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HomeMy WebLinkAboutMOUNTAIN AIR ESTATES BLK 3 LT 2AMountain Air Estates Block 3 Lot 2A #017-211-32 r Municipality of Anchorage , Development Services Department " Building Safety Division Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Andlorage, AK 995194i65o Page I of 3 www.d.androrageak.us (907)313-7901 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. S w v 1/ p 3 y tF PID Number, p F 7- 2//-3Z J ter. yet, t Wastewater System: ❑ New 13 Upgrade Aaa•sa: I N 60 >'re.,.Cr I.e Cn P/ 99s 1 e ABSORPTION FIELD Fnau:rluro.a 110&1 e: 3 HS- a'/ -7 US a./ tb Dewp T1n0. O Below Twch O ow O Mine O oow. LEGAL DESCRIPTION swftwv 0'15 T`"`D'°*'R°"09'"' ' , S. 2 FI. &9Ht: 1: 19 $abMedl: 3 2A 1-c, iarn E.CA D"Ia Pp•bo Reay 7.9•: O.0 fiwe19.9M lib PW 'Y-6 c.n i4re- F. FL Tw p: Ragc Sasore Fe aoea9aw my.+ O� Gr LaPc S.0 F1. 12 S Ft. well: EXr1/- ❑Newrade ❑ UP9 Gewr r9K wnwar.c QRa ti paawen RMF: 2. S R. FL C4wewa9n (Gem•. A B. Cx Toa 0": cs w Taal smapa aft F1. n 11 SO Ft A%n - F•e-af dwar. owrar.a: wxwaarlM: MW4r: Das ii�S'/ FL A* 9!r /ay nao: Gwnp sa a: c•.•w H"MAe9.e G7 TANK cGu FL n SEPARATION DISTANCES ® Septic ❑►folding ❑ S.T.E.P. ❑ Other. To Septic Absorption lilt Holding wwPi ate From Tank Field Station Tank SewerLlla A1lchc e- 7asnk 1cad.. wan l vfJ 1 185- — — > 2y S%LC/ Rwr~d w.paa�a.a: 2 aabn wabr > rw' > lae• — _ LIFT STATION La tine 89, 22, Mar4dAl. ao+w.. -9O— - Mpn waeraama: F h M h. cane den — — Fury 11a.. a noaa aacpry.epacaa" F•nan.9 ey R•mw•a: Or -r r 4e/ ti. /T'. /unlc ,T,h -! cn.< BENCH MARK Lao.an ana oernpea. cine.,( burr of hoeare Coenee ;O`A � ex/' vs/v! rnJ/ct//i�C b//ow ✓e'4✓rw cc %ru.f L .4m: aG4 �r un •[Lrri t✓n on 2 /OGG FL CS�r Lno/ fsreie4 D..t^.n eFr Catm/tu 1 erg o4t n t. Kitlur l� b /f /f cuUi Gin !tion %[ns �9ineers Stamp ®mo.�►Oq�7 . F;•��.F•a�A' #7041!h 6#4 T; e4. 1x2 Se,, /t-r/rcje wr7 Shat'%c'n„�c qn�c d 3 . tench ec.: 4--,etcAje. a ftir t/iEF n /en f/, t exf�e� Wspections performed by F/a f/on 7'44 Sic Dates:t�9TH 2n0 9 / 1 / oy Developme t Services Department Approval ��../....................: t A o+t•::`-'r��:..•..••• - .Y1� THE ODORE Reviewed and acproved by: Date:j '''�/ -- P F. MOORE .• @ltrY:• CE -3589 PERMIT NO: SW040348 PID NO: 017-211-32 M. 40' , .' PAGE 2OF3 li i T.H. w , 'g2 'V SHED i �125 L.F. SOIL ABS. TRENCHES , W.4.6' EFFECTIVE GRAVEL �,•' 35' "G" .H f•. • 50' ORIGINAL •' SOIL ABS. "F" TRENCH "E" '•NEW 1250 -GALLON SEPTIC TANK SWING TIES: TBM FROM: COR. "A" COR. "B" TO: S.T. C.O. "C" 38' 31' S.T. C.O. "D" 42.5' 38' DBL. C.O. "E" 45' 41' B.R. VALVE "F" 46.5' 42.5' TR. C.O. "G" 96' 112' TR. M.T. "H" 100' 126' TR. C.O. "1" 106' 142' TR. C.O. "J" 111' 121' TR. M.T. "K" 112' 130' TR. C.O. "L" 116' 142' TR. C.O. "M" 129' 135' TR. M.T. "N" 126' 142' TR. C.O. "O" 128' 151' .T...... !•.:............ THEODORE F..LOORE ?�.\,•.� CE -3569 {�"4 '4.�'A r. ••...... •••'• Cv a LOT 2A BLOCK 3 BULL RUN DIV. VALVE _DBL. C.O. I >C % l R 100' LOT 2A, BLK. 3, MOUNTAIN AIR ESTATES SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION PLAN VIEW FLATTOP TECHNICAL SERVICES i SCALE: 1" = 30' 14530 ECI10 STREET I DRAWN SY TFM ANCHORAGE, ALASKA 99516 SEPTEMBER, 2004 PERMIT NO: SW040348 PID NO: 017-211-32 2" RIGID FILTER INS. (TYP.) FABRIC (TYP•) Fl PAGE 3OF3 ORIG. GROUND 6 -FEET SOIL COVER FINAL GRADE NEW 1250 GALLON (TYP.) ' 1 SEPTIC TANK INV. INV. 91.2' 91.5' r " „ �1 DRAWN BY TFM VV. ORIGINAL VSOILABS. 3.1' INV. �— 50' TRENCH 81.9' `ti 80.6' 1 35' TRENCH ,r!'F OF p'cz ELEV. 77.3' �ELEV. C1_3569 76.0' 40' TRENCH BOT. T.H. #2 _ELEV. 70.0 u� M.T. DRY 819/04 LOT 2A, BLK. 3, MOUNTAIN AIR ESTATES SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION CROSS-SECTION FLATTOP TECHNICAL SERVICES " „ 14530 ECHO STREET DRAWN BY TFM VV. ORIGINAL VSOILABS. 3.1' TRENCH �— 50' TRENCH ELEV. 78.5' 35' TRENCH ,r!'F OF p'cz / *y'•rigT11 THCODCPE F. MOORED ,1a` C1_3569 aEf`4' LOT 2A, BLK. 3, MOUNTAIN AIR ESTATES SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION CROSS-SECTION FLATTOP TECHNICAL SERVICES ; NOT TO SCALE 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 SEPTEMBER, 2004 SAN S r,. MUNICIPALITY OFANCHORAGE I /O A,", Development Services Department 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 PERMIT Initial Date Issued: Aug 18, 2004 Expiration Date: Aug 18, 2005 Permit Number: SWO40348 Parcel ID: 017-211-32 Legal Description: ;;MOUNTAIN AIR ESTATES BLK 3 LT 2A Design Engineer: 0019 Flattop Technical Services Site Address: 014960 MOSSBERRY PL Owner Name: JERRY HENKE Lot Size: 53100 SO. FT. Owner Address: 14960 MOSSBERRY PLACE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-4422 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 specked 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. _,��(911_6--t Date: Issued By. 94f Date: ' Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and 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 n• Bp na a' 7 L n Parcel I.D. Permit Number SW Property owner(s) J e rry 1f to k e Day phone '3 Yt • YT a,' Mailing address (1) 1 °1960 1`ta,.St st r,X 1-7lurtr Mailing address (2) /fir+ 1,0�A h Zip Code 9 ! ge E1 Legal description (Lot, Block & Sub'd.) —_Le, 1. S A. 1314 ZE40 Legal description (Section, Township & Range) Lot Size 531&6 Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms y Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 56 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. (Signature of property owner or authorized agent) Permit Fees: N 60 =a Waiver Fees: Date of Payment: £sll! l drIX Date of Payment: Receipt Number: OrCy T Z _16 f Receipt Number: (Rev. 12100) J' LATTOP TECHNICAL SER CES'_ CIVILS ENVIRONMENTAL ENGINEFRING • ENERGY CONSERVATION 6 ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 August 11, 2004 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 2A, Block 3, Mountain Air S/D., located at 14960 Mossberry Place The original trench failed a recent adequacy test. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 2. As can be seen from the soil log, the native material between 0.5 and 4 feet below ground level is a silty sand with a measured perc rate of 4 minutes per inch. Using a somewhat conservative soil application rate of 0.8 gpd/sq. ft., this 4 -bedroom residence requires a total absorption area of (4 x 150)/0.8 = 750 square feet. The proposed design consisting of two parallel 63 -foot long trenches with 3 feet of gravel between 1 and 4 feet below ground level, plus an additional foot below that has a total absorption area of 656 square feet in the designated receiving stratum. The underlying silt is not impervious as is evidenced by the lack of seeps at the interface and the scattered pockets of gravel encountered throughout. The topography of the lot in the area of proposed construction slopes down towards the north and west at approximately 10%. The proposed design includes a "Bull Run" diversion valve allowing future reconnection to the original trench as desired after it has had an opportunity to dry out and partially rejuvenate itself. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. I LOT 3A, BLOCK 3 l i 0 0 O ; (VACANT) mimcli I uJ OIO O I ? i I 10-1 i I ; CONSTRUCT v 63' 2PARALLEL ------------ a 63 -FOOT LONG HED I```` SOIL ABS. TRENCHES w. 4.0' EFF. GRAVEL , T.H. 63' i I #2 I ABANDON I I ; RETAIN EXISTING I ; ; EXISTING 1250 -GALLON w TRENCH % SEPTIC TANK g WELL ° I N 2 co! CC 0 ; ; INSTALL R100 ---ibb, w I U Er vil W a' Z "BULL RUN' ISTING 4-BDRM m I 0 co Z p,Q DIV. VALVE O I •o r ul I T.H. OUSE I O Z I #1 I J 0 I I INSTALL NEW LOT 2A 1250 -GALLON I ' BLOCK 3 SEPTIC TANK I I X12 � I Y -_---_ °g10 a I m m Q ' �i -i ZI O1 C7 ; LOT 1A, BLOCK 3 _ _ J Q -------------- `rte ILLI ; ' I I ; I ; oeem�o OUSE OUSE I •';_� r fi� • �, SIH'. LOT 2A, BLK. 3, MOUNTAIN AIR ESTATES �•••�••••••••••••••••••••••4 SEPTIC SYSTEM UPGRADE I ; j•••• SITE PLAN •,p 1' : TM'_ODOP.f F. MOONER ; 3 , .:, .• CE - 3 3') .•+,I. ; FLATTOP TECH INICAL SERVICES I 1 INCH = 50 FEET I ; ; ''e � ' •(f <<�' 14530 ECHO STREET DRAWN BY TFM SEPTIC ANCHORAGE, ALASKA 99516 AUGUST, 2004 AREA I ; NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. M.T. C.O.I� (ryP� 63 (NP)- X c RCAfE Y" 6wr4r-,' 'n covmarcrome- 41Ne CONSTRUCT 2 PARALLEL SOIL ABSORPTION TRENCHES w. 4.0' EFF. GVL BETW. V & 5' B.G.L. TO EXISTING "BULL RUN" DIV. VALVE L FROM DBL. C.O. HOUSE INSTALL NEW PLAN VIEW SEPTIC TANK SCALE: 1" =10' CLEANOUT MONITOR TUBE - MOUND BACKFILL I RIGINALGROUND-4 FILTER FABRIC:' 5 .5 4 2"RIGID INSULATION ,i i vup 4"DIA. F-810 PERF. PIPE --/OF At\\t \� _ 12'-212"GRAVEL ••••'•••.�Y « -}- BOTTOM OF EXC AVATION } ����.: • t i � ��i'44) 10 ................. ,M:CDCRE F. A40ORE�� CROSS-SECTION "A - All �',.' ;,. •. 0-3509 ; • f+ ;• SCALE: 1 = 5' LOT 2A, BLOCK 3, MOUNTAIN AIR S/D SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOPTECHNICAL SERVICES I SCALE: AS SHOWN 14530 ECI10 STREET DRAWN BY: TPM ANCI IORAGE. AK. 99516 I AUGUST, 2004 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. r 1d' ' �y =J✓ 0 -- - - ANCHORAGE, ALASKA 99516 y1 i�TH , I I TEST HOLE # 2 SOILS LOG - PERCOLATION TEST r" THEODORE F. AADORE p LEGAL DESCRIPTION: -Lot 2A, Block 3. Mountain Air Estates._ —_-; r •. .i rt 4., CE -3589 DATE PERFORMED: ---July ---__-- ,t`iti,Y..`�` 0 PERFORMED FOR: _Jerry Henke `3� �+'.i:.9 •T`'' DEPTH Pt SLOPE __-___—SITE PLAN--._-_- LOT 2A BLOCK 3 2 SM Silly sand Lenses of GP/GM 10% ! 124 3- T.H. #2 4- '.: 116 5 40% ' I 6- 48 i EXISTING 7- % ! -BDRM ML Gray silt OUSE 8 - Pockets of GM and cobbles i T.H. 59 #1 10- i'------------------------------� Depth to Groundwater Date n No groundwater- _7lP9il}4' I LMomtor tube dry _ 8/9/04 --,' 10% SLOP 12- B.H. I I I 13 I—L----- L—. 14 Date Reading Ctock Net Time Percometer I Net -Drop I ! 1 I ; ; Time (minutes) Reading (inches) i 15 -; I ! L729. -r 12" Pre_.-- -----__-----Y_27 12 12" Resoak 275/8 16 J --.-Start_ 231/4 #112:23:1 ---- iI 0 .__15_185/8 45/8._� f - ---- 17 � L_ _-#212:39:25_-15..— I j I Add water 12:40:20 T. _ _--_ 233/8 18 - �--a---#3._ 12:5520 -j-__15 __---77! -18 7/8' -_ , - ' q 1/2 _ 19-1 i- ------------I--------�.._....--------i 20 � I ! PERCOLATION RATE 4 (minuteslnch) PERC HOLE DIAMETER -g ` TEST RUN BETWEEN -2,0 _ _ FT AND --2.5.__ FT COMMENTS: -Recommend basing design of upgrade on 0.8 gpd/sq._..-- PERFORMED BY FLATTOP TECHNICAL SERVICES. 1 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:-- FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ---- -I ANCHORAGE, ALASKA 99516 TEST HOLE # 1I SOILS LOG - PERCOLATION TEST Depth to Groundwater u LEGAL DESCRIPTION:_ Lot 2A. Block 3. -Mountain Air Estates DATE PERFORMED: _July 29.2004 __-- PERFORMED FOR: enke. _ _— _,Jerry Henke.----- DEPTH DEPTH PL (feet) 14 i 1 SM sandy loam 2- Date 15 -� 3- I ins 12• .. GM/ML Silty, somewhat sandy gravel i 12' Add Lenses of dense silt 4- Add 17 5 - k-1— -- -_ _Add SP Clean medium sand 6- 7- e 201 ML Grey Silt IL= Dense, sticky 9' 10 Depth to Groundwater u B.H. �L_.._—_ gground- Wafers 9'- 12— i �No 3 14 i Date 15 -� ins 12• .. 16 i 12' Add i Add 17 k-1— -- -_ _Add 201 I j IL= 10% 40% FC-hL0 h 0 T g. *� '. THEODORE F. MOCRE:• _ A y, CE -3599 • .t,. " C�: H:..�..'i., . •'tom -- SITE PLAN-- ---- I LOT 2A BLOCK 3 .i 124 T.H. , #2 116 i T.H. 59 #1 Date j 9/0 10% SLOP I � I i Reading Clock Net Time PercometerI Net Drop Time (minutes) Reading I(inches) -� Presoak_ - - __31 Resoak 31 water & start 12:25:50 _ _ 27 1Y112:42:50 _(__17 ___ 22114 1 4 3/4 water 12:44—�_271/16._;__. _#2 _12:59 ._(_15__ 227/843/16 water 12:59:25,-�. _ 27 —#3_ 1;14:25 1 __15_ _227/81_41/8_- j PERCOLATION RATE 4_ (minutes/inch) PERC HOLE DIAMETER_6" TEST RUN BETWEEN -2.75 _FTAND-3.25 _ FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I .syK_ �IO+,L —CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: TFfattop ?echnicafSm icu 14530 Ecfio Street,.Anchorage, AX 99516 "m (90) 345-1355 Lot 2A, Block 3, Mountain Air Estates 14960 Mossberry Place Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandoning an existing septic tank and installing anew 1250 -gallon septic tank that discharges effluent into 2 parallel 63 -foot long soil absorption trenches containing a total of 4.5 feet of sewer gravel. A "Bull Run" diverter valve is to be installed allowing future reconnection to the existing soil absorption trench. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 Unless agreed otherwise, the contractor shall be responsible for any tree clearing and grubbing necessary to complete the project. Prior to the start of excavation, the contractor shall cut down and remove the branches of all trees larger than 6 inches in diameter and neatly stack these trees outside the construction area. If requested by the property owner, the contractor shall then bury non -detrimental branches, brush and roots generated by the construction work at a suitable site on the property located no less than 10 feet away from all present and foreseeable construction areas. The contractor shall neatly stockpile any detrimental material which cannot be buried, for subsequent disposal by the property owner. 1.5 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.6 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing 1250 -gallon septic tank shall be properly abandoned by bumping, removing its top and backfilling with soil. The new 1250 -gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed 1 - 4 feet from the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. A "Bull Run" diverter valve shall be installed downstream of the double cleanout, allowing future reconnection to the original trench. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating two parallel trenches spaced 10 feet apart to a depth of 5 feet below ground level. The long axes of the excavations shall parallel an existing contour 3.2 The bottom of the excavations shall be level, although at different elevations. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 4.5 feet of approved sewer gravel shall be placed in the bottom of the excavations with the perforated distribution pipes laid level such that the pipe inverts are no less than 4.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 The 4" diameter D-3034 pipe interconnecting the two trenches shall incorporate a 4 inch "bump" to ensure that the upper trench is completely filled before effluent flows over into the second trench. Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A total of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 9,,. f-. `�.Q - �1�,, PHONE • 411q'a�7 T, EW ❑UPGRADE MAI LI G ADDR�IE�SS �j / C� CSP- /'� 6- ..� (/L fes-' J C� / �i C� oZ LEGAL DESCRIPTION G,Oq LOCATION NO. OF BEDROOMS U Y DISTANCE TO: Well Absorption area © r Dwelling r �!� PERMIT NO. ��^� �' -3c C��J F- Z W_ Manufacturer Material e_ k_ No. of compartments Z Liq. cap�cin i in gJ� ns IF HOMEMADE: Inside length ^_ Width Liquid depth J Z DISTANCE TO: Well Dwelling PERMIT NO. = Z F Manufacturer Maten I Liquid capacity in gallons O w= DISTANCE TO: WeII Foundation_ Nearest lot line PERMIT NO � 3� C: 3 F Z w No. of lines` Length of eagh I' L^ Total length oflin s Trench width/ -7- +ie4aes Distance bete fines /V ¢CC H p Top of tile to finish grade �1 6 Material beneath tile �r ir�eMes Total effecti a absorion area ��J W Length Width Depth PERMIT NO. I H Wa Type of crib Crib Crib dept Total effective absorption area WWell • ISTANCE TO: Building founda ' n earest lot line Jss J �u,J Depth Driller Distance to lot line PERMIT NO, W 3:DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE TERIALS SOI L TEST RAT/I NG INST L R pp %� REMARKS U / ._c -ti L D�X2 I: All 1'P APPROVED �G1 DATE LEGAL 7 Z ef> 63 72-013 (Rev.0/78) / I 1-"'11__1 M'_4 I C: 1.. 1— T: -T' "-e•0 CH )F-:' Y C 1"-4 C.;: V4 ":a F�_ 1 1 n- , E.E. DEPARTI1ENdT HEALTH AND ENVIRONMENTAL MEN•dTAL 'OTECTIOhl 2 'L' =TREE:.-[', ANCHORAGE, AK. 99k.101 264-4720 11.4 EE' 1___ 1._. 1=1 f'-dN C*" X � 0 P-4 ' — " W" 1: '"T" �: _ n 1:: 1-„-� F_”: =1 F=° �' W�=_ ! • C 'T PERMIT 1'40. :' ) L,-1-7 APPLICANT J. 6:: 0 ANDREA HEN KE :_F:A BO 3159 AN 17HORAGE 995C -C LOCAT I CIN LEGAL L'22A E:'--..-: MT AIR ESTATES LCAT SIZE 9999'99 SCLIFIRE: F'E'E::'T' *TYPE OF SOIL. ABSORPTICiN ' Y'_STEI'1 IS: T"REP-40H I'IFC>; I I'11_4''1 l-4UMBF.:R CIF BEDROOMS = 4. SOIL RATING SO FT',,'BF'::) = -125 TFIE: REQUIRED SIZE OF THE SOIL ABSORPTION 'SYSTEM I : _ L_ FEE PA C.i 1- FA „ ~= C- ' N "<w " EE I �' a E- F=" -II-1. 1 _ ,,:4_ 'THE LENGTH DIMENSION I'E7 'THE LENGTH (IN FEET) OF THE. 'TRENCH OR DRAT. NdF I EL D. 'T'HE DEPTH OF A TRENCH OR F'I'T IS THE DISTANCE BETWEEN 'THE SURFACE OF THE GROUND ANC, THE BOTTOM OF THE EXC:AVAT I ONd (IN FEET). THERE: IF, NO SE'T' I.�IIDTH FOR TRENCHES. 'THE GRAVEL DEPTH '15 THE MINIMUM DEPTH OF' GRAVEL BETWEEN THE OUTFAL.L PIPE: AND THE BOTTOM OF THE E <;C:A'-r'AT I ON•d ' I Nd FEET). Fes_ 1-- 0 LJ TC 1-; " FE 1C), ° • EE =" _'fl ' JL C _f_ N =11°-"1 Fz-_ -1 02:_l hJ Y=:-1 F.__ 1 r'4 PF_RFI I'T' APPLICANT HAS: THE RESPONSIBILITY TCS INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF' ANY WELLS; ADJACENT 'TO 'THIS PROPERTY AhID THE NdUFIBER OF RESIDENCES DENdC:E' THAT 'THE I•dELL WILL SERVE. C-0 "-: ;:we :T F' 1 = F " � ®" = T 1 rj"".=; 1 =1 F° EE F=" E— C! 1._A 1 F;-". BACXF' I LL I N G' OF" ANY SYSTEM Id I THFJUT FINAL. IN•d'SPEC:TIONd AND APPRO'-.'AL BY TH I := DEPARTMENT WILL. BE SUBJECT TO PROSECUTION. I''I l hd I IUM DISTANCE BE:TWEENd A WELL AND ANY ON—SITE SEWAGE D I SPC ISAL. E,"i'STEI''1 IS, I_w'�� i FEET FOR A F'R I';'ATE bTELL CSF: _L50 TO :��� 0 FEET FROM A PUBLIC: WELL DEPENDING I N G UF'C]N•d THE TYPE CSF' PUBLIC: 14ELL. 11 I Nd I I'ILIM D I STANC':E FROM A PRIVATE WELL Ti i A PRIVATE := EWE:F: LINE IS 25 FEET' AND TO i A COMMUNITY � EI4ER LINE IS 75 FEET. I. -JELL LOGS ARE REQUIRED AND MUST BE. RETURNED TO THE DEPARTMENT WITHIN _ 0 DAY= CSF' 'THE: WELL COMPLETION. OTHER REiK.1IREMENdTS MA' -r' APPLY. SPECIFICATIONS FIND C"0NSTRUi::T'IOt-4 DIAGRATi-3 f -WE AVAILABLE TO INSURE SURE PROPER INSTALLATION. C:::" E- C1w ' Vel F, EF;-: I CERTT.F'r' THAT :1.: I All FAI'I.I'LIFAR klITH THE: RE:QUIREIIENdT'S FOR ON --SITE EIdF',:RS FII'•d[) 14ELLS AS SET F ORT"I•-I BY 'T'HE MUNICIPALITY OF ANdC:HCtRAGE. W : I WILL INSTALL. THE SYSTEM INAC:CORDAN•di: E WITH THE 0 -DES. I UNdC'EF;:=TANdC, THAT THE ON --SITE SEWER SYSTEM MAY REQUIRE: ENdL.ARGEN'IEN•dT IF' THE RESIDENCE IS REMODELED TO INdCLUDE. 11ORE THANd 4 BEDROOMS. APPLICANT T. 8:11Y ANDREA HEN} -.:'E i 0 ISSUED: B'r.._ _ _ C:r�TE___..__` r t349:1te t�R T NT tj= Wit _ TH AND ENy ER+3W�N Ttll. FRt} T£,1 T t il#I -32 -Lt STREET, '�3t t �E iV v-43- 264-4720 - i 264 --4i :20 tJl 1. L� tit tom# --mow L T LJ f f;=.EEFp3't Z r f € ERM E T NO. i 339431, > r 't_rt�fftlT J. AMIZE i HEWE SRA90X 3159 t":"3RAOE 90518? 344--27E:'= t.O3CA T I ON LOT 5 I Z£ �'3�•3� S� FEI t Et L LZA 81 Nr AIR e3TATE'5 r,�PE OF -50 t L A OR T I tint ��-; TEH I S : ffENL�H IIRX Its Vi WU48Fp )r 9"30WS = 4 St? [L RATING t -SO F Tom) = 125 T Fr ImoSYSTEM Iy 'r-4ta Y I ► � 3 'i.r E s 4- I TFC Lt rH DIMEWtOW IS THE L�"sTH Its FEET) MJF Tim T 1 ORC� iEN Itc9-k . E k THE DEPTH OF R Tf EW,3it3F' PIT 13 TW- D ISTFWC eCrW-'t7' l Tt-IE iFt3+: tar 4E f cipl-dJt+IO tw THE e,t3TTt!4 I -IF TW CXCIWATION (IN FEET?. TWA t5 W SET WIDTH Ft3R T AWS. ism DEPTH 1,5 T MINI Mum DEPTH i t;�',t£L Tl Eli THE OUTFALL PIPE tVID rHE 80TTIXI t3F rW 06vA'a'9TION CIN Feer;, i�Iit f-3 i 'f"r TC -Ft r -W i �-- _: t testi t _ �e•3` F' m r r AJ -'€'L I C;R4 T Ht35s# t� .f-�.IL i 3 '�' I ��! _ I : �= lr i?IJf UXI Tom' rN i Tt�1 LtI T t t'kN [ id f'Es! T I t3ti a OF ice' WELLS AOdt:p3E34 r 3 r tT£ R£SItom!Jt 'a rHAr THE WELL WEU- SEkW. iCY ILL INta oFtai TesTai w t rwiT FINaL IWK T ION AM WPROYAL BY THIS C Tt"T WILL RE-4-1&tEt;,T rO PR'r CIJT IIW t t t t jht D E S TANCE $E TWEN A TOLL Ado MY 13N-5 t TE -SaOX O I SPOK-; 5-' Tem "s 3;ET FOR t3 PRIWITE WELL ita �3 fi££T i=RQi9 N f��.tt' l O IDTt�'# .-:.L Il Tim ripe OF MJBL IC weul AM i9IrIIPA.g4 Ot3TANt� FROM A PRIYHTE 14ELL t+3 A PRIVATE �4EP 4 rf� tS £££T ft.) A C_ t-VA+t I rY 504ER L IW i'a ?-5 FEE- t. LOOS PARE£ REWIRED REO t t wd -T 69- � r,JRW-O TO THE C*EFi3RTtiEti T #� I tii t M -10 €?i�'tt 3 WELL OF : WCLL C"XIMPLE T I OR i3THER REO!}iREP"TS Wi ff'PL Y. 8140 t1cwSTRU TIOti QtFit3 4 Avaru E To Irte PRtN:IeR IwrALLArtm I CERTIFY rMT 1-: I AM FMI IL I RR W I TH THIE RE t i t t REf'iEN r•.; FOR ON -31 T£' SS4ERS fM 14EI-t.5 i^','_+ -3e f OR rIN 91? Tw t4iffl i i m -f- I rr OF t;Nt'W"3 r -TALL e1♦7M i i:- G: I WILL IN W f 1`it TW 1£ + > . 3: I L.t�� O 9 TANO Ti-�i r THE tom}-'� 11E e-4- -k ' - �� '-TEM r'tr�� RE,31! I tt£ E�� �� T IF rw A£ a t C+£Nt I : R0 ELED Tri I N:� Li Mtj THr3t# 4 �3hF3. IC44ED: zlxy /_L 1G-_Y� --- ----________________ APPL I CAN r -1. "$ ANOREA HEWC $ 7125 OLD SEWARU HWY. O $ ENGI�lEER$; 7NC. 4NCKORAGE, ALASKA 99503 349-6561 .�- ^... �. 1'I 111;111 AI MN IIs , S(11:LS LOG PERCOLAI ION I ESI �3C, PERI 1)lTME1f,P'f UR Z�rr�'/ 1 1�v �•�� HATE I'E111'-(dJ:7 NIF l7 �/ /,.,7/V J l.'L C.AI I)E.SCRIPTIUN /'/ I A 1/ � fc,f r - e �SU�"e� Q// SIUPf } SIT[ PLAN _y .. bCrna J LA TV — 2 s C$oarlc yer/ r - — - - 0 < 5-' O.}, a(e rs. --- - - — - 6 - -- — e ; O e 8 7 O. � O O 9 0 10 �. o 11 is , 12 WAS GROUND WATER ENCOUNTEREW IF YES. AT WHAT DEPTH) S L O P E Reading Datr G,OSS T,mr 14 Depth to Wate, Net D,op 15 o 16 00°0° �°Oofl 4 o TI -1 OMA:, 1D a a° Win 19 WAS GROUND WATER ENCOUNTEREW IF YES. AT WHAT DEPTH) S L O P E Reading Datr G,OSS T,mr Nei T,me Depth to Wate, Net D,op — 20 PERCOLATION RATE 1� Z G 1 Iminutet/�n[hl TEST RUN BETWEEN FT AND FT COMPAENTS PERFORMED BY 12 009 16//71 RT IF IED BY DATE: Of .; LOCATION OF WELL (Please complete either la, Ib or Ic.) lal Borough Subdivision Lot Block (. r Ib. 1/4gtra- l� (�, —of_.of—of._ Jr. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS Street Address and Area of Well Location 2. WELL LOG Material Type WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological & Geophysical Surveys Drilling Permit No. Below Bottum A. D. L N o . Section No. Tow nehip Nt Range ErrI Merl d i a n 3. OWNER OF WELL,/; _ Address. -j All FSeet relo Below Bottum 4 WELL DEPTH (final) 5 OATF OF COMPFIFt10N 7 USE. Uomattic ( P.1) 1,; $VCp! Ifrlgnilon ._j Re Charge Tett Wail 1.7 Olht r. 8. CASING. ❑ Throaded EJ Welded diam. in. to ° f it. Depth Waight _ _ lbs / ft diem, in. io ft_ Depth St i c If up It 9. FINISH OF WELL -I ypO- - .._.t.. _—:_.. _-. Dl Om ataI SIot�Mosh Size Lenglh Sot between ftand f Buckfilling ._._ Grlvol pack 10. STATIC WATER LEVEL" PL I Above or [_1 Below la'..,1 S..; race 70}C Fquipmenl used: II PUMPING LEVEL beta. fond s_ '.... .; - r nlfar of 12.GCCUWell Gr -_1, Mui a'IGINoaf IS PUMP ( f uvullablrl "P Length ct Urop 111 F? F MARKS Top _ --- --------- ----- -- 16, WATER WELL CONTRACTORS CFRTIFICATION: 15 V1Gier I ! npe rnl,i This well was drilled under my jurisdlctlon and Ihis report is true to the I,rsl 'f my Irrr e iu vnr: Ilk III, Registered Business Name Contrc Ne^roc Address: Signed Authorized Represenlative _ F,fm 02'WP (II/91) Copy Dis t ribuhun: WHITE -5!e! D�GS, Time APPLIC NT FILLS OUT UPPER HAL' ONLY Property Owner C l kv Phone Mailing Address / 41 % 0 r4 0 y 5 `j £ r' r y j� �. /`r,^ r Fo> o, -^e_ Zip Code �-� �' — ( ..i �j l '`��•'� ��. Buyer Date Date Address Zip Code Date Lending Institution C,% -. Phone Address �� c 't G u_ .x.:. i,k... %'^c. < iG�'�5 �e�,r )JYv:,, c..K- Zip Code r �- Realty Co. & Agent L �`� i�Pt Phone Address Zip Code Legal Description o1` _ a 4 8-3 J}�%o v {,• , w /4, r {,>. ._ ( ) APPROVED BEDROOMS //5 //s ! �r i� ( ) DISAPPROVED Street Location 5 �, r v ,121,p /- DATE 3 _11-/ Type of Residence BY: Single Family Daj`te Sewer Installed Well To Absorption Area llL� Multiple Family No. of Bedrooms % �. Sw F1Other Well to Tank Q�Q y Water Supply Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. (� Community For wells drilled prior to that date, give well depth (attach Jog if available). ❑ Public Utility Sewer Disposal Year Individual Installed: LL FK Individual..,,_. ❑ Public: Utility When Connected to Public Utility: _. ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector InspeQtor Field Notes: MUNICIPALITY OF ANCHORAGE L �`� i�Pt CPT. NViROlv1_�V�AL PR]ieCIION R E C E f V E ._ ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL - DATE 3 _11-/ BY: Soils Rating Daj`te Sewer Installed Well To Absorption Area llL� Well Log Received Septic Tank Size 2— 5^� % �. Sw p ` % — �� Well to Tank Q�Q y 72023 (3182) CHEMICAL & GL .LOGICAL LABORATORIES .' ALASKA, INC TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER 5633 B Street usoe�roeias Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: Analysis shows this Water SAMPLE to be: I.D. NO. Satisfactory Ve, "2 ❑ Unsatisfactory Water System Name Phone No. ❑ Sample too long in transit; sample should not be over 48 hours old at examination Matting Add ressk 4 1 _ to in�icate reliable results. Pl9ase send new sample. City state Zip Code SAMPLE DATE: r 1 �'l ' 7 Mo. Day Year SAMPLE TYPE: '§❑outine heck Sample (for routine Sample ❑Treated Water with lab ref. t ❑ Untreated Water ❑ Special Purposee SAMPLE Time Collected NO. LOCATION Collected By READ INSTRUCTIONS BEFORE ` Date Received r F" Time Received Analytical Method: C] Fermentation Tube �0 Membrane Filter Lab Ref. No. Result' Analyst I i m ♦Noof colonies/ 100 ml. or No. of Posi we 0ortions. 06-1220 (b)'BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1878 Date Collected Source a.m. Date Received Time Received P.m. Lab. No. Prolumetlee I 10m1 I 10m] I 10ml I 20ml I l Oml I 1.0m1 I 0.1ml EMB Broth 24 hours: Broth 48 hours: COLLECTING SAMPLE Multiple Tube Report: 10ml Tubes Positive/Total 10ml Portions Membrane Filter: Direct Count Coliform/loorni Verification: LTB — BGB Final Membrane Filter Result"s - Collform/100ml Reported BY -, -' r,. ` " - - __. _ Oate - /'7.7 a.m. p.m. 'j Municipality of Anchorage On -Site Water and Wastewater Program -- (907)343-7904 Certificate of On -Site Systems Approval I Parcel I.D. 017-211-32 Expiration Date: 1. GENERAL INFORMATION Complete legal description MOUNTAIN AIR ESTATES; BLOCK 3, LOT 2A Location (site address) 14960 Mossberry Place *Anchorage 99516 Current Property owner(s) Scott Henke Day phone 227-2911 Mailing address Real Estate Agent Carolyn Kuch Day phone 646-3625 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: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNadance request for: NIA Received by: TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ COSA to be released to the Wineer, unless otherwise requested by the engineer. COSA Fee $ 50rlL Date of Payment (pg1 t.(o Receipt Number 6 1S GJ� (% COSA # 656f 410p Date: Waiver Fee $ Date of Payment Receipt Number Waiver # NIA 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Garness Engineering Group, Ltd. (GEG) Phone (907) 337-6179 Address 3701 E. Tudor Road, Suite 101 Engineer's Printed Name Jeffrey A. Gayness 99507-.1259 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the data/3 of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were 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, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the person1party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6. DSD SIGNATURE System #1 Approved for _("L bedrooms O Svedtern pproved for bedrooms Q4�\\ r �IJC,y O . � Conditional approval for bedrooms, with the followin0-tipu!2_ Pu ANg Date G Original Certificate Date: (o --2-L? 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. - ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Adviso Arsenic Advisory Well Flow Advisory Other COSA blue sheet 9-1-12.doc 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: MOUNTIAN AIR ESTATES; BLOCK 3, LOT 2A Parcel ID: 017-211-32 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N A Date completed 7/14/83 Sanitary seal (Y/N) YES Total depth 114 g, Cased to 114 ft, FROM WELL LOG Date of test 7/14/83 Static water level 66 ft. Well production 20 g:p.m. WATER SAMPLE RESULTS: Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 5/10/16 56.1 4.2+ g.p.m. Coliform ND oolontes/100 ml. Nitrate ND mg./L. Collected by: GEG. Ltd. Arsenic: 0 ug./L. Date of sample: x/10/16 B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 9/1/04 tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 3/24/16 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATAw ir Date installed s/1/o4 Soil rat' g ..d./ System type DEEP TRENCH Length 125 ft. Width ft. Gravel below pipe 4.6 ft. Total depth'" *6.1+ ft. Eff. absorption area 1150 fe Monitoring tube YES Depression over field NO Date of adequacy test 5/10/16 Results (Pasa/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test33 in. Water added 648 gal. New depth 40 in. Elapsed Time: 125 min. Final fluid depth. 38 in. Absorption rate >= 600 g,p,d, Any rejuvenati¢p treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — 1 —TESTED SOUTH 2004 TRENCH ONLY. MT IN SOUTH TRENCH GOES 3.92 FEET INTO EFROTIVE DEPTH —MT IN; MIDQLE 2004 TRENCH DOES NOT GO INTO DRAINROCK. CONDITION OF TRENCH IN UNKNOWN —MT IN NORTH 2O04,TRENCH GOES 1.83 FEET INTO EFFECTIVE DEPTH. MT3 WAS DRY UPON ARRIVAL AND STAYED DRY THROUGHOUT TEST —NO PIPES FOUND FOR THE 1983 SYSTEM, CONDITION IS UNKNOWN. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump ofi7,!!nLe1At 1111ir 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'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots **100'+ Public sewer manhole/cleanout 100 Holding tank Animal containment areas 50'+ 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 10'+ 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 10'+ Water service line 10'+ Surface water *100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *SATURATED GROUND 74' NORTH OF DRAINFIELD. POTENTIAL SURFACE WATER WITH DURING PERIODS OF SIGNIFICANT PRECIPITATION OR SNOW MELT. **132' TO CLOSESTDRAINFIELD PIPE ON MOUNTIAN AIR ESTATES; BLOCK 2, LOT 6 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 COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date lx f Z"'y fik (Rev. 11/05) 4 /ACC C $ 6-It- O rn N O O O O Z 0 Mm W W at1 H 0 N 8434V Lot 3A S89059'40"E 259.00 25 o 1% 0.0 o House on pile ?<0 9 0 0 co • LOT 2A ShDeck She o Le' o W % g Ae CD C0\ eC\/ Well o N o o � \ �- J /co ravel •O CD driveway Vj O 20 �o1y1 do 0 4. O 1L� ° by / Z GShed G o � S89°59'40"E 259.00 25 Lot 1A OF , A4 ,1 �I • 4}9}t�h' j1*� D *!0 /n,htn`Of . ! 1."^S. ice..` . 00 1K'.Fred Walatka:91 �� "� • 3255 — S •yg�� SCALE: I"= 40' 1( EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 16-2, pg 9 REVISED 5-24-16, ADDED SEPTIC VENTS&j AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property., LOT 2A. BLOCK 3 MOUNTAIN AIR ESTATES SUBDIVISION Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 29th dayof. MARCH ,2016. FRED WALATKA & ASSOCIATES BE 1 (907-246.1666) Engineers and Surveyors