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T15N R1W SEC 5 LT 72
T15N, R1W Section 5 Lot 72 #051-081-10 PINARD ENGINEERING Paul E. Pinard Registered Engineer/AK & ID P.O. Box 871347, Wasilla, Ak 99687 (907) 357-ENGR(3647) RECEIVED Donna Mears Municipality of Anchorage ~:~ 7 0 2000 Dept. of Health & Social Services M . Environmental Services Divisio~o unt¢iPality et ~ Pt. I~lealt~ ~ chora 825 L Street, Suite 502 ~ & HUman Scrag...° Anchorage, Alaska 99519-6650 vtces February 7, 2000 RE: Lot 72, Section 5, TI5N, R1W, SM; New Water Supply Well & Wastewater Disposal System Dear Ms Mears: Attached is the Inspection Report and Record Drawing for the recently installed Wastewater Disposal System (WWDS) on the referenced property. A copy of the well log for the new well is also attached. You had previously approved the plans and issued the permit tbr these improvements on September 29, 1999. It should be noted that while the installation of the WWDS took place in December, over a period of four (4) days, it proceeded in phases, with each being completed and backfilled by the end of the day, consistent with the permit requirements. Specifically, one leg or lateral, of the three (3) comprising the soil absorption field, was installed each day with the septic tank being installed on the fourth (4a) day. It should also be noted that that even though four (4) feet of soil cover was provided over both the septic tank and absorption field, these components were insulated with two (2) inches of "blue board". If you have any questions on this project, ple_as~ do not hesitate to call me. 2 Attach (as) · cc Doug 8,: Para Buyse, w/attach Sincerely, _ Paul E. Pinard, P.E. Municipality of Anchorage Page I of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW990363 PIDNumber: 051-081-10 Name: Wastewater System: [] New [] Upgrade Douq & Pam Buyse Address: ABSORPTION FIELD PO Box 671627 Chugiak, Ak 99567 I No. of Bedrooms: Ph°ne:(907) 688--7100 ~ Deep Trench D Shallow Trench E]Bed []3Mound DOther LEGAL DESCRIPTION sci, Rating: 333 GPe/Sq. Fl. Torn, D~pth fromg. 6°'igina" grad~: Lot: Block: Subd[vksion: Depth to pipe bottom from original grade: Gravel depth beneath pipe 72 Section 5, T15N, R1Wr SM 4.6' Pt. 5.0' Ft. Township: J Range: Section: Fill added above original grade: Gravel length: 15NI lW 5 0.0' Pt.;105' WELL: ~New [] Upgrade Gravelwidth: Number of lines: Ij0istancebetweenlines: 2.0! Ft. 3 12' Ft. Classification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe material: Private 199 Ft. 199 Ft. 1050 SO. Ft. D3034 Driller: Date Drilled: Static Water Level: Installer: Date installed: Sullivan Water Well 10/11/9! 76 Ft. Richard Person 12/7-10/99 SEPARATION DISTANCES ~Septic [] Holding [] S.T.E.P. To Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines Greer 1000 Material: Number of Compartments: Wel~ 140' 158' NA NA 136' Steel 2 Su,ace LIFT STATION Water 200 ' + 200 ' + NA NA 200 ' ~ Lot Size in gallons:I Manufacturer: Line 55 ' I 0 ' NA NA 50 ' 4 I level level High Foundation 1 5 ' 10 ' NA NA --- J Curtain Pump Make & Model J Electrical Inspections pedormed by: Drain NA NA NA NA NA i Remarks: BENCH MARK Top of bolt on power pole anchor at SE property corner. 100.0' Inspections pedormed by: Pinard ~nqineerinq Dates: 1st 12/7/99 , .-~ ~-~.~-~ ~e e 4i~ e~ e e~eb e e ,e ® el eee. Department of Health and Human Serv,ces approval 72-013 {Rev, 9191) MOA 25 Permit No. swqql~_q63 Page 2 of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description:T,ot 72, Section 5, T15N, RIW, SM PID No.: 051-081-10 Notes: 1 2 Sewer li~ ST & SAS has 2 opt COs instz Each of t e between. manifold osiris 4" lled in it he 3 SAS Propos~ Bedrc Sing] Fami] Resi~ \ \ \ \ d 3 om e Y ence \ \ \ \ \ Existin, Garag~ Shop ~ )~--FC£ 3] COs; one~@ each end. V SAS laterals have ~" insul. & 4' soi~ cover, e~cept southern~lateral, ~hich_/ has 4" i~sulatio~/ %.,- 35' ~ Elew PLAN ~/New Well Torkelsor Circle VIEW ttion Data Scale Bottom o~ Trenches Invert P~rf Pipe GS @ Middle of SAS Bottom Tl #1 1" = 40 86.9' 91.9' 96.5' 78.5' / -- New Septic Tank (1000 g~l Gree~) 72-O13 A (Rev. 9/9~) MOA 25 FE3- 5= 00 aA T 10 : 59 DBS ENTERPRISES r AX NO. 90 i 6582080 P, 02 by DOC; Co. dad WATERSULLIVAN WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 a TELEPHONE 58B-2759 f le BORE HOLE DATA OWNER OF LAND _ 0 �l 64,e DEPTH I _ ADDRESS ADDRESS LEGAL DESCRIPTION — t I:54 k1mi S FC� PERMIT NUMBER `0 3i;.,,, - Date of Issue `7 TAX INDENTIFICATION NUMBER DY] Is well located at approved permit location? B~Yes Q No Method of Drilling: air rotary 0 cable tool Depth of well: _jj,q _ - Casing Type S Tkt,'L. Wall Thickness - dS-0 ._,inches Diameter ( inches, depth feet UnerType: Casing Stickup Abova Ground; Static Water Level (from ground level): _ feet Pumping level: feet after hrs. pumping ___gpm Recover Rate: Jr" gpm Method of Testing. _M Well Intake Opening Type: 0 Screened; Start feet 0 perforations Start .. fheet Stopped _ —feet Grout Ty1�FL Y�1 pe:+v I rJ6Vot e )Ty. +.� 3 Depth: from feet, to ..~' feet Pump Intake Depth: feet Pump Size _. —hp Brand Name Well Disinfected Upon Completion? fifes 0 No 9 Method of Disinfection; 6 U x <3)6!d eeij 14Y ' Y "T t� T AlcK d FEB I Driller's Name ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental, Conservation. Matsu Borough: Department of Environmental Conservation. 0 \/\ \ X../ MUNICIPALITY OF ANCHORAGE Deparfment of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box '196650, Anchorage, AK 995'19-6650 Date Issued: Sep 29,1999 Expiration Date: Sep 28, 2000 Permit Number: SW990363 Legal Description: T15N R1W SEC 5 LT 72 Design Engineer: 0811 Pinard Engineering Owner Name: Doug & Pam Buyse Owner Address: PO Box 671627 Chugiak, AK 99567-1627 Parcel ID: 051-081-10 Site Address: 021439 TORKELSON CIR Lot Size: 108900 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( '18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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: '~'~ %~ PINARD ENGINEERING Paul E. Pinard Registered EngineeflAK & ID P.O. Box 871347, Wasilla, Ak 99687 (907) 357-ENGR(3647) RECEIVED o 999 8EP Asc.o s Jim Cross, P.E. Municipality of Anchorage Dept. of Health & Social Services Environmental Services Division 825 L Street, Suite 502 Anchorage, Alaska 99519-6650 September 20, 1999 RE: Lot 72, Section 5, TI5N, R1W, SM; Water Supply Well and WWDS Plan Submittal Dear Mr. Cross: The owners of the referenced property, Doug and Pam Buyse, are planning to develop it with a single family residence and separate garage/shop. They have contracted with me to prepare plans for a water supply well and a wastewater disposal system (WWDS) to serve the property. Several test holes were dug and percolation tests conducted, to help determine soil characteristics and ground water conditions for the design of the WWDS. The first test hole and the pemolation test were satisfactory and used in sizing the system. Three additional test holes were necessary to find an area for a future replacement soil absorption field. All test hole logs and percolation test data are enclosed. Monitor tubes were installed in all test holes except #3, where a percolation test was conducted prior to extending the depth of the test hole. Since the results of the perc test were not good, the test hole was not deepened, nor was a monitor tube installed, it should be noted that a water table was not found on the higher portion of the lot, where development is planned. The last test hole that was dug, #4, had water seeping in at the bottom of the 16' deep hole. Examination of the test hole a week later, on September 19, 1999, found the water table at 11.3' below the ground surface. This is still satisfactory for a conventional soil absorption field, when a replacement field is fbund to be necessary. A site plan for the new private water supply well is enclosed. The proposed well is located over 100' from the planned WWDS for this property and over 100' from any system on adjacent properties. Its location does not adversely impact the development of adjacent properties or the replacement of existing absorption fields. The owners have asked for an expedited review for the well permit, because their well driller, Sullivan Drilling, is planning on leaving the area within a couple of weeks for an extended period of time. They would like to use him for drilling the well as he is experienced with the area, having drilled most of the neighboring wells. A design for the WWDS is also enclosed. The design specifies a "deep trench" type soil absorption system, with 105 lineal feet of 5' ED trench. The trenches have been located between a planned driveway to the garage and the east property line. To facilitate this and keep the trenches within a 30' radius of test hole #1, three parallel trenches, each 35' long are planned. These will be 10' apart, edge to edge. The septic tank will be located between the planned residence and garage, providing a 5' separation from the tank to each structure. Flow from the tank will be directed to a manifold to provide equal distribution to each of the throe trenches. The ground slopes in the area of the WWDS are generally flat, presenting no problems to the installation of the system. The adjacent properties were inspected for possible impacts or conflicts with the proposed system. None were found. The proposed system is located outside the minimum protective radius of any existing drinking water well. Also, as proposed, its location will not prevent future upgrades of WWDS on adjacent properties. Your timely review of these plans would be appreciated~ A permit application has been completed and is enclosed, along with a check from the owners for the water and sewer permit fees. If you have any questions, please give me a call at the above telephone number or on my cell phone at (907)232-1347. Sincerely, 4 Encl. (AS) cc Doug & Pam Buyse w/encl. Paul E. Pinard, P.E. PINARD ENGINEERING P.O, Box 871347 Wasllla, AK 99687 (907) 357. ENGR (3647) TEST HOLE LOG / PERCOLATION TEST TEST HOLE# I DATE: 7/14/99 JOB NUMBER: 99-075 LOCATION:Lot 72, S5, T15N, RIW, SM FIELD STAFF: P.Pinard/PJ Pinard DEPTH FEET SOIL TYPE ML Siltier w/dept~ 5-- 6-- 8-- 11-- 12-- 13-- 15-- 16-- 18 SM - ~ BOH SLOPE SITE PLAN 4~~ > ~ Lot was being cleared 7/14; organz had been stripped & top bench was ;s ~ere Was Ground Water Encountered? Yes dug. YES,~.,,nenth to Ground Water. GW cked 7 / 2 6 If PERCOLATION TEST DATA --- Done 7/15/99 A Time Measurement Dropin Level Perc Rate Time (minute) (inchea) (inchea) min. / inch Comments 102( --- 6.00 .... ,*ill Perc Hole 105( 30 6.69 0.69 efill Perc Hole 112( 30 6.75 0.75 efill Perc Hole 115( 30 6.75 0.75 ;top Test PERCOLATION RATE 40 min/inch PERC HOLE DIAMETER ' 6 -- TESTRUN BETWEEN and .7 FT~EPTH ~%¢~,.,. PA~. ~ . ¢~'.. C~793 ,.%~ COMMENTS; D~e-soa~e8 Pe=c ~M oD 7/14/99. S~ze SAS PINARD ENGINEERING P.O. Box 871347 Wasllla, AK 99887 (907) 357- ENGR (3647) TEST HOLE LOG / PERCOLATION TEST TESTHOLE# 2 DATE: 7/14/99 JOB NUMBER: 99-075 LOCATION: Lot 72, S5~ T15N, R1W, FIELD STAFF: P. Pinard/PJ Pinard DEPTH FEET SOiL 'FY'PE SM SM - w/some gravel, siltier w/deptk OL 5-- 6-- 7-- 8-- 9-- 10-- 11-- 12-- 13-- 15-- 16 19 F SLOPE ~BOH SITE PLAN Lot was being cleared 7/14; organi( not yet stripped here. Site in the Drocess of beJno leveled. :s Was Ground Water Encountered? Yes / No If YES, Depth to Ground Water. GW cked 7/26 PERCOLATION TEST DATA .... Done 7/15/99 PM A 7]me Measurement Drop in Level Perc Rate nme (minCe) (inches) (inches) min./inch Comments 121 --- 6.00 ~-- Fill Perc Hole 124[ 30 6.25 0.25 Refill Perc Ho16 11 30 6.125 0.125 Refill Perc Ho16 14[ 30 6.125 0.125 Stop Test PERCOLATION RATE 240 min/inch PERC HOLE DIAMETER ' 6 and 7 FT in D---~EPTH [~:... -- ¢;'., c~3 ..'~ COMMENTS: P~e-soaked P~n ~nl~ a . . on not for conventional SAS, based on this perc test. TEST HOLE # 3 PINARD ENGINEERING P.O. Box 871347 Wasllla, AK 99687 (907) 357- ENGR (3647) TEST HOLE LOG / PERCOLATION TEST DATE:9/11/99 99-075 [SLOPE ] Lot 72, S5, T15N, R1W, SM Flat P. Pinard JOB NUMBER: LOCATION: FIELD STAFF: DEPTH, FEET ML 2-- 3-- 4-- SM 5-- 6-- BOH 7-- 8-- 9-- 10-- 15-- 16 SOIL TYPE SITE PLAN Was Ground Water Encountered? Yes (j~ If YES, Depth to Ground Water. PERCOLATION TEST DATA A'Rme Measurement Drop in Le,,el Perc Rate Time (minute) (inches) (inches) min/ineh Comments :55 7.,00 .... Fill Perc Hole 2:25 30 7.375 0.375 Stop Test PERCOLATION RATE 80 min/inch PERC HOLE DIAMETER ' 6" TEST RUN BETWEEN 6 FT and ; ? FTin DEPTH COMMENTS; P~erc Hole pre-soaked 9:30 AM TEST HOLE # 4 JOB NUMBER; 99-075 LOCATION: Lot 72, S5, T15N, FIELD STAFF: PJ Pinard DEPTH, FEET SOIL TYPE 2 3-- 4-- 5-- 6-- 7-- 8-- 9-- 10-- 11-- 12-- 13-- 14-- 15-- 16 PINARD ENGINEERING P,O. Box 871347 Wasilla, AK 99687 (907) 357- ENGR (3647) TEST HOLE LOG / PERCOLATION TEST DATE: 9/t 1./99 RlW, SM ML - grey silt w/scm( sand OL SM BOH SLOPE Flat SITE PLAN Was Ground Water Encountered? Y(,~¢ / No If YES, Depth to Ground Water. 1 6 ' GW a 11.3' PERCOLATION TEST DATA -- BONE 9/12/99 PM A Time Measurement Drop in Level Perc Rate Time (minute) (inches) (inches) min,/inch Comments 3:2~ -- 8.50 ..... Fill Perc Hole 3:5E 30 9.125 0.625 Refill Perc Hole 4:25 30 9.00 0.50 Refill Perc Hole 4:5~ 30 9.00 0.50 Stop Test 9/19/99 PERCOLATION RATE 60 min/inch PERC HOLE DIAMETER ' 6" TEST RUN BETWEEN 4.5 FT and 5.:5 CT~EPT. COMMENTS' P~rc ~ole ore-soaked AM on 9/12/99. MUMUP , UTY OF ANCHORAGE �-. is `z Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-081-10 Legal description T15N R1 W SEC 5 LT 72 Site address 21439 TORKELSON CIR Chugiak AK Current property owner(s) STOUFFER Expiration Date: q 1'2,r) X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 12/22/2023 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 x Arsenic Advisory Other COSA Approval June 2022 MUHMPAUTY OF AHCHO %2,=S C E Development Services Department �`16 thy; p P 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. 051-081-10 Complete legal description T15N, R1 W, S5, Lot 72 Location (site address) 21439 Torkelson Circle, Chugiak Current property owner(s) ,James & Mary Stouffer Day phone 907-727-8820 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 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: d] Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 24 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed x❑ 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 $DSO Waiver Fee $ Date of Payment _ /Z, / y zZ Date of Payment COSA # OS C 2 3 14 75 Waiver # COSA ApplicMion_June 2022 hack' st Legal Description: T15N R1 W S5 Lot 72 Parcel ID: 051-081-10 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 '0"""99 Total depth 199 ft Cased to 199 ft X Sanitary seal is functioning correctly On Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 10/10/2022 Static water level at beginning of test 76.1 ft Comments B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping 12/8/2023 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 12/10/1999 ❑ ALL standpipes present per record drawing Total measured depth from grade 9.0 ft (max) Measured depth to pipe invert from grade 4.0 ft (min) ❑ N/A — pressurized field. ® Per record drawings, field is insulated. R Monitor tubes go to bottorn of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficienci COSA Checklist June 2022 Well production at time of test 4 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ■❑ No ❑■ Coliform bacteria is Negative Nitrate mg/L X Nitrate less than MRL (ND) Arsenic 8.25 ug/L ❑ Arsenic less than MRL (ND) Collected by Crewdson Engineering Date 12/7/2023 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 10/10/2022 Results Q Pass Fluid depth prior to test *N: 14", M: 16", S: 15" Water added 450+ gal New fluid depth *N-22", M: 30", S-23" Elapsed time 1400 min Final fluid depth *N-14", M: 16", S: 15" Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 60 in Effective depth used *N-14", M: 16", S: 15" Effective depth remaining *N-46", M: 44", S: 45" *Drainfield legs: N-north, M-middle, S-south 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' Community Sewer Manhole/Cleanout > 100' ❑i Yes if No ft ❑■ Yes if No Neighboring Tank > 100' Fo-1 Yes if No ft Private Sewer/Septic Line > 25' ❑� Yes if No Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ❑■ Yes if No ❑i Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑E Yes if No ft ❑■ Yes if No ❑ 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' ❑E Yes if No ft Surface Water > 100' Yes if No _ Tank to Property Line > 5' ❑■ Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑■ Yes if No ft Private Wells > 100' '❑ Yes if No _ Water Main > 10' R Yes if No ft Community Wells > 200'❑ Yes if No _ Water Service Line > 10' 0 Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS The drainfield is under a paved driveway. The pavement above the 3 cleanouts at the west end of the drainfield is saw cut such that a piece of the pavement can be removed to access those cleanouts. The 6 cleanouts and monitor tubes at the east end of the drainfield do not have pavement on them. ft ft ft ft ft ft ft ft 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 Crewdson Engineering Engineer's Printed Name James Crewdson COSA Checklist —June 2022 Phone 907-280-9493 Date 12-19-2023 .- . O F. A4,q It -,.Jai es rzwdson..-,�� C11527 C� law ,�1��OF S�1�N` MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 9t 907-343-7904 On -Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC231475 Subdivision: T15N R1W SEC 5 Block: , Lot: 72 The septic tank for this property is 24 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more, not including engineering, surveying or MOA permitting fees. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. Municipality of Anchorage • "� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 72, Section 5, T15N, R1 W, S.M. Parcel ID: 051-081-10 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 1 0/1 1 /99 Sanitary seal (Y/N) Yes Total depth 199 ft. Date of test Static water level Well production Cased to 199 ft. FROM WELL LOG 10/11/99 WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml 76 ft. Well Log (Y/N) Yes Wires properly protected (Y/N) Yes Casing height (above ground) 18 in. AT INSPECTION 2/12/07 76.4 ft. g.p.m. 4 g.p.m. Nitrate ND mg./I. Other bacteria 0 colonies/100 ml. Arsenic: NA mg./I. Date of sample: 2/7/07 Collected by: Pinard Engineering B. SEPTIC/HOLDING TANK DATA � 0-5 [ivI L -- � , b / U o / L " .O,-Se tic/Steel Tank Type/�f�ia� _.._ .P Tank siza� 10190 ga:. Number of Compartments 2 Fougq, too c ui �r Yes Depression over tank (Y/N) No a�+� �►sa►+rs��� aa+� .y Date installed 12/7/99 Cleanouts (Y/N) Yes High water alarm (Y/N) NA Date,e4pigaigiq-_.Z/? /07 Pumper JRs Pumping beam .3 iL C. ABS-OVTfft 1,W DJTA Date'ins(ali i"89W I7O/9Ail rating (g.p.d./ft2 or ft2/bdrm) 333 sf/bc"em type Deep Trench Length 3 @ '35' eaft. Width 3 ft. Gravel below pipe 5 ft. Total depth 9. 5 ft. Eff. absorption area 1 050ft2 Monitoring tube Yes Depression over field No Date of adequacy test 2/12/07 Results (Pass/Fail) Pass For 3 bedrooms 22 43 & 18 30 h57 &.26 Fluid depth in absorption field before test in. Water added 540 a]. New d6pt in. Test 22, 46 & 19 Elapsed Time:1 120min. Final fluid depth in. Absorption rate >= 450 g.p-d. Recovery Any rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes, give date o i 00 � W N N Qr r' Lli wa Of o 0� © N 111 LO m � IO Z I I I I I I LOT 72 v0.v a EXISTING / GARAGE 48.0' 25 C SHE p 12.0 ° SEPTIC -' NOT FND (JNDER PAVDAENT) �' O CONS __""_•` WELL ® oJ��� WALK G t4� Nj 50' ROW RESERVE BK 241 PG 312 TORKELSON CIRCLE N90°00'00"W 330.00' AS -BUILT OF: BLM LOT 72 T15N I21 W Sec5 S.M. PLAT BLM[ MAY 13, 1955 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shouh any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: I DATE: DEC 17, 2023 schDilerCak.net 23-124 DRAWN UP: CHLrKW ®r WD MMOM Boat Arr JLS NW1457 230366 OF * 49— '.JO N L. SCHULLER.- o 9. . 1P LS-10408 ,It�ffeSSlon°, SEPTIC PIPE (tyP) PAVED D/W svR G gg•� 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax