HomeMy WebLinkAboutMOUNTAIN PARK ESTATES #2 BLK 1 LT 2Onsite File
#017-432-27
Municipality of Anchorage Page 1 of 3
DEPARTMENT OF HEALTH 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
Permit Number: SW990083 PID Number: 017-432-27
Name.
Richard C. Andrews
Wastewater System: ❑ New K]'Upgrade
Y pgrade
Address:
12621 Saunders Rd. Anch. , AK 9951
ABSORPTION FIELD
Phone:
345-2235
No. of edrooms:
Tree
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
GPD/Sa. F.
Lot: Block: Subdivision:
2 1 Mtn. Park Est. #2
Depth to pipe bottom from original grade:
Gravel depth beneath pipe
Ft
Ft
Township:
Range:
Section:
Fill added above original grade:
Gravel length:
Ft.
Ft.
WELL: ❑ New ❑ Upgrade
Gravel depth:
Number of lines:
Distance between lines:
Ft.
Ft.
Classification (Private, A,B,C):
Total Depth:
Cased To:
Total absorption area:
Pipe material:
Existing
Ft.
Ft.
SQ. Ft.
Driller:
Date Drilled:
Static Water Level:
Installer:
Date installed:
Ft.
m
5/6/99
Yield:
Pump Set at:
Casing Height Above Ground:
GPM
Ft.
Ft.
TANK
SEPARATION DISTANCES
X7 Septic ❑ Holding ❑ S.T.E.P.
To
Septic
Absorption
Lift
Holding
Public/Private
Manufacturer:
Capacity in gallons:
From
Tank
Field
Station
Tank
Sewer Lines
Anchorage Tank
1 000
Well
> 1 0 0 '
> 1 0 0 '
N/A
N/A
N/A
Material: Steel
Number of Compartments:
Two
Surface
Water
>10011>100-
N/A
N/A
N/A
LIFT STATION - N/A
Lot
>51
>10'
N/A
N/A
N/A
Size in gallons:
Manufacturer:
Line
Foundation
>51
>10'
N/A
N/A
N/A
"Pump on" level at:
"Pump off" level at:
High water alarm at:
Curtain
Non;; 'to
O
n Lot
Pump Make & Model
Electrical Inspections performed by:
Drain
.ted
Remarks: Septic Tank and Cleanouts
BENCH MARK
PLaced under this permit. Existing
Location and Description:
Southernmost Deck Column Foundation.
Absorption Crib Left in Service.
Top of Concrete Surface.
Assumed Elevation:
jE1q_dfJjtER`S't-EAL
emp
v
u•
Inspections performed by: _—SEA Dates: 1 st r / ti 19 a
eo° oo _aoe000 Doc°�
2nd 5/6/cA
°
Department of Health and Human Services approval
4=-L-.
Reviewed and approved by: Date: — 7—qq
``�����i°���.
W
Municipality of Anchorage Page 2 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 - Anchorage, AK 99519-6650 - 343-4744
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number SW99083 PID No. 017-432-27
HILLSIDE DRIVE
SAUNDERS ROAD
PLAN AS -BUILT.
SCALE 1" = 30'
Municipality of Anchorage Page 3 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 - Anchorage, AK 99519-6650 - 343-4744
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number SW99083 PID No. 017-432-27
_W_T0 Hol
— N r -
U U U]
N M V
tn_ U U
_Crib_,_
NOTE: Septic Tank and Cleanouts Placed Under This Permit.
Existing Absorption Crib Remains in Service. Service
Line From House Was Intercepted At New Tank Location.
PROFILE AS -BUILT
HORIZONTAL SCALE 1" = 10'
NO VERTICAL SCALE
101')-\��
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services-LlJLS 5`
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW990083
Legal Description: MOUNTAIN PARK ESTATES #2 BLK
Design Engineer: 0014 Anderson Engineering
Owner Name: Richard C Andrews
Date Issued: May 05, 1999
Expiration Date: May 04, 2000
Parcel ID: 017-432-27
1 LT 2
Site Address: 012621 SAUNDERS RD
Lot Size: 22464 SQ. FT.
Owner Address: 12621 SAUNDERS RD Total Bedrooms: 3 Permit Bedrooms: 3
ANCHORAGE, AK 99516-3236
This permit is for the construction of:
❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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:
1714_1(_4 (ICE" a"�
Date:
Issued By: 1 [moi LUL!6 Date: 55 '�%
May 5, 1999
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject: Lot 2, Block 1, Mountain Park Estates Subdivision No. 2
Septic System Upgrade Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The septic tank on Lot 2, Block 1, Mountain Park Estates Subdivision No. 2 has failed
and in danger of creating a health and environmental problem. We are therefore
applying for a permit to replace the failed tank. The attached Site Plan shows the
location of the failed tank as well as the location of the new tank and the absorption pit.
A recent probe of the pit indicates it is dry and apparently functioning adequately.
The new tank will be placed in the same location as the existing tank. Two post tank
cleanouts will be placed and a foundation cleanout if necessary. No other work will be
completed at this time. The tank is located approximately 110' from the well on the lot.
There are no conflicts with existing wells or septic systems 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 reserved
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.
Sincerely,
Michael E. Anderson, P.E.
Attachments
SCOPE OF WORK:
1. Remove Failed Septic Tank.
2. -Place New 1,000 Gallon Tank.
3. Place 2 Post Tank Cleanouts. _
4. Verify Foundation Cleanout.
5. Place Foundation Cleanout.
�Gt S771H --�
777Well
0
-- NOTE: No Conflicts
_ With Adjacent Wells
Q 1
_ or Septic Systems.
r ory IliTankis Approximately
110' From the Well on
i the Lot.
i Replace. Exist ng
1,000 Gallon Septi
Tank i
Az-
eo
Existing p
\10 28' X 16'
Absorption.
o. I Pit
M, E°.f
.` � ` 3
SCALE 1 30'
GRI ,, ANCHORAGE AREA BO
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME.~/'~/C~-~/~./~~~'~--f~ MAILING ADDRESS /~//~/~'~/'~/~ _.c./~.~f PHONE
LOCATION /~/-~/'~-f/~'~/~/'/~'~/~/~LEGAL DESCRIPTION ~/~-'~/ '~-------------------/~-~'//-~j~T~.~/~/
SEPTIC TANK:
DISTANCE .~ NUMBER OF
FROM WELL//z~2 MANUFACTURER /~'~-/~/-J~- MATERIAL~''-~:~ COMPARTMENTS ~ -
INSIDE LENGTH / INSIDE WIDTH ~ LIQUID DEPTH ~ LIQUID CAPACITY .//~/2~/./~/~ GALLONS.
SEEPAGE PIT: ~ ~ /
NUMBER OF PITS / DIAMETER_/ OR WIDTH LENGTH DEPTH
LINING MATERIAL~>~--~'~'~ CRIB SIZE: DIAMETER/7/ /DEPTH -~ DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION ~'~', z NEAREST LOT LINE.~ /. ABSORPTION AREA (WALL AREA) SQ. FT,
ADDITIONAL ABSORPTION
WELL:
TYPE
DEPTH ///~-~'/ / DISTANCE FROM:
BUILDING / NEAREST /~ ,~
FOUNDATION ~~'~ LOT LINE
NEAREST / SEPTIC . / SEEPAGE
SEWER LINE /"~ /, TANK //~/~ , SYSTEM .~-~'~- /
CESSPOOL/~/~/j/~''-, OTHER SOURCES
APPROVED ~ DISAPPROVED REMARKS
DISTANCES:/~' -~ ~2~-~
INSTALLED BY: ~-7~//~/~t~/
PIPE MATERIAL:
LOT SLOPE: ~/~/'
REMARKS:
Form PW-026
DIAGRAM OF SYSTEM
G,A.A.B.
GrE~, Er ANCHORAGE AREA BorOUGh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 27/~-456 !
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION _"~/~JJ/ ...... ~/~//'' ~'~' ~/'~J~/-~"~~'-'~
TYPE AND SIZE Of faCIliTY TO be ,eRvE~ ~~ ~/~ ~/~ _~/~~
SO,L TEST .ESULTS J/O ~//~ ~~ NOTE: THIS PER~IT IS NOT VALID WITHOUT SOIL
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE /~- ~'~J,~Z~"/ TYPE
MINIMUM DI~TANCE~, ~EQUIREMENT~
FOUNDATION TO SEPTIC TANK
/
FOUNDATION tO SEEPAGE P~t ~/~ , DRAIN fIELD
SEPTIC TANK TO SEEPAge Pit WALL ~/--
SEPTIC TANK ~/ SEEPAGE PlT ~
, , DRAIN FIELD
WELL TO SEPTIC TANK
DRAIN FIELD ALSO CONSIDER AREA WELLS.
DRAIN FIELD
, . , DRAIN FIELD
TO RIVER. LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of
EXCAVATION E FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST iRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH Airtight REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER//~CHORAGE AREA BOROUGH ORDINANCE NO. 28-§8 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~~~
APPL CANTS SIGNATURE --~
DATE . / . ' ~
Gk:~ER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY Case #
3330 "C" Street
ANCHORAGE, ALASKA 99503
Performed For ~X";<-~c_t ,.to(q-m~o ~- Dated Performed
Legal Description: Lot ~.~ Block~ Subdivision_hl~.~-~i~----~q~
This Form Reports Soils Log ~ Percolation Test
- Soil Test Must Be Logged To 4' Below Proposed Seepage System -
Depth
Feet
2--
3~
4~
5~
Soil Characteristics
m
9~
lO~
ll--
12--
13~
14~
Was Ground Water Encountered?
If Yes, At What Depth?
Reading Date Gross Time Net Time Depth to H20 Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit Drain Field
Depth of Inlet Depth to Bottom of Pit or Trench
COMMENTS:_ ~'~D ~-~r~>~ _ '
Test Performed BY_/c~'o~_~_~_~_ .~' ~.~-~.~' Date Certified BY:
Date:
DATE RECEIVED
INsPECTIoN APPOINTMENTS
TII~'E TIME TIME
DATE DATE DATE
DEPT. OF HEALTH 8<
MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTtON
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
~ 82§ LStreet-Anchorage, Alaska99§01 JUL 1 ~ '~9'~1 ~'~
~ ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete ali parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for pro~essing.
1. PROPER~Y OWNER PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION~ ~~, ] PHONE
MAILING ADDRESS
4. REALTOR/AGENT ~0~ /~'~ ~-/ ~ PHONE
MAI LING ADDRESS
5. LEGAL DESCRIPTION
'TREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One [] Four
~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY J~ Three [] Six
[] Other
7. WATER SUPPLY
INDIVIDUAL~
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM ~]~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SiDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FiVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED/~/¢b'~-'~
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY ~/-- ~'~(
Connection Verified INSTALLER
[]Septic Tank or []HoldingTank
Size: ! ~._?O If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER z~..~ ~,,
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
I~'"/APP R OV E D FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY , .~/~
72-010 (Rev. 6/79)
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
July 23, 1981
John Bashaw
1577 C Street, Suite 101
Anchorage, Alaska 99501
Subject: Lot 9 Block 5 Mountain Park Estates SubdivisionS#2
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
1)
(2)
The water analysis report needs to be submitted to
this office from the Chem Lab, 5633 B Street, for
our review.
The well seal on the well head needs to be tightened
so that it is water tight. This will need to be
reinspected when this has been corrected.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: National Bank of Alaska
Pouch 7-025 99510
MUNICIPALITY OF
C ;'4 A -
Development Services Department
On -Site Water & Wastewater Section
Parcel I.D. 017-432-27
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
i Y t
Phone: 907-343-7904
Fax: 907-343-7997
Expiration Date: _ /& —ZDzo
Complete legal description Mountain Park Estates #2, Block 1, Lot 2
Location (site address) 12621 Saunders Road Anchorage, AK
Current property owner(s) Richard Andrews Day phone 907-244-9349
Mailing address
Real estate agent
P.O. Box 877702, Wasilla, AK 99687
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
El
Private Septic
0
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for:
Distance:
Received by:
Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ (IT -n
Date of Payment /o/09
Receipt Number 036143t)
COSA # OSC 01 Usp_
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm Forge Engineering Phone 907-522-7773
Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503
Engineer's Printed Name Michael E. Anderson, P.E. Date 10/7/19
6. DSD SIGNATURE
System #1 Approved for bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations:
001 r
rr?
of
11),f PWICIES
Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
COSA Checklist blue sheet
Nitrate Advisory
Arsenic Advisory
Other 01,%NC Aqe "V11Kfa►�J
Legal Description: Mountain Park Estates #2 Block 1 Lot 2
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 9/18/1973*
Total depth 180 ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 16 in.
Date of flow test for COSA 5/7/19
Static water level at beginning of test 77 ft.
Comments Well Depth Noted on 9/18/73 Inspection Report
B. TANK DATA
Age of tank(s) 20 years
Tank type/material Septic/Steel
Measured operating fluid level in septic tank 49
❑ Standpipes/foundation cleanout per record drawing
Date of pumping Isaacs 5/23/19
D. ABSORPTION FIELD DATA Seepage Pit
Parcel ID: 017-432-27
Structure served by this system
Well production at time of test 1.5 gpm
Water storage tank volume 450 gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by Forge Engineering
Date of Sample 10/7/19
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Which system tested (date installed) 9/18/73
Adequacy test date 6/26/19
❑ ALL standpipes present per record drawing
Results ❑✓ Pass For 3 bedrooms
Total measured depth from grade 14.6 ft (max)
Fluid depth prior to test 60 in
Measured depth to pipe invert from grade NW ft (min)
Water added 500 gal
❑ N/A — pressurized field
New depth 88 in
❑ Monitor tubes go to bottom of effective. If not, state
1440
Elapsed time min
depth into effective
RECode-requiredsoil cover over field
Final fluid depth 66 in
❑ System presoaked
Absorption rate '450'* gpd
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months)
date of test)
Gallons introduced N/A gallons
If yes, enter date 5/23
Comments/Deficiencies: *Monitor tube only, no invert. Estimated 6' effective. "See comments below. Rejuvenated wl hydrogen peroxide.
COSA Checklist yellow sheet
Yes
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
Yes
if No
Community Sewer Manhole/Cleanout > 100'
Q Yes
if No
ft
Q Yes
if No
Neighboring Tank > 100' 0 Yes
if No
ft
Private Sewer/Septic Line > 25' 17,771 Yes
if No
Absorption Field on Lot > 100' F71 Yes
if No
ft
Holding Tank > 100' Q Yes
if No
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50' ED Yes
if No
P/1 Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' 0 Yes
if No
ft
F71 Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' 0 Yes if No ft Surface Water > 100'
ft
ft
ft
ft
ft
U Yes if No ft
Property Line > 5'
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
[✓ Yes
if No
ft
Private Wells > 100' Yes if No
Water Main > 10'
Yes
if No
ft
Community Wells > 200' 0 Yes if No
Water Service Line > 10'
Q 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' E] Yes if No ft If absorption field is under driveway comment below
Property Line > 10'
1771
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
❑v
Yes
if No
ft
Private Wells > 100' ®✓ Yes if No
Water Service Line > 10'
P/
Yes
if No
ft
Community Wells > 200' Yes if No
Surface Water > 100'
✓®
Yes
if No
ft
F. ENGINEER'S COMMENTS
"Water could be heard dripping into crib with all faucets in home turned off. An estimated
300 GPD was determined to be leaking into the septic, consequently skewing the field test
results. With this in consideration, it is determined that the crib passed marginally for 3 bedrooms.
G. ENGINEER'S CERTIFICATION T /a�too
�t ee'1.p.............
I certify that / have determined through field inspections and review �,' '•.`y�
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.........a..�.a..�aaaa6aa§iLatl�AatYla/
�n MICHAEL E. ANDERSON ? to fi'm
��� • No. CE -4381 +�
FO°4oe..............
10/7/19
......
4�
�F... ° P
COSA Checklist yellow sheet ��'ORO�5�� �®�
ft
ft
ft
ft
t � r
October 14, 2019
PO BOX 240773
ANCHORAGE, AK 99524
5227773
677-7766 (FAX)
FORGECIVIL.COM
MOA Development Services, On -Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Mountain Park Estates #2 131 L2 —12621 Saunders Rd
Septic test results
Dear On -Site Services Engineer:
ME
Benjarrgg'schifier
6 �F� CE 112592
10/14/19,
On June 26, 2019, we tested the existing crib at the above address for septic adequacy. It had been
treated with hydrogen peroxide as a restoration and the liquid levels had dropped significantly.
However, they had not dropped as much as we had anticipated. When we injected 500 gallons into
the crib, the liquid level rose from 60" to 88" and dropped to 66" in the next 24 hours. It appears
that the crib absorbed 392 gallons, a little less than the required 450 gallons.
However, I met the municipal inspector at the site a few weeks later. As we examined the system,
we both observed a steady leak of water into the crib. This was not a slow drip, but an audible
trickle that visibly disturbed the water as we directed light into the monitoring tube of the crib.
This trickle was continuous the entire time that we were on site looking at the system.
As the home was locked, we were unable to access the interior to find where the leak was coming
from. However, even a small leak introduces significant water into the system. Constant small
dripping would add up to more than 50 gallons/day, leading to a passing test. Our estimate was
that this leak was adding an additional 200-300 gallons per day.
We request that this leak be taken into account to show a passing septic test for this system.
Sincerely,
Benjamin Schiller, PE
711
DEVELOPMENT SERVICES DEPARTMENT
On -Site plater and Wastewater Section
www.muni.org/onsite
te4-,
907-343-7904
Fax: 343-7997
Septic Tank Advisory
Certificate of On -Site Systems Approval #OSC191482
Subdivision: Mountain Park Estates #2 Block 1 Lot 2
Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for
this property is 20 years old. Typical replacement costs range from $8,000 to $11,000.
This advisory must be attached to all copies of the subject Certificate of On -Site Systems
Approval.
This is an example of what the metal of a 20 year old steel tank MAY look like.
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