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MCKINLEY HEIGHTS #1 BLK 3 LT 11
McKinl Y Heights Block 3 Lot 11 #051-212-17 () Municipality of Anchorage ::*' ,. Development Services Department -~ ~ I]r'J' Building Safety Division ~ On-Site Water and Wastewater Program. 4700 S. Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 Page of www ci.anchorage.ak.us (907) 345.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number: SW060336 PID Number: 051-21 2-1 7 "~° Wastewater System: [] New [] Upgrade Matthew Gillis 18618 Amonson Rd Chuaiak. AK. 99567 ABSORPTION FIELD LEGAL DESCRIPTION 1.2 c~o~,' 7 ~,. 3 11 McKinley Heights #1 2 r,. 5.0 1 5N 1W 1 l~ 1.24 F,. 48 Well: [] New [] Upgrade Z.O r,. 1I - Private F,. F, 480 F,' D3034 & F810 ~, RCP 06/01/07 SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other:. Septic Absorption Lift Holding Pubhc/Pnvat~ M.*~4~.t~ Tank Field Station Tank .~,~r U.. Aero Jet 1ZS0 w~. 100'+ 100'+ 100+ NA 25'+ Concrete 2 s~.~w.,. 100'+ 100'+ 100+ NA ~ / r~, LIFT STATION ~.~.. 5'+ 0.2** 1 O+ NA 500 c~ .w:i'~, ;:Orenco ~o~,~.,, 5'+ 10'+ 10+ NA 44 ~ 42~ I c,-..~..- NA *50'+ 50+ NA Franklin Z0 445040117-1/2hp "'~ ~ · BENCH MARK · none known ',. ~: · *lot line waiver approved 10/12/06 Top of retmmng wall near garage ^~.mea 4" insulation under driveway and 2" insulation over 100 field Engineers Stamp Inspections performed by: ArcTerra Enaineerino Dates: lat~ .~Oj~..~_- ",~;~, Development Services Departmelzt Approval i' ¢?.--,.--.,.---,,~,~.~. ' "- AS-BUILT SYSTEIvl DETAILS/SITE PLAN PIP#051-212-17 McKINLEY HEIGHTS #1 S/D, LOT ii, BLOCK 3 B-C= 9.9 ~-g= 11.6 B-D= 28.3 A-E= 4G.4 ~' B-E= 49.2~ / ::::::::::::::::::::::::::::: .............. ':== ......................................... " ~-F= ~ B-F= J ~ t : '"" "~'; A-G= "'"' ~' ' ' ~-H~ tl ~ ~ ......... .- B-H= "" OF ~'~ ~' ~5~.. '~.... sc~, " ....... ' ~'~ PREPARED FOR: ."' ~ i. AB.REVIATIONS ~AT~EW ~ LESUE 8~LLIS ~8618 A~ONSON ~0 - CL~ANOUT ~HUSIAK, AK ggS~7 ~T - ~ON~TOR~N8 NW1058 ~ ~: ~D~ ~: 06-084 SCS Ref.# Client Name Project Name/# Client Sample ID Matrix PWSID 0 S~mp[¢ Remarks: 1073201001 ArcTerra Engineering and Surveying 18618 Amonson Rd 18618 Amonson Rd Loll I BI'k3 Drinking Water All Dates/Times are Alaska Standard Time Printed Date/Time 07/13/2007 16:13 Collected Date/Time 07/06/2007 10:45 Received Date/Time 07/06/2007 11:37 Technical Director Stephen C. £de Results PQL Allowable Prep Analysis Container ID Limits Date Date Init Waters Department Total Nitrate/Nitrite-lq 0.100 mg/L SM20 4500NO3-F 13 (<10) 07/12/07 JDS ~Lcrobt oloc~' Laborator:f TotalColiform 0 col/100mL SM209222B A (<1) 07/06/07 IIKG · Jun 13 07 09:28p RPC & PWP / R&L Person ~07-688-4678 p.1 I~i5ing ~on [:_[e~ric. Inc. I,d916 \k/aaclLancl Drive E ~gLe 12.iver, ~,1~ 995~7 (90-'/) 622-6777 3une 12,2007 Person Construction Richard Person 24120 Ramblers Road Chugiak, AK 99567 Re: 18618 Amonson Road - Chugiak, AK 99567 Dear Richard: 'l'he lift station at the above referenced property has been wired in accordance with NEC and State/Local codes. Thank you. Sincerely, .,O. Kevin S. Hombuckle, Owner Admini~rator License Number 1284 SpecialW Contractor License Number 27285 cc: file ~ ENGINEERING AND SURVEYING, INC.. July 20, 2007 Elcna Novitsky I'rudential Real Estate 16635 Centerfield Drive Eagle River, AK 99577 RE: McKinley Heights #1, Block 3, Lot 11- 18618 Amonson Drive Dear Elena, Per our conversations in recent days, I would like to clarify some of the issues involved with the septic system upgrade comple~t,'.,d, on the referenced lot. This property was inspected in September 2006 and the septic system was found to be in failtIre and did not meet municipal standards. As a result, we were reques'ted to design a new system for the sale of the home. The design and permit were completed in October and the conditional MOA approval was issued with money t~crowed for the construction of the system to be completed this year. Recently it was suggested that a les's expensive solution to the problem would have been to install a holding tank in lieu of a replacement system. While I can empathize w.th the difference in cost to install a holding tank vs. a septic system, Municipal code dc~.m not allow for the installation of a holding tank unless all other remedies have been exhausted. (See AMC 15.65.070 tlolding Tanks) This includes the advanced innovative systems that can cost over $25,0(X) with substantial annual maintenance costs, which may reduce property values. In addi6on to thc above, it has been our experience that installation of a hold ng tank reduce5 the value of the property st. bstantially, which is then reflected, in the sales price. Reductions in property values that we have ~en have ranged upwards of 25%, thereby ma 'king sellers reluctant to select this alternate even when it is their only option. In this situation, there were several different alternatives that c'xmld have been employed to provide for the discharge of effluent that met the Municipal criteria and code requirements, thereby negating the ability to install a holding tank on this site. We requested and rect4ved three bids for this project and RCI' was the low bidder. While we ~vork with a number of different installers, it has been our experience that. RCP dot~. excellent work of installing the systems for the least cost. The biggest problem is being able to fit into his limited schedtsle. Your clients were fi~rtunate that he was available to install their system, as they most likely would have paid more for the same system. RCP installed the system as it was designed, RE: McKinley Heights #1, Block 3, Lot I1 July 20, 2007 Page 2 of 2 and permitted with the exception that we increased the trench length 10 feet due to changed soil conditions. This derision was made in the field by us to insure that the field was adequate and to reduce costs of stopping and re-starting the project at another time. This is a common field change that ensures timely completion and reduces the ultimate cost of the project. If you have further questions or concerns please feel free to contact me at (907) 868-3792/Fax (907) 868-3793. Respectfully, ng, Inc. Attachments: AMC 15.65.070 - Holding Tanks Cc: file 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 · I'll (907) 868-3791 · FAX (907) 86g-3793 LOT 8 BLOCK FENCE, l~'P. CONCRETE COVERED LOT 1 NAT'L TYP. GAS--\ LOT 11 0.81 ACRES RECOVERED REBAR YELLOW CAP, LOT 9 GARAGE LOT 8 ~ BLOCK 4 pOWER TYP. GUY / RECOVERED 5/8' / LEGEND: / (C)=CALCULATED DATA (Ri-RECORD DATA LOT 10 (~.).~iCAL (ohp)~O~RHEAD PO~R / / ~ .UFT STA~ON NOTES: FOR lilts SURVEY SHALL NOT EXCEED THE COST OF pREPARiNG THIS SURVEY. ONDmONS ON THE DATE OF SURVEY. .... · ~v oco~r'~FNTS VISIBLE IMPROVEMENTS & C_( ...... '~ SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT 1~, ExcEPTING FOR GROSS NEGUGENCE0 THE 8OUNDARY suRVEY MAY DISCLOSE· THIS SURVEY SUBSTANTIALLY COMPUES W~l'l ASPLS MORTGAGE STANDARDS. TIES %0 pARI'IALLY MONUMENTED OR UNMONUMENTED PRoPER'I'( UNE~.A_R_..E +1 Fl'. OF INC. THIS sURVEY pERFORMED FOR MATt' & LESUE GItJJS. IT SHouLD ONLY t~r. USED FOR A SINGL[ PROPERTY TRANSACTION. REUSE THIS DRAWING FOR ANY PURPOSE NOT STATED ABOVE W~Id.OUT THE EXPRESS WRI1TEN CONSENT OF ALASKA RiM ENGINEERING, ~S A V10LAllON OF FirDERAL cOPYRIGHT LAW. ,s THE A~ D^l~ H~.:u- 0~ .... P.O. BOX 2749 ;-BUILT PALMER, ALASKA 9964.5 /NC. PHONE: (907)74.5-0222 F.B. 08-06 FAX: (907)746-0222 T.M. NWl085 0800233 PAGE: 1 of 1 ;GALE: 1" -- FILE: 0800233--AE ........... I HEREBY CERTIFY THAT A MORTGAGE INSPECTION WAS PERFORMED MY DIRECTION ON THE FOLLOWING DESCRtBED PROPERTY: j. Former GE, ALASK~ No. P-629NFO. ANCHORAGE RECORDINU 10615-S ,,,,,,,,,.'. EASEMENTS OF ~ECO~D OTHER '[HAN IHOSE SHOWN ON RECORDED PLAT ARE NOT SHOWN HEREON. SURVEYED ON ©2O THE 20th DAF OF MAY, 2008. MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTE~NA'rER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 12, 2006 Expiration Date: Oct 12, 2007 Permit Number: SW060336 Legal Description: MCKINLEY HEIGHTS #1 BLK 3 LT 11 Design Engineer: 0070 KND ENGINEERING Owner Name: MATTHEVV & LESLIE GILMS Owner Address: 18618AMONSON ROAD CHUGIAK, AK 99567-1974 Parcel ID: 051-212-17 Site Address: 018618 AMONSON RD Lot Size: 22216 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. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Aiaska 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. 5. The following special provisions. THE ENGINEER IS TO CONFIRM THAT THE JET AERATION UNIT HAS BEEN REMOVED FROM THE SEPTIC TANK. Municipality of Anchorage Development Services Department Building Safcty Division On-Site Wat~ and Wastcwatcr Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.u$ (907) 343-7904 Waiver Review Worksheet WRY: 060067 Pll~: 051-212-17 HA/Permi~ SW060336 Date Received: October 12, 2008 Legal Description: McKinley Heights #1, Block 3 Lot l 1 Engineer. Kenneth M. Duffus, P.E. KND Engineering, lnc 20441 Ptarmigan Blvd. Eagle River, AK 99577 Applicant: Matthew & Leslie Olllis Waiver Requested: 0' Lot Line setback, system too close to slopes In excess of 25% and septic tank within 5' of foundation Criteda: Geology Points: A. Watar Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: X Waiver Is not Granted: List Condi§ons or Reasons for above: Date: 10112/06 By: Deb Wockenfuss Name of Reviewer Rec#: 87049 Amount: $175 Date Paid: 10112/2006 Mmficipality of Anchorage Mayor Mark Bcglch EO. II~x 19(iC.,-~) * Anchorage, Alasl~ !D,'M 9. ('£,'"',0 ,, Telephone (!X)7) 313-8:!01 * Fax (fX)7) ~1700 Bmgaw Strcct* Anchorage. Alaska Buihllng Safety Dh-lslon October 12, 2006 Kenneth M. Duffus, P.E. KND Engineering, Inc 20441 Ptarm/gan Blvd. Eagle River, AK 99577 Subject: Waiver Request for McKinley lleights # 1, Block 3 Lot 11 Waiver Request WR#: 060067 Parcel ID # 051-212-17 SW060336 Dear Kenneth M. Duffus, P.E.: 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 0.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any furore upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Deb WockenfwW Civil Engineer On-Site Water & Wastewater Program Commmdty, Security, Prosperity Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www. muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR a SINGLE FAMILY DWELLING Parcel I.D. 051-212-17 Property owner(s)MA1-FHEW & LESLIE GILLIS Mailing address 18618 AMONSON RD.~ CHUGIAK~ AK Site address 18618 AMONSON RD, CHUGIAKr AK .Day phone 688-1423 Zip Code 99567 Zip Code 99567 Legal description (Sub'd., Block & Lot) MCKINLEY HEIGHTS//1 BLOCK 3, LOT 11 Legal description (Township, Range & Section) Lot Size 22~216 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR ([~ all that apply): Absorption Field Septic Tank L~. Holding Tank Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial Upgrade [] Renewal 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. S-~~owner or authorized agent) Permit/Rush Fees: $460.00 of Payment: !~/J'"/O O Date Receipt Number: S~Oq~ (Rev, 11/05) Waiver Fees: $175.00 Date of Payment: Receipt Number: ~X~D ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111 / FAX (907)696-8111 October 4, 2006 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Upgrade & Waivers - McKinley Heights #1, Block 3, Lot 11 Gentlemen: The owner has requested we proceed forward to obtain a septicpermit to upgrade and replace the existing septic system for the subject lot. Due to the limited area for the proposed upgrade and existing characteristics of the lot, a lot line waiver to 0' of properS, line is requested along with waivers to slopes in excess of 25% and septic tank within 5 of foundation. Please see attached profile slope drawing per MOA April 7, 2004 Slope Setback Memo. The existing septic tank is concrete and although it is within 5' of the foundation does not present a structural problem. Attempting to remove the septic tank could possibly undermine the foundation. A 500-gallon lift station will be added post the existing concrete septic tank. On August 3, 2006 a testhole was performed for the proposed system. The results of this test are attached. The central portion of this lot where the septic upgrade is to be installed has slopes of 5-10% with retaining wall with slopes in excess of 25% along the northern portion of the property. We have designed our system utilizing the testhole we excavated for the 3-bedroom house. The lot is served by an individual well. We propose to install a 2' wide deep trench. Water was not encountered during the excavation or monitoring. There are no pu.blic or private wells within 20,0.' of our proposed system location except as noted. There is no surface wa!er within 100 of the proposed system and there are no known curtain drains within 50. We do not expect there to be any adverse effect on adjacent lots by the development of this system. Subject: McKinley Heights #1 B3, Lll - Sewer System Upgrade October 4, 2006 Page 2 of 2 If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, Attachments: On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Owner/Contractor Specs 5 10 TO ORENCO PACKAGE SYSTEM 1. INSTALL 500 CAL. LIFT STATION. 2. INSULATE TANK. 3. NO AIR LINE REQUIRED. ALL LOTS SERVED BY COMMUNII~ WATER SYSTEM NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. DESIGN DETAILS 3 BBRM X 150 GPO = 450 GPO 450 GPD/I.E GPO PER SQ. FT. (SOILS RATING 3.3 MIN/IN)= 375 SO. FT (375/(E'(V) X 5(D)) (5.0' GRAVEL) = 37.5 FT. TRENCH USE I TRENCHES - 38' (L) X Totot depth oF systen Is 7' Fcon originQt grode. TotQt depth oF gravel below distribution pipe Is 5.0' . PRESSURIZED DISTRIBUTION SYSTEM HOLE-SPACING DESIGN 1. RESIDUAL HEAD=5'. 2, HOLE SIZE=~"=I.00 GAL, PER HOLE O 30 PSI. 3. 30 GALS(PUMP DEUVERY)/1.00 CALS./HOLE=30 HOLES. 4. 38 LF LATERAL/30 HOLES=l.25' SPACING PER HOLE. 5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MAUFACTURES SPECS. 6. HOLES AT THE END OF LATERAL SHALLL BE CONST. W/O CAPS AND PLACED DOWN. 7. CONTRACTOR SHALL USE 1~' PVC FROM TANK TO FIELD AND IN FIELD. I. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 2. CONTRACTOR TO ENSURE MINIMUM EX SLOPE INTO SEPTIC TANK. 3. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE A NINIHUH OF 4' OF' COVER flYER FIELD AND 4' OF COVER rIVER TANK. 4. CONTRACTOR WILL ENSURE ALL SEPATATIDNS TO ADJACENT VELLS, SEPTICS, EASENE=MENTS AND OTHER SETBACK REQUIREMENTS. PREPARED FOR: MATTHEW & LESLIE CILLIS 18618 AMONSON CHUGIAK. AK 99.567 ScG[e: 1°= 100' PAGE 1 DF 3 ~HII~) ENGINEERING. INC. ~*'"= kmd 20441 PTARMIGAN BLVD. o~c~l~ KMD EAGLE RIVER, AK 99577-8736 ~ NWlOSB (907)696-611 l/FAX (907)696-811 l ~ce ..= 06-084 ~.l(NDEn[ineerln~.eom/knden[e&k.net (907)688-1423 FIELD BOOKS ~sau~. $CHULLER/KND I S~NG-TIE CHART A-C=30.95 B-C=ll.21 A-D=IO.50 B-D=28.25 A-E=46.54 B-E=48.95 WASTEWATER McKINLEY HEIGHTS DISPDSAL SYSTEM fll S/D, LOT Il, BLDCK LDT 11 BLK 3 DETAILS 3 FIELD MAINTAIN 16' SEPARATION FR¢ EXISTING FIELD PRIOR CONSTRUCT TRENCH X~oARALLEL TO SLOPE Per NTOURS. &:/Or Im GENERAL NOTES: 1. MAINTAINED 10 FOOT SEPARATION DISTANCE FROM WATER LINES. 2. MNNTAINED MINIMUM OF 10 FOOT SEPARATION FROM ANY PROPERTY LINES(EXCEPT AS NOTED). .3. VERIFY FOUNDATION CLEANOUT PLACED WITHIN 4 FEET OF FOUNDATION. 4. CONTRACTOR VERIFIED ALL SEPARATIONS TO ADJACENT/SUBJECT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER REQUIRED SETBACKS. S. PLACE A MINIMUM OF `3 FEET OF EARTH COVER (OR EOUIV) OVER ABSORPTION FIELD. ONE INCH OF WESTERN 'lnsulfoom I1" (OR EQUIV) MAY BE SUBSTITUTED FOR ONE FOOT OF EARTH COVER UP TO A MAXIMUM OF TWO INCHES OF INSULATION. 6. MAXIMUM OF' 2% GRADE TO TANK. o^~ 10/4/06 ,mo: NWIOSB .me ~,: 06-084 NOTE: A REGISTERED LAND SURVEYOR SHALL FLAG PROPERTY LINE AND WELL RADII PRIOR TO CONSTRUCTION. Score: 1'= 30' PAGE 2 DF 3 ~) ENGINEERING, INC. EAGLE RIVER, AK 99577-8736 (907)696-6111/leAX (907}696-8i I l www. KNDEn~l neerlnf.com/k nden~O&k.net WASTEWATER DISPBSAL TRENCH DETAILS McKINLEY HEIGHTS #1 S/D, LOT 11, BLBCK 3 ,NSTALL END CAP~ FROM SEPTIC I t TANK j J 1/4' PVC PERFDRATED DISIRIBUIIDN LIN[ J m 38' PLAN VIEW DEEP TRENCH DETAILS sc~, ~CALE~ PROFILE SECTION 0 20 ~ (907)688-1423 PAGE 3 OF 3 r~¢~ s~s ~ ~ ENGINEERINC, INC. -' ~ ~*~: ~m~ 20441 PTARMIGAN BLVD. ~ ~= ~*.o~ ~ ~: 06-084 .... KN9EnglneeHng.eom]knd~ng~ak.n~t ~ND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for: Matthew Gillis Date Performed: 8/3106 Project: McKinley Heights #1, Block 3, Lot 11 TEST HOLE # 06-1 11- 15- 16- 17- 18- Depth (Feet) ORG GP/sp-GM silt & moisture increasing w/depth B.O.H. SEE ATTACHED SITE PLAN FOR HOLE LOCATION IWasGround waterencountered? NO Whatdepth? NA Depth towater after monitoring? DRY Date? 10/03/06 Reading Date Gross Net Depth to Net Time Time Water Drop I 814106 1:00 6" 2 1:10 10min 211116" 35116" 3 * 1:11 6" 4 1:21 10min 214116" 32116" 5 * 1:22 6" 6 1:32 10min 2 15/16" 3 1/16" 7 * 1:33 6" 8 1:43 10 rain 2 14116" 32116' 9 * 1:44 - 6" 10 1:54 10rain 2 14/16" 32/16' 11 * 1:55 6" 12 2:05 10min 2 15/16" 31/16" · Water Added 19- HOLE PRESOAKED 20- PRIOR TO TEST Percolation Rate ~.3 Test Run Between . . (min/in) Perc Hole Diameter 6" 4 feet and ~ feet !, Kenneth M. Du ffus, certify that this test was performed in accordance with all State and IVlunicipal guidelines in effect on this date. ~(I'XX~D ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907) 696-6111 / FAX (907) 696-8111 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: MCKINLEY tlEIGHTS #1, BLOCK 3, LOT 11 GENERAL: 1. The scope of this project includes the installation of a septic tank and]or drainfield to serve a single-family residence on the referenced property as delineated on the attached Municipality of Anchorage (MOA) permit and site plan. 2. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. KND Engineering, Inc (KND) as. sumes no responsibility of the accuracy of the as-built survey provided by the owner or owner s representative. 4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 5. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and]or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. 6. T}~e contractor shall be responsible for verifying all pertinent separation distances and component layout. 7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 8. The MOA Development Services Department On-Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK ! tlOLDING TANK ! LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" deanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. Ail standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. Page I of 3 Reference: McK|nley llts. #1, B3, LI1 Date: 10/04/06 Page: 2 of :5 7. Ail H.D.P.E. tanks shall have a vertical length of 4-inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high-groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCH/DRAINFII~LD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed-up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom, of the trench to the invert of the distribution pipe. This is equivalent to the effective depth ot the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. Ail advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 2. The following pipe materials are MOA approved for use in septic system installations: Type of Pipe perforated ~olid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM FS10 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 3. Insulation shall be at least 2' thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier Crypar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native ,so. il .b,ackfill. 6. All leachfield gravel (sewer rock) shall be 0.5 -2.5 screened gravel with less than 3% passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or DEC requirements. Reference: McKinley H~s. #1, B3, Lll Date: 10/04/06 Page: 3 of 3 INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will tak, e place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor s activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached, MOA permit. All materia!s, components, and construction practices shall comply with the MOA s and the State of Alaska s latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non-compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor and KND Engineering, Inc. KND shall be the owner's representative and will insp, ect the work as stated above to document the contractor's activities. Final acceptance of the contractor s work rests with the owner and the MOA. KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the fai!ure of the contractor to carry out the work in accordance with these construction documents. KND s inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITtl THE INSTALLATION OF TIlE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGES tlAVING READ AND ACCEPTED TtlESE SPECIFICATIONS. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St, P,O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 ON-SITE SEWEPJVVELL SUBMITTAL COMMENT SHEET To: ~Nb Legal description: McKinley Heights #I, Block 3 Lot 11 The attached paperwork has been reviewed and is being returned for the following reasons: Original signature or stamp missing on Calculation error in design. Additional soils information needed. Water monitoring results inadequate. Discrepancy in information submitted. Topographic information missing or inadequate. [] Incomplete; missing~aiver' requests for excessive slopes or m~nmnde breaks within 50', /field to foundation less than lO',/and tank to foundation less than 5', ~¥or a slope waiver please provide the c~oss section drewinq described in the .Tim C~oss memo dated April 7, 2004, V~ Incomplete; missing perforated pipe specifications, Additional adequacy test information needed. Water sample unacceptable. Measured/proposed distances/dimensions missing. Omission in narrative. [] Insufficient fill over tank or field. [] Other?/S, 3:s the lot line waiver request of 2' con'ect? --~ 2, Please confirm that the jet aeration has been removed from the septic tank, ~k~- /3, The line with the abbreviations at the southwest corner of the lot is illeqible, O/Pt Name of reviewer:, bob Wockenfuss Date: 10/10/06 Please supply the necessary information and re-submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK oGRE'" ANCHORAGE AREA BO[ Department of Environmenlal Quality 3330 C Street Anchorage, Alaska 99503 'GH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAILING ADDRESS PHONE LEGAL DESCR1PT,ON x SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER /~O j.~'r~ MATERiALC~'~',4(~,~(~ NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY ~-~¢~ GALLONS. SEEPAGE PIT: NUMBER OF PitS ~ LINING MATERIAL ~ ~:) (-¢ BUILDING FOUNDATION DIAMETER ~'~:? OR WIDTH lZt, LENGTH /zt, DEPTH CRIB SIZE: DIAMETER /~ DEPTH_ DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE .. ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION TYPE BUILDING FOUNDATION ___, C ESS PO O L CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031' DATE DIAGRAM OF SYSTEM ,/ii: ~0~ /,/ G.A.A.B. GREATE~ ANCHORAC::U /,REA Well Owner. ' '~% · p: 3Ox~-1224 -~ 1310C International Airport ~ (907) 2744611 ....... . .... ' ANCHORAGE, ALASKA99509 ':, ' :, DRILLIN~ LO(} ' Dave Ball.rd Use of Well Dom Location (address off Township, Range, Section, if known; 'or distance main road Lll~Bi~_~ MCKinley H~i~hts Su]×~v~_Chu_qfnk Size of c~g 6 Depth of Hole. 475 feet C~e~to ? feet ....... , ..... ~tatic w8tet level ~0 ft ~'~ (below) land surface. ~sh ot well (check one) open e of drawdown from static level; · ." . [ . ... ,.:... WELL LOG Depth in feet 'from ground surface Give'de~ails of formatmns penetrated, size of material, color ~0 I10 .TO ' TO TO__ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. COSA# Expiration Date: GENERAL INFORMATION Complete legal description McKinley Heights #:L, Block ~, Lot ~:t Location (site address) ~86~8Amonson Road Current Property owner(s) MathewGillis Mailing address Lending agency Mailing address Real Estate Agent Do~n Wolfe Keller Williams Mailing Address Keybank Bldg., Midtown Unless otherwise requested, COSA will be held by DSD for pickup. Day phone 2. NUMBER OF BEDROOMS: 3: TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class __ .... ~ablic w~-ter~ Syste~ Well Day phone Day phone 865-6fi:~:~ TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank I-'] [] Community On-site E~ [] Public Sewer F-I The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family ~)n-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. 'Cbrtificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Pannone Engineering Services, LLC Phone. 272-8218 Address P.O. Box zoo2z7, Anchorage, AK qgqlo Engineer's Printed Name Steven R. Pannone, P.E. Date 8/c#2ozo Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & 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. Ail 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. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSD SIGNATURE b/'/ Approved for ,_~ bedrooms. Disapproved. Conditional approval for ........ ~.~% No. CE 8149 bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality :of Anchorage Development Services Department Building Safety Division On-Site Water & Westewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.munLorg/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA McKinley Heights #=, Block :1, Lot at Well type Private If A, B, or C providePWSID # ~ Date completed '_.d:l~L~/a~J~Sanitary seal (Y/N)Y_ Total depth a?n ff. Date of Jest Static water level Well production WATER SAMPLE RESULTS: Coliform Ne§ colonies/100 mL Arsenic: ND ug/I SEPTIC/HOLDING TANK DATA Tank Type/Material Concrete Tank size =2~o gal. Foundation cleanout (Y/N) Y O Date of pumping C. ABSORPTION FIELD DATA Parcel ID: o5~.-~=-a7 Date installed 61a/=oo? Length 48 Total depth .2_-9 ft. Cased to 40+, .ft. FROM WELL LOG 80 ft. g.p.m. Nitrate o.~.:~8 mg/L Date of sample: 81nlaoao Number of Compartments _~ Depression over tank (Y/N) N Pumper JR's Pumping Soil rating (g.p.d./ft2 or ft2/bdrm) ~.a ft. Width a Eft. absorption area 480 ~ Well Log (Y/N)Y Wires properly protected (Y/N) Y Casing height (above ground) a8 AT INSPECTION 8161am. o o.4~i g.p.m. in. Other bacteria Nag colonies/100 mL Collected by: Dan Moran Date installed 71~.7/=974 Cleanouts (Y/N) Y High water alarm (Y/N) Y Date of adequacy test 816/=oao Results (Pass/Fail) Fluid depth in absorption field before test _6 in. Elapsed Time: 99 min. Final fluid depth _6 in. Any rejuvenation treatment (past 12 mo.) (YIN & type) N Monitoring tube 2 P System type Deep Trench Gravel below pipe 5 Depression over field N For 3 bedrooms Water added45o gal. Absorption rate >-- 4~io If yes, give date New depth~_5 in. g.p.d. Em LIFT STATION Date installed 61=42oo7 "Pump on" level at ~,~ in. Datum Bottom of Tank SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot =.oo'+ Absorption field on lot =.oo'+ Public sewer main 75'+ Sewer/septic service line 2,;'+ Animal containment areas =.oo'+ Manhole/Access (Y/N) Y High water alarm level at ~8 Meets alarm & circuit requirements? Y Size in gallons ~;oo "Pump off" level at ~ in. Cycles tested 2 On adjacent lots .,oo'+ On adjacent lots .,oo'+ Public sewer manhole/cleanout =.oo'+ Holding tank ~oo'+ _ :. ~ Manure/animal excrete storage areas =.oo'+ Building foundation Surface water =.oo'+ Wells on adjacent lots SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~;'+ Property line =o'+ Absorption field Water main NIA Water service line 2,;'+ Surface water Wells on adjacent lots =.oo'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Water Service line Curtain drain None Known COMMENTS *Lot line separation waver a_oomved 10/12/O6. Approx 580 Gal Storage in Well Casing. As-blt on file. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA gu.~delines in effect on this date. Water main NIA Driveway, parking/vehicle storage Engineer's Printed Name Steven R. Pannone, P.E. Date 8/912o~o cos^ $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number in. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On-Site Systems Approval (COSA) # 101168 During a recent COSA on-site inspection and test of the potable water supply well on Block 3, Lot 11 of McKinley Heights. #1 subdivision, the well's productivity was determined to be 0.45 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3-bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. SGS Ref.# 1103899001 Client Name Pannone Eng. Srv. Printed Date/Time 08/12/2010 8:12 Project Name/# 18618 Amonson Collected Date/Time 08/05/2010 14:00 Client Sample ID 18618 Amonson Received Date/Time 08/05/2010 15:25 Matrix Drinking Water Technical Director Stel~hen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 08/10/10 08/11/10 NRB Waters Department TotalNitrate/Nitrite-N 0.138 0.100 mg/L SM204500NO3-F B (<10) 08/06/10 AYC Microbiology Laboratory E. Coil Total Coliform Negative 1 100mL SM20 9223B A 08/05/10 DLC Negative 1 100mL SM20 9223B A 08/05/10 DLC MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-472O Application Date ~ ~ I GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name l..-4 ~,..~r)~. '~,,~rt.4_.C~[;;;~Telephone: Home L¢~- "~tO¢'7'- Business /.¢¢/~L Applicant Address ~::~,O, ~ ~2~, I~'~ ~ C..~,~1~.)(.~ l~lJ-~ J /~¢_.._. ~:~4::~ ~'~ (c) Applicant is (check one): Lending Institution [-I; Owner/builder,J~ Buyer []; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent ~ ~'/~ Address ~--/~(~ ~ ~ ~ Telephone ~ ~J¢ _.-, 4:~ I ~ (f) Mail the HAA to the following address: SRL~ l~x Ear, Id ~vr~r, ~l~s~ 99577' TYPE OF RESIDENCE Single-Family~ Multi-Family [] Number of Bedrooms ~' Other WATER SUPPLY Individual Welll~' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite(j~[ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspec§o~$ Engineering' Name of Firm SRB lC)6X Telephone EagJe ~,i','er, AJas~:a g9~77' Address Approved for ~,,~ooms by te Approved X Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) N,,~. r~cOT~CTIo_N . ~ea~l Descr, pt,on. ~ // RECEIVED Well Classification ~ ~J~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present ~ Date Completed 5 ~ [~-q ~ Yield vot. q q ¢o' G .tin Static Water Level ~O~ Pump Set At ~ /~ ~/~ Casing Height Above Ground Sanitary Seal on Casing~ Electrical Wiring in Conduit~ Depression Around Wellhead~ Separation Distances from Well: To Septic/Holding Tank on Lot /OO /~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot /O0 ¢ ¢ ; On Adjoining Lots To Nearest Public Sewer Line ~/~ To Nearest Public Sewer Cleanout/Manhole 1/~ To Nearest Sewer Service Line on Lot ~ ~¢'~/~ ;Date //~/¢ Water Sample C011ected by Water Sample Test Results _¢~ ~ % ~4 ~.~¢ ~ Comments W~L~ W~ ~ t~ ~ ~0~ SEPTIC/HOLDING TANK DATA Size /~.~--O No. of Compartments Foundation Cleanout Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) Date Installed Standpipes ~/¢N~ Air-tight Caps Depression over Tank ,(~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well /,~O / ~- To Property Line To Water M~:VService Line Course To Building Foundation TO Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72 026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~,5' ~//-.~ Date Installed r~./,.'/. ?y Width of Field /~--? Square Feet of Absorption Area Depression over Field Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot ~'~,~ To Water.Ma~/Service Line ~ ~ v-- To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field /2' / Depth of Field '] 0 I_-F' Gravel Bed Thickness Standpipes Present ~ Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if pre, sent) Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments *° Check Permitted Bedroom Rating Against HAA Request *° I certify that I ha~e c~eckpd.,verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed _~_~ 1~ Date Z- ~- ~ CompanyEanl~ ~;ver. Receipt NO. Date of Payment Amount: $ MOA No. ~?_%--_ ~o ..~ Page 2 of 2 A~PLI'~N~ FILLS OUT UPPER HA'"~ONLY eho.a ~yp~f Resl~nce ~lngle Family Bedr~ Supply Sewer Disposal Holding Tank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Inspector Inspector Inspector Inspector ~CcJ~.6 ~ st~· , ~~ ~y o ~ { ~APPROVED ~DROOMS~ emal Prote~j~,, ( ) DISAP~OVED ( ) CONDIT~NAL APPROVAL* Soils Rating Date ~wer In~tall~ Well TO ~sorption Area Well L~ Received Time ~ ~ Time ,.e Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Insta~l~ Permit No. Septic Tank Size 7 -~ ~lls Rating Well TO Abso~tlon Ama Well L~ R~elv~ Well to Tank ~- ~3~ APPLICANT FILLS OUT LOWER HALF ONLY Address~ Realty ~. & Agent · ~ ~ Phone Address Street L~atlon ~ Single Family ~ Multiple Family No. of Bedr~ms ~ Other Wat~pply ~ Individual ~ ~ ~ ~5 A.ACH WELL LOG, Awell log Is requlr~ for all wells drill, since June . '~, ~ ~mmunltYpu~llc Utility ~/ available.)1975' For wells drilled prior to that date, give well depth (attach log If Sew~is~sal ' ~ Individual Year Individual InstallS: ~,Pubtic Utility When ~nnected to Public Utllity~ ~ Holdin~ Tank NOT~ THE INSPECTION FEE MUST ACCOMPANY ~CH REQUEST BEFORE PROCE~ING CAN BE INITIATED. EXCAVATION ROBERT A. SHAFER WORK May 22, CIVIL ENGINEER /~UNICIPALI3Y OF AN~'IO~J?9 1982 ;"~"r ¢~ ~'."'?, -, £NVL~ ',.~. I.,A.: .O ~ ; I 5 195£ RECEIVED Linda Ballard P.O. Bo~ 735 Chugiak, Alaska 99567 Dear Mrs. Ballard, Reference: Lot ll: Block 3: McKinley Heights Subdivision A sewer system adequacy %est was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit was charged with 900 gallons of fresh water and after a period of 24 hours all the water which had been added to the crib had percolated out. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be Guaranteed against subsequent failures. If we may be of further service, please do not hesitate to call. · Sincerer/ 7BO~ERT A. ' SHAFE ATT ENT ZON: Red Ca'set Realty Linda Ballard Alaska U.S.A. Federal Credit Union Municipality of Anchorage Department of ~ealth and Environmental Protection SRB 196X EAGLE RIVER, ALASKA