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HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 8 LT 1 Municipality of Anchorage Page __ of___ 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 ~ LE~F ~ c~ ~ov s ~,' Wastewater System: ~New O Upgrade -- Address: ~o~ ~+e~ ~./ ~oc~r~ Y?s~ ABSORPTION FIELD ~,o~: ?Zf-,'~7¢O ~.o. of~0,oo~ ~DoepTrench D Shallow Trench DBeO DMound DOther LEGAL DESCRIPTION SoilRating:~ GPD/Sq. Ft. 7 ~o ~' --T°w~ship: /9~ TRange: . / ~ Se~lion: ~0 FillaOdedaboveorigi~algraOe:O/O ~ Ft.:Gravellength: 7~ W~LL: D New D Upgrade ,.~v~r~ ~ ~hI // ~t. )tiller: Date Drilled: StaficW~terLeve,; ,.staller: Datei~stalle~: ~)Z~ ~eld; GPM PumpSetat: Fh ~ Ft. TANK SEPARATION DISTANCES ~eptic ~ Ho[ding ~ S.T.E.P. - s~ >~' >Tx~' LIFT STATION Water LineL°t ~L/ / ] ~1 ~ I Sizein gallons: Manufacturen ~:oundation ~t , ~ / "Pump on" level at: I "Pump off" level at: LHigh water alarm at: Remarks: BENCH MA~K ENGINEER'S S~L Inspections pedormed by: ~ ;/[' ~ ~ I~¢~ ~ " Depa~ment of Health and Human Sew~cesT/~Pp~¢ ?? ~¢~... CE 8326 Reviewed and approved b ~Date: ff -~ 2 -¢~ Inspection Report for Onsite Wastewater Disposal System, Lot 1, Block 8, Riverview Estates Subdivision (off Hiland Road, Eagle River) August 15, 1999 I visited the site about 6PM and staked proposed locations of trenches and septic tank. It was raining° There was no water at the peizometer at TH1. At TH2 the water level was lower than elevation 92.0' based on assumed elevation of 100.00 at 5/8" rebar at NE property corner. August 24, 1999 I visited the site about 6PM and inspected the trenches. They were excavated to a constant elevation of 91.0. Trench sidewalls had been scarified and no smearing was observed. The septic tank was installed level while I was present. The weather was partly overcast. August 25, 1999 I visited the site about 6PM. I discussed pipe with owner. He will use ASTM F810 for perforated pipe and ASTM D3034 for non-perforated pipe including standpipes. It had been raining steadily all day. The trenches looked good with no standing water. August 26, 1999 Around 6PM I inspected the project. The rain had ceased. Drainfield gravel, pipe network and geotextile fabric had been placed. Installation appeared good. August 27, 1999 At about 6PM I inspected the project. Drainfield pipe network had been covered with 2" of 'blueboard' extruded polystyrene insulation and backfilled with 2' of native material. The sewer line from the septic Eank to the drainfield had been similarly insulated and backfilled. The septic tank was also insulated and backfilled. The area over the trenches was graded to drain away from the trenches. The owner assured me that he would seed the area. RECEIVED Municipality of AnChorage Dept. Health & Human 8ervice~ LOT 2 2_0 '~ G/od< ?E V / S 5p ~1,1~ by DOC Co, dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE" 688-2759 OWNER OF LANE) ADDRESS i~ ~,.~ LEGAL DESCRIPTION BORE HOLE DATA DEPTH From TAX INDENTIFICATION NUMBER Is well located at approved permit iecation? [~ [] No Method of Drilling: ~, ~ir rotaw [] cable tool Depth of well: Casing Type S" 7Egt. Wall Thickness__ ~ ,~0 _inches Diameter ~ inches, depth ~ feet Liner Type: Casing Stickup Above Ground: ¢~. feet Static Water Level (from ground level): ~'* feet Pumping level: feet after hrs. pumping gpm Recover Rate: / ~ ,'~ gpm Method of Testing: ~ql/~, Well intake Opening Type: [~ Open End ~-~{~en Hole [] Screened; Start feet Stopped feet · i [] Perforations ~Start i , f~et Stopped v t~et Grout Type. /; ~ I' voume ,/zo" -4~.[ Depth: from O feet, to ....... feet Pump Intake Depth: feet Pump Size .hp Brand Name Well Disinfected Upon Completion? ~'¢~s [~1 No Method of Disinfection: E,¥~z.O~,~u ,;.~ ~-(-~ /d//j,~ , Comments: RECEIVE[) AU6 24 1999 De t ..... ' ............ ~'"' P · Health & Human 8ervloes Driller's Name_ ATTENTION: It is the responsibility of the properly 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 IEnvironmental Conservation. MatSu Borough: Department of Environmental Conservation, MUNICIPALITY OF ANCNORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Aug 04, 1999 Expiration Date: Aug 03, 2000 Permit Number: SW990248 Legal Description: RIVER VIEW ESTATES BLK Design Engineer: 0089 William Tyrell, PE Owner Name: Alexander Zlatrovski Owner Address: 302 Stewart Street Anchorage, AK 99508-0000 8LT 1 Parcel ID: 050-792-31 Site Address: Lot Size: 41636 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic'rank [] 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 ( 18AACS0 ). 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. 5. The following special provisions. 1) Groundwater monitoring shall be performed in TH#1 at the time of construction and the results reported to DHHS when calling in the first inspection. 2) The As-Built drawing shall include a design for the alternate system at a maximum depth of 3.5' below original grade. Date: Data: July 27, 1999 2221 Muldoon Road, No. 99 Anchorage, Alaska 99504 DHSS 825 L Street Anchorage, Alaska Re: Riverview Estates, Lot 1, Block 8 Attached is a request for an on site septic permit for the reference lot. There are no wells within a 100 foot radius of the proposed drainfield. Two test pits were dug in the general area proposed for a drainfield. At test pit 1, no groundwater was encountered. Water level was monitored and no water was evidenced. The water was monitored to a depth of 16 feet below grade and an elevation of 83.82 feet based on an assumed elevation of 100 feet at the northeast property corner. At test pit 2, water was encountered about 8 feet below grade. After monitoring, water level at this test pit was determined to be at elevation 92.0 feet. Grade slopes from the east and south at about 80% toward test pit 2 and then gradually slopes away at about 5% to the north. Twenty feet south of test pit 1 grade slopes from the south about 60%. From test pit 1 grade slopes generally to the north and west at less than 5%. This topography explains the higher water level at test pit 2. The proposed drainfield consists of a "u" shaped trench close to test pit 1. The bottom elevation of trench will be at 91.0. This will insure a separation of at least 7' to ground water. Because of the percolation rate of 27 minutes per inch, an infiltrative area of 0.6 square feet per gallon was designed. As shown on the enclosed drawings the trench system will have an infiltrative area of about 780 square feet, slightly higher than the 750 square feet required for the proposed three bedroom house. If you have any questions, please call me at 564-2714. Sincsr~ly ~-'7- william A. Tyrell~ P.E. Enclosures: percolation test results and test pit logs, system design, site plan, plan view, trench and schematic (4 sheets drawings) application 2 pages section, 7/Z7/9~/ ~_ 0 /¢.-Z~" _%_., /~ /A//Aq Urn,/ C.~ R$-~ / ~l~D O 0 /.o 7' 12 ,~xo~: X /oTH Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 '%" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION:/~/V~e V/~'/~,' 1 2 3 4 5 6 7- 8- 9- 10 - 11 - 12 - 13 - 14 - 15 - 17 ~8 2O COMMENTS Gu.) Township, Range, Section: 7~/_¢~, /~'/ SLOPE '- /'SITE PLAN WAS GROUND WATER ENCOUNTERED;' IF YES, AT WHAT DEPTH? Oeplh lo Water A~r MoniLorino? _...~/~/M Reading Date Gross Net Depth to Net Water Drop -,~:~ ~ z ~/~ I '/~ PERCOLATION RATE ~.-~/' . (m~nutes/~nch) PERC HOLE DIAMETER TEST RUN EETWEEN Z/ ~TAND. Z///Z ~T 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: /~'~-,~ v'lg-~ ff57',OT~//¢////~/0¢k~ Township, Range, Section: "-r-/~'/V') /2. / SLOPE SITE PLAN WAS GROUND WATER _.~.. ,~ ENCOUNTERED? IF YES, AT WHAT / OEFTH? ~ Depth Lo Water After.7 / / ~/~ ~:~ .. Monitoring? /,? Date,: ,"x ~ z) ~,/Z, Reading /4, '~,,~ Date Time 1 2 3 4 5 6 7 @ 12 13 14- 17- 18- 29 - __.~ COMMENTS Net Time Depth to Water Drop PERCOLATION RATE /~.~ immures/inch) PERC HOLE DIAMETER TEST RUN BETWEEN '~ ~2~FTAND Z~__FT ,~ . ~, I ~. ~ CERTIFYTH T THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIOELIN~S IN EFFECT ON THIS DATE. DATE: 72~08 (Rev. PERNIT NO. DEF'FIRTMENT r NERLTH laN[:) EN',,,'IRONMENTBL OTECTION 825 "L_' STREET., RNCHORRGE, Rk:. S¢95~Z1± 264-472C1 Ob.I---:S ]: -FEZ ~.; EE ~.4 E F.: II::-EF:F.1 Z 'T ) IF F LII_.t~NT L CiC FI T I 0 N t,.EGRL JOHN REi',IENHL PERI','I I T LIE,,_, RI'¢ER'¢IE!.,.I E_,TFI1E_, LOT _,I~E T'¢F'E OF :SOIL FIB~,ORF'TION S'¢STEM IS: TRENCH NBXIMUM NUNBER OF BE[:'ROOi'"IS = '~ ;~. ~'/ SOIL RRTING (S~ F'f',/BR)= THE RE&~UIF.'.ED SIZE OF THE SOIL RBSORPTION S"r'STEi"I IS: //,'~ [::" E: F" 1" H := :::L ;.iZ L E I"',~ K],~'T' H == t G F-.: R '.,," E [_ [:, E P -r !-:-I1 = ]"HE LENGTH DIMENSION IS THE LENGTH (IN FEE]') OF THE TRENCH OR DRF~INFIEL[:,. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETP,!EEN THE SURFFIC:E OF THE GROUND Ri",ID THE BOTTOM OF-" THE EXCRVRTION (IN FEET). THERE I5; NO SET NIDTI-I For.'. TRENCHES. THE GRR',,,'EL DEPTH IS TNE i',III'.,III',IUH DEPTH OF' GF.:FI',,,'EL BET!.,.IEEN THE OUTFFILL PIPE FIND THE E:CiI'TCit,'I ElF THE EXC:FIVRTION (IN FEE'r). E KS--..! LJ I IR E: [:. 5; E P l- I Ii: -If- fll I1"-,t !'( 25 :[ Z IE; = ~iiIIIi~ (~ !::~ L L_ C~ I~-~ F'ERI"IIT FIPPLIC:FINT H[L, THE RE_,FEI'4_,iE, ILIT~- TO Ii'.,IFEF. i'I :!:tI_,TIdI..L TIuN IN~,PEL. TIuIq.~ OF FIi'.,I'¢ [~EL.L:, Ffl}JRCENT TO i'JUliEEIi OF F..E_,I[¢ENE. E_, TNRT THE NELL NILL =,ER~,E. TH.[_, DEPI~:IRTf"IEI'.,IT [:,LIRING THE 'IHI_, FF,_FEF-']~r Fd'4[.~ THE 6H_.F. FILLING OF RN'¢ S'¢STEM 1.4ITHOUT FINFIL IN~-.,PEL. TION RND IIFFR ~kklL. E,-~ IH] .... [:,EF'FIRTI"I[='N'F WILL BE=,UBJEL. T'- -' TO FF._=,EL. LTICli',I .... I"IlNIMUN DI':.;TRNCE BETNEEN R WELL RN[:, RN"r' ON-SITE SEI.4RGE DISpIDSRL. S"r'STEM IS ::1..8C~ FEET FOR FI PRIVRI"E NELL OR ±SE~ TO 2¢8 FEE]' FROi"I R PUBLIC !.,IELL DEPENDING LIF:'ON THF T'¢PE OF PUBLIC: NEL. L NINIMUi'4 DISTRNCE FROM FI PRI'¢FI'i"E .t,.IELL. TO R PRI","RTE SENER LINE IS 25 FEE]" RND TO R COi'"Ii"ILINIT'¢ SEI.4ER LINE ];~ 7'5 FEET. OTHER REE~.UIREI"IEN'I'S I"lR"r' RPF'L'¢. SPECIFICRTION'.=-; RND CONSTRUCTION DIRGRRf"IS FIRE R',,"RILRBLE TO INSURE PROF'ER INSTRLLRTION. I CERTIF'"? THRT :L: I BM FRt'IIL. IRR NITH TNE REQUIREMENTS F-OR ON-SITE SENERS FORTH B"r' TFIE MUNIE:IF'RLIT¥ OF RNCHORRGE. 2: I NILL INSTFILL TNE SYSTEM IN RCCORDRNC:E 1.4I'rH THE CODES. 3:: I UNDERSTFIND THRT THE ON-SITE SENER SYSTEM NR'¢ REI~UIR. E ENLFIRGEf,IENT RE_,IL. ENL. E I=, RENOB, ELED -ro INCLU[:,E MORE THFIN ,E[.ROLNb, S I GNE[:': "'~PL I C FINT .JOHN GROSS I =,=,LII= [. [ ......... .~.~._ · ............................ [.. HTE .............................. FIND I.IELL=, FI.=, ...,El I F TI"IE Department 825 L Street, Anchorage, AK. 99501 264-4720 ..~. ,~..~_~_~"~'~'_m~f'~ * * * HANDWRITTEN PERMIT * * ~~/:~hg_ON-SITE SEWER PERMIT MUNICIPALITY OF ANCHORAGE ~ Health and Environmenta ~rotection Mailing Address: Phone Number: Applicant: _~d~,~z/ Legal Description: ~-oT I [-.~8 Type of Soil Absorption'System Is: Trench: ~_. Drainfield: Maximum Number of Bedrooms: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) I~ DEPTH The Required Size of LENGTH _. /IC~ the Soil Absorption System Is: / . GRAVEL DEPTH ~ WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance be[ween the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE -- ~mOd) GALLONS * * 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. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * 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 upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requJ, rements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 g 2 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site the residence is remodeled to ~Splicant SWP/024 (]_/81) sewer system may require enlargement if include more that Issued by: l~o Date:. .~.¢.~ 3 bedrooms. ~J/~SO ILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 82§ L, Street, Anchorage, Alaska 99ra01 264-4720 SOILS LOG - PERCOLATION TEST [] PE-RCO LATION TEST LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9- 10- 11 12 13 14 15 16 17 18- 19- 20- COMMENTS SLOPE DATE PERFORMED: SI~:E PLAN( ' ',-- IF YES, AT WHAT E DEPTH/ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/ BETWEEN FT AND , FT PERFORMEI 72-008 (6/79) MUNICIPALITY OF ANCHORAGE Development Services Department ,� P P `�- �=' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-792-31-000 Expiration Date: 10/6/2023 Legal description RIVER VIEW ESTATES BLK 8 LT 1 Site address 21225 FALLING WATER DR Eagle River AK 99577 Current property owner(s) ZLATKOLVSKI ALEXANDER &PECHERSKY JULIA X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Az inal-Certificate Date: 7-/6/2--02-3 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 ApprovaIjune 2022 MU1 HMPAUTY OF ANCHORAGE jum -9zoB u/ �-� sCK Development Services Department N° 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. 050-792-31 Complete legal description Riverview Estates Sub/d, Block 8 Lot 1 Location (site address) 21225 Falling Water Dr., Eagle River AK Current property owner(s) Alexander Zlatkovski/Julia Pechersky 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 907-854-0273 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: Q Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK:❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 23 - See advisory if steel older than 20 years 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 $ P � L� Date of Payment Waiver Fee $ 13 Date of Payment COSA # D 5C 2>/ 1 9 L Waiver # COSAApplicafion_June 2022 Legal Description: Riverview Estates, Block 8 Lot 1 Parcel ID: 050-792-31 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA Q Well log is filed with Onsite (or attached) Well production at time of test 3.1 gpm Date drilled 8111199 Total depth 180 ft Water storage tank volume 30 gallons Cased to 36 ft Well disinfected for coliform test? ❑ Yes Fal No Sanitary seal is functioning correctly ❑® Coliform bacteria is Negative Wires are properly protected � Ls 6 125123 Nitrate ND mg/L 0 Nitrate less than MRLND) Casing height (above ground) 20 in. Arsenic ND ug/L 0 Arsenic less than MRL Date of flow test for COSA 5/24/2023 Collected by Gary Solin Static water level at beginning of test 9.7 ft. Date 5/24/2023 Comments Total Nitrate/Nitrite as N and Arsenic both below MRL B. TANK DATA Measured operating fluid level in septic tank 4.1 ft Date of pumping 5/25/2023 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) $/26/1999 R ALL standpipes present per record drawing Total_measured_depth-from-grade--4-4—ft-(max)-------- Measured epthfrom_grade 8.4ft_(max) — Measured depth to pipe invert from grade 2.3 ft (min) ❑ N/A — pressurized field. 0 Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 5.7ft ❑ 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) no If yes, enter date C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A Adequacy test date 5/24/2023 Results Q Pass Fluid depth prior to test 0 Water added 455 gal New fluid depth 7 in Elapsed time 377 min in Final fluid depth �1 in Ci_e, 6):25J? -3 Absorption rate '450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 72 in Effective depth used >1 in Effective depth remaining 71 in Comments/Deficiencies: Current Owner is original owner says adsorption field has worked without clogs Current owner installed system in August 1999. No changes to well or septic system for AS Built Survey dated 9123/02 COSA Checklist June 2022 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' 0 Yes if No Community Sewer Manhole/Cleanout > 100' ❑® Yes if No ft 0 Yes if No ft Neighboring Tank > 100' ❑® Yes if No ft Private Sewer/Septic Line > 25' ❑® Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' ❑® Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑® Yes if No ft ❑e Yes if No ft ft If tank or field is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft ■❑ 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' 0 Yes if No ft Surface Water > 100' 0 Yes if No ft Tank to Property Line > 5' m Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑Q Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200'❑ Yes if No ft Water Service Line > 10' ❑® Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS Gary Solin P.E. attempted to provide a thorough test of the system in accordance with current regulations. The reported results describe system performance at the testing time and do not guarantee future system performance. No warranty or future time estimate for this system to meet regulatory requirements is provided by Gary Solin P.E. 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 l T rl k) sp I1 n Phone 907-338-1308 Engineer's Printed Name �q � Sy ► ✓) Date COSA Checklist -June 2022 ���`��e� �>!'. °•°�r-baa g 0® y�•eeeed` .•..• +,v � °q'+000000 e00@� GARY SOLN o `p �� • CE - 6555 o �30'��o®© C Y D N c m o V 'D O .UC "O [� y a__ O V -p 0 0 0. A U L N �rn i `r' ••.�s �� coN>v�ca E(D � O w m mQG;� c�•:O`c °'aoO°v°oc Q a� \ ti f\ • 'C N O L N C •) N N Ci NN Cf N • N '° N U' •O N W in o / xCD 0 /� _ N a m �4/J • O •Quo/ O C ++ O j •° N ° 01 W Q v �� l �OtIc oo pc°� o`° w I�r Z o c ` v aag ` v ,n J ¢ 4�� Em's°a voa m° N O C O W •° N C O C '° O w F- U W z 0.ao`n <v ' \Q' y °'/ o 0 S ' / oi O 0 o 0 o O as mw N o �N 1 p \ O ` O _ 11 AhM�lllip' / 1 � / 1 / 1 / X11 FpZN i S 1 v I p 1 4! `56 m / jq M CO �Q^ 1 / 1 v , 1 / l / 30 ' 2: Z O W N o W m II U) w eo Q Y ~ U � O W O J Z m W f �C� a LUO J OF. MUHMP A UTV OF ANCHORAGE AGCS DEVELOPMENT SERVICES DEPARTMENT i On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC231192 Subdivision: River View Estates Block:8, Lot: 1 907-343-7904 Fax: 343-7997 The septic tank for this property is 23 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.