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HomeMy WebLinkAboutMOUNTAINSIDE VILLAGE #1 BLK 5 LT 6#020-172-40 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241326 PID Number: 020-172-40 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name Ty & Noelle Hardt ABSORPTION FIELD El Deep Trench [E Wide Trench El Bed El Mound Site Address 17401 Mount McKinley Dr ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.0 GPD/SF 3.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Mountainside Village #1 5 6 Fill added above original grade 1.7 Ft. Gravel length 90 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 450 F01 N/A Ft. Well >100' >100' >100' N/A >25, TANK ❑ Septic ❑� S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water >100' >100' >100' N/q Material Plastic Number of compartments 2 Lot Line >5' 9.2* >5' N/A NA Foundation >10' >10' >10' N/A LIFT STATION Manufacturer Orenco Capacity 1250 Gal. Remarks Old tank inspected, and found to be leaking. Tank was replaced with a deep burial Alarm location In the Garage Electrical installed by JR's Septic tank. *See waiver request. PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Installer JR's Septic Pumping Drainfield D3034 CO/MTD3034 Inspector M. Jakubisin BENCH MARK (Assumed elevation)100 ft Inspection vt 10/1/24 10/4/24 Location and description 2nd Garage Slab 3'd 10/4/24 4`h 10/5/24 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp O. A. Conditional Approval: Date * ' 49 TH *��l rBenjamin Schiller Septic Syste 7/- �� �'c�` CE 12592 �`�/� ApprovedDate ���'`�rF� . 10/14/24 ll`F�PROFESSIO�P�� No : this approval does not include well permit requirem4s. (Rev 05/02/18) / Benjamin Schiller CE 12592R E GISTEREDPROFE S S I O N A L E N GINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND TH#1 PERMIT # OSP241326 PID # 020-172-40 MOUNTAINSIDE VILLAGE #1, BLOCK 5 LOT 6 A B 2CO 73.1 MH1 75.5 MH2 79.8 A B MT1 88.2 MT2 127.6 MT3 166.6 68.6 70.6 74.2 98.8 130.3 164.2 FEET 0 50 100 M T . M C K I N L E Y D R I V E 3-BDRM HOME PLAN AS-BUILT 10/14/24 ..\..\..\COSAs\Forge logo.jpg 33 ' S E C T I O N L I N E E A S E M E N T MT3 MT1 90' LONG x 5' WIDE, 6" EFFECTIVE DEPTH ABSORPTION TRENCH NEW 1250-GAL HDPE TANK w/ LIFT STATION 1540 1550 1560 1570 1580 1590 1600 1610 1620 1630 1640 1650 DRIVEWAY D R I V E W A Y EXISTING WELL W/ 100' RADIUS 100' WELL RADIUS OUTSIDE OF VIEW PORT 100' WELL RADIUS OUTSIDE OF VIEW PORT MT2 MH2 MH1 2CO BM 6.2 GEG TH#1 PROFILE AS-BUILT (NO SCALE) 92.1 87.0 92.7 99.2 MH 1 MH 2 PERMIT # OSP241326 PID # 020-172-40 MOUNTAINSIDE VILLAGE #1, BLOCK 5 LOT 6 1250 GAL S.T.E.P. TANK 107.4 FINISH GRADE 90' DRAINFIELD ROCK MT 1 TH # 1 NO GROUNDWATER 9/25/24 100.7 103.2 96.7 100.7 103.2 105.7 ORIGINAL GRADE MT 3 2C O Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A L E N GINEER 10/14/24 MOA APPROVED SAND 102.7102.7 2" INSULATION MT 2 n cnt Municipality ®f Anchorage1� d�P` '' s P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 s (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV241055 COSA#:OSC241391 Permit#:OSP241326 PID#: 020-172-40 Legal Description: Mountainside Village #1 Block 5 Lot 6 Engineer: Forge engineering 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 9 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. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Gran d' , A Date: V G/ Approved bv/::/ Z&_7 /,4" Alame of wer ....... ...... �..................... ......... ■ ............................... **** VARIAN C EMAIVE R REVIEW **** October 14, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Mountainside Village #1, Block 5 Lot 6 – 17401 Mount McKinley Dr Waiver Request, Trench to Property Line Dear On-Site Services Engineer: The design for the septic system on this lot showed the new trench set further from the property line to achieve 10’ separation. However, due to the steep slopes, and the very limited working area, the trench was installed closer to the property line than intended. This being said, the 6’ separation to the existing trench was maintained, and the existing trench was not disturbed. The new trench does not encroach on the well or septic system for the neighboring lot, and does not undermine any structures. For this reason, we are requesting a waiver for a 9.2’ separation from the trench to the property line. This approval will not have any negative consequences on the home or property, nor will it negatively affect any of the neighboring lots. Sincerely, Benjamin Schiller, PE MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241326 Work Type: Septic Upgrade Tax Code Number: 02017240000 Site Legal Address: MOUNTAINSIDE VILLAGE #1 BLK 5 LT 6 G:3439 Site Mailing Address: 17401 MOUNT MC KINLEY DR, Anchorage Owner: HARDT TY W & NOELLE D Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 9/27/2024 9/27/2025 155448 Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 shalLbeweittYefi, _ vpenea ana okseci on t Covered, sealed, ated to Special Provisions: 1. Pre policy W.05, the steel tank should be exposed and inspected at the time of construction. 2. A minimum of 2' of MOA sand is required. Reeeive"y: 15'5' v c J +c, A�q e— Date: Issued By: Date: 3 MUNICIPALITY OF ANCHORAGE A0'.*0 Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-172-40 Property owner(s) Ty & Noelle Hardt Day phone. Mailing address 17401 Mt McKinley Drive, Anchorage, AK, 99516 Site address 17401 Mt McKinley Drive Legal description (Sub'd., Block & Lot) Mountainside Village #1, Block 5 Lot 6 Legal description (Township, Range & Section) Lot Size 155,448 _Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field nX Initial ❑ Single Family (SF) nX (w/wo, ADU) Septic Tank ❑ Upgrade nX Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings Privy ❑ (SF and/or D) Private Well ❑ Water Storage F] 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. (Signature of property owner or authorized agent) Permit/Rush Fees: 4c?!5?- Date of Payment: Receipt Number: Permit No. ..... .... .. . 125 12,4 12) 22.,rS Permit App_'-'- : - : L.,:c , Waiver Fees: Date of Payment: Receipt Number: Waiver No. September 25, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Mountainside Village #1, Block 5 Lot 6 – 17401 Mt McKinley Drive Septic system design Dear On-Site Services Engineer: The owner of the above lot has an existing 3 -bedroom home with a septic trench that has reached end of life, so we are submitting this permit application for the construction of a new septic system. The attached site plan identifies the location of the home as well as the existing well and proposed septic location. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes steeply toward the road greater than 25%. However, the existing system is in a regraded/flattened area, and both that and the proposed alternate site received a waiver for a 35’ separation to 25% slopes. The proposed system will be located uphill side and approximately 50’ from any slopes ≥25%. This has been confirmed with a site visit. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached test hole log, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241326, Deb Wockenfuss, 09/27/24 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND TH#1 MOUNTAINSIDE VILLAGE #1, BLOCK 5 LOT 6 FEET 0 50 100 M T . M C K I N L E Y D R I V E 3-BDRM HOME SEPTIC PLAN 9/24/24 33 ' S E C T I O N L I N E E A S E M E N T ≥6' MT MT NEW 90' LONG x 5' WIDE, 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH W/ MONITORING TUBES WITHIN 1' OF TRENCH ENDS EXISTING 1250-GAL STEP TANK TO REMAIN IN SERVICE W/ VALVES KEEPING EXISTING TRENCH IN SERVICE 1540 1550 1560 1570 1580 1590 1600 1610 1620 1630 1640 1650 DRIVEWAY D R I V E W A Y EXISTING WELL W/ 100' RADIUS 100' WELL RADIUS OUTSIDE OF VIEW PORT 100' WELL RADIUS OUTSIDE OF VIEW PORT Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241326, Deb Wockenfuss, 09/27/24 MOUNTAINSIDE VILLAGE #1, BLOCK 5 LOT 6 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER DESIGN FACTORS:SYSTEM REQUIREMENTS: 450 GPD PEAK FLOW PERK RATE: 0.1 MIN/IN APPLICATION RATE: 1 GPD/SF 5' WIDE TRENCH SYSTEM EXISTING 1250-GAL S.T.E.P. TANK BOTTOM OF SAND: 5' BELOW GRADE BOTTOM OF TRENCH: 3' BELOW GRADE FLOW LINE ELEVATION: 2' 6" BELOW GRADE 450 GPD / 1 GPD/SF / 5' WIDE * 1.00 RED FACTOR [6" DEEP] = 90 LF TRENCH REQUIRED (90 LF SPECIFIED) 9/24/24 6" 2' 6" 6" 5' 2' PROVIDE ADDITIONAL FILL TO ACCOUNT FOR SETTLEMENT 1.25" PVC WITH 30x 1 8" HOLES AT 3' O.C. GEOTEXTILE FABRIC & 2" FOAM INSULATION DRAINFIELD ROCK MOA APPROVED FILTER SAND Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241326, Deb Wockenfuss, 09/27/24 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 0.1 9/18 1 2 3 4 5 6 GP (POORLY GRADED GRAVEL) Professional Engineers Stamp: NO MOUNTAINSIDE VILLAGE #1, B5 L6 9/18/2024 020-172-40 Noelle Hardt 11:40 1 0 16 2' OB 0:19 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER PERC TEST LOCATION TECHNICIAN: M. JAKUBISIN 7 0 16 - NONE 9/25/24 COMMENTS: SITE PLAN 6 0 16 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED 9/24/24 11:44 1 0 160:30 7 0 16 6 0 16 11:45 1 0 160:34 7 0 16 6 0 16 11:45 1 0 160:38 7 0 16 6 0 16 11:46 1 0 160:38 7 0 16 6 0 16 11:47 1 0 160:40 7 0 16 6 0 16 BOH Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241326, Deb Wockenfuss, 09/27/24 SHEET 1 OF 2 -- 442.91, Lot 5 PLOT PLAN ___ AS BUILT _X_ SCALE _ 1 100_ GRID __ SW 3439 Project No J24 -2071A1 P.O. Box 210005 Lang & Associates, inc. Anchorage, Alaska 99521-0005 (( oQ-14t 4 (907) 522-6476 o O F ^p Professional Land Surveyors jonathanolangsurvey.com o . • 4 p ken®longsurvey.com w1'` .. A' 7. h I hereby certify that I have surveyed the following described property: LOT 8, BLOCK 2A, MCWILLIAMS SUBDIVISION (Plat No. P -305B) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the _Tf/ Day ofr E��^'��leat Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 NOTE: THE HOME IS A 2 STORY RESIDENCE WITH A WALKOUT BASEMENT. SHEET 1 OF 2 Prepared by Lang & Associates, inc. ProfessionaloLa4 Surveyors P.O. Box 210005 Anchorage, Alaska 99521-0005 (907) 522-6476 d ken®longsurvey.com Jonathan®langsurvey.com State of Alaska AECC963 Municipality of Anchorage Development Services Department Building Safety Division —"-; On -Site Water & Wastewater Program, 4700 South Bragaw St. a. ,.. P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907) 3437904 page 1 of 3 On -Site Wastewater Disposal System andfor Well inspection Report Permit Number. SW030077 PID Number: 020-172-40 Name. Wastewater System: ■ New ❑ Upgrade RAY MARTINEZ Address: 609 NORTH ST. #3 * ANCHORAGE, AK * 99501 ABSORPTION FIELD Phone: No. of Bsdraoms: (907) 230-8888 3 D Deop Trench a Shallow Trench Deed O Mound D Other LEGAL DESCRIPTION sal ibtinp: 1.0 SPD/Sq. FG total Depth ham original pros: 5.0 (MAX) rL Block: Lot: Subdivision: Depth " pipe eatam from ae*wl vode: Grit,* dept, beneath pipe: 0.5 5 6 MOUNTAINSIDE VILLAGE #1 SEE DWG. FL FL Township: Range: Section: — FN asked she, odglna prod" Gravel length' - 93 - — SEE DWG. FL Ft Gravel Width: Number a Nnee gelor,w b0loven Moo: WELL: ■ New ❑ Upgrade 5.0 R, 1 — FL Clopifiwtlun (Pmab tiSXO. Total Depth: fined 70: 20 m Total absorption a: 465 e1 Plpo pu�: D 3034/ F-810/ SCH 40 PVC PRIVATE 327 FL WO FL so. FL qqw: 0010Delete:Slatle 8 /153/ Water lWvel: Mtaller BE CONTRACTING Dae NYa4d: 10/23-24/2003 ALPINE DRILLING 32 a vlew:Pomp sit At -cooing Height Above amrmd: TANK 4.0 DPN UNKNOWN Ft 2.0 Ft SEPARATION DISTANCES OSeptic DHolding ■S.T.E.P. DOther To Septic Absorption Uft Holding 011e/PHv01s N0"Noa ' ANCHORAGE TANK co" M sollano: 1250 From Tank Field Station Tank sewn tlnn Material: Number a Cgnpanments: Well 100'+ 100'+ 100'+ - 25'+ STEEL 2 Surface water 100'+ 100'+ 100'+ — — LIFT STATION Size In gallons: Monulxtu . Lot Line 5'+ 10'+ 5'+ — — ANCHORAGE TANK ORENCO SYSTEMS be levy tibmP eve al: 1419h water alarm OL Foundation 5'+ 10'+ 5'+ — — 41" 41" 1 45" Pump Maim • Model: Eloctrkal bwpectiau pw%.W bv: Curtain Drain NONE KNOWN #20 OSI 05 HHF M.O.A. BENCH MARK Remarks: FINAL GRADING COMPLETED ON 9/17/2004. Lzu; ane Dacdptim TOP OF GARAGE SLAB NEAR POINT "B" Anumod Elevptbn. 100.00 it ENGINEERS SEAL O �pdOOp O OF• • ' '�S�4 0 0 ' GEG, Ltd. Inspections performed by: Dates: 1st 10/23/2003 ° 4 _ er .....:.......................� 2nd 10/24/2003 3rd 10/24/2003 f . y :. G...ass. O�Q �..� , D� 9530 00�14e Development Services Department Approval vo�J7 Reviewed and approved by a rofeasi c fessi 4040�0��9 (Row. 11/01) PERMrrSWO NUMBER: AS -BUILT DRAWING PARCEL 1D NUMBER: swo3oo77 020-172-40 NOTE: ALL SLOPES WITHIN 35 FEET OF THE NEW DRAINFIELD HAVE BEEN GRADED TO LESS THAN 25% A F e 1 1 STI 70.40 67.29 ST2 76.74 72.87 MH 78.09 74.32 MT1 76.73 85.60 MT2 117.79 118.58 MT3 160.20 157.58 I / � I NEW WELL C0OR FOOT BYONSTAL FOOTWIDE ROLL OF VISOUEEN ON THE DOWNHILL SLOPE OF THE - y DRAINFlELD AND COVERED IT «; WITH SOIL TO INHIBIT THE ANY POSSIBLE LATERAL MIGRATION. o ; TH�2 1 t 11 \ 1 I1 jj I jl i X21 I NeS•T.EP. TANK C I I I j j I 1 I I ALTERNATE 1 TH#I ` TOP OF 255 SLOPE 1 I I I i� 1 I IMf3U I t I i I I NEW DRAINF9:LD GARNESS ENGINEERING GROUP, Ltd. our J•L.M. Q CONSULTANTS B GENERAL CONTRACTORS 1 e 50• 5]01 E. TUDOR ROAD, OAD SUITE 101 • ANCHORAGE AK 99507 • PHONE (907)337-617 • FAX (907)338-3246 REPAIRED FOR: PHONE NUMBER: PAGE NUMBER: RAY MARTINEZ 230-8888 2 OF 3 O EGAL DESCRIPTION: I MOUNTAINSIDE VILLAGE SUBDIVISION; LOT 6, BLOCK 5 TPE OF WORK: AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM PERMITNUMBER: AS -BUILT DRAWING PARCEL INUMBER: SWO SWO3OO77 020-11 72-40 FINAL GRADE — 98.61 TOP OF MANHOLE - 99.151 ST1 ST2 MH TOP OF TANKAT OUTLET OF T ANK 92.66 AT INLET - 92.84 INVERT OF BUNG ( I NEW 1250 GALLON AT INLET - 92.20 S.T.E.P. TANK FILTER FABRIC TOP OF SAND - 103.93 FINAL GRADE - 108.4+ ORIGINAL GRADE - 106.93 • HIGHEST POINT GARNESS ENGINEERING GROUP, Ltd. SCALE: J•L.M. CONSULTANTS 6 GENERAL CONTRACTORS N.T.S. p ...... ............. ...... ..� 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907),338-3246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RAY MARTINEZ (907) 230—.8888 3 OF 3 O"lp Gar ess:' O LEGAL DESCRIPTION: QO°gyp —7 e�Q MOUNTANSIDE VILLAGE SUBDIVISION #1; LOT 6, BLOCK 5 TYPE OF WORK: 4�p profession c� PROFILE AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE pppp000� INVERT OF PIPE - 104.43 DISTRIBUTION UNE IS 1.25 INCH 5' +THE SCH. 40 PVC WITH 1/8 INCH HOLES SPACED 15 INCHES ON CENTER RELATIVE ELEVATION OF BOTTOM OF HOLE 96.93 (DRY) DATE: DATE: GARNESS ENGINEERING GROUP, Ltd. SCALE: J•L.M. CONSULTANTS 6 GENERAL CONTRACTORS N.T.S. p ...... ............. ...... ..� 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907),338-3246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RAY MARTINEZ (907) 230—.8888 3 OF 3 O"lp Gar ess:' O LEGAL DESCRIPTION: QO°gyp —7 e�Q MOUNTANSIDE VILLAGE SUBDIVISION #1; LOT 6, BLOCK 5 TYPE OF WORK: 4�p profession c� PROFILE AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE pppp000� 12/01/2003 16:17 9077922780 SAIC ALASKA RECEPTIN Municipality of Anchorage Department of Health and Human Services 825 `L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 hUpJ www.d.arXhorage.ak.us PAGE 02 Permit Number. NSW 030077 Date of Issue: 4-13-03 Parcel Identification Number: 020-172-40 Date Started: 8-11 Date Completed: 8-13-03 is well located at approved permit location? ® Yes C3 KID Legal Description: urn Skye Village # 1 Blk 5 Lt 6 Property Owner Name & Address: Ray Martinez W9 North St # 3 Anchoreoe. Alaska 99501-0000 Borehole Data: Depth (n) Soil Type, Thidmess & water strata From To stick-up 0 2 organics d slit 2 3 gravelly am 3 9 bedrock 9 327 H2O 290 305 Method of Drilling ® air rotary ❑ cable toot Casing type:is eel Wall Thickness: W inches Diameter: ¢ inches Depth: 22 feet Liner Type: Diameter- inches Depth feet Casing stickup above ground: 2 feet Static water level (from ground level): ,kfeet Pumping level: 27 eet after & hours pumping 4 gpm Recovery Rate: 4 amt Method of Testing ie r lift Well Intake Opening Type: ❑ Open End M Open Hole ❑ Screened Stan feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite N 8 Volume: "b Depth: start.Q feet Stopped ? feet Pump: Intake Depth' feet Pump size Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: — Comments: Wali Driller. Alpine Drilling 6 Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property .. M.. ....11 /.v, d._u ......i J. ....n t.. �. tea. �_.• .Ow:.4,, • •f... ..... n. _.[. _. ...L�4. In i.... .R .... _,.�'.. i May OS 02 08:56a INSPECTION REPQRT MUN)CIPALITY OF ANCHORAG WILDING SAFETY DIVISION 4700 SOUTH BRAGAW VOICE 343.8300 INSPECTION FAX -7777 INFO: 943-8211 'NAME '�f• 1 J I/'1y"t'J..1L ' ADDRESS i?4C'1 . ch r- t_oT.L.�'BLOCK COMMENTS or DIRECTIONS: .h r. PHONE# 'Z4�J- aoNJ23QLL0kLLn CA -M vi t tage 1 - _ __ _ — ___ ___ 1-1 1.11. . 1 ..c..wrc Ind"' � 7C3 NO NO NONCOMPI,IAMX OBSERVED It ) CA, Approved I I ComixnONs awENnAL As Exvu iw BELOW (' j Approved' (Cotrmlerda Below) i WftA-RE4{XAMINEATNWRM McTION (INX ES (Slormwetar) _COMMENTS: (FOR INSPECTOR USE ONLY) f Il�iis. �s• -��sv � w i �inc� •i -�'he. cGtch. L KwAl L 1 Sit✓ONalta O,atipe kMot t mad (j i) motaimor.Kt net Foneae . I I Attar M [ 1:500 attarhad Oota;i.d Neloa/Inawoltona I I Pa6un h i I Take Aepon Now. i) Repoe .. (7 Roatreee Rapart.pivo to Company t _ INSPECTOR I ' =• / r WHEN CORRECT1643 ARE MADE PLEASE 2-d ..d Straw paten t Manapament praoG0414 On N&dNeedeA OomNY may rsaYk In Inca Fon wltl he made on low r DATE CjkLL FOP. REINSPECTION d60:E0 bD 62 des March 31, 2004 MunicipEity of Anchorage Mark Begich, Mayor Building Safety Division P.O. Box 196650.4700 Bragaw Street Anchorage, Alaska 99519-6650 • (907) 343-83019 Pax (907) 843-8200 http://www.munt.org Ray Martinez 609 North Street #3 Anchorage, AK 99501 Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW030077 Legal Description: ` de ITrIIagaIlitk:5f' Dear Mr. Martinez: An On -Site Water/Wastewater Permit, number SW030077, issued by this office for a single-family system, will expire on April 13, 2004. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system.As-built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. 7es , Joss, P.E. Manager On -Site Water and Wastewater Program Enc: Copy of permit 'MUNt`IPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 I CPg1©3 - e r` ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SW030077 °t egal Description: MOUNTAINSIDE VILLAGE #1 BLK 5 LT Design Engineer: 0041 AK Water & Wastewater Consultan Owner Name: Ray Martinez Owner Address: 609 North Street #3 Anchorage , AK 99501-0000 6, Date Issued: Apr 14, 2003 Expiration Date: Apr 13, 2004 Parcel ID: 020-172-40 Site Address: Lot Size: 155448 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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: Issued By: 6 Date: Date: �/'/4— D 3 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-172-40 Permit Number Property owner(s) RAY MARTINEZ Day phone 230-6888 • .•• - .�• Rel a i • i i a :\ Mailing address (2) Zip Code 99501 Legal description (Lot, Block & Sub'd.) LOT 6. BLOCK 5: MOUNTAINSIDE VILLAGE SUBDIVISION --te/ Legal description (Section, Township & Range) Lot Size 1�Sj Nq7 Acres/Sq.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ■ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 1 certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS INC. Permit Fees:/50tU -- 056o Date of Payment: 4-9-03 Receipt Number: ?J3 59 ft Waiver Fees Date of Payment: Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. April 8, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Well and Septic System for Lot 6, Block 5; Mountainside Village Subdivision To whom it may concern: The proposed 3 bedroom house is to be served by a private well and septic system. The proposed septic system will consist of a 1250 gallon S.T.E.P. tank and a 5 -wide trench type drainfield. A well/septic permit (SW910335) was issued in 1991 but was not installed. Three test holes were dug on the property for the original design by Carey S. Meyer P.E. on 10/4/1991. The septic system will be designed around the 30 foot radii of these test holes. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutestinch b. Proposed Application Rate: 1.0 gallons/day/ft c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 450 ft2 f. Total Depth: 5 feet (maximum at any point) g. M.O.A. Sand Filter: 2 feet h. Effective Depth: 0.5 feet i. Width: 5 feet j. Reduction Factor: N/A k. Minimum Length: 90 feet 1. Effective absorption area = 450 ft Note: The distribution line is to be 1 '/4 inch sch. 40 pvc pipe with 1/8 inch holes spaced every 15 inches on center (36 holes per lateral/72 holes total). 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography in the area of the proposed drainfield are 25-35 percent slopes running approximately east to west. All slopes 35 feet downhill from the proposed drainfield will be graded to less than 25 percent slopes. 5. WAIVER REQUEST: We request a 35 foot waiver from the drainfield to slopes greater than 25 percent. The area below the drainfield will be graded so that no slopes exceeds 25 percent. Given the porosity of the soil the effluent should move downward rather rapidly with minimal lateral migration. Based upon these factors it is reasonable to assume that there is little risk with the granting of this waiver. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you havany questions, please contact us at 337-6179. Thank you for your assistance. NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, a trench detail drawing, three soil logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 0 Fax: (907) 338-3246 * Website: akwwc.com I PROPOSED SEPTIC SYSTEM (SEE DESIGN PAGE 2 OF 3; 1 II ii MOUNTAINSIDE VILLAGE S/D; LAT 7, BLOCK 5, I I I I ♦ 1I I 1 � ♦ I I1 ♦ ♦ PROPOSED I I I ♦ ` j 3 BEDROOM 1 I I `♦ HOUSE I I I ♦\ I I I it ♦ I I I ALTERNATE SITE \♦ i I II MOUNTAINSIDE VILLAGE S/D; I 11 MARGUARTTE HILLS S/D; LOT 15, BLOCK 3, y I I I LOT 1, `\• �TMj3 I I I I 11 . MOUNTAINSIDE VILLAGE S/D; LOT 18, BLOCK 3, I 11 I i ; MOUNTAINSIDE VILLAGE S/D;\\ --�Y- ----'- LOT 5, BLOCK 5• - �„--. DATE: 4/8/2003 l �F �v. •. ..... .. .. S ks, DRAWN BY: Z.T.G. ALASKA WATER & WASTEWATER SCALE: 1" = 100' CONSULTANTS, INC. * : 4 'r .. ' .. ""' "'�" 6901 DEBARR ROAD. SUITE 28 ' ANCHORAGE, AK 99504 • PHONE (907)337fi179 • FAX (907)338-3246 PREPARED FOR PHONE NUMBER: PAGE NUMBER: RAY MARTINEZ 230-8888 1 OF 3 • ��• —7953 LEGAL DESCRIPTION:• MOUNTAINSIDE VILLAGE SUBDIVISION: LOT 6. BLOCK 5.TYPE 4\� �� ....... • F,o c� Vass 0w�d' OF RK: SITE�PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATION i PROPOSED WELL I ALL SLOPES WITHIN 35 FEET OF THE DRAINFIELD MUST BE GRADED TO LESS THAN A 25% SLOPE.1 INSTALL FOUNDATION / CLEANOUT PROPOSED 1250 GALLON / S.T.E.P. TANK PROPOSED DRAINFIELD. EXCAVATE A TRENCH THAT IS 5 FEET DEEP MAXIMUM BY S FEET WIDE BY 90 FEET LONG. ADD 2 FEET OF M.O.A. APPROVED SAND FILTER AND THEN ADD 0.5 FEET OF CLEAN. WASHED SEWER DRAINROCK. THE DISTRIBUTION UNE IS TO BE 1.25 INCH PVC PIPE WITH 1/8 INCH HOLES SPACED 15 INCHES ON CENTER (38 HOLES LATERAL/72 HOLES TOTAL). SITE '•. 'N ALASKA WATER & WASTEWATER Z.T.G. 5,:' g CONSULTANTS, INC. 1 = 50' """" "" " 6901 DEBARR ROAD SHITE 2B •ANCHORAGE, AN 9980E •PHONE (907)337-6179 • FAX (907)338-3246 'REPARED FOR: PHONE NUMBER: PAGE NUMBER: RAY MARTINEZ (907) 230-8888 2 OF 3 r Game '.EGAL DESCRIPTION: $ •'• E 953 .•'• ,L% MOUNTAINSIDE VILLAGE SUBDIVISION: LOT 6. BLOCK 5 rYPE OF WORK: 6^ PROPOSED WELL AND SEPTIC SYSTEM LOCATION THE DISTRIBUTION LINE IS TO BE 1.25 INCH PVC PIPE WITH 1/8 INCH HOLES SPACED 15 INCHES ON CENTER (36 HOLES PER LATERAL/72 HOLES TOTAL). 90 FEET LONG MT � FINAL GRADE ORIGINAL GRADE FILTER FABRIC INSULATION - 5 FEET 'DEEP 0.5 FEET OF °o MAXIMUM EFFECTIVE _ 2 FEET OF a. THE DISTRIBUTION LINE IS TO BE a. -M.O.A. APPROVED? '" SAND :FILTER 1.25 INCH PVC PIPE WITH 1/8 INCH HOLES SPACED 15 INCHES ON CENTER (36 HOLES PER( -5 FEET-{ LATERAL/72 HOLES TOTAL). RAY MARTINEZ 4/8/2003 1 Z.T.G. 1" = 40' jig':.... 230-8888 1 3 OF 3 MOUNTAINSIDE VILLAGE SUBDIVISION; LOT 6. BLOCK 5 OF WORK: DETAIL OF PROPOSED DRAINFIELD fr me s: E 7953 FROM S.T.EP. r----------------- -- -------------------- ------SANK—� 5 FEET r WIDE LO - -� �r- --------------------- ----------------------- 90 FEET LONG MT � FINAL GRADE ORIGINAL GRADE FILTER FABRIC INSULATION - 5 FEET 'DEEP 0.5 FEET OF °o MAXIMUM EFFECTIVE _ 2 FEET OF a. THE DISTRIBUTION LINE IS TO BE a. -M.O.A. APPROVED? '" SAND :FILTER 1.25 INCH PVC PIPE WITH 1/8 INCH HOLES SPACED 15 INCHES ON CENTER (36 HOLES PER( -5 FEET-{ LATERAL/72 HOLES TOTAL). RAY MARTINEZ 4/8/2003 1 Z.T.G. 1" = 40' jig':.... 230-8888 1 3 OF 3 MOUNTAINSIDE VILLAGE SUBDIVISION; LOT 6. BLOCK 5 OF WORK: DETAIL OF PROPOSED DRAINFIELD fr me s: E 7953 ARCTIC SLOPE CONSULTING CROUP, INC. Engineer$ a Architects • Scientists • Surveyors enla-.nu 1eW+w< lsoA 049-51M ra: (m) 34e-4211' SOIIS LOG - PERCOLATION TEST PERFORMED FOR: /C7r 144011If-#I 4 10ZCA46 SY6TEM5 DATE LEOALDESCRIPTION: M�Ury/nI�SIOE VIs#� _�� Townh•o Renee Section: _ SLOPE ANICS I51 LT -TA N 4- a FERC TEST' 6- CRAVEw-Y SANO to( 0014ow 9 - WAS GROUND WATER No L 10- ENCOUNTERED? N B�OROUC IF YES, AT WHAT DEPTH? G P 11 - Depth to Water Altar E Monitoring? Nf1%:E Date 12 - la - J 14- Is. 4-1s. 16- 17- 6- n- p,OV ,1l .) Htn ,ervicas 19- 20 - SITE PLAN Reading Data Oran Time Net Time Depth w Not Water Drop 10- X91 7 / u mlrl Im1a 5m1 a r—Pf/,r if 2 w 11410 AMWER 6 'Wit. 1,mom 4 — — rI S M1rl' MM IN �. s/ 6 it 11 1 g , 1 m110 I m,Ar mlN 1a plrrl u I' PERCOLATION RATE • D (minWer/inch)Pette HVLZ uuw -Ica TEST RUN BETWEEN 'T_ FT AND TAFT COMMENTS HOLE PaE50AK POP 3 MOUa PERFORMED BY:. ���,J*1 M . M i CERTIFY THAT THIS TEST WAS ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUMELTNES IN EFFECT ON THIS DATE. DATE: Z - 9 I PERFORMED IN 0 ARCTIC SLOPE CONSULTING GROUP, INC. tr �� Engineer! • Architects • Sdantiate • Sunayelt wt ew.. e,...•. Ion (a0 ) a•w nets -cess T•Iswta {a0a1 Nt-atu f.0 aa) ato-•rte SOILS LOG - PERCOLATION TEST PERFORMED FOR,—rErl Poic 0*2- VILLA E`J'%1, Grr15 DATE LEGAL DESCRIPTION: rylaLWTA1051DE VILLA GCL-6,155 Townlhiange,ection: SLOPE rErir OfL"EEL 1 5iLT I TAN 2- 3- 4 - Pcm TEST SAND 7- e- 9 •Z S WAS GROUND WATER j•'O L 10 ENCOUNTERED? 1, IF YES, AT WHAT DEPTH? O 11 - BE'DROGKP / .��... Dcpthw Wawr O-1 ' E ft Monitoring11�— Data 12• 13- 3-14- Gross Tim Not Time 14- 7� 0-k-91 15- 15•16- 9/Ilo u 16- l IN ''nW1.Gpsi' •;i.;n�noraga Pi.1'faalih Z tt ZMai & � tuman 80rvicOG n- ADD W ice• Is- / u SrrB PLAN Reading Date Gross Tim Not Time Depth to Not Wow Drop 7� 0-k-91 9/Ilo u I MIN l IN �i hUN IN Z tt ZMai I MIN 4m1 Id ADD W ice• / u 2-Mio I'/ 1t 3 mlr+ m 4 Mid lb 2 /fb tt 4 m1w 1 mIN IN ADO W � �, /Id tt 4 mtN .4w tt $4YHN MIN Int' PERCOLATION RATE . °h (minutaa/j wh)PERC HOLE DIMICI caa •a. TEST RUN BETWEEN FT AND FT COMMENTS Move PRE sow PERFORMED BY: _CA ACCORDANCE WITH ALL m�— I CERTIFY TIIAT THIS TEST WAS PERFORMED IN AND tA NICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: D AX,ARCTIC SLOPE CONSULTING GROUP. INC. gineers • Aretdtects • Scientists . Surveyors 301 ewer 4._ M.Y.Y.. N•b *0514-3011 Te.rS- , par) 345-5145 ra (*07) Ne -1513 SOILS LOG - PERCOLATION TEST 1}�j'LeiT uQy�r J /•{{isc•EA46 �5�,161 5j DATE PREFORMED:`�tt/l I ERFORMED FOR: yyt/� �t�•A A MAL DESCRIPTION: MOUNTA)"5106 gjLLAC)E L61 55 Township Range. Seelen' WAAFA 1 a a 3 4-K 14-4------ PERK -M5T SAN0�.Y S. SLOPE 9- WAS GROUND WATERAI,- — L IU• ENCOUNTERED? /yy W C.1/I�OC� IF YES. AT WHAT DEPTH? O P Depth to WaterA Ar E Monitoring? rPe Date - "-9 la - 16 - LVED 16- 17- R 0'•/ 119 �1 ) ..... :h Nuratm iorviD 19- 20- SITE PLAN Reading Date Gross Time Net Time Depth to Net Water Drop 7 5/ -4-91 — — / 6 tt 1 wo 1 roor4 a' 2 I$ Iz/ tt mIN 1 m1a 36 ptt13 jig b� /I /16 aMIN ti m 1 IN 36mIN IM 210 I6 tt m N IN 'J5 01U1 ADD W 7 R It— I'1/ 5I MIN 1rAlta.3Lm1►IIN PERCOLATION RATE " (minutes/inch) NERC HOLE DIAMETER 1 4. TEST RUN BETWEEN Sj PT AND -A�— FT COMMENTS PRE 50AK160 ME 3 1412 P0100 - PERFORMED BY: C" pmv� I CERTIFY THA ; I _ S WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10-11 Municipality ®f Anchorage Dmri,) Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 November 4, 1992 Daniel C. Rogers 17901 Mountainside Village Anchorage, Alaska 99516 Subject: Lot 6 Block 5 Mountainside Village Subdivision #1 Permit #SW910335, PID #020-172-40 The subject permit, issued November 4, 1991 by this office for a single family well and/or on-site wastewater system, has expired as of November 4, 1992. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, Sin�erelyYna JSmit. E. 0gram Mer On-site Services enc: Copy of Permit please call this office at 343-4744. PAGE 1 OF 1 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 PERMIT NUMBER:SW910355 DATE ISSUED:11/04/91 DESIGN ENGINEER:ARCTIC SLOPE CONSULTING GROUP EXPIRATION DATE:11/04/92 OWNER NAME:ROGERS DANIEL C OWNER ADDRESS:17901 MOUNTAINSIDE VILLAGE �f3y ANCHORAGE, ALASKA 99516c;� PARCEL ID:02017240 LEGAL DESCRIPTION: MOUNTAINSIDE VILLAGE: #1 BLK 5 LT 6 LOT SIZE: 155448 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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 REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. WELL PERMIT MUST BE OBTAINED PRIOR TO DRILLING NEW WELL. 2. ENGINEER MUST CERTIFY THAT 12" OF GRAVEL OR CRUSHED STONE IS INSTALLED AROUND ADS LIFT STATION. SIEVE ANALYSIS OF BACKFILL MATERIAL IS ACCEPTABLE. RECEIVED BY: �/-4 A e crrzr DATE: Y116/b ISSUED BY:f'T"��'-�^-��" '�' DATE: (tel U D L ,u 0_ 11�1�1 cel 1('nn k--) hJl t r -Y u�^ nyoours, r I' � � Carey S�` Sit 4eyer, P.E. Sr. Civil Jr � 6 S 1' J.. f October 15, 1991 Mr. Dan Roth .i Municipality of Anchorage Dept. of Health and Human Services 825 L Street Anchorage, Alaska 99501 Re: Septic System Approval Mountain Side Village, Lot 6, Block 5 Dear Mr. Roth: Attached is the permit application for the approval of an on-site septic system on the above referenced lot. Below is a narrative description of probable impacts to adjacent properties: 1. Wells - There are no existing wells within 100 feet of the proposed septic system. Adjacent lots within the subdivision have not been developed. 2. Wastewater Systems - No existing on-site wastewater systems are located within 100 feet of this lot. 3. Reserved Space - Additional percolation tests were completed on the site to evaluate the subsurface conditions relative to future absorption field installations. The lot is relatively large and there is room for several future systems downhill of the proposed absorption field. 4. Drainage - This lot is relatively steep (20-25%). Positive drainage away from the field will be maintained, No concentrated surface water will be directed toward the field and no existing streams or roadside ditches are within 100 feet of the proposed field. The installation of this system will have no probable impacts to adjacent well or septic systems. The proposed system's separation distance radius will include parts of adjacent lots, but should not prevent on-site systems being constructed on these lots. Vcri truly u�^ nyoours, r I' � � Carey S�` Sit 4eyer, P.E. Sr. Civil Jr C S M: MLT:1110-0026 301 Dinner Avenue, Sure 200 Anchor wc, AK 99.31 8-303 5 (907) 3?9-S I �I8 1 AX (907) 21 3 Page of Permit No. Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 A Anchorage, Alaska 99519-6650 Y Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report MO901Al14S106 VIU.A 6 �5 PID No.: Legal Description: vepa r pp W 1NG i elot AN A6001I-T s ,r o ervi, A `p9 Q (0 YDuNO A TION a. G,cAN aor 0 o Y 1250 CI kL 9^ ° m R , s yam, I l n j ft _ wA WF-r57A lll� \ PRoPosEO Mo�1ToA1N'G PRopoSp 1 SC ALE [ = 100" _ v_ r - _ _ o �� Na bl� 10UT10►J / 1 A b 5%aa PT Iom" t Irk — � p_ pIgLD I � lw N8lo'o'63 � 3.8 w 6 EA1�6�Jt�f 'S SEAL 0 a A� NOT/! r -( PC A1b5opPTloo F1EL0uw y �.y e�r,•nG au°e: °a.on � UJooaov� . r UP WILL -OF PPOP05 e na ae e o '5 l TE, Care S Meyer p h L 0 aV. m �yROF SS1pC`I ` 14- 72-0U A (2191) MOA 25 Permit No. Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report [YION�"AWS-1DIS Vt �� �-�t g5 PID No.: Legal Description: — ]a :i .'2013 A (2/91) MOA 25 �+ \ PD voS�D a PP�POS&4 x R 4\ U. \; I s /6 I y . n :- c t^� o' .'2013 A (2/91) MOA 25 17 III 81 8 I SEWERS/164_-_ GuRrA��I pAAWS oA W/rN N zao ar PPoPoSE/J sYSTI Wr AM A5-$urL7, peR.m1T 'DR`N(v° N SCALE /"=200" lill t_ 1' J� y �N,CiJN6-R'S SEAL _ .k� _.• eo oo, •O u(,o 009]uooe oua^a o9nOu u-. � '_' CareyYhtOyer u Y i� 53 4 r• �;.%RorSt� .� >: �+ \ PD voS�D a PP�POS&4 x R 4\ U. 17 III 81 8 I SEWERS/164_-_ GuRrA��I pAAWS oA W/rN N zao ar PPoPoSE/J sYSTI Wr AM A5-$urL7, peR.m1T 'DR`N(v° N SCALE /"=200" lill t_ 1' J� y �N,CiJN6-R'S SEAL _ .k� _.• eo oo, •O u(,o 009]uooe oua^a o9nOu u-. � '_' CareyYhtOyer u Y i� 53 4 r• �;.%RorSt� .� >: DATE: /0 SHT: OF PREPARED BY� SUBJECT ARCTIC CONSULTINGGROUPINC. Engineers - Architects .Surveyors� PROJECT. MOONTMO V1qJA4C- WT(q5W-5'- 301 Danner Avenue s Anchorage, AK 99518-3035 * PHONE (907) 349-5148 a FAX (907) 349-4213 A subsidiary of Arctic Slope Regional Corporation -rA-N4 Or "je SDUO PIC HOLC5 4 -4, A 5 Gbo SF -T A �3- Pr:, -R O U�TSTA 'POU95EFS 4 TtMES -�z IC9 isp,\( M DURS 1-1--b-F-t3- L). 1� Y- IF LESS 3 ca S. Mev, 1 -a IJ s u #6353 16 301 Danner Avenue s Anchorage, AK 99518-3035 * PHONE (907) 349-5148 a FAX (907) 349-4213 A subsidiary of Arctic Slope Regional Corporation DATE: _ (O y Q% SHT.: OF — PREPARED BY: — SUBJECT: _- M0L) lrA1N5(015 1/1LLA99 ' 1-07-5 e, Lb C4 to PROJECT: NYI'If HEn I W55; ARCTIC SLOPE CONSULTING GROUP Engineers Scientists Surveyors iEL0 1�1 Wr,r SQA 3 Lp� 1 N Pd P 15o LF K 3 1100 i_F @ I5I6im 5 -r D H29 r— W W [Q d Y n W F 29 e N trFLUNT MAPS J Ii ' int1 , C -Z: i e fe - N b {B I�Qf.O •. _.NO zt�0, r'fq -- y i _ _ _ •. i I � I 156 1 'tQe ®ide UO eole��x?.•. VSE SEYI—� DENT POMP � .....e ee �t�y.1, — — — y -eye I #,E 353 - it �� A A�� eereo• ae oe�'a���'�rn 6700 Arctic Spur Road • Anchorage, AK 99518-1550 • PHONE (907) 349-5148 • FAX (907) 349-4213 A subsidiary of AIxtic Slope Regional Corpaantion ARCTIC SLOPE CONSULTING GROUP, INCAk . Engineers •Architects • Scientists • Surveyors 301 Oonner Ar nw Anehord9e, Not Md 99518-3035 W,honn: (907) 349-5148 ro.: (907) 349-4213 ��Cti��`LaFC9I1�°�:R'9��'ErAI;): ti� f 'D I( i -l. `91 �fi1d1i1 d i tI BOOnb�9 w:. n Core . Meyer ,w a9 SOILS LOG - PERCOLATION TEST ISv;' ,' 910 PERFORMED FOR: TEST um 11:2-, / A/` geAfI 5y I � DATE PREFORMED - LEGAL LEGAL DESCRIPTION: moo ,- �w 3I Dc V I �"}E [-(� 1 135 Township Ranee Section: _— -DQ6I Ali 1Ca- 2 _ E 4 - I//� F`5AC T5 6 - ' moi" GiPAvE:LLY 7 5APO s // - 9 l0- 12 13- 14- 15 4-1s IT/ 16- - �CraaiC(�" l7- 18 19- 20 - SLOPE \VAS GROUND WATER S ENCOUNTERED? O — L IF YES, AT WHAT DEPTH? a O P Depth to Watert er,.` E Monitoring'? AS Date _-�'- SITE PLAN Reading Date Gross Time Net Time Depth to Net Water Drop 7 �►b 10-4-91 — 4 It I MIN ( MIN .A mIN IN tt 2Mai I MIN 4 M10 11ta AD w > Z — 4!1 It 2m1N = n/16 n 3 mlr3 I mIN •h marl 1u 4 mw 1 mrN .4mlN 114 t4gq W l� _ 4 mfr A ml� la 5 .I 5raIN mlrl PERCOLATION RATE 9 At (minutes/inch) PERC 14OLE D1AD7EI ER 14 - TEST RUN BETWEEN FT AND FT COMMr:NTS ?) 1409' eve 50AV, — PERFORMED BY: ACCORDANCE WITH ALL STA E AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. CERTIFY THAT THIS TEST WAS PERFORhfFD IN DATE: /0-M-11 `•+11 — G ARCTIC SLOPE CONSULTING GROUP, INC. Engineers Architects Scientists • Surveyors 301 O nner rven.,e .fncner°9e, N°fYa 99518-m35 Tel•Ghwa: (907) 349-5148 Faf: (907) 149-4213 SOIIS LOG - PERCOLATION TEST V:7 uoi a aocaoeaou u onneeo nno 3 � u0Y 6e •n ee•ea •eV• Oo9 •• �j / ^ Care• Meyer " ' a, 53 4 41/ e ERFORMED FOR: 1�5e;rr A���e 3/ AUE'_gG 5 7I�� DATE PREFORMED: .EGALDESCRIPTION: 1' 0otgT-A)N5I0E VILLAC)E 1-6) 05 Township Ranee Section: DEPTH s I LTA TAN 2 - -- - PERS TF1sT 6 - - N o�-Y 6 7- 8- 9- 10 12- 13- 14- l5- 16- 18 r.., 1tr13crviC, 19 20 WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? SLOPE S (7 L ..— O P Depth to Water `A'fter YY �j E 1y Monitoring? �iNG Date 1O'- 11— r SITE PLAN Reading Date Gross Time Net Time Depth to Net Water Drop q- �Ib 't 1 MIN ImIN .'6m�rJ IN 1 I2�iro it a mIN I mIN 36 mtN to {�b0 A 84116 tt ZYyIIN _ _— 511/16 3m1 1 +,11N 36mIN ►N 9-110/1,6 4 mm I mlw 35 (mt4 ,N %100 W we rya It q MIP 1?/ ,t IY�1IJ 1 IN 36 mIw ►ea PERCOLATION RATE %% (minutes/inch) 'ERC HOLE DIANlh l EK 1 � TEST RUN BMVEEN _ FT AND _-4_ FT ConrnIENTS PRE 50AKSO PleF 3 MR PERIOD, PERFORMED BY: CAP -0 CAP-0mEql@z 1 CERTIFY THAT THIS TEST WAS PERFORMED IN —I— qO-li -`�E ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT' ON THIS DATE. DATE: — AARCTIC SLOPE CONSULTING GROUP, INC. Engineers • Architects • Scientists •Surveyors 301 Danner A, — Mehoro9e, A.," 99518—MM l+lephone: (907) 349-5148 Fay: (907) 349-4213 SOILS LOG - PERCOLATION TEST _ ,+o+a aaen ea+ a oonoov� ' G; s 4%"ROFESS1 "t% ' error/ -101 1 ACQ�A�E Sy5TEr15 ED: 1 PERFORMED FOR: K^ ^' /� , r r� DATE PREFORMED: LEGAL DESCRIPTION: MO UA I Tl 1 `� 1 0(% y I �G B5 Township, Ranee, Section: -- SLOPE --O�G��INIGS l _ _. 3- 4-I / PeRC rE�r 5 7 - SAN o 0ouLOM5 W�z AS GROUND WATERS L 10- ENCOUNTERED? N ED RU(X IF YES, AT WHAT DEPTH? — O P 11 - Depth to Water After E Monitoring? tJnOC Date 10-11-91 12- 1s - Date Gross Time Net Time Depth to Net Water Drop 16- 10-4-91 -� mw r 17- 5 mrN/1N 5(Y1IN rJ X16 rt m,a t9- l9 - 20 20 SITE PLAN Reading Date Gross Time Net Time Depth to Net Water Drop 414/I10 10-4-91 -� mw r 1 mtN Iyn,N 5 mrN/1N 5(Y1IN rJ X16 rt m,a --Lmr $mrrJ W ADD WK 9R � — 8 � 1541b ! r _ 4 _- I/1 If 5 mlr� I IYllt� SmIN t 41444 If .5 rnrr+ u, 1!11 to n mlo I mlu 5 TIN m ')/I ea l MIN IN PERCOLATION RATE - S (minutes/inch) PERC HOLE D1AME1-ER 1 TEST RUN BETWEEN 3�„ FT AND 1'.12 FT COMMENTS HOLE ?A55 OAK AOR --� mW9 CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: I'� l � - � 2 .. 9 � ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:--Loa-- F R I 8:21 ACREAGE SY�yTEMs }+I I ACACAGE TANK LIFT 5'fA�IDN i 14 Sump G1,Ld Grade Power Cable „.,j 'd Styrofoam t 1/4" High Water Level A ar -box 1 Cable to Hous t scharg b x f m I � r -Ye 4" Inlet 150 gal, Reserve capes ity 4)N F � 0 r( r High Water Alarm - °ump on/off i N H V C G Cv N 6 � p� to N 12" gravel or crus�ed s one backfill if 5 1 c v! 'D•P.E. LIf'_T STA' 'UNI 203 D p{,y,�a. PERMIT # Pis-9I-� 1. P . 02 ly O CT -2S-91 I'M I r3:22 ACREAGE SY TPMS Watertight Cable entry High tOrgau C2paCIIOr start molors for .,� slm;lo phase units BUlll In thermal protection In singlo phase urnils Dynamlcally balanood rotor upper lip Seal angle movnled for [Ono life +Seal oil chamber All 0 -Ring open 2 vane non -Glop impeller With back vanes Spiral bottom plaM adlus16101e "• t../ snd solfgIoaning wv +'• `•' ' 2.0 HP Mx. 16 fed 2.0 HP ads, IM sa WE maiah. Nolo: SEVH and SJV Vorlex n%odola nol shown, I rriciteii c6n'struction Motor Hous n Cast Iron 42 'U er 8881 ..: t1 Lower $&;I Cart &ra rl aoar in s HeaV 0101 Batt Im eller Cast Iron Bottom Plata Cast Iron oluto . ': P. - Cast Iron Hardware 30488 Duel voltage �Ovvslz®d setf Ivbrlooted ball bearings, Oil filled motor All external hirdwats 00155 dloeherge 11111106 'CaibOn e9(/mIC m6eneNGat seal Adjusting soraw MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-172-40-000 Expiration Date: $/6/2025 Leqal description MOUNTAINSIDE VILLAGE #1 BLK 5 LT 6 Site address 17401 MOUNT MC KINLEY DR Anchorage AK 99516 Current property owner(s) HARDT TY W & NOELLE D X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for Comments or advisories: a bedrooms, with the following stipulations: Original Certificate Date: 10/17/2024 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 Tank Age Advisory Arsenic Advisory Other COSA ApprovaIjune 2022 MUNICIPALITY 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. 020-172-40 Complete legal description Mountainside Village #1 Block 5 Lot 6 Location (Site address) 17401 Mount McKinley Drive, Anchorage, AK 99516 Current property owner(s) Ty & Noelle Hardt Day phone (907) 947-8680 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: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑■ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 20yrs _ 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 $ 0 �� Date of Payment 1746�el z `1 COSA # 0 S CZ `t 13 91 Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 0.563 Forge Engineering 8/6/24 N/A N/A N/A > Benjamin Schiller, P.E. (907) 522-7773 MUNICIPALITY OF ANCHORAGE Phone: 907-343-7904 lopment Services Department _ ,c ate Water &Wastewater Section " , Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log Street Addressi7 0 c pRR i anK: udge level inches -Pumping: required yeso -Pumping completedey s no t station: amp basket cleanedten -Effluent filter cleaned a no Dntrol floats cleaned •Proper float settingscon armed noperation satisfactory arm System: medicated electrical alarm cir a no -Audible and visual alarm inside dwelling es no Alarm system operatio satisfac o not satisfacto Manhole Riser Ground water intrusion at riser to tank connectionje Ground water intrusion around pipe penetrations Manhole lid: Functional & no Insulated t4qeg,/no -Weep hole functional es no Properly Secured no All manufacturer required inspections and maintenance completed echnician ;ompany Signature (js no Date of maintenance ' -4 'z l� Date '� � III o \ I X \ Lot 7 \ Og'"E 442.9, I N \ N �6.42 N 21°24'56"W 33' SECTION LINE\ 35.17 EASEMENT Lot 6 N �? 155,448 s.f. W C) SEE HOUSE DETAIL \ � 0. cn �X ON SHEET 2 I o 125.5' SEPTIC MANHOLES SEPTIC N O PIPES 1 N 81-10'5 I 3W 233.88' Lot 5 SHEET 1 OF 2 i PLOT PLAN ___ AS BUILT _X_ SCALE 1__= 100_ GRID SW 3439 Project No J24 -2071A3 P.O. Box 210005 Lang & Associates, inc. Anchorage, Alaska 99521-0005 1�0� Z- (907) 522-6476 F O0o 40 Professional Land Surveyors jonathan®langsurvey.com �� 0 A Op ken®la ng survey. com DOP '9S1�oo 1 hereby certify that I have surveyed the following described property: ��� LOT 5, BLOCK 6, MOUNTAINSIDE VILLAGE SUBDIVISION ADDITION No. 1(Plat No. 83-348)P, OQ Anchorage Recording District, Alaska, and that the improvements situated thereon are G within the property lines and do not encroach onto the property adjacent thereto, that G no improvements on the property lying adjacent thereto encroach on the surveyed Q o premises and that there are no roadways, transmission lines or other visible Q �n ,/JONA LANG easements on said property except as indicated hereon. Dated this the Da of �2�— Q PF ' .LS -9944.• ' SJd� `�� y �� � � at Anchorage, Alaska 0 o •. • • • • • • •' O o 4p�4R�FESSIONA� �Qo It is the responsibility of the owner to determine the existence of any easements, �04pOooa covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 OF q ,9 4 �* TH NATHGo 4�'PFo �S-9944, SZ AR . • o0 -0FfSSIONAL a �40000�� State of Alaska AECC963 HU.: J14 -1U //AS DATE OF SURVEY: 10 OCTOBER 2024 SHEET 2 OF 2 SEPTIC PIPES Prepared by Lang & Associates., inc. Prof essionak Lao Surveyors P.O. Box 210005 Anchorage, Alaska 99521-0005 (907) 522-6476 0 jonathan®longsurvey. om State of Alaska AECC963 Municipality of Anchorage " Development Services Department — j Building Safety Division ' On Site Water Wastewater Program B /^ 4700 ragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsfe (907) 343-7904 G_ 1 S S LA A f, CERTIFICATE OF ON—SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 02- 0 —172- O COSA# O :Z O 3 g') 1. GENERAL INFORMATION Expiration Date: i l — ;?, 7 — 0 R Complete legal description MOUNTAINSIDE VILLAGE f l e BLOCK 5 LOT 6 Location (site address) 17401 MT. MCKINLEY DRIVE • ANCHORAGE, AK 99516 Current Property owner(s) RAIMUNDO MARTINEZ Day phone 230-8888 Mailing address 17401 MT. MCKINLEY DRIVE • ANCHORAGE. AK 99516 Lending agency Day phone Mailing address Real Estate Agent CHRIS SWIRES W/REMAX PROPERTIES Day phone 338-8292 Mailing address 110 WEST 38TH AVE. *ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well i♦ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my 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 watersupply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE L� Approved for —? bedrooms. Disapproved. 337-6179 Date g I 2J, O6 °.:...T.. Conditional approval for bedrooms, with the tllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other a000�tl((llfrrrr r4 Y OF,gy�yo"'� ON-SITE . •���. WATER AND ; rn= WASTEWATER �.,• PROGRAM 4V�a Original Certificate Date: M_ I'M Municipality of Anchorage Development Services Department ° Building Safety Division On -Site Water & Wastewater Program " 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description:- MOUNTAINSIDE VILLAGE #1• BLOCK 5 LOT 6 Parcel ID:d.2.11D-1� �a A. WELL DATA *CASED TO BEDROCK Well type PRr/ATE If A. B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 8/13/2003 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 327 ft. Cased to •20 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 8/13/2003 8/2/2007 Static water level 32 ft, 78 ft Well production 4.0 y,p,m. 5.05 g.p.m. WATER SAME RESULTS: I o g Coliform colonies/100 mi. Nitrate mg./L. Other bacteria colonies/100 ml. Arsenic: f�0 ug./L. Date of sample: 8/12/2008 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed - 10/23/2003 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) YES Date of pumping 8/12/2008 Pumper McDONALD'S PUMPING C. ABSORPTION FIELD DATA E ow XiSTING GRADE Date Installed 10 /2003 Soil rating <E> ft'/bdrm) 1_0 System type SHALLOW TRENCH Length 93 ft. Width 5.0 ft. Gravel below pipe 0.5 ft, Total depth "/••2.71-3.92 ft. Eff. absorption area 465 ft' Monitoring tubed Depression over field NO Date of adequacy test 8/2/2007 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth In absorption field before test DRY In, Water added 677 aal. Naw rianth DRY i„ Elapsed Time: 0 min. Final fluid depth DRY In. Absorption rate >= 450+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - •• DRAINFIELD WAS INSULATED PER INSTALLER (SEE ATTACHED LETTER) D. LIFT STATION Date installed 10/23-24/2007 Size in gallons 1500 Manhole/Access (YIN) YES "Pump on" level at 41 in. "Pump off" level at 41 in. High water alarm level at 45 in. Datum 807TOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manholelcleanout N/A Sewer /septic service line 25'+Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain50'+ Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and O *' °'il review of Municipal records that the above systems are in 0 conformance with MOA COSA guidelines in effect on this .... ........P date. J A Gar ss: V Engineers Printed Name JEFFREY A. GARNESS 0pzb �''9�Qo s1Z%/OS ^°o o\f� Date 0�4oO0000� COSA Fee ¢ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number (Rev. 11105) Mc2onalct j Pimping Service 5432 E. Northern Lights Blvd, Suite #466 Anchorage, Alaska 99508 (907) 338-4476 OQInvoice #5097 Sold T Datc - ' Date afSery&e: Phont: Customer P.O. Number: Contact Person: Description Price per unit Amount Septic tank ptimped Sludge in tank Leach treatment Bio-inat in leach Mater level in leach Cap on Stand Pipes Other: oD Recommendations: Total ADD r.jio interest will be cnarge0 month on unpaid bills until paid Municipality of Anchorage • Development Services Department j Building Safety Division ••• On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. Q a O 172 ' b COSA# n:7 d_'-7 R 7 1. GENERAL INFORMATION Expiration Date: 12 — 2 7 — 07 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MOUNTAINSIDE VILLAGE N1• BLOCK 5 LOT 6 17401 MT MCKINLEY DRIVE ' ANCHORAGE, _AK 99516 RAIMUNDO MARTINEZ Day phone 230-8888 17401 MT MCKINLEY DRIVE • ANCHORAGE, _AK 99516 Day phone MIKE McLANE w/ PRUDENTIAL JACK WHITE Day phone 276-8507 3801 CENTERPOINT DR 4200 ' ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineers 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 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 fs(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date CR 17, to -iL Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the systema These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. S. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Reort Nitrate Advisory Other a�Oq�•.Nili(// /t OFc.,�. i ��� • 01 • ON-SITE 0-- WATER =WATER AND ;1"= WASTEWATER PROGRAM ' By: `f/ Original Certificate Date: 1R. 11RK, Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196e50 Anchorage. AK 99519 -MW www.muni.org/onsits (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: MOUNTAINSIDE VILLAGE 111; BLOCK 5. LOT 6 Parcel ID: OaO- 17 Z- 4O A. WELL DATA *CASED TO BEDROCK Well type SATE If A, B, or C provide PWSID# N/A Date completed 8/13/2003 Sanitary seal (YIN) YES Total depth 327 ft. Cased to *20 ft. FROM WELL LOG Date of test 8/13/2003 Static water level 32 ft. Well production 4.0 g.p.m. WATER SAMPLE RESULTS: Well Log (YIN) YES Wires property protected (YIN) YES Casing height (above ground) 18+ in. AT INSPECTION 8/2/2007 78 ft. 5.05 g.p.m. wttonn Q coloniesI100 ml. NitratLO• 57) mg.IL. Other bacteria O colonies/100 ml. Arsenic: NO ug./L. Data of sample: 8/2/2007 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed 10/23/2003 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES Date of pumping 8/2/2007 Pumper McDONALD'S PUMPING C. ABSORPTION FIELD DATA Date installed 10/23-24/2003 Soil rating fkaritIbdrm) 1_0 System type SHALLOW TRENCH Length 93 ft. Width 5.0 A. Gravel below pipe 0.5 ft. Total depth */0•2.71-3.92 ft. EH. absorption area 465 ft' Monitoring tubeYU Depression over field NO Date of adequacy test 8/2/2007 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth In absorption field before test DR in. Water added 677 gal. New depth DRY in. Elapsed Time: 0 min. Final fluid depth DRY in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date - ** DRAINFIELD WAS INSULATED PER INSTALLER (SEE ATTACHED LETTER) i D. LIFT STATION Date installed 10/23-24/2007 Size in gallons 1500 Manhole/Access (YIN) YES "Pump on" level at41 in. "Pump ofr level at 41 in. High water alarm level at 45 in. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAlft station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout . N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+ Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I car* that 1 have determined through field inspectlons and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 4a/7-0/04 COSA Fee $ y' CO v o Date of Payment q>as,J.67 Receipt Number I 3"-� 0 7 O vAl (Rev. 11/05) Waiver Fee E Date of Payment Receipt Number SGS Ref.N 1073809001 Client Name Garness Enginecring Group, Ltd. Project Name/N Mtn Side VillaEe L6 DS Client Sample ID Mtn. Side Village 6 d5 Matrix Drinking Water PN%SID 0 All DatWrimes are Alaska Standard Time Printed Date/Time 08/15/2007 16:21 Collected Daterrime 08/022007 9:02 Received Date/Time 08/022007 12:45 Technical Director Stephen C. Ede Sample Remarks: EP200.8 C (<10) Pammcter Allossahle Results PQL Units Method Conminer ID Limits Prep Date Analysis Date Init Metals. by ICP/MS Arsenic ND 5.00 Waters Department Total NitratcNitritc-N 0.572 0.100 Microbiology Laboratory Total Coliform 0 ug/L EP200.8 C (<10) 08108/07 0815/07 hill mgrL SM204500NO3-F D (<10) 08/07/07 IDS coUl00mL SM209222D A (<I) 08/02/07 SDP L 7 3� dk \ N 3 � \ t'O \ 6` to . OF 49TH '•y1eLae1 . Horne.; S3 B—LS 0/M Ded GOt9 I\ ENTEC, Inc. Int, • LEND SUR VEYNG ° NWPTNG `PLA\� L'vG ""' ' CCRTIFICATION: SF1'7TC 1. Ls."'I UMI 2102CLEVELAINDSTREET TEL.n 907 43.9966 ayhyicdwnn'tJthisprtpema5slwwnruthJ>dre.•ing a. 7 ANCHORAGE. ALASKA 9987 FAQL f 907; 243-9967 and thatdte Itnpmwe mu dinuveJ them". am within the vmxC±lines blvd ba hmc. a este: viber thsu now LEGAL DESCRIPTION: LOT 6, BLOCKS Mountainside Villaac Subd. Add N 1 (53-345) 'Ja: On:)ui NUM3' : oat -tile oat 25 2004 ��1 >•60' sa 31 48 4�;��"r`� EXQUISION NUTb�: It it tilt owncn. tctponxtbwt) to dewraline etc n istcb::e orony ebscmrn.. wvcom;s. or NsI6ztIon< which Jo no: app:::' on thu f :'nrd,d tubdivtsion pint. NOTIL: Vnd,r n) n =.t eirettnlsteocts should ady data be -on Le used f t L'te 557�— ,_ r . eooitruction or for die esabliGtins of property line,. LEGEND: FND S/a'Na tr/tnns NUB at TACH O "Cr- —X— Y — OpAolAOE- —� xocs- 17777=1 CONCRCM- D ASPHALT- sVnC STAi WET- WATM v�L- a 08/12/2007 19:55 1176681019 TO: LEEK'S CLYlTR",;TING FAGE 01/01 PO Box 111373 • Anchorage, Alaska 99511.1373 907-242.9650 • Fax 907.868-1019 FAX TRANSMISSION C TJ 1 FROM: `-1r�� 1� 0 �C DATE: # OF PAGES W/COVER Message: �I=TY,-72 424N9- =/6=-57 '1y 2czCU C r -)-ti IF/" Hi /. 1>01 @ Nor.�kr/c _ cv.7 h �- l4'M W /Z t flip -meq `'L amt ll i(/p4- 6 c Mc2onaM %?ifmpiny Service 5432 E. Northern'Li€ hts Blvd, Suite #466 Anchorage,,'Alaska 99508 (907) 3384476 Invoice # 4187 Solt Ty' Date:, Date of service: ' Phone: Customer P.O. Number. Contact Person: Description Price =it Amount Septic tank pumped Sludge in tank Leach treatment Bio -mat in leach Water level in leach Cap on Stand Pipes Other: i • ©,t. nom,,._ tIv Recommendations: Total 1.5% interest will be charged monthly on unpaid bills until paid.