��, • • , .� • � / 1831 Talkeetna Street WORK ORDER NUMBER: DATE- sc,�: » E-MAIL � �• _� -1- � � Anchara�e, Alaska 99508 JULY 20, 2022 1 =40' schuiler�k.net � Ar 4'� ,�, DRAWN BY: CHECKED BY GRID NUMBS: east AGE: �1!4 a� \, ,\'A (907) 227--1455 office 22-082 2082 JLS SW2936 220269 s s� 4419.► (907) 274-4992 f ax MUNICIPALITY OF ANCHOPA E -On-;Bite Water & tilwastowater Program P4 my, 1066.54 4700 Eimare Road Anchcrage, Alaska 9951-9-6660 Pfd; �9W) 3243-79M Fay (947) 343-7WJ7 N It: Mwnw.rnu ni .rxgo n site 0 n -S ito Wastewater Disposal System Permit Permit Num ban OSP221226 Effective date Work Type: SepticTank Upgrade Exoratior Date: Tax Gude Number: 01$232()1()0() Sita Legal Address: KNIK HEIGHTS BLK l LT 18 G,2936 Sites Mailinq Address: 13200 SHELBURNE RD, Anchorage Owner, ANNESI JOHN M& CHERYL L Lot SIm in Sq Ft; Design Engineer: FIRST WATER CONSULTING Total Bedracnls: Thia permit is #or the construction of: 0,Cnr �a z � w impartment 7M(202.2 7ffi =3 23336 ❑ disposal Field d Septic Tank ❑ Holdinq Tarek L7 Privy ❑ Privat0 well ❑ Water Storage All constructlan shall be in aoeardance with: 1, The attached approved design, 2. All requirements specii-ied in AnchoragE) Mcrkipel code Chapters 15-55 and 15,65 and the State of Alaska Wasleweter disposal Regulations (18AAQ72) and Drinking Water Regulations (16AACM) 3. The wastewater cade requir-es inspec- ions during the Inr�_tallatlon, The engineer shall notify the Development Services Department per AMC 15,65, Provide notifieafion by calling (907) 343-7004 X24{7). A, FrOM October 15 to April 15, a subsiu rfaoe soll' absorplion system under construction during freezing weather shall be either; a. DpenW and OIosed on the same day, or b. Covered, saalad, and heated to prevent freezing Received By: _ Date. - Issued By: ,-�-.r� Date: 7J6/2022 5 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICM/ELL PERMIT APPLICATION Parcel 1. D. 018-232 M © i Property owner(s) JOHN & CHERLY ANNESI Day phone _ Mailing address 13200 SHELBURNE ROAD, ANCHORAGE, AK 99516 Site address 13200 SHELBURNE ROAD, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) KNIK HEIGHTS BLOCK I LOT 18 Legal description (Township, Range & Section) Lot Size 23,336 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank Q Upgrade ❑ X Duplex (D) El Holding Tank El Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Sighature of property owner or authorized agent) Perm it/Rush - Fees— I-o�--a 5 --- --- Waiver -Fees. ---- Date of Payment: of Payment: Receipt Number: 119993 Receipt Number: Permit No. 0S P `Q a 1�) 1Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com June 27, 2022 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: KNIK HEIGHTS BLOCK I LOT 18 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1500-gallon HDPE tank per the attached design to serve the existing 5-bedroom residence. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221228, Deb Wockenfuss, 07/06/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221228, Deb Wockenfuss, 07/06/22 Municipality of Anchorage Development Services Department Building Safety Division =• j Onsite Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SW020022 PID Number. 018-232-01 Name: KEVIN MOYNOHAN Wastewater System: ■ New ❑ Upgrade Address: 8628 EMERALD STREET * ANCHORAGE, AK 99502 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 243-0620 5 oD*ep Treneh ■Shallow Trench OB*d t7Nound ClOther LEGAL DESCRIPTION sa E`a"° 1.2 Tam ape can "'° 7.772 MAX Gpon, R rt Block: Lot: Subdivision: Depth to ►IDs boh m frvm 010.W pada Grew depth bn"th pipe 1 18 KNIK HEIGHTS 6.04 MAX n 1.68 a Township: Range: Section: 1111 eeded ee- 0I0Yw1 OeK cro a length; — — — SEE DWG n 93 R WELL: ■ New ❑ Upgrade cmvw sl s 5 /e.ne.r of snee 1 a.latie b hb enae — rL n Cb,Mlbatbn "C); Tobi Depth Cae,d TO: 181 Total obsorpUnn ,rte 628+ rlpe matelot D 3034/ F-810 PRIVATE 181 n rL so. n arelr. Dab lkWd: stow Mata Lew: MON: POOR BOY low broll ch 5/7-10/2002 ALPINE DRILLING 5 10 02 0 n TIMI n.p set At: Cosine NNaM Men Grum TANK 15 wu UNKNOWN rt 2 rL SEPARATION DISTANCES ■septic oNoiding OS.T.U. 0Other To Septic Abso tion Uft Holding Mc/Pmob 1&eiuh lua: ANCHORAGE TANK CapoMy Ln,ape— 1500 From Tank Fi*`�d Station Tank seer utwe well 1000+ 100'+ — — 250+ STEEL Nanea 2 Surface water 100'+ 100'+ — — — LIFT STATION Lot Una 5'+ 10'+ — Foundation 50+ 10't — — — an k«el et: et leen am swz n eu nn* tbt. aeeukM swp«twn. ,aro,m.d sr: Curtain Drain NONE KNOW Remarks: BENCH MARK I.eosum end D sepuaa: 130TTOM OF TANK THROUGH ST2 �,nwd o..vue2 89.06 n ENaIMEERe bEl1L 040 Inspections performed by: AKWWC, INC. Dates: 1st 5/7/2002 *�' 4 .... 2nd 5/8/2002 D 3rd 5/9/20 Development Services Department Approval 5/10/2002 �� J' E 53 es4`F: Qt-- Ie�wed and approved by: Date: 1" A pz— �0^�-r fes ,to� �' 40000 W02002E2R: AS-BUILT DRAWING PARCEL 232°01 NEW WELL \ / / I NEW SEP` I / pl GALLON SEPf1C TANK � J I — — FCO DBL DBLz ( ST1 16.880 26.620 ST2 24.670 32.980 DBL1 29.490 36.835 DBL2 32.285 39.485 \ " C01 62.960 35.840 NEW DRAINRELD MT162.835 34.680 i NATE s \ CO2 54.640 82.330 \ MT2 53.395 81.305 \ [SEPTIC ARS — I DATE: ppdppp 8/16/2002 O(4 QF d DRAWN BY: `�/•• •• 40 ALASKA WATRR & WAS TKR'ATKR Z.T.G. �0� SCALE. CONSULTANTS, INC. 6001 DFRARR ROAD. SUITE 79 • ANCHORAGE A9 00504 • FNONF ("IM374170 • FAX (007)539-5746 j ^ = 40� *""' "' "' D PREPARED FOR: PHONE NUMBER PAGE NUMBER: KEVIN MOYNOHAN (907) 243-0620 2 OF 3 p •,j fre Ga esa. Q G - 953 : iQ LEGAL DESCRIPBON: KNIK HEIGHTS SUBDIVISION; LOT 18, BLOCK I, �O4�a ''•.•, c4oQ 4�QdPFo fasslonox 040000�p TYPE OF WORK NEW WELL AND SEPTIC SYSTEM LOCATION AS-BUILT DRAWING OF PERMITNUMBER: AS -BUILT DRAWING PARCEL NUMBER: SW0 SW020022 018-22 32-01 FINAL GRADE 98.2-99.1 TOP OF TANK AT TOP OF TANK AT INLET - 93.99 OUTLET " 93.94 / I I NEW 1500 GALLON I I\-91VERT OF BUNG J SEPTIC TANK AT INLET - 93.54 INVERT OF SUNG AT OUTLET - 93.18 UT Co FINAL GRADE 99.30-99.31 /ORIGINAL GRADE FILTER FABRIC ---,R r� 98.72-99.29 ALASKA NATER R NASTENATER CONSULTANTS. INC. 6001 DFAAPR ROAD. SMTF M • AN[NORAOF. A8 00504 • PNONF (001)337.6190 • FAX (007)338.37.6 2EPARED FOR: PHONE NUMBER: KEVIN MOYNOHAN (907) 243-0620 :GAL DESCRIPTION: KNIK HEIGHTS SUBDIVISION; LOT 18, BLOCK I, PE OF WORK: PROFILE AS—BUILT DRAWING OF NEW SEPTIC SYSTEM INVERT OF PIPE1:1001 BOTTOM TRENCH - 91.57 DATE: Q0d�0 10/11/2002 o pF DRAWN BY: v Z.T.G. a�`P I'•.. .. 1"=40' E NUMBER: 30F3 ®®gym 7®® orness. 95 :i e^° Friday, July 26, 200210:53 AM Kevin & Donna Monaghan 907 243.8104 Municipality of Anchorage Department of Health and Human Services 825 V Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom hopllwww.d.anchorage.skus Mayor p.02 Permit Number: #SW swO2OO2 Date of Issue: 2 11-02 Parcel Identification Number: 018-232-01 Date Started: 5-9-02 Date Completed: 5-10-02 Is well located at approved permit location? ® Yes ❑ No Legal Description: Knik Hohts Block 1 Lot 18 Property Owner Name & Address: Kevin Moynohan 8628 Emeral Street Ancho a Alaska 99502 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .250 inches organics silt gravelly sift cobb/ygravel silty cobbly gravel 2 3 7 21 60 3 7 21 60 104 Diameter: ¢ inches Depth: L feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 0 feet Pumping level:-L�-7 feetafter silt 104 111 2 hours pumping 15 gpm gravellysilt 111 135 Recovery Rate: 15 gpm silty gravel 135 176 Method of Testing:ALI-iff Well Intake Opening Type: ® Open End ❑ Open Hole water sand & gravel 176 181 ❑ Screened Start feet Stopped feet ❑ Perforations Startfeet Stopped feet Grout Type: Bentonite eramdes Volume: Lhg Depth: Start0 feet Stopped : feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes [j No Method of Disinfection: chlorine tablets Comments: Well Driller. Alpine Drilling & Enterpllses PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property .• v • •.. • o • • ... n -. w.• •.• w �• n ..• i.• • w • . MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 45--/11016 Z y ; 3a fIN �7/%a (, pm ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW020022 Date Issued: Feb 11, 2002 Expiration Date: Feb 11, 2003 Parcel ID: 018-232-01 Legal Description: KNIK HEIGHTS BLK I LT 18 Design Engineer: 0041 AK Water & Wastewater Consultan• Site Address: 013200 SHELBOURNE RD Owner Name: Kevin Moynohan Lot Size: 23336 SO. FT. Owner Address: 8628 Emerald St. Total Bedrooms: 5 Permit Bedrooms: 5 Anchorage , AK 99502 - 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: c2 — / 1 —0 a Date: 0 Municipality of Anchorage • ", Development Services Department Building Safety Division Onsite 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 Parcel I.D. g'� - O I Permit Number S W 020022 Property owner(s) KEVIN MOYNOHAN Day phone 243-0620 Mailing address (1) 8628 EMERALD STREET * ANCHORAGE. AK Mailing address (2) Zip Code 99502 Legal description (Lot, Block & Sub'd.) - _ LOT 18, BLOCK 1: KNIK HEIGHTS SUBDIVISION, Legal description (Section, Township & Range) N/A Lot Size 23 33 3- Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 5 Sewer Only ❑ Well Only ❑ Sewer and Well 0 Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and Is in accordance with applicable Municipal codes. ALASKA WATER do WASTEWATER CONSULTANTS, INC. Permit FeesWSC0MC, �J Date of Payment: a` -7 1 OI;L Receipt Number. J cpg-5 Waiver Fees• Date of Payment: Receipt Number. ALASKA WATER & WASTEWATER CONSULTANTS, INC. February 4, 2002 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650, Anchorage, Alaska 99519-6650 Ref: Proposed Well Location and Septic System for Lots 18, Block I, Knik Heights Subdivision To whom it may concern: The proposed 5 bedroom house will be served by a private well and septic system. Two test holes were excavated in the area of the proposed septic system. The septic system will be designed around the 30 foot radius of these test holes. We are proposing that a 1500 gallon septic tank and a 5 -wide trench type drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: See the attached 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 1.2 gallons/day/fe should be used. 2. TRENCH DESIGN: a. Percolation Rate: <1 & <1 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/f1 c. Number ofBedrooms: 5 d. Design Flow: 750+ gallons per day e. Minimum Absorption Area: 625 f12 f. Total Depth: 8.0 feet (max.) g. Effective Depth: 2 h. Width: 5.0 feet i. Minimum Length: 90 feet long j Effective absorption area = 643 f12 k. Reduction Factor: 0.7 3. SURFACE WATERS: There is no surface water within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography of this property is a 1 to 10 percent running from approximately southeast to 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwc.com northwest; in short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE. Attached is a site plan drawing, a design drawing, a topography site plan, 2 soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: akwwc.com KNIK HEIGHTS S/D; LOT 7, BLOCK L LEYD❑N ROAD PROPOSED VELL- 1� I I � 1 IO M LT/CAI 0, PROPOSED SEPTICN, SYSTEM (SEE DESIGN --_ PACE 2 OF 2)1_ / (:TMIC ARLAD KNIK HEIGHTS S/D; LOT 0, BLOCK 1, CSEPTIC ARaD 1 I KNIK HEIGHTS S/D; 1 LOT 9, BLOCK I. I PROPOSED 5 KNIK LOT KNIK LOT `SEPTIC ARS 1 1 McCABE IS/D EAST; McCABE S/D EAST; \%LOTT 0. 1 V" I I 1 (:;&nC AREA SEPTIC 17 KNIK HEIGHTS S/D; ,1.OT 17, BLOCK L r 2/4/2002 _ DRAWN BY. ALASKA WATER & WASTEWATER SCALE* C.J.G. CONSULTANTS, INC. ... 001 DFRAW ROAD. SIIITF RR • ANCHDRADF. AR 00SM • FHONF (007)311-0170 • FAX (OOTSSA-5740 1 C 100 EPARED FOR PHONE NUMBER: PAGE NUMBER: ��- KEVIN MOYNOHAN 243-0620 1 OF2 Q. p :AL DESCRIPTION: KNIK HEIGHTS SUBDIVISION; LOT 18, BLOCK I, IE OF WORK: SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATION a �\ o x \ \ INSTALL FOUNDATION I \ \ CLEANOUT (FCO) PROPOSED 1500 GALLON K �- INSTALL DOUBLE SEPTIC TAN CLEANOUTS (DBL) PROPOSED DRAINFIELD. EXCAVATEA TRENCH THAT IS 5 FEET WIDE 13Y e FEET DEEP MAXIMUM BY 90 FEET LONG. ADD 2 FEET OF CLEAN WASHED SEWER DRAINROCK. INSTALL TRENCH PARALLEL TO SLOPE CONTOURS. ALTERNATE SITE \ NOTE: THE WEST EASEMENT do THE SOUTH LOT LINES SHALL BE I3 II \ FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. (ZSEPTIC ARS — DATE: o�pdOppp 2/4/2002 o OF p S ALASKA WATER & WASTEWATERS DRAWN noC J.G. �p SCALF- CONSULTANTS, INC. 1 = 40� Q a"f.... ' "' OD 6001 DFFA" POGO. SUITF RI • ANCNAGF. AK 995" • PNONF (001)331-6179 • VAX (001)W-3866 PREPARED FOR: PHONE NUMBER: PAGE NUMBER O KEVIN MOYNOHAN 243-0620 2 OF 2 ff . Gam ss.- LEGAL DESCRIPTION: Q ° is i KNIK HEIGHTS SUBDIVISION. LOT 18. BLOCK 1, �04�e�'' •..• cq�v� TYPE OF WORK: 4°d DESIGN OF PROPOSED WELL AND SEPTIC SYSTEM LOCATION �440000��� � ~ ...... s,1is SEAL) e .r Municipality of Anchorage j :4 •TJ/ DEPARTMENT OF HEALTH 8 HUMAN SERVICES ••' '• "'/ 825 "L" Street, Anchorage, Alaska 99502-0650 .... ..., SP SOILS LOG — PERCOLATION TEST �c :, I N6. 08 LUAMS•' f �y/ Y ESSIONI�•' PERFORMED FOR: �✓�N Q Q,/N1'OITIANV III DATE PER LEGAL DESCRIPTION: LOT Ivy C� L . KMr, )'fry Township, Range, Section: p EPj11 SLOPE SITE PLAN .16 (FEETI T (� ` '^. N 2 -- 3 4 5 15 16 17 18 19 20 PERFORMED 72-008 (Rev. S�tnro Sw%SP - WEu- GmweD .SAND W/$.µf 6f0uGt 4 cp tbvs�s '(}ytlx�a -w-t WAS GROUND WATER %� �O ENCOUNTERED? N v s IF YES, AT WHAT L DEPTH? p E GPU to WAW Atter mw4winq? DRi Bait 3111 'Ib VW j�p1- ML i�.aN. ALL STATE AND MUNICIPAL PERCOLATION RATE D I(minutes/inch)PERC HOLE DIAMETER n '� TEST RUN BETWEEN ...(xSL FT AND —L&— FT Ai'��1f1- 1/y9d6t%10ERTIFY THAT T IS T ST WAS PERFORMED IN IN EFFECT ON THIS DATE. DATE: 5 SEAL) i Municipality of Anchorage j * 4 0 DEPARTMENT OF HEALTH & HUMAN SERVICES �• 1•' 825 `L" Street, Anchorage, Alaska 99502-0650 /• • 1 SOILS LOG — PERCOLATION TEST '. d NOP WILLIAMS N0.9608 h 11PR �ESS10�� PERFORMED FOR: 14.1 oY/vo**v DATE PER LEGAL DESCRIPTION:' v1T I D� I Xn>tK Township, Range, Section: SLOPE SITE PLAN PEPS �FE2 N 3 4 5 6 .000 7 .III I' B 9- to- 12- 13 - 14 10 12 13 14 15 16 17 18 19 MAIM wl SaTy SA" We, &MOED SAND W/yAAi 6MAA1- t g L a\I&vxS jTj4xx0* -w-t —Vey �tvw_ ML i3.o,l4. WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? No S L O P E Dep to Waw Alur tomwing7 ORY Owc 11a 20 -{ I� JI PERCOLATION RATED (minutevm�c(f.)�P-ERC HOLE DIAMETER D TEST RUN BETWEEN FT ANDFT PERFORMED BY ftL If { kz�_ / U ERTIFY THAT T IST ST WAS PERFORMED IN ACCORDANC TM ALL STATE AND MUNICIPAL GUIDELIews IN EFFECT ON THIS DATE. OATS 9' 72 -MB (Rev. MUNICIPALITY OF ANCHORAGE 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. 018-232-01 1. GENERAL INFORMATION Complete legal description KNIK HEIGHTS BLOCK I LOT 18 Expiration Date: 10-2q-2-2 Location (site address) 13200 SHELBURNE ROAD, ANCHORAE, AK 99516 Current property owner(s) JOHN & CHJEYL ANNESI Day phone Mailing address 13200 SHELBURNE ROAD, ANCHORAE, AK 99516 Real estate agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 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 $ 5 5 0 Date of Payment 1 002 a Receipt Number Q� COSA# OSCo�,a 13 No Waiver Fee $ Date of Payment Receipt Number 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 FIRST WATER CONSULTING Phone 907-350-9566 Address _13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 7117122 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWcs 6. DSD SIGNATURE _ System #1 Approved for _� bedrooms System #2 Approved for bedrooms Disapproved ......... .... ...�: r • ' • Curtis Huffman �6-,, ; CE 128991 .•��`�� .7117/22 OF ss o - Conditional approval for bedrooms, with the following stipulations: By: T �' �� Original Certificate Date: 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 Legal Description: KNIK HEIGHTS BLOCK I LOT 18 Parcel ID: 018-232-01 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 5/10/2002 Total depth 181 ft Cased to 181 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/21/2022 Static water level at beginning of test 159 ft. Comments B. TANK DATA Age of tank(s) NA_— NEW TANK years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping NA D. ABSORPTION FIELD DATA Structure served by this system Well production at time of test 4+ pm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 4.91 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by NES Date of Sample 6/21/2022 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Which system tested (date installed) 5/10/2002 Adequacy test date 6/21/2002 ® ALL standpipes present per record drawing Results M Pass For 5 bedrooms Total measured depth from grade 6.8 ft (max) Fluid depth prior to test 3 in Measured depth to pipe invert from grade 5. ft (min) Water added 750 gal ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state New depth 7 in depth into effective MOA IR SHOWS 1.68'ED Elapsed time <1440 min ED Code -required soil cover over field Final fluid depth 3 in ❑ System presoaked Absorption rate 750 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: WEST MT/CO AT GRADE. MEASUREMENTS SHOW APPROX 1.81ED QFm 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 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 No ft Surface Water > 100' ® Yes if No ft Property Line > 5 ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells >' 100 _ ®Yes if No . Water Main > 10' ® Yes if No ft Community Wells > 200' ® 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' ® 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 Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Aq- .. .... .......... Curtis Huffman CE 128991 w �® s�F-Fo AW 7/22/22, .��f A PROFESS10NP � M ft Municipality of Anchorage On -Site Water & Wastewater Program A (907) 343-7904 r J CERTIFICATE OF ON-SITE SYSTEMS APPROVAL VA Parcel I.D. 018-232-01 Expiration Date: 9-16-113 1. GENERAL INFORMATION Complete legal description KNIK HEIGHTS: BLOCK I, LOT 18 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 13200 SHELBURNE *ANCHORAGE, AK 99516 CHERYL IMBRIANI Day phone 13200 SHELBURNE *ANCHORAGE AK 99516 227-3497 DARRELL FRIESS Day phone 240-9225 2. TYPE OF DWELL PIG: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF W/'.TER SUPPLY: TYPE OF WASTEWATER DISPOSAL: IndividuaWell Individual On-site 0 Individ .l Water Storage ❑ Individual Holding tank ❑ Comn;.mity Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by - •� �_ COSA to be released to the engineer, unless otherwise requested by the engineer. Date: i A , l h y COSA Fee $__. -7z W �V- � Waiver Fee $ Date of Payment` Date of Payment _ Receipt Numt;r�t J� /3►L�'7 Receipt Number COSA# �Sc,r 3��7d Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my f$ investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational Irfe of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD, can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE ?Z System #1 Approved for 5— bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. 337-6179 Date bedrooms, with the following stipulations: oN-SITE WATER AND WASTEWATER Original Certificate Date:_ The enicipkf'�ydrA4chorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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 engineers work. 7. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 111/05) If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: KNIK HEIGHTS; BLOCK I. LOT 18 Parcel ID: 018-232-01 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/10/02 Sanitary seal (Y/N) YES Total depth 181 ft. Date of test Static water level Cased to 181 ft. FROM WELL LOG 5/10/02 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 5/1/13 Well production 15 —9 -P.M. 3.58 9 -P -m. WATER SAMPLE RESULTS: Coliform a colonies/100 ml. Nitrate I'L mg./L. Collected by: GEG. Ltd. Arsenic:JU ug./L. Date of sample: 4/30/13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1500 gal. Number of Compartments ? Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping a `)113 Pumper 1 SG G C ns C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 5/7/10/02 Soil rating (g.p.d./ftor � 1.2 Length 93 ft. Width 5 ft. Date installed 5/7-10/02 Cleanouts(Y/N) YES High water alarm (YIN) N/A System type SHALLOW TRENCH Gravel below pipe 1.88 ft. Total depth *8.12 ft. Eff. absorption area828+ ft2 Monitoring tube YES Depression over field NO Date of adequacy test 5/1/13 Results (Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test 0 in. Water added 750 gal. New depth 0 in. Elapsed Time: 4 min. Final fluid depth 0 in. Absorption rate >= 750+ g.P.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN "Pump on" level at in. "Pump ofP' level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100 + On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 15-) Is -h? (Rev. 11105) Municipality of Anchorage •- Development Services Department C�' ` Building Safety Division • _ i On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ((� Parcell.D. 018-232-01 HAA# tt 1. GENERAL INFORMATION T Expiration Date: 3 8 O Complete legal description KNIK HEIGHTS SUBDMSION• LOT 18 BLOCK r Individual On-site 0 ❑ Location (site address or directions) 13200 SHELBURNE ROAD * ANCHORAGE AK 99516 Community Class Well ❑ Community On-site Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address KEVIN MOYNOHAN Day phone (907) 243-0620 8628 EMERALD STREET * ANCHORAGE AK 99502 Day phone NIEL THOMAS W/COLDWELL BANKER Day phone (907) 265-9106 2525 "C" SREET • ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the Stale of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may j be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on -situ water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. /further verify that based on the information obtained from the Municipality of Anchorage (les 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 Finn ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwaterlevels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKW WC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will It confer any legal right whatsoever. 5. DSD SIGNATURE y Approved for '9� bedrooms. Disapproved. Phone 337-6179 Date IZ /I -Z' 03 Conditional approval for bedrooms, with the fllowino stipulations: VINVOrKAM Attachments: �'.�� ••. HAA Checklist ✓ Manitenance Agreements JJJJi Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: ? /' � �61L� Original Certificate Date: 02— R fl 3 (Rev. 12101) Municipality of Anchorage Development Services Department Building Safety Division ... Onsite Water b Wastewater Program 4700 South Bregsw St. P.O. Box 198650 Anchorage. AK 995196650 www.d.snchorage.sk.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: KNIK HEIGHTS SUBDIVISION,• LOT 18, BLOCK I Parcel ID: 018-232-01 A. WELL DATA Well" PWAn If A, B, or C provide PWSID# N/A Well Log (YM) YES Data completed 5Z10/2002 Sanitary seal (YIN) YES Wires property protected (Y/N) YES Total depth 181 ft. Cased to 181 ft. FROM WELL LOG Date of test 5/10/2002 Static water level D ft. Well production 15 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 1.47 mg./L. Casing height (above ground) 18+ in. AT INSPECTION Other bacteria 4 colonies1100 ml. Arsenic: N/A mgJL. Date of sample: 11/26/200 Collected by: AKWWC. INC, 12/5/2003 B. SEPTICIHOLDING TANK DATA Tank Type/Material STEEL Date installed 5/7-10/2002 Tank size 1500 gal. Number of Compartments E Cleanouts (YIN) Y ES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping NEW Pumper — C. ABSORPTION FIELD DATA Date installed 17-10/2002 Soil rating .p.d r ft%bdrm) 11=2 System type 5—WIDE TRENCH Length 93 ft. Width 5 ft. Gravel below pipe 1.68 ft. Total depth `7.7 ft. Ell. absorption area 628+ R° Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) — For E bedrooms Fluid depth in absorption field before test = in. Water added =go'. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >_ — g•p•d• Any rejuvenation treatment (past 12 mo.) (Y/N 6 type) — If yes, give date D. LIFT STATION Date installed S¢e in gallons "Pump on" level at _in. E. SEPARATION DISTANCES High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent kits 100'+ On adjacent lots 100'+ Public sewer manhole/deanout _ N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main _ N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway. parking/vehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent bis 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I ceRlfy that I have determined through field inspections and review of Municipal records that the above systems are in . . . . .• • • • . . • • conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name JEFFREY A GAR a y Go S. ` f °qA . E 7953 .• 1E Date _ `L l�. OZ r•oe'. ..•�� HAA Fee $ 3 W. °' // Waiver Fee $ _ Date of Payment 1 i/ti kir Date of Payment Receipt Number Receipt Number, (Pe. 12101) Friday, November 21, 2003 3:06 PM Kevin & Donna Monaghan 907 243-8104 1 11=30' PLAT NO. P -452B ' KNIK HEIGHTS SUBDIVISION LOT 18, BLOCK 1 27,285 S.P. 0 8 c as wiown an Ws record Orawtng (ee-bullt) compras WRh Me 21, AMG er.1' I AC ad . r FMAL. STRUCTURE AS–BUILT AS—BU I L T 1 HEnESY CERHFY THAT I NAVE suwErm THE PROPCNTY DEPICTED ABOVE AND THAT NO GASTALDI LAND SURVEYING D CRO04NMENM COW EXCEPT AS RIDIWED. JEFF A GASTAD4 RLS. R n THE RLSPONSIBAJTY OF THE OWNER TO 4725 WEST SBM AVENUE DETEAIYNE THE EXISTENCE OF ANY EASEMENTS, ANCHORAGE ALASKA OiSO2 COVENANTS OR RESTRICTIONS WLC14 DO NOT PHONE 448-5454 APPEAR ON THE RECORDED SUBON6R)N PLAT, UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCnON OR FOR rix t2/\2/2002 ESTABLI.4WIEI BOUNDARY OR FENCE LINES. ANCHOR"." RECORDING OISTRICf, ALASKA ►8 JOB N 0. NOTE: NO CORNERS SET THIS DATE. p.02