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HomeMy WebLinkAboutPROSPECT HEIGHTS BLK 1 LT 13Onsite File Prospect Heights Block 1 Lot 13 #015-091-04 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211496 PID Number: 015-091-04 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name ANNE HOGE ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bedound Site Address 9701 PROSPECT DRIVE *ANCHORAGE, AK El Other Phone Number of Bedrooms Soil RatingTotal depth original grade 650-776-4255 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot PROSPECT HEIGHTS; BLOCK 1, LOT 13 Fill added above original gr Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES Tol Septic Absorption Lift Station Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field . Tank. Line Ft2 —. Ft. Well 100,+ TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer INFILTRATOR Capacity 1530 Gal. Surface Water 100,+ Material Number of compartments Lot Line 5'+ NA PLASTIC 2 Foundation 101+ LIFT STATION Manufacturer Capacity Remarks OLD TANK DECOMMISSIONED PER UPC Gal' Electrical installed by PER CONTRACTOR Alarm location PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Installer ARM SEPTIC SERVICES Drainfield D3034/EXISTING CO/MTD3034 Inspector GEG AND MOA BENCH MARK (Assumed elevation) 98.42 ft Inspection- 15` 1/25/2022 Location and description es: nd 2 TOP OF MH 3b _ 4` - ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Zo6�I p o� OF Conditional Approval: Date P........ '. . �. ....... Septic System Q Jef, e A. 6acnEs�S., CE -7 53 r� Approved t,.�. t—�i/ Date 3^ 7 ' Z2 ` F Note: this approval does not Include well permit requirements.#AEccas��040000��Q P o� o (Rev 05/02/18) P�RMIT NUMBER: OSP211496 RECORD DRAWING I A I B DBL1 75.8 66.0 DBI -2 76.6 66.5 MH 79.6 68.4 ST1 77.3 75.5 DEIL3 76.6 79.2 DEIL4 , 76.5 , 80.0 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN VVI. DISTO S910 LASER DISTANCE SVVING-TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD 0 NEW IM -1530 INFILTRATOR SEPTIC TANK H IH O QN DBL3_A T-rT�r APPROXIMATE LOCATION OF EXISTING DRAINFIELD EXISTING 4 BEDROOM HOt G AAR N FE 4 S S E N Gff I N.' EFF". R I N(J" 9-11 Y Tp GN R k Y u L t d ENGINEERING - SALES - CONSULTING 37011— TUDOR ROAD, SUITE 101 - ANCHORAGE. AK 99507' PHONE (907) 7376179' FAX (907) 938-7246' WEBSITE: —g--Qi—fing.com PREPARED FOR:ONE PH NUMBER: PAGE NUMBER: ANNE HOGE 650-776-4255 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: PROSPECT HEIGHTS; BLOCK 1, LOT 18 D.J.G. TYPE OF WORK DATE: SEPTIC TANK RECORD DRAWINGS 2/2/2022 PARCEL ID NUMBER: 015-091-04 Y, Im 0 OF 5� 1� ........... ..... r 0 *j Fe;ey A. G mess xw # IE -77j53 AV 4V Ap ESS\ LICENSE #AECC884 laklm PERMIT NJMBER: PARCEL ID NUMBER: OSP211496 RECORD DRAWING 015-091-04 TOP OF MH = 98.15 TOP OF TANK AT INLET= 94.07 INVERT OF BUNG AT INLET = 93.48 Lm INSULATION PER CONTRACTOR :I I H IM -1530 2 -COMPARTMENT INFILTRATOR SEPTIC TANK ST1 FINAL GRADE = 97.41-97.72 - TOP OF TANK AT OUTLET = 94.07 INVERT OF BUNG AT OUTLET = 93.20 �d®Oat Ilt q A Tp Aff %4" X-1 A R N"ll i -'d' S S J' E_ A Gff 1 NI -31', E R I NG" G R u L t d (o ........ f* .....4 ENGINEERING � SALES n CONSULTING t 3701 E. TUDOR ROAD. WTE 101 *ANCHORAGE. AK 99507' PHONE (007) 3376179' FAX (907) 3383246' WEBSITE: w gam—ngneedN wm f PREPARED FOR:__T ANNE HOGE PHONE NUMBER: PAGE NUMBER: 0oCi�'••••J ,rCE-7953ness•• 650-776-4255 3 OF 3 'xAV ®�®%�`� LEGAL DESCRIPTION: PROSPECT HEIGHTS; BLOCK 1, LOT 13 DRAWN BY: D.J.G. •,.�� Z, ZzZ ��.� ���® TMPE OF WORK. oAT1131/2022 p� ("� �`®p�a®S® � SEPTIC SYSTEM RECORD DRAWING #AECCB sa MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211496 Work Type: SepticTank Upgrade Tax Code Number: 01509104000 Site Legal Address: PROSPECT HEIGHTS BLK 1 LT 13 G:2441 Site Mailing Address: 9701 PROSPECT DR, Anchorage Owner: HOGE CAROL ANNE REVOCABLE Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: �t�lcnt G v� • , J Uepartment 12/23/2021 12/23/2022 86145 ❑ 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 Received By.' -y, Issued By: Date: 2 . .s Date: .? .73 20.? j ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-091-04 Property owner(s) ANNE HOGE Day phone 650-776-4255 Mailing address 9701 PROSPECT DRIVE *ANCHORAGE, AK 99507 Site address 9701 PROSPECT DRIVE *ANCHORAGE, AK 99507 Legal description (Sub'd., Block & Lot) PROSPECT HEIGHTS; BLOCK 1, LOT 13 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) n Septic Tank Q Upgrade x - . (w/wo ADU) Holding Tank Fl Renewal Renewal ❑ (D) EJ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: A '9 ?!5, Waiver Fees: Date of Payment: 111U 3 D21 Date of Payment: Receipt Number: 0 4 0 K Receipt Number: Permit No. 0 S /`�.� % / q 9,6 Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTorms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211496, Rebecca Carroll, 12/23/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211496, Rebecca Carroll, 12/23/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211496, Rebecca Carroll, 12/23/21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ,/ I[~'NEW E~]UPGRADE LOCATION . / ] Well ~ / I Absorption area ~ I DISTANCE TO: I ~ ~ / ~ ~ ~ Manufacturer ~ ' ~ Liq capacity in g~llons ~ . Inside length ' /~0 ~ II IF HOME.DE: ~ .. ~ DISTANCE TO: I Well Dwelling ~Z I '~' I ~ ~ ~ Man ufacturer D I I Well f Foundation ~ · I DISTANCE TO: ~ /~ ~ ~ ~ I No. of lines . I Length of each line , Total length of li~es ~z~ I t I ~ 7 ~7 ' ~ Top of tile ~¢fl~lsh grade Material beneath t,le ~ I Length Width Depth ~ ~ I Type of crib Crib diameter Crib depth ~ ~ ~ Wel~ Building foundatio~ J DISTANCE TO: ~ JCI~ Depth Driller ~ J Budding foundation Sewer hne DISTANCE TO: //Z. Dwelling Materia.~ W dth Material Nearest lot line//~) ~7~- Trench width ~C) inches /,.~5~l inches NO. OF BEDROOMS PERMIT NO, No, of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance between Ii n es Total effectiv~.~bp~tion area PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO, Septic tank Absorption area(s) OTHER DATE LEGAL by DOC Co. dba SULLIVAN WATER WELLS P.O, BOX 272 CHUGIAK ALASKA 99567 · TELEPHONE688-2759 OWNER OF LAND ADDRESS LEGAL DESCRIPTION DATE - Started pERMIT NUMBER Ended DEPTH OF WELL STATIC LEVEL OF WATER FT. DRAW DOWN FT. GALS. PER HR KIND OF CASING KIND OF FORMATION: From. Ft. t~ Ft From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft From Ft. to Ft. From_ Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft From Ft. to__Ft. From Ft. to Ft. From Ft. to_ Ft From Ft. to_ Ft. From Ft. to Ft From_ Ft. to Ft From Ft. to Ft. From Ft. to. Ft. From Ft. to Ft. From Ft. to Ft From Ft. to_ Ft. From Ft. to Ft.. From_ Ft. to Ft. From__Ft. to Ft. From Ft. to Ft. From_ Ft. to Ft. From Ft. to_ Ft. From__Ft. to Ft. From Ft. to__Ft From Ft. to Ft. From Ft. to__Ft. From Ft. to Ft, .k.,~l lixllK'IPA117Y OF ANCHORAGE DEPT. 07 i', %Tk & MISCL. INFORMATION: EI,qVIRONMENT/kL FF, OTECTION RECEIVED , %. DEPFtRTMENT OF HEFILTH RND EN/IR.NMENTHL F'F:',..,-TECTION , - 264-47~0 8F'PLICRNT RaRE E. LLICHSINGER Bu~. 2E~94 SRR RNCH "'~4~--ZSS... ' LOCRT ~ ON LEGRL L~: B~ P~O~F'EC:T HTS~ ~ .... ~ LOT ~ZE ~E~3~3 ~QJRRE FEET T~'F'E OF _,UIL RBqORBTION ~:,TEH Ic' DRRIN MR;qIMUH NUMBER OF BEDROOMS = 4 SOIL RRTING (S~ FT/BR)= 85 THE RELZ!UIRED SIZE OF THE SOIL RBSORPTION SYSTEH IS: [:,,EF'-FH: --1. 5 I. F_=I'-.I~S'T'F~: 5~-- L'-~RFI",,.,~EL ~-,EF'TH= ..'IL. 5 THE LENGTH DIMENSION Iff, THE LENGTH ,.'.'IN FEET> OF THE TRENCH OR DRRINFIEL.[). THE DEPTH OF tq TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVBTION <IN F~..,.~-~~ THE GRRVEL DEPTH IS THE ~ DEPTH OF GRR'~~~ OLITFRLL. PIPE RND THE BOTTOM OF THE E>(CRVRTION (IN FEET:). PERMIT APPLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF 8NY NELI~S 8DJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TL4C~ <;2 > I f-~SPIEC:TIO~4$ ~RRE E{E~-~.LII BRCKFILLING OF 8NY SYSTEM WITHOUT FINRL INSPECTION 8ND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN A WELL 8ND ANY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR 8 PRIVRTE WELL; OR 150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC NELL. NELL LOGS 8RE REQUIRED 8ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMEN'rS MBY 8PPLY. SPECIFICRTIONS RND CONSTRUCTION DIBGRRMS RRE RVAILRBLE TO INSURE PROPER INSTRLLRTION. F'ER~-I I T E><.'F' I F-:ES [)E~]E~-IE:F'F: ._?- :1_.. ~ i ~ 7" ~~ I CERT I F'""r' THFIT// ~ . ~ . ~: I AM FBMIL~.IqRiNITH THE REQUIREMENt=, FOR ON-SITE SEWERS AND NEL. LS RS SET fORTH BY THE~'IlJNJCIPRLITY OF RNCHORRUE. 2: I WILL ~I~RL1 THE SYSTEM IN RCCORDRNCE WITH THE CODES. Zc: I LtNDER5~D ]JFIT THE ON-SITE SENER SYSTEM HRY REQUIRE ENLRRGEMENT IF THE ~:ESIDENCE I~EM[ reELED TO INCLUDE MORE THRN 4 ~EDRI:IOMS. RP~CRNT CRRL E. LUCHSINGER /__ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-§50, Anchorage, Alaska 99502 276-2221' SOILS LOG- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O SOILS LOG [] PERCOLATION TEST SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED7 IF YES, AT WRAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT A,ND ~ FT i f DATE RECEIVED INSPECTION APPOINTMENTS ~[IME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR M UN ICI PAL PPA-O~*CAtN'~ RAG E MUNICIPALITY OF ANCHORAGE ~NVIRONMENTAL DEPARTMENT OF HEALTH b ENVIRONMENTAL PROTECTION  825 LStreet-Anchorage, Alaskag9501 A~)R 8 ~980 ( ) ENVl RONMENTAL SANITATION DIVISION ~ Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete aH parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing. I PHONE MAILING ADDRESS PROP~TYRESIDENT(Ifdifferentfr°mab° ) I PHON~ PHONE MAILING ADD~ESS  PHONE 3, LENDING INSTITUTION MAILING ADDRESS MAILING ADDRESS 5. LEGAL DESCRIPTION ~ t- 'PM ft /.-bT ;TREET LOCATION [ , 6. TYPE~F~SIOENCE ~ One ~ Four ~SlNGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six [] Other~ 7. WATER SU.,I~°LY ~' INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. Awell 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, 72-010 (Rev. 6/79) 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 E~] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED / 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or E~ Holding Tank ~_~ Size: t~O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: t O~ ('do I Absorption Area to nearest Lot Line 5. COMMENTS [~ APPROVED FOR ~' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) E~ DISAPPROVED DATE BY • '`° Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D.015-091-04 Expiration Date: 1. GENERAL INFORMATION: T-1zCrZZ Complete legal description Prospect Heights S/D• Block 1 Lot 13 Location (site address) _ 9701 Prospect Heights *Anchorage AK 99507 Current Property owner(s) Anne Hoge Day phone 650-776-4255 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 O Waiver Fee $ _ Date of Payment 3 7 �O a Date of Payment Receipt Number 055`706 Receipt Number. COSA #_ 0 S C a a 9 b '7 3 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. Name of Firm: Gamess Engineerinq Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 jJ Engineer's Printed Name: Jeffrey A. Garness Date: �i�flZa In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and Qoo�DO41 industry practices. The reported results describe the condition of the system/s on the date/s of the oa 0► evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and�� workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and "" "" "' """" "� are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of Q• the well or septic system. GEG makes no representation whether an alternative well or septic system �J �, '_� fr Hess;" can be installed on the property in the event either of the current systems fail to perform adequately in CE -7953 Z� p the future. The content of this report is for the sole benefit of the person/party that retained GEG to Q6 srq 2 / p perform the evaluation. Reliance upon the information provided in this report by any other person or J'� �� 4d r�t'Z�co party (including subsequent property purchasers) is not authorized, nor will it confer any legal right ��� professlo"° G whetseeYor���00�0�� #AECC884 6. DSD SIGNATURE System #1 Approved for 4bedrooms System #2 Approved for bedrooms By: Disapproved Conditional approval for bedrooms, with the following stipgl G r 11 //,, n J �1 JJ l���t�(cttrrr���r Qnt-SIS WATER AND Rt� WASTEWATER o -� JJ�J�iiFNI' SERV Original Certificate Date: )1.5 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 _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other �'r Legal Description: PROSPECT HEIGHTS; BLOCK 1, LOT 13 Parcel ID: 015-091-04 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 1.7+ gpm Date drilled ici7 1c�) `4 Water storage tank volume N/A gallons Total depth ft --:i> -z(0.--7 + Well disinfected for coliform test? ❑ Yes ❑ No Cased to * U rJ4 ft '` ❑ Coliform bacteria is Negative no Sanitary seal is functioning correctly 3lY12a Nitrate 3.25 mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 12+ in. Collected by GEG Date of flow test for COSA 7122121 Date of Sample 1/22/2' Static water level at beginning of test 58.2 ft. Comments WELL LOG IS IN FILE IN MOA RECORDS, HOWEVER, IT (DOES NOT APPEAR TO HAVE BEEN FILLED OUT. DID NOT FIND A DUPLICATE LOG ON W.E.L.T.S. B. TANK DATA C. LIFT STATION Age of tank(s) NEW years ❑ Required maintenance com d Tank type/material SEP"`""` Age of lift station ars Measured operating fluid level in septic tank NEW Lift station mat ' ❑ Standpipes/foundation cleanout per record drawing Com pate of pumping N/A D. ABSORPTION FIELD DATA Which system tested (date installed) 1979 Adequacy test date 71/24/21 ❑ ALL standpipes present per record drawing Results Q Pass For 4 bedrooms Total measured depth from grade 12.4 ft (max) Fluid depth prior to test 5 in Measured depth to pipe invert from grade 10.9 ft (min) Water added 605 gal ❑ N/A — pressurized field 17 New depth in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 140 min depth into effective ❑ Code -required soil cover over field Final fluid depth 12 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) * Gallons introduced 2000 gallons If yes, enter date N/A Comments/Deficiencies: 'PRESOAK COMPLETED ON 11/22/21 -ANEW C/O AND MT WERE INSTALLED ON THE NORTHEAST END OF THE TRENCH PRIOR TO THE ADEQUACY TEST 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 Q Yes if No ft Neighboring Tank > 100' R� Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' 2] Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' ft Community Wells > 200' Animal Containment? 50' F,71 Yes if No ft Fv� Yes if No ft if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' F-] 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' M Yes if No ft Surface Water > 100' B Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' FvJ Yes if No ft Water Main > 10' El 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' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' [] Yes if No ft Private Wells > 100' El Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS DRAINFIELD RUNS UNDER THE DRIVEWAY. SEE ATTACHED RECORD DRAWING OF SEPTIC TANK WHICH SHOWS THE ASSUMED LOCATION OF THE EXISTING DRAINFIELD. *5'+ PHYSICALLY CONFIRMED BY ARM SEPTIC SERVICES DURING THE TANK INSTALLATION G. ENGINEER'S CERTIFICATION I certify that l 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 0 u � � . . s°o '..:. 49 J ff f ness,, ?Q 9� CE. -7953 el 01 F'ro f ession°o #AECC884 Ecklund, Timothy J From: David Garness <David@garnessengineering.com> Sent: Tuesday, March 8, 2022 4:23 PM To: Ecklund, Timothy J Cc: Sonja Blewett Subject: FW: Prospect Heights; Block 1, Lot 13 [EXTERNAL EMAIL] See attached email regarding 9701 Prospect Drive *Anchorage, AK. Please let me know if you need anything else. From: Anne Hoge <anne.hoge@gmail.com> Sent: Tuesday, March 8, 2022 4:12 PM To: David Garness <David@garnessengineering.com> Subject: Re: Prospect Heights; Block 1, Lot 13 Hi David, I cannot ever recall a freezing issue with the septic system or drain field. I will also try to call you back. Thanks for your time and help. Anne On Mar 8, 2022, at 4:44 PM, David Garness<DavidCc@garnessengineering.com> wrote: Anne, The existing drainfield runs under the driveway. The MOA commented and asked if there have been any freezing issues associated with the septic system. Would you please respond to this email an confirm if you have or have not any freezing issues with the drainfield. Thank you Sincerely, David Garness, P.E., M.S. Civil Engineer Garness Engineering Group, Ltd. 3701 E. 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