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HomeMy WebLinkAboutMCKINLEY VIEW ESTATES BLK 2 LT 13McKinley View states Block Lot I 051 - 792 -17 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 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW030150 PID Number: 051 --792-- 1 ? BRIAN POTVIN Wastewater System: [] New · Upgrade P.O. BOX 671448 * CHUGIAK, AK 99567 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 688-5297 3 [] Deep Trench · Shallow Trench [] Bed r'lMound •Other LEGAL DESCRIPTION ~o, P~t,.o: 0.8 ~PD/S~ ,t ,ota, Dopth ,ro~. °,,,.o, 8gr"a°:MAX ~t. 2 13 McKINLEY VIEW ESTATES SEE DWG. F~ 5.52 Township: Range: Section: Fill added above orfgln, l grope: Gr~vel ler~Ul: - - - SEE DWG. ~ 63+ Ft. WELL: [] New [] Upgrad 5 F~ 1 -- C!a~etflcaflon (Private, A.B,C): Total ~ Ce.ad To: Total ob~orption area: Pipe material: ' ~ r~ F~ 583+ s~. F~. D 3034/ F-810 F~ AKWWC, INC. 6/5-6/2003 ~ TANK SEPARATION DISTANCES .Sepia []Ho~d~n~ ~S.T.~.P. []~her T~_~...~To Septic Absorption Uft Holding Publlc/Prl~e Manutactumn C~pecity in gallon~ Tank F~eld Station Tank S~..~ U.. ANCHORAGE TANK 1000 Well 100'+ 100'+ - - 25'+ STEEL 2 Sa.ace Water ~00'+ tOO'+ - - - LIFT STATION "Pump on' level a~: ' ' Foundation 5'+ 10'+ -- -- -- Pump Make~l: rlectricol In~pection~ performed by: Curtain Drain NCiNE KNOW~ Remarks: THE EXISTING SEPTIC TANK WAS BENCH MARK LocaUon and DeecdptJlc, n: COMPLETELY ABANDONED. BOTTOM OF SIDING 1 )0.00 F~ u!...~ -'~ ~.., ,Ifil! ~,., ~ '..~l Inspections performed by:. AKWWC, INC. Dates: 1st 6/5/2003 I I'::': ........ ~' ........ '* .... 2nd 6/5/2003 ~, , ~}l~J"- I' i 3rd 6/6/2003 ~ ~.~ ~ '~¥[ ~V~/r~ [/~.,._ '"/ ;I :: :795~''/ .." Development Si;trices Department Approval ~,/~/~ u~;,~j.-., d ...'~,~,._~ ~..'~'e~ ' ,,s ...... . Reviewed and approved by: ~"-~--/""-- Date: (..,,. ~2/o0~ PERMFrNUMBER: AS BUILT DRAW]"~'-G PARCELID NUMBER: SW050150 - 051-792-17 /.'~/ / / ^ ~ / / ST1 22.88 22.251 - ~ // / APPR-'IMATE LOCA ST2 26.21 26.65 I ' 0~/ ~ ~- ~..ox ~o. D.L1 27.91 28.31 U/ // / D,,2 29.3~ 29.~0 - / 2TM ~_ / / ~,Rox,~ ~o~o, ~0 3~.23 3~.~3 - ,~ / / -"'-J---Z' / o, WA~, U.E C01 68.51 50.78 ! -- /. / / / / ~ 002 60.55 ~... ~0.~ 15' U~ ~ME~ HOMESTEAD ROAD DATE: q · '.. ...'~ A B C ST1 22.88 22.25 ST2 26.21 26.65 DBL1 27.91 28.31 - DBL2 29.31 29.80 - FD 31.23 31.43 - C01 68.51 50.78 - MT1 69.2.3 51.08 - C02 60.55 22.64 30.65 MT2 52.57 15.38 25.55 ALASKA WATER & WASTEWATER C.J.G. ~'~~'~ CONSULTANTS, INC. SCALE: 1" ~701 E. TUDOR ROAD, SUITE IOI # ANCHORAGE. AK 99507 * PHONE (907)~57-5179 * FAX (907)3~8-52/,6 ~ "~0~ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRIAN POTVIN (907) 688-5297 2 OF 5 LEGAL DESCRIPTION: McKINLEY VIEW ESTATES SUBDIVISION; LOT 15, BLOCK 2, TYPE OF WORK: AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PERMIT NUMBER: AS ~ B UIIJT D RAWIN G PARCEL ID NUMBER: SWO$O150 051-792-17 --. 99.88-99.91 TOP OF2A~q.? AT--% /--TOP OF TANK AT INLET 95.09 ~....~.~ ~OUII..~ -- 95.08 NEW ooo GALLON INVERT OF BUNG SEPTIC TANK "--INVERT OF BUNG AT AT INLET = 94..56 OUTLET = 94-.50 F1NN. GRADE = ~ 98.85--90.91 /--ORIGINAL GRADE / -- 98.76 ~' TH#1 3.52'~i~ ~--~Em' Or PInE - 9~*.2S ! F--s'. I'X--.O~OM oF - 9o.?$ i ~ R[L~'n~ ~¥^'nON OF BOttOM Or //x 6/~,/2oo~ AI A~KA WATER & WASTEWATER c.~.o. *~ ~,~ ..... ~ CONSULTANTS, lNG. ~ ~-~,~ PREPPED FOR: PHONE NUMBER: PAGE NUMBER: ~.~. BRIAN POTVIN (907) 688-5297 3 OF ~ ~ DESCR~ON: McKINLEY VIEW ESTATES SUBDIVISION; LOT 1~, BLOCK 2, u~?~ '..J j ..-'~ ~E OF WORK: .~ ~rofess~o~:~ PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box lg6650, Anchorage, AK 9951g-6650 (gO7) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: May 23, 2003 Expiration Date: May 22, 2004 Permit Number: SW030150 Legal Description: MCKINLEY VIEW ESTATES BLK 2 LT 13 Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: BRIAN A. & JONI W. POTVIN Owner Address: 22569 CENTURION DRIVE CHUGIAK, AK 99567- Pamel ID: 051-792-17 Site Address: 022569 CENTURION DR Lot Size: 20065 SQ. 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: Date: Date: .,4--/_? • •_ , Municipality of Anchorage fjitf.Yf -o On-Site Water and Wastewater Program (907) 343-7904 °- AK ti Certificate of On-Site Systems Approval o/ 68 L 9 c)�� Parcel I.D. 051-792-17-000 Expiration Date: /a,C/ 1. GENERAL INFORMATION Complete legal description McKinley View Est. B2 L13 Location (site address) 22569 Centurion Dr Chugiak, AK 99567 Current Property owner(s) Cole & Cameronn Hawkins Day phone 907406-3280 Mailing address 22569 Centurion Dr Chugiak, AK 99567 Real Estate Agent Kelsey Brewer - Jack White Day phone 907-252-3298 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System Q Public Sewer ❑ WaiverNariance request for: Distance: Received by: /->eDate: `Or//e COSA to be released to the engineer,unless otherwise requested by the engineer. aiA sG� I Zoa COSA Fee $ �� !!-� — 61 1 Waiver Fee $ Date of Payment Li_I 1�f( Gk. 357(42- Date of Payment Receipt Number ;-2- (pi, !` Receipt Number COSA# (rx_A`7.) Le Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on, procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the:Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Alaska Rim Engineering, INC. Phone 907-745-0222 Address 9131 E. Frontage Rd Palmer, AK 99645 Engineer's Printed Name Mary L. Shreves Date 4/17/2018 �"•`. . OFALedeae . �1%/ 6. DSD SIGNATURE . TH k":• '* System #1 Approved for3 bedrooms ;; • System #2 Approved for bedrooms 10,,j6;9.. Mary L. Shreves :' h A s CE 9351 Disapproved �6p CE 9351 F°PROFESS\0 '® Conditional approval for bedrooms, with the following stipulafictn�sivoN®®® ON-SITEG: _� WATER AND ``' WASTFWATER oz .113 PROGRAM .e JQOcN7P\nc'<`O\ S,^ By: /V (�' Original Certificate Date: V/61/0 The Municipality of Anchorage D-,elopment Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_E If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: McKinley View Est. B2 L13 Parcel ID:051-792-17-000 A. WELL DATA Well type Public Water If A, B, or C provide PWSID# 2210697 Well Log (Y/N) Date completed Sanitary seal (YIN) Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height(above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. . WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/ Steel Date installed 6/5-6/2003 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N/A Date of pumping 10/16/2017 Pumper Sanitary Pumpers C. ABSORPTION FIELD DATA Date installed 6/5-6/2003 Soil rating i 0.8 Trench (g.p.d./ft2 or ft/bdrm) System type Length 63+ ft. Width 5 ft. Gravel below pipe 3.52 ft. Total depth 7 5-7.8 ft. Eff. absorption area 583+ft2 Monitoring tube Y Depression over field N Date of adequacy test 4/6/2018 Results(Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 18/21 in. Water added 474.8 gal. New depth 25/28 in. Elapsed Time. 1425 min. Final fluid depth 18121 in. Absorption rate >= 474.8 g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) None Known If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access(Y/N) "Pump on" level at in. "Pump off'level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 101+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200 + ABSORPTION FIELD ON LOT TO Property line 101+ Building foundation 101+ Water main 101+ Water Service line 1g+ Surface water 100+ Driveway, parking/vehicle storage 101+ Curtain drain None known Wells on adjacent lots 200'+ F. COMMENTS The septic tank outlet line has 3/4" of standing water. The deck supports are not directly over the septic tank. G. ENGINEER'S CERTIFICATION •a��Govkkiitillil OF ALdi/ I certify that I have determined through field inspections and ®,<P,.•' • --1:35'•.!r- d® review of Municipal records that the above systems are in a co. '•'y o6' conformance with MOA COSA guidelines in effect on this date. t 4 T1{. •e �; Engineer's Printed Name Mary L. Shreves ��"' Date 4/19/2018 P'; Mary. . Shreves ®/��!r�''.. CE 935:el: • •�.. d®10ffn��UFESS ® /.//0 `,7 COSA canary sheet_2-6-15.doc / / / / / ?S• // LEGEND: // (C)=CALCULATED DATA (M)=MEASURED DATA (R)=RECORD DATA PER PLAT / '�' / ohu=OVERHEAD UTILITIES C) U.G.=UNDERGROUND // / T&E=TELECOMMUNICATION & 111 = 40' / ELECTRIC / NAT.=NATURAL (...\* / PED=PEDESTAL LOT 12 // FND.=FOUNDATION / L''S' VI UTILITY (TYP.)=TYPICAL BLOCK 2�J N7377,'af03„w ( ) / lg1 18, / S26'00'00"W �R`IcC) .G. T&E / 27.00'(R&C) c 1 PE-h, /�� V `i /[ CANT /�� / / %. (TYP) /44/ / zs3, ,o<q o. j ` /, �. •�OR• T:I �' • II moi 41( I /2S ^� ��� 4" PLASTIC41* / .. ) , / Q� 3j // 1 ILO T 13 s ®RISER (TYP.1/,\4) S' / ao X20065 S.F. 0 SHED NO / �,�� // FND. / I NAT GA +I �® LOT/ 14 C4 .. NOO'15'21"W 10.56'(M) T / •o ;�'` NO'07'15"W 10.60'(R) ,-/ " 'A) / O` r 13 15' UTILITY EASEMENT // i5�, / - c? vJ �j�/rccb I S89'52'45"W 145.35.(R& 49 3' SECTION LINE EASEMENT 4J W. HOMESTEAD RD. _ _ . _ _ _ - RECERT NOTE: ADDED 4" PLASTIC BASIS OF BEARING DERIVED FROM RISER 4-19-18 THE RECOVERED MONUMENTS AT THE NE CORNER OF LOT TO THE SW CURVE RETURN LOT 13 BEING N75'00'15"E 220.12'(R) 219.97'(M) NOTES: 1. EXCEPTING FOR GROSS NEGLIGENCE, THE LIABILITY FOR THIS SURVEY SHALL NOT EXCEED THE COST OF PREPARING THIS SURVEY. 2. THIS SURVEY REPRESENTS VISIBLE IMPROVEMENTS & CONDITIONS ON THE DATE OF SURVEY. 3. THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY & IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. 4. THIS SURVEY PERFORMED FOR COLE CAMERONN, IT SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. REUSE OF THIS DRAWING FOR ANY PURPOSE NOT STATED ABOVE WITHOUT THE EXPRESS WRITTEN CONSENT OF ALASKA RIM ENGINEERING, INC. IS A VIOLATION OF FEDERAL COPYRIGHT LAW. 5. THIS LOT SERVED BY CITY OF ANCHORAGE COMMUNITY WATER SYSTEM. EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH ICHTNOT APPEAR OR FOR ESTABLISHING ON RECORDED EC RDEDDNSUBDIRY SUBDIVISION R PLAT. CE UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED RD.R SUITE FARMER SURVEYING LLC. ALASKA 99645. PIUNG HONE:HONE:DDRESS: 6183 N.(907) 355-0620 STEMAILRD. BCFARMER MTAONOFFICE: 9131 E. FRONTAGE LINE NET UNDER CONTRACT TO: ALASKA RIM ENGINEERING INC. 18-58FSLLC LLC#126467 RJF ALASKA RIM ENGINEERING, INC. ,owittttsil�1AS-BUILT 9131 E. FRONTAGE RD. -SC:. ❑F....... r I// PALMER, ALASKA 99645 44 ... •'° C°•f�/ PH: (907)745-0222 : FAX: (907)746-0222 S;° �'— ••-.9 �/ w«a�°?°"^•' EMAIL: akrim®alaskarim.com : WEB: www.aloskarim.com S�r: 49TH / °;�r• 7 ARERWO: 1800123 FB: 18-03 .1...:7. i PAGE: 1 of 1 • • i:� /��� Engineers: Planners: Surveyors SCALE: 1 " = 40' FILE: 1800123AS 049/°• °.•Robert J. Former •,o 1,.°-° 10615-S ; ' + I HEREBY CERTIFY THAT A MORTGAGE INSPECTION WAS PERFORMED �'4 •• ..°•••°.•°..P �°S••�• McKINLEY7: UNDER YVIDEWEEST.NON THE FOLLOWING SUBDIVISION, BLOCK 2, LOT 113,D PROPERTY: ,,f s/ 'ruressiaro- ' III ttttt����s%�``-L./9�/" SURVEYED 80N 22HE 9Nh HOFRAPRILR,E2�R81NG DISTRICT, ALASKA. ©zols v Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elm. ore Road Anchorage, AK 99519-6650 www.muni.org/onsite ~.~- (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS AP?ROVAL FOR A StN6LE FAMILY DWELLIN6 Parcel i.D. 051-792-17 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent .,,,..~ 'Mailing address MCKINLEY VIEW ESTATES S/D; BLOCK 2, LOT 15 22569 CENTURION DRIVE * CHUGIAK, AK * 99567 CAROLINE CAINE Day phone 22569 CENTURION DRIVE * CHUGIAK~ AK * 99567 C/O AGENT Day phone KATHI GERACI W,/ GREAT LAND REALTY Day phone 694-9125 114-11 OLD GLENN HIGHWAY * EAGLE RIVER, AK * 99577 Unless otherwise,requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 3, TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System · 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 !NSPECT!ON BY ENG!NEER As certified by my seal affixed hereto and as of the vaiidation oaL~ shown I veri,y ,,,~ invest~ation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this appiication, shows "~" '~ i,i~ ,.,,e op-s~te water supply ~N~, ,,,~,~,.~,~,~. disposal ~t~f~m ]~ ~ ~ type ...... "'~ indicated herein. I fu,ffher verify that based on the for the number of bedrooms ~. ,u .. ~ll~o~d[iOl~ Ou~d~d ~N 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. Phone 537-6179 Address 5701 Eo TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEO 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 dhow long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for ~he 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. DSD SIGNATURE I?'~'''~' Approved for Disapproved, bedrooms. Conditional approval for ~ATER AND . bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Arsenic AdvisoG¢ Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ~;~ ,~ (LO '~//_ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 EImore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEHS APPROVAL CHECKLIST Legal Description: MCKINLEY VIEW ESTATES S/D; BLOCK 2, LOT 15 Parcel ID: 051-792-17 A. WELL OATA IPUBLIC WATERI Well type __ If A, B, or C provide PWSID# __ Well Log (Y/N) Sanitary seal (Y/N) Wires properly protecte~J Cased to .ft. Casing he__round) in. FROM WELL LOG AT I,~CTION .~~.p.m, g.p.m. Date completed Total depth Date of test Static water level Well production WATER SAMPL~ ~8~~'~: Coliform / colonies/100 mi. Ars'~ic: __ug./L. Nitrate ~ mg./L. Date of sample: Collected by: , B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 6/5-6/2003 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 6/9/201 1 Pumper. JR'S PUMPING ABSORPTION FIELD DATA Date installed 6/5-6/'2005 Length 63+ .ft. Total depth *7.,5-7.8 ft. Eft. absorption area 583+ ft2 Monitoring tube YES Date of adequacy test 6/10/2011 Results (Pass/Fail) PASS Fluid depth in absorption field before test DRY in. Water added 600 gal. Elapsed Time: 120 min. Final fluid depth 2 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NOTE: PREVIOUSLY DOCUMENTED 1982 TRENCH 1982 TRENCH COULD NOT BE LOCATED DURING [*BELOW EXISTING GRADEJ Soil rating ~r ft2/bdrm) 0.8 System type TRENCH Width 5 ft. Gravel below pipe 3.52 Depression over field__ Absorption rate >= NONE KNOWN If yes, give date NO For ,3 bedrooms New depth 7 in. 450+ g.p.d. CONNECTED AS RESERVE SITE. SUMP FOR INSPECTION. TESTED 2005 TRENCH ONLY. D. LIFT STATION Date installed "Pump on" level at__ Size in gallons Manhole/Access (Y/_..~_) in. "Pump off" level__a/. High water alarm level at in. ~ Cycles tested. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Meets alarm & circuit requirements? I PUBLIC WATERI Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots ....~- ~~'~,w, r manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main 10'+ Water service line 10'+ Wells on adjacent lots 200'+ Absorption field 5'+ Surface water. 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN Building foundation. 10'+ Water main 10'+ Surface water 100'+ Driveway, parking/vehicle storage Wells on adjacent lots 200'+ 10'+ F. COMMENTS 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. Engineer's Printed Name JEFFREY'A. GARNESS Date (:;,/1~"//{I COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number I '0 i,-rl ,i N 0°07'] 5"W 10.60' ~1~\~/ ~u~'~/ ~U/£U~I U~,UI ?&~- ~, £, UUJ./LJUI IUN-9-8811 13:48 FROM: JE'S SEPTIC PUMPING 90?3449881 TO: 6943093 P, 1/1 .[l{s ?utopia; PO Box 77~5415 EagJe River, AK 995'/7 (907) 69n-6454 iii.i I, 'l Carolyn Caine Po Box 55542 North Pole, AK 99705.5542 (g07) 688-0498 I Job Site Info..ml. a__U.On .~ '"] Carolyn 22569 Centurion Drive Chugiak, AK 99567 (907) 688-0498 Additional Location Comments: Diagram: Corner house on Homestead & Centurion Drive - #'s on rust home w/burgundy trim Septic (~ back Job Deecrip[;on: 10009 P.O. Number, Tens: Net 30 Salesrep: Dawn-Dawn Map Bouk: Cross SLreot$: Job Comments: s:~diaaeem~H 8071~,~mp Service Agreement Number: 033465 Order Date: 27-May-2011 Service Date: 09-Jun-2011 Technician: Bruce Tax %: Job Typo: New Mai:) Grid: 2 Homestead Road LastSen/ *06/03/2010' ' 100Og IPer Carolyn - AJA every yr /tank normal & clean jclean outs (~ hm are clear - clean outs in the field are Iholding water in the belly of the pipes Gallons Planned; 1000 Gal. Actual: Hose Length: 2 Double Tank: ~ .._._. Pump System: i~1. Baffles Inlet: [], Baffles Outlet: [] .__,._ Service Type Qty Price Each Septic Serv 1000K I $185.00 Tax? No Extension Actual $185,00 N,,nTaxable Total Taxable Total. Tax Total EslimaLed Charges: $185.00 SO.DO $0.00 Actual Charges: Customer agreee to the terms and conditions shown. THIS IS A BINDING AGREEMENT. Geand Total 5185.00 Signature and TRle of Cuatemer Representative ' Date Accepted by JRs Pumpln~ Dat~ AcceDIod For your added convenience wa =c~pt; DiCover. Visa and Ma~ler Ca~ payments ov~r the phone. After 30 Days account will ~be turned over Io COLLECTIONS, $30.00 For NSF Chec~ Returned. Municipality of A'nchol'age 'Development Services Department ' Building Safety DiviSion ~ . On-Site Water & Wastewater Program 4700 South Br~g aw St. P.O. Box 196650 Anchorage, AK 99519-6650 .~ www.ci.anchorage.ak.us CERTIFICATE OF HEALTH 'AUTHORITY APPROVAL ' FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-792-17 HAA# ~") O.5-' 1. GENERAL INFORMATION Expiration Date: Complete legal description MCKINLEY VIEW ESTATES SUBDIVISION; LOT 13~ BLOCK 2 Location (site address or directions) 22569 CENTURION DRIVE * PETERS CREEK, AK * 99567 Current Property owner(s) Mailing address BRIAN AND JONI POTVIN Lending agency Mailing address Real Estate Agent Mailing address LES Day phone 688-5297 Day phone BAILEY W/.PRUDENTIAL VISTA, EAGLE RIVER Day phone 689-6464 16635 CENTERFIELD DRIVE * EAGLE RIVER, AK * 99577' 'Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 5 TYPE OF WATER SUPPLY: Individual Well E] Individual Water Storage r-'] community class ..Well E] 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority' ' 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.wat.er__sa_.m..pl_e_s_. ~_(c._e~!fi_c~i~es__m__ay be reissUed for a_p.e_r!od..9_f ~up to one Year ._w!t.h valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public wate~ . system. The Municipality of AnChorage is not responsible for errors or omissions in the professional engineer's work. J 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 Health Authority 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 frem'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. Phone 337-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Enginee~s Comments; - . conscientious engineefing analysis of the system in accordance with ADEC and MOA system ondor 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 dufingthe year, and the waterusage of the familybeing servedbythe system. '~ ? ...'.~ ..... These conditions are outside the control of the evaluator of the system. Satisfactory test L,,~. . . . results d°n°tguaranteefutureperf°rmance°fthesystem'n°rd°theyguaranteethatV~o0~i ffl ~ !~,~,~'~ there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide ' '" ... any warranty or future estimate of how long the system will conb'nue 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 ~r° f ess~°?~O~ other person or party is not authorized, nor will it confer any legal fight whatsoever. 5~ DSD SIGNATURE L'/'/" Approved for Disapproved. ,.~ bedrooms. Conditional approval for bedrooms, with the fllowing stipulations: · ..... · 'ON-SiTE -. .. WATER AND : WASTEWATER: ..-' Attachments: HAA checklist Septic system Advisory Well Flow Advisory (Rev. 12/01) Manitenance Agreements' ~"x-/J~_~S) ~E~ ~ ~'~;~ Supplemental Engineer's Reort Other ___Original.Certificate.Date: ....,.~. ~_ ~ - 0 ~ . Le~al.C ~'cription: AnChOrage Municipality of DeveloPment ServiCes. Departmen,t,: : · - 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, ' ::,., : AppROvAL HECt [ T HEALTH AUTHORITY Parcel ID: ;, A. WELL DATA Well type ?~ Dante ~o~rn~leted ~, ', Total d~h PUBLIC 'WATER test Static : WATER SAMPLE RES LTS: ' ;'. . , i' ~ it C81iform ~i colonies/100 mi. Nitrite ~mg.iL.. ~'- ~ ~Date. Of sample. B, sEPTIC/HOLDING TANK DATA ' 051-792-17 If A, B;' or C provide PWSID# Well Log (Y/N) _ SanitarySea;I (Y/N) .'' .' Wires' pro..,pe![l:~ · .'. 'fi, .. · Cased t° : fi, · . '" C~oveground) in, - Other;bacterm . Colle(~te'd.by: g,p,m, ,: , , ,r'.,." - .. ,' " 6_5'6_2003 Tank TylSelMaterial sEpTI EL ' Date installed . i :, ¢,: . : , : ' ' - ! , :':i T~'nkl sli:z:~' 1000 ,gal, Number of' Compartments ' 2 clean~3d'ts (Y/N) YES F 'Und tidn cleanout (Y/N) .YES Depression over tank (Y/N) NO . H~gh w~t~r alarm (Y/N) . N/A - . i , I: . · : ' . . ' ., .'- ' "~i ' ~ . Date'o'f'l~Omping ~ -' NEW .... P,umper ' - ,~ . ~ ': h ~* . . ~ , ' ~ , ' ' ' . ; ~ :..' I ". ' C ABSORPTION FIELD DATA . , _.:_.: ;. =... ~ ... :', . ~ I' ~ I~i.',~; 10/12/1(~82/ . :~ ;.' . ZZ~ tt yDarm, '.:,' ' - ~,~ie! i~n~'t':alled ~//5~6~0~3 Soil 'rating'~r f¢/bdrm) 0.8 .S~;stem type DEEP TRENCH/5-WIDE ,~k,~,h~[i.ll '71'/63+ ft ~. :' Width: ' . 3/5.0. , 'ft. '..]Gi.a~elbelowpipe. 5/3.52 ft. '-~:'~",'; -- '-' . . . ' '-~n/ . - ' . . : ;:1 i' '. T~tai ~l~):th 4,0/8,0 ft, Eft, absOrption area: 583+ ft'.. Moni!oring tube .Y.ES., iL'!: Depression over field NU D~t~oI[~equacytest NEW SYSTEM:. i' Results (Pass/Fail) , i: !iu~[i!! . ''. i i ' ' W~' ' '1"~"' th' ,in.' F!Ui~j ~'l~th in absorPtion field before test; in. . ow del; · ,, ,i : ';~ ' ' . ', : ; ' , I ~'' ', ' · ~,...:,'.. ~ ~ '.'i',,-,, o · min ~' rat'e>= ~ g,p,d, ~.i : ,,enation treatment'(Past 12 mo.)' (YIN & type) ' Fe D. LIFT STATION Date installed . "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons' ' ' Manhole/Ac_.r, ess-(WN~ "Pumper alarm level at Cycles tested .... :Meets alarm & circuit requirements? · SEPARATION DISTANCES FROM WELL ON LOT TO: septic tank/lift station on lot AbSorption field On lot Public sewer main ~ ...,PUBLIC. , WATER, , ·On. adjacent lots ~ -: '.' . On adjacentl=~~ Public sewer manhole/cleanout Holding tank" SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~ 5'+ ', Propei-ty line ' 5'-l- Water main 10'+ water service line 10'+ Wells on adjacent lots 200'+ · : Absorption field Surface water. 5'+ 100'+ SEPARATION DISTANCE FROM ABsORpTIO[q FIELD ON LOT TO: Property line 10,+ Water service line 10'+ Curtain drain NONE KNOWN COMMENTS Building foundation lO'-I- Surface water 100'-I- . Wells on adjacent lots 200'+ Water main 10'+ 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 HAA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Driveway, parking/vehicle storage . 10'+ HAA Fe~ $ Z__/o~.) /--~ Date of Payment Receipt Number .(Rev. 12J01) . Waiver Fee $ Date of PaYment Receipt Number ¸in. .! 15' TELE. & ~t. EC. 18 S 8975P'45"W 145.35' WEST HBMESTEAD RBAD EX~NG ~RU~R~ AND P~D ~T t~ OR ~[~ ~D ~ NOT ~ ~R~TUR~ OR ~ ~ S~TUR~ Pk~NG ~AY ~ 5H~ ~P~X~T~Y DUE TO ~ H~REBY CL"RT~"Y THAT I HAVE: I~'RF~I~I) A LDT 13, ~LO~K ~, I.e:~I~.EY VIEV ESTATES SUE. /uqCi4b"Ra,,~ RECORDL2~4G DISTRICT, AL~KA A~ T~T ~RTY U~S ~ N~ VIS~ [N~H~TS ~TEC AT ~C~. ~A~KA THIS ~T k~ ~U~VEYING 9319, F~lll-SD 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 FANILY DWELLING Parcel I.D. 0,51 -79Z- 17 Permit Number Property owner(s) BRIAN & JONI POTVIN Mailing address(1) P.O. BOX 671449 * CHUGIAK. AK " address (2) C,E~T ~RIO~ I),~IVE Day phone . 688-5297 Zip Code 99,567 Legal description (Lot, BIock&Sub'd.) LOT 13. BLOCK 2: McKINLEY VIEW ESTATES SUBDIVISION Legal description (Section, Township & Range) Lot Size '~, 0r 0 ~ ~ AcreO THIS APPLICATION IS FOR: Sewer Only [] Sewer and Well [] Sewer Upgrade · THIS PROPERTY CONTAINS: Hot Tub [] Swimming Pool [] Therapy Pool [] N/A Number of Bedroams Well Only Water Storage Jacuzzi [] Water Softening Unit [] I 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. #400 --- Permit Fees: Date of Payment: Receipt Number: 3~51 Waiver Fees;. Date of PaYment: Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. May12,2003 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic Upgrade for Lot 13, Block 2; McKinley View Estates Subdivision To whom it may concern: The existing 3 bedroom house is served by community water and a private septic system. The septic system is completely surcharged and must be upgraded. A test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. We propose that the existing 1000 gallon septic tank be replaced with a new 1000 gallon septic tank and a 5- wide type drainfield. 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: 10 minutes/inch b. Proposed Application Rate: 0.8 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 562.5 ft2 f. Total Depth: 7.5 feet (max.) g. Effective Depth: 4 h. Width: 5.0 feet i. Reduction Factor: 0.5 j. Minimum Length: 60 feet long k Effective absorption area = 600 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: The area for the proposed drainfields is a 1-5 percent slope running approximately northeast to southwest. In short, there are no slope concerns. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sinc/e~l~ely, NOTE: A site plan drawing, a design drawing, a soils 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 * Fax: (907) 338-3246 * Website: akwwc.com I ! // / / / ~ / ~ICKINLEY VIEW ESTATES; / / / /// x'X ', LOT 3, 8LOCK 1. MCKINLEY VIEW ESTATES; / // /k..l' MCKINLEY VIEW ESTATES; ~. / .3 ~oT.,,OGK,, /// //''-._...,OT,,S,OOK2, 'V' / I I / t i ,"//'/," i ~ / //'" / / '"'- / / / I -'"- / / '7 / / ~ ,/ / / I / / / / i (D ~ ~ / / / / / '"~-/ / / -- i ~ / / / / /'~ / ~NO SEPnC : ~ I ~~ ~ ~,~ ~.~r, ,~ ', / //~~ ~ /~ - . ~r~'~g~ ,,/ ~ ~' ............. II ......... i/ /I I! ~ // // // PROPOSED SE~C U~E ~ / / / (SEE D~IGN PAGE 2 OF 2) ] / / / / / / ~ / / / / / / / / / ' / / / NOTE: ALL PROPERTIES SHOWN I / / / / / / SERVED BY COMMUNI~ WATER ~ / / / ~ / / /  / / / / / / ' / / /  / / 1 / / / ~ / / / ] / / / / / ~ / / / ~ / / / DA~: f: 5/12/2005 -~-~-' ~S~ WATER & W~TEWATER C.J.G. ~S&~' [ 1¢ 1"= loo' PREPPED FOR PHONE NUMBER: PAGE NUMBER: , . ,. /2~[. mAN ~ JON~ POTV~U SaS-527S 1 0F 2~j:.;~:fg ~X:'~ McKINLEY VIEW ESTATES SUBDIVISION; LOT 15, BLOCK 2, %,7e_ '.,.~ ..' ~PE OF WORK: ur, e~ SITE P~N FOR SEPTIC SYSTEM UPGRADE / _~' t / SHALL BE FLAGGED BY A REGISTERED LAND ~-/ / / ~,~oR PRio~ To co,s~uoT,o,. ~/ ~ t ~~PROXI~ L~OH ~/ / ~/ / / OF WA~R UNE - / ~ / ~ ~x~.~ ~ooo ~o. / / / // ~ ~ ~,c ~ ,~ ~o .~ / / / ~ / ~ / PROPOSED D~NR~. ~VA~ A ~CH T~T IS 7.5 FE~ DEEP ~IMUM BY 5 ~ WIDE ~D 60 ~ LONG ~D ~ ~ OF c~. w~,Eo s~, ~,.oc~. ~,~ / ~.c..~,,-. TO SLO.E CO~OU.S.~ HOMESTEAD ROAD ~/~ 2/200~ ~w..~: ~..~. AI~ WATER & W~TEWATER ~: ~ ~o.~.~,,.c, ~,.= ~o. ,~.~,.~ ~~-.' b~OI DEBARR ROAD, SUITE ~B ~ ANCHORAGE, AK ~50L ~ PHONE (~07)537-bl79 ' FAX BRIAN A JONI POTVIN (907) 688-5297 2 OF 2 ' '~'~':" McKINLEY VIEW ESTATES SUBDIVISION; LOT 15, BLOCK 2, ~ .~ .......... ~E OF WORK: ~[%~ ~ ofes~°~~ DESIGN OF SEPTIC SYSTEM UPGRADE ALASKA WATER & WASTEWATER ......... , ,, ,,,,, , CONSULTANTS, INC., ............... . . ISOIL LOG - PERCO~TION TESTI [ ..... ,.~: '"'~ LEGAL DESCRIPTION: McKIN~ VI~ E~ATES SUBDIVISION; LOT 13, BLOCK 2 ~E~H ~ feet) ~¢!ORGANICS ]TEST HOLE ~1 ] SOIL C~SSIFICATIONS ~// // / /' 3 ~ GP ML GM CL ' / SH ~ OH 7 DEPTH TO DATE GROUNDWATER ' / / / 9 TIHE (MINUTES) READING (INCHES) 4 4:45 / 6 5:15 30 15 16 17 18 19 PERCOLATION RATE 10 (MIN,/INCH) PERC. HOLE DIA, 6 (INCHES) TEST RUN BETWEEN 5.0 FT. AND 5.5 FT, 20 A FOUR HOUR PRESOAK WAS PERFORMED: ~ YES ~ NO SOILS LOGGED BY: CALEB GALL PERCOLATION TEST PERFORMED BY: ~CHARIAH GALL COMMENTS: WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DEPTH TO DATE GROUNDWATER DRY 5/10/2005 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAI LING ADDRESS LEGAL DESCRIPTION LOCATION DISTANCE TO: I/w~II ~ Absorption e.rea ] Dwelling 1 Material. . iq. capacity in gallons Well Inside length Width :'~)() C;~ IF HOMEMADE: ......... DISTANCE TO: IDwellin; Manufacturer NC. OF BEDROOMS Well . DISTANCE TO: / ¢//J¢¢¢~2~ No, of hnes Length of eaph hne Top of tmle to fmmsh grade Length Width DISTANCE TO: Well CI s,s '' De , '  TO:~ Building foundation DISTANCE OTHER PiPE MATERIALS SOIL TEST RATING INSTALLER Foundation, Total length of lines [] UPGRADE Depth PERMIT NO. No. of compartments Liquid depth PERMIT NO. Material Liquid capacity in gallons Distance between lines Trench widt,!~ ¢ inches Material beneath tile Total effective absorption area PERMIT NO, Nearest lot line Crib depth Building foundation Driller Sewer line REMARKS Total effective absorption area Nearest lot line Distance to lot line PERMIT NO, Septic tank I Absorption-~rea(s} APPROVED '2: /// 7/.,./:,,,.-~..",~ 72-013 (Rev. 3/78) DATE LEGAL PERFI t T Nil]. DEPFIRTMENT L. HEFILTH FIN[:, ENVIRONMENTAL, ,<OTECTION 825 "L" STREET., FINCHORAGE., AK. 5~5.~50t 264-4720 ( 82~0]:4 ) I::IF:'P L I CFINT LOCAT I ON LEGAL SRLVATORE FIIELLO L±3 B2 MCKINLEY VIEW PO BOX 207t ERGL. E RI LOT SIZE SQUARE FEET TYPE OF' SOIL ABSORPTION SYSTEM IS: 'TRENCH MR;:'.','IMUM NUMBER OF BE[:,ROOMS = :Z-': SOIl_ RATING (SQ FT,,'BR)= 225 THE REQUIRED SIZE OF l"HE SOIL AE:SOR. PTI(:~N :,~.:,IEM IS: [::, E'-_ F" -f' I'r--~ .... 7.~ L. E: ~'-A113 "T" 1~4 =.= E;:E: {3 bE: F~ %-" E: L "['HE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF 'THE TRENCH OR [:,RRINFIELD. TNE DEPTH OF' F.I I'RENCH OR PIT IS THE [:,I STANCE BETHEEN THE SURFRC:E OF THE GROUND AND 'THE BOTTOM OF THE E::.::CFIVATION (IN FEET:). TNERE IS NO SET P.IIDTN FOR TRENCHES. THE GRFIVEL PEP'TH IS THE M:t:NIMUM DEPTH OF GF.:FI',,,'EL. BETWEEN 'THE OLrTFF:ILL PIPE AND THE BOTTOM OF' 'THE EXCFIVFITION (IN FEET). PERMIT APPLICANT HAS THE RESPONSIE:ILITY TO INFORM THIS DEPARTMENT DURING TPIE INS'TALLRTION INSPECTIONS OF PINY WELLS ADJACENT TO ]'HIS PROPERTY AND THE NUMBER OF RESIDENCES THAT 'THE WELL WILL SERVE. BFICKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROYAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECtJTION. MINIMUM DISTANCE BETWEEN FI WELL AND ANY ON-SITE SEWAGE DISPOSAL. SYSTEM IS 100 FEET FOR R F'RIYFITE WELL OR :t. 50 TO 288 FEET FROM R PUBLIC WELL DEPENDING UPON TNE TYPE OF PUBLIC WELtr.. MINIMUM [)ISTANCE FROM FI PRIVFITE WELt_ TO A PRI'¢FITE SEWER LINE :IS 25 FEET FIND TO R COMMUNIT'¢ SEWER LINE IS 75 FEET. OTHER REQUIREMENTS t'"IRY APPLY. SPECIFiCWrIONS AND CONSTRUCTION DIAGRBN9 ARE AVAILABLE TO INSLIRE PROPER INSTALLATION. I CERTIFY THFtT t: I AFl FF:~MILIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWF'RS AND WELLS'; AS SET FORTH BY THE MUNICIPALITY OF ANCNORFIGE. 2: I WILL INSTALL ]'PIE S'¢STEM IN FICCORDANCE WITH ]'PIE CODES. Z.':: I UNDERSTAND THFIT 'THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLFIRGEMENT IF TFIE RESIDENCE IS REMODELED 'FO INCLUDE MORE 'THAN ~ BE[:'ROOMS. FIF'PL_ t CANT SAL',,,'ATORE F:tI ELLO ................ ................ 0 ~ss~ll O~ste~ 694-2774 O & E ENG.NEERING & DEVELO, Bo× 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG Performed for: Name: .................................................................... Mailing Address:.__ L. egal Description:_ MENT CO, Tel. No, Earl EIIi~ 688-2280 ~epth (feet) 2__ 11__ 12 .... 14 15 16 Soil Characteristics Ground Water Encountered: Yes_. ._ No._ If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: PLOT PLAN PERC, TEST Performed by: Date:. APPLI( NT FILLS OUT UPPER HA' 'ONLY 'Property Owner ,./,,~..~,'~,./¢)'~' ' ~' ~"'~as.-. .,¢~,':~ ///~ ¢'~ /~,~.,. '4 ~ ~ ~ ~/'' ..... . _. ~'-~"';' ,,. ~ ~,.~, ' ~ Phone Street ~ ' Type of Resi~nce ' Single Family Multiple Family No, of Bedrooms ~ Other Water Supply ~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available).  Community Sewer Dmposal ~" Individual ~?, ~!, /::~,~ ~ - ~ ~ ,(~ ~,~ ', :'~ ~ '~, ',~ Year Individual Installed: ~' Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspirer Inspirer Field Notes: ~,,,~IJ~,,IIC[PA~ i'i'Y C~i: ¢, ¢'-~u-)~, ~, ( ~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received //", ¢:~ ' Well to Tank Septic T~k Size 72.023 (3182}