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HomeMy WebLinkAboutKNIK VIEW BLK 1 LT 5Knl*k View Block 1 Lot 5 #051-031-28 Municipality of Anchorage Page 1 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 995196650 ® Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 5 (A) 9 703 C� 0 O t I u 03 Permit Number: PID Number: Name: il"e�ati.Fry_ Wastewater System: New ❑ Upgrade Address: 0 Box 670DLt5 l ff567 ABSORPTION FIELD _ / p Phone: 107 C )6/$6"37/,� 03 No. of Bedrooms: y. O DeepTrench NShallowTrench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: I•� Total Depth from original/grade: _ q. Lot: Block: Subdivision: •-, �_ �n l� S D Depth to pipe bottom from original grade: 3. 5 Gravel depth beneath pipe / ie w FL Ft. Township: Range: Section: Fill added above original grader _ Ft. Gravel length: LJ D Ft. WELL: ❑New ❑ Upgrad Gravel width: Number of lines: Distance between lines: = FL Ft. Classification (Private, A, B,C): Total c G Ft. Cased To: Ft.{ Total absorption area: I SQ. Ft.S Pi a mat2M�ial: r ` Driller: �, ate Drilled: Static Water Level: Installer: ././( �Ulh 642in Date installed: �G ;1 _ W Ft. fo" / r 17 Yield: Pump Set at: _ Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION s DISTANCES NSeptic O Holding ❑ S.T.E.P. v To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines Manufacturer: { a�� ALD� Capacity in gallons: �R 150oo` Well- l+�`� v --- �- )5\ 1 d, d Material: 5-i ' ¢ e v Number of Compartments: Surface 0O, 'r lc)&-r LIFT STATION Lot 4\ 9't ll Size in gallons: Manufacturer: Line Foundation (\ �1 3 9 \ "Pump on" level at: off' level at: High water alarm at: Curtain1 Drain O n (Ai P1 _ Pump Mak odel Electrical Inspections performed by: Remarks: iNy,v tj,, t e a. es )rt. --- BENCH MARK Location and Description: C/1 O O—F Assumed Elevation: 600 ENGI,W.F 4k%1L '620:1VI 01- /it 11A3 Af S A S ENGINEERING 17034 Eagle River Loop Road, N 204 a [Q _ " A t,'� Inspections performed by: 1st " ° �"' 'y ' /' �9 JAW� agg,.,`�Sates: _ 1'/,....�,`...°.. 2nd 10•-a0- 97•�','• -A 1e RQBERT C. COWAN qq ti Department of Health and Human Servicesnapp�oV f ��`j �f�� c�-aaoi Pt�c`f q \F M Reviewed and approved by: Date: 72-013 (Rev. 9/91) MOA 25 PERMIT No. SW970320 PAGE: 2 01' 3 Municipalitof Anchora e DEPARTMENT OFHEAUH AND HUN SEWCES P,D. Box 196650 0Anchorage, Alaska 99519-6650 ® Te^t^e,phonel 343-4744 ON—SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 5, BLOCK 1, KNIK VIEW S/D P.I.D. NO. 051--031-28 GRAVEL DRIVE LOT 6 LOT 2 NEW 1250 GAL, SEPTIC TANK SFC❑ ST1 dDBL1 ST2 DBL2 C❑1 T 1 /nM LOT 3 A / /f H --J/N �// � MT2 C❑2 SCALE: I" = 40' J � *J? `r tea �i..11. ` .�,......�....r..... ROBERT C. COWAN 9 4� Gj ., CF - 8801 PERMIT No. SW970320 PAGE 3 OF 3 MunicipaUt of Anchora e DEPARTMENT OF HELTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 e Tq^^ WELL 343-4744 Oil -SITE WASTEWATER DISPOSAL SYSTEM AND/®R QUELL WSPECTION REPORT LEGAL LOT 5, ®LOCK 1, KNIK VIEW S/D Sill ST2 '99.0' H 95.9'/ 1250 GAL SEPTIC TANK FINAL GRADE INSULATION 95.7' P.I.D. No. 051-031-28. C01 MT2 CO2 MT1 CO1 - 99.2' CO2 = 98.6' (I� - /-FINAL GRADE ;' C01 = 95.3' W SR CO2 = 95.3' MT2 = 92.3' NO WATER FOUND 81.8' B.O.H. = 92.3' N. T. S. Date: /d -o 7-9 ROBERTO. COWAN, PE. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX (907) 694-12 11 HEALTHAUTHORITY RECEIVED APPROVALS 97 Municipality of Anchorage sEW ER EX DEPARTMENT OF HEALTH AND HUMAN SERVICES iVlunicipality of l�nchorra s Dept. Health & HuTnan Services MAIN IENS EXTENSIONS 825 L Street P.O. Box 196650 Anchorage, Alaska 99519--6650 . SEWER 6 WAT ER INSPECTION GD 7� S X0 REFERENCE: ENGINEEHING STUDIES ANDREPORTS The septic inspections for the referenced property were performed on and /J/,26/'j7- Prior to submitting the On-site wastewater Disposal Sy6tem and/r)r well Inspection we are waiting for theun�'atTc�, dna/ rac% +- to be WELL INSPECTIONReport 6 FLOW TEST completed. —'� 6u 14 surle-y If we may be of further service please contact us. SIZE PLANS Sincerely, ROAD DESIGN )�` L=y( Robert C. Cowan, P.E. SOIL TEST PERCOLATION TEST STRUCTURAL a MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSIEM DESIGN 17034 NOR III EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTIi AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970320 DESIGN ENGINEERS & S ENGINEERING OWNER NAME:SCHMELZER FAMILY TRUST OWNER ADDRESS: PARCEL ID:05103128 LEGAL DESCRIPTION: KNIK VIEW BLK 1 LT 5 LOT SIZE: 20000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: lCJ 1(_-j `'t-1 PAGE 1 OF 1 FU/ZO�"li DATE ISSUED: 9/18/97 EXPIRATION DATE: 9/18/98 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: 5 i Ll DATE: HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN s&S� aineeninC September 5, 1997 MUNICIPALITY OF ANCHORAGE - Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 5, Block 1, Knik View Subdivision ROBERT C. COWAN, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Request you issue a permit to install a septic system to serve the proposed four bedroom house on the referenced property. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. 'The monitoring tube within the test hole have been checked and found to be dry. This property is served by a Community Water System. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us Sincerely, Robert C. Cowan, P. E. Rt;CYhn Enclosure 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Sn, ITE PLAN I DESIGN :O 0 c tNal H--3 mu) Z ti N DOA rri co I 0 oo—w co o r rn 'nc O O(O m rri Iv I I FD c) c) e<-o�OA -rI m Cil v C2 J \� n a-0o'� O �O \` .0O\ -D Lr�tsym> II �0 z �-im<r :"ham/ n z ;u o -0 rh-a -< O -< to -v 03 -I ��--Ij {:v jo m rsl >::i m <Zr Z 3 m ;v O O rC C7 , l Om Z� O < , 70, \",� p trig � D n c%!lJ � S � � �` eyFNr IUB tl, rrI UCCK O \ V) 0 0 1 X \ 4 BEDROOM o� o �a n HOUSE M n D L m \ A -- - ZO— r \ —_D m PROPOSED -04 \ -- --- '— 4 BDRM cn N HOUSE SFp�COq�O eq, 00-1y >00 O A O_ Z 2 Z ti N DOA \ An:o= 0 z 00 o r �N-mtm WOA Z 'nc O O(O L:02.rDloz e<-o�OA O�WK m 0u z m. yp �A DAN b mO Zzo ^-Z NO= CAZ m Z.. D0 Amoo om V A A = 0y 0 Z Z O A z� ECK n `A A P \. 1� l 0 2 m � o O O m 0 m mac^ O L \O l r 2 KNIK VISTA DRIVE r v.+ m on s z =oma y� 020 m3�z ear AOyZ n oc'o p�0 nCa z Vi In m N 0 XGA ny0 CU!K SNA r U z v a�� o n Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: t`�Y`'"¢'`�'�f�aF� DATE PERFC LEGAL DESCRIPTION:_ �'� +�' �/Jf 14— �t4,,! Vi'nship, Range, Section: ✓.{/ p SLOPE SITE PLAN 1 2 O v- 3 4 5 ?� 6 1 12 ' 13 14 L 15 b 16 l7 , U_0 17 18 m N WAS GROUND WATER J ENCOUNTERED? V S IF YES, AT WHAT tJ L PY O DEPTH? I P Z- E Depth to Water After I ! Monitoring? Date: Reading Date Gross Time Net Depth to Time Water Net Drop t I 5s 2Z�9' Z- .J •3 20 I I PERCOLATION RATE (minutes/inchI PERC HOLE DIAMETER L�J f i TEST RUN BETWEEN ` FT AND FT COMMENTS �i 1 .S � itis 11 �-) t- th-- '!5' w i p fL, S & S ENGINEERING PERFORMED BY: n91e-R4ve►`6eeq-R-sett-Ne,-�(IQ / _-.,.I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITHIPNIt-WYl!rAA1%W?;X7 GUIDELINES IN EFFECT ON THIS DATE. DATE: /6 0q 7 72-008 (Rev. 4/85) HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN s&S� �rn��nrnr ON -SI IF WASTEWAT I R DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS RE, FERE NCE Lot 5, Block 1, Knik View Subdivision September 5, 1997 GENERAL: ROBERT C. COWAN, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 1. The scope of this project includes the installation of a 1250 gallon septic tank and a five foot wide drainfield to serve the proposed four bedroom residence for the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shalt be responsible for final grading areas Subsequently depressed fi•orn soil settling. On all leaclifield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval fi-om the Municipal Health Department. SEP'T'IC TANK iNSTALLATION: L A septic tank is to be constructed by a certified septic tank manufacturer. Constriction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final pyade. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 5, Block 1, Knik View Subdivision September 5, 1997 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/D + LD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the fon-nation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. Page Three Lot 5, Block 1, Knik View Subdivision September 5, 1997 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pip Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafl 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Page Four Lot 5, Block 1, Knik View Subdivision September 5, 1997 Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre - construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/OWNER MUNICIPALITY OF µ ek Development Services Department On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Parcel I.D. 051-031-28 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: 3 —15— 2 0 Z3 Complete legal description Knik View Sub, Block 1, Lot 5 Location (site address) 22531 Inlet Vista Drive, Chugiak Current property owner(s) Todd & Miranda BOwey Day phone (907) 242-5773 Mailing address P.O Box 671089, Chugiak, AK 99567 Real estate agent 2. TYPE OF DWELLING: ❑u Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic ❑■ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System Q Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Date of Payment -3 " .z' Receipt Number. 0 t 2cf 2-D COSA # OSC211122 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller Date 3/18/21 OF •:911 1 Awl TH *. as * r 6. DSD SIGNATURE System #1 Approved for bedrooms -— �. Benjam Schiller •:� System #2 Approved for bedrooms�� F� •. • CE 12592 • �� r Disapproved /�1F9 • • ���"�' ,�k�, PROFESS1�Nt`�-� Conditional approval for bedrooms, with the following stipulations: 1\TY O<< WATER Al m.vvAS-VIA_ SERVI" , r By: lr� Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA Checklist blue sheet Nitrate Advisory Arsenic Advisory Other GyK� t S 1V Legal Description: COSA Checklist Knik View Sub, Block 1, Lot 5 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. comments Property on Public Water B. TANK DATA Age of tank(s) 24 years Tank type/material Septic/Steel Measured operating fluid level in septic tank 49 ❑■ Standpipes/foundation cleanout per record drawing Date of pumping L0 -fo'2 0 D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) 10/20/97 ❑E ALL standpipes present per record drawing Total measured depth from grade 7.6 ft (max) Measured depth to pipe invert from grade 4.0 ft (min) ❑ N/A - pressurized field *1 Monitor tubes go to bottom of effective. If not, state depth into effective 0 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 Parcel ID: 051-031-28 Structure served by this system Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by _ Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 3/15/21 Results © Pass For 4 bedrooms Fluid depth prior to test 26 in Water added 651 gal New depth 31 in Elapsed time 1440 min Final fluid depth 24 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 enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ✓❑ Yes Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft M Yes if No Neighboring Tank > 100' F✓ Yes if No ft Private Sewer/Septic Line > 25' F� Yes if No Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑✓ Yes if No ft M Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' ft ft ft ft ft [D Yes if No ft Property Line > 5' ✓❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' [71 Yes if No _ Water Main > 10' ✓❑ Yes if No ft Community Wells > 200' E] Yes if No _ 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' 0 Yes if No ft If absorption field is under driveway comment below F. ENGINEER'S COMMENTS *Waiver# WR990030 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. COSA Checklist yellow sheet ft 0✓ Yes if No ft ❑✓ Yes if No ft .���� ' • sof- �� .•49 TH Benlarr"n Schiller �� ��'• CE 12592 ••`��'� '0PROFESSIQNP� 4 Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells > 100' Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' Surface Water > 100' ✓0 Yes if No ft F. ENGINEER'S COMMENTS *Waiver# WR990030 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. COSA Checklist yellow sheet ft 0✓ Yes if No ft ❑✓ Yes if No ft .���� ' • sof- �� .•49 TH Benlarr"n Schiller �� ��'• CE 12592 ••`��'� '0PROFESSIQNP� Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 211122 Subdivision: Knik View B 1 Lot 5 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 24 years old. Typical replacement costs range from $8,000 to $11,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. DATE SCHEDULED TIME INSPECTOR SUBDIVISION KNIK VIEW BLOCK/LOTrrRACTBLK 1 LT 5 1 I I I i INDICATE fIORTH I I i , y I 1 I I - , SIZE CONN 1" Q DOMESTIC.ONLY ❑ BOTH FIRE & DOMESTIC CORP. STOP ❑ FIRE LINE ONLY ❑ FIRE HYDRANT ONLY CURB STOP C TO C DATE OF TAPE / / BY FT. COPPER PIPE SIZE MAIN Q ALLEY ❑ STREET Q EASEMENT d1/4"R 2" KEY BOX TYPE MAIN EXCAVATOR FT. THAW -WIRE DISCONNECTS ❑ YES y0 N0 SIZE OF DISCONNECT THAW-PLATE/NUT COMMENTSjsT/J/ KEARNY CONNECTOR KEY BOX LOCATION / OTHER UN A YI Freglstt)6z%R. r AlU P� °'""""2 INSPECTION REPORT Q LINE BLOWN OUT / / INSULATED INSPECTOR �ATr ��=�-�' arii✓y ❑ K.B. &.T.W. - OK AFTER BACK -FILL DATE ❑ OPEN BORE FLUSH / / COMMENTS ID 200 LB. TEST ❑ MAIN CHLORINATED Q CHLORINE FLUSHED / / OK TO TURN -ON 0 DO NOT TURN -ON MUNICIPALITY OF ANCHORAGE a WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE: (907)564-2762 BLOCK/LOT/TRACT BL_K 1 LT 5 SUBDIVISION KNIK VIEW DATE OF APPLICATION 10/15/97 SCHEDULED COMPLETION DATE 12/31/97 N SINGLE FAMILY E] MULTI -DWELLING No. APTS _ E] COMMERCIAL TAX CODE 5103128 GRID NW1557 AS -BUILT STREET ADDRESS 22531 INLET VISTA DR OWNER SCHMELZER FAMILY TRUST PHONE MAIL ADDRESS PO BOX 799 MARYSVILLE, WA 98270 C� CONTRACTOR SOUTHFORK WATER Repair Existing Service jX1 On Property Only ❑ City Tap 11 Hydrant Only E] 50' or Longer Main Tap -To Property Line Only CONNECT PERMIT 97 - 6217 DATE OF APPLICATION 10/15/97 SCHEDULED COMPLETION DATE 12/31/97 N SINGLE FAMILY E] MULTI -DWELLING No. APTS _ E] COMMERCIAL TAX CODE 5103128 GRID NW1557 AS -BUILT STREET ADDRESS 22531 INLET VISTA DR OWNER SCHMELZER FAMILY TRUST PHONE MAIL ADDRESS PO BOX 799 MARYSVILLE, WA 98270 PERMIT FEE $ CONTRACTOR SOUTHFORK ASSESSMENTS Repair Existing Service jX1 On Property Only ❑ City Tap 11 Hydrant Only E] 50' or Longer Main Tap -To Property Line Only Main Line Extension ❑X Have Been Levied ❑ To Be Levied Comments: Main Tap & On Property Connect Row No. Disconnect — — R & R - Main Tap Only — PwnerStaff CONNECT SIZE T' ISSUED gkrolke INSPECTION FEE $ 103.00 PAID CASH PERMIT FEE $ 45.20 E] CHECK# $ 0.00 _ OTHERC� — X11"-�i— DEPOSIT $ 0.00 INSPECTED BY REIMBURSABLE TOTAL $ 148.20 WQ'l ke NUMBER _.....- DATE / / -- REMARKS PERMITTEE (Please Print) MAILADDRESS , SIGNATURE PHONE POST IN A CONSPICUOUS PLACE AT THE JOB SITE AWWU INSPECTOR Orgin t w LU cc U) r r z z w w u:i g w w a CC v a #k U Q C3 Q z x �= a o c, r n t Z Z Q Q o °- U ' h a o �,, w o C o Q a U D ?� CL U a h h � z w LU � w z C'► -j cc o a ZU M OO Z � ; z r w 2 � (J Z Z h ul 0 OU w v) ,.[ x: z V) W ti n z W tzi3 z w Q w r O to z o z h Y O m j o}o U Q O, cii w O Qcw) Z z ] 2 cc w w O Q O w a z U z O w CL Q z Q U -a O U+ o O Qa LIJ C) , � c Q z �• O 0 w Q 4 Q x �} U- ZLU pU) U O Q ¢ "7 LLS C) O O h O m Z Z� p 0. Z U U w U - O -� a X w m V O m a n C, z C� z Z U a w m c w U [� O O O z Z O O w Dcr. thn OU J X X }- r U U1 w j Q y w w n. m m a n Q Q T- a Y Q Q T a O r ` Q O U U Q O N M r N h O r z C Z z O w z O h z ! O r U ZLU I U O r wL)v Z i J I 1w= 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/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. D51- D31- a k COSA# 110 2L 1. GENERAL INFORMATION Expiration Date: —3-1-5--07 Complete legal description KNIK VIEW SUBDIVISION: LOT 5. BLOCK 1. Location (site address) 22531 INLET VISTA DRIVE • CHUGIAK. AK 99567 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address JULIE COBB Day phone 339-6515 22531 INLET VISTA DRIVE • CHUGIAK. AK 99567 Day phone DONNA ALDERMAN w/ PRUDENTIAL VISTA Dayphone 689-6468 16635 CENTERFIELD DRIVE • EAGLE RIVER, AK 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class es=Weil N Community On-site ❑ Public Water System ❑ 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 On -Site 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 On -Site 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the 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 riles 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. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date a to 06 Engineers Comments: 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 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the lost, and separation distances measured to readily Identiriable 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. 5. DSD SIGNATURE i✓ Approved for bedrooms. Disapproved. Conditional approval for Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory 5XINJIMMM bedrooms, with the Mowing stipulations: Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other UN -W I C WATERAND :WASTrWATEc :. PROGRAM By: // c / Lf/. Original Certificate Date:�- 1R. 11.151 Municipality of Anchorage Development Services Department � J Buiklkq Safety Division On -Site water 6 Wastewater Program Y ' • , 4700 Bragaw SMmt P.O. Box 196650 Anchorage, AK 995196650 www.muni.org/onsite (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: KNIK VIEW SUBDIVISION; LOT 5, BLOCK 1, Parcel ID: A. WELL DATA Well type 'e' If A, B, or C provide PWSID# 218409 Well Log (Y/N) Date completed Sanitary seal Ires properly protected (Y/N) Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. 9•P•m- WATER SAMPLE RESULTS: Coliform cotonies/100 ml. Nitrate mgJL. onies/100 ml. Date of sample: Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material STEEL Date installed 10/10-22/1997 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 12/1/2005 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA Date installed 10/10-22/1997 Soil rating giiirft'lbdrm) 1_2 System type TRENCH Length 60 ft. Width 5 ft. Gravel below pipe 3 ft. Total depth 'e•e ft. Eff. absorption area 517 ft' Monitoring tube YES Depression over field NO Date of adequacy test 12/1/2005 Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test14 in. Water added 754 gal, New depth 16.5 in. Elapsed Time: 270 min. Final fluid depth 13 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 moa (Y/N 8 type) NONE KNOWN If yes, give date D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES Size in gallons High water alarm level at in. Cycles tested Meets alarm 8 circuit requirements?, SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on kri Absorption field on lot Public sewer main Sewer /septic service areas COMMUNITY WELL On adjacent On adjacent lots sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *4 . Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 25'+ Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1--r.. I certify that I have determined through field inspections and t ! y tl '• Y!" review of Municipal records that the above systems are in """" ' ""' .... conformance with MOA COSA guidelines in effect on this date. fr A Gorness: Engineer's Printed Na a JEFFREY A. GARNESS 79,53 Date 3�ro ob VVV *• 10Q Date Aro fsssilo" COSA Fee $gTO Waiver Fee $ _ Date of Payment 71106 Date of Payment Receipt Number s j ? is � jys. Receipt Number (P: . 11n5) m V n \ \ F /o, •�cC�f B �•26�. m x rp- 2 V v Z m p m ^ F, - m m � N hl y Y 45.4orcIr Ek�Sl�Nc yOUs� JCA. p a w 00 6? 00 9 IN l6•J83jF I W CVa m W C— r U m m W x rp- 2 V v Z m p m ^ F, - N r N Q m^ Q m o p G a < m n 0 7 o R° G p p a Qp N'o�•c;u m a a 7� a $L�.=. v A��. »�. ^ N & Q O 1 �rj � • w Q maA J y�� 7 � M � y"j 'pp O y o 3- Np, n n� P4 cmo ^MQ Z o LL ��• pm 7�,m �o ZE�-•.� W$ A O 7 m C� o B G 39 CVa m W C— r U m m W 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 ��ic,c, v�Ln �?y '• s-la-�/gel CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 051-031-28 1 HAA #�� i. GENERAL INFORMATION Complete legal description Lot 5, Block 1, Knik View S/D Location (site address or directions) Property owner Leroy Alderman Mailing address PO' Box 670045, Chug NHN Inlet Vista Drive iak, AK 99567 Day phone Lending agency Day phone Mailing address r Agent Jack White/Larry Maulden Day phone Address 3201 C Street, Suite 200, Anchorage, AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Xxx 762 -3106 NOTE: If community well system, provide written confirmation from .State ADEC attest - 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Phone 6"1 H a 9 7 17034 Eagle River Loop Road No. 204 Address Eaale River, Alaska 99577 1 Engineer's signature 6. DHHS SIGNATURE Approved for ' O vI bedrooms. Disapproved. Conditional approval for Additional Comments M VJTir Date v................. . ........ .� @! . r.� % !! wwAN f Q CE - 8801 bedrooms, with the following stipulations: Date E- �2 7- % 9 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not t conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.. ` I 72-025 (Rev. 1/ 91) Back MOA 1121 - `� KKEIVEV Municipality of Anchorage MAY 25 1999 DEPARTMENT OF HEALTH & HUMAN SER LC&4LITY of ANCHum(3E Environmental Services Division ENVIRONMENTAL SERVICES DIVISI 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: )a -5` gLo(rr / ),- rVlt4� VtlbaI Parcel I.D.: 0 S I - 0 3/ " a D A. WELL DATA flu 13 L ( C - Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to FROM WELL LOG WATER SAMPLE RESULTS: Coliform of sample: Nitrate g. p. m. Collected by: Casing heig�ove ground) rly protected (Y/N) AT INSPECTION Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed 10 10/ q 7 Tank size 7 S Number of Compartments a Cleanouts o/N) Foundation cleanout (ON) Y 6 J Depression (Y/6l e V High water alarm (YCq) Date of Pumping P/4 ^' 6 %.,' Pumper C. ABSORPTION FIELD DATA n/ J ,S/f woW Date installed 10/ac / `t 7 Soil rating g.p.d./ft2 or ft2/bdrm) ) System type -r oy Length 60 Width S / Gravel thickness below pipe 3 Total depth , Effective absorption area ,S 1 Z Pi � Monitoring Tube present &N) YII Depression over field (Y/6) � n Date of adequacy test ^gift.- - N "/ Results (Pass/Fail) For I bedrooms Fluid depth in absorption field before test (in.); Fluid depth Peroxide 72-026 (Rev. 3/96)" (ins) Minutes months) (Y/N) (in.): Absorption rate = g. p. d. If yes, give date D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES "Pump *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main service line Size in gallons "Pump off" level at* On adjacent I _1 i On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ► Property line ° Absorption field S' r i Water main/service line 0 Surface water/drainage _ �o ® + Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: w4rv�2 A6cz*6,3T(VO) ' r Property line Building foundation 3 cl Water main/service line Surface water Driveway, parking/vehicle storage area Curtain drain NO Pit, Nlow Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conforman='thA guid Ines in effect on this date. Signature_ �Lwt� Engineer's Name Gtd%I�•�� �pW��J Date t 3lie abo s are :. ;, ., RUFSER7 Z. COWAN 8 h CE -Cmum 444rFo�• HAA Fee $� ` Waiver Fee $ Date of Payment t�✓� ) Date of Payment Receipt Number ���� �� �- �U� ✓ Receipt Number ��� � �� -a 67 - 72-026 (Rev. 3/96)* Municio-paRty of Anchorage tii)nls Department of Health and Human Services 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor hItp://www.ci.anchorage.ak.us S & S Engineering ATTN: Robert Cowan, PE 17034 Eagle River Loop Rd, #204 Eagle River, AK 99577-0000 May 27, 1999 Subject: Waiver Request for KNIK VIEW BLK I LT 5 Waiver # WR990030 Lot Line Request for Parcel ID 051-031-28 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 4 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, 4�4 Pet" Jeff Poet Engineering Technician III On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#La)Q_°LLIC.a?LPID# 051-031-28 HA#QR ►C) -ISA Permit #� Date Received: May 25, 1999 _ Legal Description: Lot 5 Block 1 Knik View Subdivision Engineer: Robert C Cowan, PE, S & S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River, Alaska 99577 Applicant: Leroy Alderman Waiver Requested: leachfield to the east property line of 4 feet _ Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: - Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: - Date: By; 4 e-eir Na Reviewer. Rec #: 04850 /4505 __ Amount: $ 115.00 Date Paid: 55=25-99 s&S� ,ineeRinq ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 RECEIVED May 24, 1999 HEALTHAULHORITY APPROVALS MAY 2 5 1999 Municipality of Anchorage Dept. Health & Human Services SEWER&WATERMUNICIPALITY MAIN tD<TENSIONS ENSIO OF ANCHORAGE Department of Health and Human Services PO Box 196650 Anchorage, AK 99519 SEWER & WATER INSPECTION REFERENCE: Lot 5, Block 1, Knik View Subdivision Request you issue a Health Authority Approval on the referenced property and grant a ENGINEERfNG REPORTS waiver for the horizontal separation distance between the leachfield and the east property line at 4 feet. We do not anticipate any adverse effect on the adjacent properties. WELLINSPECTIONIf BFLOW TEST you require additional information please contact us. Y n o t' Sincerely, SITE PLANS Robert C. Cowan, P.E. ROADDESIGN RCC/skll SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE: RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577