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HomeMy WebLinkAboutMCMAHON #2 BLK 6 LT 10Onsite File McMahon #2 Block 6 Lot 10 #017-361-32 As-built survey requirement waived to close out permit OSP211175. Updated survey shall be provided for future COSA approval. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion?;;<HV No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 017 361 32 MCMAHON #2 6 10 WORTHY WILLIAM E IV & ANGELA T 4001 KUTCHER DRIVE ANCHORAGE, AK 99516 03 14 2023 200 A.Y. MCDONALD 24075V2 .75 14 MARTINSON PELLETS ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET ANCHORAGE AK 99518 SuBMirrAI Municipality of Anchorage OCT 2 2021 On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211175 PID Number: 017-361-32 Dwelling: 9 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Upgrade Name BILLY WORTHINGTON ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ound Site Address 4001 KUTCHER DRIVE *ANCHORAGE, AK El Other Phone Number of Bedrooms Soil Rating Totaldepth original grade 907-382-1892 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grad Gravel Gravel depth beneath pipe Ft. Subdivision Block Lot MCMAHON #2; BLOCK 6, LOT 10 Fill added above original gr Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well 100'+TANK )SI Septic E3S.T.E.P. ❑ Holding [:1Other Manufacturer GREER TANK Capacity 1250 Gal. Surface Water 100'+ Material Number of compartments Lot Line 51+ NA HDPE 2 Foundation 10,+ LIFT STATION Manufacturer Capacity Remarks OLD TANK DECOMMISSIONED PER UPC Gal. PER CONTRACTOR Alarm location Electrical installed by Installer PIPE MATERIAL House to tank D3034Tank to D3034 drainrield A+ HOME SERVICES Dralnfleld D3034/EXISTING CO/MT D3034 Inspector MOA AND GEG BENCH MARK (Assumed elevation) 100.00 ft Inspdection 1st 8/25/21 - Location and description nd 2 3b _ 4th _ TOP OF MH ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date Engineer's Stamp Qo��O 0 9F o ... ...... • 95 00 oo� 4T*�00 p. ................ ........� 0 _ .7..... ...Q Septic System � pp Date Approved 1 1 a 2 x621 Je ` Corn ss, O� 9 �E � 3 s Note: this approval does not include well permit requirements. #Aecce844��Opp�000�Q� 7\/-UfdMiC d OW- b U4,U s W �� -16 CtD Se out OLW �-. e s p P ry v i`dc) cd _&rt CDS( PERMIT NUMBER: OSP211175 A I B MH ST1 DBL3 DBL4 RECORD D RAW I N G PARCEL ID 017-361N32BER. qpp .'0 /kq 70011, w F4 1LAJ a. z I ` \ NEW 1250 GALLON HDPE Q 2 I \ GREER TANK WI Z I TI \ o MH o + 7oo� F�! EXISTING 4 BEDROOM HOUSE \ / `J5 V c.tir72 3701 E. TU ROAD. UITE 101'ANGHORAGE�AK507'P19071 J37'FAX (77&3�4WtIIE .9 esseng�n enrng.com' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BILLY WORTHINGTON 907-382-1892 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MCMAHON #2; BLOCK 6, LOT 10 D.J.G. TYPE OF WORK: DATE: 1, SEPTIC TANK RECORD DRAWINGS 9/28/2021 AoV %.K ............ . ..... ►Y71{......... w. ..... •.• . ......n'.............. .......... � . .f eyA. Gayness :• -) ■ #� CE -795! LICENSE444p-/ 1 T%kr \\s� •• #AECC884 PERMITAUMBER: PARCEL ID NUMBER: x211175 RECORD DRAWING P017-361-32 TOP OF TANK AT INTLET = 95.86 INVERT OF BUNG AT INLET = 95.27 TOP OF MANHOLE = 100.00 FINAL GRADE = 98.2-99.5 MH1 NEW 1250 GALLON H.D.P.E. SEPTIC TANK 2" INSULATION PER CONTRACTOR TOP OF TANK AT OUTLET = 9 ("I t— s 6 Ll � J io�t1�2-t INVERT OF BUNG AT OUTLET = 94.98 w= w....... ENGINEERING SALES;:- CONSULTING n. ,.... ..� 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 -PHONE (907) 337-6179' FAX (907) 338-3246' WEBSITE: vAvv.game engneanng.c PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BILLY WORTHINGTON 907-382-1892 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: MCMAHON #2; BLOCK 6, LOT 10 D.J.G. TYPE OF WORK: DATE: ASEPTIC TANK PROFILE 9/17/2021 OF '# # .......... ..•........... 0 • ai.. • ........• .••.•• 1# C) rey amess ;90 AV ##x Ar C 7117 _,w LICENSEt11,;`;,�� �• #AECC884 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: OSP211175 Work Type: SepticTank Upgrade Tax Code Number: 01736132000 Site Legal Address: MCMAHON #2 BLK 6 LT 10 G:2835 Site Mailing Address: 4001 KUTCHER DR, Anchorage Owner: WORTHY WILLIAM E IV & ANGELA T Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: �0 U � I apartment Lot Size in Sq Ft: Total Bedrooms: 6/1/2021 6/1/2022 42915 ❑ 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 Received By: ' Date: 1 0 Issued By: �'�' R Date: 4 MUNICIPALITY F ANCHORAGE .� 3 , .,T..• Phone: Development Services Department 907 -343 -790 -;it ti On -Sit- Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-361-32 Property owner(s) BILLY WORTHINGTON Mailing address 4001 KUTCHER DRIVE *ANCHORAGE, AK Site address 4001 KUTCHER DRIVE *ANCHORAGE, AK Day phone 907-382-1892 Legal description (Sub'd., Block & Lot) MCMAHONj� BLOCK 6, LOT 10 Legal description (Township, Range & Section) '-ti Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank 0 Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN Initial ❑ Upgrade 0 Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: N/A TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance:-- I istance:- 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: ,9 P -9 5 Waiver Fees: Date of Payment: 5 1 12 o2 1 Date of Payment: Receipt Number: 0/3,516 Receipt Number: Permit No. OSPQ 11 /75 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Clie nt FormsTermit Application.doc 'Al Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211175, Rebecca Carroll, 06/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211175, Rebecca Carroll, 06/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211175, Rebecca Carroll, 06/01/21 l Lot 11 . •� N 89'54'00"E 225.00' 10' UTIUTY EASEMENTS I N Z - 01 Ci O i Lot 10 o 42,915 s.f. ' a ASPHALT .. PAVEM EM,' . 5.0' ED ENTRY 20 kurC6 SEPTIC PIPES n .WOODEN PENCE 3.3''z )4.5' CANT Qo, �o• �pp 7.4' . 8.5' DECK V / 1 STORY RESIDENCE 83.7' WiTH DAYLIGHT BASEMENT —1.0' x 6.0' ow Qom. q 4.1' x 14.8' DECK M1� 1.5' CANT WELL--\ MM L=47.12' R=30.00' T 40 PLOT PLAN AS BUILT x SCALE 1" _ GRID SW 283_5_ Project No J19 -002/R1 Associates, 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A s s o c i a t e s5 Inco (907) 522-6476 Phone (907) 522-4625 Fax `d Professional Land Surveyors kenelongsurvey.com v F A��Q Jon athan®longsurvey.com 1 hereby certify that I have surveyed the following described property: Lot 10, Block 6, SECOND ADDITION TO McMAHON SUBDIVISION (Plat No. 72-87) 0 Anchorage Recording District, Alaska, and that the improvements situated thereon are P""" """""'�i within the property lines and do not encroach onto the property adjacent thereto, that Q no improvements on the p property lying adjacent thereto encroach on the surveyed Q•. premises and that there are no roadways, transmission lines or other visible Q J0 N• C.' I'A' br� easements on said property except as indicated hereon. S-9944.••' Dated this the gJp© _� Day of G `-'-Or'��� at Anchorage, Alaska Qn A �Oo v�p4�5Si6NA1-�� It is the responsibility of the owner to determine the existence of any easements, Opppa'� covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963  MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVI RONIViENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE I J~NEW MAILING ADDRESS Well ' Absorption are~ Dwelling PERMIT NO. DISTANCE TO: ~ ~ ~ ~ Manufacturer Material ~EL N°'°fc°mpartments ~~ Inside lengt~ ~ Width Liquid depth  Liq. capacity in gallons Well Dwelling PERMIT NO. Manufacturer ~ I ~ Material liquid capacity in ~allons Q Well Foundation Nearest lot line PERMIT NO. ~ DISTANCE TO: ~ ~ ~ ~O ~ No. of lines ~ Length of each ~e ~ Total length of ,,nes+~ Trench width~ ~ inches Distance between lines ~ ~ ~ Top of tile to finish grade ~ t~ Material beneath tile ~ [~ Total effective absorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area m Well ~1~ Building foundation Nearest lot line DISTANCE TO: ~ ~ ~t~ ~ U~ Depth Driller Dista.ce to lot ,,ne PERMIT NO. ~ ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) ~ PIPE MATERIALS SOIL TEST RATING ~"" O ,NSTAELER ~ ~ *, ~ REMARKS ~[[ ~ N ~ ~ 72-013 {ev. 3/78) PERMIT NO. ( ?~05~ ) APPLIC:ANT DERN E..~,SOIJTHRM LOCRTION }~J~C~IER DR/NORRK PL LEGRL L±O B~ MCMRHON S?D ~2 .. ( ._ . liM .s I"11_I1"".l ~ C: I F'R[_ I -F"~ "_--.', ,F~ R t'-,tlf_"::: t'~_-1 F-. R C-iE ~ ~ DEPRF:TM?4T 'DF HERLTH AND EN','IF-.ONMENTRcL,,,.,~i?TECTICIN / ~./(~' 8-'-'5 '" L'" STREET, RNC:HORRGE., FIK. 9'-"¢...,~2~± / ~ ~//D _ ,,~ 2'S4'-47.20 . / / ~ ~/~-~ (/~ 6_~:'0 W. ::L~TH 2?'2 2:L08 LOT SIZE 42~¢.5 SQURRE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = 4 SOIL RRTING (SQ FT/BR)= ±50 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [~EF'TFI= ::IL2 L.E[-~,STFt-~ 4S~ ,SRRVEL_ [)EF"TF~= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL.D. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE ENCRVRTION (IN FEET). PERMIT RF'PLICRNT HAS THE RE.=,FUN_,tEILIF'T TO INFORM THIS DEF'RRTMENT [', F.'IN-Xi TFIE INSTALLATION INSPECTIONS OF ANY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TI4C, (2) ~ ~-ISF'EC:TI C,~-~S; ARE ~:E,;~LJ Z BRCKFILLING OF RNY SYSTEM W~THOUT FINRL INSPECTION AND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBCECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND RNY ON-SITE SEWRGE DISPOSAl_ SYSTEM IS ±00 FEET FOR R PRIVATE WELL.; OR ~L50 TO 200 FEET FROM R PUBLIC WELL DEPEN[:,ING UPON THE TYPE OF PUBLIC WELL. WELL LOGS RRE RE~.]!I..I'IRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN _'?.0 DRYS OF THE WELL COMPLETION. OTHER RE~qUIREMENTS MRY RPPLY. SPECIFICRTIONS FIN[:, CONSTRUCTION DIFIGRRMS RRE AVAILABLE TO INSURE PROPER INSTALLATION. F"ERI'-I ~. T E:=-:.'P I F..:E"_-i OEC:E~4BER ]~=~-1 .. I CERTIFY THAT i: I AM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELL. S RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CO[:,ES. ~:: I UNDERSTRN[:, THAT THE ON-SITE SEWER SYSTEM MAY RE6~UIRE ENLARGEMENT IF THE RESIDENCE IS REMODELE[:, TO INCLUDE MORE THAN 4 BEDROOMS. ~/ A~E'L.!;6:RNT DERN E. SOLITHRM 2204 Cleveland Anchorage, Alaska 99503 Date Performed 6/6/78__ Performed For ,Dean Southern Lena1 0e$crtDtton: L0% 1,0 ,Block-i---Subdivision McHahn- ~,,h ~32 This form Renort$ 5o~1s Lon yes Percolation Test Oeoth ~eet $otl Charactertst(c$ Brown Gravelly Silty Sand 6-- 12 -- 16 Brown Silty Sandy Gravel 18 -- 2 0 -- Bottom of Test Hole Was Ground Water Encountered? ~__~___. l? Yes, At what Depth? I I , I Readtnq Date Gross Time Net Time Depth to H20 Net Dron Percolation Rate . Minute Prnnosed inst--: Seenaae Pt¢ Drain Field Depth of [nl~.t ..Dep~om Of Pit Or Trench T~st Performed By David Paul Data Certified " S789 �0 Munici ali of Anchorag;~ `° • P tY APR 1 8 2f , t .j' On-Site Water and Wastewater Program < ail (907) 343-7904 ',t", 47 . ii be Certificate of On-Site Systems Approva �` ��� Parcel I.D. 017-361-32 Expiration Date: 7_ -( 1. GENERAL INFORMATION: Complete legal description McMahon#2; Block 6, Lot 10 Location (site address) 4001 Kutcher Drive*Anchorage,AK 99516 Current Property owner(s) Christopher&Tracy Thomas Day phone 382-1232 Mailing address Real Estate Agent Cassidy Porter Day phone 2088198363 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex n Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: b Date: /7z 3//0 COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ j24, Waiver Fee $ Date of Payment C4'11—,p Date of Payment Receipt Number 0\01 ON Receipt Number COSA# (;42CA 1 i c 1 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 1///7( 9 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system 6roo�0 A in accordance with the guidelines and regulations established by the Municipality of Anchorage and o OI 4�1 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 �.L .•.J 01 encroachments may exist that were not identified during the evaluation. The operational life of all wells / . L O i / •.7 uV0 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, / v groundwater levels (that may fluctuate during the year), quality of construction (materials and Q workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and Q..... _ are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Qn `- system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of V ef,r: A. ti rn ss the well or septic system. GEG makes no representation whether an alternative well or septic system v0‘9; 0 9• E 79 3 \c�a0� can be installed on the property in the event either of the current systems fail to perform adequately in U'J ' e ••7 ' <oo the future. The content of this report is for the sole benefit of the person/party that retained GEG to �� dprofession°4� perform the evaluation. Reliance upon the information provided in this report by any other person or %%004' • party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE 1L' System #1 Approved for q bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for ' /bedrooms, with the following stipulation : ` ' '-i 'ct �v •C QV © (c c_ \ (/��-tc S'i,2 c eetc. 4 ac✓.M. S c i S 2.0 ?),at/.5 V �t.v� 06( By: `\ � a 40Original Certificate Date: `( I s The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc 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: McMahon #2; Block 6, Lot 10 Parcel ID: 017-361-32 A. WELL DATA Log A Well type Private If A, B, or C provide PWSID# N/A (YIN) Yes Date completed 6/24/1986 Sanitary seal (Y/N) Yes Wires properly protected (Y/N) Yes Total depth 220 ft. Cased to 220 ft. Casing height (above ground) 12+ in. • FROM WELL LOG AT INSPECTION Date of test 6/24/1986 4/11/2018 Static water level 182 ft. 157.0 ft. Well production 12 g.p.m. 3.6+ g.p.m. WATER SAMPLE RESULTS: Coliform N e n colonies/100 ml. Nitrate )' I 5mg./L. Collected by: GEG. Ltd. Arsenic: NO ug./L. Date of sample: 4/10/2018 *40 year old septic tank is approaching the end of its useful life B. SEPTIC/HOLDING TANK DATA (50" of liquid in septic tank on 4/11/2018) Tank Type/Material Septic/Steel Date installed *11/6/1978 1250 2 Cleanouts (Y/N) Yes Tank size gal. Number of Compartments Foundation cleanout (Y/N) Yes Depression over tank (Y/N) No High water alarm (Y/N) N/A Date of pumping 11/6/2017 Pumper A+ Home Services, Inc C. ABSORPTION FIELD DATA I*Below Existing Grade' Date installed 11/6/1978 s 1978 Soil rating (g.p.d./ft2o Z/bdrrr� 150 System type DeepTrench Length 46 ft. Width 2.6 ft. Gravel below pipe **7 ft. Total depth *8.5+ ft. Eff. absorption area 644 ft' Monitoring tube**Yes Depression over field No Date of adequacy test 4/11/2018 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 5 in. Water added 958 gal. New depth 22 in. Elapsed Time: 1440 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes, give date — **Monitoring tube (sump) extends approximately 4.63 feet below invert of distribution line (sludge at bottom of sump) D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at .. wa er alarm level at in. .- " Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75 + Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation *6.2' Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain None Known Wells on adjacent lots 100'+ F. COMMENTS *Measurement from edge of ST1 to garage foundation wall (See Attached). O F � �4 ooQOOpp, G. ENGINEER'S CERTIFICATION o� 0 a Q' '•.-i 0 certify that I have determined through field inspections and 'i •. - 9� *vo review of Municipal records that the above systems are in 0 conformance with MOA COSA guidelines in effect on this '� date. U' V '•.Je �. Garn ss.• Engineer's Printed Name JEFFREY A. GARNESS v0 E_76: 0009� .v0Date L// 7 16 �4pp. I �� / , -'ro 0 fess a �400o��d #AECC884 (Rev. 11/05) MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT j s ` r� 907-343-7904 \ . On-Site Water and Wastewater Section � Fax: 343 7997 www.muni.org/onsite Septic Tank Advisory Certificate of On-Site Systems Approval # OSC181149 Subdivision: McMahon #2 Block:6, Lot: 10 The septic tank for this property is 40 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $6,000 to $9,000. 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 30 year old steel tank may look like! d k „,„;`,3...h,...„1-., S A ')., `, VM S, It mss . ,Yn ,� f' „. i ._ cmltil; r { '✓ t a it' ".111 4°.' r ‘'''1.,<•'' e '^ • . _� `; _ ,fit 17,r''.' r u r� 1, a.,r yt> ,1 IP: a s ro Mailing Address: P.0. Box 196650*Anchorage,Alaska 99519-6650*www.muni.org