HomeMy WebLinkAboutMCKINLEY HEIGHTS #1 BLK 4 LT 1
Municipality of Anchorage Page I of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: .~:(~)(~01~-/ PIDNumber: 0~'1 - ~ ~
Name: ~ F[_~/1 ((~. / /.(~ ~¢~- Wastewater System: ~New ~ Upgrade
Phone: ~ 2~'-- '2 9 --2~ ND. Of Bedrooms:? ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
LEGAL DESCRIPTION Soil Rating: 0,~7 GPD/Sq. Ft. Total Depthfromoriginalgrade: 7~
Lot: ~ Block: ~ Subdiv~ion:~., 1¢~ ~:~/ Depth t° pipe b°tt°m fr°m °rig~a~ ~de:. Ft. Gravel depth beneath pipe¢¢ ~ Ft.
Township: IRange: ISection: Filladdedaboveoriginalgrade~ Ft. Gravellength: ~ Ft.
r~ Number of lines: Distance~etwe~ lines:
WELL: ~ New ~ Upg Gravelwidth: i_~-' Ft. % ~.5 Ft.
Classification ( Private, A,B.C): ~ Cased To: Total absorption area:~5 ~ '~ Pipe materiah ~:~¢~E
." ~ / Ft. Ft. SQ. Ft. , .
Driller: ~~,' ~%~¢ '[~, Date Drilled: StAtic Water Level:Ft. Installer: ~ ~ ~ ~. Date installed: ~,_ /.~ ~ ~
'~GPM Pump Set at: Ft. Casing Height Above Ground:Ft. ~ TAN K
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P.
To Septic Absorption Lift Holding Public/Pdvatel Manufacturer: Capacity in gallons:
From Tank Field Station Tank S .... Lines J PX~'~; (? ~/~ j;'~' ~
Su~ace ~
Water ~0'O~+ ~¢~f LIFT STATION
Lot Size in gallons: Manufacturer:
Foundation ~'0:~ d~' water alarm at:
Remarks: ;~ 2' ~ *Xge2 b x,e f4 BENCH MARK
~' (. 4 Assumed Elevation:
Inspections performed by: r~.~. m... ~,..~. eo~,, Dates: 1st ;., ,/;;¢~;~¢~.-,
2nd ('-D~'* ~'~ 6 ~ ~ ,o~,'r c. cows, /.~.
Department of Health and Human Services approval ' '" ......
Reviewed and approved by' 0~,** / ~, ~ Date: 7-~7''q ~ '
· /~/- ~
72-013 (Rev. 9191) MOA 25
PERMIT NO, SW990151 PAGE 2 OF 5
Municipcx[i-{; oF Anchor'c~c3e
DEPARTMENT OF HE~,~_THAND HUIVTAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,O, Box 196650 ®Anchor'aoe, ALaska 99519-6650 e Telephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION
REPORT
LgGAL LOT 1, BLOCK 4,
MCKINLEY HEIGHTS #1 p.z.I). NO. 051-212--59
L
FC01
FC02
T POSTS
1300 GALLON
POLYETHYLENE
SEPT[C TANK
100' WELL RAI3IUS
SCALE:
ROBERT C. COWAN
CE - 8F, O I
PERMIT NO SW990151 PAGE 3 OF 3
Plu nicip, 9_Li?y_o..F Anc½o~'aQe
DEPARTMENT OF HhAL/H AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,B, Box 196650 oAnchono9e~ At~sk~ 99519-66500Telephone~ 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 1, BLOCK 4, MCKINLEY HEIGHTS #1 PH.D. NO. 051--212--59
A B
FC01 38.5' 6.5'
FCO2 38.0' 7.0'
)BL1 66.0' 76.0'
DBL2 66.5' 78.5'
ST1 63.0' 80.5'
ST2 62.0' 81.0'
DBL3 61.5' 82.0'
DBL4 62.0' 83.5'
C0t 55.5' 89.0'
C02 79.5' I01.0'
MT1 74.5' 94.0'
MT2 62.0' 95.5'
/ 98.8' /--FINAL GRADE N
MT1 COl / C02 MT2 /
II & g" INSULATION II
I 9a.a'~[I 94.5' ~ ~ 94.4~ 11~94.0'l ~
[ /~t 2' SAND FILTE~ ~ ~2~~
DIST. PIPES LAID WF~HIN ~ - [ ~,,' .... :'".iI~
SEWER ~OCK, 6" UNDER ~ ~' "~ ~
NO WATER FOUN9 ~,~ ~o~,~ c. cowA~ ],~'
83 0'
. B.O.H. '~,~).j, CE-Gaol /~
ASBUILT
SEWARD & ASSOCIATES LAND SURVEYING 694-082
I HEREBY CERTIFY -THAT I HAVE SURVEYED THE SCALE:
FOLLOWING DESCRIBED PROPERTY: z-,= ya
/Gor/�r�y DATE "a `(, At
AND THAT NO ENCROACHMENTS EXIbT' EXCEPT AS s�s-l8 �,.••� •• 5,�4�
INDICATED. IT 1S THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID:
-EASEMEN-T-Sr GOVENAN-T-S- OR -RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION -..PLAT. UNDER NO CIRCUMSTANCES SHOULD FB.,
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES. DRAWN:
'
f * - T 4
.. ,
�Q Duane Mark Sewar �(
LS 6918
xllwwv��
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 995~9-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTENI PERMIT
Upgrade
Date Issued: Jun 18, 1999
Expiration Date: Jun 17, 2000
Permit Number: SW990151
Legal Description: MCKINLEY HEIGHTS #1 BLK 4 LT 1
Design Engineer: 0003 S & S Engineering
Owner Name: Terrance H Troyer
Owner Address: PO box 670847
Chugiak, AK 99567-0847
Parcel ID: 051-212-39
Site Address: 021725 ROBIN DR
Lot Size: 29621 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: ~-~J/2 /~--~- Date:
Issued By: l/*~
Date:
ROBERT C. COWAN, P.E.
June 7, 1999
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
SEWER &WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOWTEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPO~ALSYSTEM
D~SIGN
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 1, Block 4, McKinley Heights Subdivison #1
It is requested that you issue a permit to install a septic system to serve the three
bedroom dwelling on the referenced property.
One test hole was excavated and a percolation test was performed. The approximate
location of the test hole is located on the attached site plan.
At the time of excavation 5/28/99 water was not found. After seven days of ground
water monitoring the monitoring tube was dry.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the
adjacent properties.
If you require additional information, please contact us.
Sirlcerely,
Robert C. Cowan, P.E.
RCC/jhm
Enclosure
17034 NORTH EAGLE RIVER LOOP· SUITE 204 · EAGLE RIVER, ALASKA 99577
1" = 60' SITE DESIGN
SCALE
~ ~ F ~% "--
~ ~ ~ ~> ~ 0
- ~ ~' ' ~ "
~B=~ ~ ~ / 5-'N ,,~ ..,S.~,'. :.,.., ..
43' (TYP.)
0 MT CO
4.5' O.C~--
(TYPO
CO MTC
........... ~S' (TYP.)
EFFLUENT FROM / --I
SEPTIC TANK 4" PERFORATED
4" PIPE FOR LATERALS (F-81
CLEANOUT (TYP. 2)
15'
4" MONITORING
PIPE (TYP. 2)
PVC
15' X 45' BED SYSTEM
0,5' EFFECTIVE]
2' SAND FILTER
CO MT MT
FILTER II II _ > )
FABRIC~ II II .~, O ~ ORIGINAL
:~ z -- 4" PERFORATED PVC
. D LATERALS (F-810)
'¢ SEWER ROCK IS 6" UNDER
& 2" OVER PERF. PIPE
PROFILE
I7034 EAGLE RIVER LOOP ROAD
EAGLE RIVER, ALASKA 99577
PHONE~ (907)694-2979
FAX#
LOT 1, BLOCK 4, McKINLEY HEIGHTS S
DRAWN BY: 2HECKED BY: DATE: SHEET; SCALE:
J.H.M. R.C.C. 6-10-99 2 OF 2 N.T,S.
Municipality ct Anchorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: / ~:-]/~' I~ t:~/~J ~'--~:~ / ,~. ~'~ ~f )c.- DATE PERFORMED:
LEGAL DESCRIPTION: ~-('-2~*- / /-.~' g0{if~ 4 Township, Range, Section: tl (,/<"f/x//__
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED7
S
IF YES, AT WHAT //~11 (~
DEPTH? ~ p
Monitoring? . __
I
,ak
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE '~ ) (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND '~ FT
COMMENTS
PERFORMED BY: 'L'I '~'-('-~-: L.- ~ov~._,¢:~" I /'~'?'.''?¢/I/~/-g7,'~-~- CERTIFY THAT T~IS T~ST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 6 [ lo/(;~ ¢
72-008 (Rev. 4/85)
ROBERT C. COWANo P.E.
HEALTH AUT HO RITY
APPROVALS
SEWER&WATER
MAIN E~TENSIONS
SEWER&WATER
INSPECTION
ENGINEERIN~ STUDIES
AND REPORTS
~LL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DiSPC~AL SYSTEM
DESIGN
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
REFERENCE: Lot 1, Block 4, Subdivision #1
June 7, 1999
GENERAL:
The scope of this project includes the installation of a 1000 gallon septic tank and
leachfield bed for the existing three bedroom house located on the referenced property.
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.
The contractor shall be responsible for obtaining any necessary underground utility
locates.
Unless specifically agreed otherwise, the property owner shall be responsible for final
grading areas subsequently depressed from soil settling.
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 from the Municipal Health Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer. Construction
shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank.
All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
17034 NORTH EAGLE RIVER LOOP ' SUITE 204 · EAGLE RIVER, ALASKA 99577
Page 2
Lot I, Block 4, McKinley Heights S/D #1
June 7, 1999
o
Septic tanks installed with less than 4 ft. of cover shall be insulated.
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.
Final grading over the septic tank shall be such that a positive slope exists away from
the septic tank.
ABSORPTION TRENCH/DRAINFIELD 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.
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.
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.
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.
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 formation of a
depression after settling.
$ & $ Engineering
Page 3
Lot 1, Block 4, McKinley Heights S/D #1
June 7, 1999
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (I-IDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting
engineer.
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco,
or equal).
A permeable nontoxic silt ban'ier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
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 requirement 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:
S & $ Engineering
Page 4
Lot 1, Block 4, McKinley Heights S/D #1
June 7, 1999
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.
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.
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/INSTALLER
$ & $ Engineering
1�11�I JH0C0 PD „ L � T Y OFCH0RIA GE
f �
Development Services Department 4 Phone: 907-343-7904
On -Site Water _& Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 051-212-39-000
Expiration Date:
Legal description MCKINLEY HEIGHTS #1 BLK 4 LT 1
Site address 21725 ROBIN DR Chugiak AK 99567
Current property owner(s) Troyer Terry
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for
Comments or advisories:
:A
12/21/2023
bedrooms, with the following stipulations:
Original Certificate Date: 9/21/2023
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory X
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
G`iI UHMPUTY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section -- - --- - -- Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 051-212-39
Complete legal description Lot 1, Block 4, McKinley Heights #1
Location (site address) 21725 Robin Drive, Chugiak, Alaska 99567
Current property owner(s) Terry Troyer Day phone (101) 515+
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: Private Well Private Well serving 2 dwelling units
Private Well serving 3+ dwelling units Community Well or Public
Water Storage
4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic Private Septic serving 2 dwelling units
Holding Tank Community Septic or Public Sewer
5. SEPTIC TANK: Steel Plastic Concrete Fiberglass
Age 24 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: AWWTS Bed Deep Trench Wide Trench Seepage Pit
Waiver request for:
Expedited review requested:
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ .S50
Date of Payment S/31 2:1)
COSA # OS 62.31336
Waiver Fee $
Date of Payment
Waiver #
COSA Application—June 2022
Legal Description: Lot 1, Block 4, McKinley Heights #1 Parcel ID: 051-212-39
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system
A. WELL DATA
Well log is filed with Onsite (or attached) Well production at time of test 4.3 gpm
Date drilled Total depth ft Water storage tank volume gallons
Cased to ft Well disinfected for coliform test? Yes No
Sanitary seal is functioning correctly Coliform bacteria is Negative
Wires are properly protected Nitrate 8.04 mg/L Nitrate less than MRL (ND)
Casing height (above ground) 18+ in. Arsenic ug/L Arsenic less than MRL (ND)
Date of flow test for COSA 8128/23 Collected by Pinard Engineering
Static water level at beginning of test 42.2 ft. Date 8/15123
Comments Owner purchased property 24 years ago. He says that there is no log. R Neo 1
led 9- a If- (do'
B. TANK DATA
Measured operating fluid level in septic tank 4.
Date of pumping 5/23/23
Required maintenance completed, if AWWTS
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 7/1/99
ALL standpipes present per record drawing
Total measured depth from grade 5.0 ft (max)
Measured depth to pipe invert from grade 4.3 ft (min)
N/A — pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced _gallons date
Any rejuvenation treatment (past 12 months) None
If yes, enter date
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments: There is no lift station
Adequacy test date 8/28/23
Results NQ Pass
Fluid depth prior to test 0.0 in
Water added 452 gal
New fluid depth 2 in
Elapsed time 150 min
Final fluid depth 0.0 in
Absorption rate 450+ god
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 6 in
Effective depth used .,'ZQ in
Effective depth remaining -116 in fly
Comments/Deficiencies: 2" of board insulation was installed over the complete system (from foundation to end of SAS)
COSA Checklist June 2022
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100'
Q Yes if No
Community Sewer Manhole/Cleanout > 100'
Yes if No ft Yes if No
Neighboring Tank > 100' Yes if No ft Private Sewer/Septic Line > 25' Yes if No
Absorption Field on Lot > 100' [E Yes if No ft Holding Tank > 100' QYes if No
Neighboring Absorption Fields > 100'
if No ft
Animal Containment > 50' 0 Yes if No
0 Yes if No ft
ft If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' Yes if No ft QYes if No
N/A — Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10' Q Yes if No ft Surface Water > 100' Yes if No
Tank to Property Line > 5' Yes if No ft Wells on Adjacent Lots:
Field to Property Line > 10' Yes if No ft Private Wells > 100' Q Yes if No
Water Main > 10' Yes if No ft Community Wells > 200' Yes if No
Water Service Line > 10' Yes if No ft If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
ft
ft
ft
ft
ft
ft
ft
ft
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm F tN at -i CN<t i c d`
tt
tn3 c Phone (907) 232-1347
Engineer's Printed Name Pa L" PJ J ~d Date Z/ SO Z.3
COSA Checklist—June 2022
4144
z
c Patel E. Pinard `
CE - 4793
A,OFE6 a
23
Nitrate Advisory
Certificate of On -Site Systems Approval # OSC231336
Subdivision: McKinley Heights #1, Block: 4, Lot: 1
A water sample revealed a nitrate concentration of 8.04 milligrams per liter (mg/Q.
The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. Since nitrates are known to slowly increase, we recommend
you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for
important information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
Y r Mailing Address P L1 Box X96650 *Anchorage, Alaska 99519 6650 *www muni org
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate
is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of
ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the
oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners,
food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is
associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of
young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood
stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the
concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered
from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home
water treatment systems such as softening or iron filtration does not readily remove nitrate. The best
method for limiting nitrate in well water is source control. This can include avoiding overdosing of
fertilizer near the well and maintaining good separation distances between septic tank leach fields and
the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged
ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a
spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect
the activity of nitrate in water. This laboratory uses several different wet chemical methods approved
under the public water supply laboratory certification program. They also have test kits available, which
the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test kit results
against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend
using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.
Ma lmg Address P O Box 196650 *Anchorage, Alaska 99519 6650' www murn org3
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PROFESSIONAL SEAL
Date:Frontier Surveys, LLC Project No:
650 W. 58th Ave. Suite E Anchorage, Alaska 99518
As-Built Survey of:
www.frontiersurveys.com
Frontier Surveys, LLC
I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or
under my direct supervision on
Plat:Grid:Ordered By:
907.460.1686 - info@frontiersurveys.com
This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and
conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any
inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the
existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances
should this document be used for construction or for establishing a boundary or fence line.
August 22nd, 2023.
Legend:
Scale 1" = 40'
Gas Meter
Electric Meter/Outside Power
Deck
Septic
Telephone Pole Overhead Utility
Lot 1, Block 4 McKinley Heights Subd. Addn. No. 1
General Notes:
1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws.
2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey.
3. All measurements/setbacks are to the visual/apparent building footprint.
4. All dimensions to property lines are plus/minus 0.1ft.
Wendy Thomas
23-345 08/23/2023
P-629 1058
Water Well
Tel. PedestalConcreteG
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GISTEREDPROFESSIO N A L L A N D SURVEYORPierre
M. Stragier
No. L.S. - 9812
