Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
GRIFFETH LT 1
Grl*ffeth Lot 1 #018-331-23 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191214 PID Number: 018-331-23 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: CHAE WON JUNG & JIN HWA LIM ABSORPTION FIELD ®Deep Trench El Shallow Trench El Bed ❑ Mound Address 3600 RABBIT CREEK ROAD, ANCH., AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.8 GPD/SF 9.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 6.5 Ft. Subdivision Block Lot GRIFFETH 1 Fill added above original grade VARIES 0.5-1.5 Ft. Gravel length 58 Ft. Township Range Section Gravel width 2 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 754 W 1 -- Ft. Well -- 100'+ 100'+ NA NA TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer EXISTING Capacity Gal. Surface water -- 100'+ 100'+ NA Material Number of compartments Lot Line -- **8'+ 10'+ NA NA Foundation -- 10'+ 10'+ NA LIFT STATION — PUMP BASIN Manufacturer ANCHORAGE TANK / ORENCO Capacity 68 Gal. Curtain Drain NA *NA NA NA Remarks *None known. **Waiver w/ submittal. Pump on level at 32 in. Pump off level at 22 in. High water alarm at 36 in. Pump make and model 30GPM PF3005 Electrical Inspections performed by MOA PIPE MATERIAL House to tank 3034 Tank to 3034 Installer MIKE N. ANDERSON drainfield Drainfield 3034 Co/MT 3034 Inspector MNA / FWCS BENCH MARK (Assumed elevation) 100 ft Inspddates: Xection51 8/10/19 8/10/2019 Location and description 2nd 3`d 8/23/19 4`" TOP OF PUMP BASIN MANHOLE COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL i.F. ALS \ 1 Conditional Approval: Date /* 49TH *f p MICIiAEL N. ANDERSON - NO. CE 9469 �1 ! kN"--8/23./19.• A`FESSIO�A�' Approve�c�� /iM�— Date 0 inspection Neport_u-i-iz.00c GRIFFETH LOT 1 PID: 018-331-23 PERMIT: OSP191214 o RABBIT CREEK ROAD 90'00'00"E 299.57' TH19-1 MT E THz' cr PERC — w NEW SCHARGE PUMP BASIN _�F 0� CO CO a ° • EXISTING CO ^ rn 250-GAL S.T.--.__ MH o 29. o CO D 1.25" M PVC L, FCO o n � O R DRIVE 1.3 B Ln o EXISTING Mr ° N 4BR W T Mr o o I N wLo � 19.0' c6 O 0 • J CO CO I F- d Oui O O LOT 1 38.0 TH3 DECK z L M O O N 90'00'00"E 299.59' WELL - ABANDONED W/ WELDED STEEL CAP SCALE: 1' = 30' A—C-22.2' FCO CO Co MT MT MT B-C=9.6' MH APUMP 101.5 ` BASIN 1°0.0 FINAL GRADE 99.5 A - D =13.3' OL ORIGINAL GRADE B - D =15.7' FILTER FABRIC 1'0 A-E=28,7' EXISTING 96.5 96.5 B-E=35.0' ,250 1STEELGTANKN SEWER ROCK GM A-F=18.1' MEA TH/2 B-F=25,6' 90.0 WTR 90.o 17' 5/15/05 TOTAL DEPTH 20 SEPTIC SECTION u 795/ SCALE: NTS GRIFFETH LOT 1 SUPPORT SERVICES: PREPARED FOR: Amp,p.� OF ALAV S CHAE WON JUNG & JIN HWA LIM * 49TH 3600 RABBIT CREEK RD., ANCH., AK 99516 Michael N. Anderson, P.E. DATE: 8/23/2019 MICHAEL N. ANDERSON 4661 Natrona Ave. No. CE 9469 8/23/19 Anchorage, Alaska 99516 DRAWN: FWCS 'fop (907)727 8864/FAX: (907)345 1391 SCALE: 1" = 30' tijo `�FESS[Ot1A Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345-3377 / Fax 345-1391 August 28, 2019 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: LOT LINE WAIVER - GRIFFETH LOT 1 Record documents had shown the adjacent abandoned well incorrectly and the design layout was slightly adjusted to provide separation. Due to this, it was discovered with the attached as -built survey that the new field is 8.8' from the property line along Rabbit Creek Road. We are therefore requesting a waiver to 8' to lot line at this time. We do not expect there to by any adverse effects in granting this waiver nor will it impact any of the neighboring properties. Please contact Brent M. Western or me if you have any questions. Sincerely, RU&4AKI Michael N. Anderson, P.E. Support Services R Brent M. Western Fist Warele 907-440-4601 ru"m 1;; g st1;v i r'f Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 SOILS LOG -PERCOLATION TEST LEGAL DESCRIPTION:GRIFFETH LOT I DEPTH Net Drop 8/10/19 30 min 6" FEET OG SOILS " 6" 5 3/16„ ORG/OL 1 2 SM/SP 3 4 :: BENCH 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Adw OF A Ilk ��'•�•� •._ter, 49 TH * � MICHAEL N. ANDERSON. No. CE 9469 w 8/10/19 • �� ?%...... ��sstot��ti PERFORMED FOR: CHAE WON JUNG TESTHOLE # 19-1 DATE PERFORMED: 8/10/2019 GROUND WATER ENCOUNTERED: NONE / NA IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: NA DATE: NA SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: PERCOLATION TEST ONLY Reading Date Gross Net Depth to Time Time Water Net Drop 8/10/19 30 min 6" 5 2/16" 6" 5 3/16" " 6" 5 3/16„ PERCOLATION RATE 6 (MIN / INCH) TEST RUN BEWTWEEN 4 & 5 FT PERC HOLE DIAMETER 6" PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16r". PERFORMED BY: FWCS / NINA - I MIKE N. ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 8/10/19 Mu'nicipafity of Anchorage (fir P.O. Box 196650 ® 4700 Elmore Road 7, y Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 Depa, t.rnetit http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV191077 COSA#:OSC191389 Permit#:OSP191214 PID#: 018-331-23 Legal Description: Griffeth lot 1 Engineer: MNA Applicant: Chae Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 8 feet. This waiver approval applies to the Existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: Approved by: lit Name of Reviewer • ONCIPA /lY0 MUNICIPALITY OF ANCHORAGE T\ On-Site Water&Wastewater ProgramcJ , t , , PO Box 196650 4700 Elmore Road i 1 Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http:!/www.muni.org/onsite �.-. Department 4'YCw0flo On-Site Wastewater Disposal System Permit • Permit Number: OSP191214 Effective Date: 6/13/2019 Work Type: Septic Upgrade Expiration Date: 6/12/2020 Tax Code Number: 01833123000 Site Legal Address: GRIFFETH LT 1 G:3135 Site Mailing Address: 3600 RABBIT CREEK RD,Anchorage Owner: JUNG CHAE WON & • Lot Size in Sq Ft: 34465 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 3 This permit is for the construction of: Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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: 6/13/19 Issued By: Li Date: 0//' f: 4j3 MUNICIPALITY OF ANCHORAGE I•f*.) 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. 018-331-23 Property owner(s) CHAE WON JUNG & JIN HWA LIM Day phone 90795264522 Mailing address 3600 RABBIT CREEK ROAD, ANCHORAGE, AK 99516 Site address 3600 RABBIT CREEK ROAD, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) GRIFFETH LOT 1 Legal description (Township, Range & Section) Lot Size 34,465 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (E)all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) n Septic Tank ❑ Upgrade (w/wo ADU) Duplex (D) ❑ Holding Tank n Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage 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: s Waiver Fees: Date of Payment: C01511 Date of Payment: Receipt Number: aril a,) Receipt Number: Permit No. OSP /9121g Waiver No. G\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 June 13 , 2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: GRIFFETH LOT 1 The septic field has failed and we request a septic permit to upgrade the system on the above referenced lot. The design is based on existing MOA test hole information. We propose to install a discharge pump basin and a pressurized deep trench. The lot and area is served by private water systems and the design will not impact any of the neighboring properties. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191214, Deb Wockenfuss, 06/13/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191214, Deb Wockenfuss, 06/13/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191214, Deb Wockenfuss, 06/13/19 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.cLanchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO50174 PID Number: 016-331-23 Name . - Peter shun Wastewater System: ❑✓ New El Upgrade Address: 3600 Rabbit Creek Road Anchorage, AK 99516 ABSORPTION FIELD Phone: 632-7300 Number of Bedrooms: ¢ ❑Deep Trench III Shall. Trench El Bad! ❑ Mount! ❑Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: 9-12 .8 GPDIFt' Ft. Block: Lot:Subdivision: 1 Depth to pipe bottom from original grade: Gravel depth beneath pipe: Griffeth 6.5-9.5 Ft. 2.5 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 1.3 Ft. 103 Ft. Well: ElNew ElUpgrade Gravel Midi Number oflines: 2 Distance between lin as >10 5 Fl Ft Classifcabon (Private, A, B. C): Total Depth: Cased b: Total absorption area: Pipe Material: Existing Ft. Ft 604 Ft' ASTM D3034 PVC Duller Date Drilled: Static Water Level: Installer Date installed: Ft Chuck's Backhoe 11/9-11/2005 Yield: Pump Set at Casing Haght Above Grountl: TANK GPM F,. Ft. SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other: ! To Septic Absorption Lift Holding ublicrPrivate Manufacture. Capacity: From Tank Field Station Tank Sewer Line Anchorage Tank 1,250 cal. Mate- Number of Compartments: well >100' >100' N/A NIA >25' rAr1� Stee— '0156F Two (2) Surtace Water >100' >100' N/A N/A LIFT STATION ize: Manufacturer Lot Line >5• >10' NIA NIA Gal. "Pump on" level at: °Pump off' level at: High water alarm at. Foundation >5' >10' NIA NIA in. in. in. Pump Make & Model Electrical Inspections performed by: artaln Drew None Noted Remark.: BENCH MARK Location and Description: Garage Slab Assumed Elevation: 100.00 Ft A.Harala 11/9/2005 En ' D OFQIlloill Inspections performed by: Dates: tat + ••° 2i411/10/2005 ®r�Q;••• qS� •��� A Development Services Department Approval 7�,•' 49TH t Conditional Approval Date: / o• �••••••. Vie, -ti11CNAEL E. ANDERSpN a s i• 81 Reviewed Reviewed and approved by: AiA Date: Z !4 t+A °ROFEESS1��A��� (Re, -.04/0) ,d`\\\®`' mg..+w . 2 ) #@�,* a. § a !% a |; .! M 0 Cl) LL �\ \ « . § G§ • � 2 E 7 § & \LO / \ .o g _ - | u jg/ a . © {{}/ { U) 2 e Ll E \ Q \§( i �\ \ ` .}} z /)/ / \� e § ƒZf % ~G� )2 2 e! Of _0. j/ : } / \ .}E}\\ 0 \};}// --/ - ------ -� ) % +aL �� o .« . .�� b■�s k 0 :( ggglsa1� Qas E ! x z Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: SW050174 92.45 V U U M] F 98.0 to Drainfield Rock 99.1 N UU 99.2 n Page 3 of 3 PID No. 018-331-23 N U 53' (Trench Length) ' 78.0 Groundwater @ 81' 511512005 N U 50' (Trench Length) OF., A�0�1� PROFILE AS -BUILT No Scale rte.,.• �' 49th MICHAEL E. AN�ERSeN _ MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99599-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW050174 Legal Description: GRIFFETH LT 1 Design Engineer: 0014 Anderson Engineering Owner Name: PETER CHUN Owner Address: 3600 RABBIT CREEK ROAD ANCHORAGE, AK 99516-4035 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank `X Date Issued: Jun 16, 2005 Expiration Date: Jun 16, 2006 Parcel ID: 018-331-23 Site Address: 003600 RABBIT CREEK RD Lot Size: 34465 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: G!,/'a r" Issued By: .jA Date: 6 /b oP Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program SA PTY 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 018.331.23 Permit Number SW Property owner(s) Peter Chun Day phone 6327300 Mailing address (1) 5001 Eagle Street Anchorage, AK 99503 Mailing address (2) 3600 Rabbit Creek Road Zip Code Legal description (Lot, Block & Sub'd.) Lot 1, Griffeth Subdivision Legal description (Section, Township & Range) Lot Size 34,465 SF Acre Sq. Ft. THIS APPLICATION IS FOR: Number of Bedrooms Four (4) Sewer Only ® Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. wKd'a"t ( (Signature of property owner or authorized agent) .r Permit Fees: j4b® Waiver Fees: Date of Payment: 5% 21—Os� Date of Payment: Receipt Number:87��Receipt Number: (Rev. 12/00) � MEMO DATE: 6/13/2005 TO: Joe Goodall WITH: MoA/On-Site Water and Wastewater FROM: Mike Anderson SUBJECT: Lot 1, Griffeth Subdivision Well and Septic System Construction Permit The monitor tube was recently replaced in Test Hole No. 2 at Lot 1, Griffeth Subdivision. The hole was extended to a depth of 20'. Groundwater was encountered at 17' below the surface and remains at that elevation today. This is 7' below the bottom of the absorption trench proposed for the lot. The water level in Test Hole No. 1, which is the test hole noted in your comment sheet and shown on the attached site plan remains at 5.5' below the surface. This test hole is much lower in elevation than Test Hole No. 2. The water level in Test Hole No. 3 as noted on the log submitted with our original permit application was 16' below the surface as measured on May 15, 2005. This is at or near the same elevation at the water recently monitored in Test Hole No. 2. We are confident the absorption trench as designed will remain a minimum of 4' above the high groundwater level as measured in Test Holes No. 2 and 3. We have included the test hole logs with the water monitoring noted along with the site plans showing the location of Test Hole No. 1. Please let me know if you have additional questions. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX May 26, 2005 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, Griffeth Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 1, Griffeth Subdivision intends to construct a new four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed septic system along with the alternate site. Also identified on the plans are the locations of the existing well on the lot and wells on adjacent lots in the subdivision. No conflicts exist between the proposed septic system and the existing well and those on adjacent lots. Drainage arrows are shown indicating the current drainage patterns. The drainage patterns will be maintained after construction. Test holes placed in the area of the absorption trench and alternate site indicated silty sand with minor amounts of gravel. The percolation rate of this material was determined to be 9 to 12 minutes per inch. No groundwater was found during the placement of the test holes and none was noted on May 15, 2005 during the monitoring period. We are proposing to place a new 1,250 -gallon septic tank and a 55' long by 3' wide by 7' effective depth absorption trench to treat and dispose the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 4' below the surface and the total depth will be 11'. A minimum of 3' of fill will be placed over the absorption trenches and 4' over the septic tank. The ground surface on the lot slopes at varying grades from east to west and north to south. The new trench will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from the existing wells and any surface water in the area. Lot 1, Griffeth Subdivision May 26, 2005 Page Two If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, W"4.L E Michael E. Anderson, P.E. Attachments Fa 164.93 51ete Rabbit Creek Road • 29957 qoy • u m 1 Y Ir a d _ CD ............ WEST 299.59 _.. ..' aL.r co W cn o g G 101 Util Esml NB959'41'E 299.62 R&M 146.88 146.68 1D1 UM Esn 215A _g w WEST o= 215C M 3 149.89 o 6 � EK 3 W > 0 215B O s 0 so 149.69 149.89 WEST 329.80 HVL S89 55'40_E 329.55 D&O WEST 329.79 HVL .�••••,� q,a ..0 q�A •`.`�'` :...4�h• :...., AREA MAP ..................q..., MICHAEL E. ANDERSON _ujt SCALE I"=40' *### •t NO. '.��a CE4381 ,,.a UN M.9*,01.00 N -ivqs2 '111f1oi --- ----------- -- N. OC 10 I 1Xown r I; < K N CL 0 OE La 0 0 < E: -j w 0 in LLJ LLJ OS LL: 0 C0 0 V) Lr) m O m < Li 0 I L nFV VA) LL) ul x M.90,01.00 N 0 n i3l8iS dlGOVS 0 0 SLL 00; Not W w z e �V r, �- m 0 am`¢,40'S L L M„91,,O1.00 N 03 '1WS3 -iiia ,OL M dt p, V N p m N CO N X Q N In D V O � Na I N O O N 0] O z 0 II 0 �D!: �n LQ X X N L LI o LJ 0 M tL ,0s o p W o w 0 o a O a a- cn i— � �t m m.47 z o = z J pr) O % W W O O U LO W LL a a s c: ry F2 CD Z maa and O yEY a om H > cR m° mna a$y "mc K W J W < m w m pro W 0 3 W a w' ti0'S t L M„90,0 L.00 N O O M lmll�jls �13100v W w z e LOT 1, GRIFFETH SUBDIVISION DESIGN FACTORS: Four Bedroom Home Perc. Rate: 9 to 12 Min./Inch Application Rate: .8 GPD/SF (Average) SYSTEM REQUIREMENTS: Deep Trench System 1,250 Gallon Septic Tank 7' Drainfield Rock 4 Bedrooms X 150 GPDL8 GPD/SF (Application Rate) = 750 SF Absorption Area 750 SF/14 SF/LF = 53.58 LF Trench Length THEREFORE: Construct a 55' Long x 3' Wide x T Effective Depth Aborption Trench at the Flow Line Elevation in Trench to be 4' Below Original Ground Surface. Total Depth to be 11' Below Existing Ground. Provide 3' of Cover Over Trench and 4' Over Tank or Provide 2" of Insulation and 2' of Cover. Maintain 100' Separation Between Existing Wells in the Area and the Absorption Trench and Septic Tank. Natural 3'6" Backfill Geotextile Fabric 6" 4" Perforated PVC (Holes Down) 7'0" 3' 1--1 Drainfield Rock TYPICAL DEEP TRENCH SECTION (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Private Wells in the Area. Minimum 100' Separation From Surface Water or Streams. Minimum 10' Separation From Water Service Line. Municipafity of Anchorage Development Services. Department; Building Safety Division.......49th.... f ... .. f • � - On -Site Water and Wastewater -Program.:. f 4700 South Bragaw St. f.R.......................................... i P.O. Box 196650 Anchorage, AK 99519-6650 O` ; MICHAEL E. ANDERSON j AF www.ci.anchoraae.ak.us f�S : _ No. CE -4381 1AV °: -(907) 343-7904 ��•. �•/Z�OY.•'' �O Soils Log - Percolation Test its ;;::•''♦ Performed For: - Date Performed: �j /Z3 / n5 Legal Description: Lot 1, Grlffeth Subd.. Township, Range, Secfion: Slope - Site Plan C�P1 > a- 11- 12- 1�k V%'t 14- 15- 18- 19- 20 6/12/2005 Test Hole Deepened WAS GROUND WATER Date ENCOUNTERED? N 5 IF YES, AT WHAT DEPTH? 1 i Depth to Water After 1.7: _P ' Monitoring? _ E Date: /� O Reading Date Gross Time - Net Time Depth fo Waterl Net Drop 17 .2:3® to 20'. Groundwater PERCOLATION RATE f �J fminuteefinch) PERC HOLE DIAMETER_ 171 yRe. ow the// $nrf&&9UN BETWEEN �FT' 'AND e." - FT COMMENTS 1-eS, Gle/rFv kv3h fsoasffm€'!� PERFORMED BY: I ��C.�(=-�STIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: G- LTi 45- Municipality of Anchorage Development Services. Department Building Safety Division On -Site Water and WastewaterProgram 44700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cI.arohoraoe.@k.us (907) 343-7804 Soils Lag - Percolation Test Performed For: Legal Description: 2- 4- L 1// j a /17 �b - 1 7-'R 14- 15- 19- 20 - COMMENTS 1, Griffeth Subd. Date Perio Township, Range, Section: - one rill, V�+ WAS GROUND WATER - / ENCOUNTERED? /�j S I. IF YES, AT WHAT DEPTH? X, L 0 Depth to Wafer After 1 6 1 Monitoring? � Date: 5 f $ O Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE - 2 (minutRsfi ch)// PERC HOLE DIAMETER % ?f TEST RUN BETWEEN (0- FT 'AND 4.,S FT —f PERFORMED BY: �'f`� � eEF{gIFY THAT THIS TE/ST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND IdUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATEc: G'"%Z�05' ■ 2-013 \Rev. 51/8) U 1 1 0 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 ANDfOR WELL INSPECTION REPORT NAME PHONE EJ NEW Bv &eIL(-Fq-+k GRADE MAILING ADDRESS S 321 LOAs, L L A 996 LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS palntn-lf 3, DISTANCETO: Well , 7,5 -A Absorption area Dwelling PERMIT NO. Cly IZ` X01 930?0 - E ZQ ~ ManufacturerC Material !2 4AJZ- No. of compartments m Lin. capacity in gallo s�Inside IF HOMEMADE: length Width Liquid epth OGZ DISTANCE TO: Wall Dwelling PERMIT NO. - S a H Manufacturer Material Li uid capacity qin gallons m= DISTANCE TO: Well, *Itylt a Foundation t Nearest loth * PERMIT N3oO. ?O J MZ No. of lines .Length of each line Total length of lines Trench width Distance between lines l- ? W as 221 171 ) 1 /p 0 inches w /3 y. at F Top of tile to finish grade Material beneath tile Total effective absorrpption area inches OP 1A W Length Width Depth PERMIT NO. i F wd Type of crib - Crib diameter Crib depth -Totalf effective absorption area y DISTANCE TO: Well Building foundation Nearest lot line CI s Depth i WicIA Driller - Distance to lot line PERMIT NO. J W 'E DIS TANC O: Building`faoandation Sewer line , AtLA it Septic tanV r* Absorption area(s) OTHER CI PIPE MATERIALS b IUMTI � SObI L NG a©o th INSTALLER (T IO S 93' REMARKS � 7 751 r Wetui� e, TQ Lf Lieip. I W l o t 'MtW 22 To a' 9' z, J i LI 8 + . t T S APPROVED - DATE LEGAL 91783 - 2-013 \Rev. 51/8) U 1 1 i .-.W MLir-4 I r- 11PF-1L_ I TY 1iDF= DEPARTMENT OF.HEALTH AND ENVIRONMENTAL PROTECTION i 825 'L' 'STREET, ANCHORAGE, AK. 99501 264-4720 t=+hi— I TEELaIE FZ PE � PERMIT NO. C 830703 ) APPLICANT COLBY GRIFFETH S.R. BX 3216 WASIL L 376— LOCATION RABBIT CREEK -R 'LEGAL f LOT SIZE 30000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSG FT/BR)= 200 v� THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: CSF=PTH= _ LEtJ�CiTH= 3G raF?f�s•'EL C7EF� -r THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THE Ti EN'C H t4 I G*TH I �_ w_0110101 FEET_ THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEltN THE•OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). F':E:G U I REE> E1= T I �C Tt=ir4K I vE= ::11_1010+10 C3f=iLil_4 itJSS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -- TWiC+ I I`JSSF= F=CT I i7�t 1 FIRE FREGfU I REGy -- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM; DISTANCE BETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC: WELL DEPENDING " RIPON THE TYPE OF PUBLIC WELL. j INIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO "A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE I 1AVAILABLE TO INSURE PROPER INSTALLATION. f D Iyi,�rgr F�E114R'F*'1 I T ESP' I FZ�ES; L'wECEt•7F�ER =s:�_ j.�x3_¢ "�"_ _✓ r I CERTIFY THAT 3: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. '7 l' 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ol 3: I UNDERSTAND THAT THE ON—=ITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF TH RESIDENCE IS REMODELED TO INCLUDE MORE THAN :3 BEDROOM.5. s " in the event that a lift station j?nstal /e, �j electrical permit and inspe tion mu... SIGNED: __________�_.\�^�� obtained. As-builk6 cannot b approve,. ----------- pp APPLICANT LBY GRIFFETH til the electrical inspection is received in t,; : Office. The electrical work must be Pe r ®.d by a licensed electfician.'" ISSUED BY— _------------DATE_�*9� V4. 0 x � u o K;' "h%!� s� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION /- • 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG — PERCOLATION TEST SOILS LOG �u PERCOLATION TEST PERFORMED FOR: �t KrrUc� DATE PERFORMED: i`A�\f 7.I. LEGAL DESCRIPI oh L qY St1� bo'_d) V AVVJ- d jow-5 SLOPE . WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? In II Cis(' 1 Y�1G SITE Reading Date Gross Time Net Time Depth to Water Net Drop t 7-�2'5 a.,51 >0 -5105 ivmcn • 19 O 3!0? 3q . 09 3 3: t7 iam 1 a v 3:a� 16 n .15 1 ,09 f-/fao a � • 36 3:39 /o aro .10 !� S: 5/9 /U/nvn t7 .09 PERCOLATION RATE •W (minutes/inch) r TEST RUN BETWEEN FT AND 0 FT PERFORMED 72-008 (6/79) MON 5T�s-0� 7, CERTIFIED BY: SnQ& • i ALASKA enum00menTAL COnTROL OWNS, Inc. Engineering & Enuironmental Studies PERCOLATION TEST DATA SHEET CLIENT DATE ADDRESS ZIP CODE j ,J LEGAL LOCATION l -I r l JIiLU vsjorLo+ ) l_7�r1 I TOTAL DEPTH OF HOLE// p 7 ft. ZONE TESTED 6'b ft TO 7 ft TH # #LEADING # CLOCK TIME NET TIME DEPTH TO DATUM NET DROP IRATE (min/in) —f tb o S 0 1620 IL) MU17 K165 /a,5 0 ? o e 41 D3a ' .5y 0Lpo FINAL PERCOLATION RATE (min/in) PERFORMED 8Y ("J,y �Y�t M®f-sro13-wy 1200 West 33rd Auenue, Sunt -Yo Anchorage, Alaska 99503 • (907) 276-1361 ALASKA ENVIRONMENTAL CONTROL SERVIC NC. IG2O West 25th Avenue'Suite B ANCHORAGE, ALASKA 99503 276-1361 279.2917 JOB dot I SHEET NO. �'.,.y� OF !' CALCULATED Bv2SI2 DATE � CHECKED BY DATE 4M Y r: fn.....•,. -1, - f—, Va— ",7: a P,q BBt T Cf�EE K ROAD wE5r 2 99. 57' ' I `�- Exrsr. wecc la to L07' 1 0 I x'S7 ' SEPT/G s/.7�E � \ R9� \ I WEST 299.57' L WELL LOCATIO�CL � 4i v� (W SYSTEM I � Q I) LOT 2- V) V) 30' j /O' UTILITY EASEM6EJT N&9"59`¢/"E 293.62' S BUILT DWK Ste, CKD. SCALE. V!;-. ANTS, INC. WEL[IF-(.00AT/OAl I Geta 3/. RLASKA RAFIMSTRL C0nTROL SCRUIPS, IN. ` 6ngineermq & Enuironmental Studies JULY 1 1983 FIRST NATIONAL BANK/ATTN CINDY P.O. BOX 8-9066 ANCHORAGE AK 99508 ke SELLER - GRIFFETH BUYER- j SUBDIVISION-GIFFITH BLOCK -0 LOT -1 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A UNKNOWN WITH AN UNKNOWN AREA. g {� THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. rtC IJ j`: THE SURGE CAPACITY OF THE SYSTEM IS 700 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 6/28/83 SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR f THIS 3 BEDROOM HOUSE. The absorption capacity observed was derived from both concrete and log areas, since the surge was accepted by both. To be considered adequate, both must be utilized together for the reported absorption. r-�nVO�rN\V j ���� •OF A.. 11 F 00 �a r ... ••- 9 / 100 .,. d s.... ,® ^� Leroy ••Reid, Jr. Bf J'TS•• No. 251-Edw .,.•••• �t.�w 1200 LUesl 33rd Auenue, Suite 6 • Anchorage, Alaska 99503 • (907) 276-1361 M -W DRILLING INC, P.O. BOX 10-378 ANCHORAGE, ALASKA 99511 PHONE 349-8535 LEGAL DESCRIPTION LEGAL BANK OR LENDING INSTITUTIONS CURRENTLY HOLDING DEED OY Ibllgr HOME WORKPHONE • INVOICE N° 2182 DATE ct /7 / UNIT OTY. MATERIALS PRICE AMOUNT IR M MUNICIPALITY OF ANC. DEPT. OF HFALTI-I W ELL NUMBER DIAMETER DEPT14 / STATIC LEVEL GPM PUMPI�y�AKE HP SETTING !' J VOLTS SERIAL NUMBER MODEL SCREENLENGTH SLOT IZE LINER/SCRE DESCRIPTION OF WORK DATES 9�fx W; n j 1�mc�c Cvroc�=Tc��,,_ LA 1 A c T c_\ 4, C1' 6 i 5.x.41 �Gi ,V h � •�:, TOTAL MATERIALS DRAWDOWN PHASE AMP RATE C\, (:VNOicA�e\ nc.:�1 4�rti `-� _ f� ca C -A I - S`itzc>,n�€.fz• �' m�r�� c�� t •N�C� �ti>•,�._�.C�1_ \'' iTC �.c. 1 },� IN OUT HOURS RATErl r] charges shall be 9 paid in full within ten `�"T 10'S �, LABOR ; $ :5 7 S �+4 days unless other arrangements are made Prior to drilling. The in- GhGL.a l tici CPA. INS11 customer shall pay terest at the rate of 7% % per month on any - 1 It53c: G`lTeIVaCd'io Z4' a C'y- ct'AdE. ��"" N ta1Lc c� L�..'�5 1.�0o tL =r� u,(� e ! ly 14 00 amount not paid within ten days. Failure to OTHER CHARGES _1 n, s y�L _ •---��1L.WP�'C [Lk_IME \...iu.�ldtv�`C2 "�K'�_.O la•'n''IQ ` L CUSTOMER SIGNA IUHp 1",+_4tr���,1(_.-. -� r_C-'NNA"c-1y-L 'V4 Tri L } Lam(; {\1r_1ygnR t�IPVG l •_1 I� k cit'<�' 1 k'_ 1 G ! A\ if�C.L l [�C } 9 RLmv- .'�ti ntrr,�ifLl C�lLbt\ci UA'Itp'�P:ci,i� _ Cery i �`t"r�.•t r.cib'vPcc', - — All 1�WORKMAN L"• DAIF �l�h IN OUT HOURS RATErl r] charges shall be 9 paid in full within ten `�"T 10'S �, LABOR ; $ :5 7 S �+4 days unless other arrangements are made Prior to drilling. The in- 940 customer shall pay terest at the rate of 7% % per month on any It53c: C' C- MATERIALS (PROM ABOVEI 1 bc,L - ' s r - q� _ f'` J 0900 ! ly 14 00 amount not paid within ten days. Failure to OTHER CHARGES pay may result in alien against the property. 1 lc c c 1 L CUSTOMER SIGNA IUHp PAY THIS AMOUNT _i t .- M.- W hrilling, Inc'e. P.O. Box 10-378, Anchorage, Alaska 99511 (907) 349-8535 June 8, 1983 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH Z Century 21 Heritage Homes ENVIRONMENTAL PROTECTION 207 E. Northern Lights Blvd. JUL ? 193 Anchorage, Ak. 99503 Attn: Cathy Krupa RECEIVED Pe: Lot 1 Griffeth Subd. Upgrade well. Dear Cathy, This is in response to your recent request for a cost estimate for the upgrading of subject well to meet Ymicipal Standards. It is our understanding that there is an existing 6" well casing of over 100' total depth which has been cut off 8'+ below ground level inside of a 2' diameter concrete well pit. The Drell apparantly flaws (artesian) over the top of the casing with the overflow seeping into the ground around the concrete well pit. The work sequence which we contemplate is: 1. Pump water level down to expose top of casing. (while pumping check well capacity) 2. Excavate around and remove concrete well pit. 3. Remove existing pum» suction pipe. 4. Clean out well casing. 5. E ctand casing to 1,%' above surface. 6. Install pitless adaptor and re-anwt existing suction pipe. 7. Disinfect well. 8. Backfill aroused casing, sloping ground away from casing. 9. Cap well water -tight. We estimate this work to cost $1,300.00 to $2,000.00, depending on the actual conditions discovered as the work progresses. Our changes would be billed on a "time and material" basis. 0 0 am ovr hi, s;nr-as'I 0 • 0 If uv may be of further help in this regard, please call. Yours very truly, M -W DRILLING, INC. Robert W. Kranich Construction Operations Mgr. RJK/cs G;r:: 7W DRILLING INC. • - 'P.O. BOX 10-378 ANCHORAGE. ALASKA 99511 �f PHONE/349-/8535 / :L ✓ ✓ / e LEGAL DESC RI P"PION LEGAL OWNERS TANK OP LENDING IN STI TU PI ONS CURRENTLY HOLDING DEED OF TFUST HOME PHONE MyORK PHONE • INVOICE N° % 133 DATE -'�� r—L-�-- UNIT TOTY�--111111MRTEgIALS P310E� AMOUNT —' -- WELLNUMBER TOTAL MAT'ERIALS DIAM: R DEPTH STATIC LEVEL GPM DRA�WyDO4/V N/ PUMPMAKE ` HP SETTING— - —.—__�_---__ ----- VOLTS-- PHASE AMP RATE SER!AL NUMTER MODEL SCREEN LENGTH _—SLOT SIZE- LINER/SC PoEEN ----- DESCRIPTION OF lNORK ------- DATES rG� t. / �. tel"' ms's' !/L?L e r / "J•sf/as �.tp. ✓. � �/1 � !l is it .. �rC` WORKMAN DATE All charges shad be paid in full within ten days unless other arrangements are made prior to drilling. The customer shall pay in- terest at the rate of 7 M, % per month on any ------ ---- amount not paid within ten days. Failure to Pa. may result in a lien against the property. CUSTOMER SIGNATURE IN CiUT HOURS RATE 'c4 i,3LTT�'Ae°R / y � c._. -7 �' MATERIALS (FROM ABOVEI OTHER CHARGES PAY THIS AMOUNT 7-1 C'w 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. 018-331-23 Legal description GRIFFETH LT 1 Site address 3600 RABBIT CREEK RD Expiration Date: Current property owner(s) MARSHALL JAMES B JR & STACY L X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for Comments or advisories: , By: 12/12/2023 bedrooms, with the following stipulations: Original Certificate Date: 9/12/2023 This 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 ApprovMjune 2022 MUHMPAUTY OF AHCHOIRAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 018-331-23 Complete legal description GRIFFETH LOT 1 Location (site address) 3600 RABBIT CREEK ROAD, ANCHORAGE, AK 99516 Current property owner(s) JAMES & STACY MARSHALL Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 18 - See advisory if steel older than 20 years (Deep Trench Tested) 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ® Deep Trench ® Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ _560 Waiver Fee $ Date of Payment ` --7.3 Date of Payment COSA # 0_'�:)C �� I.5 Waiver # COSA Application.doc COSA Checklist.docx COSA Checklist Legal Description: GRIFFETH LOT 1 Parcel ID: 018-331-23 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled UNKNOWN Total depth *143 ft Cased to *40+ ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 8/16/2023 Static water level at beginning of test ARTESIAN PLUG Well production at time of test 4.6 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 0.352 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 8/16/23 Comments *Per MOA files – 2014 COSA, MW receipt,… B. TANK DATA Measured operating fluid level in septic tank 51” Date of pumping 8/16/23 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station 4 years Lift station material PLASTIC Comments: D. ABSORPTION FIELD DATE Which system tested (date installed) 8/10/2019 ALL standpipes present per record drawing Total measured depth from grade 11.2 ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) 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 If yes, enter date Adequacy test date 8/16/2023 Results Pass Fluid depth prior to test 23 in Water added 750 gal New fluid depth 38 in Elapsed time 1420 min Final fluid depth 22 in Absorption rate 600 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 78 in (MOA 6.5’ ED) Effective depth used 22 in Effective depth (ED) remaining 56 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximate. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft 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’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No *8 ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *PREVIOUS 2019 MOA WAIVER. 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 8/31/23 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 8/31/23 MUNICIPALITY OF ANCHORAGE s Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log OwnerStreet Address Septic Tank: . -Sludge level _06nches •Pumping: required esnd -Pumping completed es no Lift station: N�� � �u5 20M•Pump basket cleaned gs no N-Fffiuen filter cleaned es no tile' -Control floats cleaned f s no -Proper float settings confirmed es no. *Operation satisfactory e no Alarm System; -Dedicated electrical alarm circuit < aesno -Audible and visual alarm inside dwelling- es no -Alarm system operation satisfac ory not satisfactory Manhole Riser ,Ground water intrusion at riser to tank connectiones no -Ground water intrusion around pipe penetrations es -Weep hole functionales no -Manhole lid: Functional es no Insulated es no Properly Secured Ces no Other -All manufacturer required inspections and maintenance completed Ces�no Comments: Qualified Maintenance Provider: Technician e<, I Company �..._-j� S 66'(V1446 Signature Date of maintenance Ey � A U7V OF Z%H;H G� GE 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. 018-331-23 1. GENERAL INFORMATION Complete legal description GRIFFETH LOT 1 Expiration Date: 1 il — 97 ^ / / Location (site address) 3600 RABBIT CREEK ROAD, ANCHORAGE, AK 99516 Current property owner(s) CHE WON JUNG & JIN HWA LIM Day phone Mailing address Real estate agent 3600 RABBIT CREEK ROAD, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 0 Date of Payment Receipt Number um�)L0 COSA # o5u'll 1,2)O 1 Waiver Fee $ Date of Payment Receipt Number 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4661 NATRONA AVENUE, ANCHORAGE, AK 99516 Engineer's Printed Name MICHAEL N. ANDERSON, PE Date 8/16/2019 Comments: This investigation was completed in compliance with MOA guidelines, regulations, `\ and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change OF A, \ due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of �+ construction (workmanship & materials), the water usage of the family being served by the / �: • system and maintenance. The operational life of all well and septic systems are subject to * ;•/� Q " these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory / for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by FWCS and Anderson Construction & Engineering. / 10CHAEL N. ANDERSON. -4 aa 1 No. CE 9489w 6. DSD SIGNATURE ssto��' i System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved ``lll<«���(fv Conditional approval for bedrooms, with the follo``f4Tdn�F �� 5 r p _ �'�liil}�111 � �7 p 1 By: I/V,- t� Original Certificate Date: 9 rG— C 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet 101411:1r Legal Description: GRIFFETH LOT 1 Parcel ID: 018-331-23 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ® Well log is filed with Onsite (or attached) Water storage tank volume NA gallons Date drilled 8/17/1971 Well disinfected for coliform test? ❑ Yes ® Nc Total depth 143 ft ® Coliform bacteria is Negative Cased to 40+ ft Nitrate mg/L ® Nitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND) ® Wires are properly protected WE S Casing height (above ground) 2 in. Collected by Date of flow test for COSA 5/24/2019 Date of Sample 8/9/2019 Static water level at beginning of test 3 ft. Well production at time of test 5+ gpm Comments Artesian plug installed by 907 Water Well Services B. TANK DATA —11/9/2005 - 1250 -gal Age of tank(s) 14 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 51" ® Standpipes/foundation cleanout per record drawing Date of pumping 5/24/2019 C. LIFT STATION — PUMP BASIN - NEW ❑ Required maintenance completed Age of lift station 0 years Lift station material PLASTIC Comments: D. ABSORPTION FIELD DATA — 58'L x 2'W x 6.5'ED — 0.8 GPD/SF = 754 SF Which system tested (date installed) 8/10/19 INSTALLED Adequacy test date NA - NEW SYSTEM ® ALL standpipes present per record drawing Results ❑ Pass For _ bedrooms Total measured depth from grade 9.5+ ft (max) Fluid depth prior to test _ in Measured depth to pipe invert from grade _ft (min) Water added gal ® N/A — pressurized field New depth _ in ® Monitor tubes go to bottom of effective. If not, state depth into effective Elapsed time min ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Com ments/Deficiencies: COSA Checklist copy.docx Final fluid depth _ in Absorption rate _ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date NE 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 ft Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® 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' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ 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' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No "8 ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *Lot -line waiver w/ COSA & IR submittal. G. ENGINEER'S CERTIFICATION l certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist copy.docx OF AL 49 TH �A MICHAEL N. ANDERSON- No. CE 9469 .-- �'� 8./.2.8/'1'9. ..' nssio'4 ft ft ft Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 018-331-23 1. GENERAL INFORMATION Complete legal description Grlffeth, Lott Location (site address) 3600 Rabbit Creek Rd. "etchen stui@.r Expiration Date: 9- l 9 - 1 Jr Current Property owner(s) Courtney Earl Day phone Mailing address 3600 Rabbit Creek Rd. Anchorage, AK. 995.16 Real Estate Agent 2. TYPE OF DWELLING: M Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System WaiverNariance request Day phone TYPE OF WASTEWATER DISPOSAL: Individualx❑ Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: \./"" COSA to be released to the engin r, unless otherwise requested by the engineer Date: S 20 205 COSA Fee $ 5a� Waiver Fee $ Date of Payment 611(4115- Receipt 11(41ISReceipt Number COSA# i3�:56:5lcvtp Date of Payment _ Receipt Number 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe 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 soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. - - Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage-Ak. 99510 Engineer's Printed Name Steven R Pannone Date 5/12/2015 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: Thenl al" o horage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represen ations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. - - - 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA blue sheet t G c Nitrate Advisory Arsenic Advisory' Other If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate ofDn-Si#e Systems Approval Checklist Legal Description: Grlffeth, LOtl ParcellD:018-331-23 A. WELL DATA Well type PClyat6 If A, B, or C provide PWSID # Date completed 8/1711971* Sanitary seal (Y/N) Y Total depth 143*ft. Cased to >40* ft. FROM WELL LOG Date of test 9/7/1983* Static water level 4* ft. Well productidn 5* g.p.m. WATER SAMPLE RESULTS: Well Log (YIN) N Wires properly protected (Y/N) Y Casing height (above ground) 18+.in. AT INSPECTION 2/812014** 14** ft. 4.5** 9 - p.m - Coliform 9E(zcolonies/100 mL Nitrate • SS7 mg/L Arsenic _� ug/L Date of sample: 5/7/2015Collected by: rES = B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/S 4 -r -.e -I Date installed 11/9/2005 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) -Y Foundation cleanout (Y/N) Y Depression over tank . (Y/NL'� R )�N,� High water alarm (YM) N S Date of pumping 5h.320 1S Pumper ' (! t �f04e C. ABSORPYION-FIELD DATA Date installed 11/11/2005 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 GPD/SF System type Shallow Trench Length 50/53 ft. Width 5/5 ft. Gravel below pipe 2.512 5 ft. 8"* Total depth 1218.ft. Eff. absorption area 804 ftz Monitoring tube YDeprt'ssion over field N Date of adequady test 8/2014** Results (Pass/Fail). PASS For 44 bedrooms Fluid depth in absorption field before test 16/24** in. Water added 600** 24/30** . P p gal. New depth m. Elapsed Time: 1440 min. Final fluid depth 16/24 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level at Datum Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO Septic.tank/lift station on lot 100+ Absorption field on lot 100+ - Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ SEPTIC/HOLDING TANK ON LOT TO Manhole/Access (Y/N) in. High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ Building foundation 5+ Property line 5+ Absorption field 5+ Water main 1.0+ Water service 1! 10+ Surface water 100+ Wells on adjacent lots 1 g0+ i ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation .10+ Water main 10+ Water Service. line 110+ Curtain drain 50+ F. COMMENTS *Per 201 Surface water 100+ Driveway, parking/vehicle storage 10+ Wells on adjacent lots 100+ Per An ek"on E G. ENGINE�EWS CERTIFICATION I Cer tify that l have determined through field inspections and review of Munielpel records that the abdVe -systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. P8rTnone Date 5/1212015 COSA canary sheet_2-6-15.doe tagt • Municipality of Anchorage 8v On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 018-331-23 Expiration Date: l 1. GENERAL INFORMATION Complete legal description Grlffeth, Lot 1 Location (site address) 3600 Rabbit Creek Road Anchorage, AK 99516 Current Property owner(s) Peter S. Chon Day phone Mailing address 3600 Rabbit Creek Road Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) FFR 1 Q 2014 3. NUMBER OF BEDROOMS: Four 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual Fx_1 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: ���� t it J t"_. Date:,- COSA ate COSA to be released to the6ngineer, unless otherwise requested by the engineer. c COSA Fee $ J`OL(� Date of Payment X I 1 t )M Receipt Number o,5Ba3G COSA # 0cz�� ) y lc)3� Waiver Fee $ Date of Payment Receipt Number 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 Anderson Engineeri Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Phone 522-7773 Date 2/8/2013 �_ „. f , A s- - c t 49 rH DSD SI NATURE�°6��>C System #1 Approved for bedrooms 0 M!, --`A a. E. A"'r `"`` System #2 Approved for bedrooms _X. Disapproved T �FE�S�s� Conditional approval for bedrooms, with the following stipulations: Original Certificate Date: g The MVnicipality 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet l., c If mon: 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: Griffeth, Lot 1 Parcel to: 018-331-23 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) N Date completed 8/17/71 Sanitary seal (Y/N) Y Wires property protected (Y/N) Y Total depth 143 ft. Cased to >40 ft. Casing height (above ground) >12 in. FROM WELL LOG * AT INSPECTION Date of test 9/7/83 2/8/14 Static water level 4 ft. 14 ft Well production 5 g.p.m. 4.5 g.p.m. WATER SAMPLE RESULTS: ***Record Information From Municipal Files and MW Drilling Receipt. Coliform-2—colonies/100 mL Nitrate ND mg/L Arsenic 6.98 ug/L Date of sample: 1/16/14 Collected by: Anderson Engrg. S. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 11/9/05 Tank size 1,250 gal. Number of Compartments 2 Cieanouts (YM) Y F dation o Y Depression over tank (YIN) Y High water alarm (YM) N ate of pumping umper Around the Clock Pumping l �er/n6A C. ABSORPTION FIELD D Date installed 11/10/05 Soil rating (g.p.d.W or fe/bdnn) •8 GPD/SF System type 5' Wide Length 103 ft. Width 5 ft. Gravel below pipe 2.5 ft. Total depth 10-14 ft Eff. absorption area 804 ft Monitoring tube Y Depression over field N Date of adequacy test 2/8/14 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 24/16 in. Water added 600 gal. New depth 30/24 in. Elapsed Time: 1,440 min. Final fluid depth 24/16 in. Absorption rate >= 600 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons "Pump off level at in. Cycles tested Manhole/Access (YM) _ High water alarm level at Meets alarm & circuit requirements? tia Septic tankAtft station on lot >100' On adjacent lots >100 Absorption field on lot >100'On adjacent lots >100, Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line >25' Holding tank N/A Animal containment areas >50' Manure/animal excrete storage areas >100, SEPTICIHOLDING TANK ON LOT TO: Building foundation >51 Property line >5' Water main >10' Water service line >10' Wells on adjacent lots 100' ABSORPTION FIELD ON LOT TO: Propertytine Building foundation >10 Water Service line Surfacewater >100, Curtain drain None Noted Wells on adjacent lots >100, Absorption field >5' Surface water >100' Water main N/A Driveway, parkinglvehide storage >10, F. COMMENTS Information for Well Taken from Municipal Files and MW Drilling Receipt for Work Completed 9/7/83. G. ENGINEER'S CERTIFICATION I certify that / 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 Michael E. Anderson, P. E. Date 2/8/14 COSA broom sheet 10-10-12.doc �� 49th MICHAEL E. ANDER No CE -4381 Time APPLICf&T FILLS OUT UPPER HALF&jNLY Time Property Owner Paula & Golby rif€eth Phone Mailing Address SR Box 3216 FA Wasilla, AK Zip Code 99687 376-7222 Buyer Lyle Saunders Inspector Address Inspector Zip Code Lending Institution First National Bank Phone 'CONDITIONS OF APPROVAL Parkway Branch Attn: Cindy Lindman Address Pa®k Box 720 Anchorage, AK 995M1 Zip Code 265-3892 Realty Co. & Agent Century 21 Heritage Homes Phone -_ Cathy Kurpa 279-2571 (0) Address 207 E. Northern Lights Anchorage, AK Zip Code 99503 263-2463 Legal Description Lot 1, Griffeth Subdivision Well To Absorption Area Street Location 3600 Rabbit Creek Road Type of Residence Well to Tank Septic Tank Size Fz Single Family 3 ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply ® individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility approx. 147 feet Sewer Disposal ® Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ( 3) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE / ' o-8 BY: r r Solis Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size I'FULS �IUY) M I APPLICAKT FILLS OUT UPPER HALFA&MI V I 3m — Mr Time I Proper,ty,Ownef'au Paula & Colby Griffeth - 31f Phone I Melling Address M BA -m .2916 FA, WaSilla, AK 99687 Zip CodO08-376-7222 Buyer 1gle Sauntm PUrChaser is renting DateDate i 345-2826 Address Zip Code Lending Institution 1"imt Nat. 11 BW& %r6wap7%-anch ATM Cindy Lindillgan Phone Inspector Inspector Address Ancbrymge Ak Zip Code 99511 365-3892 Realty Co. & Agent ', C2,1, Heritage HomesPhone , Cathy '1 '11"), F) 9 — Address 9()7 V.- Northern Lighta Anbh., AK Zip Code 99503 907 263-2463 Legal Description 1. Griffeth SUbd. Street Location 3000 Rabbit Creek Road Type of Residence M A Y El Single Family 2 C1 Multiple Family No. of Bedrooms R (.5 APPROVED BEDROOMS 3&1 ther winbUe hwa on pmp- DISAPPROVED WiterSupply I CONDITIONAL APPROVAL' ]CMIvidual ATTACH LA WELL LOG. A well log is required for all wells drilled since June 1975. EI Community For drilled prior to that date, give well depth (attach log if available). El Public Utility Ws app=. 147 feet Sewer Disposal Well To Absorption Area Well Log Received XX Individual Year Individual Installed: El Public Utility Septic Tank Size When Connected to Public Utility: I Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Tim Time Date (3 eta j Dale 111 DateDate i t i < — , ;, � ,) Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHOR GE DEPT. OF HEALTH , ENVIRONMENTAL PROTECTION M A Y 2 RECEIVED (.5 APPROVED BEDROOMS &ON'DITI OFA ROVAL DISAPPROVED I CONDITIONAL APPROVAL' DATE BY: Soils Rating Date Sewer Installed I Well To Absorption Area Well Log Received Well to Tank Septic Tank Size U)