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MCKINLEY VIEW ESTATES BLK 2 LT 22
McKinley View Estates Block 2 Lot 22 #051-792-26 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241279 PID Number: 051-792-26 Dwelling: N Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New *Upgrade Name AUDRA & JUSTIN VERNON A ORPTION FIELD [0:1 D Trench El Wide Trench El Bed ound Site Address 21428 BARON DRIVE, CHUGIAK, AK other Phone Number of Bedrooms Soil RatingTotal depth f original grade 405-714-3535 3 /sF Ft. LEGAL DESCRIPTION Depth to pipe invert from original a Gravel depth beneath pipe Ft. Subdivision Block Lot MCKINLEY VIEW ESTATES 2 22 Fill added above original g G I length Ft. Fl. Township Range Section - Gravel width Ft. Beds: Number of Lines - Dis a between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total orption area Number of trenches Dist. between ches From Tank Field Tank Line Ft2 - Well COMM. EXIST. COMM. - :omm. TANK ❑ Septic N S.T.E.P. ❑ Holding ❑ Other Manufacturer D&S CONCRETE Capacity 1250 Gal. Surface Water 100'+ EXIST. 100'+ _ Material Number of compartments Lot Line 5'+ EXIST. 5'+ - NA CONCRETE 2 Foundation 10'+ EXIST. 10'+ _ LIFT STATION Manufacturer Capacity Remarks *2ND COMPARTMENT OF STEP D&S CONCRETE/ GEG *416 Gal. TANK Alarm location Electrical installed by INDOOR I.: -c --,C.> 1S - Ec` Iz.rr PIPE MATERIAL House to tank D3034 Tank toSCH40 drainfield Installer RPC Drainfield EXIST. CO/MTD3034 Inspector GEG CONSULTANT, JODY MAUS BENCHMARK (Assumed elevation) 100.00 ft Inspection 15: 9/19/2024 Location and description dates: 2^d BASK DOOR THRESHOLD 3"' 4'^ ONSITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Qo6o�pp4 Conditional Approval: Date 9 rT _ � ... p� .. .. �- = 7 Septic SySte C Approved l_' / ' -� ���,7;cc�o� Je f y Go r ess"= 0� CE -795 �Gp� Date�� � ��� /.P /Note. this approval does not include well permit requirernent ' r D00000=5o �C (Rev Ub/7b) PERMIT NUMBER: PARCEL ID NUMBER: O S P241279 RECORD DRAWING 051-792-26 r 75 POWER LINE EASEMENT r APPROXIMATE LOCATION OF EXISTING ` DRAINFIELD. -. Y r`f r` rt r,t r NEW 1250 -GALLON r CONCRETE STEP TAI MCKINLEY VIEW ESTATES; BLOCK 2, LOT 21 MCKINLEY VIEW ESTATES; LOT W-1 NOTE: PER THE CONTRACTOR, THE OLD STEP TANK WAS EXCAVATED, PUMPED AND CRUSHED IN PLACE. A B FCO 24.4 31.8 MH1 17.1 49.3 rtf t MH2 20.5 56.0 / / NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS / TAKEN WITH LEICA DISTO S910 LASER DISTANCE / METER. SWING -TIES TO j HOUSE CORNERS WERE ! GENERATED INAUTOCAD. r` f r f o 4�Z-f / t OF 1G9`�'�`••• k Gv..vn...�..�.,....-,... a�w, k�q,. .;I..,,,. ...._ ,.___,..tAm .+v xwev.: .:::.S;..x..in'v. "5`i.., ...Lvn.v':,'.e r. w-.'Sxe M.�.., 1v5,. n'f+. �' u.. >.,A..,3,,.. .L„v}'. ......_...:�.... ....... ..:..a.,wc �• • •1••••••••••..,,.'..♦.�.. . AN 4 .. 0 'ROUP.�. 0. ENGINEERING � SALESCONSULT � t • 3701 E iUr—%3R RC :), S",6fT—= R a, *ANI>CRAGE, ALAS.i°.+:.' 3PEE ,? `-y 3�3-�a3'� S�'^L'�. va ��es - cis / �tn.. .ar . ..............�... 0 jo PREPARED FOR: PHONE NUMBER PAGE NUMBER 1 �^ , �J ffrey—A-Ga ness c Gj . AUURA & JUSTIN VERNON 405-714-3535 2 OE 3 �j��J,��i. � CE -7953 ' _A, PROJECT/LEGAL DESCRIPTION: DRAWN BY - BLOCK 2, LOT 2♦••,.CIEVIEW EST TESP '��� . TYPE OF WORK: DATE: 44..ROFESS' RECORD DRAWING OF STEP T UPGRADE 9124/2024 LICENSE YAVIk � �� / rtf t / / rf / / o 4�Z-f / t OF 1G9`�'�`••• k Gv..vn...�..�.,....-,... a�w, k�q,. .;I..,,,. ...._ ,.___,..tAm .+v xwev.: .:::.S;..x..in'v. "5`i.., ...Lvn.v':,'.e r. w-.'Sxe M.�.., 1v5,. n'f+. �' u.. >.,A..,3,,.. .L„v}'. ......_...:�.... ....... ..:..a.,wc �• • •1••••••••••..,,.'..♦.�.. . AN 4 .. 0 'ROUP.�. 0. ENGINEERING � SALESCONSULT � t • 3701 E iUr—%3R RC :), S",6fT—= R a, *ANI>CRAGE, ALAS.i°.+:.' 3PEE ,? `-y 3�3-�a3'� S�'^L'�. va ��es - cis / �tn.. .ar . ..............�... 0 jo PREPARED FOR: PHONE NUMBER PAGE NUMBER 1 �^ , �J ffrey—A-Ga ness c Gj . AUURA & JUSTIN VERNON 405-714-3535 2 OE 3 �j��J,��i. � CE -7953 ' _A, PROJECT/LEGAL DESCRIPTION: DRAWN BY - BLOCK 2, LOT 2♦••,.CIEVIEW EST TESP '��� . TYPE OF WORK: DATE: 44..ROFESS' RECORD DRAWING OF STEP T UPGRADE 9124/2024 LICENSE YAVIk � �� TOP OF MH1 LID = 98.14 - TOP OF TANK @ INLET = 94,03 - INVERT OF 4" INLET PIPE = 93.08— --Y- 3.08— INTERIOR ALARM INSIDE HOUSE. SIMPLEX CONTROL PANEL WITH VISUAL AND AUDIBLE ALARM NAL GRADE= 97.95-97.96 NOTE: PER CONTRACTOR 2" OF INSULATION INSTALLED OVER TANK __Y F____ 34" MIN. LEVEL (APPROX. 29" 1015 -GALLONS) i 1250 -GALLON TWO-COMPARTMENT D&S CONCRETE TANK (RATED FOR 10' BURIAL) TOP OF MH2 LID = 98.10 TOP OF TANK @ OUTLET = 94.03 HIGH LEVEL FLOAT PUMP ON FLOAT OFF FLOAT -LITTLE GIANT HIGH HEAD WE SERIES PUMP (MODEL 20-WE20) IN SIM/TECH PLEATED NO VAULT FILTER PROPOSED FLOAT SETTINGS VOLUME AT INLET FROM BOTTOM INVERT = 1344 GALLONS OF TAW VOLUME HIGH WATER FLOAT ON Q. *1195 PUMP ON 38' *1135 PUMP OFF 34" -1015 NOTE: LIQUID VOLUMES ARE APPROXIMATE- VOLUMES CALCULATED USING D & S CONCRETE INC DIMENSIONS FOR THEIR 1,250 GALLON SEPTIC TANK. 1-1 4-1 GARNESS ENGINEERIM3 t7ROUPLtd ENGINEERING -SALES, CONSULTING , 3701 EAST TUDOR ROAD SUITE 101 -ANCHORAGE, ALASKA -PHONE (907)337-6179'WEBSiTE:w .gamrssengineering,t PREPARED FOR: PHONE NUMBER- PAGE NUMBER: AUSTIN & JUSTIN VERNON 405-714-3535 30F3 PROJECTILEGAL DESCRIPTION: DRAWN BY- MCKINLEY VIEW STATES; BLOCK 2, LOT 22 J.L-M. TYPE OF WORK DATE_* RECORD DRAWING OF CONCRETE STEP TANK 9/23/2024 OF .......... • AV M 8TH! (3a j- ess 4 a Tr �a y 9 rC E W-3 bCE793 . 4V'* ll ssl A LiCENSE*fiIf% #AECC884 Frorn- Nick Brandt"I, !,-,, Unnt V_ 7- pte'4-xo Subject: 21428 Baron Drive-COSA Date: Sep 26, 2024 at 9:19:52 AM To: Sonja Blewett Sonja @g aa n, esseng i inieeri i -'Ig . corn C.c: rlperson2@gmail.com Sonja, I have completed all of the wiring to the new lift station at 21428 Baron Drive. We removed the existing control box, installed new power and control wiring to the lift station, and installed new power and control wiring to the new control box and high level alarm in the garage. All new wiring meets or exceeds current NEC standards. I have tested the new system and it is functioning. Regards, Nick Nick Brand I Project Manager Powertec Electric LLC I nic!(@pIeIIc.cQ,:,n 1 (907)830-0723 1 httoa//vvAj�A/.,otql'iccos-ri`I I 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: OSP241279 Work Type: SepticTank Upgrade Tax Code Number: 05179226000 Site Legal Address: MCKINLEY VIEW ESTATES BLK 2 LT 22 G:1459 Site Mailing Address: 21428 BARON DR, Chugiak Owner: VERNON JUSTIN & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: 9/12/2024 9/12/2025 36193 ❑ Disposal Field Q 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 shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing -Rese#ved=8,y: _-C 5S (Ae _f rl �r Issued By: Date: Date: /Z A 3 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-792-26 Property owner(s) AUDRA & JUSTIN VERNON Mailing address 21428 BARON DRIVE, CHUGIAK, AK Site address 21428 BARON DRIVE, CHUGIAK, AK Day phone 405-714-3535 Legal description (Sub'd,, Block & Lot) MCKINLEY VIEW ESTATES; BLOCK 2, LOT 22 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms tA APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field ❑ Initial D Single Family (SF) Fx� (w/wo ADU) Septic Tank Upgrade 0 Duplex (D) D Holding Tank ❑ Renewal 0 Multiple Dwellings ❑ Privy 17 (SF and/or D) Private Well D Water Storage D THIS APPLICATION INCLUDES A 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: _'# a25 - Date of Payment: q /3 AC/ Receipt Number: 0Zo(- Permit No. 05 P Waiver Fees: Date of Payment: Receipt Number: Waiver No, GADevelopment ServicesNBuilding Safety\On Site Water and Wastewater\Forrns\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241279, Deb Wockenfuss, 09/12/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241279, Deb Wockenfuss, 09/12/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241279, Deb Wockenfuss, 09/12/24 oOF ml� � H r a tp SHANE A. HOLT 2 Q� LS -61914 (?��� essiona, d rHE SURVEY D A r'A AND MEASUREMENTS HEREON ARE PREPARED POR THE OWNER OFRECORD .AS OF 7HE DA TE OF THIS SURVEY. % ,ANY USEOF THIS D NO Sy THIRD MAR ES Is PROHe,61D UNLESS WRIT7EW PERMISSION /S PRO VICED. THE INFORMATION HEREON .IS FOR THE USE OF LEN.PINC INSTITUTIONS SPECIFICALLY TO SHOD ANY CONFL Icrs BErvEEN Exrs rmc s rRUcrURES AND PLATTED LOT LINES AAWOR EASEMENTS; AND IS NO r TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, 1-NPROVEMEi TS7 pR FENCELINES. EAS'EnERrs OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLA T , ARE NO T SHO&N HEREON C UNLESS INDICA rEDJ NO rE: FEIICEL IVES THAT NAY APPEAR ON rHIS DRAIVIN6 ARE NOT TO BE USED TO DETERNNE PROPERTY LINES OR POSITION ADDIrIONAL Ii`7PROVEnENTS. ANY PA MING' SHOWN HEREON 17A Y BE APPROXIP7A rE AUE TO EXCESSIVE SIVO& ANDIOR ICE_ .. • A NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWINGDESCRIBED rr _'OT22 3L OC k0l.1 EST,A TEs IMPROVEMENTSANCHORAGE RECORDING DISTRICT, ALASKA., AND THAT THI VISIBLE RARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED DED AT ANCHORAGE i ALASKA THIS 3 =r„, JUIVE -3 2020 '4r;4_, Flq -704 ,5,5 HOL T LAND SURVEYING 9309 GROVER DRIVE ANI✓HORAGE, Aff 99507 345-5513 Municipality of Anchorage Page / of 2- DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 e Anchorage, Alaska 99519-6650 ® Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 0- 1 79 2-R? c' Permit Number: SK/ 7Z°('f-`f' PID Number Name:_ , f Wastewater System: ; New ❑ Upgrade Address 67,,4,...---. u'A 7�05z-7 KIt<rkiii ABSORPTION FIELDY. Phone: 6'94:'_ l:rs ,V 5-- No. of Bedrooms: 3 ❑ Deep Trench n Shallow Trench ❑ Bed XMound ❑ Other LEGAL DESCRIPTION Soil Rating: CZ 5 GPD/Sg. Ft. Depth to pipe bottom from original grade: i-`J Ft. Total Depth from original grade: Gf Gravel depth beneath pipe CI, '¢ Ft. Lot: Block:{{��'� Subdivision: 2-Z 'L— :t/C_Fci 4': tY 1/i Se%-0 t5.774-Y55 Township:Range: !�! 1 lAi Section: Fill added above original grade: ll `� — Ft Gravel length: 4- > Ft. WELL: ❑ New ❑ Upgrade Gravel width:�/ ��// � T".' FL Number of lines: "C Distance between lines: to Ft. Classification (Private, A.B,C):}7.a+ tG L ,'r 11 :,-, - Totat Depth: Ft. Cased To: Ft. Total absorption area: qi,c) SC. Ft. Pipe material: ,/ y��4 3csst. Driller: Date Drilled: Static Water Level: Ft. Installer: b (-dO G69,+ktK ea" Cei:Vii >T , Date installed: 01, ; � Yield: GPM Purnp Set at: Ft. Casing Height Above Ground: Ft, TANK SEPARATION DISTANCES ❑ Septic E Holding S.T.E.P. To From Septic Tank Absorption Field Lin Station. Holding Tank Public:Private Sewer Lines. Manufacturer: of �n tit �A- 2d,7,u:/ -t% Capacity in gallons: 1 ZS C2) Well Siat,c%fi [-er3y- 2Zr�r __ i_'GYdr' Material: �. a 7"aef- Number of Compartments: Z Surface Water 2,,,r_,.,_ 'L.%uy 2_ :,-,,_,-E.- — 2.�.:=,_ LIFT STATION Lot Line (70 %3 j 0 GE'; -- Size in gallons: j z...,--5-c, Manufacturer: i tai-! AM'.:x_i cw.DA.c Foundation 6-1 -- on" level at: "Pumpp Pum off"' level at: ' High water alarm at: '=-'' Curtain Drain /tmr C3/l-� [ �' / \ jb, / -Ll.e /V _.... Pump Make & Model �'r�'�L'-c� Elec dcal Inspections performed by: I - /-421-i... WAIL r-�Lc:c -'h--iiD(1774-:'* L-:. T;=L. Remarks: BENCH MARK 1-'L^ .. i t a3771- Location and Description: 1 y/ _47 01LF,v...l J Jw -tz> (7`-firs ,. -- Assumed Elevation: D o.:, Ft ENGINEER'S SEAL i -.f+i 1✓ W , f pp Y �y1 .eL d`y�i di � s '"'/ situ *0 WO ••F'arfc l% " • 't+d f:. wey9 i 4.44' ,,,,i;94,4,,,,,,,,°'7,;70......., o'Z�� y'C".1,44, Inspections by: �t ` , " � '-'-/c --' Dates: 1st performed 2nd /6(cA91.-- Department of Health and Human Services approval Reviewed and approved by: � M �{'� �� Date 1.-47-- 72-013 (Rev_ 9/91) MOA 25 Permit No `S IA/ ci 2�' x,/17 Page 2 of •Z— 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 Legal Description: LC, S 13ie 114i 1 C1-'4,-; , PID No • Co I Cc) 'VIII 1Z� 93 le - 'Tib a I27 r +v1r cvM f 1:44 1 .a -4�Y 72-013 A (Rev. 9/91) MOA 25 �r Z f6 1%icgt4a hAttsS3- it1-r.-' .a 'TV L ' 5 - cpm G. rte. 9cosp 4 1 rte 6.4,.3o c '7_ 9P//sF cer +417:11-112.-.. ••zz.c7.vPn'i-wA/ -I-4-e Z4- u4e.,` Sz JS s-rok-razoki --_ _TYPE S.7s'r r iwJc7c Pef-rzL O,s esu A.A- _Timex-fo s�co 341x4,4.es z t3G 3°z 33t u � � _ ib�ear-41. 4-1 � t s/e rfs4-4. 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:SW920144 DESIGN ENGINEER:DAVID R. DAYTON, P.E. OWNER NAME:KUNKLE CAROLYN R OWNER ADDRESS: 825 N. ONTARIO ST. BURBANK, CAL. 91505 PARCEL ID:05179226 LEGAL DESCRIPTION: MCKINLEY VIEW ESTATES BLK 2 LT 22 LOT SIZE: 36193 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 6/22/92 EXPIRATION DATE: 6/22/93 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: IN THE CONSTRUCTION OF THIS BED DRAINFIELD, THE ORGANICS AND SILTY SAND MUST BE REMOVED TO A DEPTH OF APPROXIMATELY 3 FEET AND A 2 FOOT SAND FILTER LAYER THEN INSTALLED PRIOR TO PLACING THE SEPTIC/ ROC RECEIVED BY: ������ - DATE: ISSUED BY: DATE: firabi Lcrr- 2 2 4. . Lc Mc let A.?LG'`i.,) V i L-. David R. Dayton P.E. HC 78 Box 1026 ChuGiak, Alaska 99567 S PTt c SYSr .4A- l7 tG N %T- Z 2 +3� c� z V) k)Nc, )1E1u) 3 B e — 10©® 9 a) %t.i r Z Cc >u f T> � Pee e 2, m1Nl/A.oc., -- aG-9PcilsF 4sa.PeA 5 C.O -TA• L L' • z. moos -P 24x4 -co" o216, G-zo 11 0104-1 Pc. UN9ATIoN 4v x: ¢o' 3I. L W for to or •s -.c (,`7' r3�-cow/ ©21Gs A(. P.A-c j Co' ow Swce., oc� awe o•dv 4" Purl car 2 /v .'ig-rso v Z' Alt /00 ovi - so 444-1-1-00 (/SoIA-/Q‹._ 4 PlP)ss.)G, 1 B/Lb /t- 1 s ss -rrr c *' ry 4 I"t, •f VdiI• coe J �' c,$J Loa Ya bs 0@O*Ob+w, t 0/4 4 a David R. Daytcn . 4Q 4' .� S� se No. 2205-[ ,o David R. Dayton P;E. HC 78 Box 1026 Chugiak, Alaska 99567 6/i se/9L zAz t' 74. David R. Dayton 3 �• # , • NO. 22054 ��, La -r 2 Mc le, kL V•`w pr; c S v. S ,-TCt- David R. Dayton RE. HC 78 Box 1026 Chuglak, Alaska 99567 mf e.o' S� ' SV srel ,. "..e.s. t4 %T Z 1) a kt>Jc. 13 e — l coo c3 a 1 ko. Z Co ni%>G }�Ee- 2Ac -t MtN9 — 6-9Pei iSfe WA, -'r6- rL -774 Fa L LS 45OolrcA C Ise 24 & 4,.ca. 24. 0 • •s'*4cm ()i r•t4J 7 - Os 3 PT Q W I `rc) k- 4-a,.l' ., ,d,E el"J9 osn m; L 0 1 i9l exfeo..... ........��N .•.• �� a David R. D cyton � J'�°s° NO. 2205•E ;e 4 e b•( � 9/•V�.. o.e ee`,� PAO . a a David R. Dayton P.E. HC 78 Box 1026 Chugiak, Alaska 99567 6//4'/gL z/z Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: -) /A.° LEGAL DESCRIPTION: L -T -;?,e DEPTH (FEET) 2- 3- 4- 5- 6- 7 8- 9- 10- 11 - 12- 13- 14- 15- 16- 17- 18- 19- 20 - 0 DATE PERFORMED: ��"4�"Af.?j✓Z--- S'67C.- C77 L4!✓) SITE PLAN int( rJ4/ C ) 14'6'4) L_>7-- Township, Range, Section SLOPE 7,-a. 6:11.3 < < a IMO MIEN MIN MIME MIN MEE MEM MEM WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? +, 5 L O P E Date: el:"3/9'2 T Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN COMMENTS L PERFORMED BY' i. (// % '717='f�- f•%< ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: (minutes/inch) PERC HOLE DIAMETER FT AND FT CERTIFY THAT THIS TEST WAS PERFORMED IN 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST s u,m a�ue4 03, ce 4. r; " / ". ,.8x0006b ea I'CA a% !)covin R. Grt; fsi F ® NC.). 22(115-F: �aV 7 {o Fp PERFORMED FOR: ''�t z'"// f,?tF DATE PERFORMED: LEGAL DESCRIPTION 4 1lf)C. vAN. `y Cie Township, Range, Section SLOPE MIN MEM MEM MIN MEE UNPIN MIN VI_ WAS GROUND WATER �._.. ine°+ ENCOUNTERED? IF YES, AT WHAT r?, j3x crv. ,,_ DEPTH? 12 (d.LA? COMMENTS Depth to Water After / Monitoring? 7 C Date Jf`'e SITE PLAN a7� Reading Date Gross Time Net Time Depth to Water Net Drop ( 6;//49.! I/ ' /7-3 c._t -77/C, i/ <> : '3 C.., /2 57/6". 57„4/4 2.— l i S- 3 0, 7 7/4= 12.: s3 :'i c' /'2 S 1/4-. PERCOLATION RATE TEST RUN BETWEEN 3'* (minutes/inch) PERC HOLE DIAMETER FT AND 41e <- - FT PERFORMED BY 1 J�-1 1I 17t -Y"4 r".-+ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN O',l, a^,1 ... DATE D. 'R. DAYTON, P.E., R.L.S. HC 78 Box 1026 Chugiak, Alaska 99567 DESIGN NARRATIVE Lot 22, Block 2, McKinley View Estates my (907) 696-2417 The soils found in the test holes for both the original and replacement systems were of the same types. The receiving soils are a silty sand with a percolation rate of 6 minutes per inch, which allows a loading rate of 0.5 gpd/SF. For a 3 bedroom home, the bed size was calculated at (3 x 150)/0.5 = 900 SF of absorbtion area. The lot slopes from South to North at about 1% to 2%. The subdivision is served by a "Class A" Public Water System and therefore contamination of wells is remote. The system will have no significant impact on future systems on adjacent lots, reserved space/surface or subsurface, or on drainage. Respectfully, j / )/ (/E,L i David R. Dayton 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. 051-792-26-000 Expiration Date: 9/19/2025 Legal description MCKINLEY VIEW ESTATES BLK 2 LT 22 Site address 21428 BARON DR Chugiak AK 99567 Current property owner(s) VERNON JUSTIN &AUDRA MAE MARIE X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 9/27/2024 his 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 Approval June 2022 ZZOZ aunp uoijeogddy VSOO -,t/ hZ/6 ?b # aanleM luawAed 10 alea $ aaJ aanleM 2 C # VS00 - > ;uawAed Jo aIea „ p $ aad `dS03 •papinoad uollew.iolul ay; jo Aoeinaoe ag} Ajlaan 01 }fie}s ails -u0 ledmunw Aq uolloadsul of 13afgns sl Apadoid sIgj `JuawalIqua slut iol BuiAldde A8 aoue}slp ❑ :pajsanbaa nnainaa pallpadx3 :aoj Isanbaa aanleM IId abedaaS ❑ gouaal aplM ❑ gouaal deap ❑ pa8 0 SiM/\A ' ❑ :Q -131d NOI1&lOS8d '9 sjeaA OZ ueyj aaplo pals dl fuoslnpe aaS - M3 N a6y ssel6aagld ❑ al9.lou00 0 all5eld ❑ IaaIS ❑ :>iNVI :DI1d3S 'S aamaS ollgnd ao olldeS Apnwwo0 F-] � ue16ulploH ❑ spn 6ulllamp Z 6ulnaas olldeS a}enlad ❑ ol}daS alen!ad 0 :'ldSOdSIO Z331`dM31SVM =10 3dA1 'v a6eJOIS aaleM ❑ ollgnd JO IIaM Al!unwwo0 0 shun 6ulllannp +E 6ulnaas IIaM ajenlad ❑ spun 6ulllamp 7. 6UINGS IIaM alenurl 7 IIaAA aleAIJ,4 7 :A1.4r-inC N'a I VAA 40 =1r1A i • ' 5050-V �L-90t auogd AL -C] SINOON038 E ifOd 03ZIS SW31SAS 311S -NO 'Z NONH3A NI.1Snr ,& duand (s)aaumo Aliadoid }uaaano >iv `yi!DnHO `3AIH(I NOHVS HVIE (ssaippe ells) u011e301 ZZ 10-1 `Z NOMO `S1diSA M1In AIIN1�1OW uol�dlaosap le6al a�aldwo0 9z,AL-[50 a'Ilaoled NOIIVWHO-ANI-IVH3N39 6 uoljeoilddd lenoaddd swelsAS a}iS-up jo ajeoljijla:D L66L-St,£-L06 :xed _ copes aaiemeiseM �R aaieAA ells -up t06L-CK-L06 :auOgd luewlAedap saoin.laS juawdolanaQ .1 I V d 101 N If I COSA Checklist • MCKINLEY VIEW ESTATESBLOCK 2 226 Legal Description: � � LOT 22 Parcel ID: 051-79 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. L DATA ❑ Well log is�ithOnsite attached) Date drilledpth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) Date of flow test for CO Static water at beginning of test ft B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: Well production at time of test Water storage tank mpkffre gallons ;We=Cis dforcoliform test? ❑Yes No cteria is Negative 44ate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date C. LIFT STATION 9 Required maintenance completed Age of lift station NEW years Lift station material CONCRETE Comments: D. ABSORPTION FIELD DATA (Introduced water into MT1) MTI/MT2 Which system tested (date installed) 10/8/1992 Q ALL standpipes present per record drawing Total measured depth from grade 3.8 ft (max) Measured depth to pipe invert from grade ft (min) ❑■ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N/A If yes, enter date Adeouacv test date 8/15/2024 Results 0 Pass Fluid depth prior to test 0/0 in Water added 675 gal New fluid depth 11/ 0 in Elapsed time 30 min Final fluid depth 9L— in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in Comments/Deficiencies: Elevation at bottom of both MTs differ by 0.3 feet (MT2 is lower). It was assumed that at least one of the MTs is set to the correct elevation. COSA Checklist June 2022 E. SEPARATION DISTANCES ivate Well on Lot to: (Please enter distances if less than required or if community well on lot) Fs� Yes Septic Tank/Li on Lot > 100' Surface Water > 100' Community Sewer Manhol nout > 100' Tank to Property Line > 5' Yes if No ft [:]Yes if No ft Neighboring Tank > 100' ❑ Yes i ft Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if N ft Tank > 100' ❑ Yes if No ft Neighboring Absorption Fiel IAnimal Q Yes if No ft Containm 0' Yes if No ft if No — ❑ Yes if No ft _ Manure/Animal Excreta Storage > C nity Sewer Main > 75' ❑Yes if No ft Yes if ft 0 N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Fs� Yes if No ft Surface Water > 100' Q Yes if No ft Tank to Property Line > 5' ❑i Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Garness Engineering Group, LTD. (GEG) Phone 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 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) regardinj 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. COSA Checklist June 2022 907-337-6179 o J . 4T . - ....L.. _� f y P,. Ga Hess:' LICENSE 1Q; r0 i e s sic #AECC884 / / LOT W-1 \ PLAT #2022-73 / 0 \ / /, A 200' WELL RADIUS SEE NOTE 3 \ >>2 PLAT #85-225 8j, / co \ j vv 40.2vv / 75' POWERLINE ESMT. V / LOT 22 v / BLOCK 2 ro o ----- ��— cl co b!y OG .� Q / / 50.5' / 31.0' / LO T 21 BLOCK 2 \w \ D° LOT 10 LOT 20 \ BLOCK 3 BLOCK 2 ASPLS MORTGAGE LOCATION SURVEY NOTES: NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. LEGEND ( ) RECORD DATA PER PLAT #82-225 0 FOUND 5/8" REBAR, NO CAP EDGE OF ASPHALT E E OVERHEAD UTILITIES �"v WATER VALVE PH PADMOUNTED TRANSFORMER 0 UTILITY PEDESTAL @o SEPTIC PIPE MH SEPTIC TANK LID DECK 0 CONCRETE �' OF A�'`<< 0' 30' 60' /Alw ' ;9s'`rli� SCALE: I"= 30 FEET *� ••49TH • • • • ••* (11"x17") 141 5�/ J ••Ryan G. Johnson; r�+,••No. 192159 ,•� \2\202,�'S'dw AS -BUILT OF: (WO* Municipality of An h :40"t' On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcell.D.051- 26 1. GENERAL INFORMATION: Expiration Date: Complete legal description MCKINLEY VIEW ESTATES; BLOCK 2 LOT 22 Location (site address) 21428 BARON DRIVE, CHUGIAK, AK 99567 Current Property owner(s) DAWNA EICKHOFF Day phone 716-648-4803 Mailing address Real Estate Agent PO BOX 670704, CHUGIAK, AK 99567 i 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class A Well ® Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: i COSA Fee $ 55-0 �6126b Waiver Fee $ data of Payment ,�/�'/ Hata of Payment Receipt Number (30 lglC? Receipt Number COSA # 1013 C 20 11 P Waiver # COVID-19 2570 DISCOUNT APPLIED �,� 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) incompliance 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: 007-337-6179 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 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 systemis; iherefore, 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 perforin the evaluation. Reliance upon the inrormation 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/ System #1 Approved for 3— bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, oG O F Iw� �7 *rli . . . .................. fJ, t re C eE - 9 t1 PCP o� F, G. #AECC884 with the following'.s 'fatioOn�s�_SITE�� _ cQ yyp TS7 wy`�ATER g`^ J J 1� 1 Original Certificate Date: S --t2."2-020 The Municipaiity of Anchorage Development Services Division (DSD) issues Certificates of un -Site Systems Approvai (GUSH) 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 Septic System Advisory Well Flow Advisory COSA blue sheet 10-10-12.doc Nitrate Advisory Arsenic Advisory Other l COSA Checklist Legal Description: MCKINLEY VIEW ESTATES; BLOCK 2, LOT 22 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Parcel ID: 051-793-26 Structure served by this system 1 tNELL DATA COMMUNITY WATER SYSTEM ❑ Well log 'ed with Onsite (or attached) Well production at time of test pm Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for C Static wate e at beginning of test ft. r, ments B. TANK DATA Age of tank(s) 28.5 years Tank type/material STEEL Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping 10/18/2019 D. ABSORPTION FIELD DATA PRESSURIZED BED Which system tested (date installed) 10i8/92 ❑ ALL standpipes present per record drawing Total measured depth from grade 3.8 ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized. field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Water storage tank volu _ gallons Well disinfect r coliform test? ❑ Yes RM No corm bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Ara c ug/L E] Arsenic less than MRL (ND) Collected by EG,LTD. Date of Sample _ C. LIFT STATION ❑ Required maintenance completed Age of lift station 28.5 years Lift station material STEEL Comments: SEE ATTACHED LIFT STATION MAINTENANCE LOG Adequacy test date 4127/20 Results ❑✓ Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 682 gal New depth 0 in Elapsed time 0 min Final fluid depth 0 in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) NONE If yes, enter date E. SEPARATION DISTANCES COMMUNITY WATER SYSTEM Fro vate Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Stau Lot > 100' D Yes if No Community Sewer Manh �anout > 100' Surface Water > 100' D Y�` if No ft ❑ Yes if No ft Neighboring Tank > 100' D Yes if No ft to Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' D Yes if No ft Tank > 100' ❑ Yes if No ft Neighboring Absorption Field IAnimal ft Community Wells > 200' Containn 4 50' ❑ Yes if No ft Water Service Line > 10' _ D Yes if No ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > ' Cor ry Sewer Main > 75' D Yes if No ft D Yes it ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' D Yes if No *51+ ft Surface Water > 100' D✓ Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' D✓ Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' 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' D✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' D✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' D✓ Yes if No ft Water Service Line > 10' D✓ Yes if No ft Community Wells > 200' [✓ Yes if No ft Surface Water > 100'✓D Yes if No ft F. ENGINEER'S COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALLATION. G. ENGINEER'S CERTIFICATION o'er OF I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with�pOC'-).*� MOA COSA guidelines in effect on this date. �.... • .. ... .. . . .....`.. , _ i e A. Gar ess.- UQ p C E a; 2 COSA Checklist yellow sheet led 1'�o f e s s.o�Nc\ #AECC884 �9UNil OR Development Services Department Phone: 907-343-7904 On -Site Water,& Wastewater Section `— Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log Owner_ n da, u r.5 Street Address 418 S wCo n tr� Septic Tank: 'Sludge level 0 inches -Pumping: required yes no ®Pumping completed yes no Lift station: Pump basket cleanedes no -Effluent filter cleaned es no Control floats cleaned es no -Proper float settings confirmed es no -Operation satisfactory es no !-alarm System: Dedicated electrical alarm circuites no Audible and visual alarm inside dwelling es, no -Alarm system operation atisfactory_ not satisfactory Manhole Riser Ground water intrusion at riser to tank connectiones no l -Ground water intrusion around pipe penetrations rtes "Weep hole functional es no Manhole lid: Functional yes no Insulated es no Properly Secured es no Other -All manufacturer required inspections and maintenance completedes no Comments: Qualified Maintenance Provider: Technician tYA Beattn. el 2 Company ii�t3 evil. Y.., Signature Date of maintenance�7 C Date / -T/'z 0 z a MW I DEVELOPMENT SERVICES DEPARTMENT ; On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval #OSC201182 Subdivision: McKinley View Estates Blk 2 Lot 22 907-343-7904 Fax: 343-7997 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 28.5 years old. Typical replacement costs range from $10,000 to $13,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. y £ Mailing Address P. 0 Box 196650 *Anchorage, Alaska 99519 6650 *www mum org Municipality of Anchorage Development Services Department Building Safety Division On -Site Water i£ Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING COSA# 030 'Ala() Expiration Date: — / 1 r 1 3 Parcel I.D. 051-792-26 1. GENERAL INFORMATION Complete legal description MCKINLEY VIEW ESTATES; BLOCK 2, LOT 22 Location (site address) 21428 BARON DRIVE *CHUGIAK, AK 99567 Current Property owner(s) Mailing address 21428 BARON DRIVE *CHUGIAK, AK 99567 Lending agency Day phone Mailing address Real Estate Agent ROLF MILTON W/ PARTNERS REAL ESTATE Day phone 694-4994 Mailing address SCOTT & JOANNA TURNER Day phone C/0 AGENT 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 A 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 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 ray 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. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date b/C42 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. 5. DSD SiIGGNATURE Approved for 3 bedrooms. 7A essr• 0D CE— Z X40) e^ 4 J2.' cAo 46ec"P o c. v rofessiot` 0o ittocurar `. 1;40 `wdbIt9 //i SrON-SITE 2 Disapproved. `' WATER AND Conditional approval for bedrooms, with the fallowing stipulations: SO WASTEWATER 6; PROGRAM By: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: — / / — /2 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: MCKINLEY VIEW ESTATES; BLOCK 2, LOT 22 Parcel ID: 051-792-26 A. WELL DATA Well type A If A, B, or C provide PWSID# 210697 Well Log (YIN) Date completed Sanitary seal (Y/N) Total depth ft. Cased to ft. FROM WELL LOG Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESUL Wires properly protected (Y/N) Casing height (abo AT IN TION ound) in. Coliform colonies/100 ml. Nitrate mg./L. Collected by: Ar ug./L. Date of sample: B. SEPTICIHOLDING TANK DATA Tank Type/Material STEP/STEEL Date installed Tank size 1250 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) YES Date of pumping 8/18/11 Pumper JR'S PUMPING 10/8/92 C. ABSORPTION FIELD DATA *BELOW EXISTING GR4DEI Date installed 10/8/s2 Soil rating (g.p.d./ft2or /bdrm 0.5 System type MOUND Length 40 ft Width 24 ft. Gravel below pipe 0.5 ft. Total depth *4 ft. Eff. absorption area 960 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 5/21 /12Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 710 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth in Absorption rate >= 450+ gpd Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date — D. LIFT STATION Date installed 10/8/92 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at 77 in. "Pump oft" level at 77 in. High water alarm level at 72 in. Datum TOP OF LID Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent Tots Public sewer main - -wer manhole/cleanout Sewer /septic service line Holding tank An - >• -inment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Properly line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+PVT/200'+PUBLIC SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 101+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+PVT/200'+PUBLIC F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that t have determined through field inspections and review of Municipal records that the above systems am in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS 6151 Date COSA Fee $ Date of Payment (01(0/1 a Date of Payment Receipt Number 0;c2006 Receipt Number (Rev. 11/05) qqo- Waiver Fee $ E16/05/2[112 09:38 9076944995 PARTNERS REAL ESTATE fi' X r . I V S r �/-, �'� w�,l f .^•r^•.� _ ; �r C l PAGE 02 wr-e-tayip ti E23.41. in-a.r: �C.Lte f'. C✓, ‹kr t. E OF g1.��9. se 0 fri ii, di Pt rQ9ti! 11 r1. Yii.ar+wM•sNawerl. e -A rJfM.btiM Robert C. RaDC. Jottnon In NO. seas I I 44tergiThneesafrir e AS -BUILT 1 hereby certify that 1 have surveyed the following described poD roperty, L. f? �/ 1=,x.1 Anchorage Recording Precinct, Alaska, that the improve- )\ / ments situated thereon are within the \( property ma t and do not or encroach on the rope?la nt thereto, that im rovements on prolying adjacentthereto hencroach on thepremises in question and that there are no roadways,transmission adjlines or other visible easements on said property except as indicated hereon.- Dated at Eagle River, Alaska this y�`�// day of. /11€%. 1913 SCALE: ROBERT C /JOHNSON ',hot9..r 1" . Registered Land Surveyor No. B130 -L5 4t.0 ' • Box 77-0456, Eagle River, Alaska 99577 Phone (907) 694'-2543 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I D # 1f�� l"Irk �Ip HAA# 0Q99--n1gra 1. GENERAL INFORMATION Complete legal description r' cryi- Z 2_ Z_ MC2 �)n- L. LTV V» z�%S 7—A - Location (site address or directions) R'61•J z Property owner F Iz:I ,'J Mailing address . fl 0 (12:1 Day phone 69. /-.9,5';2-.C.- FA -.9r5' s FA 6 L Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address David R. Dayton P.E. 20210 D�na1at Chugiak, Alaska 567, Phone 6'(/4' -7/1-,1 Engineer's signature 6. DHHS SIGNATURE Approved for T�/(% bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Date Additional Comments By. Cud-c4"-x.,et Date `7- _ - CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. -in nnc to..,. 1/Ot1 oenL RA lA 11,1 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 6=1 ar"" es Parcel 1 D r� / J T 2 iVL4z. S?,ta:3a l:•r �A}L f >rs'lq Y= A. WELL DATA Well type i4 If A, B, or C, attach ADEC letter. ADEC water system number r' .-i, s:a L, iVe.,c✓ Log present (Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ; On adjacent lots Absorption field on lot ; On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer service line Petroleum tank gpm AT INSPECTION g WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by. B. SEPTIC/HOLDING TANK DATA Date installed / Tank size ia..r -;`) Compartments e- Cleanouts (Y/N) Foundation cleanout (Y/N) Y Depression (Y/N) High water alarm (Y/N) Y Alarm tested (Y/N) y Date of pumping /4-c,c Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Weli(s) on lot On adjacent lots Foundation To property line Absorption field Water main/service line l ' Surface water/drainage 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer 4n"'} /A t,i. t.,/_ -;.--A- ` '` Size in gallons — / C Manhole/Access (Y/N) Y Vent (Y/N) "Pump on" level at " "Pump off" level at i '' High water alarm level _.`,1'' Cycles tested Meets MOA electrical codes (Y/N) V SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots f Surface water D. ABSORPTION FIELD DATA Date installed 0 X Soil rating . C) System type -' , / Length Width ,:Z Gravel thickness G y Total depth /1. u Total absorption area (/'( ''' Cleanouts present (Y/N) Depression over field (Y/N) y Date of adequacy test A T a` tcj Results (pass/fail) for bedrooms Peroxide treatment (past 12 months) (Y/N) sKl If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot '✓'f On adjacent lots ^/moi- Property line %/ To building foundation To existing or abandoned system on lot On adjacent lots Cutbank /`%a. Water main/service line F;L r Surface water /e 6, / Driveway, parking/vehicle storage area _ Curtain drain ,/;../..,.,-,.. ,e' -i.', .,,.2. E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. David R. Dayton P.E. 20210 Donalar St. Chugiak, Alaska 99567 Signature / Engineer's Name % j Date t-, HAA Fee $ / '( ) Date of Payment Receipt Number 77.090 !Rev '11011 Rark LIOA 91 JO rl, i/r`/VV (111 Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL. CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 April 7, 1993 Mr. David Dayton 20210 Donalar Chugiak, Alaska 99567 SUBJECT: McKinley View Estates Subdivision Class "A" Public Water System, PWSID 210697 Dear Mr. Dayton: WALTER J. NICKEL, GOVERNOR (907) 349-7755 I have completed a review of this office's files concerning the monitoring status of the above -referenced Class "A" Public Water System and found the following: 1. The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on March 23, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 2. The last inorganic Chemical Contaminants Sample results were submitted to this Department on February 4, 1991. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 3. The last Radioactive Contaminants Sample results were submitted to the Department on February 8, 1993. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. 4. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on June 23, 1992. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above -referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, ,72/0141,14 Michael Lu Environmental Eng. Asst. II ALMA LECTRIC Electrical & General Contractor Hal Kostlin ELECTRICAL CONTRACTOR LIC; #601 "' P.O. BOX 771745 * EAGLE RIVER, AK 99577 694-9993 To: Eagle River Gen. Contractor Po Box 77927 Eagle River AK 99577 Date: 04-12-93 RE: Lt.22,B1k.2 Mc.Kinley View Est. This is to certify that on site sewer lift station has been wired to meet National Electrical Code and manufactures specifications. System was tested and functioning properly. zoo i•oaiia