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KNIK VIEW BLK 4 LT 4
Onsite File trcev uoluui a/ Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: PID Number: 051-031-60 Dwelling: ❑® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New F Upgrade Name Kevin and Chelsea Dana ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 22001 Birch Creek Dr ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe ' rt from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot KNIK VIEW 4 4 Fill added above original grade Ft. ravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance en 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 NA NA NA NA NA TANK e is ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water NA NA NA NA Gal. Material Num compartments Lot Line NA NA NA NA NA Foundation rNA NA NA NA LIFT STATION Manufacturer Capacity Remarks added a 80/20 splitter basin to the Gal. System Alarm location Electrical installed by Installer PIPE MATERIAL House to tank Tank to drainfield ARM Services Drainfield CO/MT Inspector Curtis Townsend, PE BENCH MARK (Assumed elevation) ft Inspeection 1s` 6/14/2021 6/15/2021 Location and description ction 2�a 3"' 4'n ON-SITE WATER AND WASTEWATER SECTION APPROVAL En�e�ip •,...Ak®,�i�� Conditional Approval: Date �c;', lei •,,� �� osaso•.•.•/�, ........ •'se�os�....LT ... A ' ' • ixriff8e nd - 9•` 13tlitB 2n 11 Septic System Approved Date /0 Z5 Z E�• ����@�`����� Note: this approval oes not include well permit requirements. trcev uoluui a/ / PERMIT OSP201023 WAS ISSUED TO CONSTRUCT A NEW SEPTIC FIELD. / THIS WAS DONE THE SUMMER OF 2020. DURING THE FIELD INSTALL, THE EXISTING BASIN CONTAINING THE JANDY VALVE AND 80/20 SPUTTER WAS REMOVED. THE SCOPE OF WORK DURING SUMMER 2021 WAS TO INSTALL A NEW BASIN CONTAINING AN 80/20 SPLITTER VALVE. THE AEROCELL POD WAS RELOCATED TO MAKE A CLEANER INSTALLATION AND TO ASSIST WITH THE PIPE GRADES. THE EXISTING SEPTIC TANK, LIFT STATION AND FIELD WERE NOT / DISTURBED OR MODIFIED. c� I �A- Tp0 O>. AGF '90 GRINDER PUMP LOCATED X Tis — IN—CRA WL SPACE ' DRI VEWA Y / 4 HOUSE EXISTING 1300 GALLON _ SEPTIC TANK EXISTING 550 FA T --ALBERT TANKI RELOCATED 650—&R0CELL POD I _ NEW 80/20 SPLITTER — BASIN x � I KNIK VIEW; BLOCK 4, LOT 3 SEPTIC > 10' ALL PRESSURIZE, RECIRCULATION AND DISCHARGE LINES ARE PROTECTED BY 4" OF INSULATION, 4' WIDE ON CENTER &VINA0 NEW CO FOR 807 INSPECTION EXISTING 5' WIDE x 42' LONG DRA INFIELD M T2 CO2 NEW 807. RECIRCULATION LINE NEW PRESSURIZED LINE DRI VEWA Y ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. 1 Record Drawing Prepared for KEVIN AND CHELSEA DANA 22001 Birch Creek Dr Chugiak, Alaska 995,617 KNIK VIEW BLOCK 4 LOT 4 EKLUTNA ENGINEERING, LLC DATE: 7/28/2021 19162 MOUNTAIN ROAD DRAWN: CLT CHUGIAK, ALASKA 99567 SCALE: 1" = 30' (907) 406-1058 PID: 051-031-60 SHEET 2 OF 2 trcev uoivzri u/ Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201023 PID Number: 051-031-60 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New FE-1 Upgrade Name Andrew and Amy Eklund ABSORPTION FIELD ❑ Deep Trench ❑® Wide Trench ❑ Bed ❑ Mound Site Address 22001 Birch Creek Dr ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 3 GPD/SF JTotal + 0.75 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +1.3 Ft. Gravel depth beneath pipe 0.50 Ft. Subdivision Block Lot KNIK VIEW 4 4 Fill added above original grade 4.2-4.6 Ft. Gravel length 42 Ft. Township Range Section Gravel width 5 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 210 Ft2 1 Ft. Well NA >100' NA >100' TA. ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water NA >50' NA Gal. Material umber of compartments Lot Line NA >10' NA NA Foundation NA >10' NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank Tank to 3034 drainfield Installer Territory North Drainfield 3034 CO/MT 3034 Inspector Curtis Townsend, PE BENCH MARK (Assumed elevation) 100 ft Inspectes:tion is 9/4/2020 9/5/2020 Location and description 3'd 9/7/2026 2nd 411 9/8/2026bottom of siding point B ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF,q�'���� Conditional Approval: Date 49... .d..' ...... Curti C Ir te Septic S ste SeNo. p Y ¢ F • CE 11t 9,� • � Approved DatePROFESS�������'� /not Note: this approval do include well permit requirements. trcev uoivzri u/ i DESIGN PARAMETERS BENCHMARK ASSUMED ELEVATION IS NO. BEDROOM: 4 (600 gpd) 100', BOTTOM OF SIDING AT POINT B. PERC RATE: 12 MPI, TESTED IN 2008 FOR SWO80178 AG CAT II AEROCELL AWWTS REQUIRES A SOIL RATING OF C 3 GPD/SF AREA REQUIRED: 200 S.F. MINIMUM CONSTRUCT MINIMUM 5' X 40' SHALLOW TRENCH \ --AT B \ C01 59.4 52.3 / MT1 60.6 52.0 CO2 97.0 93.5 MT2 98.4 93.7 SEPTIC KNIK WEV✓,• BLOCK 4, LOT 3 ; : > ?0� SEPTIC > 10' - WELL opT > 100' p APPROXIMATE LOCATION OF 2002 LOT 1 OT 135' x 5' x 6" SHALLOW lXx TRENCHES, SOUTHERN END OF BOTH TRENCHES WERE LOCATED GRINDER PUMP LOCATED �S AND A 6' MINIMUM DIRT PLUG -JAI._CRAWL SPACE WAS PROVIDED TO MAINTAIN SEPARA77ON FROM NEW DRAINFIELD. DRI VEV/A Y NEW 5' WDE x 42' LONG DRAINFIELD \ EXIS77 B \` 4 OOM H / HOUSE MTl TH3 I ; / o C01 MT2 i_ CO2 o 1300 GALLON SEPTC TANK A. o 50 VACANT " �. 550 FAT ALB�TH2, 20" FLA TANK - FLAT EXIS77NG 650 ACELL POD, ELEVA77ON DDJUSTED TH1, 2008 ti -ATO ALLOW GRAVITY DRAIN TO FIELD X DRIVEWAY 3 ' S0" TO SUR ACE WA TER N 2 APPROXIMATE LOCATION OF EXIS77NG SPOIL PILE _ ..... o A -4 V VACANT APPROXIMATE LOCATION OF a TRENCH/SURFACE WATER. ASSUMED LOCA170N OF T15N R1W SECT70N 5 LOT 59 NO WELL OR SEPTIC ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. As Built Prepared for AMY AND ANDY EKLUND 22001 Birch Creek Dr Chugiak, Alaska 99567 KNIK VIEW BLOCK 4 LOT 4 EKLUTNA ENGINEERING, LLC 19162 MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 355-9820 SUBSURFACE CURTAIN DRAIN PER MOA RECORDS ON ZED; LOT 1 o� n OSP201023 DATE: 9/30/2020 DRAWN: CLT SCALE: 1" = 40' PID: 051-031-60 SHEET 2 OF 3 OF jr CAr ®® wff 49 TH ®.....::.........j�f ........� CURTIS TOWNSEND � No. CE 11 04 ®®�, �® �® FINAL GRADE = 105.1'- 105.5 d, 7 SCOP 13' SOPS 2" OF INSULATION F FILTER FABRIC TOP OF SAND FILTER = 101.7' MOUND FILL G 100.9' ORIGINAL GRADE =100.9' GP 99.T ADJUSTED GROUND WATER ELEVATION INVERT OF DISTRIBUTION PEAT LINE = 102.2' 97.7' 7 -DAY GROUND WATER ELEVATION 95.3' TOP OF GP LAYER GP PER GRADATION ANALYSIS, PERC 94.5' INITIAL GROUND TEST PERFORMED IN 2008,12 MPI WATER ELEVATION BOTTOM OF SAND FILTER 95.3' 93.2' TH3 1 JUL 2020 JULY 2020, BM IS BOTTOM OF SIDING AT POINT B. ASSUMED ELEVATION 100'. TH 3 WAS DUG 1 JULY 2020, WATER WAS INITIALLY FOUND AT AN ELEVATION OF 94.5'. AFTER 7 -DAY WATER STUDY THE WATER WAS FOUND TO BE AT AN ELEVATION OF 97.7'. THE ADJUSTED GROUND WATER ELEVATION FOR THE MONTH OF JULY IS 99.7', As Built Prepored for AMY AND ANDY EKLUND ............ 22001 Birch Creek Dr Chugiak, Alaska 99567 49TH ;A KNIK VIEW BLOCK 4 LOT 4 OSP201023 ! EK L U TNA ENGIN EER I N G, LLC DATE: 9/28/2020 ®�®� CURTIS TOWNSEND.® " - ': No. E 11904 f 19162 MOUNTAIN ROAD DRAWN: CLT CHUGIAK, ALASKA 99567 SCALE: 3" (907) 355-9820 PID: 051-031-60 SHEET 3 OF 3®®®� < X ITI i C3 pi x ru in 4s+ Nin z M rq < M rq- 79M - --I 0 0 G) 0 CD 0 0 r -I 1 0) C:,-",! > "ql -1 Z568oz-A oz x- 7i zu K tI U3 X N cl-I Cl co ----- -- ---- Al 67o fir. N`I P "r"o MUNICIPALITY OF ANCHORAGE On-Site Water & Wastewater Program PO Box 196650 4700 Elmore Road .51 Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite i v l�ehartment 9 NCHO R pG, On-Site Wastewater Disposal System Permit Permit Number: OSP201023 Effective Date: 2/14/2020 Work Type: Septic Upgrade Expiration Date: 2/13/2021 Tax Code Number: 05103160000 Site Legal Address: KNIK VIEW BLK 4 LT 4 G:1557 Site Mailing Address: 22001 BIRCH CREEK DR, Chugiak Owner: EKLUND ANDREW KYLE & AMY BETH Lot Size in Sq Ft: 49720 Design Engineer: EKLUTNA ENGINEERING, LLC* Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing 7/31* Cc 0d mooed to new )ocr,,+(bn _ All`/ Received By: /, / Issued By: Aii/ Date: Date: 121�61�t MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-031-60-000 Property owner(s) EKLUND ANDREW & AMY Day phone 907.382.2076 Mailing address 22001 Birch Creek Dr Site address 22001 Birch Creek Dr Legal description (Sub'd., Block & Lot) KNIK VIEW BLK 4 LT 4 Legal description (Township, Range & Section) Lot Size 49,720 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) Absorption Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ GId0RffTW*j ~_]W Initial Upgrade Renewal IN THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: I certify that the a applicable Munici l� (Signature of pro 1 � i TYPE OF DWELLING: Single Egimily (SF) (w/DU) Duplex (D) Multiple Dwellings (SF and/or D) I f Distance: information is correct. I further certify that this is in accordance with .0 owner or authorized agent) (z120 zv Permit/Rush Fees: C69.C) Waiver Fees: Date of Payment: ��31d��0�� Date of Payment: Receipt Number: 6,51 l (13011 Receipt Number: t Permit No. OSP 810 23 Waiver No. GADevelopment Services\Building SafetylOn Site Water and WastewaterWorms\Client ForrnsTermit Applioation.doc ED Co -;Pj Eklutna Engineering, LLC curtistownsend@gmail.com July 31, 2020 Subject: Knik View Block 4 Lot 4 Septic Field Changer Order Narrative OSP201023 The existing 4 bedroom house is served by a private well and septic system. The septic system consists of a Quanics Aerocell system and a mounded drainfield that were both installed in August of 2008. The drainfield was in a state of failure and in 2016, it was repaired. In December 2019, the MOA approved this system as a Category II AWWTS. During the seismic event of November 2018, the field was damaged. When the contractor mobilized to the site it was determined that the water level was above the sewer rock in the bed and it is in a state of failure. This water is assumed to be effluent as this water level is above the surrounding original grade. It has been determined to construct a new bed to the north of the existing. The existing bed will be removed. Comments regarding the design are summarized as follows: 1. SOILS: In July 2020, an additional test hole was dug. The receiving soils are below the water level, so a sample was taken to be analyzed for gradation. The receiving soil is a GP soil. In 2008, this soil strata had a percolation rate of 12 minutes/inch. The current AWWTS is operating as a Cat II system. This requires an application rate of 3.0 gpd/sf. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. TOPOGRAPHY: As can be seen on the attached drawing, the topography around the proposed drainfield is relatively flat. 4. WELLS: This lot is served by a private well. The well is greater than 100' from the septic field and tank. Neighboring wells are all greater than 100' from the system. 5. DISTANCE TO SURFACE WATER: As can be seen on the attached design drawing, there is surface water located approximately 87 feet from the proposed drainfield and as close as 70 feet from the Aerocell, pod, septic tank, and lift station. MOA 15.65 allows for an exception for Category II AWWTS to be 50' from surface water. The berm previously placed between the surface water and the drainfield approximately 80 feet south and 80 feet east of the drainfield is still in place. If effluent were to overflow, effluent would not travel directly towards the surface water. ® The existing system utilizes a Quanics Category II advanced treatment system. ® The system is remotely monitored and is inspected periodically by a maintenance provider. 6. DISTANCE TO GROUNDWATER: MOA code 15.65 allows an exception for Category II AWWTS to be within 2' of seasonal groundwater. The groundwater elevation has changed since the last time it was determined. It is thought that this has contributed to the failure of the system. • The existing system utilizes a Quanics Category II advanced treatment system. • The system is remotely monitored and is inspected periodically by a maintenance provider. • Recent water samples from the well serving this property indicate no bacteria and non- detectable nitrate levels. The proposed installation will not affect the future development of this or the surrounding lots. Sincerely, Curtis L. Townsend, P.E. Attachments rdaL7o '•d •••. ��,•. Dafe t/ •� � i /yip ' Atp CE l l ` \� .� DESIGN PARAMETERS NO. BEDROOM: 4 (600 gpd) PERC RATE: 12 MPI, TESTED IN 2008 FOR SWO80178 CAT II AEROCELL AWWTS REQUIRES A SOIL RATING OF 3 GPD/SF AREA REQUIRED: 200 S.F. MINIMUM CONSTRUCT 5' X 40' SHALLOW TRENCH GRINDER PUMP LOCATED - -IN CRAWL SPACE DRIVEWAY EXISTING 4 BEDROOM \ HOUSE BENCHMARK ASSUMED ELEVATION IS 100', BOTTOM OF SIDING AT POINT B. KNIK VIEW,- BLOCK 4, LOT 3 co?"'�</ SEP77C > 10' X— APPROXIMATE LOCAT70N OF 2002 I 135' x 5' x 6' SHALLOW TRENCHES, LOCATE SOUTHERN END OF THIS EASTERN TRENCH AND PROVIDE A 6' MINIMUM DIRT PLUG TO MAINTAIN SEPARATION FROM NEW DRAINFIELD. CONSTRUCT NEW 5' WIDE x> 40' LONG DRAINFIELD iHJ SEPTIC > 10' WELL > 100' : :IZED; LOT 1 i __ 2 jxj MT7iX300 GAL 77C TANK �/ 550 FAST AL ERT TANKaREMOVE EXl 77NG JAN6Y —ZN2, 200850' VALVE BAST FLAT�— EXIS77NG 650 AER=ELL�OD�iDJGST ECEV T70N 7H1, 2 8ABANDON EXISTING 5.5' WIDTO ALLOW GRAVIT�DRAIN DRIVEWAY 44' LONG DRAINFIELD REBU TO FIELD IN 2016. 5i ' TO SURFACE WATER APPROXIMATE LOCA77ON OF EXIS77NG SPOIL PILE , ...... ........... • ....... .... I/ VACANT — 711,W. VACANT APPROXIMATE LOCA71ON OF TRENCH/SURFACE WATER. ASSUMED LOCAT70N OF T15N R1W SEC77ON 5 LOT 59 SUBSURFACE CURTAIN DRAIN PNO WELL OR SEP77C MOA RECORDS ON ZED; LOT 1o� ALL CONSTRUCTION TO BE IN ACCORDANCE WITH ALL REQUIREMENTS 1` A SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. Field Repair Design Prepared for AMY AND ANDY EKLUND 22001 Birch Creek Dr Chugiak, Alaska 99567 KNIK VIEW BLOCK 4 LOT 4 EKLUTNA ENGINEERING, LLC 19162 MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 355-9820 OSP201023 DATE: 7/31/2020 DRAWN: CLT SCALE: 1" = 40' PID: 051-031-60 SHEET 1 OF 3 tee•®��� iq� �°>e,,+ AV AF '• :�y Alf ' 49 rH ' ♦♦I ■ ..... :...�...........................I..... e e............................................ ..0 ♦ . CURTIS TOWNSEND.* ♦ '. ot No. CE 1 904 co;>� I FINAL GRADE = 105.1' 3.1 S<OA 9;19\'OPS �OF LATION FILTER FABRIC TOP OF SAND FILTER = 101.7' MOUND FILL �1009' ORIGINAL GRADE = 100.9' GP 99.7' ADJUSTED GROUND WATER ELEVATION INVERT OF DISTRIBUTION PEAT LINE = 102.2' 97.7'7 -DAY GROUND WATER ELEVATION 95.3' TOP OF GP LAYER GP PER GRADATION ANALYSIS, PERC 94.5' INITIAL GROUND TEST PERFORMED IN 2008,12 MPI WATER ELEVATION BOTTOM OF SAND FILTER 95.3' 93.2' TH3 1 JUL 2020 JULY 2020, BM IS BOTTOM OF SIDING AT POINT B. ASSUMED ELEVATION 100'. TH 3 WAS DUG 1 JULY 2020, WATER WAS INITIALLY FOUND AT AN ELEVATION OF 94.5'. AFTER 7 -DAY WATER STUDY THE WATER WAS FOUND TO BE AT AN ELEVATION OF 97.7'. THE ADJUSTED GROUND WATER ELEVATION FOR THE MONTH OF JULY IS 99.7'. Field Design Prepared for AMY AND ANDY EKLUND ®®�P� •'' ®gym 22001 Birch Creek Dr Chugiak, Alaska 99567Ar KNIK VIEW BLOCK 4 LOT 4 a4s T" '. ®® OSP201023 0 ............... ............:.....0 f A 0�.......................................... EKLUTNA ENGINEERING, LLC DATE: 7/31/2020 ® CURTISTOWNSEND:S>m ®� 19162 MOUNTAIN! ROAD DRAWN: CLT ®®�lo E 1904 CHUGIAK, ALASKA 99567 SCALE: 3" = 1'®®® (907) 355-9820 PID: 051-031-60 SHEET 2 OF 3 TH3 DATE PERFORMED: 7/1/2020 WAS GROUND WATER ENCOUNTERED? YES IF YES, AT WHAT DEPTH? 6.4' DEPTH TO WATER AFTER MONITORING? 3.2' DATE: 7/8/2020 SOILS LOG - PdRCOLATION TEST CO — — - —L -71 1 A PERCOLATION TEST WAS PERFORMED AT TH2 IN 2008 FOR PERMIT SW080178 IN THE GP LAYER. THE PERCOLATION RATE WAS 12 MPI. IN JULY 2020, THIS LAYER WAS UNDER WATER WHEN THE TEST HOLE WAS DUG SO A SOIL SAMPLE WAS TAKEN FOR A GRADATION ANALYSIS. THIS GRADATION ANALYSIS IS INCLUDED IN THIS CHANGE ORDER SUBMITTAL. Field Design Prepared for AMY AND ANDY EKLUND 22001 Birch Creek Dr Chugiak, Alaska 99567 KNIK VIEW BLOCK 4 LOT 4 EKLUTNA ENGINEERING, 19162 MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 355-9820 OSP201023 LLC DATE: 7/31/2020 DRAWN: CLT SCALE: 1" = 40' PID: 051-031-60 SHEET 3 OF 3 TOPSOIL GP 1 2 3 PEAT 4 5 6 7 GP 7.7 TH3 DATE PERFORMED: 7/1/2020 WAS GROUND WATER ENCOUNTERED? YES IF YES, AT WHAT DEPTH? 6.4' DEPTH TO WATER AFTER MONITORING? 3.2' DATE: 7/8/2020 SOILS LOG - PdRCOLATION TEST CO — — - —L -71 1 A PERCOLATION TEST WAS PERFORMED AT TH2 IN 2008 FOR PERMIT SW080178 IN THE GP LAYER. THE PERCOLATION RATE WAS 12 MPI. IN JULY 2020, THIS LAYER WAS UNDER WATER WHEN THE TEST HOLE WAS DUG SO A SOIL SAMPLE WAS TAKEN FOR A GRADATION ANALYSIS. THIS GRADATION ANALYSIS IS INCLUDED IN THIS CHANGE ORDER SUBMITTAL. Field Design Prepared for AMY AND ANDY EKLUND 22001 Birch Creek Dr Chugiak, Alaska 99567 KNIK VIEW BLOCK 4 LOT 4 EKLUTNA ENGINEERING, 19162 MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 355-9820 OSP201023 LLC DATE: 7/31/2020 DRAWN: CLT SCALE: 1" = 40' PID: 051-031-60 SHEET 3 OF 3 ,j=M'-'ENQjNEER1NQ Consu f6ntS LLC 3335 ARCTIC BLVD, SUITE 100, ANCHORAGE, AK 99503 Phone: (907)564-2120 Fax: 907 564-2122 AGGREGATE/SOILS TEST REPORT PROJECT NAME: 22001 BIRCH CK DR DATE TAKEN: 7/24/20 PROJECT NO.: 19420-27 DATE TESTED: 7/25/20 CLIENT: EKLUTNA ENGINEERING TESTED BY: CP SAMPLE NO.: 20-P818 REVIEWED BY: JAB LOCATION: EAGLE RIVER/AK DESCRIPTION: NATIVE MAT'L - NEW FIELD SIEVE ANALYSIS TEST GRAM SIZE DISTRIBUTION SIEVE SIZE DIAMETER (mm) TOTAL PASSING 6" 152.4 55.3 4" 100.0 • SAND: 3" 76.2 90.0 2" 1 50.8 100 1" 25.4 90 3/4" 19.0 80 1/2" 12.7 67 3/8" 9.5 60 #4 4.75 45 #10 2.00 36 #20 0.85 29 #40 0.425 18 #60 0.25 9 #100 0.15 6 1200 1 0.075 4.0 HYDROMETER TEST ,A¢Tne ne»1 ELAPSED DIAMETER TOTAL TIME mm PASSING 0 0.5 1 2 5 8 15 30 60 250 1459 2750 Plastic Index. _ 0.0 (ASTM C127) 100 100.0 GRAVEL: 55.3 SSD SpG= • SAND: 40.7 90.0 • FINES: 4.0 (ASTM C128) 150.0 Bulk SpG= 80.0 D60= 9.66 145.0 D30= 1.04 700 D10= 0.26 Absorption= �3 Cu= 36 � 600.7 Cc= 0.4 Q s00 .02 mm 130.0 Dry Den (C) = w M % (U) = p 400 Moist.:= 3.5 120.0 SpG (assumed) = Fine Modulus:= M -D Test Method = 30.0 (ASTM D4318) 110.0 20.0 Liquid Limit.= Plastic Limit.= 10.0 Plastic Index. _ 0.0 (ASTM C127) 100 Bulk SpG= SSD SpG= Apparent SpG= Absorption= (ASTM C128) 150.0 Bulk SpG= 145.0 SSD SpG= Apparent SpG= 140.0 Absorption= �3 135.0 (ASTM D1557) Dry Den (U) = Z 130.0 Dry Den (C) = w M % (U) = p 125.0 M % (C) = 120.0 SpG (assumed) = M -D Test Method = 115.0 110.0 10 1 0.1 GRAIN SIZE IN MILLIMETERS MOISTURE -DENSITY RELATIONSHIP 0.01 0.001 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 MOISTURE CONTENT(%) CLASSIFICATION: Poorly Graded Gravel w/Sand USC: GP FROST CLASS: COMMENTS: REV 1/21/19 �u�anic , o Advanced Tnea&nen[S},SfnM Q�atSe.,rl GARNESS ENGINEERING GROUP, Ltd - - -- ENGINEERING o SALES o CONSULTING --- January 25, 2019 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 Ref: Knik View S/D; Block 4, Lot 4 (22001 Birch Creek Drive, Chugiak, AK) Memo concerning converting CAT III AWWTS to CAT II AWWTS septic system To whom it may concern: The permitted septic system was installed on the referenced property and started up in 2008. ARM Septic Services, LLC has checked the monitoring tubes in the drainfield on 1/24/2019 and found the east monitoring tube to be dry and the west monitoring tube to have 2" of liquid level. In order to simplify the operation and maintenance of the system, we are proposing that this unit be permanently configured as a CAT I I system. Our justifications are as follows: • The receiving soil had percolation rate of 12 minutes per inch. Given this percolation rate, a 3.0 gpd/sq.ft. application rate is required for a Cat II system. The home has 4 bedrooms, so 200 sq./ft. of absorption area is required for a CAT II system (600 gpd / 3.0). The existing 2016 drainfield has 220 sq./ft. of absorption area. The following information should supersede the application rates outlined in original design dated 4/25/2016 and the approved On-site Wastewater Inspection Report dated 6/7/2016: - Allowable application rate (for Cat 11 system): 3.0 gpd/sq.ft. At this time, we request that your department approve a CAT II configuration to be used at the referenced property. Upon your concurrence, we will have ARM Septic Service, LLC., remov the actuator from the ball valve, leave the valve in the open position, and have themelace a CAT II sticker on the control panel. -e rInti Garn ss, P.E., M.S. 6dr invv� 1 Pr8 I ro-v'e- 4 CL 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com 11 Community Development Department Pape 1 of 3 Onsite Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http:/Avww.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP101 wow 051-031.60 DANIEL AND ELIZABETH COLE Address: P.O. BOX 671404, CHUGIAK, AK 99567 Phare: (907) 360-1780 LEGAL DESCRIPTION SubdMelm: KNIK VIEW Township: Range: SEPARATION DISTANCES To Septic Abaapeon Lill Fran Tank Field Station Well 100'+ 100'+ 100'+ Surface water •50'+ •50'+ •50'+ Lot Une 5'+ 10'+ 10'+ Foundation 5'+ 101+ 51+ Curtain Drain - 50'+ - PID Number. ❑ New Upgrade ABSORPTION FIELD ❑ Deep Trench ■ Shallow Trench ❑ Bed ❑ Mound No. of Bedrooms: 4 "3.0 Black 4 Lot 4 FaaaeMakora Odamwv&: SEE DWG. Men: Oleo Wft 5+ Tagil abplalbl,alw: 220 Holding Tank PlaIkNMMe Se Lkr 26+ TANK ❑ Septic N/A rwmalrw. - vvhvmrc a wv m, u%, - w rw, vv„rvc;rc aarTrevr co w SURFACE WATER. OLD DRAINFIELD WAS FOUND TO BE OUT OF LIFT STATION MenuYtS9er: Glow wean b.wen aro: a 0.50 m. Glave ren: FL 44 a kk.re.aelee: Dkrwebesven ewe: a R Unbvdt-w1— Dr. besven9erlawc Mal 1 a ❑ S.T.E.P. ❑Holding er PIPE MATERIAL JE EAST END OF TRENCH FROZEN, AND DEBRIS IN DRAINROCK. House to tank EXISTING Tank to EXISTING dralnfieki ller ARM SERVICES, LLC Drainfield D3034 CO/MT D3034 actor GEG, Ltd. BENCH MARK (Assumed elevation) action 100.00 a Dates: let 519/2016 2nd 5/9/2016 Loauaralecaeaaum: 3rd 519/2o15 4th BOTTOM OF SIDING AT POINT eBe Community Development Department Approval Conditional approval: Date: �j a,V Approve : h -A r{ zip-�^^ 2 Date: LJ -7 i �44eaProfession° �400000c In,mnllm a...., ,.1.19 Ari PERMIT NUMBER EL OSP161080 RECORD DRAWING os1-031.60 FA EXISTING II 4BEDROOM .1 / HOUSE I / KNIK VIEW; BLOCK 4, LOT 1 1 1 !NOTE: THE EXISTING SPOIL PILE POM IS CO1 34.5 558 UPGRADIANT FROM BASE AREA OF THE MT1 34.6 58A DRAINFIELD AND IT APPEARS THAT THERE CO2 739 83.D IS 100 FOOT TRAVEL DISTANCE TO ANY MT2 73.7 82A SURFACE WATER IN THE UNLIKELY EVENT THE DRNIL4RELD WE ETO EVER OVERFLOW. �I APPROXIMATE LOCATION / OF EXISTING SPOIL PILE (BERM) -SEE NOTE AND I ATTACHEDPICWRES-�', EXISTING 1300 GALLON SEPTIC TANK IOSTING 550 FAT ALBERTTANK / AEROCELL POD �THQ REBUILT DRAINFIELD (5S FEET WIDE BY 44 FOOT LONG) 50 FOGT W GRANTED TO SURFACE WATER WAIVER# OSVISID41 � .�.'..' .'_.'..' ._.'.'. .'_.'..' ...'.'. .'_.'.:�.'_.'.'. `\\\ `APPROXIMATE LOCATION OF TRENCHBURFACE WATER `. .'_.'..' .'_.'.'.'.': .':. :. `OPEN DITCH ASSUMED LOCATION OF T15N R1 W SECTION 5 LOT 59 SUBSURFACE CURTAIN DRAIN PER LEGA. DESCRIPTION: MOA RECORDS ON ZED; LOT 1 GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS PREPARED FOR: PHONEPAGE NUMBER: DANIEL & ELIZABETH COLE I (907) 360-1780 2 OF 3 LEGA. DESCRIPTION: DRAWN BY: KNIK VIEW S/D; BLOCK 4, LOT 4 J.L.M. RECORD DRAWING OF REBUILD OF DRAINFIELD 1 6/3/2016 PERMIT NUMBER: RECORD DRAWING 051-031ID -M NOTE: BER FINAL GRADE = Y OF INSULATION FILTER FABRIC 31NAL GRADE PER ROBERT A. SHAFER P.E. = 98.30 INVERT OF DISTRIBUTION LINE _ FEET WIDE 'NOTE: THE TOP 3'T04INCHES OF OLD SAND FILTER WAS REMOVED AND TRENCH WIDTH WIDENED TO -5.5 FEET TO INSURE REMOVAL OF ALL CONTAMINATED MATERIAL -. NOTE: ALL CONTAMINATED MATERMLB WERE REMOVED AND THE EXISTING DRAINFIELD WAS WIDEN TO 5.5 FEET AND LENGTHENED TO 44 FEET STOP OF NEW SAND FILTER - 99.40 (ROBERT A. SHAFER P.E.-TOP OF BAWD FILTER ELEVATION - 99.30) -REMOVED TOP 3 TO4INCHES OF EXISTING SAND FILTER AND ADDED NEW MOA APPROVED SAND FILTER. BOTTOM OF SAND FILTER PER ROBERT A. SHAFER P.E. = 95.30 (WATER FOUND) GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS =I E. Tl00RE WILE 19•AIMHORWE.N(W!0/'FIIOIEpMILB�dtA'FN(ryW18fB52b'WEB811¢wxp ymn REPARED FOR: PHONE NUMBER: PAGE NUMBER: DANIEL & ELIZABETH COLE (907)360-1780 3 OF 3 AL DESCRIPTION: DRAWN BY: KNIK VIEW SID; BLOCK 4, LOT 4 J.L.M. E OF WORK: DATE: RE1 RECORD PROFILE DRAWING OF REBUILD OF DRAINFIELD 60 u On -Site Wastewater Disposal System Permit Permit Number: OSP161080 Tax Code Number: 05103160000 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: Septic Upgrade Permit Effective Dates: May 05, 2016 to May 05, 2017 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: KNIKVIEW Site Legal Address: KNIK VIEW BILK 4 LT 4 G:1557 Owner/Address: COLE DANIEL K & ELIZABETH PO BOX 671404 CHUGIAK AK 995671404 Site Mailing Address: 22001 BIRCH CREEK DR, Chugiak Lot Size in Sq Ft: Total Bedrooms: This permit is for the construction of: tinuir to �, lle)raa-tnient j``, 16 f3c3 f�— 49720 Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N Water Storage '-d() P X-6 All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: The mound is to have topsoil and vegetation prior to IR approval. Received Bv: Issued By: it Date: Date: S�cS Municipality ®f Anchorage P.O. Box 196650 • 4700 Elmore Road Anchoraqe, Alaska 99519-6650 ® (907) 343-7904 • Fax (9071 343-7997 Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV161041 COSA#: Permit#:OSP161080 PID#: 051-031-60 Legal Description: Knik View B4 L4 Engineer: Garness Engineering Group Applicant: Daniel and Elizabeth Cole Your request for a waiver of the required 100 feet horizontal separation from the absorption field and septic tank to the surface water has been approved. The approved separation distance is 50.0 feet. In addition, the bottom of the drainfield may have a 2 foot separation to seasonal high groundwater This waiver approval applies to the proposed absorption field and septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. .................................................... V.......................... Waiver is Granted: X Waiver is not Granted: Date: S �� Approved by: L��41 Name of Review r ........................................................./ ................... **** VARIANCEMAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax:,907 X43 7 On -Site Water & Wastewater Program Mayor Dan Sullivan H ,% 2u1U Parcel I.D. On -Site SewerNVell Permit Application' For A Single Family Dwelling 051-031-60 Property owner(s) DANIEL & ELIZABETH COLE Day phone 360-1780 Mailing address 22001 BIRCH CREEK DRIVE *CHUGIAK, AK 99567 Site address 22001 BIRCH CREEK DRIVE *CHUGIAK, AK 99567 Legal description (Sub'd, Block & Lot ) KNIK VIEW; BLOCK 4, LOT 4 Legal description (Township, Section & Range) Lot APPLICATION IS FOR: (Nall that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage 0 Sq.Ft. Number of Bedrooms 4 APPLICATION IS AN: TYPE OF DEWELLING: Initial ❑ Single Family (SF) Upgrade (w/wo ADU) Renewal ❑ Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: DRAINFIELD TO SURFACE WATER Distance: 50 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: �5[ � t Waiver Fees: g5l Date of Payment: 4alol1L Date of Payment: clla(ol (L Receipt Number: (JilOQL'L) Receipt Number: /� Permit No. 66pMV «7O Waiver No. C/ FJ V /6 I U (Rev. 01/11) Y _.� Quanics GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS REVISED -May 4, 2016 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System for Knik View; Block 4, Lot 4 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The septic system consists of a Quanics Aerocell system and a mounded drainfield that were both installed in August of 2008. The drainfield is in a state of failure and needs to be upgraded. Based upon the appearance of the Aerocell media, we do not believe the drainfield failure is related to the performance of the Quanics system, but rather a construction related issue like dirty drainrock. We are proposing to excavate out all contaminated material, import MOA approved sand as needed to rebuild the drainfield to an elevation of 0.1' higher than the existing system. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 8/13/2008 logs by Robert Shafer P.E. which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. TOPOGRAPHY: As can be seen on the attached drawing, the average topography around the proposed drainfield is relatively flat. 4. WAIVER TO SURFACE WATER: As can be seen on the attached design drawing, there is surface water located approximately 60 feet from the proposed drainfield and as close as 65 feet from the Aerocell, pod, septic tank, and lift station. We are requesting that your department grant a variance from the proposed septic system (drainfield, tanks, and Quanics components) to surface water, from the required separation distance of 100 feet to 50 feet. Justifications for granting this waiver are as follows: • The existing system utilizes a Quanics CAT III advanced treatment system. The effluent quality will be much higher than that of conventional treatment. • The CAT III is remotely monitored and is inspected periodically by a maintenance provider. 3701 East Tudor Road, Suite 101 " Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 ` Fax: (907) 338-3246 ` Website: www.garnessengineering.com Page 2 of 2 • The drainfield is in a highly visible area, if effluent were to overflow, it would be noted by the homeowner and corrective action take. • The area between the drainfield and the surface water is vegetated. • There is currently a berm between the surface water and the drainfield approximately 55 feet south and 90 feet east of the drainfield. If effluent were to overflow, it appears that effluent would not travel directly towards the surface water. 5. WAIVER TO GROUNDWATER: The existing drainfield was installed with a vertical separation distance of 4 feet to groundwater readings taken in August of 2008, which theoretically corresponds to only two feet of vertical separation to seasonal high groundwater in October. We are requesting a variance that will allow for a two foot vertical separation to seasonal high groundwater. Justifications for this waiver are as follows. • The existing system utilizes a Quanics CAT III advanced treatment system. The effluent quality (ADEC Secondary Quality) will be much higher than that of conventional treatment, with significantly lower pathogen levels. • The CAT III is remotely monitored and is inspected periodically by a maintenance provider. • Recent water samples from the well serving this property indicate no bacteria and non-detectable nitrate levels. • The encroachment has existed for almost 8 years with no known adverse impacts. 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 a istance. me s, P.E., M.S. t 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.00m KNIK VIEW; BLOCK 3, LOT 8 , VACANT T15N RiW SECTION 5PT-4 I KNIK VIEW; BILOCK 3, LOT 9 7 Wr r r I l 1C o , I r KNIK VIEW; BLOCK 3, LOT VACANT T15N, R1W, SEC 5, LOT 60 ,KNIK VIEW; BLOCK 4, LOT 3 WELL RADIUS\, 1 �r \ r r � \ ^r \ r , r \ r \ ^ DRIVEWAY I � 100 SETBACK T SURFACE WATER __________APPROXIMATE LOCATION OF SURFACE WATER/TRENCH. SEE ATTACHED PHOTO I I I i i T15N R1W SECTION 5 LOT 59 VACANT KNIK VIEW; BLOCK 4, LOT 2 DITCH KNIK VIEW; BLOCK 4, LOT 1 1100' WELL RADIUS CSEPTIC ARES \ ZED; LOT 1 \ OPEN DITCH VACANT T15N R1W SECTION 5 L GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. NOOK ROAD. SURE 101 • ANCHORAGE, M WW7 • PRONE (907) 337-61M • FM (902) 336-3296 • WE6 M: �.90mn,mpin nq.cOm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DANIEL & ELIZABETH COLE (907)360-1780 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: KNIK VIEW; BLOCK 4, LOT 4 L.K.B. TYPE OF WORK: DATE: . SITE PLAN 4/25/2016 ZED; LOT 2 E LOCATION OF AIN, PER MOA V ZED; LOT 1 _______________ NUMBER OF BEDROOMS: 4 LETTER THAT PERTAINS TO THIS DESIGN. GALLONS PER DAY (GPD): 600 GPD TO OBTAIN A COPY OF THE LETTER FOLLOWING THE REBUILDING OF THE PERCOLATION RATE/S: 12 MIN./INCH CONTACT CEG. BY PROCEEDING FORWARD DRAINFIELD, THE MOUND IS TO BE WITH THIS INSTALLATION, THE ENGINEER, PROPOSED APPLICATION RATE: •3 TOP SOILED AND SEEDED WHICH MINIMUM DRAINFIELD SO.FT.: 200 F"Y` WELL DRILLER, CONTRACTOR AND SHOULD LEAD TO VEGETATON •CAT III AEROCELE PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND DRAINFIELD DESIGN: AGREE TO ACCEPT THE TERMS AND MAXIMUM DEPTH OF EXCAVATION: LIMITED TO THE REMOVAL OF CONTAMINATED MATERIAL WIDTH: 5 FEET LENGTH: 43 FEET M.O.A. APPROVED SAND FILTER: AS NEEDEC TOP OF SAND SHALL BE EGUAL TO (OR HIGHER THAN) THE ELEVATION OF THE EXISTING SAND. EFFECTIVE: 0.5 FEET ACTUAL SO.FT*: 215 1 KNIK VIEW; BLOCK 4, LOT 3 I n/II /1 EXISTING 1300 GALLON TANK -EXISTING 550 FAT ALBERT TANK EXISTING JANDY VALVE BASIN EXISTING 650 AEROCELL POD I CID MT —J F PROPOSE DRAINFIELD TO BE REBUILT IN PLACE / 50' SETBACK TO SURFACE WATER 11® •E .............................................................. .... ...... ..... ..... ...... ... .................................................................................. ... .. .. ......................................................... ... .......... ....... ........ ... T15N RiW SECTION 5 LOT 58 VACANT T15N RtW SECTION 5 LOT 59 APPROXIMATE LOCATION OF ASSUMED LOCATION OF TRENCH/SURFACE WATER, SEE SUBSURFACE CURTAIN DRAIN PER ATTACHED PHOTO. MOA RECORDS ON ZED; LOT 1 GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS /1 3701 E. TUDOR RO/O, SUITE 191 • ANCH0IU.GE, M WW7 •PHONE (90]) 33]-61)9 • FM (90]) 339-3216 • •ID n; �. mMpin9iMaHllll.mm !.j t ..... ....... 'REPARED FOR: PHONE NUMBER: PAGE NUMBER: ,J�{( y me< DANIEL & ELIZABETH COLE (907)360-1780 2 OF 2 �j J's%%f� CE: /79 3 EGAL DESCRIPTION: DRAWN BY: �I T(n •1•. t,( ^°y f�,.•' KNICK VIEW; BLOCK 4, LOT 4 D.J.G./L.K.B. ........ YPE OF WORK: DATE: ♦�4o FESS\ 40 SCALE SEPTIC SYSTEM DESIGN UPGRADE 4/25/2016 ZED; LOT 2 El RIVEWAY • ` • . ` •. EXISTING 4 BEDROOM HOME / Cs�2 \ I Co EXISTING 1300 GALLON TANK -EXISTING 550 FAT ALBERT TANK EXISTING JANDY VALVE BASIN EXISTING 650 AEROCELL POD I CID MT —J F PROPOSE DRAINFIELD TO BE REBUILT IN PLACE / 50' SETBACK TO SURFACE WATER 11® •E .............................................................. .... ...... ..... ..... ...... ... .................................................................................. ... .. .. ......................................................... ... .......... ....... ........ ... T15N RiW SECTION 5 LOT 58 VACANT T15N RtW SECTION 5 LOT 59 APPROXIMATE LOCATION OF ASSUMED LOCATION OF TRENCH/SURFACE WATER, SEE SUBSURFACE CURTAIN DRAIN PER ATTACHED PHOTO. MOA RECORDS ON ZED; LOT 1 GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS /1 3701 E. TUDOR RO/O, SUITE 191 • ANCH0IU.GE, M WW7 •PHONE (90]) 33]-61)9 • FM (90]) 339-3216 • •ID n; �. mMpin9iMaHllll.mm !.j t ..... ....... 'REPARED FOR: PHONE NUMBER: PAGE NUMBER: ,J�{( y me< DANIEL & ELIZABETH COLE (907)360-1780 2 OF 2 �j J's%%f� CE: /79 3 EGAL DESCRIPTION: DRAWN BY: �I T(n •1•. t,( ^°y f�,.•' KNICK VIEW; BLOCK 4, LOT 4 D.J.G./L.K.B. ........ YPE OF WORK: DATE: ♦�4o FESS\ 40 SCALE SEPTIC SYSTEM DESIGN UPGRADE 4/25/2016 ZED; LOT 2 El Municipality of Anchorage 1 Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www ci.anchorage.sk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO80178 PID Number: 051.031-60 Name BRANDON 8 COLLEEN KANE Wastewater System: ❑ New © Upgrade Adaess PO BOX 670553 CHUGIAK AK 99567 ABSORPTION FIELD Pnab 907-2404686 Na IW Of Beboana 4 D Dep Tremor 0 Shaepw Trench O Bw ❑ Mand O Dabr LEGAL DESCRIPTION sat Ratrp Taal Depth from agrbl pada 3.0 G,D,e 3'(4'MOA APPROVED SAND) Fl. 1110 4 Lad atDdrvdm KNIK VIEW Dean b pOe hatdn hen agabl peas Cx depth beneath pye .1 Ft 0.5 Ft ll~iar p Rape sedon Fi added apw• o'g^ pale Gbwl Lenph 4.3 Ft. 43 Ft. Well: El New ❑U rad P9 C1F1°I eefth Nu wa Nba D'°tance aee+en`ide 5 Ft. 1 N/A Ft Classdcaoan (Pnwle. A 8. C) Toot Dean Called to Taal ahsaasn arae Pqe Mat" PRIVATE FI Ft 200 Fe ASTM D3034/SCH40 DlNter Dab Dralen sblc Wath La instaia, Data lmWtup EXISTING Ft TWEED EXCAVATING 8/27/08 Yana pump s« at Cama Na'p'I ADo.a GraaM TANK GpM Fl. Ft SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lift Holding ubldlpnvate" ur. CaPa0ly From Tank Field Station Tank Sewer Line EXISTING 1250 Gal wet 100'+ 100'+ 75'4 MetauI Nunlbr a Cpmpwhtwes OLS Z sbracewmer 100'+ 100'+ 1LIFT STATION • r ate xlurw La Lae 5'+ 10'+ 550 " PREMIER PLASTICS FAIT LBERT fO11dat'0n 5'+ 0'+ 1ONE 'Poop ori Isret at TIMER 'Poop 0,' at TIMER pWBrawmM f-��!•, I, in Curren pan N KNOWN Makin Pun a ModN Q Eiectmat eypecims partamW by ✓� / j0 j)$ RISING SUN Remaas MOUND TOPSOILED AND SEEDED BENCH MARK`'�.� Lmalm and Deso.am .. . OUANIC AREO-CELL UNIT G650 SCAT WITH DANDY BOTTOM OF SIDING AT POINT B CONTROLS.• '+' awatn 10o Ft, �CP.ACAN akCo En ' r44 mp Inspections performed by: 18861 S. Blfchwood lA. Rd Dates: 10 8/27/08 9AM . OF A 114 111. CW00k,Alaska "567 2"d 8/27/082PM �- aaa•••a+••e ..40, 4 a. Development Services Department Approval 49 Conditional Approval Date: ......... .:... i...�i 0 `,.... .......... A. Shah, / see AO Reviewed and approved by: /v Date: D PERMIT No. SWO80178 PAGE 2_ OF 4 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P D. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone (907) 343-7904 • www.ci.onchor a ge.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4, BLOCK 4, KNIK VIEW S/D P.I.D. NO. 051-031-60 1 £Xl$T�NG Ix 100, Rq S x CONTROL BOX EXISTING TANK 1 1 550 EH FAT ALBERT i DECK 04 •r 1 �� W CO JANDY COUTROLS ACTUATOR i INSULATED BASINtk 1 AREO-CELL G650 SCAT TREATMENT UNIT 1 J 1 I x 2" RECIR coMT�TH2 MT2CO2 CULATING LINE I .x L-- ALT ATH#1 1 1 1 x 1 1 1 - as 1 ID PIPE SOLID I1 x x x x x x x x ENGNrc ~ r* . y • •. ., , A '4O•• A•., 1rc1•' •ryrNc J'• 1477.1 •��• 3 PERMIT No. SW0801 78 PACE 3 or• 4 Municipality of Anchoro.ge DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P.n. Box 196650 *Anchor age, Alaska 99519-6650 • Tete Phone: (907) 343-7904 • www.ci.onchorage.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT.4, BLOCK.4 KNIK VIEW S/D P.I.D. No. 051-031-60 PERMIT No. SW080178 PAGE_ 4 OF 4 DEVELOPMENT SERV CESCDEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P.n. Box 196650 *Anchorage, Alaska 99519-6650 • Telephone (907) 343-7904 • www.ci.anchorage.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT.4, BLOCK.4 KNIK VIEW S/D P.I.D. No. 051-031-60 FINAL GRADE COI=102.2' TOP SOIL & SEEDED\ nn .-'CO2=102.6' ORIGINAL GRADE 98.3' XITI =99.3' NIT2=99.3' RATER FOUND 90.8' B.O.H. INSULATION 6" EFFECTIVE C01 =99.8' CO2=99.8' DIOA APPROVED SAND ATER FOUND 95.3 A ...... A. fbafw 14574 Sep 03 2000 11:33AM Risin6 Son Electric, Inc. 907-622-6777 p.l \` �y1i�II yr Rising Son Qe-clCric, Inc.zlfs 149i6 Woodland rive S f;ag e fiver, R AK 99577 � �, ,7♦'. i.� 907) 622-6777 September 3, 2008 Tweed Excavating & Construction Richard Shafer 15861 S. Birchwood Loop Chuglak, AK 99567 Re: Lot 4 Block 4 Knik View Subdivision - 22001 Dear Richard: Birch Creek - Chuglak, AK 99567 The lift statlon at the above referenced property has been wired In accordance with NEC and State/Local codes. Thank you. Sincerely, Kevin S. Hombuckle, Owner Administrator License Number 1284 Specialty Contractor License Number 27285 cc: file MUNICIPALITY OF ANCHORAGE 8--Z7-og 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 Upgrade Permit Number: SWO80178 Legal Description: KNIK VIEW BLK 4 LT 4 Design Engineer: 0003 S & S ENGINEERING Owner Name: BRANDON & COLLEEN KANE Owner Address: PO BOX 670553 CHUGIAK . AK 99567 - Date Issued: Aug 25, 2008 Expiration Date: Aug 25, 2009 Parcel ID: 051-031.60 Site Address: 022001 BIRCH CREEK DR Lot Size: 49720 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: Z✓ Disposal Field ❑ Septic Tank Holding Tank E] Privy E] Private Well E] 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 y Issued By. Date: O as d8 Date: Alunicipality of Anchorage Development Services Department ' � Building Safety Division 5�1 t On -Site Water and Wastewater Program^ 4700 Bragaw Street • sem• P.O. Box 196650 Anchorage, Alaska 9onsite 650 w (907) 343-7 onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING , Parcell.D. CM( -03(—('n Proppeerrty owner(s) : Ki 4O D00 C_ Potatttng address_2Z260 f -3/W M addr ss _PO B5[ SOS Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size '49 „720 Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR G all that apply): Absorption Field til Septic Tank ❑ Holding Tank Privy Private Well Water Storage 1 certify that the Single Family D (Signature of property owner or Permit/Rush Fees: lft-V Date of Payment: phone Code 7 J14 7 left) THIS APPLICATION IS AN: Initial 13 Upgrade 0 Renewal 0 nation is correct. I further certify that this application is being made for a is in actor with applicable Municipal Codes. A Waiver Fees: Date of Payment: Receipt Number. gy5gop (Rev. 11/05) Receipt Number 11EALTHAUTNORITY APPROVALS SfvER & WATER M NE%TEfaow SERER a WATER WISPEC" 04GINEERINGSTLOES ANOREPORTS WELL W4PECTION t FLON TEST SITEP{AVS U;L•'� . SOILTEST PERCOLATION TEST STRJCTLFR a .Cc�TCAL MPECTWr4 ONME WASTEWATER DISPOSAL SYSTEM O -SIGN S& ROBERT C. COWAN. CIVIL ENGINEERING August 22, 2006 PH: 907.694.2979 FAX: 907-694.1211 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519-6650 REFERENCE: Lot 4; Block 4; Knik View S/D 22001 Birch Creek Dr. Chugiak, AK Request you issue a permit for the upgrade of the septic systeut located oit t/te referenced property. The current owners of this property requested that we visit the site to perform an adequacy test in conjunction with obtaining a COSA for the sale of the home. While inspecting the leachfield we found it to be completely saturated and determined that the leachfield was in failure which may be due to groundwater intrusion. Based upon many years ago in this subdivision may no longer be data collected from surrounding properties, it appears that a curtain drain installed working properly. Test holes were excavated on the property in preparation for an upgrade of the septic system. After groundwater monitoring and evaluating the soils on this property it was determined that a QuanicsT^+ / AerocellTS+ Advance Treatment System is the best solution for this upgrade. We do not anticipate any adverse effects on neighboring wells septic systems, reserves, or drainage patterns by the installation of this system. The construction of this system will not prevent any future development on the neighboring properties. �1 P.E. 15861 S. Birchwood Loop Road - Chugiak, Alaska 99567 4c: K 0 I) Y r - O m L O CURTAIN DRgIN H03a N Z H TU_ ______"______________. �O�s kl- N= U= N W / doh W J U 0 N 1 �\ X a al � W N ^ J 7 WI 1 L, U U a'I= rl c; usaa J YI K JI GI J ______________tom K O ` NVId-3111 F __ UN 0 * _W W [I Q� H Od J 00 1l1 f' Z ] C F W Q 00 J �., O Q y�� u w O J o� ag U� vW O O 0 0W 0 d W Z ' Z d d 0d O C EXISTING DRAINFIELD JI ^ *I Q 4 0 O _O I i H wo i N 0 \ �►-r 0 V) \ \ \ 1 _ d p \ \ \ U �0N \\\\ 44 ME elv - 6 _ _ 5 cn co Qs 00 J `l U` ` �`( e3 ��611 33,3 - 4A a 4 4 •� H03a Z H a a W0 �O�s kl- N= U= N W / doh W J U 0 N 1 �\ X a al ^ J 7 WI 1 L, U 6 _ _ 5 cn co Qs 00 J `l U` ` �`( e3 ��611 33,3 - 4A a 4 4 •� a a W0 _ w JO N LJLLJ V. ydj�+N 0 1 �\ l P 0 w 3 0 aW wt>NO 0 c; usaa NVId-3111 �Iro 0 Z a 311JOdd I NOIS30 O Z Q s 3 J W O Z O Q o a N J cr Z O z p Z W O J U fQ X N W Z a 2 N N W J p a Z a Q V) N H W Qf N Y W N Q W a m U Ix NCL Z Z W (� N yJ Z N Q N = ava mEx W a J N CL p N = 0 Na�u of ZmpU 7 m Q 4 ZZ W U yp J Z m V) � U ...I Q. cr N W M Q N W W W W W m Q < CL FO N F am -�Z W Z m <0 Q Q -2 f W N ~ J Z U Q � F W O m 7 w N W N U J J O F a - U U N p Z O H W h Q U Z N M 'S Z MurricipalityorAnchorage Development Services Department Bulldhrg Safely Division • i.! On-Slle Water and Wastewater Program 4700 South Bragaw SL P.O. Box 190050 Anchorage. AK 99519.6650 www.munl.mg/onsllo (907)343.7904 Soils Loci - Percolation Test Performed For: 21y Legal Description:(„ , • KA Dept, (Feet) 9 WAS GROU70 WATER —FILL- 640 .... • r 10- 3f_, E�Lo/Ob 4- -6 f rah —k2— C. O AC// $1L7-. li{fuu- r I ownshlp. Range. Section. a V I I I I [ 8- 80 14 9 WAS GROU70 WATER ENCOUNTERED) 10- IF YES, Ar WHAT DEPT117 e L 11- D.purlow.I.rAn.r3 nit Mooring? r v 12- Date e � � SCJ 13- 14- Dale Groes Time 5- 15- 16- 1G -1i-10- 17- nI% 18- 1s- 20- PERCOLATIONRATE araea.wrhl TEST RUN BETWEEN FT AND Nor Tlme I Depth to Walar I Nrr Drop 2U PERC IIOLE DIAMETER FT a] PERFORMED BY: 1 PERFORMED off ACCORDANCE WITH ALL STATE AND AIUNICIPAL GUIDELINES IN EFFECT ON 7105 DATE. .TI DATE:IS TEST WAS Municipality of Anchorage . t� Development Services Department Building Safety Division • • • " On -Site Water and Wastewater Program, 4700 S. Bragaw SL P.o. Box 19665o Anchorage, AK 99519-6650 Page' of 3 www.c.ancherage.aKus (907) 533-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number.. 5WO 10� � PID Number. 05-1-031-- 60 Name I Gt J / me 11,Z Wastewater System: ® New [I Upgrade Aditss. 5G �fql ABSORPTION FIELD O o Pna:e WJ 017 q Na Cf Beboaar a• 1 0 D;ep T -.h KSr-nav Trerdr O Bed t] Vo t7 Ddvr sa p,y'vTd9 o"M tram wiprw Cade. LEGAL DESCRIPTION k 1`0 74 74 of raot• B� '4 Lot / SuOdmuac DapolbpipebW=ftmerpeWVC GmNd.0ht amp4w 5 41 khi View 1.5 Fh. — Fi ended aeon rcprul Tgra[' I+ WsM lerg9t uwranp, F^9:SeCwn T FL s{- Gavel ramp[ � NurtOrM Ener. Paurca � � L Well: tZNew ❑ Upgrade Cased W Taal WSOTI al "1Pa: laatanal. K C:asatrsucn (P vat.. A. B..{G�y. Taal 0-f-^�/ (, 75 FI= SiM 0303 y F�� i t Va 1 P Ft. O R SU WMer last Nlaner Data alataeM I —D C mer Dale Draad' ` �NI er 10- -01 FL vna ^J Pumpsetu Ca"H.VAALmaGic TANK �LOGPM n /tOWn FL FL SEPARATION DISTANCES Ira Septic ❑ Holding ❑ S.T.E.P. cap ❑ Other w a,m.K P To Septic aw Absorption Lift Holding PUEriUPrrvatc Pre,, W, 1 /aS�ILs 300cal From Tank Field Station Tank Sttntr line /� Nariara eemparua wen �.�, I' �E+ wt«w r /LI E SL.dau Via! erN--- ioo{- La Lira Founda:.enL47% \Conan DraaNO& /1Cw/I — Remars , I '1xM.C.A. APPRGJ( I n sr AL 1-40 dr,D{R 104 Li4�oirt TQhNGNLS. — LIFT STATION Gal h in. pump stake 9 MOON _-'a' inspKc W.t=Ad by BENCH MARK Lxaaon w Deaa+pocr[ pp � l DoWom 0 5r �n a rr LL AswmMEe+exn. Q po,nf g 10o FL 17054 Eagle River Loop Road, No -204 Inspections performed by: mask&- =-- Dates: 1 nd Developme t Services Department Approval Reviewed and approved by: Date: a 30172 tjt• 1_!91 1 tOBERT c COWAN \\ CE -8801 PERMIT NO. 111 1 1 PACE 2 OF 3 DEPARTMENT ANDhHUM9AN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4, BLOCK 4, KNIK VIEW S/D / q/1 III / W ' 100' WELL RADIUS NEW TRENCHES - FLOW SPLITTEI / GRINDER PUMP TO w / BECLA01 O IN V / CRAWL SPACE U � Tau Wj I01 U I W 1 W 1 N � Lr) I I LOT P.I.D. NO. 3 051-031-60 11 11 II II 1 I I � 1TVR1; I 11 11 I AIT. SITE 11 u Li a DBL] 1300 GALLON SEPTIC TANK SCALE: 1- - BO' •p, ROBERT C COWAN `cif\ CE -8801 r PERMIT NO. SWO1011 1 PAGE 3 OF 3 Municipalityof Anchorage DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone; 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4, BLOCK 4, KNIK VIEW S/D P.I.D. NO. 051-031-60 STI ST2 i- 101.6' FINAL GRADE) 2" INSULATION NEW 1300 GALLON POLYETHYLENE 98.8' SEPTIC TANK CO1 CO3 MTI -0O2 _ MT2 CO1 = 100.8' MT3 - C04 _ hiT4 CO3 = 101.1' CO2 = 101.1' C04 = 101.3' (-FINAL GRADE 2" INSULATION COl = 98.6' v,,, s CO3 02 = 98.5' SR .. C04 SAND` SAND.; MTl = 98.0 MT2 - 97.9 MT4 MT3 = 97.9' WATER FOUND ® 93.8' 91.8' B.O.H. • 0 = 97.8 N. T. S. *r? 1 ROBERT C. COWAN b! r CE -8801 ;�✓ 4'r L A B C ST1 38.5' 31.0' - ST2 41.0' 34.0' - TMT 42.0' 30.0' - DBL1 42.5' 36.5' - DBL2 43.5' 37.5' - 001 58.0' - 76.0' MT1 58.5' - 76.5' CO2 107.5' - 78.0' MT2 107.5' - 78.5' CO3 71.5' - 94.0' MT3 71.0' - 93.5' C04 118.5' - 95.5' MT4 118.5' - 96.0' WATER FOUND ® 93.8' 91.8' B.O.H. • 0 = 97.8 N. T. S. *r? 1 ROBERT C. COWAN b! r CE -8801 ;�✓ 4'r L - Catif itib �rtflhig log by DOC C.O. tlba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 a TELEPHONE 688.2750 OWNER OF LAND: BORE HOLE DATA DEPTH ADDRESS: Fi To LEGAL DESCRIPTION: ] r k LX1 Bt,J /'31 K 4 yrs of L,T 4 of DATE: tro! 2/ /,q&0 if 7 1 c PERMIT NUMBER: 0/0 f// Date of lssue_s_- °��� / 38' TAX IDENTIFICATION NUMBER: Q $j -,AU- be 3 �- Is well located at approved permit location?: 4_+-Y6S U No JrO Std Method of Drilling: r rotary U cable tool Depth of well: L+ f Casing TypeS'�Wall Thickness aotlsinches tt Diameter 6 Inches, deptn feet Liner Type: kU a .Jt:r Casing Stickup Above Ground: °� feet Static Water Level: 6[a ✓aO 4riJ,=L. feet Recover Rate: d2o gpm Method of Testing: At ✓L Well Intake Opening Type:en end 3 Open hole U Screened; Start feet Stopped feet U Perforations Start feet St ppetl feet C rtTt= �nnLll S Grout Type: tQE.,rT aa.Volume Depth: from O feet, to t feet Well Disinfected Upon Completion? d.*5 ; O No Method of Disinfection: _ CM 0,9i aJLr Comments: 0 C-4Jr-•36 rrtcC410 ptjisA 6 KaAF ^1 S4 -%J,7 t 6X4 J,5%, i 4-100 kl/ � t 04 J.F L r,Stt X*4-J-0 G'cI4`f iYl /� 6047-L1 0— SA a JA Driller's Name ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation.' 00 39vd NvAlTr1S 65ZZ889 E8:00 666I/70/I0 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO10111 Legal Description:'KNIK VIEW BLK 4 LT 4 Design Engineer: 0003 S & S Engineering Owner Name: TED SCHMELTZER Owner Address: NHN BIRCH CREEK DRIVE CHUGIAK , AK 99567 - Date Issued: May 14, 2001 Expiration Date: May 14, 2002 Parcel ID: 051-031-60 Site Address: Lot Size: 49720 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit Is for the construction of: Q 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: /�C Issued By: Date: r – l y – 41 Date: -5– — 14 – Q/ MUNICIPALITY OFANCHORAGE Development Services Department S/1y/O a On-Site Water & Wastewater Program peA 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO10111 Legal Description:'KNIK VIEW BLK 4 LT 4 Design Engineer: 0003 S & S Engineering Owner Name: TED SCHMELTZER Owner Address: NHN BIRCH CREEK DRIVE CHUGIAK , AK 99567 - Date Issued: May 14, 2001 Expiration Date: May 14, 2002 Parcel ID: 051-031-60 Site Address: Lot Size: 49720 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit Is for the construction of: Q 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: /�C Issued By: Date: r – l y – 41 Date: -5– — 14 – Q/ 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.enchorage.ak.us (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 05-1 — 03 / —60 Permit Number SW O/ O/ I/ Property owner(s) T E D S ct/m tt t z. 4 et Day phone G i'Y - C 7 Y Y Mailing address (1) P-0. 60k cl et e) NA c y c. J I.1A �I S' 177 s#ai iTaddress (2) NHA/ B 1 RCN CIZE6/1 PRIVE- Zip Code M-107 Legal description (Lot, Block & Sub'd.) Lo T 9 i3 Lo c sc y aN i .c v, f .✓ Legal description (Section, Township & Range) Lot Size 4-4--:?- Acres/.Z5)Number of Bedrooms 45 720 THIS APPLI ATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well kZJ 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. 5 8 5 ENGINEERING 77034 Eagle River loop Road No. 204 ie'le R6nr, ala6v 99577 (Signature of property owner or authorized agent) Permit Fees: Date of Payment: J4 NO. "' q /I.? A I Waiver Fees: Date of Payment: Receipt Number: 0 0 3 o y 3 Receipt Number: (Rev. 12100) APRrt 17,2001 PEALT/A1f1D" ^ APPROVALS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWERAWATER ANN DUENSgNS REFERENCE: Lot 4, Block 4, Knik View S/D ROBERT C. COWAN. P.E. CML ENGINEERS (907)694-2979 FAX(907)694.1211 SEWERaWATER It is requested that you issue a permit to install a well and a septic system to serve the INSPECTION proposed four bedroom dwelling on the referenced property. A test hole was excavated and a percolation test was performed. The approximate location ENaNEERNGSTUDIES of the test hole is located on the attached site plan. At the time of excavation 8/7/95 water ANDREPORT' was found at 6.0 feet. After ground water monitoring, water was found at 6.4 feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve WELLINSPECU)N areas or drainage patterns by the installation of the proposed septic system. The aPLONTEST construction of this system will not prevent any future development on any of the adjacent properties. ant PLANS If you require additional information, please contact us. Sincerely, Robert C. Cowan, P E. SOILTEST RCC/bjj Enclosure PERCOLATION TEST STRUCRXIkE WCKOXAL INSPEMNS ONSTTE WASTEWATER D POSALSYSTEM CeSION 17031 NORTH EAGLE RNER LGOP + turn: 2o4 1 EAGLE RNER ALASKA 99577 LOT- 4, BLOCK 4, KNIK VIEW S/D DRAWN W.F LCKEO W: DAIS: B.J.J. IN R.C.C. Ing DESIGN CRITERIA:/ / 4 BDRM = 600 GPD / SOILS = 1.0 GPD/SQ.FT/. 600/1.0 = 600 SQ.FT/ R 'D DRAINFIELD 3.5 DEEP (ADD 0.5' EFFECTIVE 0 5.0' WIDE 1 120' LONG (2 u � p l ti z a J a I w LOT KI CRL1 RIA:// /1.5'MAAPPf2DIV SAND)e// 60' EACH) 9 / UNDEVELOPED e / i e / / LOT 10 UNDEVELOPED 1 I ALL PORTIONS OF SYSTEM WITH LESS THAN D.S' OF COVER REQUIRE INSULATION /�• / , 100' WELL RADIUS (PROPOSED) T 1500 GALLON Q � p l ti C00 CLEANOUT I I M W K, moo^ 41;o i STI 1 / 0 L� u� W WI / I $REFI: 1 OF 1 / "s ml UNDEVELOPEDJ 4t 3 %6 � r— UNDEVELOPED G.. Ajgsti i♦ 1� ROoERT C. COWAN k- % CE - 8801• fi CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. BLM LOT 57 UNDEVELOPED ) M C. f. wr ,.w " (.1 OMNYJ.rS .0 m%N MC(SL4.. TO.NLI LK tpLv16Q PROPOSED 1500 GALLON $ SEPTIC TANK SEPTIC TANK Yi 11 - f1 1 1 n DOUBLE 1111 CLEANOUT I I %1A • . .nx o W STI 1 INSTALL FCD FLOW SPUTTER NT: YT� U U 4t 3 %6 � r— UNDEVELOPED G.. Ajgsti i♦ 1� ROoERT C. COWAN k- % CE - 8801• fi CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. BLM LOT 57 UNDEVELOPED ) M C. f. wr ,.w " (.1 OMNYJ.rS .0 m%N MC(SL4.. TO.NLI LK tpLv16Q Municipality of Anchorage • e r DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST >' PERFORMED FOR:�U/V ��[�Ct:� ✓� Fl��Z.IiR� DATE PERFORMED: LEGAL DESCRIPTIORN.��&.t g1(.JTOWnship, Range. Section: DEPTH SLOPE er-EeT) 1 - -'A' 2__l nL / M 3-�r 4- o 5- •� 7 8 9- (/-'/ ' � . V, -- a.— ROEERT C. COWAN 1,^r CE 8901 SITE PLAN T N 10- WAS GROUND WATER IkICh ENCOUNTERED? 11- S LO IF YES, AT WHAT s /V DEPTH? LD 12— S/ 1 ( �' P 13— Depth to Water After t V 8 f1 A5- Monitoring? Date: 14 — Reading Date Gross Net Depth to Net Time Time Water Drop 15- PRh/> -.-1— K -Ii-, 16- 17- 18- 19- 19- 20- PERCOLATION 20- PERCOLATION RATE Z (mmutevmnch) PPERC HOLE DIAMETER TEST RUN BETWEEN 15 r FTAND =1=FT COMMENTS N.31' IA S d S ENGINEERING re03P PERFORMED BY: 1/C34 Eagle River Loop Road No. 64 CERTIFY THAT THISTESTWAS PERFORMED IN ACCORDANCE WITH AU3§KPRIV&N0YlY C99MU1DELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4185) 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. 051-031-60 1. GENERAL INFORMATION Expiration Date: ((9— 3a -200-0 Complete legal description KNIK VIEW BLK 4 LT 4 Location (site address) 22001 Birch Creek Dr Chugiak 99567 Current property owner(s) Mailing address Real estate agent KEVIN & CHELSEA DANA same as site address 2. TYPE OF DWELLING: 0 Single Family (w/ AD5) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Z Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distan Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 0 Waiver Fee $ Date of Payment 2-20-20 Date of Payment Receipt Number ©9( (e)3T-) Receipt Number COSA # 0 Z-6 1, D(o (-( 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 Eklutna Engineering, LLC Phone 907.406.1058 Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE Date 3J 6. DSD SIGNATURE 4CSystem #1 Approved for bedrooms 0 System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: Original Certificate Date: Z'2 6 " W 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 engineers work. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA Checklist blue sheet X Nitrate Advisory Arsenic Advisory Other Legal Description: KNIK VIEW BLK 4 LT 4 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 2001 Total depth 62 ft Cased to 61 ft OR Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 2112/2020 Static water level at beginning of test 0 ft. Comments B. TANK DATA Age of tank(s) 18 years Tank type/material septic pIastlC Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping AWWTS serviced Oct 2019 D. ABSORPTION FIELD DATA Parcel ID: 051-031-60 Structure served by this system Well production at time of test 2.8 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic 3.519 ug/L ❑ Arsenic less than MRL (ND) Collected by Curtis Townsend, PE Date of Sample 21112020 C. LIFT STATION ❑ Required maintenance completed Age of lift station 12 years Lift station material plastic Comments: AWWTS serviced Oct 2019 Which system tested (date installed) 2020 Adequacy test date Al ALL standpipes present per record drawing Results ❑Pass For bedrooms Total measured depth from grade + 0.75 ft (max) Fluid depth prior to test in Measured depth to pipe invert from grade + 1.3 ft (min) Water added gal ❑ N/A —pressurized field New depth in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time min depth into effective X Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: Newfield installed September 2020 according to MOA issued permit OSP201023 COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑✓ Yes Community Sewer Manhole/Cleanout > 100' Q Yes if No ft M Yes if No ft Neighboring Tank > 100' M Yes if No ft Private Sewer/Septic Line > 25' F,/� Yes if No ft Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' M Yes if No ft Neighboring Absorption Fields > 100' ft Private Wells > 100'✓❑ Animal Containment > 50' M Yes if No ft M Yes if No ft if No ft Community Wells > 200' ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' —❑✓ ❑✓ Community Sewer Main > 75' El 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 50 ft Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: Yes if No Absorption Field > 5' F� Yes if No ft Private Wells > 100'✓❑ Yes if No ft Water Main > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if, less than required) Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' F71 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' Q Yes if No Water Service Line > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No Surface Water > 100' ❑ Yes if No 50 ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l 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. COSA Checklist yellow sheet ft ft WWMCIPALITY OF MCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-031-60 Expiration Date:2-0 Z U t. GENERAL INFORMATION Complete legal description KNIK VIEW BLK 4 LT 4 Location (site address) 22001 Birch Creek Dr Chugiak 99567 Current property owner(s) EKLUND ANDREW & AMY Day phone 907.382.2076 Mailing address same as site address Real estate agent Matt Baxter Day phone 907.227.5412 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic ED Water Storage ❑ Holding Tank i ❑ 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. 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 Eklutna Engineering, LLC Phone 907.355.9820 Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE Date 2/19/2020 _ Conditional approval for bedrooms, with the following stipulations: -- � ITE WATER AND r.. WAST A =>�� ---------- 7's �` Original Certificate Dater�to _2�0 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet 6. DSD SIGNATURE) Y49 TH jjjjII, . . System #1 Approved for bedrooms Date / '' System y #2 Approved for F�ifl ..No. cE l l . •�a�.� bedrooms }+jtl`�* ... ... '`� Disapproved FE el\�IPROFiSS _ Conditional approval for bedrooms, with the following stipulations: -- � ITE WATER AND r.. WAST A =>�� ---------- 7's �` Original Certificate Dater�to _2�0 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: KNIK VIEW BLK 4 LT 4 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 2001 Total depth 62 ft Cased to 61 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 2J1 2l2020 Static water level at beginning of test 0 ft. Comments B. TANK DATA Age of tank(s) 18 years Tank type/material septic plastic Measured operating fluid level in septic tank 49„ ❑ Standpipes/foundation cleanout per record drawing Date of pumping AWWTS serviced Oct 2019 D. ABSORPTION FIELD DATA Parcel ID: 051-031-60 Structure served by this system Well production at time of test 2.8 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ No F01 Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic 3.519 ug/L ❑ Arsenic less than MRL (ND) Collected by Curtis Townsend, PE Date of Sample y>>ao2a C. LIFT STATION ❑ Required maintenance completed Age of lift station 12 years Lift station material plastic Comments: AWWTS serviced Oct 2019 Which system tested (date installed) 2016 Adequacy test date ❑ ALL standpipes present per record drawing Results ❑ Pass For bedrooms Total measured depth from grade ft (max) Fluid depth prior to test in Measured depth to pipe invert from grade ft (min) Water added gal ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state New depth in depth into effective Elapsed time min p ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) _ Gallons introduced gallons If yes, enter date Comments/Deficiencies: Field not tested. To be repaired by 30 June 2020 according to MOA issued permit OSP201023. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft 0 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' M Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' ft Private Wells > 100' Animal Containment > 50' 0 Yes if No ft 0 Yes if No ft if No ft Community Wells > 200' 0 Yes if No ft Manure/Animal Excreta Storage > 100' 0 Community Sewer Main > 75' Yes if No ft 0 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 50 ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Yes if No Absorption Field > 5' F/1 Yes if No ft Private Wells > 100' 7 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' 0 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' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' R Yes if No . ft Surface Water > 100' ❑ Yes if No 50 ft F. ENGINEER'S COMMENTS MOA has issued OSP201023, this repair will be made June 2020. We now seek a conaitional UUSA. 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. COSA Checklist yellow sheet OF A 41 L 79vm.$end p Date Z/ 40 0 f$MJ: No. C ti �A MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of t r `g OI -/1 of 202t� , by and between ICO'n ��rAr—) , herein the 1-�WNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), r•\ described as located at (legal description) �Nn1� N(-, ,-v (4 614 2. Maintenance, Repairs and Alterations, �t (O ner is required to read, understand and initial each section) --'Throughout the term of this Agreement, the Owner: shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in -,S�Qaccordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). a Owner agrees that only maintenance '� t Hance and repair personnel approved by the Municipality or the rnanufacturcCs rcpresentativc will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfreld ,placement. (rev. (rev. 05/1S/201S) Page 1 of 3 OWNER: By: �— l/�-- (signature) k-ev l t-3 (print. name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) Date: Z i n— I zoo z -(,- The forego' instrumen as acknowledged before me thisA`� NO ARY PUBLIC FOR ALASKA iVi Co day of y mmission expires: a� a. -le7k t.ANDERSON Notary Public State of Alaska "..6y Commission Expires A So�ptember 11 r 2020 MUNICIPALITY: By: 6�(siornature) b O -6L � (print name) (rev. 05/18/2018) Date: i Title: Page 3 of 3 Ekfutna Engineering, LLC curtistownsend@gmail.com February 20, 2020 Subject: Knik View Block 4 Lot 4 Request for Conditional COSA The existing 4 bedroom house is served by a private well and septic system. The septic system consists of a Quanics Aerocell system and a mounded drainfield that were both installed in August of 2008. The drainfield was repaired in 2016. In December 2019, the MOA approved this system as a Category II AWWTS. During the seismic event of November 2018, the field was damaged. According to elevation measurements taken in February 2020, the west end of the field is higher by 7" than original elevation. MOA has issued permit OSP20J 023 to repair this field. The scope of work for this permit is to excavate out all contaminated material, import MOA approved sand.as needed to rebuild the drainfield to an elevation of 0.1' higher than the existing system and ensure that the sand layer is a continuous 4' thick and rock layer is 6" thick. It is proposed that this repair work will be completed during the month of June when weather and ground conditions are more favorable. The work will be complete by June 30, 2020. Money is being held in escrow to complete this work by Alyeska Title Guaranty Agency. See accompanying letter. At this time, we request a conditional COSA be issued for the sale of this property. Recent water samples show that nitrates are absent from the well water on this property. The AWWTS, septic tank and lift station were all inspected in October 2019. They are performing as expected. There is no eminent hazard created by granting this conditional approval. Wastewater is not overflowing the field and the well head is intact. The berm surrounding the property on the east and south side is protecting surface water. Sincerely, Curtis L. Townsend, P.E. AW 9 9 � ms2 Tose' ' • Z `rJ� '• �O CE Yl 21J �FQ� ���eRQfFS516HPIL ,�a� „7 a Title Guaranty Agency 11823 Old Glenn Hwy., Ste. 1 l 8, Eagle River, Alaska 99577 Phone: (907) 622-2842 Fax: (907) 622-2843 February 20.2020 TO: Municipality of Anchorage Development Services On -Site Water and Wastewater 4700 Elmore Road Anchorage AK 99507 In reference to Knik View Subdivision Block 4 Lot 4 Absorption Field Repair money shall be held in escrow until such time as a final unconditional Certificate of On -Site Systems Approval (COSA) is issued by the On -Site Water & Wastewater Section. TNC will be awarded the job and will begin as soon as the weight restrictions come off. Estimated start times are as follows: Range of dates for work to begin are May 20 - June 15. Work to be completed by June 30, 2020. Repair- of field is to be according to MOA Permit OSP201023. -Amount of Money being held in Escrow will be $16,146. This is 1.5 times the amount of the highest of the three bidders. The Three Bids are as follows: Arm Services : Septic: $9,264 TopSoil: $1,500 JR Septic: Septic: $7,534 Topsoil: $1,450 TNC: Septic: $7,400 Topsoil: $1,200 Page 1 of 2 Scope of repair work to be: 1. Excavate all contaminated material 2. Import MOA approved sand as needed to rebuild the drain field to an elevation of 0.1' higher than the existing system 3. Ensure that the sand layer is a continuous 4' thick and rock layer is 6" thick If you have any questions or concerns, please don't hesitate to contact me. Singly, Darcy Ellh45e Escrow Officer Alyeska Title Guaranty Agency Dir: 907-622-2850 Office: 907-622-2842 Fax: 866-595-3630 dellingboe@alyeskatitle.com Page 2 of 2 ARM Septic Services, LLC Maintenance Checklist: Advanced Treatment System Operational Checklist: Advanced Treatment System Legal Description: -�, \ji �' n L.--\ Street Address: tZ C f ob� G_ Service provided on: Date: d Time: Service provided by: Company: Employee: '5W Date of last service: By:o ther: 1. Type ofAerocell Treatment System: 2' Cat II -AeroCell Treatment System ❑ Cat III - AeroCell Treatment System 2. Conditions at media filter: Acceptable ❑ Unacceptable a. Evaluate presence of odor within 10 ft of perimeter of system: ~' one ❑ Mild ❑ Strong ❑ Chemical ❑ Sour b. Source of odor, if present: IL 3. Manhole Risers and Pipe Caps: Acceptable 11Unacceptable a. Cover/s intact: es ❑ No b. Method of securing cover. C;C.L j /�'trxe y c. Any plumbing leaks or water intrusion: 71 Yes I!No d. Surface water/infiltration into components: ❑ Yes �o 4. Venting/Air supply: Lcceptable` ❑ Unacceptable a. Air supply unit operating properly. des U No b. Venting appears operable. 5�Ye's ❑ No 5. Media surface: Acceptable ❑ Unacceptable a. Biomat on surface. ❑ Yes RTJo b. Uniform spray pattern. 0 Yes ❑ No d. Ponding in/on media. U Yes lNo e. Plugging/clogging of nozzles. ❑ Yes No f. Media appears to be settling. ❑ Yes No g. Appropriate maintenance performed. 5 -Yes ❑ No h. Pest activity at surface. ❑ YesNo 6. Effluent quality a. Effluent odor after passing through media filter:lone b. Effluent color after passing through media filter: Clear ❑ Mild ❑ Strong ❑ Brown ❑ Black 24738 Chugiak Drive "Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outtook.com (PAGE 1 of 3) ARM Septic Services, LLC 7. Tasks for recirculating/discharge flows: Acceptable ❑ Unacceptable 9. Primary Tank: ooeptable El Unacceptable ti a. Sludge and scum level checked: [ yes b. Tank needs to be pumped: ❑ Yes c. Tank lids/caps secured after inspection: Yes d. Last Date Tank pumped: v 10. Drainfield: ct ❑ No Sludge/Scum level:_ d� c 0 P A.4001 � E] No F1 �d U t, (\ a. If applicable, Jandy valve functioning: ❑Yes > No ❑ N/A b. Design Effective depth:the bet b. If applicable, Jandy Valve basin dry: ❑ Yes [�tk o ❑ N/A MT#1 Liquid Level:��"" c. Cleaned collection system in Aerocell unit: ❑ Yes RrNo ❑ Not Necessary MT#3 Liquid Level: d. Design recirculation ratio: 80 : 20 MT#4 Liquid Level: _ Inches e. Actual recirculation ratio (Estimated): 8. Pump System: (acceptable 0 Unacceptable a. Control panel in Auto: KYes ❑ No b. Timer settings 3 ON: lc-''- OFF: Override ON: _ -;"\ Override OFF: _;i c. Floats in correct placement: N -Yes ❑ No d. High water alarm operational: (mss ❑ No e. High water alarm count: f. Pump run time: t i . LA�-i g. Pump run counts:t,} h. Effluent Filter serviced: ❑ No i. Tank lids secured after inspection: Yes ❑ No j. Weep hole functional: es ❑ No 9. Primary Tank: ooeptable El Unacceptable ti a. Sludge and scum level checked: [ yes b. Tank needs to be pumped: ❑ Yes c. Tank lids/caps secured after inspection: Yes d. Last Date Tank pumped: v 10. Drainfield: ct ❑ No Sludge/Scum level:_ d� c 0 P A.4001 � E] No F1 �d U t, (\ d. Is there any surfacing effluent?: ❑ Yes -trio v i' 11. Is the system in satisfactory condition/pass inspection? (if no, describe in comments);Ces❑ NO 12. Does this system receive an advisory notice/warning? (if so, describe in comments) ❑ Yes 2NO 12. Is the remote monitoring system functioning? (if no, describe in comments) E�kYes❑NO 13. Type of monitoring system?: 24738 Chugiak Drive `Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outtook.com (PAGE 2 of 3) a. Type of Drainfield (circle one): ed 6 -wide Deep Trench b. Design Effective depth:the bet c. Checked Liquid Levels in Drainfield: Yes ❑ No MT#1 Liquid Level:��"" Inches MT#2 Liquid Level: ttt Inches MT#3 Liquid Level: Inches MT#4 Liquid Level: _ Inches d. Is there any surfacing effluent?: ❑ Yes -trio v i' 11. Is the system in satisfactory condition/pass inspection? (if no, describe in comments);Ces❑ NO 12. Does this system receive an advisory notice/warning? (if so, describe in comments) ❑ Yes 2NO 12. Is the remote monitoring system functioning? (if no, describe in comments) E�kYes❑NO 13. Type of monitoring system?: 24738 Chugiak Drive `Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outtook.com (PAGE 2 of 3) Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-031-60 Expiration Date: 9- / - 1 1. GENERAL INFORMATION Complete legal description KNIK VIEW S/D; BLOCK 4, LOT 4 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 22001 BIRCH CREEK DRIVE, CHUGIAK, AK 99567 DANIEL AND ELIZABETH COLE Day phone P.O. BOX 671404, CHUGIAK, AK 99567 DONNA ALDERMAN W/ JACK WHITE Day phone ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: 360-1780 360-0158 TYPE OF WASTEWATER DISPOSAL: Individual Well ■ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for. Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment �✓��3t �� Receipt Number COSA # 05(-I (I/R/j 6 Waiver Fee $ _ Date of Payment Receipt Number Waiver # Distance: — S. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, t 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. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site watersupply 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 Address GARNESS ENGINEERING GROUP, Ltd. 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK, 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting itis evaluation, GEG provided an engineering evaluation of the well and/orseptic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industrypradws. The reported resulisdescribe the condition of the systern a on the deters of the evaluation. Separation distances were measured to maddyfdentifiable features. Hidden defects orencroachments may exist that were not identified during the evalualwn.The opersihmef fife of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwaterlevals (that may fluetuate during the yeae), qualnyot wnstruclon (materials and workmanship), and the water usage of the family utilizing the systews. These conditions ran vary and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systenvs: therefore, GEG makes no warranty (express or implied) regarding the future performance of the well aseptic system. GEG makes no representation whether an alternative wet or septic system can be fnslaled on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the peaoNpeny who retained GEG. Reliance upon the infamafioo provided in this report by any other person or party, including but not limited to subsequent prepe it purchasers, is not auiirodzed. In short, GEG disavows any Is gal duty to anyone other than the persoMparty who paid for this report. 6. DSD SIGNATURE System #1 Approved for _ bedrooms. System #2 Approved for bedrooms. Phone 337-6179 Date Z 3 t(, Disapproved. OF ANS; Conditional approval for bedrooms, with the following WATER By: "" Iii / —tom Original Certificate Date: L 7— The 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 engineerregistered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: f COSA Checklist Nitrate Advisory i Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev tnIVA91 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 VIEW S/D; BLOCK 4, LOT Parcel ID: 051-031-60 A. WELL DATA Well type PRIVATE If A, B, orC provide PWSID# N/A Well Log (Y/N) YES Date completed 10/2/2001 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 62 ft. Cased to 61 ft Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 10/2/2001 4/7/2016 Static water level o ft, 12.6 ft, Well production 20 g.p.m. 2.7 g.p.m. WATER SAMPLE RESULTS: Coliform NEG_ colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd. Arsenic: ND ug./L. Date of sample: 4/8/2016 B. SEPTIC/HOLDING TANK DATA *PUMP VAULT IN CRAWLSPACE Tank Type/Material HDPE Date installed 5/14/2002 Tank size 1300 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) *NO Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 8/26/2015 Pumper AROUND THE CLOCK PUMPING C. ABSORPTION FIELD DATA BELOW FINAL GRADE Date installed 5/9/2016 Soil rating (.p.d.lft r ftlbdrm) ***E•0 System type 5 -WIDE ( REBUILT) Length 44 ft. Width 5.5 ft. Gravel below pipe 0.5 ft. Total .depth *3.44-3.64 ft. Eff. absorption area 242 fC Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) - For 4 bedroom$ 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.) (YIN & type) NONE KNOWN If yes, give date - **CAT III QUANICS AEROCELL TREATMENT SYSTEM *SYSTEM WAS SERVICED/CHECKED BY AROUND THE CLOCK PUMPING ON 419/2018 D. LIFT STATION "PER 9%3/2008 RISING SON ELECTRIC INSPECTION REPORT. Date installed 8127=8 Size In gallons 550 Manhols/Access (YIN) YES "Pump on" level at TIMER in. "Pump otr level atTIMER in. High water alarm level at 49 in. Datum BOTTOM OF TANK Cycles tested Meets alarm & circuit requirements? "YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllift station on lot 100'+ On adjacent lots 100'+ Absorption flekt on lot 100'+ On adjacent lots low+ Public sewer main Sewer /septic service line 26+ Animal containment areas 50'+ Public sewer manhole%leanout tom+ Holding tank 78+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 54 Property line 5'+ Absorption field 5'+ Water main IV+ Water service line 10'+ Surface water Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 1m+ Water main 10'+ Water service line 101+ Surface water *50'+ Driveway, paridng/vehicle storage 1m+ Curtain drain 50'+ Wells on adjacent lots 100"+ F. COMMENTS *SEE WAIVER # OSV1S1041.50 FOOT WAIVER GRANTED FROM SURFACE WATER TO TANKS AND DRAINFIELD EXISTING SPOIL PILE (BERM IS UPGRADIENT FROM BASE OF THE DRAINFIELD AND IT APPEARS THAT THERE IS 100+ OF TRAVEL DISTANCE TO ANY SURFACE WATERS IN THE UNLIKELY EVENT THE DRAINFIELDIOR TANK WERE TO OVERFLOW. 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 Data I t Lit, (Rev. 10112H2) wemmw I HEREBY CERTIFY THAT I HAVE SURVEYED THE 3CAL0 . FOLLOWING DESCRIBED PROPERTY. ,�3� .W,A'Y/� _eg yw of f'.a/ty ' AND THAT NO ENMIENTS EXIST EXCEPT AS QATE• INDICATED- IT IS THE RESPONSIBILITY OF THE y��6 OWNER TO DETERMINE THE EXISTENCE OF ANY GRID, EASEMENTS, COVENANTS, OR RESTRICTIONS 'WWA"7 WHICH DO NOT APPEAR ON THE REODRDFD SUBDI- VISION PIAT. !AIDER NO CIRCUMSTANCES SHOULD FB ANY DATA HEREON BE USED FOR CXWTRUCTION ir9 3f� OFFENCE LINES, OR FOR ESTABLISHING BOUND- mi'Aw-M ARY LINES. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verify that my Investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S & S Engineering Phone 694-2979 Address IU61 S. Birchwood Lp. Chu iak, ! 99567 Engineer's Printed Name -vim Date 3 D g • rt A. ihalr 5. DSD SIGNATURE u, ;• , ttn3 Approved for bedrooms. +� F • •'' F ••. • f �\ p4OFESSiao\ Disapproved.\�\����► Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: Original Certificate Date: Q V (n« 11M) Municipality of Anchorage -�1 Development Services Department .t Building Safety Division •..... On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 CERTIFICATE OFF ON-SITE SYSTEMS APPROVAL CHECKLIST � Parcel ID: Legal Description: A. WELL DATA IVF1lL- If A, B, or C provide PWSID # = Well type Well Log ) t) �EZ Wires property protectedQl7lN) Date completed ��0) Sanitary seat r r Casing height above round) 18�r+ in. Total depth 11_ft. Cased to �_ft. 9 9 ( g CTION Date of test Static water level Well production FROM WELL LOG A7 IN- ,9 d1 —0?) -to b r ft.5 rtf 7�'e ft. g.p.m. o2r% g.p.m. WATER SAMPLE RESULTS: Coliform O colonies/100 mL Arsenic: NJ -0 ug/L d Nitrate PbIL Other bacteria colonies/100 mL ate of sample: 8 Qd Collected by: B. SEPTIC/HOLDING TANK DATA �f�—/ Tank TypelMaterial nJEY11C��HDI'tr Date installed 5 �� a Tank size gal. Number of compartments Cleanouty N) �S �S De ression over tan ( � High water alarm (Y Foundation cleanout!) k P "� Date of pumping Sh Pumper 1 SIS j%tAItUCo . — C. ABSORPTION FIELD DATA Q �[G3 I}EQLr-EIl- 'sys'm 71 Date installed $ a �G Soil rating p• d.lftx r fte/bdrm) 3 System type g.sMAtlL+��Twa �Yli .b f ft. Gravel below pipe Length ' 3 ft. Width____ VSft= Monitoring tube L`� Depression over field Total depth ft. EH. absorption area Date of adequacy tesYA g r))7-Results(Pass/Fail) "— For bedrooms +%� Fluid depth in absorption field before test _ In. Water added_ gal. New depth= in. Elapsed Time:=min. Final fluid depth =in. Absorption rate >= g•P•d• If yes, give date Any rejuvenation treatment (past 12 mo.) (Y/N & type) D. LIFT STATION Date installed D8 'Pump on' leve at t in. Datum �O/ia cv1 E. SEPARATION DISTANCES Size in gallons S60 Manhole/Accesr<IT!N) level E t 'Pump off" in. High water alarm level at - / In. Cycles tested Meets alarm & circuit requirements? *n SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot__ /CO I Absorption field on lot /Co r4 - Public sewer main _ /J III Sewer /septic service line r Animal containment areas _ SO t - I On adjacent lots /00 r On adjacent lots /CXR d Public sewer manhole/cleanout .l Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation '/ Property line Absorption field S f Water main 1 Water service line /O f Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: / / Property line /D -/Building foundation 104 Water main_ J�} Water Service line D { I r _L_ Surface water Driveway, parking/vehicle storage S -f- Curtain drain A70Nt jhni �LOlells on adjacent lots ILLS 4- F. F. COMMENDS ��auJ /2CSTPrc-r�� gy ��cea�9ivG, A"00 2PN70TF HeOiy T /P�N�TWLLEQ. ��irSaSCHT. W/TN �/�}u4NCOnTjepLa G. ENGINEER'S CERTIFICATION W eLL FZ-OW /C'19 TE 15 A)07- G uA2 5Cf65'E94tE1J7- 0f4/e/A-r-ldoS C/}N I certify that I have determined through field inspections and • review of Municipal records )hat above systems are in : ,.••'••" conformance with MOA COSA ouideffnes io eruorr1nn`rb;c ,4.ro Engineer's Printed Name Date 9 %3/01 COSA Fee $_ 111�)U ^' Date of Payment 7� hh Receipt Number_ 0059bY (Rev. 11/m) Waiver Fee $ Date of Payment Receipt Number V..• ...... '.wAA. Shah. No. 1417.1 PIP N Cl) Cl) co 0 o ' �0 L9'17Ll MX9.90.00N d U d Y C CN y y Ol j � u 0 Q 9'd 0'96 r—� 1 1 I 1 I I 1 1 I I I I I co Im0 m J N N O 0 m w 0 O i J 5 N Q rn �O co J N W 8 < g£ WN �.r sW a se rW J LLW qO .� CC ��py5 y Q C W O L C m G d y t 0 0p+ 0� omb�@E ra rnryF L£mm Q 0 o j 20i E E Cm Vm OmO ='> m >i d m„ a L o 5 A-• 0. 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Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater program 4700 South Bragaw St. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ok.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 011-011-60 HAA # RR D.2 o -, 3 Z7L Expiration Date:, 1-17-03 GENERAL INFORMATION Complete legal description Lot 4; Block 4; ./tnik View Subdivision Location (site address or. directions) NHN Birch Creek Dr. Chu iak Cur)entProperty owner(s) R & S Homes - Rooer Day phone _2_12_n742 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 93 Individual On-site lu Individual Water Storage ❑ Ix Individual Holding tank Community Class Well ❑ Community On-site El Public Water System El 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 5 by an Independent professional civil engineer registered In the Slate 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 valid or 90 days from afromthe date of Issue for properties served by homeowners.on request to pr va eeor Class Cf well and may be ei suedHealth Authority Approvalware ith new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year'wilh valid water samples.) Certifleates 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 an the information obtained from 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 Slate codes, ordinances, and regulations in effect at the time of installation. Name of Firm S & S En ineerin & Phone 694-2979AK 99577 Address 17034 N Eagle River Loop Ste 204 Eagle River, Date o �� 7 Engineer's Printed Name Robert C. Cowan / ROBERT C. COWAN 5. DSD SIGNATURE 9''c�fl� CE 4801 Approved for bedrooms. I �' `•'`• tl .......... Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments PROGRAM Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: P Original Certificate Date: / o- 12- OL jnm.. 17Mt Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program' s. .,. 4700 South Bragaw SL' P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.akus (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:) OT q GLac u ktIK Vj�W S,,b Parcel ID: 0S/—O3/-60 A. WELL DATA Well type P_l I VHT 6J If A, B, or C provide PWSID # -� Well Log/N) v � J Date completed 0 d10 ) Sanitary seal �1N) y� J �_ Wires properly protected&N) YF -f Total depth 1 X ft. Cased to G 1 ft Casing height (above ground) 154 in. FROM WELL LOG ' AT INSPECTION Date of test yd Static water level O f fl. Well production oZ 0 g.p.m. WATER SAMPLE RESULTS: g.p.m. C.OlifOrm : D colonies/100 ml. Nitrate o • mg./I. Other bacteria O colonies/100 ml. Arsenic: ff• " Date cfsample:�D�rY%p2. Collected FfyS S ENGINEERING B. SEPTICIHOLDING TANK DATA 17094 N var aaP as o.104 Tank Type/Material S C16 T I Eapia River, Alaska 99577 c /app t Date installed Tank size' 13 D 0 gal, : Number of Compartments a Cteanouts ON) YC� Foundation cleanout (Y/� Depress o over tank (Y/@ NU High water alarm (YO 1'0 Date of pumping Nl k — NI. a/ Pumper C. ABSORPTION FIELD DATA! Date installed •rli lk 2- Soil rating (g.p.d./fe or ft2lbdrm) %0 Jyy tic o w Length 7D + 6S ft Width S— type System Y -r.e �c�i4s ft. Gravel below pipe O• S ft. Total depth 3 fL Eff. absorption area 67r ft2 Monitoring tube YES Depression over field Nc Date of adequacy test h'14 — ""j Results (Pass/Fail) For '�_ bedrooms Fluid depth in absorption field before test Water added_ Elapsed Time: _ min. Final fluid depth _ in. gal. New depth_ in. Absorption rate >_ Any rejuvena on treatment (past 12 mo.) (YIN & type) g.p.d. If yes, give date D. LIFT STATION Date Installed Size in gallons _ 'Pump on' level at _ In. 'Pump ofr level at Datum s ested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/iift station on lot J 1 a Absorption field on lot 13 Public sewer main N /A Sewer /septic service line ' S +S' t Manhole/Access (Y/N) water alarm level at in. Meets alarm & circuit requirements? I On adjacent lots s'� i On adjacent lots /00 '-A Public sewer manhole/cleanout N �� Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ' 7 8 Absorption field r f Building foundation � � Property line Water main 1414 W Its on adjacent lots I o o �+ Water service line /0 �-j' Surface water /o° ! e SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: N �A 1 ), Water main Building foundation Property line g 0 O 1 f Driveway, parking/vehicle storage S-0 4 Water Service tine 10 Surface water Curtain drainWells on adjacent lots )00'4 ., F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and yL A* w review of Municipal records that the above systems are in SiAli iEBFcB rw �� conformance with MOA HAA guidelines in effect on this date. 1�o 0CAT C_ Co„,q'/ Engineer's Printed Name HAA Fee 5 373= i— %rd•`� Al 'x. Waiver Fee$ Date of Payment / O /) -7 /0 Date of Payment Receipt Number O X .7 0 6 y Receipt Number (Rev. 12101)
