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HomeMy WebLinkAboutKNIK HEIGHTS BLK A LT 8 r • Municipality of Anchorage Community Development Department Page 1 of 4 On-Site Water&Wastewater Program 4700 Elmore St. •P.O. Box 196650 Anchorage, AK 99519-6650 •http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number. OSP161316 PID Number 017-032-08 0 New El Upgrade Name. MAILE KENNEDY ABSORPTION FIELD (NORTH&SOUTH' Address • Deep Trench ❑ Shallow Trench 0 Bed 0 Mound 4901 FAIRMONT ROAD *ANCHORAGE, AK 99516 0 Other Phone. No.of Bedrooms: Soa Rating Total Depth from original grade (907) 317-9609 5 1.2 OPO/Sq.FL 10 & 10 (MAX) FI Depth to pipe invert horn ongmal grade Gravel depth beneath pipe LEGAL DESCRIPTION SEE DWG. 5& 5Ft Fl Subdivision: Block: Lot: F,t added above original grade Gravel length: KNIK HEIGHTS A 8 SEE DWG. FL 45 &45 Fl Township: Range Section. Gravel width Beds Number of Ines Distance between lines - 2.5 &2.5 FL - - Ft. SEPARATION DISTANCES Number of trenches: Dist.between trenches: Total absorption area ro Septic Absorption Lift Holding Public/Private rrom Tank Field Station Tank Sewer Lines 900 SG.Ft. 2 10 Fl_ Well 100'+ 100'+ - - 25'+ TANK • Septic ❑ S.T.E.P. ❑Holding 0 Other - Manufacturer Capacity Surface Water 100'+ 100'+ GREER & GREER 1,500 & 1,000 Gal Material Number of compartments. Lot Line 5'+ 10'+ - N/A STEEL& STEEL 2&2 Foundation 5'+ 10'+ . LIFT STATION Curtain Drain --"-- NONE KNOWN —, --•^ Manura_turn' c . r I +� Gal Remarks: EXISTING SEPTIC TANK WAS DECOMMISSIONED PER UPC -Pump on-level at Pump otr level at Nigh water alarm at PER CONTRACTOR.BOTTOM OF SOUTH TRENCH INSPECTED BY MOA Pump Make 6 Model- Electrical Inspections performed by ONSITE EMPLOYEE REBECCA CARROL ON 11/23/16. PIPE MATERIAL D3034 D3034 to House to tank D3034 Tankdraintold D3034 Installer 1000 GAL. EXISTING D3034 WILCO CONTRACTORS 1500 GAL Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 1000 GAL. 100.00 Ft Inspection 5/30/2017 1500 GAL. Location and Descnpllon: Dates: 1st 11/23/2016 2nd 11/23/2016 3rd 11/25/2016 4th 11/28/2016 BOTTOM OF BACK DOOR THRESHOLD ENGINEER'S SEAL Community Development Department Approval 4.••` ���f Conditional approval: Date: 41. Al_ 'II�'•.. •. • ,' 491 . i\ .'F �I • 0 - Ii. 0 I • N• 'Jej� : .. Garn- .s c�4�,i; ;1�� . !.I CE- ' - Z :'=i Approved: a`C .,�!n CA-1-laDate: 1 I poi 1 +'A-. • P40FESS\�P LICENSE ,.1 ,+��143 #AECC884 1��� inspection Report_1-1-t2 doc iPERMIT NUMBER: PARCEL ID NUMBER \ OSP161316 RECORD DRAWING 017-032-08 i ,. /, A B C ., ST1 57.0 7.0 37.5 `\\ $ ST2 57.7 18.5 44.6 `\ - WILCOCONTRACTORS HAD LOT LINE AND to , DBL1 57.5 19.8 45.8 \\ WELL RADIUS PROFESSIONALLY LOCATED lr i \ BY A PROFESSIONAL LAND SURVEYOR 9 // DBL2 56.8 20.8 47.2 BOTTOM OF SOUTH \ 9d i FD 56.7 22.1 48.5 G TRENCH INSPECTED 8T N FS 57.8 22.8 48.2 MOA(REBECCA CARROLL) ��` -, ON 11/23/2016 CO1 69.7 30.8 ' 45.9 NEW ORAINFIELOS MT1 68.1 30.6 47.5 CO2 61.0 62.3 _ 89.6 ...••••••-• - \ flDVERIFEO MT2 602 61.0 88.2 CM3 81.4 43.5 51.6 10'UTILITY EASEMENT RESERVE SITE MT3 79.9 43.5 53.3C04 73.3 69.4 92.9 • BY M74 DAVID GARNESS,EIT MT4 71.7 67.2 90.8 CO2 CO5 44.8 52.4 84.4 MT2 M75 45.5 52.0 83.6 _ T ""ST3 32.6 24.7 61.4 Mrs CO5 W ST4 37.0 _ 25.9 61.5 ,•••„, CO3' MT3 DBL3 39.4 26.2 60.9 ". / EXISTING ORAINFIELO COt / DBL4 40.6 26.0 60.4 N MTI DBL36 DBL4 SHED DBL1&DBL2 FS •\ FD \ ST2 ST4 • 03 \ *5T3 \ ST1 /v \ N. -NEW 1000 GALLON STEEL SEPTIC TANK NEW 1500 GALLON STEEL SEPTIC TANK ‘ FCO B FCO i -.46Iwo 0 4 1 EXISTING BEDROOM 1 WATER LINE PROFESSIONALLY GI HOUSE ; LOCATED BY WILCO EXCAVATION m EXISTING GARAGE I • 11141p1 T 1o.WELL R4DJLI .' •' �A: -I.: •;,. D 1 0 FAIRMONT / ROAD ' ; , ,' S AE: �/ . 1'=40' +4100ILIIM• T Moi i t aL r Jr • I 10 GARNESS ENGINEERING GROUP, Ltd *i• * �% • •,Ifi. • • CIVIL&ENVIRONMENTAL ENGINEERS 0 •� • 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507'PHONE(9071 337-6179'FAX(907)3383246'WEBSITE:www.garlesseng.neenng.cur. }�_ PREPARED FOR: PHONE NUMBER. PAGE NUMBER. 0 • .• •?ey A. Garness•..' i 1 MAILE KENNEDY 317-9609 2 OF 4 ♦��; C -7 53 i PROJECT/LEGAL DESCRIPTION: DRAWN BY v.(A••'••.••••• I I I� KNIK HEIGHTS; BLOCK A, LOT 8 L.K.B. 1. Qp�,�� •' ••A., • TYPE OF WORK: DATE 44LICENSE k ESS 04'44 RECORD DRAWING 7/11/2017 aAECC884 `������+� PERMIT NUMBER: PARCEL ID NUMBER: 1 OSP,161316 RECORD DRAWING 017-032-08 FINAL GRADE=100.86-100.89 ST1 7 ST2 TOP OF TANK AT INLET=95 68 •O c TOP OF TANK AT OUTLET=95.91 ............/,,.- \\)\-.------ INVERT OF BUNG NEW 1500 GALLON AT INLET=95.47 SEPTIC TANK INVERT OF BUNG AT OUTLET=95.24 I' ll ISOUTHI ESEM TH41 ORIGINAL GRADE® MT CO FINAL GRADE= ORIGINAL GRADE 0 MT CO FINAL GRADE= 1,k HIGHEST POINT=99.96 100.70•100.80 HIGHEST POINT=100.11 100.80-100.70 FILTER FABRIC =ILTER FABRIC r ii ii...iiiiii A INVERT OF PIPE=94.96 INVERT OF PIPE=95.11 5.0 FEET 5.0 FEET BOTTOM OF TRENCH= •• BOTTOM OF TRENCH=90.11 89.96 :;,, I 10'+ I RELATIVE ELEVATION BOTTOM OF T.H.=84.11 RELATIVE ELEVATION 0 (T.H.DRY ON 11121/2016) BOTTOM OF T.H.=83.96 IT H.DRY ON 11!2112016) SUSS It vh GARNESS ENGINEERING GROUP, Ltd ,, ' • - _ -- CIVIL&ENVIRONMENTAL ENGINEERS 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507'PHONE(907)337-6179-FAX(907)338-3246'WEBSITE:www.garnessengineenng corn ... • i• • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 • • = 0' '- :mess J 4Jy • - MAILE KENNEDY 317-9609 3 OF 4 �dc� ••• CE-7953 '' PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦. • • + • , • 1231 r,3,'' , . KNIK HEIGHTS; BLOCK A, LOT 8 L.K.B. 1+ 0'p.,.:•• .. • P., 41. TYPE OF WORK: DATE: LICENS�,�Mi;tom,, ••' RECORD DRAWING 6/23/2017 #AECC884 cPERMIT NUMBER: PARCEL ID NUMBER: 1 QSR161316 RECORD DRAWING 017-032-08 FINAL GRADE=101.81-101.90 ST3 ST4 TOP OF TANK c TOP OF TANK AT INLET=95.95 AT OUTLET=95.90 \--- I INVERT OF BUNG NEW 1000 GALLON AT INLET=95.53 SEPTIC TANK INVERT OF BUNG t / AT OUTLET=95.20 I . , ig,��,b,,,,-.........i ,+0##. iff . • GARNESS ENGINEERING GROUP, Ltd ' • 9 '•� . ...' ' =* /I. CIVIL& ENVIRONMENTAL ENGINEERS 4 •• 3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE,AK 99507•PHONE(907)337.6179'FAX(907)338-3246'WEBSITE.www gamesseng,eenng.corn t PREPARED FOR: PHONE NUMBER: PAGE NUMBER. • • •S J'!}':` '. -mess ',Lu MAILE KENNEDY 317-9609 4 OF 4 0•C) 795 :-.*i PROJECT LEGAL DESCRIPTION: DRAWN BY. v#J'J,'. /1; • KNIK HEIGHTS; BLOCK A, LOT 8 L.K.B. # ♦� TYPE OF WORK: DATE: fLICENSE + i* :;; 4�• RECORD DRAWING 6/23/2017 AECC884 ♦* Municipality of Anchorage '`` • �: Depannictit P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 © (907) 343-7904 o Fax (907) 343-7997 http://www.muni.orgiOnsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV161139 COSA#: Permit#: OSP161316 PID#: 017-032-08 • Legal Description: Knik Heights Block A Lot 8 Engineer: Garness Engineering Group • Applicant: Christopher Kennedy Your request for a waiver of the required 16'feet horizontal separation between the proposed absorption field and the existing absorption field has been approved. The approved separation distance is 10.0 feet. In addition, your request for a waiver of the required 5 feet horizontal separation from the absorption field to the test hole has been approved. The approved separation distance is 0.0 feet. See engineer's letter for waiver requests. This waiver approval applies to the proposed 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. • ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. • ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. • Waiver is Granted: X Waiver is not Granted:Qonn Date: 11/16/070 I b Approved by: V P Lte/CA Ganef) Name of Reviewer **** VARIANCE/WAIVER REVIEW **** H\ ? MUNICIPALITY OF ANCHORAGE OCT 2 0 2015 •,fir-� Community Development Department �S!- // Phone: 907-343 79b4: A Development Services // Fax: 907- 343-7997 On-Site Water& Wastewater Program Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 017-032-08 Property owner(s) CHRISTOPHER KENNEDY Day phone 317-9609 Mailing address 4901 FAIRMOUNT ROAD`ANCHORAGE,AK 99516 Site address 4901 FAIRMOUNT ROAD*ANCHORAGE,AK 99516 Legal description (Sub'd, Block& Lot) KNIK HEIGHTS; BLOCK/;LOT 8 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family(SF) Absorption Field ® (w/wo ADU) Septic Tank ® Upgrade Duplex(D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) • Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: bran e\d 'I-o drtu_nl ciej ser a-1iorjdraln eld TH Distance: 1(1° I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 1/ JIO 7.00 Waiver Fees: 015, OD Date of Payment: /0061 Date Date of Payment: 11 /1 5/1 to Receipt Number: OG 68 4 Receipt Number: 01 Dbto G Permit No. 651/6i3/6 Waiver No. O SV 1 (off 1 39 (Rev.01/11) affanret GARNESS ENGINEERING GROUP, Ltd "°"" "' `m"°" % - - CIVIL&ENVIRONMENTAL ENGINEERS� - Dealer � November 14, 2016 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Knik Heights; Block A, Lot 8 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The existing garage is served by on-site water and sewer. Per conversations with the homeowner, they may convert the garage into a "mother-in-law" apartment. Therefore, we are proposing to install a new 1500 gallon septic tank and dual deep trench type drainfields. One testhole was excavated on the property and the drainfield is designed within its 30 foot radius: 1. SOILS: See the attached 2016 log which show the soil classifications, groundwater monitoring, and the percolation test results. It should be noted that although the drainfield is in a low spot, per conversations with the homeowner during my site visit on 9/27/2016 water does not pond in the area. Additionally, once the drainfield is constructed it is likely that if water were to "pond up" in that area it would be slightly north of the proposed trenches. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average topography around the proposed drainfield is 10% running southeast to northwest. 5. WAIVER: We are requesting that your department waive the required 5 foot separation distance between a drainfield and a testhole down to zero feet. We are also requesting that your department waive the required separation of the proposed drainfield from 16 feet (twice the effective depth) down to 10 feet. Justification for granting these waivers are as follows: • The testhole was backfilled with native material. 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com Page 2 of 2 • Any sluffing into the proposed trench will be excavated out. • Both of the systems will not be in use at the same time • The existing drainfield is not approved for 5 bedrooms. In short, it will only be used to "rest" the proposed system. • Both drainfield will not be active at the same time. We are unaware of any adverse impacts this installation or waivers would have on adjacent wells or septic systems. If you have any questions, please contact us at 337- 6179. Thank you for your assistance. 6dr l , I A ess, P.E., M.S. President �� 3701 East Tudor Road, Suite 101 .Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax:(907)338-3246*Website:www.garnessengineering.com \,.._.. _.... r ---------\\ r- 100'WELL RADIUS KNIK KNIK 100'WELL RADIUS HEIGHTS; HEIGHTS; BLOCK A, BLOCK A, LOT 10 LOT 7 K ----) CONTOUR ACRES#3; BLOCK 3,LOT 1 \0 t'a1 LUTI<TY EASEMENT I 4' NIG HEIGHTS; , CONTOUR BLOCK A, 1Illi LOTS r e BLOCKS, / BLOCK 3,LOT 2 / • e.: JS : F A /OUNT ROAD r KNIK HEIGHTS; .100'WELL RADIUS CI BLOCK H,LOT 17818 Q 0 KNI HEIGHTS;BLOCK H,LOT 1 II A \ o VAQUERO ROA .. Ca CONTOUR Z ACRES#4; N KNIK HEIGHTS; Q BLOCK4,LOT3 BLOCK H,LOT 2 CO 2 100'WELL RADIUS iSCALE: 1"=100' �PTIC ARE ._ _ ��•`!r"OF�hI ,111 w 4•�✓ ......i. '� 8 GARNESS ENGINEERING GROUP Ltd =.... 4. 14`. .'x....:.....% CIVIL&ENVIRONMENTALENGINEERSin------...-- -� - - • .• ri OF . . • -- 'S- c4:- )',1, _A, este<i>.:...,****** **7* 4.\,,47. GARNESS ENGINEERING GROUP, Ltd 10 ( ' ` 49 I, �'� _ c� 3 1 CIVIL&ENVIRONMENTAL ENGINEERS' 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99007'PHONE 19071137.6179'FAX(907)338-3246•N£BSITE:v+.v 9+m..wprvem9 mm SOIL LOG - PERCOLATION TEST • cE 7 ess •� --U. ; 'V i LEGAL DESCRIPTION: KNIK HEIGHTS;BLOCKA,LOT 8 • f- ; * • PERFORMED FOR: CHRISTOPHER KENNEDY DATE: 10/5/2016 �4 '.ROFESS\�P , •• DEPTH ,**•*`***•• (feet) ORGANICS TEST HOLE #1 1 ■ SOIL CLASSIFICATIONS SITE PLAN 2 ■ ■ `cr tr GW = ORG _ ■ GP ML 3 Ii IMI YA CL4 — ■ rS VA GC OL P� ■ °o°o°o o', SWMH Q� 5 ■ {��ffilt SM � / , CH QCT 6 ■ •FIM SC I ■7 ■ GROUNDWATTER DATE N 8 ■ DRY 10/5/2016 ■ iiGM TO ML(LESS SILTY DRY 10/12/2016 SCALE: 9 — WITH DEPTH) ■ 10 — . ■ 11 — ■ DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) ■ 12 — ■ 10/7/2016 1 3:16 - 6" 2 3:46 30 3/8" 5-5/8" 13 ■ 3 3:46 4 4:16 30 3/8" 5-5/8" 14 — ■ 5 4:16 - 6" ■ 6 4:46 30 3/8" 5-5/8" 15 ■ 16 vs B.O.H. 17 — 18 PERCOLATION RATE 5.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 — TEST RUN BETWEEN 6 FT. AND 7 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: • YES ❑ NO SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: ERIK WIDGER COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I,JEFFREY A. GARNESS,CERTIFY THAT THIS WAS PERFOFIMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I I 11 Pk 2 oGRE , _..iR ANCHORAGE AREA BORz iGH Depertment of EnvironmentsI Ouality 3330 C Street Anchorage, Alaska 99503 IN..~ECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL /~/ MANUFACTURER ATERIAL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY /~ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL/'~/~ / / FOUNDATION /'~;:~ ~- NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE / TOTAL LENGTH NEAREST LOT LINE ~'~¢ OF LINES c-~,-~'~''' / TRENCH WIDTH IN, TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ? · DEPTH OF FILTER MATERIAL BENEATH TILE C~ IN. ABOVE TILE ~[ IN. TYPE CONSTRUCT,ON DEPTH DISTANCE FROM: BUILDING NEAREST FOUNDATION LOT LINE __ NEAREST / SEPTIC SEEPAGE , SEWER LINE/<"~""~¢ , TANK/z/, SYSTEM CESSPOOL ., OTHER SOURCES APPROVED DISAPPROVED DISTANCES: REMARKS ~ ~/7~"~DIAG RAM SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: DATE G.A.A.B. Form EQ-032 NAME Of APPLICANT GrE/i ;r ANCHORAGE AREA BO! DEPARTMENT OF ENVIRONMENTAL QUALITY ~ PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK ~ TYPE AND SIZE OF FACILITY TO BE SERVED ~ FINANCED THROUGH SO,L TEST.ESULTS / O COMPLET,ON DATE ANT,G,PATED ~/¢~J~ ¢ /??..¢ SEEPAGE PIT . DRAIN FIELD . OTHER ~OTE~ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION bY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ~)1~ ~j TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SePtIC TANK TO SEEPAGE Pit WALL SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK ~ ~ DRAIN FIELD / WATER MAIN TO SEPTIC TANK ~//~ SEPTIC TANK, K//~ ~ , SEEPAGE Pit , DRAIN FIELD DRAIN FIELD SEEPAGE PIT / ~ ALSO CONSIDER AREA WELLS. . SEEPAGE PIT /~ /, DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA E~OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. I also certify that this home will contain a maximum of two bedrooms. I understand an upgrade wou]~d ]~e necessary should more bedrooms be added -~ APPLICANT'S SIGNATURE ~,l [ ~ · ~ · Department of ~Jnvironmenta] Q " 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG - PEROLATION TEST Performed for /~ m-~--'~-~? ~(~4,~<-~ Legal Descmpt~on. _/~f.z~ aqu 4 ~;;~ ~(~ , This form reports:"' Sb'ils log ~ Feet la- 11 - 12- 13- 14 - Was ground water encountered? Date Performed Percolation test If yes, at what depth? Reading Date Percolati-on rate · Gross Time minute. Net Time Depth to Water Net Drop -Proposed instal lat-T~-n-:---S-e~,~-(je Pit Drain Field i)et)th of Inlet · Dept~--t-o--U~-t~)~n-~T-l)it or trench ....................... COI.II'.]EHTS: Eq-040 (6/74) SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 230 feet Sandy gravel with 20% clay. Seme-signs Of water ~r~ 226--228'Gravel. Starting to show seine signs of water.- _ ............. 22&--$3X' Water b~ring ~ravel productn~ 4 GPM w~th · 70 foot he~ of water~'-_ -:::T;~7'::.-;-.:::'.t~-.:.: · . . .. - ..... ".:_...._. .,..-~. .... :--..:..~: ...... :_ __ :. ~p sh~la be ]nst=].l~ t~ee feet off c~ botts. MUNJCIPAD~"OF A~CHoBAO~ '~- '~_:('::; '].: .-_.:' ~ _ ...... .REC. Ei V, ..... _ . '- .-">::- . --_: '[( -.-;: - Cat work on Fop~-~y c~$ to $~.~ Work ~o~ ~: A.C.T, ~prises ............ -':':-:' COST INCLUDES ALL LABOR AND MATERIAL FOR COMPL~-rlON OF SAID DRILLING. WRITE CHECK PAYA~La TO RAMPART DRILLING; ~r,,,-,_.~,,,r.~ -~ - ~Oa-- THE SUM OF $3~70,~ THANK YOU V~Y MUCH. DAT~ 13 ~'~'.~.,.~ CLAUS O~' RAMPART 1;~ILLING WORKS o t. 2oth, 75 SERVICE: CHARGE:OF 1F~% PER MONTH WILL BE ASSE:SSE:D ON PAST DUE ACCOUNTS. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 ~',/" REQUEST FOR APPROVAL O~ INDIVIDUAL SEWER & WATER FACILITIES 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: FOR Cony. Date Received August 12, 1976 Time of Inspection Date of Inspection ~- Alaska Bank of Commerce Pouch 7012 Robert E~ & Helen J. Reece Post Office Box 4~2175 3. Legal Description: Lot 8 Block A Knik Heights 4. Location: Fairmont & Bainbridge Roads % Vickie Phone: 279-5641 x 3~4 Phone: 344-0020 home 277-6812 work Type of facility to be inspected Single Family Well Data: A. Type Individual C. Construction 7. Sewage Disposal System: A. Installed 9-23-75 C. Septic Tank: D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line No. of bedrooms 2 B. Depth 139' D. Bacterial Analysis On-site system B. Installer 1. Size 2. Manufacturer 1. Absorption Area 2. Material Total length of lines B. Foundation to septic tank C. Absorption area to nearest lot line /3 /(~xC~:3 , Absorption area /~2~0.~-- , Sewer Lines , Other contamination , Absorption area EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE ARt:! BOROUGH ' D~pa~r t~m en :~=af--E n~rir o,n m~n-~l ~Q-u-a-t i t y REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address': e CMRO VA FHA CONV ~XXX RE~.CE. Robert E. & Helen J, 3)1)1-0020 Home P. O, Box 4-~17~ Aueh. Ak 99~o~)ay P. hpne 277-6812 M_v.-Wo ~k)- Name of Buyer: ' R_efinan~e_(SAME) Mailing Address: Day Phone Name of Lending Insti tuti on: Alaska_B~uk ~)f Commerce Mailing Address: Pouch_~012 ~a~uch__or~e 9_~1.0' Phone Name of Realtor or Agent: None Mailing Address: Phone ~1. x31~ 4 _(Vick~i) Legal Description: Location: 7. .Type of Facility to 8. Water Supply Type of Supply: --L_Lg$. 8, Block "A" KNIK REIGHTS Fairmont and Bainbrid~ Roads . , ~Alaska be inspected: single f~mily~dwell~g~ Bdrms. 2 bedrooms Public Utility If Individual, number of dwellings presently .served If Individual, depth of.well q39' ??? Sewage Disposal-System Type,of S~stem: Public Utility Individual If Individual, date of installation 9-23-?~ . Individual ~ (on-site) xx Please see that this inspection is done by Monday as per phone call. Also, Les, would you please give us a verbal approval so we eau ship this loan wm~n a letter of your approval b~we actually receive your paper work!! One of these days we will get organized and this won't happen to you. Sorry!! Page 2 of two pages - ReL st for Approval of Individual ,~ ~er & Water Facilities Legal ,Description Lot 8 Block A Knik Heights sUbdivision Comments Disapproved Date Approvals. Valid fOr one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) Parcel I . D. 017-032-08 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: Expiration Date: ,11 - 23 -2--z- Complete Z C_ Complete legal description KNIK HEIGHTS: BLOCK A, LOT 8 Location (site address) 4901 Fairmont Road *Anchorage 99516 Current Property owner(s) Sally Randich Day phone 441-9201 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 & 1 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class—Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ / y - Waiver Fee $ — Date of Payment F- (% ` Z Z Date of Payment Receipt Number ©ia 926 Receipt Number. COSA # OS C 2 2 j q 07 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Gamess Engineerinq Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the. Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided In this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. D�IGNATURE System #1 Approved for bedrooms`\``�\QY OFq�/i��� System #2 Approved for . bedrooms � �' J� O Disapproved ` s ON-SITE y Conditional approval for bedrooms, with the following stiff on WATER AND m -1 /AST" v''ATER - - — �m Pr)nr Q� #AECC884 i Original Certificate Date: — Z The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other `o Legal Description: KNIK HEIGHTS; BLOCK A, LOT 8 � W-4 Parcel ID: 017-032-08 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system _ m t4 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 5.6+ gpm 230 Date drilled 1o'z0 51 Water storage tank volume N/A gallons Total depth ft ,s Well disinfected for coliform test? ❑ Yes ❑ No Cased to 230 ft "Coliform bacteria is Negative On Sanitary seal is functioning correctly Nitrate mg/L `0 Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic /L u g ,®'Are ' less than MRL (ND) Casing height (above ground) 18"+ in. Collected by GEG, LTD. Date of flow test for COSA 6/21/21 Date of Sample 7/26/22 Static water level at beginning of test 149.4 ft. Comments RE -ISSUANCE - ALL WELL FLOW TEST DATA FROM 6/21/21 B. TANK DATA Age of tank(s) 6/6 years Tank type/material "Os" Measured operating fluid level in septic tank 52•/50 ❑ Standpipes/foundation cleanout per record drawing Date of pumping Yl I 1 a�-- (TWO TANKS) D. ABSORPTION FIELD DATA 1975 TRENCW2016 DUAL TRENCH Which system tested (date installed) 1975i'2116 ❑ ALL standpipes present per record drawing Total measured depth from grade '34"0,4t ft (max) Measured depth to pipe invert from grade 6.0/4.83 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A Adequacy test date 6/21121 Results ❑✓ Pass For 4/1 bedrooms Fluid depth prior to test 1/0 in Water added 7/845 gal New depth 1/27 in Elapsed time 0/135 min ❑ Code -required soil cover over field Final fluid depth ]/u in ❑ System presoaked Absorption rate 606 "5 ' gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) N/A Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies*TESTED NORTH 2016 TRENCH ONLY - SOUTH 2016 TRENCH HAD 34" OF LIQUID UPON ARRIVAL AND REMAINED UNCHANGED THROUGHOUT TEST **1975 TRENCH SERVES GARAGE & 2016 DUAL TRENCH SERVES HOME - RE -ISSUANCE - ALL TESTING DATA AND SEPTIC TANK LIQUID DEPTH IS FROM 6/21/21 COSA Checklist yellow sheet Q E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No *5'+ Community Sewer Manhole/Cleanout > 100' [D Yes if No ft (7 Yes if No ft Neighboring Tank > 100' 121 Yes if No ft Private Sewer/Septic Line > 25'2] Yes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' S Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' 0 Yes if No ft 21 Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft r, -/J Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *5'+ ft Surface Water > 100' QQ Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' (v Yes if No ft Private Wells > 100' R Yes if No ft Water Main > 10' C] Yes if No ft Community Wells > 200' ✓R Yes if No ft Water Service Line > 10' C] Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' [] Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet #AECC884 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 5 �- Certificate of On -Site Systems Approval Parcel I.D. 017-032-08 1. GENERAL INFORMATION: Expiration Date: 1 (2-17--2—( Complete legal description KNIK HEIGHTS: BLOCK A, LOT,Af 0 Location (site address) 4901 Fairmont Road *Anchorage 99516 Current Property owner(s) Christopher & Mailie Kennedy Day phone 317-9606 Mailing address Real Estate Agent 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 & 1 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5-5Z Date of Payment d a Receipt Number 0 0%44 0 G COSA# 05C 211376 - Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 14 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water.supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 9 - In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE C�J System #1 Approved for 9 --bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, ...... ............... .... f r Gorne 9, CE -795 ,8 ,�� `� r • •' � � ���' cod f e s stogy°oo #AECC884 \1Y SOFAIV6ii,,, ON-SITE WATER AND with the following st• I I-- �T1_v'�'ATER oz PR0GV\Ann �, NrSER\JVZ X__X__� Original Certificate Date: 7-12 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Eli C SA Ciec dist Leg a I Description: KNIK HEIGHTS; BLOCK A, LOT -A 9 Parcel ID: 017-032-08 if more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. 1AIEL L DATA' FE -1 Well log is filed with Onsite (or attached) Date drilled 10/20175 Total depth 230 ft Cased to 230 ft Sanitary seal is functioning correctly C Wires are properly protected 11 Casing height (above ground) 18+ in. Date of flow test for COSA 6/21/21 Static water level at beginning of test 149.9 ft. Comments B. TANK DATA Age of tank(s) "5/5 years Tani: type/material SERiiC157EE Measured operating fluid level in septic tank "52v50° © Standpipes/foundation cleanout per record drawing Date of pumping 6/23/21 (TWO TANKS) D. ABSORPTION FIELD DATA 1975 TRENCH/2016 DUAL TRENCH Well production at time of test 5.6+ gpm Water storage tank volume N/A gallons �Zm ifected for coliform test? F-1Yes0 No bacteria is ZN-itrate tive Nitrate mg/L less than MRL (ND) Arsenic ug/L �rsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 6/21/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A Which system tested (date installed) 1976/•2016 Adequacy test date 6/21/21 FE -1 ALL standpipes present per record drawing Results Q Pass For **4/1 bedrooms Total measured depth from grade 194"041 ft (max) Fluid depth prior to test 1/0 in Measured depth to pipe invert from grade 6.o/a.as ft (min) Water added 347/845 gal ❑ N/A — pressurized field New depth 1/27 in ❑®1 Monitor tubes go to bottom of effective. If not, state Elapsed time 0/135 min depth into effective 1/0 Final fluid depth in � Code -required soil cover over field Absorption rate 6D0"760' gpd ❑ System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months} NONE date of test) N/A If yes, enter date N/A Gallons introduced gallons Comments/Deficiencies. TESTEONORTII TRENCH ONLY. SOUTH TRENCH HAD 3<' OF LIQUID UPONARRiVALAND REM114 ED UNCHANGED T14ROUGHOUT TEST"1SISTRENCH SERVES GARAGE 82016 DUl TRENCH SERVES COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private .!`Jell on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No *51+ Community Sewer Manhole/Cleanout > 100' M Yes if No ft Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' Fv� Yes if No ft Holding Tank > 100' Z Yes if No ft Neighboring Absorption Fields > 100' Water Main > 10'✓� if No Animal Containment > 50' Z Yes if No ft Yes if No ft Water Service Line > 10'✓� ft Yes if No ft Manure/Animal Excreta Storage > 100' comment below Community Sewer Main > 75' ❑✓ Yes if No ft [D Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *51+ ft Surface Water > 100'[]✓ Yes if No ft Property Line > 5'✓❑ P✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Absorption Field _ 5' 0 Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10'✓� if No Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10'✓� ft Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10'Ca✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' P✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' IZI Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' 121 Yes if No ft Surface Water? 100'✓❑ Yes if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet J.................. eff�re�j�A. Gess., CE -79-3 v ed pr n°� ofess�o 0 #AECC884 a � � � I N 0001'29"W 145.00' O/OH 300deNl/9 e 2 0 G R \ d / 6 C?