HomeMy WebLinkAboutKNIK VIEW ESTATES BLK 3 LT 8KnIOk View
Estates
Block 3
Lot 8
#051-043-09
Municipality of Anchorage Page 1 or 3
Development Services Department
On-Sda Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us (907) 3437904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO40433 PID Number. 051-' 0 4 3 —D9
MM&M Contractin Inc.
Wastewater System: New
P.O. Box 670495 Chu iak AK 99567
ABSORPTION FIELD
Foura 4
5' Wide Trench
688.1236
LEGAL DESCRIPTION
sw ar•w
1.2
lar Dean fan wx; W a.o•
7
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Bbd. int 6lmvuon
Daae b pp. fotlRa fan &WW p•o•
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3 8 Knik View Estates
3 Ft.
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1.2 Ft.
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Well: Municipal Water System
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DNW.
Drs DN slrlc W.I.r L"
MM&M Contracting, Inc.
10125104
FL
Ye
PM srr
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TANK
GPM
FL
FI
SEPARATION DISTANCES
® Septic ❑ Hording ❑ STEP. ❑ Other.
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
oPri"te
sewer Line
Anchorage Tank
1,250
V"
>200'
>200'
WA
WA
>25'
Steel
Two (2)
sa+.r.wr«
>100'
>100'
WA
NIA
LIFT STATION — NONE ON LOT
Law
>5'
>10,
WA
WA
GM
FaMrm
>5'
>10'
NIA
WA
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a
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Noted
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BENCH MARK
Finished Floor.
100.0 FE
Engineer's Stamp
• OF �a1
Inspections by: T.L. Kimbrouch Dates: 1" 10125104
;49th •�
performed
2nd 10125104
•
Department of Health and Human Services approval
t MICHAEL E ANDERSON w
•• sti No CE -4381
��. s — i ' 5
by: Date:
••i i Lr P •�
Reviewed and approved
♦ D
,44
ta.• toR•1
:::a ••.
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK 99519.6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number. SWO40433
Page 2 of 3
PID No. 051.043-09
KNIK VIEW ESTATES SUBDIVISION
LOT 8, BLOCK 3
m�
0.
Cl
N \
3e c 21 9 \
81 399 270
82 43.4 31 4ro
\
C2 48.7 37.7 Bedroom
C3 48C 379 Home B
C4 349 878'
C5 70.r 37.0
Mt 7o.4 3e.r '4 s� \
g0 /20' X 130' Septic Easement
,aote`'o U / on E tatLets9. Block 3. Knkvew
o�E OF •y Zti
{� t '
5 MM•rNEL E. N10EReCM •/
;-0:`'� PLAN AS -BUILT
hAW!.•.•• SCALE 1' = 40'
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit No.: SWO40433
TEM
U
99.32
N
Z
F
Dralnfleld Rock
91.03—
PROFILE AS -BUILT
Seale: t' - 20'
to
S U
Page 3 of 3
PID No: 051.043-09
99.11
�r 49th
HICHACL E IWD[RSM
` No. CE- Set
;1 f
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.665o
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SW040433 s44Ef
Legal Description: Knik V ewil Block 3 Lot 8
Design Engineer: 0014 Anderson Engineering
Owner Name: MMSM Contracting
Owner Address: P.O. Box 670495
Chugiak , A 99515-
Date Issued: Oct 18, 2004
Expiration Date: Oct 18, 2005
Parcel ID: � k'
Site Address: Chugiak, Alaska
Lot Size: 21864 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑✓ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Private Weil
❑ ❑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:
Date: 16
Issued B -T ih
v�I Date: It i8 o,r
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.sk.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 05-1-N3- 89 Permit Number SW
Property owner(s) MM&M Contracting Day phone 688.1236
Mailing address (1) P.O. Box 670495 Chugiak, AK 99567
Mailing address (2)Ll9aP- Rebecca Circle Zip Code
Legal description (Lot, Block & Sub'd.) Lot 8, Block 3, Knik view Estates Subdivision
Legal description (Section, Township & Range)
Lot Size :?/, aLq Sr Ac
i i:IF�1Jd>!L•�YiL•1:1�3�•1;�
Number of Bedrooms Four (4)
Sewer Only ® Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees: q&o 'OD Waiver Fees:
Date of Payment Q% "7 Date of Payment
Receipt Number. 585 /u� Receipt Number.
(Rev. 12/00)
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 FAX
September 25, 2004
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 8, Block 3, Knik View Estates Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 8, Block 3, Knik View Estates Subdivision intends to construct a new
four-bedroom home on the property. We are therefore requesting a permit be issued
for the construction of a new septic system to serve the home. The subdivision is
currently served by a community water system. The Site Plan and backup
documentation identify the location and configuration of the proposed and existing
septic system. No conflicts between the new septic system and other systems or wells
in the area have been noted. Existing drainage arrows and the current drainage
pattern are also identified on the Site Plan. The drainage pattern will be maintained
after development of the new system is complete. An easement has been created on
the adjacent Lot 9 for the absorption system for this lot. A copy of the easement is
enclosed for your review.
Test holes placed near the location of the new absorption trench and alternate site
revealed clean well graded gravel to depths of 17'. The accepting soils were tested and
found to have a percolation rate of less than 5 minutes per inch. No groundwater was
found during excavation and none was noted during the monitoring period. Our design
includes the placement of a new 1,250 -gallon septic tank along with a new 50' long by
5' wide by 4' effective depth absorption trench to collect and treat the sewage
generated in the house. The bottom of the trench will be 7' below the surface. The
distribution pipe will be 3' below the surface. A minimum of 3' of cover will be placed
atop the trenches and a minimum of 4' of cover will be placed atop the new septic tank.
The ground surface on the lot slopes at grades from 2% to 5% from northwest to
southeast in the area of the absorption trench. The new absorption trench will be
Lot 8, Block 3, Knik View Estates Subdivision
September 25, 2004
Page Two
constructed parallel with the slope of the ground surface as much as possible in
conformance with Municipal requirements. The new septic system will be constructed
200' from all wells and 100' from any surface water. It will also be constructed a
minimum of 10' from any water service in the area.
If the system is constructed in accordance with our design the following statements
apply:
1. The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sinnncerelly, n
Michael E. Anderson, P.E.
Attachments
49th �
WCHAEE E, ANDEHbO
No. CE -439 A
TOW 2912' MR
918}5 R
10
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f,ft. AREA MAP
SCALE 14 =100'
�ss��`
KNIK VIEW ESTATES SUBDIVISION
LOT 8, BLOCK 3
\ o.
a"s � deo
a \
s iC
Four
Bedroom
Hone
18 l
1gtic% kn les�e
/20' X 130' Septic Easement
/ /13 on Lot 9, Block 3, Knik View
Estates
57 Long x S Wide
SITE PLAN
SCALE 1" = 40'
LOT 8, BLOCK 3, KNIK VIEW ESTATES SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom House 5' Wide Trench System
Perc. Rate: 1.0 Min./Inch 1,250 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 4' Drainfield Rock
4 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 500 SF Absorption Area
500 SF/5 SF • .5 (Red. Factor) = 50 LF Trench Length
THEREFORE: Construct a 50' Long x 5' Wide x 4' Effective Depth Absorption Trench.
Flow Line Elevation In Trench to be 3' Below Original Ground Surface. Total Depth to be
7' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over
Absorption Trench.
2'6"
6"
4'0"
Natural
Backfill
Geotextile
Fabric
Perforated
'C (Holes Down)
Drainfieid Rock
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE) .•�P�
NOTE: Grade Area Over Trench to Drain Away. aj
Minimum 6' Separation From Bedrock 4'
Minimum 4' Separation From Groundwater.
» ...
Minimum 10' Separation From Water Services in the Area. 7j rCKa F' ANMPsw
Minimum 100' Separation From Surface Water or Streams.. y„A; No. cease,
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650
DEPT11
MCI)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 8. BLOCK 2. KNIK VIEW S/D
PERFORMED FOR: PAUI MYFRS
DATE: 8/12/2004 PROJECT No -M0473
PARCEL ID#- TECHNICIAN: T. L. KIMBROUGH
TEST HOLE # 1
ORGANICS/OB SLOPE
COMMENTS:
WELL GRADED SANDS
SW
lam
49th_
NEL L ANDERSON
No. CE -sae+ ,+
T
�0
DATE
READING
GR OSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH OF
WATER
(INCHES)
NET DROP
(INCHES)
8/12/04
TEST HOLE PRESOAKED PRIOR TO TESTING:
1
12:35
12.0"
CHARGE
2
12:45
10
2.25"
9.75"
3
12:45
12.0"
RECIARCE
4
12:55
10
2.125"
9.875"
5
12:55
12.0"
RECHARGE
6
13:05
10
2.125"
9.875"
PERCOLATION RATE`(MIN/INCED PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 4.5 FT. and v+ a FT.
WAS GROUND WATER ENCOUNTERED? NO IF YES @ WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING: AJ,0- C DATE OF MONITORING:^ Z S= 0 Y
NO IMPERMEABLE LAYERS ENCOUNTERED. TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY VETECH ENGINEERING TECHNICAL SERVICE. 1, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE•
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650
DEPTH
(fat)
1
2-
3
4-
5-
6-
7
8
9
10-
11-
12-
13-
14-
15-
16-
17-
I
01112•13•14-
15-
1617-
1
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 8, BLOCK 2, KNIK VIEW S/D
PERFORMED FOR: PAUL MYFRS
DATE: 8/12/2004 PROJECT No --M0473
PARCEL IDI?- TECHNICIAN: T. L. KIMBROUGH
TEST HOLE # 2
ORGANICS/OB SLOPE
'®�
�o.
0%
MICNKL E ANDERSON
No. CE�381
SOI
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DWATERF
(INCHES)
INFT DROP
NCHES)
8/12/04
TEST HOLE PRESOAKED PRIOR TO TESTING:
1
12:40
WELL GRADED SANDS
a 4'
SW
2
12:50
10
2.0"
10.0"
3
12:50
'®�
�o.
0%
MICNKL E ANDERSON
No. CE�381
SOI
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DWATERF
(INCHES)
INFT DROP
NCHES)
8/12/04
TEST HOLE PRESOAKED PRIOR TO TESTING:
1
12:40
12.0"
CHARGE
2
12:50
10
2.0"
10.0"
3
12:50
12.0"
RECHARGE
4
13:00
10
2.0"
10.0"
5
13:00
1
12.0"
RECHARGE
6
13:10
10
2.0"
10.0"
PERCOLATION RATE;1.0_(MINANCII) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 4.5 FT. Rnd 5.5 FT.
WAS GROUNDWATER ENCOUNTERED? NO IF YES @ WHAT DEPTH'
DEPTH OF WATER AFTER MONITORING: DATE OF MONITORING:
COMMENTS: NO IMPERMEABLE LAYERS ENCOUNTERED. TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY VETECH ENGINEERING TECHNICAL SERVICE. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE:
ONSITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 8, BLOCK 3, KNIK VIEW ESTATES SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a new
1,250 -gallon septic tank at the location shown on the Site Plan. Work also
includes the construction of a new 50' long X 5' wide X 4' effective depth
absorption trench at the location also shown on the Site Plan. The
distribution line in the trench will be placed at 3' below the existing ground
surface. Total depth of the trench will be 7' below the existing ground
surface. A separation distance of 10' from any water service and 100'
between the septic tank and absorption trench and any surface water must
also be maintained. A minimum of 3' of fill is required over the absorption
trenches and 4' over the septic tank. In lieu of the required fill 2" of insulation
and 2' of fill may be placed.
2. Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
3. The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of welts in the
area and assure that the separation distances are met.
4. Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Department of Health and Human Services for system installations.
Owners installing their own systems must receive prior approval from
D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
A new 1,250 -gallon septic tank must be procured from an approved source
and installed at the location shown.
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
Lot 8, Block 3, Knik View Estates
September 24, 2004
Page 2 of 3
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below ground must be perforated.
5. Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
6. Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for a 5'
wide trench. Contractor shall verify this condition prior to placement of the
rock. All pockets of unacceptable materials must be removed and replaced.
Lot 8, Block 3, Knik View Estates
September 24, 2004
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a Municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as -built of the completed system.
Aor.19. 2035 12:5011. -9015226119 —•—.—
-- No.9991_P. 1
® 2004-075S 44-0
Recording Dist: 301 -Anchorage
A 1017/2W4 e:54 AM Pages: 1 of 4
11111111111'1111111!IIIIIIIli111�1111191111i1111�
1f.ASEMENT
THIS EASEMENT AGREEMENT is made by and between MMRM
Contracting Inc. as owners of the Serviant Parcel (hereafter "Grantors"), whose address
is P. O. Box 670495, Chugiak; Ak_ 99567, and MMRM Contracting Inc. as owners of the
Dominent Parcel (hereafter 'Grantees"), whose address is P. O. Box 670495, Chugiak,
Ak. 99567
A. The Granton own real property located at Lot,9 Block 3 Knik Yew
Estates Subdivision, Chugak, Alaska, amd legally described as:
Lot 9, Block 3, Kal Yew Estates Subdivision, according to
Plat No. 86-113, records of the Anchorage Recording District,
Third Judicial District, State of Alaska.
The Grantors property as so described is hereafter teferred to as the "Scrnant Parcel."
IEL Grantees own real property in Chugiak, Alaska, located adjacent to the
Granton. Grantees adjacent property is legally descibed as:
Lot 8 Block 3 Knik Yew Estates Subdivision, according to
Plat No. 86.113, records of the Anchorage Recording District,
Third Judicial District, State of Alaska
Grarriees property as so described is hereafter referred to as the "Dominant Parcel."
C• Grantees desires to obtain hom the Grantors, and the Cmmors desires to
grant to Grantees an easement area for Grantees use for a septic system on the Granton
Property for the use and benefit of the of the Grantees Property.
NOW, TI DEREFORE, in consideration of the mutual promises made herein, and for other
good and valuable consideration, the receipt and sufficiency of which is acknowledged,
the parties agree as follows:
2. Grant of Easement Area to rise for lastailation and to use and maintain it
Semtle System on Serviant Parcel:
The Granton hereby grant and convey to the Grantees, and to is successors and assigns,
an easement in and on the Servient Parcel for a septic "em area, which easement is
particularly described as:
LEGAL DESCRIPTION
A strip of land 20 (twenty) feet wide and 130 (one hundred thirty) feet tong lying
in Lot 9 Block 3 Knik Yew Estates Subdivision, as more particularly described in
Addendum 1 Dexdption, and the attached Addendum 2 Sketch dated
signed and scaled by 9J Corporation, Robert C. Johnson, Surveyor.
—Aor.19. 2005-12:55FV-9015226119 ao.9991_p. 2
This septic system area easement shall be for the purposes of constructing, improving,
maintaining, inspecting, repairing and using the septic system. Within this easement, soil,
rock, sand, gravel, and vegetation tray be excavated and removed to construct, improve,
maintain and repair the septic system area. The use of this easement shall be exclusive to
the Dominant Parcel. This easement shall not in any manner be dedicated for, or subject
to, use by the public, In order to unsure access owners of the Setviant Parcel shall not
construct any permanent structures, driveways, parking, etc. over the surface of the
easement area.
J. - rost of Construction and Maintenance: Grantees, and their successors
and assigns, shall be solely responsible for all costs of constructing, improving,
maintaining, inspecting, and repairing all improvements on and to the easement granted
and created by this Agreement that benefit the Dominant Parcel.
4. Run With Land: All the easements granted and created by this
Agreement are Intended to and shall run with the land, with the benefit of each easement
appurtcmnt to the respective dominant parcel and the burden of each easement
appurtenant to the respective servient parcel.
S. Dlimgon of Easement: The easements granted and created by this
AgMemcot shill be perpetual, except that this easement shall terminate if the Dominant
Parcel is connected to a sewer system to remove waste of the property.
IN WITNESS WIIEREOF, the partiesve executed the Easement on the data
indicated below.
Dated: a-319-oy
INC.
Dated: 9 "30 -OL%
STATE OF ALASKA )
)ss
THIRD JUDICIAL DISTRICT )
THIS IS TO CERTIFY that on this 30_ day of. Se2a6O6P•t .2004,
before me dna undersigned, a Notary Public in and for the State of Alaska, duly and
eommisaioned and trwOm, personally appeared
S to me known to be the
pew described inand vltiy ` ,qi� d�,�Q above foregoing inanmKnt, and acknowledge to me
that tbey signed the same. _ s) � for the uVs ant;wrposea therein mentioned
i� 6@rj Js M1 Notary Public m and
ly My Commiss" Exp
STATE OF ALASKA
TIM IS TO CERTIFY that an this .30 day of C 004,
before tae the undersiVwd, a Notary Public in and for the Stam of Alaska, duly and
tarcnissioned and sworn, personally Appeared
.-=
to vw known to be the
persons described in and who cWo �a q.b foregoing instrument, and�acknn`o'wledse to me
the fr
they signed the acme aly{7v p S'rrYtr-t�F _ ax,,�`�_ w�rrd.
st'•• TAY s
err]Ln r cavy Ta s Nptary Pubic in and foolm"a
MMaM Cmtrstbna me ccs., P,, Aq-a�
P.O. Box 670193. Cbuaisk AK 9961 k?y ! C oP v`rClb�:Ckmm�mm F�.ykes:_ /3 —oT�
W-19. 2005 12:55PM 9075226779 ua•9897_-_P. 3
ADDENDUM 1 DESCRIPTION
Mects and bounds description of a septic easement on Lot 9 Block 3 "k View Estates,
located within See 15, TI 5N. R1W, SM, Alaska
Commencing at the southwest comer of said Lot No. 8 and 9'Point
of Bcgutning• of this easement description go North 50 degrees
15 bfmutes 39 Seconds East a distance of 130 feet along the lot line of
said Lot 8 to a point, thence go South 39 degrees 44 Minutes 21 Seconds
East a distance of 20 feet to a point, thence go South 50 degrees 15
Unutes 39 Seconds West a distance of 110 fed to a point, thence go
North 39 degrees 44 Munttes 21 Seconds WcA a distaode of 20 fat to
the "Pohtt of Beginning! and the'Point of Ending" of this easement
description. Described casement contains 260 square feet.
ZB S6PTCH.P$A zoeya
a or.
2004-0766!4-0
—Aor•19. 2005-12:55PM-907
n
19,OPGVO"Al oZ
R60/MA
G![LL [
•9891_P. 4
xKl YCH OF s./r1( fysTEM BAflH/NT
LscA7lrD ON LwT 9 FOR THE UP& Of
LOT el OLO�y, 7JK41k VIEW E57ATES
ROb" C. 11F.
MANN
Z -S A-q7r+t mkAr L ooCk
AAFA!
DA, I
� (Illall��l(III�1
4Or4
2004-076654. i
Municipality of Anchora Q� Sty 1 b 2016
On -Site Water & Wastewater Programr.
(907) 343-7904
ell ¢ 5�
CU
01699
Certificate of On—Site Systems
Approval
Parcel I.D. �W-043-09 Expiration Date:
i!I<cm, I=[ 7l1111111 1 a;[#] i3 & f,1111 ]IN] ZI
Complete legal description KNIK VIEW ESTATES: BLOCK 3, LOT 8
Location (site address) 21922 Rebecca Circle'Chugiak 99567
Current Propertyowner(s) Michael Kennell Day phone
Mailing address
Real Estate Agent Hannah Twelt Day phone
273-7262
2. TYPE OF DWELLING:
Single Family (w)wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER, OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community ClassWell
❑
Community On-site
❑
Public Water System
0
Public Sewer
❑
WaiverNadanw request
Received b
COSA to be released to the eng neer, unless otherwise requested by the engineer.
COSA Fee $ '5 2fo —
Date of Payment 01
Receipt Number a
COSA # 0SCG �0 i Ll 13
Date:
Waiver Fee $ _
Date of Payment
Receipt Number
Waiver #
Distance.
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system Is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK, 99507
Engineer's Printed Name
Engineers Comments:
JEFFREY A. GARNESS, P.E.
In coadua ing thiseveluegon, GEGpmvided an enginsedng evaluation onhe wegandkrseph'c system inacmrdaxe wM the
guidalwas and regulagons establishedbythe Municipally ofAnchorage and Nduffiypradces. The repodedresuffs descdte the
condlion oflhesystaMs on fire dafals olMe evafuaton. Sapamgon distances wemmeasomdtomaddyidenlifiable katums.
Phone 337-6179
Date 1 I
systemsdepandw a varietyofvariebles mduding, butnotfintedto, sell comfiilons, gmundwaforlovels (that mayguctmfe dudig
the year), gwXyofconswot'on(maledalsand workmanship), and Me wmerusage ofMefinally utliftMe systeMs.These
;• 4
cenalmnson vary, ardam outside Me confrddGEG. Smisfadaryfast msulls donotguamnlae Mere pedemanoe ofMe
sysferds;Memfare, GEG makes no wamanly(expmss wlmplied) mgaming Me knumparkmance afthe well asolnucsyslem.
/
GEGmakwnompmsemagmwhefheranaNemagveweltasepgcsystemcanbeinstatedmihepmpedylnmeevenfeMarofine
cummi sysfemsf. The conlenlofthis Media Who sok bermHofineperson/padywhomfained GEG. Reliaxa upon Me
A
mfom g"pmvidedinmismpatbyanyoUwpomonorpany, indudinghuImfimAodksubsegwntpmpedypumhasmisnot
♦ %
_
E 1
ovmodzedlnshor4 GEG disavows anylegal dufylu anyone oMerManmepemn(pedywhopefdforMismpod..��
J'j. t, _
B. DSD SIGNATURE/�pa��`N'�� t ONP�
LICENSE ,� �►�S"����
System 91 Approved for bedrooms. MAEC0ee4
System #2 Approved for
bedrooms.
xF
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 ofAlaska.
The Municipality ofAnchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
(Rev. fawlx)
Nitrate Advisory
Arsenic Advisory
Other
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 ESTATES; BLOCK 3, LOT Parcel ID: 051-043-09
A. WELL DATA AWWU
Well type If A, B, or C provide PWSID# _ Well Log (Y/N)
Date completed Sanitary seal (YIN)_ Wires properly protected (Y/N
Total depth ft. Cased to ft. Casing height (ab round) in.
FROM WELL LOG AT
Date of test
Static water level
ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RES .
Coliform colonies/100 ml. Nitrate mg./L. Collected by:
Ar6enic: ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed 10/25/04
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Date of pumping 8/24116 Pumper JR'S PUMPING
C. ABSORPTION FIELD DATA: ITELOW EXISTING GRADE
t
Date installed '10125/04 Soil rating (g.p.d./ffor /bdrm 1_2 System type TRENCH
Length 50ft. Width 5 ft. Gravel below pipe 4 ft.
Total depth '8.4+ ft. Eff. absorption area 500 fC Monitoring tube YES Depression over field NO
Date of adegVacy test 8124/16 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 2.5 in. Water added 1010 gal. ' New depth 21 in.
Elapsed Time: 120 min. Final fluid depth 16 in. Absorption rate >= 600+ g,p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
pry A -tet- "7 -s PLP-�� _1UX vrZDEr4,
t>-ousFs Ser-�Q V P%4- LF -4
3 o pa7S oIJ 45rzz�/6
D. LIFT STATION
Date installed_
"Pump on" level at in.
t
Size in gallons Manhole/Access (Y/N)
"Pump oft"level at we er alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
On adjacent lot:
On adjacent lots
manhole/cleanout
Sewer /septic seance line Holding tank
ontainment areas - Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line Absorption Feld 51+
Water main 10'+ Water service line 101+ Surface water 1.00'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 1001+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*OFF PROPERTY - SEE EASMENT IN MOA RECORDS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date o'J/&
(Rev. 10/12/12)
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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. 051-043-09 HAA# 05073&,
Expiration Date: S — I _ 0 %
1. GENERAL INFORMATION
Complete legal description Lot 6, Block 3. Knik View Estates Subdivision
Location (site address or directions) 21922 Rebecca Circle
Current Property owner(s) MM8M Contracting Day phone 688.1236
Mailing address P.O. Box 670495 Chuaiak, AK 99567
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
Four 4
TYPE OF WASTEWATER DISPOSAL:
❑
Individual On-site
❑
Individual Holding tank
❑
❑
Community On-site
❑
®
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given In paragraph 5 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
fitle (except between spouses) for properties served by a single family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with
valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-
site water supply and/or wastewater disposal system Is(are) safe, functional and adequate for the number of
bedrooms and type of structure Indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage 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 Finn Anderson Enaineerina Phone 522.7773
Address P.O. Box 240773 Anchoraae. AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date 7!27/2005
5. DSD SIGNATURE
✓ Approved for _ bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date: 9 -1 -Os -
bedrooms,
—1 -Os -
(Rw +2m
.j.
Municipality of Anchorage
j Development Services Department
Building Safety Division
On -She Water & Wastewater Program
i 4700 South Bragew St
P.O. Box 198850 Anchorage, AK 995198850
www.d.arxtorage.ak.us
(907) 3437904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Lotf. Block 3. Knik Zw EsWes Subdivision Parcel ID: 051-531-13
.1 _ - r t
TA
Wed type —
Date completed —
Total depth ft
Date of test
If A. B, or C provide PWSID # —
Sanitary seal (Y/N) —
Cssed to ft.
FROM WELL LOG
Well Log (YM)
Wires properly protected (Y/N)
Casing height (above ground) in.
AT INSPECTION
Stack water level ft
Well production g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 ml. Nitrate mg./l. Other bacteria
Date of sample: Collected by-
B.
yB. SEPTIC/HOLDING TANK DATA
ft.
g.p.m.
coionies/100 ml.
Tank Type/Material SeoBdSteel Date installed 1 118 512 0 0 4
Tank size 1.250 gal. Number of Compartments j Cleanouts (YM) Y
Foundation cleanout (Y/N).y Depression over tank (Y/N) fl High water alarm (Y/N) N
Date of pumping Pumper New Construction
C. ABSORPTION FIELD DATA
Date installed 1012UM Soil rating (g.p.d./Re or fe/bdrm)1.2 QFV3F System type S Wide Trench
Length 50 ft. Width S ft Gravel below pipe 4 ft
Total depth j& ft Eff. absorption area fiaftl Monitoring tube Y Depression over field jy
Date of adequacy test Results (Pass/Falq 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.
Any rejuvenation treatment (past 12 moa (YM & type) N If yes, give date
D. LIFT STATION
Date Installed
`Pump on" level at _ in.
Datum
E. SEPARATION DISTANCES
Size In gallons Manhole/Aocess (Y/N)
'Pump ofr level at _ in. High water alarm level at
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAiR station on lot
Absorption field on lot
Public sewer main
Sewer /septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEP71C HOLDING TANK ON LOT TO:
Building foundation W Property line —?Y Absorption field >S
Water main >10' Water service line >111Y Surface water >1W
Wells on adjacent lots VW
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10' Water main >10'
Water Service line >10' Surface water >100' Driveway, parkkrg/vehide storage >3'
Curtain drain None Noted Wells on adjacent lots >2W
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I codify that I have determined through held inspecthns and 49th
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
L, emNa C &VM=
Engineer's Printed Name Michael E Anderson. RE % Ho. a-43 �
Date 7127=5'_x? yy�EC
HAA Fee $ S7 1 Waiver Fee $
Date of Payment 7'� Z7 n S" Date of Payment
Receipt Number Receipt Number
(Rev. 12M)
in.
' aoJul• 8. 20051 9:33AM 9015226119 PSE NO. : 9076881238 P'�No•0192,OMPL /211M Pl
I
abaae_A ct�, to,Efw. T=.f.Fce..,. Esa.7
�= SOS
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AS -BUILT
I hereby certify that I have surveyed the follo-ir+g described
prop°1tY
K 1
.Li7 iti s. (a. , T J 4 N R J W. e, M,
A ichcMe Recording Pcecimct. Alaska, and that the improve•
mints situated thereon are within the property lines and donor
overlap or encoach on the property lying adjacent thereto, that
no Improvements on property lying adlarent thereto encoac)1
on the pmn%ises in question and chat thele are no roadways,
transmission lines or other voible easements on said property
ecept as indicated person.
Dated ai Eagle River, Alaska , `•
thi3 2e2 rlay of hpr 7 200r w.
ROBERT C. JOFLNSON • -A R•J.:
KALE: liegistered Land Surveyor No. 880 -LS
Boc77-0446, Engle River, Alaska 99577
!'lion (907) 6942541
w
• `
ti
\
,
7
i
f / {
/� rX t3� 3gsK, ts•
t-a�R
AS -BUILT
I hereby certify that I have surveyed the follo-ir+g described
prop°1tY
K 1
.Li7 iti s. (a. , T J 4 N R J W. e, M,
A ichcMe Recording Pcecimct. Alaska, and that the improve•
mints situated thereon are within the property lines and donor
overlap or encoach on the property lying adjacent thereto, that
no Improvements on property lying adlarent thereto encoac)1
on the pmn%ises in question and chat thele are no roadways,
transmission lines or other voible easements on said property
ecept as indicated person.
Dated ai Eagle River, Alaska , `•
thi3 2e2 rlay of hpr 7 200r w.
ROBERT C. JOFLNSON • -A R•J.:
KALE: liegistered Land Surveyor No. 880 -LS
Boc77-0446, Engle River, Alaska 99577
!'lion (907) 6942541
