HomeMy WebLinkAboutMCKINLEY HEIGHTS #1 BLK 3 LT 1 051
Municipality of Anchorage Pk*
On-Site Water and Wastewater Program •(907) 343-7904Pae
ON-SITE WASTEWATER INSPECTION REPORT
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0SP181060051-212-35
Permit Number: PID Number:
Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ■❑ Upgrade
Name:
Kathleen Morris ABSORPTION FIELD
Address ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
18414 Amonson Rd., Chugiak, AK 99567 ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
2 GPD/SF Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot Ft. Ft.
McKinley Heights #1 3 1 Fill added above original grade Gravel length
Township Range Section Ft. Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES Ft. Ft.
To Septic Absorption Lift Station I Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Tank Line Ft2 Ft.
Well 100+ TANK I]Septic 0 S.T.E.P. 0 Holding 0 Other
Manufacturer Capacity
Surface Water 100+ Infiltrator 1060 Gal.
Material Number of compartments
Lot Line 5+ NA Plastic 2
Foundation *6.8 LIFT STATION
Manufacturer Capacity
Curtain Drain ** Gal.
Pump on level at Pump off level at High water alarm at
Remarks *The septic tank is located outside the
foundation soil bearing prism. in. in. in.
** Unknown Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank D3034Tank to D3034
Installer _ drainfield________
ARM Services Drainfield CO/MT D3034
Inspector Crewdson Engineering LLC BENCH MARK (Assumed elevation) 100 ft
Inspectionsl Location and description
dates: 1 5/14 /18 2nd 5/23/18
3rd 4m Bottom of siding near foundation cleanout.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
A
Conditional Approval: -- Date_ _ P��•' .di„gI!
•
•
rift��'me A.Crewdson
527 dson : '%
Approved Ogjuj,0 Date 8/i3/1 8IIn •l� PROFESS10�4—
Inspection Report_9-1-12.doc A LC C l 1 a97-01
=•\ Municipality of Anchorage r' f
I)t.parfMen(
P.O. Box 196650 0 4700 Elmore Road
Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997
http://www.muni.orq/Onsite
Development Services Department
On-Site Water and Wastewater Section
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSV181051 COSA#: Permit#: OSP181060
PID#: 051-212-35
Legal Description: McKinley Heights#1 Block 3 Lot 1
Engineer: Crewdson Engineering
Applicant: Kathleen Morris
Your request for a waiver of the required 10 feet horizontal separation from the absorption field
to the property line has been approved. The approved separation distance is 5.0 feet.
This waiver approval applies to the existing absorption field only. Any future upgrade to the on-
site wastewater disposal system will require all separation distances be met or another approval
from this department.
'
Waiver is Granted: X • Waiver is not Granted:
Date: 8/23A g Approved by: aCee..4e�
Name of Reviewer
•
**** VARIANCE/WAIVER REVIEW ****
osv 1fl 05A
CJed_'•Fo!l_E19( ingai C 0.215 e°c‘c T f ioj l g
R pt os-in 6
.�5. •General Contactor James"Jay" Crewdson, P.E.
Email: CELLC.1@outlook.corn
Cell/Text: (907) 280-9493
Fax: (907)688-2295
4*ab4
Civil&Environmental Engineering
July 18,2018
Plan Reviewer
Municipality of Anchorage
On-site Water&Wastewater Program
4700 Elmore Road
Anchorage,AK 99519-6650
Reference: McKinley Heights#1, Block 3, Lot 1
Waiver Request S 4--000 ►l`010. t-;.-.Q
Drainfield Encroachment in Utility Easement
The subject property's 1983 septic system drainfield was found to be encroaching approximately 4.8
feet into a utility easement. We are requesting a waiver be issued allowing the drainfield to remain in
its current location until such time that it needs to be upgraded.
Justification for the waiver.
1. The drainfield appears to be in accordance with the permit it was installed with and is in good
condition.
2. The drainfield easily passed a COSA adequacy test performed earlier this year.
3. The drainfield has been in its current location since 1983 with no known issues or problems.
Please feel free to contact me if you have any questions.
Thanks, .� t O •A44
James"Jpl01444,94/1/44141
ewdson, P.E. %*' 4 it •ce
..J-I es A.Crewdson.4
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PO Box 671389 • 18368 Amonson Road • Chugiak,Alaska 99567
BENCH MARK APPROX. LOCATION OF LOT 2
ASSUMED ELEV 100' DRAINFIELD END BASED
BOTTOM OF SIDING NEAR FC ON RECORDS,TOPO AND
PRESENCE OF OLD GROWTH
ELEV ELEV TREES
EG 98.5' EG 98.1' SHED SWING TIES
FG 99.1' FG 98.5' FC:A 11.92,B 18.77
BE:
_ 1 S2:A 21.00,B 21.74
F S1 S21 I I 4" INSUL. DC:A 23.12,B 24.64
IMMI MO,
\ A SEPTIC TANKnfiltrator
• DC4 1
111\ \ SEPTIC TANK —
Infiltrator IM-1060 °0 wF\ I– FC
ELEV 'ko,\ w
TOT 96.17' s 2 BR SFH
INLET INV 95.46'
OUTLET INV 95.17' - Q
co
PROFILE co �_ - -.;: =::
NO SCALE J .<0.,0;:`-
REMAINDER D ` :
in OF GVNM'T ;N:
cv b :..!,. 'oo
LOT 19 0 1 : ':.;
051-212-38-000 0 ;,..-.f..:',.".-,,,..,:.$
��
Z O/GS
'" ` CENTERLINE OF 10'
`: �C.'I r RIGHT OF WAY
•:-:.,: �".'"..-'<:' EASEMENT PER
WELL '-i..':'' BOOK 1358, PAGE 2•1
fi `F ' ..- Q
L i:;;T:.:4',,,':, '0
LEGEND �a1 r}`, \ ��
• ,Y 4, OZ
BR BEDROOM ''••:';a ;'= :`J`,_- :..........1:;,.:':•:::;,..: ::••: . ,...s.....:•
CO-cleanout A ..a,;,A: :P:.; ' �
DC-double cleanout -• .. ?..' '.� • ..
DWY-driveway T15N R 1 W rI 6o'�.y_ O O
EG-existing ground SEC 16 O 01, \ 11=1' /..1\._/ELEV-elevation S2SW4NW4NW4 PTN — \0 0
ESMT-easement .o LF
FC-foundation cleanout
051-213-07-000 \y G . Co•
FG-finish grade
IAW-in accordance with SUBJECT PROPERTY WELL
INV-invert
MT-monitor tube 6'X 10'WELL ESMT
S#-septic tank cleanout PER BOOK 929,
TOT-top of tank PAGE 267
PLAN
SCALE: 1"=30'
Crewdson Engineering. LLC McKinley Heights #1, Block 3, Lot 1
•
Record Drawing
Plan & Profile � •
'' '9*•`. . ,1� ,• .
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amesA.Crewdson :
_ 0C11527 Z.
g0•-;Civil Environmental Engineering Prepared for: Kathleen Morris Date: 8-9-18 FF :• F
PROFESsNP
PO
Box 671389 Chugiak AK 99567 • collc.1@outlookcom Permit: OSP181060 Page: 1 of 1
ceuRext:907-260-9493 • Fax907-688-2295 ALLC#112279
ALL INFORMATION SNOY,N ON THIS DOCUMENT IS TUE PROPERTY OF CNEWOSON ENGINEERING.LI AND SMALL NOT BE USED FOR
ENGINEERING OR'ONSTRUC IK)N PURPOSES WITHOUT NMI HIEN PERMISSION FROM CRE WDSON ENGINEERING.MC
LOT 2
So
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EXISTING
I -- -26.7' 77o HOUSE 787, S37° 22'W 10.13'
7s
REMAINDER I 5.0'///'�,i ,, ryo 3'
GOVERNMENT pi 6.OF Li cn 2' '',,. '
LOT 19 I co M :' ';;'
051-212-38-000
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i CENTERLINE OF 10'
RIGHT OF WAY
i • EASEMENT PER
BOOK 1358,PAGE 26
(9_______ . . =
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X00.,I 0� \ ^ 7-
T15N R1W I 9 O /
SEC 16 \ 6b iii,, N
S1/2 SW114 NW1/4 z 9 /
NOTES:
NW1/4 PORTION h �\ �?, /
051-213-07-000 1. THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A
6'X 10'WELL ; / PLOT PLAN WITHOUT THE EXPRESSED WRITTEN
EASEMENT PER i , CONSENT OF LCG LANTECH.
/
BOOK 929,PAGE 267 G 2. THE BASIS OF BEARING FOR THIS SURVEY DERIVES
D / FROM A FOUND 3-1/4"ALUMINUM CAP MONUMENT
b / LOCATED AT THE SOUTH EAST CORNER OF LOT 1,
EDGE OF PAVEMENT - - / SPRUCE TREE SUBDIVISION ANDA FOUND 3-1/4"
l / ALUMINUM CAP MONUMENT LOCATED AT THE SOUTH
oo�Op�O WEST CORNER OF LOT 2-A,SPRUCE TREE SUBDIVISION.
THE MEASURED BEARING AND DISTANCE IS S52°40'
o
OF A ��p // 41"W 413.97'AND THE RECORD BEARING AND
,b' ! ..... -<16 / DISTANCE PER PLAT 83-471 IS S52°42'29"W 414.30'.
a(/)Oo�P �'� DO 3. LOT 1,BLOCK 3,McKINLEY HEIGHTS SUBDIVISION
...
* 49TH �\ . *oO ADDITION NO. 1 IS SUBJECT TO THE FOLLOWING:
�',, 7 Q 15'WIDE BURIED TELECOMMUNICATION
Q L / FACILITY EASEMENT PER BOOK 1637,PAGE 475.
0 m STEVEN CALLAG AN: o V
0/1`°' ��� SAID EASEMENT FOLLOWED THE EXISTING
Cos 17-12034 • v� DRIVEWAY IN 1987.
"^ •.7. 1 /Ze.0•• c.).>,,,,4 1'P,.o! 7" \- 4='
o ROW EASEMENT PER BOOK 1358 PAGE 26.
essiono\ z
O.: PPpo s, 0 ROW EASEMENT PER BOOK 990 PAGE 37.
S89° 49' 35"W 0.52'2' /
LEGEND:
SEPTIC STANDPIPE $0
• >;
WATER WELL ® •'Concrete-" ,--
mu:::Overhang:
FENCE —X—X— Wood Deck
LEGAL
DESCRIPTION: LOT BLOCK 3,
AS-BUILT
250 H Street ' PARCEL#:051-212-35 ADDRESS:1841 AMONSON RD.
Anchorage,Alaska 99501 McKINLEY HEIGHTS SUBDIVISION
Survey Department SURVEY CERTIFICATION:LCGLANTECH,INC HAS CONDUCTED A PHYSICAL
+�� Phone:562-5291 ADDITION NO. 1 SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES
THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE
Mainline PROPERTY LINES AND NO ENCROACHMENTS EXIST OTHER THAN NOTED.
I=01 Phone:243-8985
� � . Inc DRAWN DATE: 06/21/2018 WORK ORDER: 18063 EXCLUSIONARY NOTE:RIS THE OWNER'S RESPONSIBILITY TO DETERMINE
. A L��"��L��� �� AECC 668 THE EXISTENCE OF ANY EASEMENTS,COVENANTS,RESTRICTIONS OR
Q/eiu eccwte• erbyineelLing•d.lt2Ue stnDRAWN BY: MH PLAT: P-629 RIGHT-OF-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED
SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA
CHECKED BY: SC GRID: NW1058
HEREON BE USED FOR CONSTRUCTION,FOR ESTABLISHING PROPERTY
ORDERED BY: KATHLEEN MORRIS SCALE: 1"=30' FB/PG:809/27 LINES,OR FOR PLOT-PLAN PURPOSES.
`, MUNICIPALITY OF ANCHORAGE yfip 41=
Development Services Department
_.- �i Right of Way Section �..
Department
ENCROACHMENT PERMIT R182002
THIS AGREEMENT, made this 14th day of August, 2018, by and between Kathleen Morris
and their heirs,administrators,and assigns, hereinafter called"PERMITTEE",and the Municipality of
Anchorage, a municipal corporation organized and existing under its Charter and the laws of the State
of Alaska, hereinafter called the"PERMITTER".
WITNESSETH:
WHEREAS, PERMITTEE is the owner of the following described real property:
MCKINLEY HEIGHTS #1, BLOCK 3, LOT 1, according to the official records
thereof, on file in the office of the District Recorder, Anchorage Recording District,
Alaska, and;
WHEREAS, PERMITTER owns and/or maintains the real property more particularly
described as follows:
The 10.0-FOOT UTILITY EASEMENT, immediately along the west side of
PERMITTEES property as shown on Plat No. P-629, on file in the office of the District
Recorder, Anchorage Recording District, Alaska, and;
WHEREAS, PERMITTEE has placed a septic system drainfield upon the referenced real
property which encroaches 4.8 feet upon the PERMITTER'S 10.0-foot Utility Easement.
NOW, THEREFORE, it is mutually agreed between the parties hereto that:
1. The PERMITTER, acting through the Director of Development Services
Department, hereby grants to the PERMITTEE the privilege of allowing a septic
system drainfield to encroach 4.8 feet upon the PERMITTER'S 10.0-foot Utility
Easement, as shown on "Attachments A and B," included herewith.
2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless,
the Municipality, its officers and employees, from any and all lawsuits,claims or
actions brought to any person for or on account of damage to property or injury,
disease, illness or death of persons, including all costs and expenses incident
thereto, arising wholly or in part from or in connection with the existence of,
alterations, maintenance, repair, renewal, reconstruction, operation, use or
removal of the encroaching septic system drainfield, as placed upon the
PERMITTER'S 10.0-foot Utility Easement.
3. The PERMITTEE shall not assign or transfer any of the rights granted herein to
another individual or company without first notifying and securing the approval
of the Director of Development Services Department.
4. This Agreement and Permit grants PERMITTEE no interest in PERMITTER'S
real property whatsoever, except only the encroachment rights described herein.
5. The PERMITTER reserves the right to revoke this permit upon twenty (20) days
written notice to the PERMITTEE. The PERMITTEE agrees upon such notice
of revocation,to move said encroachment(s)from the 10.0-foot Utility Easement
in which it is placed. Should the PERMITTEE refuse or fail to comply with said
written notice, the PERMITTER may, without further notice to the
PERMITTEE, remove or cause to be removed the encroachment(s), and the
PERMITTEE hereby agrees to reimburse the PERMITTER for all costs
incidental to the removal thereof.
In addition to the mutual promises heretofore made,the PERMITTEE has paid the PERMITTER a
one-time permit application fee of $115.00. The PERMITTER hereby waives the annual fee of
$300.00.
IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seal the day
and year first hereinabove written.
GRANTEE: GRANTOR: MUNICIPALITY OF ANCHORAGE
Kathleen Mor s Jack L. Frost, Jr.
Owner Right of Way Supervisor
G:Land Use Permitting and Enfm'centent Right of Way Letters Encroachment.ent.LON.Denials,etc MMcKinley Heights I.Block 3,Lot I.ILlorrielaVC.clocr
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
THIS IS TO CERTIFY that on this 14th day of August, 2018, before me, the undersigned, a
Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally
appeared Jack L. Frost,Jr., known to me to be the Right of Way Supervisor for the Municipality of
Anchorage, Alaska, who executed the foregoing instrument, and he acknowledged to me that he
executed said instrument as the free and voluntary act and deed of said corporation for the uses and
purposes therein mentioned, and that he was authorized to execute said instrument.
WITNESS my hand and official seal on the day and year first above written.
Iltllli/ 41P/\\\\\\1 ///// / ii�
�Q��NA OPB/yi� NOTARY PUBLIC in and for Alaska
�• ••�J'p My Commission Expires: G2"6¢�Z6r2/
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P IC•:•*
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onto
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
THIS IS TO CERTIFY that on this /7 day of c4l , 2018, before
me, the undersigned, a Notary Public in and for the State of Alas , duly commissioned and sworn as
such, personally appeared Kathleen Morris, known to me to be the individual named herein who
executed the foregoing instrument,and she acknowledged that she did so freely and voluntarily for the
used and purposes therein mentioned, and on oath stated that she was authorized to execute said
instrument.
•
WITNESS my hand and official seal on the day and year first above written.
\\\\0111IIIII//// NOTARY PUBLIC in and for Alaska
QQ.�,•.••••'•••..•,yMy Commission Expires: o2- -!¢ r 2-0 2/
:NOTARY:
: PUBLIC :'*=
q;-F a ALP
/l/lllllll%
G:Land Use Permitting and I:nfarcement Right of N'ay Letters Encroachment.LON.Denials.etc Al AdcK,nley Heights=I,Block 3.Lot I.AL orris.LNC.doctr
POST IN A CONSPICUOUS PLACE s.-1. en r
�O {' ! te ;S�
i ALL WORK MUST BE INSPECTED z
ti S � Field Inspection Request required 2 workingdays in advance of startingwork •
:#1.i‘
and 2 working days in advance for final inspection. Call(907)343-8206 =' t,..: >^c r
(voice recorder)for scheduling. Permit is not valid without the call-in and also ; it 4'''i
C: f .
X.
must include the one call ticket(utility locate)number. D epa t'trn e n t
MUNICIPALITY OF ANCHORAGE
RIGHT OF WAY DIVISION
4700 ELMORE ROAD
TELEPHONE(907)343-8240
RIGHT OF WAY PERMIT R182002
Type: Encrchmnt Grid: Date Issued: 8/14/2018
Construction Start: Last Update by:.PWMER
Last Updated;-.08/13/2018
Permittee: MORRIS ROBERT E&KATHLEEN A f,
Contact Person: Kathleen Morris, 701-213-3337 . Primary Inspector: `,.,O(4/L.
Site Address: 18414 AMONSON RD, Chugiak-@ Robin Drive
Legal Description: MCKINLEY HEIGHTS#1 BLK 3 LT 1 G:1058
Original Work
Description: Encroachment of a septic system drainfield approximately 4.8'feet in to a 10' Utility Easement`along
the west property boundary',: Az., s:
r
a at 1�`t
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Financial Summary
Fee Description QTY AMT
Permit 1.00 115:00
Total Fees: 115.00
Ns-:,,,
.... Marr i 3 t
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ti��fa£�Y�.3;�xrorafi. r.-- j`S^'. .$;�.ca
See reverse for requirements/remarks.
I have read and understand both sides of this permit. I agree to the terms and conditions;and I certify that all work will
comply with federal,state,and municipal codes and regulations and the provisions of this permit.
Signatu -. 1._44-1-- Date: /7— 9 /e
MATANUSKA ELECTRIC ASSOCIATION, INC.
LETTER OF NON-OBJECTION
July 30, 2018
Robert and Kathleen Morris
do Crewdson Engineering LLC
PO Box 671389
Chugiak, Alaska 99567
Re: Lot 1, Block 3, McKinely Heights No. 1, Plat P-629; 18414 Amonson Rd, Eagle River, AK 99577
A Ten Feet wide Utility Easement, depicted on CE drawing dated 7/18/18
Dear Mr. Crewdson P.E.:
MEA has no objection to the encroachment of one septic vent and leach field, five feet into a ten feet wide
Utility easement, subject to the following conditions:
1. The improvement will in no way restrict or limit the current or future ability of MEA to fully enjoy the
benefits of the easement for any and all utility purposes that it presently enjoys under the easement.
2. MEA will be held harmless by the landowner from liability for any and all damages or injury to any
person or property that may result from the existing and future use of the easement by MEA, its
contractors, or assigns.
3. MEA will be held harmless by the landowner for any and all liability arising out of or relating to any use
of the easement by others under a Letter of Non-Objection.
4. The landowner will be liable for any damages caused to MEA facilities by the improvement in the
easement.
5. The landowner will be responsible for any special construction costs incurred by MEA due to the
improvement in the easement.
6. The landowner will assure compliance with all applicable safety codes relating to the improvement in
the easement.
7. Use of this letter by the landowner, their successors or assigns will constitute acceptance of these
conditions.
8. Alteration of these conditions shall invalidate this letter.
9. This letter is not effective unless it is recorded in the Anchorage Recording District before ownership of
the referenced property is changed from the above-named landowner.
Sincerely,
Manny Lope SR
Land Services anaA
STATE OF ALASKA) SS- �^
THIS IS TO CERTIFY that on this 30 day, July 2018 before me, the undersigned, a Notary Public in
and for the State of Alaska, duly commissioned and sworn as such, personally appeared
f lwin y Lopea
Known to me and to me known to be the individual(s) named in and who executed the foregoing instrument
and acknowledged to me that he/she/they signed and sealed the same as a voluntary act and deed for the
uses and purposes therein mentioned.
IN WIT ESS WHEREOF, I have hereunto set my hand and official seal the day and year first above written
,57--2 6 Zo t vs
, 4
otary Public in and of Alaska My commission expires
i / N,OTghy'',�0
Return to: MEA, PO Box 2929, Palmer, AK 99645
,
ONS AUSLIC
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•
NON-OBJECTION TO EASEMENT ENCROACHMENT DOCUMENT
By this document Matanuska Telephone Association, Inc. (MTA) declares that it has no objection to the
encroachment of a septic system drain-field located on Lot 1, Block 3 of McKinley Heights#1, Plat No. P-629,
filed in the Anchorage Recording District, State of Alaska.
****************************************************************************************
Please be advised that MTA through the issuance of this document does not forfeit any of its rights to the use
of the area cited. In the exercise of these rights MTA will, if needed, upgrade, maintain, repair, and/or replace
buried or aerial telecommunications facilities within the easement. Any repairs that may be required to the
encroachment as a result of utility construction will be borne by the property owner of record. This document
does not authorize the placement of any additional encroachments within the easement area. Property owners
are required to obtain utility locates before doing any kind of work in the utility easements and will be liable
for any damages caused by their construction work in the easements.
This document is, in no way, an agreement to vacate any portion of the utility easement and should not be
interpreted as such.
Issued for Matanuska Telephone Association, Inc. this 25th day of July, 2018, by,
OSP Engineering & Construction Manager
THIS IS TO CERTIFY, that on this 25th day of July, 2018, before me the undersigned, a Notary Public in and for
the State of Alaska, duly commissioned and sworn as such, personally appeared Robbie Nash known to me
and to me known to be the individual named in and who executed the foregoing instrument and acknowledged
to me that he signed and sealed the same as a voluntary act and deed for the uses and purposes therein
mentioned.
IN WITNESS WHEREOF,.I have hereunto set my hand and official seal the day and year first above written.
47,4e.4.)
Notary P be in and for Alaska
My c ission expires:
P.O Box 3550 j Palmer,Alaska 99645 I mtasohutions.com i 907.745.3211
July 262„2018
James Crewdson
Crewdson Engineering,LLC
PO Box 671389
18368 Amonson Rd.
Chugialc.AK 99567
Re: Letter of Non-objectiOn,:18414 Amorison Rd, Chugiak,AK
Dear.Tattle%Crewidson!
Subject to your agreement to indemnify the company as set forth.below,GPI Communication
Corp has no objection to the previously installed septic system drainoffencroaching
approximately 4 feet into the utility telephone &power easement of Lot 1,Block 3,McKinley
Heights#1 Subdivision,also known as 18414 Athonson Rd,city gridNW1058, GCI WO# 18-
°058-34.
This letter of.non-objectionin no Way precludes GC1 COninnitication-Corp from full use and
enjoyment of any rights it may have within any portion of the'utility easement and or the right-
of-way, including unlimited access for servicing its facilities. Also any additional and
extraordinary costsincurred during any future required construction,repair or reconstruction of
GCI's facilities to accommodate any or all of the encroachments shall be paid.by the property
ownee.
By signing below,you agree to indemnify and hold GCI Communication Corp harmless,now
and forever,for any damage, costs, expense(including reasonable attorney's fees), liabilities and
injury to any person or property occurring as a result of the encroachment.
Pleasindidate:yout..godeptknee by signing and returning.this letter to me at.the,AddreSk below.
Sincerely,
Acceptance
Date
Markus.Kofid
Manager
Outside Plant Design& Data Management
GCLConununicatiOri Corp
515.1 Fairbanks St.
Anchorage, AK 99503
ENSTAR ENSTAR Natural Gas Company
A DIVISION OF SEMCO ENERGY
Engineering Department,Right of Way Section
Natural Gas Company 401 E.International Airport Road
P.0.Box 190288
Anchorage,Alaska 99519-0288
(907)277-5551
FAX(907)334-7798
July 31,2018
Kathleen Morris
P.O. Box 772402
Eagle River,Alaska 99577
Subject: Letter of Non-Objection
To whom it may concern:
ENSTAR Natural Gas Company has no objection to the existing septic drainfield located within the Ten
Feet(10 FT)wide utility easement situated on Lot 1,Block 3,McKinley Heights Subdivision#1, located
within the Anchorage Recording District,Third Judicial District, State of Alaska.
Acceptance and use of this letter of non-objection by yourself,your heirs, your assigns,or your
successors,will constitute agreement to the following stipulations:
• Landowner/Contractor working near ENSTAR gas facilities shall contact the Alaska Digline,
Inc.,(907)278-3121 or 811 for line locating two(2)business days prior to any related
excavation. This service is free of charge.
• ENSTAR will be held harmless,now and forever for any damages or injury to any person or
property as a result of this encroachment.
• Any ENSTAR facility damaged or destroyed,as a result of this encroachment will be repaired at
no cost to ENSTAR.
• Any costs incurred by ENSTAR for special construction necessitated by this encroachment will
be borne by the land owner.
• All applicable safety code regulations will be observed and maintained.
• This letter of non-objection will in no way preclude ENSTAR from full use and enjoyment of its
rights within any portion of its right-of-way.
Sincerely,
Andrew Fraiser
ROW&Permitting Supervisor
ENSTAR Natural Gas Company
7/0.t:_i_,- MUNICIPALITY OF ANCHORAGE ,,,
' On-Site Water&Wastewater Program 5.;.
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
K,::‘,..\\........ �'t httpa0 Phan
http://www.muni.orgionsite ite_i
4NCM O11 N6S
On-Site Wastewater Disposal System Permit
Permit Number: OSP181060 Effective Date: 4/27/2018
Work Type: SepticTank Upgrade Expiration Date: 4/27/2019
Tax Code Number: 05121235000
Site Legal Address: MCKINLEY HEIGHTS#1 BLK 3 LT 1 G:1058
Site Mailing Address: 18414 AMONSON RD, Chugiak
Owner: MORRIS ROBERT E & KATHLEEN A Lot Size in Sq Ft: 19602
Design Engineer: CREWDSON ENGINEERING, LLC Total Bedrooms: 2
This permit is for the construction of:
❑ Disposal Field El Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
1. A portion of the drainfield encroaches into the 10' Utility Easement and the water service line from the well
routes across the Utility Easement. Letters of non-objection from MOA ROW and all applicable utility companies
will be required prior to inspection report approval.
2. The well serving this property is located on T15N R1W Sec 16 L19 S2SW4NW4NW4 PTN. A recorded
ingress/egress easement for the well and associated water service line is required prior to inspection report
approval.
I
1
Received By: f Date:
Issued By: � Giutg Date: 1/2 7 18
f
(36189z0, ,
MUNICIPALITY OF ANCHORAG ., -_ '
- ir■ •! 1 '
Community Development Departmenill
t Pho X907-343-7904 ti
Development Services Division Fa • 1,7-343-7997 4,
On-Site Water & Wastewater Program << of 60 i, ° c';\
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-212-35
Property owner(s) Kathleen Morris Day phone
Mailing address PO Box 772402, Eagle River, AK 99577
Site address 18414 Amonson Road
Legal description (Sub'd., Block & Lot) McKinley Heights #1 , Block 3, Lot 1
Legal description (Township, Range & Section)
Lot Size 19,602 Sq. Ft. Number of Bedrooms 2
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(El all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF) [1
(w/wo ADU)
Septic Tank X❑ UpgradeX❑ Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
74
(Signature of property owner or authorized agent)
Permit/Rush Fees: _ 15 Waiver Fees:
Date of Payment: tI Ja.511' Date of Payment:
Receipt Number: d Yo-Co r �l Receipt Number:
Permit No. 05P)i I O(QC. Waiver No.
Permit App_ -:• ,�..:c
Crewdson Enginering, LLC
•General Contactor James "Jay" Crewdson, P.E.
Email: CELLC.1@outlook.com
Cell/Text: (907) 280-9493
Fax: (907) 688-2295
Civil&Environmental Engineering
April 24, 2018
Plan Reviewer
On-site Water&Wastewater Program
Municipality of Anchorage
4700 Elmore Road
Anchorage, AK 99519-6650
Reference: McKinley Heights#1, Block 3, Lot 1
Septic Tank Upgrade
Crewdson Engineering LLC is requesting a septic tank upgrade permit be issued for the two-bedroom
home. The scope of work for the project is:
1. The existing septic tank is leaking. Remove and replace with a new 1000-gallon septic tank.
2. The drain pipe between the home and existing septic tank is broken or disconnected. Remove
and replace with a new drain pipe and foundation cleanout.
There are no probable adverse impacts to adjacent properties if installed in accordance with the design.
Please feel free to contact me if you have any questions.
Thanks,
i1,22 tiZ l.-1 �p.�EF..!44 gsl't
James"Jay" Crewdson, P.E. * 49 H \ tt
rewdson •,�/
%. C11527
1lx Nv%\ot�~
ALLc, i 0J)-c1
PO Box 671389 • 18368 Amonson Road • Chugiak,Alaska 99567
•
•
Amp dric
,�;•4. r� l� .
.�
�, es A.Crewdson•• ,/
i 527 •' N�
•% � r
• P.
t� v!
c, Existing Septic \���`��•• .
Tank UX. l10 711
• jl
. I / . . .
�1 5E4: (;)�' Ez ti , Crewdson Engineering LLC Note
• \ \° _ of January 2018, all n- • -p is tanks are
•
•
I• • l h require. - - a inch (min': urn) :
• :c;ov z.c, r9 --4 I ''.2' 'T.".`" ��7 diameter ma. riser - '. . the/first
• ` : �c,E. . g • • Co ent. rVu•�lr i-1r . _•
• ��� C o �\,�0 / `° -O 2. Remove and Replace the ex's n.1000-
, r) «; / gallon septic tank with a new 1410-gallon septic
• c i-'t• / /
tank.
N (v.) 3. Install post tank double cleanouts within 10-
feet of the tank.
i °/ 1,,,( e • 4. Find and repair an existing pipe failure near
• wett • 1 v o• the foundation cleanout.
' a 5. The proposed septic tank shall be installed
e- 10-feet minimum from the house foundation and :
• • ' ti o •
5-feet minimum from the existing disposal field.
'-TR K i R s• 6. If installed as proposed, the septic tank will '
a;�;pr=Ltz Y • �• 1\'�� ,2 be: -
. 1,,.t.111 " • > 5-feet from a property line
se-irVeS > 10-feet from a water main or water service line
• s -QG I 1 > 5-feet from a deck or stair support
e' 1'"G I �' > 100-feet from surface water
> 100-feet from a private well
,
l
I hereby certify that I have surveyed the following. described
property: LoT- 11 BC.4-3, frAtc_fctN:..S,- !r —
... /
ki
';`� Cl ='°;+ •`4y E L • leo, T 15f' Iz-I S•H•, A1C, r
't��•..••r ....:,..-v,ep SZ' • Anchorage Recording precinct,Alaska,and that the improve-
�`•S' e.„. .off ments situated thereon are within the property lines:and do,
! ^,, • at: • ,!Y `•� O� not overlap or'encroach on the property lying adjacent there
"� to, that no izh rovemenas on property lying adjacent thereto
�';y0fh' a �� �c9�� p
::�o.sa�....?....•.-, ..�.. .•• encroach on the premises in question and that there are no
• ��� } _ roadways, transmission lines or•other visible easements on
•;,R.. .« _...»..t+• � R.c �,1 0-,S said property except•as indicated hereon.
: Ru::Grt C.J::::n:on �;; .? \ Dated at Eagle River, Alaska
.. r:o. �•s r Wel lse.>ry , 5—
jr" ��° `'./"{r l:i + this / 7 day or Jr� / is
'4''• (�� S • ROBERT C: JOHNSON. ,.711::2•7,71-
"C .
�j�r'' -`*`;','.7;"'\',• '''f i•• •. • ,7 •�RO peR-f--y 1 I SCA1 Registered Land Suri eyor3V ,`88LS
"�.'� + .. 1" 50' Box 46,Eagle River,Alaska ,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE I J~,N EW
MAI LING ADDR ESS~,,
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
DISTANCE TO:
~ Z Manufacturer -
Mat~~ No. of compartments
Liq'p~gall°n' IF HOMEMADE: Inside ]engt~ Width Liquid dept~
~ ~ DISTANCE TO: Well ~ ~welling PERMIT NO.
~_~O Z ~ Manufacturer '~/~] Material ; Liquid capacity in gallons
~ '[ DISTANCE TO: Well2~ /+. Foundation ~//~ Nearest Iht line /~ / PERMIT NO. ~1
/'/o,,, ,
"~;~'~ No. of lines / Length of eac~ I Total lengt~f~ne, Trench wid~o inches Distance between lines
~ ~ Top of tile to finish grade ~ Material beneath tile Total effective absorpt~ area
Length Width D~pt~ PERMIT NO.
~ N Type of crib Crib diameter th Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
, ~ Class ~ ~~& Driller Distance to lot line PERMIT
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
PIPE MATERIALS OTHER
SOIL TEST RATIN~ j ~ ~
INSTALLER ~ .~
REMARKS
/~' // DATE
72-01~ Bev. 3/78)
Permit
Applicant:
Location:
Legal Description: ~ / ~ .~ ~~
Type of Soil Absorption System Is:
Trench: ~ Drainfield:
Maximum Number of Bedrooms: ...~
MUNICIPALITY OF ANCHORAGE__
Departmental Health and Environmenta::~rotection / . ~
825 ~'. Street, Anchorage, AK. ~9501
264-4720 ~~
* * * HANDWRITTEN PERMIT * * *
WELL AND~ ON-SITE SEWER PERMIT
~ Mailing Address:
Phone Number:
//~ Lot Size:
Seepage Bed~ __ Holding Tank:
Soil Rating(sq.ft/br)
DEPTH
The Required Size of the Soil Absorption System Is:
LENGTH ~'
_ __ GRAVEL DEPTH ~? WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pzpe and
the bottom of the excavation[in feet).
* * REQUIRED SEPTIC(H~G) TANK SIZE = /~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet~
for a private well or 150 to 200 fee5 from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to znsure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
/
(3) I understand that the on-site sewer system may require enlargement if
the ~esidence is remodeled to include more t~h~~roo.,~./~
Signe~: /[~:~ ~A~X~ Issued by:
SWP/024(1/81)
~ ----- [~/"$O ILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, A!aska 99501 264-4720
SOILS LOG - PERCOLATION TEST
5
6
7
8
9
I0
11
12
13
(FEi
3
4
PERCOLATION
TEST
P
E
IF YES, AT WHAT
DEPTH?
DATE PF;RFORMED:
'SITE PLAN
14
15
16
17
18
19
2O
Gross t Net J D~pth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
[minut~;inch)
__ FT
l~ TES.,T RUN BETWEEN o FT AND
:;" "~'': .... ~; '"" "' i · · ,'. '.", *' '. '
P. O, BOX 272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
DEPTH OF WELL
STATIC LEVEL OF WATER FT,
OF~FORMATION:
Ft. to '~, . Ft,
· · .: -ii .~.. ,,~ .;
~' " 'DRAW
~, ~'~I l<'~,~.~c ,:" . ~"~' '?"~ DOWN FT.
Ended e;--~ "~/d' ~ GALS. PER HR ,~ 0 '~' ~ "'h",: "': '" :'
KIND
OF
CASING
'mm '~ Ft. to ~C Ft.
'~com ~ ' Ft. to;,~i . Ft.
tom__Ft, to__Ft.
rom ~'.~" Fi. to ~---~Ft.
From Ft. to~)~ e., ?':' i:"
Ft. to Ft;
Ft. to _Ft."
Ft. to Ft,
Fro,1 .......... Ft. to ......... Ft
From __ Ft. to Ft..
From Ft. to ..... Ft
7 ,'2 .
WI'om Ft. to Ft.' · '
From Ft. to Ft. ' , : ....
' ~q',"~' ;'~rom Ft. to Ft.' ....
From~Ft. to .Ft.
- From __
'yom' ~ ~ Ft. to /'- :~ Ft. A/.'~9,~" ~ c. ~_'_
'rom.~Ft. to ~ 3 Ft.
rom ~ Ft. to <~5~ Ft.
rom '~ ~ Ft. to--Ft. '
Ft. ,
Ft. to I?0 Ft. .~ ..,/d,,,2~,~. o~,/,C,' '~dG/,~O..?~:~?:~ltom ~ Ft. to
~mm Ft. to . Ft. . ~ r2'~ ~ c.~ ~ ,-,~ From Ft. to 'Ft
rom t,~'O Ft. to--Ft. ~'~t,9 ':~/~ From~Ft. to
rom Ft. to Ft, , ~ ~ ~'~ ', [ ~ ',~"~ From Ft. to Ft.
!'ISCL. INFORMATION:
�'o'('�_
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of 4n -Site Systems Approval
Parcel I.D. 051-212-35
1. GENERAL INFORMATION: awe'° jp/
Complete legal description McKinley Heights; Block 3, Lot 1
Expiration Date: U ~ 1 2-6
Location (site address) 18414 Amonson Road `Chugiak, AK 99567
Current Property owner(s) Brad & Bernadette Alexander Day phone 907-351-1217
Mailing address
Reaf Estate Agent Gary Becker Day phone 952-3012
2. TYPE OF DWELLING:
® Single Family (w/wa 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
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request for: Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ Jam- S� tl 4_ Waiver Fee $ _
Date of Payment ZD2/Z Date of Payment
Receipt Number Z S cI q y Receipt Number
COSA # a SC 221 )ag 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 Engineednq Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: ��ZZ
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
__.
ware --outside the control of GEG. Satisfactory test results do not guarantea future parformance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any, legal right
whatsoever.
6. !SIGNATURE
System #1 Approved far 3
System #2 Approved for
Disapproved
Conditional approval for
bedrooms
bedrooms
bedrooms, with the fol
#AECC884
6
2
?4-\TY OF
ON-SITE
F8pul ' AND rn
--P ST�ATF�—
GFAM
>>))))11111�)�,
By: 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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory .i _ Other
COSA Checklist
Legal Description: Mckinley Hts Addn #1 B3 L1
(?)r- \/v (e6 S' 171-z
Parcel ID: 051-212-35
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system
A. WELL DATA
0 Well log is filed with Onsite (or attached)
Date drilled .5 l 10 f y
— T_
Total depth 260 ft
Cased to 26' ft
Q Sanitary seal is functioning correctly
Q Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA Q2 J I :?-D_
Static water level at beginning of test 190.1 ft
Comments'Per 2019 COSA
B. TANK DATA
Age of tank(s) 4 years
Tank type/material S o « Ind S "F' C_
Measured operating fluid level in septic tank 43
Standpipes/foundation cleanout per record drawing
Date of pumping 8/16/21
D. ABSORPTION FIELD DATA
Which system tested (date installed) 1983
0 ALL standpipes present per record drawing
Total measured depth from grade 6.8 ft (max)
Measured depth to pipe invert from grade 59�(min) N�
El N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective 23.5"
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
C. LIFT STATION
❑ Required maintenance
Age of lift station
Lift station material'
/.
Adequacy test date �-
Results ❑✓ Pass For 3 bedrooms
Fluid depth prior to test 0 in
Water added 528 gal
New depth 3.5 in
Elapsed time 5 min
Final fluid depth 0 in
Absorption rate 450+ and
Any rejuvenation treatment (past 12 months) no
If yes, enter date n/a
Well production at time of test 0.29+ gpm
Water storage tank volume 500 gallons
J
Well disinfected for coliform test? ❑ Yes A No
❑■ Coliform bacteria is Negative
q�
Nitrate mg/L ❑■ Nitrate less than MRL (ND)
Arsenic ug/L 0 Arsenic less than MRL (ND)
Collected by GEG
Date of Sample 11-122- -07
?ee (�
Age of tank(s) 4 years
Tank type/material S o « Ind S "F' C_
Measured operating fluid level in septic tank 43
Standpipes/foundation cleanout per record drawing
Date of pumping 8/16/21
D. ABSORPTION FIELD DATA
Which system tested (date installed) 1983
0 ALL standpipes present per record drawing
Total measured depth from grade 6.8 ft (max)
Measured depth to pipe invert from grade 59�(min) N�
El N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective 23.5"
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
C. LIFT STATION
❑ Required maintenance
Age of lift station
Lift station material'
/.
Adequacy test date �-
Results ❑✓ Pass For 3 bedrooms
Fluid depth prior to test 0 in
Water added 528 gal
New depth 3.5 in
Elapsed time 5 min
Final fluid depth 0 in
Absorption rate 450+ and
Any rejuvenation treatment (past 12 months) no
If yes, enter date n/a
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
P"•C�a�y�S
ADO N c , 3 r L-/
Septic Tank/Lift Station on Lot > 100'
*6.8 ft Surface Water > 100' R Yes if No ft
Property Line > 5' 21 Yes if No
Community Sewer Manhole/Cleanout > 100'
M Yes
if No
ft
f 7-, Yes
if No ft
Neighboring Tank > 100' El Yes
if No
ft
Private Sewer/Septic Line > 25' 0 Yes
if No ft
Absorption Field on Lot > 100' M Yes
if No
ft
Holding Tank > 100' R Yes
if No ft
Neighboring Absorption Fields > 100'
ft
F. ENGINEER'S COMMENTS
Animal Containment > 50' ❑✓ Yes
if No ft
Ci Yes
if No
ft
OF A
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' M-1Yes
if No
ft
r -,J Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' ❑ Yes if No
*6.8 ft Surface Water > 100' R Yes if No ft
Property Line > 5' 21 Yes if No
ft Wells on Adjacent Lots:
Absorption Field > 5' Yes if No
ft Private Wells > 100' Q Yes if No ft
Water Main > 10' L l Yes if No
ft Community Wells > 200' [✓j Yes if No ft
Water Service Line > 10' M 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' JDYes if No
ft If absorption field is under driveway comment below
Property Line .> 10' Yes if No
**5 ft Wells on Adjacent Lots:
Water Main > 10' Yes if No
ft Private Wells > 100' Yes if No ft
Water Service Line > 10' Yes if No
ft Community Wells > 200' jQ Yes if No ft
Surface Water > 100' Q Yes if No
ft
F. ENGINEER'S COMMENTS
*6.8+ Per 2018 inpsection report **WR#OSV181051
00\\
NX
OF A
3•
•Gar
r$ F day
G. ENGINEER'S CERTIFICATION
rU, CE•79
�lFF''•••.•••''.:�
l�� PROFESSION*+"®'
I
certify that I have determined through field inspections and review�� Z
Municipal
of records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
I f ski EIR'S,
COSA Checklist yellow sheet
Municipality of Anchorage r$:,
® Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci. anchorage. ak. us
(907) 343-7904
Water Well Advisory
Certificate of On -Site Systems Approval (COSA) # OSC221198
During a recent -COSA on-site inspection and test of the potable water
supply well on Block 3, Lot 1 of McKinley Heights Addn #1 subdivision,
the well's productivity was determined to be .29 gallons per minute. The
minimum well productivity required by this Department (AMC 15.55) for a
3 -bedroom residence is .31 gallons per minute. All parties concerned are
advised that the production capacity of the well may fluctuate. Restriction
of non-critical water uses such as washing cars and watering lawns and
gardens may be required.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 1 Blk ~ McK±nley Hts.
Location (address or directions)
Amonson Road
(b) Applicant Name Sandy Bartlett Telephone: Home 694-9735 Business 694-9555
Applicant Address P.O. Box 770-249 F_,agle River, Alaska
(c) Applicant is (check one): Lending Institution []; Owner/builder r-I; Buyer []; Other [] (explain); Realtor
(d) Lending Institution __ Telephone
Address
(e) Real Estate Company and Agent
Address, P.O. Box 77_0-249 Eagle
Telephone 6 9 4 - 9 5_5_5_
(f) Mail the HAA to the following address:
Pickup by Engineer
Sandy Bartlett Area-Coldwell Banker
River, Alaska 99577
TYPE OF RESIDENCE
Single-Family [] Multi-Family []
Number of Bedrooms 3
Other
WATER SUPPLY
Individual Well [] Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite [] Public [] Community r-I Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 (11/s4)
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATIOhl
As ce rtified by my seal affixed hereto and as of the. va dation date shown below I verify that rny
Authority Approval shows that the on-site water supply and/or wastewater disposal system ~$ safe, fbnrtior
for the number of bedrooms and type of structure indicated herein. I further verify that based
from the Municipality of Anchorage files and from my investigation and inspection, the on-~ite water
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and reguta':~on~
the date of this inspection.
Name of Firm
Address .
Date ~'~-,.~/~//¢ %~
EAGL/- ~IVER, AK 99577
Telephone
P. Oo ~OX 773294
~94-5195
Engineer's SeaJ
Approved for C//~_. bedrooms oy ~ ' ./. %~
Approved -¢ Disapproved ' ~ Condition~
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues ~
Approval certificates based solely upon the representations given in paragraph 5 above by afl independent
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of home~ ~
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct
analyze data before a certificate is issued. The Municiparity of Anchorage is not responsible for errors or om~4~ion¢
professional engineer's work.
Page 2 of 2
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHO FIITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
26~4-4720
Legal~ DescriptiOn: ,~ ~' 'f' /
WELL DATA
Wel Classification ~-, u~-J-~
Well Log Present (Y/N)
Total Depth c~° z
Static Water Level ~'2 ~
Casing Height Above Ground /g.-"
Electrical Wiring in Conduit (Y/N) .
Separation Distances from Well: -
To Septic/Holding Tank on Lot ' //~¢ / "'
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line' Cleanout/Manhole
Water Sampte Collected by ~"~.5¢
Water Sample Test Results
If A. B, C, D.E.C. App'rb'~ed (Y/~I)
7 Date Completed _ ~-/1~¢/~-~ ' ~ Yield-
Cased tO . ~;~ Depth of Grouting
Pump Set At
Sanitary Seal o~ Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots /'¢g ¢-
: On AdJoining Lots /~ '~
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot ~ 5" y'
: Date ~S'./"~,/,,~ .~-'
Comments
B. SEPTIC/HOLDING TANK DATA
Date installed '7/£3 Size /'¢¢¢ 6~/, No. of Compartments ~
Stand pipes (Y/N) ~ Air-tight Caps (Y/N) /t/ Foundation Cleanout (Y/N)
Depression over Tank (Y/N) /D Date Last Pumped ~;/.,~/,,~5"
Pumping/Maintenance Contract on File (Y/N) _ /[/.]/g ; for /u//,4
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well /~
To Property Line
To Water Main/Service Line
Course /Vo~-~
Temporary Holding Tank PeCmit [Y/N)
y,
/
To Building Foundation /<:2
To Disposal Field ~/¢ '
To Stream. Pond, Lake, or Major Drainage
Comments
Page I of 2
Z2-026111/841
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed / ~ -~
Width of Field ,~- /
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Type of System Design
Length of Field 4/~ /
Depth of Field ~'"
Gravel Bed Thickness ¢'~ /
Standpipes Present (Y/N)
Date of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation ~.~o /
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Property Line
· To Existing or Abandoned System on
; On Adjoining Lots ~ ~'-
To Cutbank (if present)
LIFT STATION /,[//~
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed y~ Date
Company ,~f'~- /L:~-'-~ ~"%~f' ~', MOA No.
Receipt No.
Date of Payment d~. \~,_.
Amount: $ '~.~ .O~ Engineer's Seal
Page 2 of 2
72-026 (11/84)
APPLIC .~IT FIL S OUT UPPER HAL~hONLY
Address ~' ~:~ :':: ,. Zip Code
Phone
Lending Institution
Realty Co. &~gent ' - /) Phone
Zip Code
Address
Legal Description , . ~
~treet Locatim ~. ,, < _.:~
Type of Residence
~le Family
~ Multiple Family No. of Bedrooms
~ Other
Water Supply
~dividual A~ACH WELL LOG. A walt Icg is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach Icg if available).
~ Public Utility
Sewer Disposal ( ~ ~5'
~i%idual Year Individual Installed:
~'--~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
~ iuNluvALU Y 0I~ ANCHORAGE
Field Notes: DEPT. OF H~ALTH L',
ENVIRONMENTAL PROT~C¥10N
OCT ~1 9 ~983
RECEIVED
.. ,o.¢~_~ q'd.-uO
(~ APPROVED { ID' r ..... CONDITIONS OF APPROVAL
BEDROOMS
( ) DISAPPROVED
Soils Rating Date ~wer installed Well To Absorption Area Well Log Received
Well to Tank Septic T~k Size
72-023 (3182)
ROBERTA. SHAFER
CIVIL ENGINEER
694-2979
October 19, 1983
ADEQUACY TEST
WATER AND SEWER INSPECTION
WELL INSPECTIONS AND
FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
ON SITE WASTE WATER
DISPOSAL SYSTEM DESIGN
EXCAVATION WORK
Ray Schreckhise
P.O. Box 772062
Eagle River, Alaska 99577
MUNICIPALITY OF ANCHORAGE
DEPT. OF H
ENViRONM2NIAL pROTECTiON
Dear Sir:
Reference: Lot 1; Block 3; McKinley Heights Subdivision
A well inspection was performed on the well located on the referenced
property, as you requested. It was determined that the well casing is
adequately equipped with a sanitary seal and all wires are in conduit as
required. The ground surrounding the well casing is adequately sloped
away from the well.
A water sample was taken from the hose bib by the front door and
submitted to Chemical and Geological Laboratories of Alaska for an
analysis for coliform bacteria. The results of this water sample were
satisfactory.
If we may be of further service, please do not hesitate to contact us.
· ~AS/ss
cc: Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA 99577
MUNICIPALITY OF ANCHORAGE
Development Services Department
j th Phone: 907-343-7904
On-Site Water & Wastewater Section `- Fax: 907-343-7997
Certificate of On-Site Systems Approval
Parcel I.D. 051-212-35 Expiration Date: Co- Li -1 q
I
1. GENERAL INFORMATION
Complete legal description
McKinley Heights #1 , Block 3, Lot 1
Location (site address) 18414 Amonson Rd., Chugiak, AK 99567
Current property owner(s) Kathleen Morris Day phone
Mailing address PO Box 772402, Eagle River, AK 99577-2402
Real estate agent Nadina Morris/Jack White Realty Day phone 907-317-5127
2. TYPE OF DWELLING:
Ix I Single Family (w/wo ADU)
n Duplex
n Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 2
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well n Private Septic
Water Storage n Holding Tank (l
Community Well {j Community ❑
Public Water System Public Sewer n
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer unless otherwise requested by the engineer.
COSA Fee $ S Jb Waiver Fee $
Date of Payment Ps19 0ll6} Date of Payment
Receipt Number 04i34IC7 Receipt Number
COSA# DLJ( (q,o03 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 Crewdson Engineering, LLC Phone 907-280-9493
Address PO Box 671389, Chugiak, AK 99567
Engineer's Printed Name James Crewdson Date o1`1R-c)0)9
6. DSD SIGNATURE ,it; 49�'°° . 11:- .
; � :�: , /
System #1 Approved for �. bedrooms A .. . - . .• ':� ilP .
/ • =mes A.Crewdson ,
System #2 Approved for bedrooms ri C11527
DisapprovedXt
xp �1 "r
Conditional approval for bedrooms, with the followings
ti
`' WASTE ,
-, L
j ON-SITEc
WATER AND r;
WATER
PROGRAM o
00
-SEPV165
gy 1 1i ,-_(_ca. Q Original Certificate Datelq" 1I9
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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory K Other
COSA Checklist blue sheet
COSA Checklist
Legal Description:
McKinley Heights#1, Block 3, Lot 1 Parcel ID: 051-212-35
If more than 1 septic system on lot: COSA Checklist# of Structure served by this system
A. WELL DATA
❑■ Well log is filed with Onsite (or attached) Well production at time of test 0.35 gpm
Date drilled 5/10/83 Water storage tank volume 500 gallons
Total depth 260 ft Well disinfected for coliform test? ❑Yes 4 No
Cased to 26 ft Coliform bacteria is Negative
21 Sanitary seal is functioning correctly
Nitrate 0.404 mg/L ❑ Nitrate less than MRL (ND)
►.4 Wires are properly protected Arsenic ug/L 0 Arsenic less than MRL (ND)
Casing height(above ground) I! 0 in. Collected by Crewdson Engineering
2/11/19 Date of Sample 2/11/19
Date of flow test for COSA p
Static water level at beginning of test 183 ft.
Comments
B. TANK DATA C. LIFT STATION
Age of tank(s) <1 years ❑ Required maintenance completed
Tank type/material HDPE Age of lift station years
Li Standpipes/foundation cleanout per record drawing Lift station material
Date of pumping New tank<2 years old Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 1983 Adequacy test date 4/24/18
Cl ALL standpipes present per record drawing Results 0 Pass For 3 bedrooms
Total measured depth from grade 6.8 ft(max) Fluid depth prior to test 0 in
Measured depth to pipe invert from grade 4.8 ft(min) Water added 455 gal
❑ N/A— pressurized field New depth 2 in
Q Monitor tubes go to bottom of drainfield. If not, state Elapsed time 66 min
depth into effective
Final fluid depth 0 in
4 Code-required soil cover over field 450+
Absorption rate gpd
' El System presoaked
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) No
date of test) If yes, enter date
Gallons introduced gallons
Comments/Deficiencies:Adequacy Test Elapsed Time includes time to add water to the drainfield plus time to return to pretest liquid level.
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100'
0 Yes if No ft 0 Yes if No ft
Neighboring Tank> 100' El Yes if No ft Private Sewer/Septic Line >25' OYes if No ft
Absorption Field on Lot> 100' OYes if No ft Holding Tank > 100' OYes if No ft
Neighboring Absorption Fields> 100' Animal Containment> 50' 0 Yes if No ft
0 Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations> 10' ['Yes if No 6.8* ft Surface Water> 100' 0 Yes if No ft
Property Line > 5' 1Yes if No ft Driveway/Parking > 0' EYes if No, comment
Absorption Field > 5' ['Yes if No ft Wells on Adjacent Lots:
Water Main > 10' ❑✓ Yes if No ft Private Wells > 100' ['Yes if No ft
Water Service Line > 10' 0 Yes if No ft Community Wells> 200' 0 Yes if No ft
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' Q✓ Yes if No ft Driveway/Parking > 0' 0 Yes if No, comment
Property Line> 10' 0 Yes if No 5**
ft Wells on Adjacent Lots:
Water Main > 10' 0 Yes if No ft Private Wells> 100' 0 Yes if No ft
Water Service Line > 10' 0 Yes if No ft Community Wells> 200' 0 Yes if No ft
Surface Water> 100' 0 Yes if No ft
F. ENGINEER'S COMMENTS
* septic tank is outside of building foundation 45 degree structural bearing prism.
** waiver on file
'
• OF �
q \‘
G. ENGINEER'S CERTIFICATION ..7.. ..'to....
y.. .c • _t '-'1011
,t
I certify that I have determined through field inspections and reviewr\ •91,
of Municipal records that the above systems are in conformance with • • • • •..
MOA COSA guidelines in effect on this date. / = ERS
•,J. sj Crewdson5
I e• C11527
i OFESSIO\t r
COSA Checklist yellow sheet ,RU..c ' 31
MUNICIPALITY OF ANCHORAGE
• �
DEVELOPMENT SERVICES DEPARTMENT • lF,
On-Site Water and Wastewater Section / 907-343-7904
Fax: 343-7997
www.muni.org/onsite
Well Water Advisory
Certificate of On-Site Systems Approval # 0SC191O48
Subdivision: McKinley Heights #1, Block: 3, Lot: 1
This well's productivity was determined to be .35 gallons per minute. The minimum
well productivity required under (AMC 15.55) for a 2-bedroom residence is .2
gallons per minute or 150 gallons per day per bedroom. Although the subject well
currently exceeds this minimum requirement, the production capacity can
fluctuate.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org