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HomeMy WebLinkAboutKNIK VIEW ESTATES BLK 5 LT 8KnI*k View Estates Block 5 Lot 8 #051-043-48 ':' Municipality of Anchorage Page -~- of DEPARTMENT OF HEALTH AND HUMAN SERVICES , ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343~4744 · On-Sit~ Wastewater Disposal System and/or Well Inspection Report Permit Number: //,u' ~/~ PID Number: ~%'/o~' ;~ ¥ ,6 Name: Address: Phone ii No al Bedrooms: LEGAL DESCRIPTION ~lock ~ Subdwls,on WELL: ~ New D Upgrade Classd~cahon (Private, A.B!,O): Total Depth ~e~To Y,eld~ J[ Pump Set at Casm9 Height Above Ground: SEPARATION DISTANCES well Sur[ace L~ne ' Dram Wastewater System: ¢~d'New [] Upgrade ABSORPTION FIELD t~DeepTrench ~J Shallow Trench [] Bed []Mound []Other Soil Rating: /' ,.~ GPD/Sq Ft Oeplh lo pipe boltom Item original grade: TotaJ absorphon area SO F~ Installer: ~'Rff~e Total Depth from original grade: Gravel depth beneath pipe Ft. Ft. Number of lines: O~slance belween lines: _Z., ..¢/// Ft Pipe material: Dale ins~alled: TANK ,52rSeptic ~ Holding ~ S.T E P. Capacity m gallons: Number of Compsrtmenls: LIFT STATION Size ,n gallons' JManulacturer: _--/ I ~ ..Pump on- level at: L~o~:>i~¢el at: J High water alarm at: Pump~ IElectr~callnspecb°nsperf°rmed by J Remarks: BENCH MARK Location and Descr,phom ~.~_ ~-~7- ~/~/'.t Inspections performed by: Z~.¢/~- /',',~.' ~-.~?'~-,¢*¢,~ates: 1st ' 2nd Departm0nt ol Health and Human Services approval Reviewed and approved by: ~ Date: ¢ Assumed Elevation: EN( Z2 013 iRey 9 91/ MOA 25 iii Per'mi 1: No, sw980018 Page Muni ci pa(~ ~y oF Anchorage oF DEPARTMENT BF HEALTH AND HUMAN SERVICES ENVIRnNMENTAL SERVICES ]3TVfSIFIN P.D. ]}Ox i96650 · Anchorage, Atosko 9951%6650 o[e/ephone: 343-4744 []n-SitelWastewoter [lisposo~ System end/or Xe/~ inspection Report Legal Descript!ion:l<nik View Lot 8 bib< 5 PID No,: 05104348 ~ I KNIK VISTA Ct. ~5' R=3.8.1' 51' Prop 4' House D 3×33' ~rench reserve are 85'35'58" E NO WELL5 +200' ELEVATIBNS (NBT TI] SCALE) ii 5WlNq TIE5 A-C = 66.6' 5-C = 6t.2' A-O = D0.9' 5-0 =64.9' [] - TEST HOLE - MONITOR TUBE o - SEWER CLEANOUf NEW LEACHFIELD EASEMENT SCALE 1" = 4-0' 3/5/98 ENGINEER'S SEAL : -...' ..,..,A~-~- '."7'-' ~h ~.'" 4 9 TH ~ "..X~¢~ .... :'" ~,~ ....... : .... MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES .P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PAGE 1 OF 1 PERMIT NUMBER:SWg~0018 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:HUMM MARC E & PATRICIA A OWNER ADDRESS:P.Oi BOX 671389 CHUGIAK, ALASKA 99567 PARCEL ID:05104348 DATE ISSUED: 2/18/98 EXPIRATION DATE: 2/18/99 LEGAL DESCRIPTIONi KNIK VIEW ESTATES BLK 5 LT 8 LOT SIZE: 21826 [[SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FO~ THE CONSTRUCTION OF: DISPOSAL FIELD /S~PTIC TANK SYSTEM 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 (~8AAC72) AND DRINKING WATER REGULATIONS (18AAC80). REGULATIONS 3. THE ENGINEER ~UST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACHiiiINSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER i5 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST ~E EITHER: A. OPENED ANDiiCLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWINGi[SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: Eagle ]River Engineering Services Louis Butera, P.E. P.O. Box 77329~ (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax December 29i 1997 Jim Cross, P.~. Manager, OniSite Services Municipality pf Anchorage P.O. Box 196650 Anchorage, ~K 99519 ENVIRONMENTAL SERvIcEs DIVISION RECEIVED Re: Knik ¥iew Estates Lot 8 Blk 5 Narrative & Permit Application Dear Mr. Cr0~s: i The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. ! Reserve space is adequate, due to absorption capacity. J 4. Drainage will not be affected and is not a major consideration in our design. If you have a~y questions please call our office at 694-5195. Sincerely, i~ Louis Butera~i P.E. \1997\97-086-NA~.DOC , I KNIK VISTA Ct. ~' '--'~0" E ~ b~ I Prop HouseI I ~ ~ Lot 9 ~ - UNDEVELOPED ~ ~ Septic Tank~ o ALL WELLS .I I ~ax53' Treg~h / ~ 200' Line3' Section / ~dim ~sm}. , Lof 7 UNDEVELOPED ~ - TEST HOLE " * - MONITOR TUBE o - SEWER CLEANOUT NO SURFACE WATER + - WELL NO KNOWN CURTAIN DRAINS EASEMENT COMMUNITY WATE~ SYSTEM ~ PROPOSED LEACHFIELD - EXISTING LEAOHFIELD LEGAL: KNIK i~lEW ESTATES LOT 8 BLK 5 ~¢ OWNER: CONTRACTOR: N~A JOB~ 97-086 /DATE: 12/29/971 SCALE 1 = 40'$~,~.~ .... EAGLE RIVER ENOINE~RING SERVICES '~m ' LOUIS A. BUTERA. ~AO~ RIVER, AK. 99577 %~'~ ' Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK1 99577-3294 (907) 694-3297 fax LEGAL: Knik View Estates Lot 8 BIk 5 i 12/29/97 A. GENERAL SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM 1. The well a~hd septic plan are for a single family residence only. 2. The drawi!Ig and or site plau shall be a part of this specification. 3. All materials and worknmnship shall meet the Anchorage Department of Health and State Departme~!t of Environmental Conservation requirements. 4. All soil te!is are advisory to the desigu 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 in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the re~pousibility of the owuer to obtain all necessary permits or easetnents and to locate any adjacent m~lti-fmnily wells. 7. The excavhtion is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is alway~ recommended that a sm'veyor locate the nearest lot line position and the locatiou of any easementsl 9. Any remaiifing open test hole excavations shall be filled. B. SEPTIC TANK 1. Septic tank shall have a minimum capacity of 1250 gallons, and be of MOA approved design. C. TRENCH 1. The trencliliis to follow the natural land contom' to maintain uniform total depth of the trench bottom. 2. The bottot~ of the trench shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed 11.5' at any point. 4. The effluent line within the trench shall be laid level within 0.03'. 5. The trencliI gravel is to be covered with typar fabric material. 6. Soil or co~bination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the lehchfield. 7. The area d~er the trench is to be finish graded to prevent ponding of surface water runoff. 8. The septi~itank 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 welt. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEP~H = 11.5' GRAVEL DEPTH: 7.5 nnder pipe, 2" over pipe TRENCH LENGTH = 33' TRENCH WIDTH -- 3' BEDROOM CAPACITY = 4 T~venty-four (24) hours notice required for all inspections. SOIL RATING = 1.2 GPD/ft2 SEPTIC TANK = 1250 gallons \1997\97-086-spaidoc ii¸ EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 97-086 Calcullated By: LB Date: 11/26/97 Legal: Knik View Est. Lot 8 BIk 5 TEST HOLE I Siingle Family 4 Bedroom Dwelling Deep Trench Subsurface Wastewater Disposal Field : Required length = Required absorption area / 2 / D Water use at 150 gallons per bedroom: 600 gallons Percolation rate = 3.4 minutes per inch Wastewater application rate = 1.2 gallons per day per square foot Required absorption area = 500 square feet Trench width (W) = 3 feet Gravel depth (D) = 7.5 feet Required length = 500 / 2 Required length = 33 feet Total Excavation Depth = 11.5 feet / 7.5 SINGLE FAMiLy ON-SITE WORKSHEET ERES PROJECT NUMBER: 97-086 CALCULATED BY: LEGAL DESCRIPTION: Knik View Est. Lot 8 81k 5 NUMBER OF BEDROOMS: 4 WATER USE PER BEDROOM: 150 PERCOLATION RATE: 3.4 DEPTH TO GROUNDWATER: 17.5 DEPTH TO IMPERMEABLE LAYER: 17.5 ANTICIPA?I'ED DEPTH OF COVER: 4 MOUND OR BED SYSTEM IWASTEWATER APPLICATION RATE: !ABSORPT ON AREA REQU REMENT MINIMUM BED LENGTH 12 FEET WIDE BED 15 FEET WIDE BED TRENCH SYSTEM , WASTEWATER APPLICATION RATF: i!ABSORPTION AREA REQUIREMENT: ~HALLOW TRENCH OPTIONS ~ 5 FEET WIDE TRENCH F~FECTIVE REQUIRED TRENCH DEPTH (FT) ENGTH (FT) 1 88 : 2 70 i 2.5 64 3 58 3.5 54 4 50 DESIGN SPF_.CIFICS FIEi~3 SYSTEM: GRA~EL~ DEPTH: TRENCH OR BED WIDTH: il LENGTH: TOTAL EXCAVATION DEPTH: D (B=BED, S=SHALLOWTRENCH & D=DEEP TRENCH) 7.5 FEET 3 FEET 33 FEET LB GALLONS MINUTES PER INCFI FEET FEET USABLE SOIL STRATA FEET TOTAL USABLE DEPTH: USABLE SOIL STRATA DEPTH: 0.8 GAL/SQ.FT 750 SQ,FT 11.5 7.5 63 FEET 50 FEET 1.2 5OO GAL/SQ.FT SQ.FT DEEP TRENCH OPTIONS 3 FEET WIDE TRENCH EFFECTIVE REQUIRED TRENCH DEPTH (FT) ENGTFI (FT) 4 63 4.5 56 5 5O 5.5 45 6 42 7 36 8 NA 9 NA 10 NA 11.5 FEET PERFORMED LEGAL DESCRIPTION: J~"'./¢, '~ ~,/~./~' ,~", Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST /_ ~ ~".,,'-' Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? YES, ATWHAT DEPTH?IF ../~/~ Deplh to Water Afler Monitoring? ,O ~' ,,v' Data: Reading Date Gross Net Depth to Net Time Time Water Drop I I1-~? /~"~'7 ~.--:' ~' , IF'.'~ ~'3 PERCOLATION RATE TEST RUN aETWEEN __ (minutes/tach) PERC HOLE DIAMETER __ FTAND t~...¢- FT PERFORMED BY: ~-~,/~ L~ ~" I ~ CERTIFY THAT THIS TEST WAS PERFORMED IN W ACCORDANCE ITHALLi~TATEANDMUNICIPALGUiDELiNESiNEFFECTONTHiSDATE. DATE: .~1-- ~7~ Municipality of Anchorage •• . On-Site Water and Wastewater Program (907) 343-7904 • 5r. + CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-043-48 Expiration Date: d (9- -30 — LH 1. GENERAL INFORMATION Complete legal description Knik View Estates Block 5 Lot 8 Location (site address) 22605 Knik Vista St,Chugiak, AK Current Property owner(s) Hobbs Day phone 223-4872 Mailing address same Real Estate Agent Konstantin Gaskov Day phone 223-4872 y678970 TYPE OF DWELLING: �.Q2. 51x_ .:rti►rj 'O ® Single Family (w/wo ADU) ❑ Duplex APR 2018 ❑ Multiple Dwellings (Single Family and/or Duplex) a 3. NUMBER OF BEDROOMS: 4 !�� 6 8 L 9 � 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class C Well ❑ Community ❑ Public Water System ® Public Sewer ❑ Received by• �-- - Date: 0? COSA to be released to the engineer, unl otherwise requested by the engineer. COSA Fee $ Date: Date of Payment `i" i3—/t Date of Payment Receipt Number 01( Receipt Number COSA# () til t1S 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 NorthRim Engineering Phone 694-7028 Address PO Box 770724,Eagle River Engineer's Printed Name Steve Eng Date 4/12/2018 6. DSD SIGNATURE ` �^'_ 1�Z 7 - oo System #1 Approved for bedrooms. ; =` System #2 Approved for bedrooms. = • • Disapproved. :G ;;c, l/(27/cF,'F; Conditional approval for bedrooms, with the following stipulations' -= = I�� S -�G — k 215 L/eA,V CLQ A--v,(2,(61,1c ;,0 at6 c_ 2_,0,--ApPutS OF gAi,, AQP hp ON-SITE m.. WAl ER AND -:c) WASTEWATER o- C ri al CiGR\mlate - 0,0 G�c� The Municipality of Anchorage Devlopment Services Division(DSD)Issues Certificates of OrrFSJte S ii>s. pproval(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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 9-1-12.doc 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: ,/V/i< ✓/ L.-fa 7-#/#7-7,1 SS L- Q" Parcel ID: 03-"V `7":) A. WELL DATA Pf1431-ra" Well type If A, B, or C provide PWSID# Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA . Tank Type/Material ,4(VC-J 3 Flitlie/-5/ 1- Date installed 40,11/ cP' Tank size/2SC gal. Number of Compartments 2 AlCleanouts (Y/N) Foundation cleanout(Y/N) \ Depression over tank(Y/N) High water alarm (Y/N) Al Date of pumping /6)/16 � 7 Pumper S4� 1 / 7• -fly PUc�/4 S C. ABSORPTION FIELD DATA Date installed 2-(ze9eSoil rating (g•P• or ft2/bdrm) o� System type '77e-4c.`1 Length //3 3 ft. Width 3 ft. Gravel below pipe 7 .5_ ft. Total depth/4 C ft. Eff. a sorption area I ?Sitz Monitoring tube �/ Depression over field(V Date of adequacy test 9/(l /� Results (Pass/Fail) P / For y bedrooms Fluid depth in absorption field before test S'3 in. Water added 6007 gal. New depth 6O in. Elapsed Time: C*-46 min. Final fluid depth 5? in. Absorption rate >= 1(0 0 g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) V'uv If yes, give date D. LIFT STATION ,v4 Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: /V,- Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout • Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation / L` ,"r Property line G/ /'y` Absorption field 5 /ri' Water main f Water service line /0 ( Surface water /00 14 Wells on adjacent lots Z ts 6 r-` ABSORPTION FIELD ON LOT TO: Property line /d ('1' Building foundation / 0 �4 " Water main / a (-1— Water Service line ! 6 (t Surface water /Q a /� Driveway, parking/vehicle storage /d /.1... r Curtain drain tic/k Wells on adjacent lots 200 -0" F. COMMENTS G. ENGINEER'S CERTIFICATION w :RY1`to.v.".1, / certify that / have determined through field inspections and ...1.'.---. , OF `' review of Municipal records that the above systems are in R e; •;V^ �� �'I'�.'E_Rr> (mss f '� conformance with MOA COSA guidelines in effect on this date. :�, y�-i ,: :'' s• a Engineer's Pri ted Name � y df •• /� 1' ` ' CO3 Date /- ( 2l/ i(/P • ��JO "(Mis 0 l,Q • "kg;i'lleFESVI's'Ars• COSA yellow sheet_2-6-15.doc Municipality of Anchorage Development Services Department Building Safety Division i Onsite Water and 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. 1)51-e)q_5'gg COSA # 0(01) 4q - Expiration Date: I — 0 % 1. GENERAL INFORMATION Complete legal description f://,l( (< J rrt4_/ Location (site address) ZZ CC S iC/V/k t//sT-4 S r ?E%F�J 0,r2 1� Current Property owner(s) 517/f4L0=✓ _ 7P4,4nf t Day phone ZZ 7—eP 7 P'z. Mailing address 2260$ l<N/k VisTit s�—. / er2ARFf-_' Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ER 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 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 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. Name of Finn �A4D r't Rfwr 6 n- Phone. Address 17-d.37 fpr,% �. i o.y„ (. Engineers Printed Name 6' Date og -= c OF At,.ti1e ►� Steven W. Eno J w J . w 5. DSD SIGNATURE �t4rF9�`.PE 6256 `\ O,ROFESsNt, `.. Approved for bedrooms. ► Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report —Nitrate-dv(so 0 he By Original Certificate Date: (Rev. I IMS) Municipality of Anchorage o ,... .. Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonshe (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: k11/K N44TsJ FS 7-4" f es L 8 Parcel to: Os- i - O 4 A. WELL DATA PVBL/G Well type _ If or C provide PWSID # Well Log (YIN) Date completed _ Sanitary seal (Y/N) _ Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above grou In. ROM WELL LOG AT INSPECTION Date of test Static water le I ft. Well production g.p.m. 9 -13 -m - WATER SAMPLE RESULTS: Colfform coloni mL Nitrate mgtY Other eria colonies/100 mL Arsenic: _ mgll Date of samp Co ted by. B. SEPTIC/HOLDING TANK DATA Tank TypelMaterial4 A o&4�F Date installed ZpdD Tank size !Z S6 gal. Number of Compartments z- Cleanouts (YIN) Foundation cleanout (YM) V Depression over tank (YIN) High water alarm (Y/4) Al Date of pumping _JV403 Pumper C. ABSORPTION FIELD DATA Date installed Z Z of Soil rating (g.p.d.W or f?/bdrm) System type THEA h=44V Length .33 ft. Width 3 ft. Gravel below pipe 7 S ft. Total depth/ ft. Eft. absorption area ��ft2 Monitoring tube _Depression over field N Date of adequacy test 06 Results(Pass/Fail) P4_r-r For bedrooms Fluid depth in absorption field before test in. Water addecICO 0 gal. New depth_q_Q_ In. Elapsed Time: j0 min. Final fluid depth. in. Absorption rate >= G a g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) VAX If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N 'Pump on' level at'Pump off level at in. High water alarm vel at in. Datum Cycles tested Meals alarm rcuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ?UQLta '"u Met Septic tankflift station on Absorption field on lot Public sewer main Sewer /septic s9fvice line On adjacent lots On adjacent lots Public sewer Holding tank Animal conment areas Manure/animdl excrete storage areas _ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation g r{- Property line -LO—.?- Absorption field S 't Water main / 0 rr Water service line / d r Surface water / O O 1'*- 1•f' Wells on adjacent lots ZO O SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / �t Building foundation /'Q r f• Water main / d ".0- Water tWater Service line �� Surface water / D O r•*" Driveway, parkirg/vehicle storage Curtain drain Wells on adjacent lots O C f r F. COMMENTS w G. ENGINEER'S CERTIFICATION row; • ., y 1) 1 certify that l have determined through field inspections and p ... review of Municipal records that the above systems are in . conformance with MOA COSA guidelines in effect on this date. , r V """""""' r l a� : ` Sie.en Engineer's Printed Name 4S Ve FWC t4srF•., � � 9F�•.........: PSE. � Date 9/ff�a6 �� "ROFES5`•�'�. COSA Fee $ 0-30 Waiver Fee $ _ Date of Payment 4111 ?Ak Date of Payment Receipt Number lCLQ /J�/J Receipt Number (Rev. 11105) f—KNIK VISTA Ct. 2s• � B R=31 .1' pp 265, ur we,- and gyp• 71. t. -'D Q + m C4 ►-� I 31.3 S 0. r > N Y I` 2 Ston aAr C-3 ` 14' House 'n on Z c Y I c PAVED T o ^� 16.cw N_ DRIVE .I o in I 25.6' 43.0' o 0 s W II o a septic vents o I 0 o ( S 85'35'52» E con 104.09- 04.09'F F..ACs LEGEND: SET FOUND 49Ly '1 yr 5/8' REBAR Q • ........... ... ....: 3.25' ALYON.© ' ""r"""' IONS A. BUTERA e HUB AND TACK 0 •:• QD�•'•, LS -9338 �jj °'y' FENCE •lf-J-h+%f •. piael'LEfA WOOD DECKS O SEPTIC STANDPIPES o EAGLE RIVER SCALE: aAIE' e.: VICE r, ENGINEERING SERVICES ASBUILT SURVEY r.40 2w99 LB I " f$ P.O. Box 773294 OWNER: Mark Humm ERES Proiecl Number: 97.086 10421 VFW Drive Eip/s River, Ax. room ew-sloe ruu aeon aar-ssys Wo 94-3" Lot 8 81k 5 KNIK VIEW ESTATES CADO F9e Name: 97.086AS I hereby certify that I have surveyed the above described property: LB, B5, KNIK VIEW EST. Anchorage Recording Precinct, Aloska, and that no encroachmentsexist except as Indicated. It is the responsibility Of the ownrr toderterm;np the existence of anyeasenents, covenants, or restrictions which do not appear on the•ecorded subdivision plot. Under no circumstances should any data hereon be used forconstruction of fence lines,or for establishing boundary lines.