HomeMy WebLinkAboutMCKINLEY HEIGHTS BLK 2 LT 7McKinley
Heights
Block 2
Lot 7
#051-213-36
Municipality of Anchorage
Development Services Department '��-
Building Safety Division %T�
On -Site Water & Wastewater Program, 4700 South Bragaw St. ; e v r ,
' P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. SW030014 PID Number: 051-213-36
Name: CURTIS CHERRIER
Wastewater System: ■ New [IUpgrade
Address:
P.O. BOX 200527 " ANCHORAGE, AK 99520
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 272-2004 4
111I Deep Trench O Shallow Trench O Bed 0 Lfound 0Other
LEGAL DESCRIPTION
Sol Rating:
1.0
Tota Depth from original grodr.
12 MAX rL
CPO/Sq. rL
Block: Lot: subdivision:
Depth to pipe bottom from original grade:
Grovel depth beneath pipe:
9.27
2 7 McKINLEY HEIGHTS
SEE DWG. rL
rL
Township: Range: Section: —
—
rill oda.° above original grads:
Gravel length'
40+
—
SEE DWG. FL
FL
Gravel .lath:
Number of Ines:
Distance betweem Knes:
WELL: ❑ New ❑ Upgrade
3.0+ F
1
— R
Classification (Private. A.B.C):
Total Depth:
r0 BEDROCK)
Total obwmtion area:
pips materiae
D 3034/ F-810
PRIVATE
325 rL
20.4 rL
742+ so. rL
Drllim
Date Drilled:
static water Level:
Instals..
B & E LANDSCAPING
oats Installed:
4/8-9/2003
E&D WATER WELLS/ PILE DRIVING
4/7 2003
40 FL
Yield:
Pump Set At:
Casing Height Above Ground:
TANK
1.5 GPM
UNKNOWN R
2 Ft.
SEPARATION
DISTANCES
oseptic OHolding ■S.T.E.P. 0Other
To
septic
Absorption
Lift
Holding
ublc/Privote
Manufacturer.
ANCHORAGE TANK
Capacity in gallons.
1500
From
Tank
Field
Station
Torek
sewer ones
Well
too'+
too'+
too'+
—
25'+
Material:
STEEL
Number of comportments:
2
Surface Water
100'+
100'+
1006+
-
-
LIFT STATION
Sire In salon:
Manufacturer.
Lot Line
5'+
e5'+
5'+
—
—
1500
ANCHORAGE TANK ORENCO SYSTEMS
*Pump on level at -off-
Pump level at:
High water alarm at
Foundation
5'+
100+
5'+
—
—
42"
42"
1 46"
Pump Yoke & Yodel:
Electrical Inspections performed by:
Curtain Drain
NONE KNOWN
/20 OSI OS HHF
M.O.A.
BENCH MARK
Remarks: "SEE ATTACHED WAIVER REQUEST.
Lacatim and Deecrlptiam
TOP OF CMU FOUNDATION ON HOUSE
Assumed Elevation. 100.00
rL
ENGINEER'S Sf L
ppQO�
O
v �0
(' 4 p�0
AKWWC, INC. 4 8 2003
Inspections performed by: Dates: 1st
* ••...
�....:...... Q
2nd 4/8/2003
�....✓..�
3rd 4/9/2003
.. .................�
J fir y ess. 0
Development ervices Department Approval
00q 1P� E 7953
by: Date: i2 - 10-rrofesstor'
Reviewed and approved
oma
�OOOoo��
(Rev. 12/01)
PERMITNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER:
SW0
SW030014 051-213-36
TH/V
ALTERNATE
WE REQUEST A 5'
LOT LINE WAIVER
NEW DRAINFIELD--�- 1
I
NEW 1250 GALLON
SEPTIC TANK
/ APPROXIMATE LOCATION
/ OF WATER LINE
/
THa1
NEW
4 BEDROOM
HOUSE
n
am
iE
r 10/20/2003
DRAWN BY:
ALASKA INIATKR & WASTE WATER C.J.G.
CONSULTANTS, INC. Ste' _
3701 F TUDOR ROAD. SUITF 101 • ANOHORAGF, AK 99507 • PHONF (907)337-6179 • FAX (907)33A-3766 1 — 4D'
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
CURTIS CHERRIER (907) 272-2004 1 2 OF 3
LEGAL DESCRIPTION:
McKINLEY HEIGHTS SUBDIVISION; LOT 7, BLOCK 2,
TYPE OF WORK:
AS—BUILT DRAWING OF NEW WELL LOCATION AND SEPTIC SYSTEM
r R
ST1
95.93
ST2
0
98.16
MH
98.32
MT1
P93.93
127.12
MT2
10890
MT3
101.67
-NO JOINTS WRHN 10 FEET
OF INTERSECTION POINT OF
WATER AND SEWER LINES
\ UNE UNDER DRIVEWAY
INSULATED WITH 2' OF
BLUEBOARD INSULATION 4' WIDE
6q
0
....
.....
...
J
Q s' •.
f y A. Corn ss.:
oG
C —79
PERMITNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER:
SWO
SW030014 051-213-36
FINAL GRADE
100.06 (AVC.)
TOP OF TANK ST1 STZ MH
AT INLET - 93.88 TOP OF TANK
AT OUTLET - 93.93
INVERT OF BUNG NEW 1500 GALLON
AT INLET - 93.36 S.T.E.P. TANK INVERT OF BUNG
AT OUTLET - 93.36
TH # 4
FINAL /-
n / 105.93
05 3 0 GRADE
• RELATIVE ELEVATION OF BOTTOM OF
TEST HOLE - 87.987.93 (TEST HOLE DRY)
ALASKA NATER & WASTE R'ATER
CONSULTANTS, INC.
I F TUDOR ROAD. SUITF 101 • ANCHORAGF. AK 09507 • PHONF (917)337-M79 • FAX (007133A-3766
:PARED FOR: PHONE NUMBER:
CURTIS CHERRIER (907) 272-2004
:AL DESCRIPTION:
McKINLEY HEIGHTS SUBDIVISION; LOT 7, BLOCK 2,
IE -OF WORK:
PROFILE AS—BUILT DRAWING OF NEW SEPTIC SYSTEM
FABRIC
INVERT OF PIPE - 103.20 (AVG.)
THE DISTRIBUTION LINE IS 1.25
INCH SCH. 40 PVC WITH 1/4 INCH
HOLES SPACED 15 INCHES ON
CENTER (30 HOLES TOTAL).
MOM OF TRENCH
93.93 (AVG.)
10/20/2003
4WN BY:
C.J.G.
aLE N.T.S.
3 OF 3
=ff.,Q
v
A. Gorness:
—7953 ti4G
f e s sTor000
000��
ALASKA WATER & WASTEWATER
��- CONSULTANTS, INC.
October 20, 2003
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Lot Line Waiver for Lot 7, Block 2; McKinley Heights Subdivision.
To whom it may concern:
We request that your department issue a 5 foot lot line waiver from the west property line to the
existing drainfie d. I am unaware of any adverse impacts this waiver would have on adjacent
wells or septic stems. If you have any questions, please contact us at 337-6179. Thank you
for your asci c1.
P.E., M.S.
3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507
Ph: (907) 337-6179' Fax: (907) 338-3246' Website: al.-vwc.com
Oct 17 03 11:13a Ed Bean
rad 1
rid /�J3
E & D Water,;Wells / File .Driving.
HC 33 BOX 2975..
WASIItA,'.AK 996b4'
(907) 373-1598._4E/DC{907) 357-1598
907-357-1598
SOA DNR, Mining, Land do Water
Water: Hydrologic Survey
550 W 7th Ave Suite 900A
Anchorage AK 99501-3577
P.1
1T '-
sonouc+r sueomsm"
Lot
BLoat
sEcnon oTres
sEerim
Taos
ON
nwrraE 90360 M
OE
Ai•uro�afL `
OS
Ow
14'r 5
LOCATIONISKEiCH:
WELL O��'
=e•
pp
LIGr
v/� � S C�f��C',f� �"'`
vYIU�•vS' �'•,•
r✓
DEPTHS MEASURED FROM:Ocasing top Oground surface
WELL DEPTH: DATE OF COMPLETION
22-3 ft
Depth of hole ,'
BOREHOLE DATA:
Depth
Depth of casing �� [i • Y '' ft /tel
Material Type aM Color
From
To
DEPTH TO STATIC WATER LEVE3_
ST, C Gi
�i
O tt beiow ❑ top of casing O 9iround surface
Date: 4V 1 1 P 3
METHOD OF DRILLING: ® air rotary O cable tool
O other
USE OF WELL: it domestic O irrigation O monitor
6r- oj
/
/ bO
❑ public supply O other
,Q£c/ l
CASING STICK -UP: --1t. Dia=: in. to It
tt
5
b G
/ 3 G
Casing type .C1!'4 R _ 2 Y'o in to
f (it°ock
WELL INTAKE OPENING TYPE ❑ open end O screened
•3C
O perforated ® open hole
Depths � ✓ to 3.z r ft
`�
v.a f 2 Ste• .�
of openings:
•�( �oc/�'/��tk
oti'v
us-
SCREHN TYPE eyc.� E_. Diww. in.
Size: Le nsm It
GRAVEL PACK TYPE /nuc�—
Votume used: ^ Depth to top:
GROUT TYPE egn.+ f.. ;' Jt_ Volume: SIC
Depth: from It to K
DEVELOPMENT METHOD: /-}%/P
Duration:
PUMPING LEVEL AND YIS Gi�`i• k
G C o It after / his pumping T`? Pm
PUMP WAKE DEPTH: It Horsepower:
WELL DISINFECTED UPON COMPLETION? O YES ® NO
CONTRACTOR INFORMATION:
4�� to ec»PF.< CO2�4ZS
Registered Business Name
Signature of Authorize estiresentatrveatu e
REMARKS: -
C�ie.-.,
�.OrL:v /I /a�'!CL:P u.,•i�Tti ���. -,,,.,'lam
GLriccAe j5u e 4'i,c t. SLilL
i
12/5/2003
M-tinicipahty of Anchorage
Mark- Bcgich, Mayor
Building Safety Dii'Vision
P.O. Box 19GG50 •4700 Bragaw Street
Anchorage, Alaska 99519.6650 • (907) 343.8301 • Fax (907) 343-8200
littp://w%%-w.muni.org
Jeff Garness
Alaska Water and Wastewater Consultants, Inc
Subject: Waiver Request for McKinley Heights Block 2 Lot 7
Waiver Request 4WR030113
Parcel ID 9051-213-36
SW030014
Dear Jeff Garness:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
5.0 feet.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
roodall
Civil Engineer
On -Site Water & Wastewater Program
Municipality of Anchorage
Development Services Department
• Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
Waiver Review Worksheet
WR#: 030113 PID#: 051-213-36 HAM Permit#: SW030014
Date Received: 12/5/03
Legal Description: McKinley Heights Block 2 Lot 7
Engineer: Alaska Water and Wastewater Consultants
3701 E Tudor Road, Suite 101 Anchorage, AK 99507
Applicant: Curtis Cherrier
Waiver Requested: 5' Lot Line to Septic Waiver
Criteria:
Geology
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
Points:
.................................a.................. a.......... a...... a R M a M M a a6
Waiver is Granted: Waiver is not Granted.,
List Conditions or Reasons for above:
Date: �z/Slog_ By: .10-e- 4;-0=_6t U
Name of Reviewer
...............................................................................
Rec#: 45227 Amount: $150 Date Paid: 12/5/2003
r`
r Z' -q -c-7 C 6�: 3 a
MUNICIPALITY OF ANCHORAGE — `; n @ % 2 a t
Development Services Department I
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Permit Number: SW030014
q;Legal Description: MCKINLEY HEIGHTS BLK',2 LT.:;7
Design Engineer: 0041 AK Water & Wastewater Consultarc
Owner Name: Curtis Cherrier
Owner Address: PO Box 200527
Anchorage , AK 99520 -
Date Issued: Feb 03, 2003
Expiration Date: Feb 03, 2004
Parcel ID: 051-213-36
Site Address:
Lot Size: 42253 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing. _
Received By:
Issued By:
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcell.D. 051-213-36 Permit Number Sw03400/¢_
Property owner(s) CURTIS CHERRI R
Day phone 272-2004
Mailing address (1) P.O. BOX 200527 ANCHORAGE
AK
Mailing address (2)
Zip Code 99520
Legal description (Lot, Block & Sub'd.) MCKINLEY
HEIGHTS SUBDIVISION: LOT 7. BLOCK
2.
Legal description (Section, Township & Range)
N/A
Lot Size !q Acre q.Ft.
Number of Bedrooms 4
THIS APPLICATION IS FOR:
Sewer Only ❑
Well Only
❑
Sewer and Well
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 & WASTEWATER CONSULTANTS INC.
Permit Fees:1 ISO +400 _4 95D' Waiver Fees*
Date of Payment: 01-90-0-04 . Date of Payment:
Receipt Number: f I Receipt Number:
ALASKA WATER 67, WASTEWATER
n;,ny�a.swW.aananu—..waiaanutanrcwa.ua..aw CONSULTANTS, INC.'a"°"°""'n"a'°'a"'a.ar�wiwamu.ro�m+r,a+w
January 21, 2003
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed Septic System for Lot 7, Block 2; McKinley Heights Subdivision
To whom it may concern:
The proposed 4 bedroom house will be served by a private well and septic system. The proposed
septic system will consist of a 1500 gallon S.T.E.P. tank and a deep trench type drainfield. Four
test holes were excavated on the property. The septic system will be designed around the 30 foot
radius of test hole #4. Comments regarding the design are summarized as follows:
1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring,
and the percolation test results.
2. TRENCH DESIGN:
a.
Percolation Rate: <1 minutes/inch
b.
Proposed Application Rate: 1.0 gallons/day/fie
c.
Number of Bedrooms: 4
d.
Design Flow: 600 gallons per day
e.
Minimum Absorption Area: 600 f12
f.
Total Depth: 11 feet (max.)
g.
Effective Depth: 8 feet
h.
Width: 2.5 feet
i.
Reduction Factor: N/A
j.
Minimum Length: 40 feet total length
k.
Effective absorption area = 640 ft2
Note: The distribution line is to be 1 ''/4" pvc pipe with V4" holes spaced every 15" on center (30
holes total).
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
6901 Debarr Road, Suite 2B " Anchorage, AK 99504
Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwc.com
4. TOPOGRAPHY: As can be seen on the attached design drawing, the drainfield is to be
placed on a knoll that is approximately a 15%-20% slope. In short, there are no slope concerns.
I am 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 drativing, a design drawing„ four soils log, and a 7 page
constniction 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
e
P �c.+xT��y
/po ^y ny
O\ 9 Y
m ` VACANT
�0
P
F-= = PROPOSED SEPTIC o?
g u ' u SYSTEM (SEE DESICN ' u
LOT I.BLOCK 7 PACE 2 OF 2)
McKINLEY HEIGHTS 5/D NO CONCERNS
ACAfD
/ ------�L't---------
- - - - - - - - - - --------
- - - - - - - - - -
--1 ------
/ /
PROPOSED 4
\ \
1 1
1
BEDROOM HOUSE
1 1
I
! I
\ l
l 1
p
11 \ \
Ny 1I \
o
NIyA
/
/ NIA
Ny
le
C3
m
C—
'o
p�p
Y
�Y
3
W/ACANT�161
I I
—
1 PROPOSED
EARL COURT _— �"= _'- GE
---------------
OP
LOT 17, BLOCK 2;M kc)
McKINLEY HEIGHTS S/D
11
3
0
X, I'
1 Ny
/
S
C313
Gi
gym= \\\
MC3 7- / m
/�
---.-
m
ic
.01
j
CEPTIC ARS
1130 11
DATE:
1/24/2003
t�
`�Q'
DRAWN BY:
ALASKA & «TASTE «A , .
A. «1 LR
z.T.c.
T
SCALE.
CONSULTANTS. INC. �•---- '.e.'
1- _ 100
'.. ...... ... .... ....... 'S
6901 DFRARR ROOD. SUITE 20 • ANCHORAGE. AK 99504 • PHONE (907)337-6179 • FAX (907)358.5246
.„ ...........
PREPARED FOR PHONE NUMBER:
PACE NUMBER:
CURTIS CHERRIER 272-2004
1 OF 2
,�. ff ey G ess. :S
JI�,1 �� C 7953 a %%
LEGAL DESCRIPTION:
McKINLEY HEIGHTS SUBDIVISION; LOT 7, BLOCK 2;
ro/ess\o���'�
�'���<�<�•�„�'
TYPE OF WORK:
SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
ALTERNATE
PROPOSED DRAINFIELD. EXCAVATE A
TRENCH THAT IS 11 FEET DEEP
MAXIMUM BY 2.5 FEET WIDE BY 40
FEET LONG. ADD 8 FEET OF CLEAN,
WASHED SEWER DRAINROCK. THE
DISTRIBUTION LINE IS TO BE 1 1/4
INCH PVC WITH 1/4 INCH HOLES
SPACED EVERY 15 INCHES ON
CENTER (30 HOLES TOTAL).---�
NOTE: THE CONTRACTOR
SHALL HAVE THE WEST LOT
UNE AND THE WELL ON LOT
8, BLOCK 3; McKINLEY
HEIGHTS FLAGGED BY A
REGISTERED LAND SURVEYOR
PRIOR TO CONSTRUCTION.
10' UTILITY EASMENT
PROPOSED 1500 GALLON /
S.T.E.P. TANK /
INSTALL /
FOUNDATION r
+THII CLEANOUT 1
TH+ I
I
PROPOSED 1
3v 4 BEDROOM \
HOUSE
Co
INSTALL ri I
I I I FOUNDATION
LEANoUT
I TH'4 11 's •' 1•„ \
AMT
` •'':PROPOSED'.!
1 I • DRIVEWAY ' ?l;:
y •r •`• `• ••4.
PROPOS D WEU< V)
..I•a ' •i (• ' • '•• Wil. .�.•: i•, •,
i
PROPOSED
r GARAGE \
al
.=
1 /24/2003
-5`0F
o p�
o •.
DRAWN BY.
Z.T.G.
T....:
oG
ALASKA «'ATER & WASTE«'ATER
a°y
sau.
CONSULTANTS, INC.w
6901 DEBARR ROAD, SUITE 28 • ANCHORAGE. AK 09501. • PHONE (007)337-0170 • FAX (907)338.321.
1" c 40'
�"•••••"• "' •• ••••• .••...
Q mes
PREPARED FOR: PHONE NUMBER:
CURTIS CHERRIER 272-2004
PAGE NUMBER:
2 OF 2
C 795 \�G
Q f •., ••.•' av
rofessTo^o4�
�D00000��
LEGAL DESCRIPTION:
McKINLEY HEIGHTS SUBDIVISION; LOT 7, BLOCK 2,
TYPE OF WORK:44po
DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM
/
NOTE: THE CONTRACTOR
SHALL HAVE THE WEST LOT
UNE AND THE WELL ON LOT
8, BLOCK 3; McKINLEY
HEIGHTS FLAGGED BY A
REGISTERED LAND SURVEYOR
PRIOR TO CONSTRUCTION.
10' UTILITY EASMENT
PROPOSED 1500 GALLON /
S.T.E.P. TANK /
INSTALL /
FOUNDATION r
+THII CLEANOUT 1
TH+ I
I
PROPOSED 1
3v 4 BEDROOM \
HOUSE
Co
INSTALL ri I
I I I FOUNDATION
LEANoUT
I TH'4 11 's •' 1•„ \
AMT
` •'':PROPOSED'.!
1 I • DRIVEWAY ' ?l;:
y •r •`• `• ••4.
PROPOS D WEU< V)
..I•a ' •i (• ' • '•• Wil. .�.•: i•, •,
i
PROPOSED
r GARAGE \
al
.=
1 /24/2003
-5`0F
o p�
o •.
DRAWN BY.
Z.T.G.
T....:
oG
ALASKA «'ATER & WASTE«'ATER
a°y
sau.
CONSULTANTS, INC.w
6901 DEBARR ROAD, SUITE 28 • ANCHORAGE. AK 09501. • PHONE (007)337-0170 • FAX (907)338.321.
1" c 40'
�"•••••"• "' •• ••••• .••...
Q mes
PREPARED FOR: PHONE NUMBER:
CURTIS CHERRIER 272-2004
PAGE NUMBER:
2 OF 2
C 795 \�G
Q f •., ••.•' av
rofessTo^o4�
�D00000��
LEGAL DESCRIPTION:
McKINLEY HEIGHTS SUBDIVISION; LOT 7, BLOCK 2,
TYPE OF WORK:44po
DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM
o"- u
,, d �qsp
ALASKA "NvATIJR & WASTIE« ATER
CONSULTANTS, INC.---o�-®.-d-�.- a 4.:
.............. ..... .
6901 DEBARR ROAD, SURE 20 • ANCHORAGE, AK. 99504 • HONE 90 337-6179 • AK: (907)338-3248 • WE851TE: ck"cxc
SOIL LOG - PERCOLATION TEST . ... ...............
LEGAL DESCRIPTION MCKINLEY HEIGHTS SUBDIVISION: LOT 7, BLOCK 2 0 of ey Go ness:
�H
PERFORMED FOR: CURTIS CHERRIER DATE: 1/4/2003 pp44fe^. C 79 �c� r
0ap�otessi
DEPT 0n�oo
�__� OHO OODOOc
(feet ---F ORGANICS TEST HOLE 1
1
2
3
;II!IIIGM=M
N
7
8
9 I y I 1 BEDROCK TO
10 B.O.FI. FRACTURED
BEDROCK
11
12
13
14
15
16
17
18
•
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
--------------------J
-----------
----------------
TH12TH/1
-
6-
TEST HOLE
��UI!11
2
LOCATIONS ARE
30
3 1/8"
2_7/8"
APPROXIMATE
RUN
3
7:48
-
6"
l
4
8:18
30
NUUN
1 1/2"
N N
5
8:20
-
6"
G3
�
DEPTH TO DATE
GROUNDWATER
DRY 1/4/2003
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
--------------------J
-----------
----------------
TH12TH/1
-
6-
TEST HOLE
2
LOCATIONS ARE
30
3 1/8"
2_7/8"
APPROXIMATE
3
7:48
-
6"
l
4
8:18
30
NUUN
1 1/2"
N N
5
8:20
-
6"
G3
�
\J —
W
8:50
30
3 9/16-
a
t
09
r •:y...r: �
�in
�+
`-VACANi�
?%
SITE PLAN
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
1/7/2003
1
7:16
-
6-
2
7:46
30
3 1/8"
2_7/8"
3
7:48
-
6"
_-_
4
8:18
30
3 1/2-
1 1/2"
5
8:20
-
6"
-
6
8:50
30
3 9/16-
1 7/16"
PERCOLATION RATE 20.6 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 3.0 FT. AND 3.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: MATT FISCHER
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THISW P RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1!114
14'
AlA KA `V�'ATER & WASTEWATER_ *,. _ v��0
CONSULTANTS, INC. .... .. ,. ..........�
1901 DEBARK ROAD. surrE 20 4 A-MCHORAOE. AK. 99504 •HOME 907 — 1 9 • AX:907 — 248 • WEBSfM ok.rc.wm
SOIL LOG — PERCOLATION TEST ...................
LEGAL DESCRIPTION: MCKINLEY HEIGHTS SUBDIVISION: LOT 7, BLOCK 2Je r A. mess.
Q-7953
PERFORMED FOR: CURTIS CHERRIER DATE: 1/4/2003 004��e^' .
a
DEP 400d!'ro f e s slot--
(feet _ _ ORGANICS TEST HOLE #2
1 _ -
I SOIL CLASSIFICATIONS
2
`d':o`.. -----------
---------------------------
GW ORG
THpz
3 GPMOH
ML
LOCATIONS ARE
GMCL
4 GCOL APPROXIMATE
°0 400 a SWMH
5 '� •',w• SPCH
SM
6 SC
GM/SM
7 DEPTH TO DATE
GROUNDWATERoj
g DRY 1/4/2003
9 �VACANi�
10
11 TIME (MINUTES) READING (INCHES)
12 BEDROCK TO 2 7:44 30 4 1/4" 1 3/4"
B.o.11. FRACTURED
13 BEDROCK
14 5 8:17 - 6" -
6 8:47 30 4 5/8" 1 3/8"
15
16
17
16
PERCOLATION RATE 21.8 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 4.5 FT. AND 5.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: MATT FISHCER
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS IAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1 0
DATE READING CLOCK NET TIME WATER LEVEL NET DROP
1/7/2003_
1
7:14
—
6"
TEST HOLE
1
3
7:46
1
6"
-
4
8:16
30
4 5/8"
\\
N�
N�
2
.
SITE PLAN
1
7:14
—
6"
—
3
7:46
-
6"
-
4
8:16
30
4 5/8"
1 3/8"
v
ALASKA. WATER & `WASTEWATER
CONSULTANTS, INC. '.,,.....*.ODO
8901 DM4M UR
. SE 28 • k ORAD AK 99501 • HONE: 907 337-6179 • AX: 90 co
— 218 • WESSIM ok•"c.m *�„
SOIL LOG - PERCOLATION TEST .............
LEGAL DESCRIPTION: MCKINLEY HEIGHTS SUBDMSION: LOT 7, BLOCK 2 DO ey A. Gayness
C 7953
PERFORMED FOR: CURTIS CHERRIER DATE: 1/4/2003 do4� Nkp
.. ..�c4d�
DEPT -- QeVpr fesslolo 0
(feet ORGANICS ITEST HOLE 3 �DO0000�a�
1 -=
SOIL CLASSIFICATIONS
2 ---------- GW ORG 1H82 TH/1
3 GP ML TEST HOLE
GM CL LOCATIONS ARE
4 GC OL APPROXIMATE
GM/SM o SW MH
SP CH
5
SM � i OH
6 SC
10
7 DEPTH TO GATE FU 0z
GROUNDWATER
8—I DRY 1/4/2003
BEDROCK TO
9 B.O.II. FRACTURED ��
BEDROCK
DATE READING CLOCK NET TIME WATER LEVEL NET DROP
10
11 TIME (MINUTES) READING (INCHES)
12 1/7/2003 1 7:05 — 6" —
2 7:35 30 4 7/8" 1 1/8-
13 3 7:36 — 6" —
4 8:06 30 5 1/8- 7/8-
14 5 8:08 — 6" —
6 8:38 30 5 1/8- 7/8"
15
16
17
18
PERCOLATION RATE 34.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 4.5 FT. AND 5.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: MATT FISCHER
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS AS RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 112A-10 R
–
i
I
(
1
N y
N N
O.
�;w�wyc4
�
1 N 1
SITE PLAN
1:
pOQ�
04
ALASKA '""AT] ER &. WAS1',LWA1'LR
CONSULTANTS, INC.
6901 DEBARK ROAD. SUrrE 28 • ANC AK. 99504 • PHONE (907)337-6179 • FAX. (907)JIM-3246 •WEBSITE ok"rc.00m O • • O
SOIL LOG - PERCOLATION TEST.
MCKINLEY HEIGHTS S/D• LOT 7, BLOCK 2 Q Je re A. G TEST®r,
LEGAL DESCRIPTION: Q e 7953 eQ
PERFORMED FOR: CURTIS CHERRIER DATE: 1/16/2003 o04sf o��°0�
DEPTtl 4��Qdprofessiol,oma
(feet)
ORGANICS ITEST HOLE #4 D00000p�
1 —
SOIL CLASSIFICATIONS
2 GW -- ORG
3 _ GP ML
GM CL
4 / GC OL
•°. 0'
SW MH
5 SP CH
SM OH
6 y SC
i
7
8
9 GM/SM
10
11
12
13
14
15
i
16
17
18 8.0.11.
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 6.0 FT. AND 6.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ONO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ZACHARIAH GALL
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 24' 0
DEPTH TO DATE
GROUNDWATER
DRY
1/16/2003
DRY
1/17/2003
DRY
1/23/2003
rr
—
DATE
15-
16-
17-
18-
13.0.11.
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
1 17/2003
1
rr
—
6"
.�7H
�dz I I
1 I
2
t l
<1
0"
\ 1
�
—
—
6"
THj4�ACANi�E
4
—
<1
0"
6"
5
ITH13
—
6"
—
6
—
<1
0"
"
6-
PLAN
"=100
DATE
15-
16-
17-
18-
13.0.11.
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
1 17/2003
1
—
—
6"
—
2
—
<1
0"
6"
3
—
—
6"
—
4
—
<1
0"
6"
5
—
—
6"
—
6
—
<1
0"
"
6-
Municipality of Anchorage
On -Site Water & Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 051-213-36 Expiration Date:
1. GENERAL INFORMATION
Complete legal description MCKINLEY HEIGHTS S/D; BLOCK 2, LOT 7
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
18027 AMONSON DRIVE, CHUGIAK, AK 99567
DAVID KARALUNAS Day phone 388-7089
30003 CARROLL LANE, ANCHORAGE, AK 99517
ROWENA PEDIANGCO W/ REMAX Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
223-8897
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
N
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
COSA Fee $
Date of Payment �51 l L�
Receipt Number o
COSA # a5up I
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
6. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, l 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 andlor 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 andlor 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. - Phone
Address 3701 E. TUDOR ROAD, SUITE 101 `ANCHORAGE, AK, 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date
Engineer's Comments:
In conducting this evaluation, GEG provided an engineenng evaluation of the well and/or septic system in accordance with the
guidelines and regulations established by the MunicipaldyofAnchorage and industrypractices The reported resufs describe the
condition of the systenvs on the dafe/s of the evaluation. Separation distances were measured to Maddy identifiable features.
Hidden defects orencroachments may exist that wen, not identified during the evaluation. The operational life of all wells and septic
systems depend on a variety of variables including, but not limited to, soil conditions, groundwaterlevels (that may fucluale during
the year/, qualdyofconslrudw (materials and workmanship), and the water usage of the family utilizing the systernrs. These
conditions can vary, and are outside the control of GEG. Safisfactorytestresults do not guarantee future performance of the
sys(eMr therefore, GEG makes no womanly (expmw or implied) regarding the future performance of the well or septic system.
GEG makes no representation whether an alternative well orseplk system can be inslaffed on the properly in the event either of the
current systems fail. The content of this report is for the sole benefit of the persoNparty who retained GEG. Reliance upon the
information provided in this report by any other person or party, including bul not limited to subsequent property p=he sea, isnot
authorized. In short, GEG disavows any legal duty to anyone other than the mrsoNparty who paid for this report.
6. DSD SIGNATURE
System #1 Approved for __SL bedrooms.
System #2 Approved for bedrooms.
337-6179
021
Disapproved.
Conditional approval for bedrooms, with the following stipulations: QPOF AfVC,
mi -SITE
pRoGRANI
1. _ D
iy Original Certificate Date: 4) z7'/ C
The Municipality or Anchorage 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 engineer's work.
7. ATTCHMENTS:
COSA Checklist X/ Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
rRav 101191191
R
If more than 7 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: MCKINLEY HEIGHTS S/D; BLOCK 2, LOT Parcel ID: 051-213-36
A. WELL DATA *THERE IS A BLADDER TANK IN CRAWLSPACE.
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES
Date completed 4/7/2003 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES
Total depth 325 ft. Cased to 20.4 ft. Casing height (above ground) 18* in.
(TO BEDROCK)
FROM WELL LOG AT INSPECTION
Date of test 4/7/2003 5/6/2016
Static water level 40 ft. 48 ft•
Well production 1.5 g.p.m. *0.5 —9 -P.M.
WATER SAMPLE RESULTS:
Coliform r 0 colonies/100 ml. Nitrate 3.1 mg./L. Collected by: GEG, Ltd.
Arsenj¢`.' /ND ug./L. Date of sample: 5/9/2016
B. SEPTIC/HOLDING TANK DATA -
,Tank Type/Matedal S.T.E-P./STEEL Date installed 4/8-9/2003
Tank size 1500 gal. Number of Compartments E Cleanouts (YIN) YES
*FCO LOCATED NEXT TO FRONT DOOR DECK OF HOUSE.
Foundation cleanout (Y/N) *YES Depression over tank (Y/N) NO High water alarm (Y/N) YES
Date of pumping 5/1912016 Pumper SANITARY PUMPERS
C. ABSOR)PTION FIELD DATA I -BELOW EXISTING GRADE
Date installed 418-9/2003 Soil rating 00. 7 ftlbdrm) 1_0 System type DEEP TRENCH
Length 40* ft. Width 3.0 ft. Gravel below pipe 9.27 ft.
Total depth *14+ ft. Eff. absorption area 742 ft' ' Monitoring tube YES Depression over field No
Da4of adequacy test • 5/6/2016 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depthin absorption field before test E in. Water added **626 gal. New depth E in.
Elapsed Time: E min. Final fluid depth _ E in. Absorption rate >= 800+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
*"2,000 GALLON PRESOAKED ADDED PRIOR TO TEST (2,626 GALLONS TOTAL ADDED)
. -LIFT STATION "APPROXIMATE "PER 2003 INSPECTION REPORT
Date installed 4/849/2003 Size in gallons 495 (2ND COMP. ManholelAcoess (YM) YES
OF TANIQ
"Pump on" level at "44 in. "Pump ofr level at "40 in. High water alarm level at "48 in.
Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requlrements? `"YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 1007+
Absorption field on lot 100'+
Public sewer main 75'+
Sewer /septic service line 25'+
On adjacent lots 1007+
Public sewer manhole%hnout 1001+
Holding tank
Animal containment areas 50'+ Manure/animal excrete storage areas 1W+
SEPARATION DISTANCES FROM SEPTIGHOLDING TANK ON LOT TO:
Building foundation 5'+ Property line «5'+ Absorption field 5+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 1001+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line "5' Building foundation 10'+ Water main 10'+
Water service line 10+ Surface water 100'+ Driveway, parkinghrehide storage 1(V+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*WAIVER # WR030113.
G. ENGINEER'S CERTIFICATION
l cert ly that! have defsnrnib d through field inspections and
review of Munioipa/ records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Data S/1 -7.L 2
RM.10MV12)
Municipality of Anchorage 8,
Development Services Department.::x°
Building Safety Division ;S " E',`I
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) # OSC161187
During a recent COSA on-site inspection and test of the potable water
supply well on Block 2, Lot 7 of McKinley Heights subdivision, the well's
productivity was determined to be .5 gallons per minute. The minimum well
productivity required by this Department (AMC 15.55) for a 4 -bedroom
residence is .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.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water 8 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
FOR A SINGLE FAMILY DWELLING
Parcell.D. COSA# Dg0L4'j
1. GENERAL INFORMATION Expiration Date: /O—Z7-07
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
McKINLEY HTS. LOT 7. BLOCK 2
18027 AMONSON DRIVE • CHUGIAK, AK 99567
CURTIS CHERRIER Day phone 272-2004
18027 AMONSON DRIVE * CHUGIAK. AK 99567
Day phone
EVA LOKEN w/ PRUDENTIAL Day phone 689-6476
16635 CENTERFIELD DRIVE • EAGLE RIVER. AK 99577
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
❑
Community On-site
❑
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 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 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 riles 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 GARNESS ENGINEERING GROUP, Ltd. Phone
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, VD. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines 8 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 wolfs 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 solo benefit of the owner listed above. Any reliance upon or use of this report by any
other person or parry is not authorized, nor will it confer any legal tight whatsoever.
5. DSD SIGNATURE
f/ Approved for _ bedrooms.
Disapproved.
337-6179
Date 2/c,,7
Conditional approval for bedrooms, with the fllowing stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineers Reort
Other
. ON-SITE e
WATER AND
WASTEWATER
PROGRAM
By: a / Original Certificate Date: 7—/7-07
(R". 1185)
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.orylonsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: McKINLEY HTS, LOT 7, BLOCK 2 Parcel ID: 03-7-a /3 -3 6
A. WELL DATA
Well" PRIVATE If A, B, or C provide PWSID# N/A
Date completed 4/7/2003 Sanitary seal (YM) YES
Totai depth 325 ft. Cased to 20.4 ft.
FROM WELL LOG
Date of test 4/7/2003
Static water level 40 ft.
Well production 1.5 g.p.m.
Well Log (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 24+ in.
AT INSPECTION
6/21/2007
43 ft,
1.3+ g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate J. Ll mg./L. Other bacteria _colonies/100 ml.
Arsenic: N_Q_ug./L. Date of sample: 6/21/2007 Collected by: GEG Ltd.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material S.T.E.P./STEEL
Tank size 1500 gal. Number of Compartments 2
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO
Date of pumping MA�91 100 Pumper
C. ABSORPTION FIELD DATA
Date installed 4/8-9/2003
Cleanouts (Y/N) YES
High water alarm (Y/N) YES
Date installed 4/8-972003 Soil rating .p.d or ft'/bdrm) 1_2 System type DEEP TRENCH
Length 40+ ft. Width 3.0 ft. Gravel below pipe 9.27 ft.
Total depth +14 ft. Eff. absorption area 742 fe Monitoring tube YES Depression over field NO
Date of adequacy test 6/21/2007 Results (Pass/Fall) PASS For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 0 in.
Elapsed Time: 0 min. Final fluid depth 0 In. Absorption rate >= 600+ g,p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date -
D. LIFT STATION
Date installed 4/8-9/2003 Size in gallons 1500
"Pump on" level at 42 in.
Datum BOTTOM OF TANK
E. SEPARATION DISTANCES
"Pump Or level at 42 in.
Manhole/Access(Y/N) YES
High water alarm level at 46 in.
Cycles tested 3 Meets alarm & circuit requirements? YES
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 lots 100'+
On adjacent lots
Public sewer manhole/deanout N/A
Holding tank N/A
Animal containment areas 50'+ Manureianimal 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 'S' Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicie storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS , #WR030113
G. ENGINEER'S CERTIFICATION
I certify that I have detemrined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date-4bZ/O7
COSA Fee S 4' 0 • U o Waiver Fee $ _
Date of Payment IZ 1 2 o % Date of Payment
Receipt Number (% Y 3 J6 Receipt Number
IRw. I Iros>
OCT -20-03 MON 12:48 HOLT LAND SURVEY
O
0
C12
E
ID
N
iU
O
O
O
9
N 89 59'W 128.34
1 Z9.34
—_ AMON50N _ ROAD__
90T5'/33313
OF... (9��p��
',c?, 49 LH 9.
•
SHANE A. HOLT .... • •:
LS•e9u : r
FIMAL RTRUETURC AO-OUIUT
A63u&TeUMYe,
P.01
p.2
1 HEREeY CERTIFY THAT 1 HAVE PCMOW-Ml A
MOIRGAGEE•S INSPECTgN OF THE F(X.Lo WO
OESCRISEO PROPERTY.
1AT)ON HEREON 13 FOR THE USE OF L E%MO INSTMfMNS
LOT 7, BLOCK 2 MCKINLET NEICIITS SUB.
SPECIETCALLY TO SHOW ANY CONFLICTS BETWEEN
IRUCTL'RES AND PLATTED LOT UNE3 OR EASEMENTS AND IS NOT TO BE USED FOR POSITIOWNC ADD Er
fS OR FENCEUNGS.
AL
1 OF PECORC, OTHER THAN THOU 3MCWN ON THE RECORCEOPIAT,ARENOT Sf10WN
ANOIOMO6 RECORDING OISTIUCT, AIASKA ANO THAT
THE �MLE NrgOVL" N�T1u AAE
WIMN
HEREON.
ENCELNESSHOWN NEC LUCAICO MPROAMATElYAN1 ARE NOT TO BE
STRUCTURES.
THE PPCPflT'
ENCAOACMMENT3 EX -ST OTHER IMAN NOTEO.
TO Dr. PNOPERry INE
S1.DVM MAv an wPPROMMnTC DUC TO SNOW CONdT10N3.
OAT ANCHORAGE, ALASR THIS
OAT rjTN�
DAT OF ocroeER .
P.01
p.2
Municipality of Anchorage
• '` Development Services Department
Building Safety Division
On -Site Water &Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-213-36 HAA# 14A 0306lo
1. GENERAL INFORMATION Expiration Date:_?
Complete legal description McKINLEY HEIGHTS
SUBDIVISION:
LOT 7
BLOCK 2
Community Class Well
❑
Public Water System
Location (site address or directions) AMONSON
ROAD/EARL
COURT
IN CHUGIAK
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
CURTIS CHERRIER _ Day phone 632-5240
P.O. BOX 200527 • ANCHORAGE, AK 99520
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:. 4
3. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
N
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with, new water 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-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 riles 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 ALASKA WATER do WASTEWATER CONSULTANTS, INC.
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, 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, 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. AKWWC, 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
Approved for _ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the fllowing
Phone
337-6179
Date I2_".)
CJ. v17 ,.
WATER AND : �'
WPROGRAM
Attachments:/ ��'���•••••••••• ANN",`
HAA Checklist ✓ Manitenance Agreeme��n��i.CA4AJ�il/t�t��`�
Septic System Advisory Supplemental Engineer's Reort
Well Flow Advisory Other
By: Original Certificate Date: f 2A5 �o t
(Rev. 17/01)
i
Municipality of Anchorage
Development Services Department';
Building Safety Division `
On -Site Water & Wastewater Program
• 4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.enchorage.ek.us
i
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: McKINLEY HEIGHTS SUBDIVISION; LOT 7 BLOCK 2 Parcel ID: 051-213-36
i
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# NIA Well Log (Y/N) YES
Date completed 4/7/2003 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 325 ft. Cased to 20.4 'ft. Casing height (above ground) 24+ in.
FROM WELL LOG AT INSPECTION
Date of test 4/7/2003
Static water level 40 ft.
Well production 1.5 9.p -m. g.p.m.
r' WATER SAMPLE RESULTS:
Coliform //� colonies/100 ml. Nitrate Qmg./L. Other bacteria colonies/100 ml.
.(p2
Arsenic: mg./L. Date of sample: 12/1/2003 Collected by: AKWWC, INC.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEEL/S.T.E.P. Date installed 4/8-9/2003
Tank size 1500 gal. Number of Compartments E Cleanouts (Y/N) YES
i
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES
Date of pumping NEW Pumper
C. ABSORPTION FIELD DATA BELOW FINAL GRADEI
Date installed 4/8-9/2003 Soil rating.p.d.l r ft'/bdrm) 1_2 System type DEEP TRENCH
Length 40+ ft. Width 3.0+ ft. Gravel below pipe 9.27 ft,
Total depth 15.3 (MAX)ft. Eft, absorption area 742+ ft' Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) PASS For 4 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.) (Y/N & type) NONE KNOWN If yes, give date —
D. LIFT STATION
Date installed Size in gallons Manhole/Ac
"Pump on" level at in. "Pump off" in. High water alarm level at in.
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main N/A
Meets alarm & circuit requirements?
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ 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 *5Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 25'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
' 5' LOT LINE WAIVER REQUESTED
G. ENGINEER'S CERTIFICATION c�G v.'..
I certify 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. .. .. . • •
QQ •.J fr or ss:
Engineer's Printed Name JEFFREY A. GARNESS Q� 79 \�G
Date ( lZ-f�� v��p�Proresston000
HAA Fee $ C? - .
Date of Payment /z/4103
Receipt Number C/SZZi
(Rev. 12101)
Waiver Fee $
15�.w
Date of Payment /3/14/03
Receipt Number NS27-�+ k1a
Dec 04 03 11:14a
• OCT -20-03 MON 12:48 HOLT LAND SURVEY
3.3'
N 89 59' W T 2FT-aa
1 D'UTILITY EASEMENT
r
r—'Mr-
I
41� OCCK
OY
M
3•
S
Y
r
Q
Y
J
Y�
�J ;L7__
LY�Of CK
❑
O N
N pl
a 11.7 RTAn Uw .` • a
i0
N • a 3
LL J y
❑
❑ f
❑ ❑
7 0
Z
a
33.21
Ew[LL l 4T
l
7
N 139°59100"W 1 213.34
_-._ AMONSON -ROAD
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECB'ICALLY TO SHOW ANY CONFLICTS BETWEEN
EASrNG STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSMMNO AODMONAL
STRUCTURES OR FENCELKECS.
W FMLN FS Of PECORO, OTHER TWIN THOSE SHOWN ON THE RECORDED PUT, ARE NOT BIIOWN HEREON.
NOTE' ANY FENCELNCS SHOWN ARE IUCAI[0 APPRO)ONATELY ANO ARE NOT TO BE VSEO TO DETERA3NE PROPERTY LINE
OR LOCATE STRUCTURES.
My PAVING a WN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS.
90TS473,13
f1 -AL STRUCTURC Aa.au1LT
Aa-DVKTaVRVEY
SCALE: V • YO'
1 HEREBY CERTIFY THAT I HAVE PVVORMEO A
MORTGAGEE'S INSPECTION OF THE rOLLOW/0
DESCR18E0 PROPERTY,
LOT 7, BLOCK 2, A"CKINLEY HEIGHTS SLOW
P.01
ANCHORAGE RECCRONG DISTRICT, ALASKA AND THAT
THE VISIBLE •JPROVPJ"S SITVATEO THEREON ARE
WItNIN THE PROPERTY LINES AND THAT NO VISIBLE
f NC110ACMM"ETS CAST OTHGT THAN NOTED.
DATED AT ANCHORAGE, ALASKA THIS 201H
DAY OF OCTOBER 2003—'•
HOLTLAND 6URVEYOOpp1wD,%e101.�1, t0asT
TEL. 343-6618
p.2