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HomeMy WebLinkAboutMELINDA VIEW ESTATES LT 6Onsite File Melinda View Estates Lot 6 #017-092-43 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT r2.= ✓t s . t Permit Number: OSP211243 PID Numb : 0170923@-q,'3r Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name SUSAN ROSS ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 14551 JOANNE CIRCLE *ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating ITotal depth from original grade 907-440-8522 3 1.2 GPD/SF 6 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 2 Ft. Subdivision Block Lot MELINDA VIEW ESTATES; LOT 6 Fill added above original grade SEE DWG. Ft. Gravel length 53 Ft. Township Range Section N/A Gravel width 5 Ft. Beds: Number of Lines - Distance between lines - Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank � Line 378 Ft z - Ft. Well 100,+ 100,+ 125' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER TANK Capacity 1000 Gal. Surface Water 100, -}- QQr+ r Material HDPE Number of compartments 2 Lot Line _10,+J NA Foundation s - LIFT STATION Manufacturer Capacity 1 i Remarks OLD TANK DECOMMISSIONED PER UPC PER CONTRACTOR Gal. �✓� .Alarm location Electrical installed by PIPE MATERIAL House to tank EXISTI,p, Tank to D3034 E,i drainrield Installer ARM SEPTIC SERVICES Drainfield D3034 Co/MTD3034 Inspector TIM ECKLUND AND GEG BENCH MARK (Assumed elevation) 99.48 ft Inspdat'on 1S` 7/6/21 7/6/21 Location and description 2nd 3`d 7/7/21 01 TOP OF SEPTIC TANK MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp �p60�0 � 11 Or Conditional Approval: Date G� Tij ... .... ...............� DQO 9 CE-79-ess: AGO !J " Septic System Approved caxnx g 5 Date .U20 s c U Note: this approval does not include well permit requirements.AEcc 4��p��it000��"Q knt:v uaiUu 10/ PERMIT OSP211243 RECORD D RAW I N G PARCEL 017-092-43 NUMBER: 92-43 ------------------------------ •'� , DRIVEWAY , ..� ... •!�' :*;., • l / l EXISTING 3 ' BEDROOM HOUSE PER MOA RECORDS, THERE WAS AN ABANDONED WELL ON PROPERTY LOCATED TO THE WEST OF THE EXISTING WELL, A CONDITIONAL COSA WAS ISSUED IN 1988 PENDING THE ABANDONMENT OF THIS WELL. PER THE COMMENTS ON THE 1988 (NON -CONDITIONAL) COSA IN MOA RECORDS, THE "OLD WELL" WAS "BURIED AND ABANDONED". ON 7/21/21 GEG EMPLOYEE ATTEMPTED TO LOCATE THE WELL WITH A METAL DETECTOR TO CONFIRM THAT THE WORK WAS COMPLETED (NO RECEIPT AND/OR DOCUMENTATION OF DECOMMISSION WORK IN MOA RECORDS) AND WAS UNABLE TO LOCATE WELL. IT WAS ASSUMED THAT THIS WELL WAS DECOMMISSIONED. / \-APPROXIMATE 100' WELL RADIUS ----------------------------------- DECK; SEPTIC TANK AND DRAINFIELD ARE 10'+ FROM POST AND FOUNDATIONS /'NEW 1000 GALLON HDPE GREER TANK / WITH DOUBLE CLEANOUTS AFTER TANK A\ A/ Y / C / \ NEW DRAINFIELD APPROXIMATE LOCATION OF EXISTING DRAINFIELD GARNESS ENGINEERING GROUP, Ltd > ENGINEERING SALES -CONSULTING .. 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507 • PHONE (907) 3376179' FAX (907) 338-3246 • WEBSITE:—gamessengm-mg.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SUE ROSS 907-440-8522 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MELINDA VIEW ESTATES; LOT 6 D.J.G. TYPE OF WORK: DATE: RECORD DRAWINGS OF TANK AND DRAINFIELD UPGRADE 7/22/2021 1"=40' TA 1 11 AII AV �� ........ ....... ............. 0 " ••A. Garn s :I mr �1c%• , E-79 3 ' _ AV Ar• LICENSE +1A,%F `S`;�+0♦' #AECC884 J A I B C Mill 43.9 15.4 ST1 44.2 _38.2 38.4 18.8 DBL1 44.3 38.6 19.7 DBL2 44.4 38.7 40.4 FD 44.6 38.9 21.3 C01 52.7 1 47.7 1 34.6 MT1 53.0 48.1 35.8 CO2 21.9 24.2 47.6 MT2 19.9 22.0 45.6 ------------------------------ •'� , DRIVEWAY , ..� ... •!�' :*;., • l / l EXISTING 3 ' BEDROOM HOUSE PER MOA RECORDS, THERE WAS AN ABANDONED WELL ON PROPERTY LOCATED TO THE WEST OF THE EXISTING WELL, A CONDITIONAL COSA WAS ISSUED IN 1988 PENDING THE ABANDONMENT OF THIS WELL. PER THE COMMENTS ON THE 1988 (NON -CONDITIONAL) COSA IN MOA RECORDS, THE "OLD WELL" WAS "BURIED AND ABANDONED". ON 7/21/21 GEG EMPLOYEE ATTEMPTED TO LOCATE THE WELL WITH A METAL DETECTOR TO CONFIRM THAT THE WORK WAS COMPLETED (NO RECEIPT AND/OR DOCUMENTATION OF DECOMMISSION WORK IN MOA RECORDS) AND WAS UNABLE TO LOCATE WELL. IT WAS ASSUMED THAT THIS WELL WAS DECOMMISSIONED. / \-APPROXIMATE 100' WELL RADIUS ----------------------------------- DECK; SEPTIC TANK AND DRAINFIELD ARE 10'+ FROM POST AND FOUNDATIONS /'NEW 1000 GALLON HDPE GREER TANK / WITH DOUBLE CLEANOUTS AFTER TANK A\ A/ Y / C / \ NEW DRAINFIELD APPROXIMATE LOCATION OF EXISTING DRAINFIELD GARNESS ENGINEERING GROUP, Ltd > ENGINEERING SALES -CONSULTING .. 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507 • PHONE (907) 3376179' FAX (907) 338-3246 • WEBSITE:—gamessengm-mg.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SUE ROSS 907-440-8522 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MELINDA VIEW ESTATES; LOT 6 D.J.G. TYPE OF WORK: DATE: RECORD DRAWINGS OF TANK AND DRAINFIELD UPGRADE 7/22/2021 1"=40' TA 1 11 AII AV �� ........ ....... ............. 0 " ••A. Garn s :I mr �1c%• , E-79 3 ' _ AV Ar• LICENSE +1A,%F `S`;�+0♦' #AECC884 J 0 =A* IF A* 0 X Electric Meter,,,, Fence A T \ Tel. Pedestal Tank Riser Cover A E, Elec. Pedestal .- _N S I Septic %W1 Water Well Gas Meter General Notes 1. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2. This document is created by Frontier Surveys for the purpose of an as -built survey for ARM Septic Services, only. 3. This document is based on Plat No. 84-293, Anchorage Recording District. Disclaimer 1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. 0 12.5 25 50 Scale in Feet OF 09''/... � l 74 P ierr.. St4gier N6. LS -S112 7/20/2021 woo �OPESSIOW& %:%:4* LOT 6 MELINDA VIEW ESTATES SUBDIVISION 14551 JOANNE CIRCLE CONTAINING: 49,061 Sq. Ft. +/- (RECORD) RECORD PLAT: 84-293 PREPARED BY: FRONTIER SURVEYS, LLC 650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518 907-460-1686 1 DRAWN BY: KC DATE: 7/20/2021 DRAWING ID: 21-483 CHECKED BY: PS SCALE: 1" = 25ft SHEET 1 of 1 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: OSP211243 Work Type: Septic Upgrade Tax Code Number: 01709243000 Site Legal Address: MELINDA VIEW ESTATES LT 6 G:3038 Site Mailing Address: 14551 JOANNE CIR, Anchorage Owner: ROSS PATRICK GEORGE & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms 6/28/2021 6/28/2022 49061 Q Disposal Field 0 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 Bye Issued By: a Date: 6 1 � Y, .21 Date: a br v?0.2 1 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-092-43 Property owner(s) SUSAN ROSS Day phone 907-440-8522 Mailino address 14551 JOANNE CIRCLE *ANCHORAGE, AK Site address 14551 JOANNE CIRCLE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) MELINDA VIEW ESTATES; LOT 6 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial El Single Family (SF) Q (w/wo ADU) Septic Tank Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: N/A 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: /5 Date of Payment: Receipt Number: Permit No. 05 P21 12 1-13 Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and WastewaterTorms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211243, Rebecca Carroll, 06/28/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211243, Rebecca Carroll, 06/28/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211243, Rebecca Carroll, 06/28/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211243, Rebecca Carroll, 06/28/21 CAAkl) ATL Material Test Report Client: Garness Engineering Group Ltd. 3701 East Tudor Rd. Anchorage, AK, 99507 Project: 2021 Lab Testing Alaska Testlab - Anchorage 4040 B Street, Suite 102 Anchorage, AK 99503 Phone: 907-205-1987 Fax: 907-7824409 info@alaskatesUab.com Project Code: 210152 11 . ne ..suns concame, oe.ow p.naw omy w me nems wsw. oe.ow i nis repos snauw nor or reproduced, except in full, wtlhout the prlorwritten approval of Alaska Testlab or the agency. CC: David Garness Maria Kampsen r Reviewed By: Oscar Lage Title: Laboratory Supervisor Date: 6/22/2021 Sample Details Other Test Results Sample ID 21-1207-SO1 Description Method Result Limits Client Sample ID Melinda View, Lot 6 Method ASTM D 6913 Specification Sieve Sample Obtained While Oven -Dried Location Melinda View Estates, Lot 6 Group Name Well -graded sand with gravel Group Symbol SW Composite Sieving Used No Dispersion Method Dispersant by hand Prior Testing % Passing 100-... ................................................. r 90........................................................................ 80.............................................................. ......... E E E E E E E E E _ F EO N O O h O O N O O u) 'q ^ N R V) O 4'1 O N OI m N Steve Method: ASTM D 6913 Date Tested: 6/21/2021 Tested By: Ryan Pederslie Sieve Size 3in (75.0mm) 2in (50.Omm) 1'/2in (37.5mm) 1 in (25.0mm) 3/in (19.0mm) '/2in (12.5mm) 3/8in (9.5mm) No.4 (4.75mm) No. 10 (2.Omm) No.20 (850pm) No.40 (425pm) No.60 (250pm) No.100 (150pm) No.200 (75pm) Finer 75pm % Passing 100 100 100 96 92 82 75 59 38 21 16 11 5 2 2.2 Limits omments N/A orm No: 18909, Report No: MAT.21-1207-S01 © 2000-2021 QESTLab by SpectraQEST.com Page 1 o . X Electric Meter...Fence A LTA Tel. Pedestal A E Elec. Pedestal "S Septic %W1 Water Well Gas Meter VMS, General Notes 1. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2. This document is created by Frontier Surveys for the purpose of an as -built survey for ARM Septic Services, only. 3. This document is based on Plat No. 84-293, Anchorage Recording District. 1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. 0 12.5 25 50 Scale in Feet OF At • _A1 Pie • M. S ier N LS- 12 4/27/2021 Z4 was Np�s S I W*ft III% DNA'- % AL t V.L%�� ENVIRONMENTAL PROTECTION RECEI¥ D WATER- WELL RECORD STATE,OF ALASKA ~EPARTMENT OF NATURAL RESOURES ' Division of Geological =& Geophysical ~ur~ey~ or lc.) A.D.L. NO Mel~da 6 0 _ of_ o,_o~ -- s ~ View Street Addrest and Area of Well ~ocati'on - Feet Below 4, WEL~ DEPTH: (final) ,5. DATE OF COMPLETION 2. w~ ~OG Surface Meterlel Type Top Bottom ~ · Stick up O 2 e. ~ Cable tool ~Rotary ~ Driven ~ Dug Silty sand ~0 ~ 8. CASI~e= ~ Threaded ~. Welded" ";: ': ' Undevelop~ c~l deposi~-~ble ~02 123 T~.:pe~O~ ~ak-~io~ colo~ e;~, stren~ ~ Slot/Melh Size: Length Backfilling Gravel pack '~elt para.ted ~nd ~eveloped ,o. STATIC WAT[~ LEWL= extensivel~ to ~chieve ~x~ ~ A~ove or ~ Below land surface Oate ~e~, 2 ho~ ~e~t ~ ~ ~ Equipment used: wi~ silt clear. Inc~aed f~m ~ntt~.~ ~uot~o~ of e~ ~ I.PU~PINe LEVEL below lane *urfaoe and YIELD ' 280 ft. after l~ hr,. pumpln~ ~ g.p.m. $ "pvc liner instal!ed wi~ ,,. after hrs. pumping g.p.m. Length ef Drag Pi~. ff. capacity g.p.m. p~pset ~t 267' 3/$ hp 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Water Temperature o ~ F ~ C This well wes drilled under my jurisdiction and this report is true rathe best of my knowledge and belief; Alpine ~lll~ ~nd ~te~ises ~ 9108 Contract License Numbe~ Registered Business Name ~ ~ f h~rlZ~ R~senfoHve ALASKA BqUlROnmenTAL CONTROL $0'01Ce$, Inc. [~Mineerin9 & [~nuironmenld Studies April 1, 1988 Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, AK. 99501 Attn: Dan Roth Re: Lot 6, Block 1, Melinda View Subdivision On 3/24/88, we drilled a testho!e approximately 20 feet north of the drainfield down to 4.7 feet below the field. The test hole was dry when drilled and was still dry on $/31/88. This shows that there is no groundwater within 4 feet below the drainfie]d. We request that you approve the system. If you have any questions, please call, Sincerely, , PE Alan C. Wien Engineering Technician MUNICIPALITY OF ANOrlORA~E DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION APR 5 t988 RECEIVED ~200 ~est 33r~ ~uenue. Suite B,, ~nchovoqe. ~leska 99503,,,(907) 561-50z10 ',~, 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 IPHONE ~ NEW [] UPGRADE MAILING ADDRESS Po LEGAL DESCRIPTION LOCATION DISTANCE TO: Manufacturer Liq, capacity in gallons DISTANCE TO: nufacturer DISTANCE TO: of lines Top of tile to finish grade Length Type of crib DISTANCE TO: ClassO -~' DISTANCE TO: OTHER PiPE MATERIALS SOIL TEST RATING NSTALLER AR KS ED IF HOMEMADE Well Well ' ~~~_t~t~ Length of Width[j Crib diam~ Building fd Absorption area ~,1 Dwelling Mat~.rial PERMIT NO No. of comp,~ments Liquid depth PERMIT NO. Liquid capacity in gallons Distance betwe.en lines Total effeative abso~:p~i~n area PERMIT NO, sorption area PERMIT NO. Absorption area(s) APPROVED/ DATE LEGAL oz~ LU .... ' 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 NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION / Well DISTANCE TO: I ~ J~'~' Manufacturer Liq. capacity in g~llons I ..... Well DISTANCE TO: I LF~ON E I ~NEW ~'~ '~it [] UPGRADE Me~r.~.~.j~ ~. No, of comp~ments Inside length W dth Liquid depth Dwelling PERMIT NO. NO, OF BEDROOM~, Manufacturer Liquid capacity in gallons DISTANCE TO: ,A,~,"~ ~,~O NO. of lines I Length of Top of tile to finish grade Length Type of crib Width Crib diameter Well Depth Building foundation OTHER Fou~ctation Total lengt ~.~i~es Material beneath tile Depth Crib depth Building foundation Driller Sewer line DISTANCE TO: DISTANCE TO: PIPE MATERIALS SOIL TEST RATING I INSTALLER R EMAR KS Material Nearest~t~.~e¢ Trench wid~,~ PE O'?o Distance betwegn lines Tote~ effective abs~i~n area PERMIT Total effective absorption area Nearest lot line Distance to lot line Septic tank PERMIT NO. Absorption area(s) DATE LEGAL 72-013 (Rev. 3/78) PERMIT NO: DATE t~_~LIE 99 !=:'] :L I..EGAL DESCF::I P: LGT G I ZE: MA X ' .."17 c, ', c:~ ,, BEu SUBDIVISION: MEI._IIqDA VIEW ESTATES L..OT~ 6 SE:CJI'ION: 55 TOWNSHIF': :L'2N RANGE: 3W 49061 , (SQ.FT, OR ACRES) .... · ' ~. a~, .~ ..: you (In i . ' ' Listed be]nw are 'Lhe-opuions avai~-~''~, t.o in desi rig VOLtP S;f~O'J: :L C: system. '[]hoose the option that best fi'Ls you. r' Site. DEPTH TO F:'IPE BDT'TOM (FT.) I 3.0 .~..?,,". 3.0 *-~' GRAVEL DL:ZF'TH (FT.) 0.5 i. 0 TOTAL DEPTH (FI:.) 3,,5 4.0 GRAVEl_ WIDTH (FT.) 15.0 5,,0 GRAVEL. LENGTH (FT.) 30.0 53,,0 GRAVEl_ VOLUME (CU.YDS.) 16.'7 14,,8 TANI< SI ZIE (GALS) 1,0()0.0 '~"~ I~ 000.0 '~'* SOIl_ RATING (SQ. FT./BR) 100 100 I_. cer'Lif'y that: 1. I am familiar w:L'Lh the r'equir'ements f'of on-site sewei"s~ and wel].s as set ~orth by the Municipality of Ant:homage (MOA) and the State o~' Alaska. 2~ I will 'instal]. the system in accor'dance w:L'Lh all HOA Codes and r'egu].at:i, ons, and in cc}mpliance with t. he design c:PJ. te)t-j.~?~ c)f' ti]is per'm:L'L,, 3,, i wi].l adher'e 'Lo a~]. MOA and State of' Alaska peqfi:J, pefflf~rl'Ls fop 'Lhe ~se'L bacJ.:: d:Lstances' from any exis'Ling we].]., wa~.tewa'LeP dj. spt}sa! system of F)ubl:Lc sewepage sys'Lem (:Jrt this or any .:adjac:c~nt op !"t~u"by Z[. I Lir~di~.~'l"S'Land 't. ha'L this per'miL is valid FoP a max:i, mL~m cJF 3 bedr'ooms ~nd . any en].acgemer'rL will. Pequire an additional pepm:Lt. IF A LIFT STATION IS INSTAI._L. ED IN AN AREA COVERED BY .MGA BUIL.,DING CODES, THEN (1) AN ELECTIRICAL.. PERMI]' AND INSPECTION MUST BE OBTAINED; (2) WILL NO'T' BE AF:'F'R'OVED WI'TI=lOUT AN ELEECTRICAL ]:NGF'ECTION REF'GRT~ AND (3) q-HE ELEC]'RICAL WORI< MUS'? BE DONE BY A L. ICENSED ELECTRICIAN. ~ ,, -n ~' ' ~,A] ..... ~ ]. Gt'II:*. ~ _ .................................................. r~'-:'. ................ /~/ ISSLIED BY MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG PERCOLATION ,TEST ' PERFORMED FOR: LEGAL DESCRIPTION: 7 10~ 11 12 13 14 15 16 17 18 19. 2O COMMENTS WAS G.OUND WATER ENCOUNTERED?~' ~ [ IF YES, AT WHAT DEPTH? SLOPE SITE PLAN / Gross Net Depth to Net Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND ~ ET G, 0* Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 5 . Certificate of On -Site Systems Approval Parcel I. D.017-092-43 1. GENERAL INFORMATION: Complete legal description MELINDA VIEW ESTATES; LOT 6 Expiration Date: N o V 0, )_Q '. I Location (site address) 14551 JOANNE CIRCLE *ANCHORAGE, AK Current Property owner(s) SUSAN ROSS Day phone 440-8522 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 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 ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ �2 8-D Waiver Fee $ Date of Payment 3/3A 1 Receipt Number Inq 6s `1 G COSA# 05C;Z 11 y 51 Date of Payment Receipt Number Waiver # W1 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: 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 _� :tiv,.• r. 1 ;;1 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, �- - -,-4 r' groundwater levels(that may fluctuate during the year), quality of construction (materials and 4 — ' '" 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 %J system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of � J • • • • • • • . • • • • • the well or septic system. GEG makes no representation whether an alternative well or septic system . , '• or^e 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 `�v;x, ✓_, art(including subsequent property purchasers)is not authorized, nor will it confer any legal right r essio^ �• whatsoever. #AECC884 6. DS 4 SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: By: QOUJ Original Certificate Date: ?1510 0 1 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 Checklist Legal Description: MELINDA VIEW ESTATES; LOT 6 Parcel I-092-43 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 1968 Total depth 307 ft Cased to 87 ft R Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 12'+ in. Date of flow test for COSA 7/15/21 Static water level at beginning of test 46.2 ft. Comments B. TANK DATA Age of tank(s) NEW years Tank type/material "PTIGHM Measured operating fluid level in septic tank - X Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA NEW Which system tested (date installed) 0 ALL standpipes present per record drawing Total measured depth from grade 6.27 ft (max) Measured depth to pipe invert from grade 3.56 ft (min) ❑ N/A — pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective J' 12i Well production at time of test 3.2+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes R No R Coliform bacteria is Negative Nitrate mg/L M Nitrate less than MRL (ND) Arsenic ug/L O Arsenic less than MRL (ND) Collected by GEG Date of Sample 7/15/21 C. LIFT STATION ❑ Required maintenance i Age of lift station Lift station materi Commen Adequacy test date N/A Results RIPass For 3 Fluid depth prior to test _ Water added N/A gal New depth - in Elapsed time - min bedrooms 2 Q Code -required soil cover over field Final fluid depth - in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) _ date of test) Gallons introduced N/A gallons If yes, enter date - Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well On Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Yes if No Community Sewer Manhole/Cleanout > 100' 0✓ Yes if No ft M Yes if No ft Neighboring Tank > 100' 0✓ Yes if No ft Private Sewer/Septic Line > 25' Q✓ Yes if No ft Absorption Field on Lot > 100' M✓ Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' Yes if No ft 0✓ Yes if No ft if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft E] Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F- Yes if No ft Surface Water > 100' 0 Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' 0✓ Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' 0✓ 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' 0✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' M✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Fv Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100'✓Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet #AECC884 f ey Gorn s, C —7953 _r o f e s s'oR-o� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date/~.~ J~ GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address Or directions) P r o n~f;t '~.O~_ ~. ;~/~" ~ ¢--e.,~'~.:~,~ . ~. _ ~ ~.,~ ~'~ ~/ Telephone:Homo (b) (c) Ee~ Ins~~ - v. ~ Telephone .Mailing Address (d) (e) Real £s t~t e:~ m~p ~¢¢j~ n~,~;.g e.j~ t Address Telephone Mail the HAA to the followina address: or: Check here B~,if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms WATER SUPPLY Individual Well[~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsit,~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/86~ Front ~e8 199/8 ,',aU) 980-8Z ~ JO ~re6~d · HJO,V, s,Jaeu!6ua leUO!SSejoJd eq~. u! suo!ss!uJo Jo sJo..i,le ~oj elq!suodseJ l. OU s! eeeJoq:Du'¢ J.O X~.!led!o!unlAI eq.l. 'penss! 9! a~.e::)!J!~Jeo e aJO~.aq e~.ep az~leue Jo suo!~.::)adsu! ~.3npuo3 ),ou op SHHC] ~.o sea.~olduJ'q 's~.ueLueJ!nbeJ e:!.e:ls pue le.~epe~, u!epao/gsp, es o), ~ep.~o u! suo!ln~.i~.su! 6u!pual Jleq~. pue sauJoq jo sJeseq:)Jnd o~..&selJnoo e se s!q~. seop SHHQ eq/'eHSel',¢ j.o ele~,S eq~, u! pa.~e~.s!5e.J J@aU~eUa leUO!SSajoJd I. uepuedepu! ue .4.q a^oqe ~ qde]l.~e..~ed u! ua^!6 suo!:!.e~,uesaJdeJ eq~. uodn .41uo paseq sa,~.e::>!J.!Pao le^o~ddv ,~.poq~.nv q),leeH senss! (SHHQ) seo!^JeS UeLUnH pue q:!.leaH j.o ~.ueuJ:p~ded aeeJoqouv ~.o /q.!ledF:)!un!AI eq/ NOI.Ln¥O leAo~ddV leUO!l.!puoo ~o swJe/ leUO!~.!puoO peAoJdd~s!O ,~ peAo~dd¥ 'uo!~aad9ul uo ~oe~te u! 9uo!telnSa~ pue 'seaueu!p~o 'sapoo arms pue led!aiunR lie qt!~ e3Ueild~Oo ~o/pue ~iddns ~ete~ et!s-uo eqt 'uoftoed~u! pue uo!leS!tseAu[ ~ ~o~t pue peu!elqo uo!te~otuj aqt uo paseq tsql ~lpaA ~eq~nj I 'u!e~eq peiea!pu! eCmonCts ~o e~enbepe pue leuo!taunt'ete~ m ~e;s~ lesod~!P ~e~e~else~ ~o/pue ~lddn9 ~e~e~ at!s-uo eqt ~eMl ~o~s leAo~ddv Xtpoqtnv qlleeH 9!q~ ~o uol~ee!lSaAU~ X~ ~eq~ XI~JeA I 'MOleq UMOqS e~ep uo~tepHeA eq] to se pue oteJeq paxlite lees X~ Xq pe!t~Uao sV NOIA~BOJNI aNY Y~Yo 'HOBY3S ~31J 'S~S~ 'SNOI&O~dSNI 9NIOIAOMd .g MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES ' 0 / DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date ¢- GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location, (address or directions) ~ ~ Property Owner','~--//¢'/J~-E' 5,'~/( Telephone: Home Business Lending Institution Maili~g Address (b) ·: (c) Telephone (d) - R~al: Estate Company and Agent Address Telephone (e) Mail the HAA to the followina address: or: Check here~, if hold for pick up. List contac~ p_~erson and day p.ho, n.e numb? I:)elow. ..... /. TYPE OF RESIDENCE Single-Family~ Number of Bedrooms 3. WATER SUPPLY Individual Well'~ Community [] Public [] Note: If community well system, must have written confirmation from the State E~epartment of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~[. Public [] Community [] Holding Tank [] Note: If corn munity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 fRev 8/86) Front ENGINEERING FIRM ,PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 Telephone Address i';7.4.7o ~j ~..~/~.~ Date D.HS AP..OVAL ,"¢,_Z.¢ -- ×/ Approved for .~&/.~2)bedrooms by X~'~_/.~"~,,.//~-.. ~.~'~_/~-¢"~.~ Date .... . ' .~- . .) ~ ,~i~appro~ .~ · . Conditional' ~ Terms of Conditional Approva[ ~¢~ ~/¢~//~ 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 D H HS 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. Page 2 of 2 72-025 fRay 8/86~ Back WELL DATA '~-~- ..... MUNICIPALITY OF ANCHORAGE (MOk'A')// I'JE~'~3~ORITY APPROVAL (HAA) H~,CtPAU'f¥ ur ~V~~ - FEBRUARY 1984 APR 2 t 1988 Legal Description: Zo~ ~ ~ ~~ Well Classification Well Log Present~) Total Depth ~tY~ Cased to Static Water Level ~"~' Casing Height Above Ground Electrical Wiring in Conduit Y~) Separation Distances from Well: To Septic/Holding Tank on Lot If' A, B, C,p..F__,.C. Approved (Y/N) Date Completed ~/L'' zlz'-'~;~ Yield Depth of Grouting Pump Set At ';~" / / Sanitary Seal on Casing~N) Depression Around Wellhead (Y~ f To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line A'I/~c Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments /tJl,~ T..o~. earest SeWer Service Line on Lot /~'~,~' /~- ¢~')/;~-~: - .. ; Date 5Z'./;4 ~' ; On Adjoining Lots " ; On Adjoining Lots To Nearest Public Sewer SEPTIC/HOLDING TANK DATA Date Installed //'-/-,' oc/~/~ Size ~dl','~ No. of Compartments Standpipes(~N) Air-tight CapsCN) Foundation Cleanou~,~N~ ) Last Pumped I~ ,~/,~ Depression over Tank (Y~ ~ate ~//~ Pumping/Maintenance Contract on File (Y/N) W///~ ; for Holding Tank High-Water Alarm (Y/N) W/~ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well '~ /'~':~ '~ To Building Foundation / To Property Line /~ !'/~ To Disposal Field To Water Main/Service Line /'¢ f'?~- To Stream, Pond, Lake, or Major Drainage Course ?~'2 Comments Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed // Width of Field Type of System Design. Length of Field Depth of Field .~/' Gravel Bed Thickness Standpipes Present bN) Date of Last Adequacy Test Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test ,~/J~' Separation Distance from Absorption Field: ! To Water-Supply Well ~' /~"~"' To Property Line To Building Foundation /'~ '~'¢' To Existing or Abandoned System on Lot /-~//~¢ ; On Adjoining Lots /O t To Water Main/Service Line /~ '7'~ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /¢'"5 To Driveway, Parking Area, or Vehicle Storage Area /~" Comments (~/~(5 ~"~ i%%~'~'~ ,¢¢~,~ /~'%~"' ~'~''7T''V'~ LIFT STATION D~ /~ Dimensions S~ze %Gal. l.0 ns ~ Manhole/Access(Y/N) "Pump On" Level at ~ "Pump Off" Level at ~r Alarm Level a~Vent (Y/N) Tested for Pu ' Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** ~"---. _,. I certify that I ha,,~,~eck/~, v,~,rifi)~¢, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ ¢,"L,/~.~ Date Company /,z~-~'-~.~' MOA No. ~7"-¢ ~'"-F Receipt No. / O L"~ ~ Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 6131 Date Report Printed: APR 18 88 @ 11:43 Client Sample ID:L6, B1 MZLINDA VIEW PWSID :UA Collected APR 13 88 @ 12:25 hxs. Received APR 14 88 @ 13:00 h~s. Preserved with :NONE Client Name : ARCS Client Acct : AKECSRP P.O.$ NONE REC'D Req $ Ordered By : CINDY LOVEKEE Analysis Completed :APR 15 88 Send Reports to: Laboratory Supery%so~ :STEPNEN 1)ARCS Relea~edBy : ~~. ~ Special Instruct: Chemlab Ref $: 9696 Lab Smpl ID: 1 Matrix: Water Allowable Paramete~ Tested Result/Units Method Limits NITRATE-N ND(O.IO) mg/1 EPA 353.2 10 Sample ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED BY A. WIEN. 1 Tests Performed ' See Special Instructions Above UA=Unavailable ND= None Detected "See Sample Remarks Above NA= Not Analyzed LT=Lees Than, GT=Gzeatez Than