Loading...
HomeMy WebLinkAboutT15N R2W SEC 25 LT 2 OF 33T15N R2W Sec 25 Lot 2 of Lot 33 #051-281-59 AS -BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP151120 PID# 051-281-59 T15N R2W SEC 25 LOT 2 OF 33 N89°58'00'W 137,56 20° Road Re erv&tion '� 99,50 99.4 oA—C=30,0' g .,B—C=42,5' 7E!A—D=38.0' 99.60 FINAL GRADE vB—D=48.0' `° A—E=56.5' MM rAew` 9'B—E=44,0'1500 GAL y STEP 96,5 8�B—F=19,0' 4 TANK SEWER ROCK CIF -15=25.5' 91.60 91,62 � sD' PREPARED FOR; MATHEW & CHRISTIANE MAKELA 18112 KAMKOFF AVE, Chuglak, AK 99567 970-581-2366 FIELD BOOKS COMMM: D ! M INS ATE LINE — BOUNDARY' BOUNDARY DRAW BMW s AKiNG: STAKING CHEONE : C INSTALLED NEW —GAL"C C ASBmLr. DMS DAM 06/10/ M. RILe GRID: NW753 STEP TANK "Na: 15-124 CO TH15-1 V1 RF W GRAVEL 1-4 DRIVE - DECK J FCO A TH15 4—BR HOUSE LLJ CD G LLJ c --i ADVA CEDCD SY DECK RESER E '� 99,50 99.4 oA—C=30,0' g .,B—C=42,5' 7E!A—D=38.0' 99.60 FINAL GRADE vB—D=48.0' `° A—E=56.5' MM rAew` 9'B—E=44,0'1500 GAL y STEP 96,5 8�B—F=19,0' 4 TANK SEWER ROCK CIF -15=25.5' 91.60 91,62 � sD' PREPARED FOR; MATHEW & CHRISTIANE MAKELA 18112 KAMKOFF AVE, Chuglak, AK 99567 970-581-2366 FIELD BOOKS COMMM: BOUNDARY' BOUNDARY DRAW BMW s AKiNG: STAKING CHEONE : KMD ASBmLr. DMS DAM 06/10/ M. RILe GRID: NW753 ACAD Fla` FILE I "Na: 15-124 2 V = 30' 4— T 85.4 aw SCALEt NTS t►RJERRq A o ARC 1m ERRA € CONSULTING, INC 212 E. 51" Ave, Anchorage, AK. 99503 to Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Performed for: Mathew Makela Date Performed: 05/19/15 Project: T15N R2W SEC 25 LOT 2 OF 33 TEST HOLE s Depth Org/OL SP/GP/gm-sm mod dense, trace of silt, w/ cobbles to 1' 14-,y a B.O.H.-mosit 15- 16- 17- 18- 19- 20 - OF ALS 7116 '00, r TH 15-2 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? NO Date? 5/27/2015 Reading Date Gross Time Net Time Depth of Water Net Drop 1 5/19/15 1:00 6" - 2 1:10 10 min 8/16" 5 8/16" 3 * 1:11 6" 4 1:21 10 min 9/16" 1 5 7/16" 5 * 1:22 6" 6 1:32 10 min 9/16" 5 7/16" 7 * 1:33 6" - 8 1:43 10 min 11/16" 5 5/16" 9 * 1:44 6" - 10 1:54 10 min 11/16" 5 5/16" 11 * 1:55 6" - 12 12:05 10 min 11/16" 5 5/16" * I Water Added Percolation Rate 19 (min/in) Pere Hole Diameter 6" Test Run Between 4 feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. NORTHWiRE LLC 1120 EAST HUFFMAN STE 24 BOX 695 ANCHORAGE, ALASKA 99515 ELECTRICAL ADMINISTRATOR LLC CON 38468 STATE OF ALASKA BUSINESS LIC # EAD 1087 OWNER NAME: MATHEW MAKELA PROPERTY LOCATION: 11812 KAMKOFF AVE CHUGIAK, AK 99567 WORK PREFORMED: NORTHWIRE ELECTRIC WIRED A LIFT STATION AND CONTROL BOX WITH INSIDE ALARM AT 11812 KAMKOMVE CHUGIAK ALASKA. PER NEC AND MUNICIPALITY OF ANCHORAGE REQUIREMENTS. THIS SYSTEM HAS ATHE AARM ON A SEPARATE CIRCUIT FROM THE LIFT STATION MOTOR KIPLING DAM. ADMINISTRATOR e ... : I2 17.2013 " Effective:Effective:STATL OF ALASKA lspires: 13131:2015 DEPARTMENT OF COMMERCE, COMMDN)TV 8 ECONOMIC DEVELOPMENT Division of Corporations, Business and Professional Licensing P.O. Box 110806, Juneau, Alaska 99811-0806 Certifies that KIPPING C DAM Is a Licensed ELECTRICAL ADMINISTRATOR Categories: t1C1of Assignment: NORTHINIRE. LLC CON 38488 4dC--------- ------- Wallet Card No, )087 State Ikpartmrnl ul CmmMrce, C011111111n1[' artd Fxv, ,1 0"c100,uw MUSS 11 of CJry�>t'sli0n5. Butincaz and ihnF a�ianal Licnv4n>i: This Gamin s 1'1,51 KIPLING C DAM Is a Li W used Effcclis'e £xnirstion onte of Birth I?I?3pU 12 31 2015 z:znrcrcrc WRTNY Re.. -or awe ad3 Commissioner: Susan K. Bell It is your responsibility to keep the Division informed of your current address. You must notify the Division in writing when there is a change. If you wish to change your comparr affiliation, please contact the Division to request the appropriate form or you may dmnhload it from the website. Administrator licenses and Mechanical Contractor Licenses expire December 31 of odd numbered years. You may access additional information through the Divisior web site: w-w%v cotmmerce.state.ak.usr'oce. 91,966 NV 30VHOHONV 559 X08 Vz 31s Nb'w�-�nH 3 Ozl6 wVa O JNl-ldl)i ��SN �22W 3EC 2S L 2 6F 3 On -Site Wastewater Disposal System Permit Permit Number: OSP151120 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 S"-27 is' 1; d -D Tax Code Number: 05128159000 �t Work Type: Septic Upgrade / Permit Effective Dates: May 19, 2015 to May 18, 2016 Design Engineer: ARC TERRA CONSULTING INC Subdivision: T1 5N R2W SEC 25 Site Legal Address: T15N R2W SEC 25 LT 2 OF 33 G:0753 Owner/Address: MAKELA CHRISTIANE A & MATTHEW 18112 KAMKOFF AVE CHUGIAK AK 995670000 Site Mailing Address: 18112 KAMKOFF AVE, Eagle River Lot Size in Sq Ft: 23408 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 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 Engineer needs to do an additional test hole prior to the construction of the septic field. Construction may proceed at your own risk before the 7 day water monitoring is complete. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. Received Issued By: Date: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: Fax: ON-SITE SEWER/WELL PERMIT APPLICATION (EJ MAY 11, 2015 051-281-59�� Parcel I.D. eZ of 5 g L MATHEW & CHRISTIANE MAKELA Da hone a70-� Sot' 7- Property owner(s) Y p Mailing address 18112 KAMKOFF AVE., CHUGIAK, AK 99567 Site address 18112 KAMKOFFAVE., CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T1 5N R2W SEC 25 LOT 2 OF 33 Lot Size 23408 Sq. Ft. 4 APPLICATION IS FOR: (® all that apply) Absorption Field [ Septic Tank F� Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms APPLICATION IS AN Initial ❑ Upgrade F� Renewal ❑ TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. owner or authorized Permit/Rush Fees: 50 Date of Payment: S�l l 1 i5 Receipt Number: _r)/. l3 Permit No. aspt5< Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. May 11, 2015 ARC 1 ERRA CONSUL'T`ING, INC 212 E. 51"Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit — T15N R2W SEC 25 LOT 2 OF 33 It has been determined that the absorption field of the subject property is saturated. Subsequently, the owner has requested we proceed forward to obtain a septic permit to upgrade the septic system. The general slope of this lot is from west to east at a grade of approximately 0-2% over the septic area. On May 4, 2015 a testhole was performed to investigate soils and groundwater. The results of this test are attached for your review. The proposed upgrade will serve the existing 4 -bedroom single-family residence. We propose to install a pressurized shallow trench. Groundwater was not encountered at excavation or at monitoring. The property and adjacent lots are served by private water. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, . . Attachments: On -Site Sewer Application Wastewater Absorption System Details/ Site Plan Soils Log/ Percolation Test 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA T15N R2W SEC 25 LOT 2 OF 33 • oo vl C782�1157 n c 20• BLM R.O.W. ResfrNatlon N89.57'30'W 297.58 78-115 327.49 BLM 56'E 327.77 80-122 175.00 655.12 78-115 20' Road N89'56'00'W 327.56 FF_ AVE,/ A ❑T 2 = �m LOT 2 N N c W -122) m N <80-1 ) 160.10 'o Bk N89.58'00'W 1 .66 0 0 z ❑T 1 FLAG ti R❑PERTY a4 WELL RADII & EASE NTS N PRI❑R T.l CONST RUC ❑N Q 153.36 82-476 �' 123.36 N89.55'27'W 175.00 E N89'58'00'W 97.94 328.22 NB9.57'30'W 31FS 71-246 30 t DESIGN BASED OFF Scaler 1'= 100' IMPORTED / SCANNED DESIGN DETAILS PAGE 1 OF 2 HAND -DRAWN COPY BY 4 BDRM X 150 GPD = 600 GPD MARK SEWARD LS -6918 600 GPD/1.2 GPD PER SQ. FT. = 500 SQ. FT (5000 / 5 x 0.5 RF (4' GRAVEL) = 50 FT. TRENCH USE 1 TRENCH - 50' (L) X 5' (W) X 4' (ED) Total depth of system Is 7' max from original grade. Total depth of gravel below distribution pipe Is 4' NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NOTES NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. 1. INSTALL NEW 1500 -GAL STEP & INSULATE TANK IF <4' COVER. NO SEPTIC PO PROPOSED WELL SYSTEMS E CEPTHIN AS NOTED.F 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF < 3' OF FILL. MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... low OF A4,1,�A'1' / * 4 TH� I` CE -71 ss10R� AV PREPARED FOR; MATHEW & CHRISTIANE MAKELA 18112 KAMKOFF AVE. Chuglak, AK 99567 970-581-2366 FIELD BOOKS BOUNDARr. BOUNI STAKING' STAKIP A uaT: DMS DWG. MM ACRD FILE: FILE COMPUTED: DRAWN' BMW CHECKED: KMD DAM: 05/11 GRID: NW753 'ADB Na' 15-124 itlG,Q til WASTEWATER DISP❑SAL SYSTEM DETAILS T15N R21d SEC 25 LOT 2 ❑F 33 KAMKIIFF oVKN89°58'00"W 356 20° Road Re:Lerv&tion -Ioccowjpol 5104 °EXISTING BED TH15-1 M Llitr f3 0 00 II SUL ELI E REMOVE EXISTING M I .25" PV —� 1250 -GAL STEP & C 2% INSTALL NEW 1500 -GAL 0 % STEP SEPTIC TANK CO 10= No 5u)kl U1 W/ CONNECTIONS TO 710q%W11N � I I I EXISTING & NEW FIELDS DRIVE EL O-2% EP IC 50, bF PROP. � DECK $�-pflG � FCO M � 4 -BR HOUSE LL) A p� CD ew O CD FLAG PRODECK LINES io U) WELL RADII & EASEME T o CD PRI❑R TO C❑NSTRUCTI❑ o 0 Q WELL O 2 CD O z z F1 ❑ Scale; l'= 30' PRESSURIZED DISTRIBUTI❑N SYSTEM HOLE SPACING DESIGN PAGE 2 OF 2 1. RESIDUAL HEAD = 5' 2. HOLE SIZE = 3/16' = 1,00 GAL. PER HOLE @ 30 PSI 3. 30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES 4. 135 LF LATERAL/30 HOLES = 1.7' SPACING PER HOLE 5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS. Iddiv OFAL��'1 *..-49!H* * �/ EE $; CE 711 �� ka/ 'q p��-�1 1 \ "vvL'3910S1A�' � PREPARED FOR1 MATHEW & CHRISTIANE MAKELA 18112 KAMKOFF AVE. Chuglak, AK 99567 970-581-2366 FIELD BOOKS 9WNDANN BOUNC STMNQ STAKIP 4MUILT DMS UNG. M Acro FILE: FILE cwpuI .- DRAM: BMW Cfl C Em KMD DAh: 051117 cwo: NW753 JW No.: 15-124 QsRCTERRq ARC1/� ERRA CONSULTING, INC ,., 7 212 E. 51"Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Performed for: Mathew Makela Date Performed: 03/04/15 Project: T15N R2W SEC 25 LOT 2 OF 33 TEST HOLE # Depth Org/OL SP/GP/gm-sm mod dense, trace of silt, w/ cobbles to 1' 14- B.O.H. - mosit 15- 16- 17- 18- 19- 20 - / r4q OFAL4T1-1 P�KIN ETH K. FF 15 TH 15-1 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? NO Date? 5/11/2015 Reading Date Gross Time Net Time Depth * Water Net Drop 1 5/4/15 1:00 6" - 2 1:10 10 min 6/16" 5 10/16" 3 * 1:11 - 6" - 4 1:21 10 min 8/16" 5 8/16" 5 * 1:22 6" - 6 1:32 10 min 8/16" 5 8/16" 7 * 1:33 6" - 8 1:43 10 min 10/16" 5 6/16" 9 * 1:44 6" - 10 1 1:54 10 min 9/16" 57/16" 11 * 1:55 6" - 12 2:05 10 min 9/16" 5 7/16" * Water Added Percolation Rate 1.8 (min/in) Pere Hole Diameter 6" Test Run Between 4.5 feet and 5.5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825"L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM ANO/OR WELL INSPECTION REPORT wm. DISTANCES �..:, All rHe y SEPTIC ABSORPTION Addr•na IFROM TANK FIELD ,L c 5 /e a vel 95S-7 pnpyp) Perme No. No. of Beorooma WELL /oo 01 Fri 0417 3 CS'b - 3.2 S 7 Leo.Loeacumo» LOT LINE 341 Lot aWk $uadwHOn a 0P Blhy [er 33 FOUNDATION 40' 37' TownaniP, wipe. SeCW A&BUILT DIAGRAM ISnow 10 1.0. of wNi. eepec •Yalem, pro /S N R �^ W SE e . S- drweway. wafer boaea. MC) yV . x . TANKS 10 SEPTICI N.)nrry ❑ HOLDING Manu�aclurar Cepwily m 9uwna 417 to WELL I Gas»Loeon (AB.C) lomI pm 1u.w REMARKS: jaa.su.aq•aw•.a.. • / ILLS■■■■■■■■■■■■■II 7. Ie+(14 RCS»•r•Te.✓TfENa/ al—t w/ CE -6736 TYPE OF of ne•( No E titit��Mek� -� /r✓o/r'ca %.r f.v-• or. .Nal .f / t w. t Scale: Ins ions Perlorme0 by: Giver - --•a L(r ME SPRIPS17MMENE11 ie�a Engineering Services ee F. MA 1144g, Z.c.fcd • e./ 0� or• .ra/ q/ra r•m t, %. lir Dain. Eagle River, AK 99577 Gm "1W=qlhCfl,0 ' ■� 6�//�P8 694-5195 r • ••� 4/7 . t r:,.• , o 1.1 7arA r•re.eC/ ■�q�ii�■\■\It■I■■■■11 _�a���\■!©311■■■■I r 1 caUly CW NU Inspection was pericrmed &=ding to all 4 C B, Municipal and SWe guidelines In filed en N dale A 6 PY �,C v ' nnl Approval: /Health Depame Date:.IL.: —A- i�q�l■■■■■■■■■■■I „ PRIVATE.. I Gas»Loeon (AB.C) lomI pm 1u.w 72-013(3185) 7 •. ;� a°� REMARKS: jaa.su.aq•aw•.a.. • / L.r r ArATr/N ).we fad 7. Ie+(14 RCS»•r•Te.✓TfENa/ al—t w/ CE -6736 !'r of ne•( No E al?77 /r✓o/r'ca %.r f.v-• or. .Nal .f / t w. t Scale: Ins ions Perlorme0 by: Giver - --•a L(r ie�a Engineering Services ee F. MA 1144g, Z.c.fcd • e./ 0� or• .ra/ q/ra r•m t, %. lir Dain. Eagle River, AK 99577 .0* ' d9e 6�//�P8 694-5195 r • ••� e.e t,...ae /0 -7 S. . t r:,.• , o 1.1 7arA r•re.eC/ r 1 caUly CW NU Inspection was pericrmed &=ding to all 4 C B, Municipal and SWe guidelines In filed en N dale A 6 PY �,C v ' nnl Approval: /Health Depame Date:.IL.: —A- 72-013(3185) 7 •. ;� a°� jaa.su.aq•aw•.a.. • / Louii A. Bulera w/ CE -6736 !'r Permit Number: Date Issued: QATf FX//REs: Owner Name: Owner Address: M U N I C I P A L I T Y O F A N C H O R A G E cc(c Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 �- O N- S I T E S E W E R P E R M I T (S� 880047 Upgrade 05/16/88 Engineer Designed l2 13//88 TIM & DIANE HARVEY Day Phone: P.O. BOX 1062 688-2915 EAGLE RIVER, AK. 99577 Parcel Id: 051-281-59 Lot Legal: Subdivision:q'„Q1h R" ,SEC' 2a Loti 2 ''Bloeb--':BL'.M L:Sa Section: 25 Township: 15N `Range: 2W Lot Size 23120 (sq.ft. or acres) Max Bedrooms: This Permit: 3 Total Capacity: 3 f/�(�LE Fi9r/�i 14ES/aE,ucF SEPTIC TANK: Minimum total septic tank: capacity: 1,000 gallons. Each septic, tank must have at least 2 compartments. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). INFORM D.H.H.S. PRIOR TO 1ST & 2ND INSPECTIONS BY ENGINEER, IF AFTER OFFICE HOURS CALL 343-4681 AND LEAVE MESSAGE INSTALL PER ENGINEERS ATTACHED APPROVED DESIGN I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlargement will require an additional permit. Signed: 1—• --�1�:5----�� ��� $ Q -------------------------- (Owner) TIM & DIANE HARVEY Issued By:-- �%-- DATE: >[------------------- =& =B8 --- n SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 2 OF BLM LOT 33, T15N, R2W, Sec. 25 A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation require- ments. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. B. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. : E 1. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The total depth of the bed excavation is not to exceed 5' at any point. 4. The sewer line is to replace the existing sewer line that leads to the existing pit and the existing pit abandoned by pumping, leaving in and filling pit with earth. 5. The bed gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the leachfield. 7. The area over the bed is to be finish graded to prevent ponding of surface water runoff. S. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED TAL DEPTH = 5' Soil Rating = 125 Bedroom Capacity = Septic Tank Size = GRAVEL DEPTH = 6" BED LENGTH = 32' 3 N 1250 including lift station C BED WIDTH = IS' r -/b - 88 ***NOTE: SAND FILTER NOT REQUIRED DUE TO SOIL CLASSIFICATION AS SW -SM. ***NOTE: LIFT STATION REQUIRED. I Pay'' SPiY�� r`. CLASS 'C' WELL +150' DIST. 170.2' r'1 04 EASEMENT — — — — EXISTING LEACH FIELD •�•�- NEW LEACH FIELD - CLEANOUT -- SCALEa 1' =-40' WELL AND SEPTIC SITE PLAN ;P��,°F..At,as,ha LEGAU LOT 2 ❑F BLM LOT 33, T15N R2W SEC.25 7 e 0 * ?ggsk ❑WNERi TIM HARVEY 00 �^•�i ❑NTRACT❑RiGARY STONE .�; L,,i, A. eviera �� J,•., CE -673600 0. O 73294 GLE RIVER ENGINEERING SERVICES t� 4FopROFEss�oN���/ AGLE RIVER, AK. 99577 694-5195 n SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION O PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: T,in Har✓e w DATE PERFORMED: LEGAL DESCRIPTION: L ed t V L -#7n tot'3 3 7 i✓ /2 s 2S SLOPE SITE PLAN 1 2- 3- 4 34 '- 5 '- 6 7 8 9 10 t 12 • 13 14 %—o/esoi% — V -j4 -.c vArer t f•o... S� erc A,. ey /. /as 0AI01 WASGROUND WATER ENCOUNTERED? LLff,.•. u. /.,r. IF YES, AT WHAT DEPTH? ;E •.......... 3 i}T •• e 2 ......... Louis A. Bulerp CE -4736 yFs � O P E • r 9—iv AHtr �dJr Reading Date Gross Time Net Time Depth to Water Net Drop f 20 -{ IL JI PERCOLATION RATE Z_ S (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY: Eagle River Engineering Serv(ceeCERTIFIED BY: DATE: S /2 Pd' ox Eagle River, AK 99571 694.5195 77-008 (6/79) r. t", e-- eo�) GRAIN SIZE DISTRIBUTION TEST REPORT c c c N .w .ti I \ \ \ tet' .-. CJ V' v! .•+ CJ 1 G0 vi M N .. .. M .. M at ax 4C ae f4 as x 40 E0 70 w 60 r 50 ILLI U w 40 30 20 10 -- A F. F. 111-- 0 TLL 200 100 10.0 1.0 0.1 .01 .001 OPENING SIZE - mm y,+3" r GRAVEL '!. SAND :: SILT CLAY O C1.0 42.0 50.4 7.6 USCS t COLLOIDS LL PI DE0 D30 D1O Cc Cu. Classi+ication 01 sIJ-SM 0.9-56 0.144..`'. 1.20 37.2 MATERIAL DESCRIPTION TYPE OF TEST 4 GRAVELLY SAND WITH SOME SILT ASTM D 422-83(72) FROST CLASS.: F-2 Mtechanical analwiiis Project No.: 83-035 Remarks: Project: EAGLE RIVER ENGINEERING SERVICES LOT 3 OF BLM LOT 33 43 Location: BORING 1, SAMPLE 1 Date: 5-9-8S GRAIN SIZE DISTRIBUTION TEST REPORT RODNEY P. KINNEY ASSOCIATES Plate No. 1 I NAME LOCATION _,� SEPTIC TANK: GREM ER ANCHORAGE AREA BORL GH OQ Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS LEGAL DESCRIPTION 1JPHONE ZILE-' 2y G'1 ;7 L 3 3 '5�a cZS"/'/5'/%�I� Z` DISTANCENUMBER OF FROM WELL MANUFACTURER S2 2 MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY /" GALLONS. SEEPAGE PIT: . / i NUMBER OF PITS , DIAMETER/3, G OR WIDT 4� LENGTH_, DEPTH Z LINING MATERIAL /Lcte�K CRIB SIZE: DIAMETER_DEPTHS DISTANCE FROM: WELL /29' TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) �s's SQ. FT. ADDITIONAL ABSORPTION WELL: Aw ..c/y��>f�C L TYPE _ �' CONSTRUCTION Q DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK SYSTEM_ CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS_ DISTANCES: g� f INSTALLED BY:��� PIPE MATERIAL: C 7 --it LOT SLOPE: REMARKS:'-� G DATE a Form No. Ea -03/ RAM OF SYSTEM APPROVED M P IYPE OF SOIL HBSORBTION SYSTEM IS: PIT MHXImuM NUMBER OF BEDROOMS = 3 SOIL RATING (50 FT/BR)= 85 1% ktuUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: iJEi='`1"H= 12 L_ErVCi-1'H= r� GFcFi'v EL_ C?EF'TH= 1'='+ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF EACH SIDE FOR R SEEPAGE PIT. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE URUUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THE UHHYEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE HND THE EUfTOM OF THE EXCAVATION (IN FEET). it:i 1z!iJ 1 IAF-Fi EF t=—T- I C THrJK I ZE= 1 t�Ct f�FiLLiJt_7= t'H.:KFILLINU OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS UEPHKTMENI WILL BE SUBJECT TO PROSECUTION. M1Ninum UISTHNCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM 15 10U FEET FOR A PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL. WELL LOU$ ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS 04 THE WELL COMPLETION. _PECIFICH11ONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER i NSl HLLH T l U N. R L-1 F7 F= Cly FK C3"E Y E A FZ F= F C! Ir I S == i_i E I CERTIFY THAT 1: I HM FAMILIAR", WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS.AS SET FUk1H BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE.ENLARGEMENT IF THE RESIDENCE ISEMODE, D TO INCLUDE MORE TH8N-3 BEDROOMS. SI6NEDolt, T ------------- RTE_ Co Zlctl TTT L • rv__ir-ix is I FURL I q- `0 (D F= FiC1F :nCiE I , DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION rc7S. 2510 E. TUDOR RD-, ANCHORAGE, AK. 99507 276-2221 WELL FirJI1 cirJ—SITE FEE WEFt: F�FE: K!MIT(Q-a�-�� PERMIT NO. C 7636E > L1'� HireLICHNI ANDY KHl'iKOFF BOX 678 E. R. 688-2405 LUCAfION KAMYUFF ST SEC 25 T15N R21-1LOT SIZE 23290 SQUARE FEET LEUHL L2 OF L33 IYPE OF SOIL HBSORBTION SYSTEM IS: PIT MHXImuM NUMBER OF BEDROOMS = 3 SOIL RATING (50 FT/BR)= 85 1% ktuUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: iJEi='`1"H= 12 L_ErVCi-1'H= r� GFcFi'v EL_ C?EF'TH= 1'='+ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF EACH SIDE FOR R SEEPAGE PIT. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE URUUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THE UHHYEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE HND THE EUfTOM OF THE EXCAVATION (IN FEET). it:i 1z!iJ 1 IAF-Fi EF t=—T- I C THrJK I ZE= 1 t�Ct f�FiLLiJt_7= t'H.:KFILLINU OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS UEPHKTMENI WILL BE SUBJECT TO PROSECUTION. M1Ninum UISTHNCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM 15 10U FEET FOR A PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL. WELL LOU$ ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS 04 THE WELL COMPLETION. _PECIFICH11ONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER i NSl HLLH T l U N. R L-1 F7 F= Cly FK C3"E Y E A FZ F= F C! Ir I S == i_i E I CERTIFY THAT 1: I HM FAMILIAR", WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS.AS SET FUk1H BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE.ENLARGEMENT IF THE RESIDENCE ISEMODE, D TO INCLUDE MORE TH8N-3 BEDROOMS. SI6NEDolt, T ------------- RTE_ Co Zlctl TTT L eonsizuction EZcsE lab "One tell is worth • thousand Opinions" 2204 Cleveland Anchorage, Alaska 99503 Performed For (<�— k 0 T—'eDate Performed 63 C Lenal Oescrintion: Lot 3_Block Subdivision '�'cic�� CF- zor_3•3 This Form Reports Soils Lon I Percolation Test_ :'T/y penth L 4— �GAr`se C�•�vC'� C(�PJ 6- 8— FlNeA, 10- 1]2 — CG 14 16 cop -Ey CC.11 VFY Sr L-{- 16_bv -Etch, 4 20— Was [round Water Encountered?—.O If Yes, At what Denth? No Iecl^ock F iu 4CIo 0ojfpj Cccc ri•fi�iitl�l•i♦i fi Readinq Date Gross Time Net Time Depth to H2O Net Dron' f— Percolation Rate M nute Proposed Insta ation: Seenaoe Pit Drain Field Death of Inlet Depth To Bottom Of Pit 0 CnMN=5 ENTS: RN ,� /(i 6P tGRJ R ?E.l Test Performed By f}ZK+ MJ/ -[ �L _ Data Certified. By: Dte: MMMM ■n1� IN ri•fi�iitl�l•i♦i fi Readinq Date Gross Time Net Time Depth to H2O Net Dron' f— Percolation Rate M nute Proposed Insta ation: Seenaoe Pit Drain Field Death of Inlet Depth To Bottom Of Pit 0 CnMN=5 ENTS: RN ,� /(i 6P tGRJ R ?E.l Test Performed By f}ZK+ MJ/ -[ �L _ Data Certified. By: Dte: b Fir. It zo T7" p AU A) t ., v 4 1.1 . I I . - I sit Iq j I. 0 IJ I I Cagle River Engineering Services 11940 Business Blvd, Suite x(205 694_5195 P.O. Box 94 1 Eagle River.iver, Ak. 99577 Fax 694-3297 G^T,OM 25 Legal: Owner: LorZocl3tm Lor 33 -7-151V22W S 71f D/ -411L 11.4�'VGY. Date: i� ZU/9i Typeof test: Well Flow Test d septic lest Only Lq'Well do Septic Test a Other: +:. lime Meter Reading Monitor Level Well Tank Level Level GPM PSI Remarks /D ZG / : u� r 155 •47•Z: �7•47;4 2� 030 O _ _ _ ZY (0.5 1�FF O« 6 OdCY 2 OVG�2 MOV 25 191 15:06 DNR-DIV.OF-MTER ERGLE.RIVER SE; +1 5—A -.:t S -I 0 KA -W DRILLING Inc - AAcAI A jL T .715 P. O. Box 41224 • 1310C International Airport Road ' (907) 274-4611 1.%�� Qe (°ia 32-26 pi ANCHORAGE, ALASKA99609 Ct..-51,lc- RECEIVED Pkowa. 488-24aS' DRILLING LOG Well Owner Knmkof f .Anndy Use of Well.-MU— Location elt nae Is--�- as ( MUNIGPALRY Of RAGE o� 0111T.'011HE L7F! G O ENVIRONMENTAL /ROTIMM JUN 171976 Location (address of: Township, Range, Section, if known; or distance main road 1 ctt ^ of Coj?1 t Lot 39 C;pc 9F T 1 S R9'd - Size of casing -02! Depth of SB.3 Cased tofeet Static water level Am ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( x ). `)% 44 SO.S' of 4" a :q c 13 c set from � to Oil Describe screen -or perforationi'nYr h��r �pt7-r��S�-,yy` V VthC-h A'M1 hill= Well pumping test atm—gallons per 3(hohr)' (minute) forL._hours with nnra _-fit. of drawdown from static level. Date of completion 14 Mev_ 1976 WELL LOG Depth in feet from ti ground surface Clive details of formations penetrated, size of material, color and hardness "� r'se4n� st• r•1� u� / TO �t= 2 93 ' �TO � 43 �TO� , AS - 51 -TO-• TO • �� TQC--_ Poet -It'" brand tax transmittal memo 7871 I Oaf arise reTAURA m ' 13; e t ri C °' - - c' N O W l� 0eP1, VPhones 6 --007'D ., —3 ra,r 64 6 --00 78 2 - STATE o e J(A 1 O w s :f • w s 2 S� a Municipality of Anchorage_ - On -Site Water and Wastewater Program =_ (907) 343-7904 E TcY CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-281-59 Expiration Date: 1. GENERAL INFORMATION Complete legal description T15NR2W SEC 25 LOT 2 OF 33 Location (site address) 18112 KAMKOFF AVE, CHUGIAK Current Property owner(s) Darin & Susan Bussey Day phone Mailing address Real Estate Agent Kamkoff Ave, Chuctiak AK 99567 2. TYPE OF DWELLING- ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request for: Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ I �, ISO ( Cb V � D — v6 Date of Payment ? ` 2_1 — :2 D Z-0 Receipt Number �� 3 COSA# �SC_c 10 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, l 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 ARCTERRA CONSULTING INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date -71012v Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTena guarantee that no unseen 10OF Af encroachments, deficiencies or discrepancies exist. Kin <T14 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. IMMINNCTIHI M_ r , v ,tcW ,O�j'7 loe r �a-.ql-.4-t Conditional approval for bedrooms, with the following stipulations: OF-A ON-S TE „tA,-co Antr1 rV o WASTEv.''QQQT��EROF Z e 2 �� J/0A The Municipality of Anchorage Development Services Division (DSD) issues CJ�f �s�a�is Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engt'49 )re I he 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 Legal Description: COSA Checklist T15NR2W SEC25 LOT 2 OF 33 Parcel ID: Structure served by this system 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 5/14/76 Total depth 96 ft Cased to 58.3 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 30 in. Date of flow test for COSA 7/2/20 Static water level at beginning of test 31 ft Comments B. TANK DATA Age of tank(s) 5 years Tank type/material STEP/ Steel 49" Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping 7/20/20 D. ABSORPTION FIELD DATA Which system tested (date installed) 5/27/15 FIR ALL standpipes present per record drawing Total measured depth from grade 7.9 ft (max) Measured depth to pipe invert from grade ft (min) FIN N/A — pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet 051-281-59 Well production at time of test 4.8 qpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes No Coliform bacteria is Negative Nitrate mg/L N Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by ArcTerra Consulting Date of Sample 7/8/20 C. LIFT STATION Required maintenance completed Age of lift station 5 years Lift station material steel Comments: Adequacy test date 7/2/20 Results ®Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 0 in Elapsed time 10 min Final fluid depth 0 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please eater distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 0 Yes if No Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft 0 Yes if No ft Neighboring Tank? 100' Yes if No ft Private SewenSeptic Line > 25' ® Yes if No it Absorption Field on Lot > 100' Yes if No ft Holding Tan: > 100' ®Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' Yes if No ft ® Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 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' 0 Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' J0 Yes if No ft Wells on Adjacent Lots: Yes Absorption Field > 5' ® Yes if No It Private Wells > 100' ® Yes if Na ft Water Main > 10'?j 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' Yes if No ft . Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' . Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' Yes if No fit F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field' inspections and review of Municipal records thatthe above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet IUNICIPALITY OF ANCHORAGE Phone: 907-343-7904. On -Site Water & V'Vastewater Section Fax: 907-34,1-7997 Lift Station/Pump Vault M�"K�������������� Log �� __''_--'~~~. 55Septic Tank: -Sludge level /Zinches -PumpingLift station: *Pump basket cleaned es no *Control floats cleaned tes' n*Proper float settings confirmed (gno *Operation satisfactory es no Alarm System: required yg-so -Pumping completed Ke7s) no -Effluent filter cleaned �Des no -Dedicated e|eCthC8/ alarm circuit iOSid8dvv9Uin q"y6s) no f\|Gnn syetennopenaUo ,Ground waManhole Riser ter vv8terin[nuSiOn at riser to t8Oh connection es no' ,Ground water intrusion around pipe penetrations es no ^VVBep hole functional L -Manhole lid: Functional Insulated es no ProperlySecured es no - Other -All manufacturer required inspections and maintenance complete((- ye-js no Qualified Maintenance Provider: Technician Date ofmaintenance- Company v | Si n�kJn9 - � ua R T ri,RA Y CONSULTING, INC a s�' 20441 Ptarmigan Bld, Eagle River, AK 99577 f ��.�,�? Office (907) 696-6111, Fax (907) 868-3793 TING .��� o K SSS�l` July 23, 2020 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: COSA T15NR2W Sec 25 Lot 2 of 33- Arsenic Sample SGS sample # 1203245 taken 7/8/20 Per our telephone conversation today I am informing you the SGS Laboratories has not reported on the arsenic levels for the well water sampling on this property. Their direction to us on 7/22/20 stated that they will not be able to provide that report for another week due to testing proceedures. I have reviewed MOA files in the area and found no evidence to suggest this property will have an abnormal arsenic level. We will provide the report for your files once it is received. Respectfully submitted, ArcTerra Consulting, Inc. Dea L Duffus 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 pUG .8� • Municipality of Anchorage On -Site Water and Wastewater Program a (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcell.D. 051-281-59 1. GENERAL INFORMATION Complete legal description T15N R2W SEC 25 LOT 2 OF 33 Expiration Date: 9 -) �" % 7 Location (site address) 18112 KAMKOFF AVE CHUGIAK AK 99567 Current Property owner(s) MATHEW & CHRISTIANE MAKELA Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING: 18112 KAMKOFF AVE. CHUGIAK, AK 99567 ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class —Well ❑ Public Water System ❑ Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ WaiverNariance request for: Distance: COSA to be released to the engineer, unless Date: � COSA Fee $ -(o W F (( ' Date of Payment (oh I t Receipt Number C> I`�q COSA# �i5121z4 $ alver ee 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. Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 6/9/15 Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen r OF A \ encroachments, deficiencies or discrepancies exist. v L4, , 49- 1L 6. DSD SIGNATURE System #1 Approved for L bedrooms. ?5` KENNE 7116v us w System #2 Approved for bedrooms. ,1n��o ��:F'Eggl015t��.AW Disapproved. \\`� Conditional approval for bedrooms, with the following stipulations: 0 The Original Certificate Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representatidesgiven in paragraph 5_by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA blue sheeL10-1 G.12.dw X 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: T15N R2W SEC 25 LOT 2 OF 33 Parcel ID: 051.281.59 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # _ Date completed 5114/1976 Sanitary seal (YIN) Y Total depth 96 ft. Cased to 58.3 ft. FROM WELL LOG Date of test 0511976 Static water level 40 ft. Well production 6 9 -13 -m - WATER SAMPLE RESULTS: Well Log (YIN) Y Wires properly protected (YIN) Y Casing height (above ground) 18 in. AT INSPECTION 4.15.15 33 ft. 5.6 g.p.m. Coliform NEG colonies/100 mL Nitrate 0.291 mg/L Arsenic: ND ug/L Date of sample: 5/812015 Collected by: ARCTERRA B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (YIN) Y Depression over tank (YIN) N Date of pumping NA -NEW TANK Pumper Date installed 5127115 Cleanouts (YIN) Y High water alarm (YIN) Y C. ABSORPTION FIELD DATA Date installed 5127/2015 Soil rating (g.p.d./112 or ft2/bdrm) 1.2 System type SHALLOW TRENCH Length 50 ft. Width 5 ft. Gravel below pipe 4.05 ft. Total depth 7.65* ft. (Measured 5/28/15) Eff. absorption area 500 fe Monitoring tube Y Depression over field N Date of adequacy test NA - NEW FIELD Results (Pass/Fail) PASS For 4 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 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed 5127/15 Size in gallons 1500 Manhole/Access (Y/N) Y "Pump on" level at 44 in. "Pump off' level at 42 in. High water alarm level at 46 in. Datum Bottom of Tank Cycles tested 2 Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 1001+ Absorption field on lot 1004 Public sewer main 754 Sewer /septic service line 251+ Animal containment areas 501+ SEPTIC/HOLDING TANK ON LOT TO: On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 100'+ Building foundation 54 Property line 51+ Absorption field 5'+ Water main 104 Water service line 101+ Surface water 100'+ Wells on adjacent lots 1004 ABSORPTION FIELD ON LOT TO: Property line 104 Building foundation 10'+ Water main 10'+ Water Service line 101+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 1001+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t 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. OF Al, � �! Engineer's Printed Name KENNETH M. DUFFtIS Date 6110/2015 4 *�� TH COSA canary sheet_2-6-15.doc-- a xeviue77t Of d zu / ,/O L� rESSl�'��"� yC!5�p �sB i/l 8>- a S8 ASBUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING 688-4566 I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY- Lot 2,NE 1/4 Sea 25,T15N,R2W.S.M. AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARYDRAWN: LINES. SCALE: 1"=30' .�►+OF A ko* �Ar�N .......���,�F Ar f 4 _H r $ ••-� or...�6��Z f• #� Duane IAerk w•rd l• �ell. i�+ �"''!� ��e DATE; 11-25-91 GRID NW 753 FB' 25-48� DMS 7fz$ e6 Municipality of Anchorage • -. Development Services Department Building Safety Division On -Site Water and Wastewater Program s A „ 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 051-281-59 1. GENERAL INFORMATION COSA# U00332 - Expiration Date: 10- .Z7 -O6 Complete legal description Lot ? of Tum int —31; Sec 25; T15N; R2tJ Location (site address) 18112 Kamkof f Ave. Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Diane Harvey Day phone PO Box 771062 Eagle River, AK 99577 Day phone Day phone Unless otherwise requested, COSA 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 3 696-3257 TYPE OF WASTEWATER DISPOSAL: fil Individual On-site RX ❑ Individual Holding Tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Onsite Systems 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 system. DSD also Issues COSAs upon request to homeowners. Certificates of Onsite Systems 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. (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 seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined In the Certificate of Onsite 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. NameofFirm a & S EnginPrrinl+ Phone 694-2979 Address 17034 N. Earle River Loon Ste 204 Eaple River, AK 99577 Engineer's Printed Name P-049tAr C. Co w, "/ Date "7 lxrA6 OF 5. DSD SIGbedrooms.C. COWAN NATURE y/ �i� RO CE C.ERT 8880011 Approved for +� ' Disapproved. � ttttii��ti:�� Conditional approval for bedrooms, with the following stipulations: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By Original Certificate Date: 7 - ;2,7 -y (Pa . nAs( Municipality of Anchorage • Development Services Department Building Safety Division ` On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onske (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lor '? OF -&-m test- 33 Sect S;T15U;�Zp ceI ID: oSl -2.E 1 "59 A. WELL DATA Well type ✓rYTI< If A, B, or C provide PWSID # Date completed -VIY/T4 Sanitary seal QN) `GS Total depth 9bt. Cased to %•3 ft. FROM WELL LOG Date of test Static water level 1 D ' ft. Well production 6.O g.p.m. WATER SAMPLE RESULTS: Coliform O colonies/100 mL Nitrate a mg/L Arsenic: O mgfl Date of sample:6 1 Ob Well Log®1) '-IES Wires properly protectedoN) Ye -s_ Casing height (above ground) Is to in. AT INSPECTION 51-2-16(Q 3D ft. 5.0 g.p.m. Other bacteria O colonies/100 mL Collected by: S4-5 &CG&l4'fiAL. B. SEPTICIHOLDING TANK DATA Tank Type/Material SEVIiit g L Date Installed 61,011" Tank size 11$0 gal. Number of Compartments 2 Cleanoutsot) 'Wi Foundation cleanouY(k/N) YES Depression over tank (Y�� High water alarm&%) Yfg Date of pumping _� Pumper _—S -Z"4 'PuNtt+rrtlGs C. ABSORPTION FIELD DATA Date installed 13 Soil rating (g.p.d.W ft'/bdrm 12 S System type �6b Length j ft. Width 13 ft. Gravel below pipe 4.5 / ft. Total depth L ft. Eff. absorption area L 11 ft2 Monitoring tube Y E6, Depression over field Date of adequacy test 5 3 0 Resufts as ail For 3 bedrooms Fluid depth in absorption field before test. in. Water added_6gal. New depth in. '{SOi Elapsed Time: -(-L min. Final fluid depth � in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y& type) NU If yes, give date — a D. LIFT STATION Date installed 6/ic /2 Size in gallons_ 1250 ''� a , 'Pump on' level at 0 in. -Pump ofr level at t•O in. DatumCycles tested 3 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100 1 Absorption field on lot l c Public sewer main A.)111 Sewer/septic service line 6� Animal containment areas I rJb 't' ManholetAocess(f1) Yt-s High water alarm level at _ I/f�° in. Meets alarm & circuit requirements? YL, S On adjacent lots — If> 1+ On adjacent lots 160,4- Public 60It'Public sewer manhole/cleanout h3' ►} Holding tank N / n- Manure/animal excrete storage areas too r'f SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 1 Building foundation_ Property line Absorption field 1 Water main Water service line [O I+ Surface water loo /t Wells on adjacent lots IOO I'f SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 14 Building foundation 3 `� 1 Water main lU 14 Water Service line (01 t Surface water I C0 /t Driveway, parldng/vehide storage 1,51 Curtain drain rxrte kAtXtt)h) Wells on adjacent lots 16C4 F. COMMENTS Or G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and ✓••• s. .. .`.,.�. ' review of Municipal records that the above systems are In conformance with MOA COSA guidelines in effect on this date. SAN �c c :ara•es01 Engineer's Printed Name�p C _ �fRr— COh/AN ��f�1 •�,\`' Date 7 /a- S A 6 COSA Fee $ '4 70 -r J Waiver Fee $ Date of Payment 7 i-rl-o C Date of Payment Receipt Number ° 1 70 �L Receipt Number (Rev. 1 Iron) MUNICIPALITY OF ANCHORAGE .: DEPARTMENT OF HEALTH &HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLIN�GJ� A 051-281-59 HAA # " 9 y DS71 1. GENERAL INFORMATION Complete legal description Lot 2 of BLM Lot 33, T15N R2W Sec.25 Location (site address or directions) 18112 Kamkoff Avenue, Chugiak Property owner Tim & Diane Harvey Day phon6716 9 6 - 3 2 5 7 Mailing address P.O. Box 771062, Eagle River, AK 99577 Lending agency Citv Mortgage/Joanie Me Day phone 696-0701 Mailing address P.O. Box 92810, Anchorage, AK 99509-2810 Agent Address N/A Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 ✓ Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site X Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(AN..1/91) Fro l MOAN21 luvon A9 (lNt'wd)shu ,Xjom sjaau!6ua Ieuo!ssa;ad syl uf suo!ss!wo jo siona jo; e!q!suodsai lou s! e6ejoyouv;o A!ledpunVj eyl •panssi si eleo!!!vao a ajo;aq elep az(Ieue jo suo!loodsui lonpuoo lou op SHHO to saa to!dw3 •sluawannbai alels pue Ie.iapa; u!euao &s!les ofjapjo u! suo!lnl!lsu! 6uipual /!ayl pue sawoy;o siaseyand of (sepnoo a se s!yl saop SHHO ey1 •eise!v;o elelS e41 u! pajals!6ai jaau!6ua Ieuo!ssa;ad luapuadapu! ue Aq enoge 9 ydei6ejed ul uan!6 suolleluasaidai eyl uodn Aluo paseq saleo!;!lJaO Ienaddy /4!jo4lnb' WleaH sonss! (SHHO) soolmaS uewnH pue yileaH;o luawueda0 e6ejoyouy;o A1!led!o!unln4 ey1 6' S � Z I ale0 :suo!le!ndlls 6u!mollo; syl t4pm 'swoojpeq (+, � al.-;r.� •�; g^off til �" ::'. _, '•,.••`• sluawwo0 Ieuo!l!ppv .(o; Ieno.(dde Ieuoll!puo0 •panaiddes!O •swoojpaq Jo; pano/ddy 3unIVNJIS SHHO '9 emleu6!s sdaau!bu3 LLS66 NH 'santg aTfieg 'b6Z£LL XOS 'O'd ssaippv 5615-1769 euoyd saainzag ui39aut u3ianza UT ea wn3;oeweN 'uo!loadsut s!yl;o olep eyl uo loa;;a ui suolle!n6aj pue 'saoueupo 'sapoo elelS pue Iedlo!unyy Ile yl!m ooue!Idwoo ui s! wags (s Iesodslp aalemalsem jo/pue Alcldns jalem ells-uo ayl 'uo!loadsu! pue uo!le61ls9nu! /(w wog; pue sal!; e6ejogouv;o Al!led!o!unvq eyl wol; poulelgo uollewio;ut ayl uo paseq leyl A4!Mi9yl.(n; I •u!ajay paleolpui ainlonils;o 9V4 pue swoo/paq;o jagwnu ayi jo; elenbape pue Ieuo!loun;'a;es s! wags (s Iesodslp aalemalsem Jo/pue Alcldns jalem ells-uo eyl leUl smogs uolleopdde Ienaddv dl!joylnV 43!eaH sl4i;o uo1le6!lsanu1 Aw leyl /I;uan I 'mo!aq umogs elep uo!lep!Ien ayl;o se pue ola/ay pax!;;e Ieas /Cw /Cq pa!;!iJao sv u33NIDN3 AS N01103dSNl d0 1N3W31V1S 'S Municipality of Anchorage ARL Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Lor Z or BcH Gor 33 Legal Description: _11L5N R_2 JV 5Cd- Z5 Parcell.D. nS/- ZFL59 A. WELL DATA Well type p12///A77- If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed 051151. 17& Driller M-10 Total depth 9Lo Casedto 59.3 Casing height ./1a Sanitary seal (Y/N) Y Wires properly protected (Y/N) y Date of test Static water level Well flow Pump level FROM WELL LOG 1)5 1171, 46, (0-0 g.p.m. UNtcNDJ�I SEPARATION DISTANCES FROM WELL TO: AT INSPECTION _Zp q % I MUNICIFALM OF ANCHORAGE 2�� 1:NVIRONMEWALSERVICES DIVISIO14 NOV 2 7 1991 1j.0 g.p.m. 99' RECEIVED ' Septic/hofdirsg tank on lot /00 ; On adjacent lots t /00 Absorption field on lot X00 * ; On adjacent lots f SOD Public sewer main /VSA Public sewer manhole/cleanout Sewer service line 651 Petroleum tank A/ WATER SAMPLE RESULTS: Coliform / Nitrate �� '" IL Other bacteria Date of sample: ! /Z/ �J !1 ��9! Collected by: r-14 /NC S B. SEPTIC/HOLDMFQTANK DATA Date Installed 016,40199 Tank size 1;050 Compartments -2 t L/FT Cleanouts (Y/N) y Foundation cleanout (Y/N) y Depression (Y/N) N P/W,"' h"' Nla Alarm tested Y/N "/4 Fligh water alarm (Y/N) ( ) Date of pumping / . /9�/9 / Pumper 7 s SEPARATION DISTANCES FROM SEPTIC/HOL-DING TANK TO: Weli(s) on lot /00.1 On adjacent lots 7'/11) "Al 1541 ' Foundation To property line :3L/ � Absorptionfield /0 � Water main/service line Surface water/drainage NZA' rz-ozs (Rev. 7191) From CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Manufacturer- AN/u. TANS Size in gallons Manhole/Access *(Y/N) y 4. Vent (Y/N) - "Pump on" level at V3 "Pump off' level at 41O .. High water alarm level ty`/'. Cycles tested 3 Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot lee On adjacent lots O Surface water N/A D. ABSORPTION FIELD DATA Date installed 4,ho ziST Soil rating 2 System type /� i — Length - 4 % Width Gravel thickness /a Total depth 5 Total absorption area Cleanouts present (Y/N) Y Depression over field (Y/N) N Date of adequacy test Results (pass/fail) for bedrooms Peroxide treatment (past 12 months) (Y/N) NfA If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot- /00�On adjacentlotst 4� -Propertyline To building foundation 3�7 To existing or abandoned system on lot 2 Onadt3o 1 Cutbank- NfA Watermain/service line O/ Surface water _I" /ADriveway, parking/vehicle storage area - /5 Curtain drain A - E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effectpn the date of this inspection. Ar Jr Signature Engineer's Name <e..•i .65Z,c,.., Date /i/a Vil m% i� + n. c,',•-1� e'W,o P ���•. c.=. ens .'��•'✓ C` �'�JFiS�•,0..,,�.. HAA Fee $ Date of Payment // a 7- 9/ Receipt Number 3.Z fj6 72-028 (R.. 9/91) B• k MOA 21 Waiver Fee: $ Date of Payment Receipt Number