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HomeMy WebLinkAboutKNIK HEIGHTS BLK D LT 1Knl*k Heights Block D Lot 1 #017-035-01 Municipality of Anchorage Page of _ --- -DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 O Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: Ste! 5�(�2 63 0.5 PID Number: Name: Wasewer System: a New ❑ t at y Upgrade Addres-% -� ABSORPTION FIELD Phone: h, `-1 J� . No. of Bedrooms: E) Deep Trench Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: �r� Total Depth from original grade: 0 GPD/S. Ft. Lot: / Block: Subdiv ion: ,yam 0 Depth to pipe bottom from original grade: Gravel depth beggath pipe I YI f 8 l/ J. O Ft. 3 !J Ft. Township: Range: Section: Fill added above original grade: Gravel len`p ttl:.., ! r Ft. / / Ft. WELL: i ew El Upgrade Gravel width c0 Number of lines: be Distance between lines: 4.172 Ft. Ft. ClassijLWien Private, A C): Total Depth: Cased To: Total absorption area: c Pipp��yna eriiaall. �O Ft. -.-; Ft. O © SQ. Ft. ' ° / CSG / Dri le/r: �j ,/� y� I / /Drilled: Date / Statics Water Level: Ft. Installer:J�. /' �- � �7 J� i{ Date installed: p2. �O^�3 J%6, ield:Pump t at: Casing Height Above Ground: 5(0GPM 36) 1 5 TANK 1 Ft. Fl. SEPARATION DISTANCES Kseptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private ManufaC or, �� Capacity in gallons: From Tank Field Station Tank Sewer Lines /[�� Q Well G ��( y! �✓ N Material: / Number of Compartments: Surface N O� �- LIFT STATION Water LotO r I Y f j� 5 0( Size in gallons: Manufacturer: Line Foundation q ! `G 2 S ` N �S "Pump on" level at: Pum evel a , High water alarm at: Curtain © .� Pump Make & Model Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: f -� 2 _ Assumed Elevation: 'va lot - o nnra r +ENGIN9�R $ SEAL y . a o c C rs 111 111i0" f JaMe-'�' SFS Inspections performed by Dates: 1st�f� 2nd Qf vX No✓ '¢ 2 Department of Health nd Human Servicesval Reviewed and approved by: / - Date:. 72-013 (Rev. 9/91) MOA 25 Permit Ko. Sv ( Q 6. 0 -305 Page Z� of Municipality of Anchorage 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 72-013 A (Rev. 9/91) MOA 25 Permit No. 5W T(0,035 Page _of 3 Municipality of Anchorage 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 Legal Description: 1'0T' PID No.: Z.a6Q1 'DtvidW .rL.. T93. I E�4• ?7701 72-013 A (2/91) MOA 25 . ra bn;C. t I .a •: f .E cony ."I.Y'i:i _. (y: "�4' V /} �, NJ STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD LOCATION OF WELL BOROUGH S;(�,B,D/IVISIO) LOT BLOCK SECTION QTRS SECTION TOWNSHIP ; ❑N RANGE ❑E MERIDIAN ❑s ❑w LOCATION/SKETCH: WELL OWNER: n DEPTHS MEASURED FROWffcasing top ❑ground surface WELL DEPTH: _ c /1, DATE OF COMPLETION Depth of hole: ft ` BOREHOLE DATA: Depth Depth of casing: �lLf� ft Material Type and Color From To " -_ - DEPTH TO STATIC WATER LEVEL: 41-7 ft below ( •top of casing 11ground surface Date: n F METHOD OF DRILLING: .air rotary ❑ cable tool e Ys�ir y y.�11other t�ll 4V q 4 USE OF WELL: 0domestic ❑ irrigation ❑ monitor �1 ❑ public supply ❑ other tr e 1J CASING STICK-UP: ft. Diam: A in, to - 4fit Casing Z-27 ry l�-f✓✓ a � t - type:12* tom$ in. to s a it fi a• t r > i ,.rr� � t. WELL INTAKE OPENING TYPE: Xopen end ❑ screened Elperforated Elopen hole .ry e. 4 ; p Owe Depths of openings: to ft - ,�` ✓^ j SCREEN TYPE: Diam: in. Slot/Mesh Size: Length: ft GRAVEL PACK TYPE: _ Volume used: Depth to top: GROUT TYPE: Volume: Depth: from ft to ft _ DEVELOPMENT METHOD:,, Duration: --ez wp PUMPING LEVEL AND YIELD: ft after- hrs pumping,.--ld € gpm PUMP INTAKE DEPTH: ft Horsepower,:, WELL DISINFECTED UPON COMPLETION? Q,YES ❑ NO 4CTOR`INFORM,jAJ4ON: ik—Bus iness Name re of Authorized Respresen Ive REMARKS: A PLEASE MAIL WHITE COPY &1OG TO:- �� DNR/DIVISION OF MINING & V1 " "��� wTre •�n��r Date l��pa 3601 C St, Suite -0 ANCHORAGE AK 9950.! Phone (907)269-8639, Fax (9 P, r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960305 DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES OWNER NAME:PHILLIPS MICHAEL B & CHERYL A OWNER ADDRESS:5233 COTTONWOOD STREET ANCHORAGE, ALASKA 99508 PARCEL ID:01703501 LEGAL DESCRIPTION: KNIK HEIGHTS BLK D LT 1 LOT SIZE: 43500 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 9/20/96 EXPIRATION DATE: 9/20/97 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 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE: DATE: 9-20- & WEST ADDITION ')UBSTATION 148.15-— �Z�• (2)-5'x58' WIDE TRENCH LEACH FIELD —� TH #2 0 0 0 O r) LOT 2 (UNDEVELOPED) GGv����vv k •.o 00 444 9TH of Ar '• eeeeeee• 4sm i ✓� e e/ e James F. ore e A#A 0 1517 E ; ' b- Ar 40 bLUrt c- -J =� I 0 it O o-- ---- *TH #1 I 00 D X1000 GA S. T. MENT \� I — PROP\ED RESIDE CE I� I PROPOS�D WELL i 147.13' ATHERTON ROAD ��� 1000 GAL SEPTIC TANK 0 0 ZABEL FLOW DOUBLE DIVIDER �C.O. 4 II II II II 110 110 C.O. TYPICAL II II EA END OF TRENCH II II MONITORING 00 II II TUBE In II II II ` II (2)-5'x=LONG II II ® TRENCH LEACHFIELD u u 10' PLAN CLEANOUT 1 "=20'- 4" DIA. PERF. 5' MONITORING PIPE TUBE -III ii �j IIII ii �llllllllll o sacf-� a- �°� co - u SEWER IIIo ° ROCK ° ° ° ° ;; FILTER ° ° ° ° ° °11 _ ° °u FABRIC III =IIII= o•• ®OFVp A\°v® SECTION o LOT 1, KNIK HEIGHTS SUBDIVISION j �� 49TH ; �r A PROPOSED SEPTIC SYSTEM PLAN AND SECTION �� ••��• mes emore ••0 JAMES SIZEMORE & ASSOCIATES JaF. Si . :• 1617E : e� i ANCHORAGE, ALASKA . • TEL: (907)345-1572 FAX: (907) 345-9629 ♦4���dp�ofess+o�o��•® DRWN BY: VND CHKD BY: JFS DATE: 8-15-96 SCALE: AS NOTED IRN. SHT: 2 OF 2 James Sizemore & Associates Civil Engineers & Surveyors 6410 Switzerland Drive Anchorage, AK 99516 (907) 345-1572 WASTEWATER DISPOSAL SYSTEM SPECIFICATION LOT 1, KNIK HEIGHTS SUBDIVISION 1.0 GENERAL: 1.1 The scope of the project consists of installation of a 1000 gallon septic Tank and two five foot wide bye feet long wide absorption trenchs containing 3.5 feet of sewer gravel. 156 1.2 Construction shall be as shown on the approved site plan and design drawings. Deviations from the approved design drawings shall be coordinated and approved by the engineer conducting the inspections. 1.3 All construction procedures and material used to construct the system shall comply with Municipal and State regulations. 1.4 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading areas after the system is constructed and soil is compacted and mounded over the wide trench disposal field and the Septic Tank. 2.0 SEPTIC TANK 2.1 The 1000 gallon septic tank shall have two compartments and shall comply with Municipality of Anchorage Requirements. 2.2 The septic tank shall be set level and shall be bedded as necessary to prevent settling or shifting of the tank. 2.3 All pipe connections to the septic tank shall be made with waterproof mechanical couplings. A cleanout shall be installed upstream of the tank within 5 feet of the house foundation. A double cleanout shall be installed downstream, within 5 feet of the septic tank. 3.0 SOIL ABSORPTION DRAINFIELD: 3.1 The soil absorption drainfield shall be two 5' x 0 x 6,V deep trenchs with a total of 3.5 ft. of sewer rock, 3.0 ft. beneath the perforated drain pipe. 3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow for proper infiltration of effluent. This includes both the sides and bottom of the trench. 3.3 Sewer rock shall be 0.5 - 2,5" screened gravel with less than 3% passing the #200 sieve. 3.4 Cleanout pipes and monitor tubes shall be 4" diameter and installed as shown on the plans. The portion of the monitor tube extending through the sewer rock shall be perforated. 4.0 ENGINEERING INSPECTIONS 4.1 A minimum of four engineering inspections will be required during construction of the system. One after the septic tank is set prior to its backfill, one after excavation of the absorption trench prior to placement of sewer rock, one after the distribution piping, cleanouts and monitoring tube are in place. The final inspection shall be after filter fabric is placed and the final grading are complete. 4.2 The contractor shall coordinate with the engineer at least 24 hours prior to start of construction. If the contractor desires, a site visit with the engineer prior to start of construction can be arranged. PROBABLE IMPACTS TO ADJACENT PROPERTIES A) WELLS The proposed wastewater disposal system is designed in accordance with current Municapality of Anchorage Wastewater Disposal Regulations. The proposed drainfield will be constructed in accordance with these regulations. The separation distance from wells on adjacent properties is greater than 100 ft. Therefore no unacceptable impacts are expected on the wells located on adjacent properties. B) WASTEWATER SYSTEMS The new drainfield will be constructed with good separation distance from systems on adjacent lots. Soils tests have shown the soil where the system is to be constructed is acceptable for and an on-site disposal system, therefore there should be no unacceptable impacts on adjacent wastewater disposal systems. C) RESERVED SPACE/SURFACE AND SUBSURFACE The large lot that this system will be constructed on has ample space, both surface and subsurface reserved for a replacement system. The proposed drainfield should not affect adjacent properties. D) DRAINAGE The location of the drainfield will not interfere with any drainage. The area disturbed during construction of the field will be graded and sloped so as to not pond water. Therefore this system shouldn't adversely affect adjacent properties. Munlclpality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES r 825 1" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: M 11GCm" Ct4ETttyL- PH'ILL I r5 DATE PERFORMED:_���— LEGAL DESCRIPTION: G I ra Lr KQ 11C I+r,gownship, Range, Section: TI7-1Q (Z'jw IJ w 74 SLOPE I.L.IJ=qzLdtA l4 Ij ii% n e 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1a 19 o -z ©(Eg4tki�r.s 51L� Z—(s s .Aw 0Y Sm 7131r,V, 5— Z1-°1 s 5.04 Ho ■ ENCOUNTERED? �e■■R ■� IF YES, AT WHAT TRlcl<l.� L t 0 ® DEPTH? I P . Depth to Weler Al Monllorinp? 5..�_ r G r f Dele:..SR ! ■ -- � O ✓+1 1 O »� 'i �T _'L_ t d � l n ►v. 3 �°G�Ui�Qii���� ■ WAS GROUND WATER ENCOUNTERED? Nat Time IF YES, AT WHAT TRlcl<l.� L t 0 ® DEPTH? I P E Depth to Weler Al Monllorinp? 5..�_ r G r f Dele:..SR ! `47-v Reeding oss Data �Tll me : Nat Time Depth to Water Not Drop -- Pkef say -Kc -- � O ✓+1 1 O »� 'i �T _'L_ t d � l n ►v. 3 20 PERCOLATION RATE p tminUlwinch) PEHC HOLE DIAMETER a� TEST RUN [3EIWEEN fT AND FT r �GilFou�l� �! iR/G/4LC vjAs m�S R✓�D � I� COMMENTS — PERFORMED BY: a.p?v sr. �"-- I+ I+ W 1c,5 0�-1 CERI IFY 1HAT THIS ZEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DAT E. DATE'. 77_n0n fPnv d/Af l OfQ f-�`y ll�IIg�ib•• I !d • t', ,� poo •.e° ( r e /�s0 n e•° °••°, -rii A ,. Municipality of Anche�� • •t i` d DEPARTMENT OF HEALTH & H�161q 825 "L" Street, Anchorage, Ala�}va ° .e d •. q" ...•• ;rcr, SOILS LOCO — PEPCOLd om s bel • 1511 ••. �� ,..9 PERFORMED FOR: � / E` i/ - �J,O �G%/ % C' (`'�' cI iSL6 �( y�J A°. . P':.; r=S�D�Ar.�"�ER FORMED:_ LEGAL DESCRIPTION: 12 IJU til' UJC, Township, Range, Section:'r/ DEPTH �.��SLOPE SITE PLAN < 1 (FEET) C% I ��J 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS '&ar�-o ? Mole WAS GROUND WATER y f ENCOUNTERED? / S T WHAT L O _ E r Alter�,�� B Date: IF YES, A DEPTH? Depth to Wale Monitoring? Reading Date Gross Net Time Time Depth to Water Net Drop t- l I-Z�3;; c Z s S PERCOLATION RATE 14a (minutesimch) PERC HOLE DIAMETER TEST RUN BETWEEN -4-- FT AND FT PERFORMED BY:.IIf 2 '(L _ TJ AT THIS TEST WAS ERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELI r ES IN EFFECT ON THIS DAf E. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST an V x9x n.�Tyaa e x,� xy�j, i� rr.--r Sizemore " i51/ l y�'a a ' DATE PERFORMER.. -� Township, Range, Section: DEPTH SLOPE (FEET) 1 24 hole ✓�-Vd) G' L 6 Pf ,�✓ 7 9 10 WAS GROUND WATER ENCOUNTERED? 11 12 13- 14- 15- 16- 17 4 151617 18- 19- 20- COMMENTS 81920 COMMENTS IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? Date: S L O P E SITE PLAN Reading Date Gross Net Time Time Depth to Water Net Drop — G Z- n C� PERCOLATION RATE(minutes/inch) PERC HOLE DIAMETER ?l' TEST RUN BETWEEN FT AND FT PERFORMED BY: ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES N EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) FY THAT THIS TEST WAS PERFORMED IN o» no goo [omvil6. R. r 4i OF A b� a 1 � � ♦ Y !m t � �James F. Sile"Ora �% '.� # 1517 E c; Municipality of Anchorage =r ° On -Site Water & Wastewater Program (907)343-7904 lj26_ t 55LAa/tC-(Z., CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 017-035-01 Expiration Date: 1. GENERAL INFORMATION Complete legal description KNIK HEIGHTS; BLOCK "D", LOT 1 Location (site address) _ 12400 ATHERTON ROAD *ANCHORAGE AK Current Property owner(s) MICHAEL PHILLIPS Day phone 348-0737 Mailing address 12400 ATHERTON ROAD *ANCHORAGE. AK Real Estate Agent CINDY PARTCH W/ PRUDENTIAL Day phone 762-5822 2. TYPE OF DWELLING: M Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site 111 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. ` COSA Fee $ Date of Payment Receipt Nu'.^berr 7 / COSA # C S I I T to 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, 1 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, t further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. in conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for 3 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Phone 337-6179 Date �' l t 13 bedrooms, with the following stipulations: ON-SITE WATER AND WASTEVVATER PROGRAM The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory rsenic Advisory Well Flow Advisory Other Z� ltiis L,,/, er By. Original Certificate Date:_ i (Rev_aaro5) If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: KNIK HEIGHTS; BLOCK "D", LOT 1 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N A Date completed 10/4/96 Sanitary seal (YIN) YES Total depth 135 ft. Cased to 135 ft. FROM WELL LOG Date of test 10/4/96 Static water level 47 ft. Parcel ID: 017-035-01 Well Log (YIN) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 8/30/12 49 ft, Well production 50 -9 P.M. 4.38 9.P.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG. Ltd. Arsenic: ND ug./L. Date of sample: 1/22/13 B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 10/2/96-11/97 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping g 1 31l / /2 Pumper iONe- STVO PV 'P'j� C. ABSORPTION FIELD DATA *BELOW EXISTING GRADEAST/WEST Date installed 10/2/96-11/97 Soil rating (g.p.d./ft264�/bdrm 0.45 System type DUAL TRENCHES Length 59/58 ft. Width 5/5 ft. Gravel below pipe 3/3 ft. Total depth*8.75 7.75ft.Eff. absorption area 1000 ft2 Monitoring tube. YES Depression over field NO Date of adequacy test **9/12/12 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test 18/14 in. Water added 2660/31 gal. New depth 44/34 in. Elapsed Time: 136/120 min. Final fluid depth 40.5/33 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date - **SEE ATTACHED LETTER & DRAWING REGARDING SEPTIC ADEQUACY TEST. D. LIFT STATION Date installed Size in gallons Manhole/Access (YM "Pump on" level at in. "Pump off' level , t_ High water alarm level Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankNtft station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manholeldleanout N/A Holding tank Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main_ N/A Water service line 10'+ Surface water 100'+ Driveway, parkingivehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineers Printed Nme JEFFREY A. GARNESS Date X /it 13 (Rev. 11105) Municipality of Anchorage On -Site Water &Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 017-035-01 Expiration Date: ! -� 1. GENERAL INFORMATION Complete legal description KNIK HEIGHTS; BLOCK "D". LOT 1 Location (site address) 12400 ATHERTON ROAD *ANCHORAGE, AK Current Property owner(s) MICHAEL PHILLIPS Day phone 348-0737 Mailing address 1.2400 ATHERTON ROAD *ANCHORAGE AK Real Estate Agent CINDY PARTCH W/ PRUDENTIAL Day phone 762-5822 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: Date:��— COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ "+ID Date of Payment 'a-1 h a f Receipt Number 2a5(� COSA# 05C1a1N�lb Waiver Fee $ _ Date of Paymen 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Phone 337-6179 Date /2 bedrooms. with the following stipulations: gON-SITE WATER AND v WASTEWATER PROGRAM The Municipality or Anchorage Develop,emt 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. ATTCHMENTS: / COSA Checklist ✓ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other n g r ki e t_y r— Y �� t%j,Zo/2- By: Original Certificate Date: (Rev.'11I05) If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: KNIK HEIGHTS; BLOCK "D", LOT 1 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 10/4/96 Sanitary seal (Y/N) YES Total depth 135 ft. Date of test Static water level Well production Cased to 135 ft FROM WELL LOG 10/4/96 47 ft. 50 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic: ND ug./L. B. SEPTIC/HOLDING TANK DATA Nitrate ND mg./L. Date of sample: 8/30/12 Parcel ID: 017-035-01 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 8/30/12 4.38 9.p -m. Collected by: GEG. Ltd. Tank Type/Material SEPTIC/STEEL Date installed 10/2/96-11/97 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 1.31 I a Pumper On G 56L'MW-JK2CA C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE EAST/WEST Date installed 10/2/96-11/97 Soil rating (g.p.d./ftor 71bdrm) 0.45 System type DUAL TRENCHES Length 59/58 ft. Width 5/5 ft. Gravel below pipe 3/3 ft. Total depth*8.75 7.75ft. Eff. absorption area 1000 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **9/12/12 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 18/14 in. Water added 2660/31 gal. New depth 44/34 in. Elapsed Time: 1,36/120 min. Final fluid depth 40.5/33 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date **SEE ATTACHED LETTER & DRAWING REGARDING SEPTIC ADEQUACY TEST. D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons "Pump off" Manhole/Access water alarm level at Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100,+ On adjacent lots 100'+ Absorption field on lot to 0'}' On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line I o' ir Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date (Rev. 11/05) � • s r 61!u "U NWRAM4,7140TWO01071 1 n0 0 September 17, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Letter Regarding Septic Adequacy Test for Knik Heights; Block "D", Lot 1 To whom it may concern: On 8/30/2012 an initial septic adequacy test was performed. Upon our initial inspection of the drainfields the east trench monitoring tube (MT) was dry and the liquid depth in the west trench MT was 10 inches below the invert of the drainpipe, the east trench would be the only drainfield tested on this day. Over a period of 171 minutes, a total of 750 gallons of water was introduced into the east trench, during which time the liquid depth in the drainfield rose 20 inches in the MT. After monitoring the drainfield for 120 minutes the liquid level had not dropped in the MT. Because this had resulted in a failed test we had opted to get the septic tank pumped and re -test the drainfield. On 9/7/2012 the east trench was re -tested. Our initial inspection of the drainfields on this day, the liquid depth in the east trench MT was 42 inches below the invert of the drainpipe and the liquid depth in the west trench MT was 20.5 inches below the invert of the drainpipe. Again, the east trench would be the only drainfield tested on this day. Over a period of 742 minutes, a total of 1710 gallons of water was introduced into the east trench, during which time the liquid depth in the drainfield rose 30 inches in the MT. After monitoring the drainfield for 120 minutes the liquid level had dropped 0.5 inches in the MT. This adequacy test also resulted in a failure. It was then decided that drainfield would be tested for a last time and the goal would be to fill both trenches to 100% capacity. On 9/12/2012 the east trench was re -tested and the west trench would be tested for the first time. Our initial inspection of the drainfields on this day, the liquid depth in the east trench MT was 31 inches below the invert of the drainpipe and the liquid depth in the west trench MT was 20 inches below the invert of the drainpipe. Over a period of 834 minutes, a total of 2660 gallons of water was introduced into the east trench, during which time the liquid depth in the drainfield rose 26 inches in the MT. After monitoring the drainfield for 136 minutes the liquid level had dropped 3.5 inches in the MT. As for the west trench, over a period of 68 minutes, a total of 317 gallons of water was introduced into the west trench, during which time the liquid depth in the 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com drainfield rose 19 inches in the MT. After monitoring the drainfield for 120 minutes the liquid level had dropped 1 inch in the MT. Per the septic adequacy tests performed on 9/12/2012 the dual trenches meet the MOA absorption requirements of 450 gallons per day. However, it should be noted that the system had to be filled to 100% capacity in order to meet the absorption requirements. If you have any questions, please contact us at 337-6179. Thank you. Sincerely, A P.E., M.S. 3701 B. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com INVERT C04 0- I I WEST TRENCH MT2 EAST TRENCH 0 CO3 F— — — _ — — — CO2 O O C01 MT1 WEST TRENCH INVERT OF = 86.34 EAST TRENCH ✓v y= 83.51 � v MT IN EAST TRENCH EXTENDS 4.37' BELOW THE INVERT OF THE DRAINPIPE. MT IN WEST TRENCH EXTENDS 2.87' BELOW THE INVERT OF THE DRAINPIPE. OF PIPE 86.38 INVERT OF PIPE = 86.43 ..._ .. _.... _..._. —., _.._ -__ -. 0^�hRNESS ENGINEERING GROUP, Ltd jp* 4 T * ....... «........ 3701 E. 7 WR RO . SUOE 101 MCHOR CE. M 99507 • PHONE (907)337-6179 • FAIL (807)330-3240 MOSOE gam ngiinmdng.cm "r PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MICHAEL PHILLIPS 348-0737 1 OF 1n fyr A Go ness: LEGAL DESCRIPTION: DRAWN BY: oyo9.1`. E— 9 KNIK HEIGHTS; BLOCK :D:, LOT 1 PNB 4p ! •. �Y� .z TYPE OF WORK: DATE: 4�Qa professl°o°o DRAINFIELD ELEVATIONS (COSA) 9/17/12 HUFFMAN s(530 -577'15"6- w I (59°577'!5"E Ca UNDFtT ole S P. S (/O) s It / , Block :fl Knik HeOl s Subdivision Choroge Record! ng i8firlott A' I,- Basements of regard other than thoea send en the plot of record aro not shown hereon unless othsrwiso noted. LEGEND 0 Bross or Aluminum capped monument recovered O Iron pipe and/or rebar recovered. O 2 x 2 hub & tock recovered 0 5/8" x 300 rebar set this survey —x Fence Line (Approx. Location) w LOT 2 ROAD 300.0 ro X,7 M `A. C. oAv60 OR' WAY I 2 • wEa Cy 3 30! Ise r.r W endow..... • •:.., R L. Button aft IS7192 'FF3smuetl � _OT SURVEY CERTIFICATION hereby avrnry that 111019 surveyed the property shosa.ond deacribed ton, and that the lawayeal"l situated theraan are Within the prop. I tines and do not weriap w snwoach on adjacent property and that nwo"Inleds an adjacent property overtop w *"Mach on the promises 14044100 and that mare are no readaoya, utility linea, aloha viatbi9 el9ents an cold property except as Indicated hereon. ale®fe In F. B. No. Prepared by: R. L. BUTTON (907)279-5200 Registered iondsurvey0r 5/9W Eighth Ave. Anchorage A/axta99S0/ A A 4 1 50 50,00 ZJ / ,� o f ATHER 7-©/✓ Fid oR o &0 002'00 W /4-7.73 W O f V = APPROVED as being 1n compliancO V with Title 21, AMC, for the following use(s): Date: Z L L U Signature: ,:... cA�emtrvis ur HLGUHU, UTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREONgF 97-3 1,5j,. 26 a CO tr1 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT Cock p,, KN /K /-lc/CMTS SuBO. Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this ->LJ day of O`='Tol3.E/? 1917 FRED WALATKA 8 ASSOCIATES (907) 248-1666 Engineers and Surveyors Sfi 7 v l; Q � AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT Cock p,, KN /K /-lc/CMTS SuBO. Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this ->LJ day of O`='Tol3.E/? 1917 FRED WALATKA 8 ASSOCIATES (907) 248-1666 Engineers and Surveyors