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FORELAND VIEW BLK 1 LT 3
Foreland View Block 1 Lot 3 #017-401-43 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231284 PID Number: 017-401-43 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name TIMOTHY ALLEN ABSORPTION FIELD ElDeep Trench ❑ Wide Trench ❑Bed ound Site Address 8450 SWANSON CIRCLE *ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth original grade 907-444-9447 5 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot FORELAND VIEW; BLOCK 1, 3 Fill added above original gr Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES 0 SepticAbsorption Lift Station Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well *501+ 25'+ TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity INFILTRATOR 1530 Gal. Surface Water *50'+ Material Number of compartments Lot Line 5'i NA HDPE 2 Foundation 10'+1z LIFT STATION Manufacturer Capacity I — Remarks *THIS IS A QUANICS CAT II AWWTS INFILTRATOR 1060 Gal. Alarm location REMOTE MONITORING Electrical installed by Pa d2 Installer PIPE MATERIAL House to tank D3034 dTankto D3034 A+ HOME SERVICES Drainfield D3034/EXISTING Co/MTD3034 Inspector GEG BENCH MARK (Assumed elevation) 95.03 ft Inspdection 1,` 9/5/2023 2w - Location and description 3b - 4`6 _ TOP OF MH1 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp oQ6o�p 4 oQ OF q�� yap Conditional Approval: Date �...:.... . ...... ...� ----- -p ..:..�l- ----- _J f ey A. Gness: Q 9 _& -7�3 %S1 �o Septic System ,} �, Approved �/ Date , S a L� Note: this approval does not include well permit requirements.Eo O�pr�000000 in_.. nrinne n 9A'TJ �,/Z_? PERMIT NUMBER: OSP231284 A I B MH1 46.7 66.7 STI 46.9 60.0 DBL1 50.7 63.5 DBL2 51.8 64.2 ST2 56.6 68.7 MH2 57.8 65.4 FORELAND VIEW; BLOCK 1, LOT 4 PARCEL ID NUMBER: 017-401-43 NEW TWO COMPARTMENT IM -1530 INFILTRATOR SEPTIC TANK / ` . 4 :: •..�; f ! DRIVEWAY NEW IM -1060 SINGLE COMPARTMENT ' t INFILTRATOR SEPTIC TANK TO BE _•. UTILIZED AS RE -CIRCULATION TANK +: t MH1 0 DELI f I ST2 ° 0 T1 I MH2 VPI ' C EXISTING HOUSE O H3 I EXISTING NS500 VPz TREATMENT POD EXISTING DRAINFIELD —/{– t7l ff I GALE:,._... v 1'l= 40' I......•"". . V ............t ....... +�.}��.. ♦ i-+:•jrey A Garness . �.•�,c, ���% CE -7953- ( LICENSE 'S"+ #AECC884Ik „ w, . • ,n ., �..,- w ,, ENGINEERING � SALES -, CONSULTING 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907) 337-6179 • FAX (907) 339-3246 • WEBSITE-. v gamessengne ,g com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TIM ALLEN 907-444-9447 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: FORELAND VIEW; BLOCK 1, LOT 3 D.J.G. TYPE OF WORK: DATE: SEPTIC TANK RECORD DRAWINGS 9/8/2023 I......•"". . V ............t ....... +�.}��.. ♦ i-+:•jrey A Garness . �.•�,c, ���% CE -7953- ( LICENSE 'S"+ #AECC884Ik PERMIT NUMBER: PARCEL ID NUMBER: OSP231284 RECORD DRAWING 017-401-43 TOP OF TANK AT INLET = 90.53 INVERT OF BUNG AT INLET = 90.00 TOP OF TANK AT INLET = 90.50 INVERT OF BUNG AT INLET = 89.67 PER CONTRACTOR, NO WATER WAS ENCOUNTERED IN THE EXCAVATION HOLES FOR THE SEPTIC TANKS TOP OF MANHHOLE = 95.03 MH STI r FINAL GRADE = 94.47-94.63 2" INSULATION PER I I/— TOP OF TANK CONTRACTOR / AT OUTLET = 90.55 INVERT OF BUNG N AT OUTLET = 89.77 IM -1530 2 -COMPARTMENT INFILTRATOR SEPTIC TANK PER CONTRACTOR TOP OF MANHHOLE = 94.80 FINAL GRADE = 94.42-94.46 2" INSULATION PER CONTRACTOR TOP OF TANK AT OUTLET = 90.54 IM -1060 SINGLE -COMPARTMENT INFILTRATOR SEPTIC TANK TO BE USED AS STEP TANK PROPOSED FLOAT LEVELS ARE FROM THE BOTTOM OF THE TANK. - TO BE CONFIRMED DURING QUANICS STARTUP WITH NEW OWNER TIMER OVERRIDE FLOAT - 42" HIGH LEVEL - 40" TIMER ON/OFF - 33" `TIMER OVERRIDE HIGH LEVEL TIMER ON/OFF le -1 A txARNESS ENGINEERING GROUPLtd u. .. _. , ,. ..._ ,.s .. _ V-: ENGINEERING- SALES � CONSULTING N.. ... „..... _ ... .' 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507' PHONE (907) 337-6179' FAX (907) 338-3246 - WEBSITE:-g-sengineedng.com PREPARED FOR: NUMBER: PAGE NUMBER: JPHONE TIM ALLEN 907-444-9447 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: FORELAND VIEW; BLOCK 1, LOT 3 D.J.G. TYPE OF WORK: DATE: I,_ SEPTIC SYSTEM RECORD DRAWINGS 9/7/2023 ............... �,.......... k............ %4 ' CE -7953 _AV ��� Fp'l'�• LICENSE ..........P��.: #AECC884 's"'����• MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231284 Work Type: SepticTank Upgrade Tax Code Number: 01740143000 Site Legal Address: FORELAND VIEW BLK 1 LT 3 G:2841 Site Mailing Address: 8450 SWANSON CIR, Anchorage Owner: ALLEN TIMOTHY J & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date 1»cnt U r, Department Lot Size in Sq Ft: Total Bedrooms: 8/25/2023 8/24/2024 44933 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Co 0-1 rL Cp �4-r- e fl -4 ---mss bo6o A-%I'o Received By: Y 5 u'EP %,0 e_C Date: Issued By: Date: Z S 2-P2 5 MUNMPAUTY of MCHO E nt eiDe Department Phone: 907-343-7904ServcsDevelo me On-Site Water & Wastewater Section - Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 01740143000 Property owner(s) Timothy Allen Mailing address 8450 SWANSON CIR Site address 8450 SWANSON CIR Day phone Legal description (Sub'd., Block & Lot) FORELAND VIEW BLK 1 LT 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 1.5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑ Septic Tank 0 Upgrade (w/wo ADU) Holding Tank E]Renewal ❑ Duplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 3 � ® Waiver Fees: Date of Payment: Receipt Number: Permit No. SP 2 3 1 Z y Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building SafetylOn Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231284, Curtis Townsend, 08/25/23 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201182 PID Number: 017-401-43 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name TIM ALLEN ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ound Site Address 8450 SWANSON CIRCLE ❑ other Phone Number of Bedrooms Soil Rating Total depth original grade 907-444-9447 5 GPD1SFJ Ft. LEGAL DESCRIPTION Depth to pipe invert from original gradeFt. Gravel depth beneath pipe Ft. Subdivision Block Lot FORELAND VIEW; BLOCK 1, LOT 3 Fill added above original gr Ft. Gravel length Ft. Township Range Section - Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic I Absorption Lift Station Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well *50'+ TANK ElSeptic ElS.T.E.P. F-1Holding XOther Manufacturer INFILTRATOR Capacity 1530 Gal. Surface Water *50'+ Material Number of compartments Lot Line 51+ NA HDPE 2 Foundation 101-1- LIFT STATION Manufacturer Capacity Remarks *THIS IS A QUANICS CAT 11 AWWTS INFILTRATOR 1060 Gal. Alarm location REMOTE MONITORINGn��� Electrical installed by PIPE MATERIAL House to tank D3034 drainfield Tank to D303� Installer A+ HOME SERVICES Drainrield EXISTING CO/MTD3034 Inspector GEG AND TIM ECKLUND BENCH MARK (Assumed elevation) 100.00 ft Inspection 1m 8/1/2020 - Location and description 2 na TOP OF MH1 3d _ 4th _ ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp oo�oop� r Conditional Approval: Date �7. �p .�..� ... � I....... Septic System ` f/ Approved ���> �Z�` Date `� �9 �D2a 9/ .Jfde`E A7pGor ss; �p sf' •. �, ,co Q�4H 1 .e e I. F , Note: this approval does not include well permit requirements. �p0°`essl°oar #AECC864 �0000`� kmuv uaruZr 10) � J SWUM,(// (a.� 1t PERMIT NUMBER: OSP201182 A I B MH1 47.5 67.3 ST1 48.2 60.7 DBL1 50.3 62.7 DBL2 51.2 63.5 ST2 56.5 68.4 MH2 57.6 64.8 MH3 54.2 57.8 IVP 1 56.0 1 56.6 PARCEL ID NUMBER: RECORD DRAWING 017-401-43 FORELAND VIEW: BLOCK 1, LOT 4 -0, k, 11� 10, NEW TWO COMPARTMENT IM -1530 INFILTRATOR SEPTIC TANK 4 DRIVEWAY 4A D BL 1 &2—,, M H 1 T2 *�_�3 T 1 is MH2 NEW IM -1060 INFILTRATOR H3 EXISTING HOUSE SEPTIC TANK TO BE UTILIZED AS RE -CIRCULATION TANKVP B NEWNS500 X TREATMENT POD EXISTING DRAINFIELD 1r' ' GALE: 1'�= 40' d--1 A OW Tp UARNESS EN(311NEERIN(31 td'ff-'R u Ltd ENGINEERING - SALES � CONSULTING 3701 E TUDOR ROAD. SUITE 101 'ANCHORAGE AK99507- PHONE K7)33-16179* FAX(907i 333-321,6 'VJESSITE PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TIM ALLEN T9,07-444-9447 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: FORELAND VIEW,- BLOCK 1, LOT 3 D.J.G. TYPE OF WORK: DATE: ,., SEPTIC TANK RECORD DRAWINGS 4/18/2022 # ............ . ............... ..::. ' fey v wo'k-tt ey A. s CIF -7953 e N AV q ## LICENSE 4 �ESS\ #AECC884 1% 1 lak Ilk PERMIT NUMBER: RECORD DRAWING I N G PARCEL NUMBER: OSP201182 017-400 1-43 TOP OF TANK AT INLET = 95.38 INVERT OF BUNG AT INLET = 94.85 TOP OF TANK AT INLET = 94.95 INVERT OF BUNG AT INLET = 94.62 TOP OF MANHHOLE = 100.00 MH ST1 /_ FINAL GRADE = 98.90-99.21 — TOP OF TANK AT OUTLET = 95.38 2" INSULATION PER CONTRACTOR LA INVERT OF BUNG AT OUTLET = 94.62 IM -1530 2 -COMPARTMENT INFILTRATOR SEPTIC TANK TOP OF MANHHOLE = 99.67 /— FINAL GRADE =98.96 (.02' TOO DEEP) NK 2" INSULATION PER AT OUTLET=+94--94 CONTRACTOR 11 w IM -1060 SINGLE -COMPARTMENT INFILTRATOR SEPTIC TANK TO BE USED AS STEP TANK FLOAT LEVEL ARE FROM THE BOTTOM OF THE TANK. OVERRIDE FLOAT - 42" HIGH LEVEL - 40" ON/OFF - 33" `—OVERRIDE HIGH LEVEL ON/OFF GAANESS Eli GI1vtEEI"KING GROUP, Ltd .... ENGINEERING � SALES-, CONSULTING .. w .. ... � 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507' PHONE (907) 3376179' FAX (907) 338-3246 - WEBSITE: vnwi.game ng..e g.c PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TIM ALLEN 907-444-9447 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: FORELAND VIEW; BLOCK 1, LOT 3 D.J.G. TYPE OF WORK: DATE: -._ SEPTIC SYSTEM RECORD DRAWINGS 8/17/2020 •`'��' 4 ........ .. . ........... ............. ..w I. � % e A ness Ar i �r ♦ CE -7953 ♦#jFAQ•'•. -/Z, •�' i LICENSE �r� ,S,;,���� #AECC884 / MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 19005V 47O0Elmore Road Anchorage, Alaska 8851S'8V58 Phone: (907) 343-7904 Fax: (9U7)343 -r997 oUp:o/w,mw.muni.o,g/nnnite ^� � On -Site Wastewater Disposal System Permit Permit Number: OSP201182 Effective Date: 6/23/2020 Work Type: SapUoTonkUpQrade Expiration Date: 6/23/021 Tax Code Number: 01740143000 Site Legal Address: FORELAND VIEW 8LK 1 L 3 G:2841 Site Mailing Address: 845OSVVANG{}NQR.Anchorage Owner: ALLEN TIMOTHY J& Lot Size inSqFt: 44933 Design Engineer: GARNESSENGINEERING GROUP LTD Total Bedrooms: 6 This permit is for the construction of: 0 Disposal Field 2 Septic Tank [] Holding Tank E] Privy El Private Well [] Water Storage All construction shall beinaccordance vvith:- 1 The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska VVaahawahyr Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC8O) 3. The wastewater code requires inspections during the installation. The engineer shallnotifythe Development Services Department per AMC 15.65. Provide notification by calling (907) 343'7904 (24/7 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Ethan Berkowitz On -Site SewerNVell Permit Application For A Single Family Dwelling Parcel I.D. 017-401-43 Property owner(s) TIM ALLEN Mailing address 8450 SWANSON CIRCLE *ANCHORAGE, AK 99516 Site address 8450 SWANSON CIRCLE *ANCHORAGE, AK 99516 Legal description (Sub'd, Block & Lot) FORELAND VIEW; BLOCK 1, LOT 3 Legal description (Township, Section & Range) Lot Size Day phone 907-444-9447 Sq.Ft. Number of Bedrooms 5 6 ` APPLICATION IS FOR: APPLICATION IS AN: (®all that apply) Initial ❑ Absorption Field ❑ Septic Tank Upgrade Renewal F-1 Holding Tank ❑ Privy ❑ Private Well ❑ � p,07o moi — mop Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: N/A I certify that the above information is correct applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: - 1 further certify that this As in accordance with Permit/Rush Fees: �oZJrl i<�a� Waiver Fees: Date of Payment: _ Q I aU ol0 Date of Payment: Receipt Number: (9 QReceipt Number: Permit No. OS P 9C) a Waiver No. (Rev. 01/11) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201182, Rebecca Carroll, 06/23/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201182, Rebecca Carroll, 06/23/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201182, Rebecca Carroll, 06/23/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201182, Rebecca Carroll, 06/23/20 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 Permit Number: 6W 4SD l eo0 PID Number: U(-7- q01-y3 Name: Joh ton14 ,' Wastewater System: 11New Upgrade e�;a Actress: ('�a�r' ABSORPTION FIELD o KND E lneen 20 1 E. Phone: No. of Bedrooms: J ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound AOther LEGAL DESCRIPTION Soil Rating: Z � Total Depth from original grade: �. � GPD/Sq. FC Z Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe f Fo el 1n;1). 0. `J, Ft- Or `Ji Ft. Township: Range: Section: Fill added above original grade: Gravel length: Ft. 77,5 Fl. WELL: ❑ Ne ❑Upgrade Gravel width: 5 Number of lines: Distance between lines: Ft. Ft. Classification (Private, A,B,C Total Depth: ased To: Total absorption area: Pipe material: 0,6/0 Ft. 37S so. Ft. IJ 30 3 Driller: Date Drill Static Water Le : Installer: Date installed: Ft. V YI Yield: Pump Set at: Casing Height Ab Ground: AN 1! K GPM Ft. Ft. SEPARATION DISTANCES El Septic ❑Holding S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity In gallons: From Tank Field Station Tank SewerLlnes 2OOo Welt'Material: /00'+ 10o'-f- 100'4- /00 f h 33 + `7z / J Number of Compartments: SWaterr /00+ /oo'+ loci`+ too'+ loo'+ LIFT STATION Lot Line r /d + , /0 t tr 10 -- t0 + I 10 + Size in gallons: 2000 Manufacturer: / /¢ryC/70o G C �r1 Foundation 1p' .(, 1 CJ'+ t o,+ lOf -f _ "Pump on" levAll "Pump off' level at: D High water4j at: Curtain Drain — — — _ — Pump Make 8 Model 65165 adil Electrical Inspections performed by, /ftervenl Remarks: hts is 1;7 n 0 ✓ n BENCH MARK Location and Description: 5. E. CoRAtER OF FLAY WQU5,5 Assumed Elevation: er DFf 5 r c �' ENGINEER'S SEAL 0 .r •.� ! or :*A 9-/3-Fs Inspections performed by: 6*e Dates: 1st 9_�� - ss io l49L '•"•"" ' •••• • •'••io j 2nd/ 9-19-F5 / ... ........ .: ..... �� �s. Kenneth M. Duff y tl�TF�•. `E71,6 Department of Health and Human Services approval �k4e9e, OFESStaNA�+' Reviewed and approved by: loeF Date: 72-013 (Rev. 9/91) MOA 25 AS -BUILT WASTEWATER DISPOSAL SYSTEM LOT 3, BLOCK 1 FORELAND VIEW SUBDIVSI❑N P.I.D. 017-401-43 S 11 O TH f1 > OF AZ,4 ,Of C�) * 49Tx *+� 0 KE .. � KENNETH M.' D S CE -711 ka � AROFESSID�Nti � JOE GALBRITH 8450 SWANSON CIRCLE ANCHORAGE, AK 16 RECOV. 5/8" A-C=33'+/- -REBAR (TYP) 8-C=58'+/- A -D=42'+/- B -D=70'+/- A -E=72'+/- B -E=81'+/- A -F=92'+/- B -F=70'+/- A -C=97'+/- B -G=74'+/- A-1=127'+/- B-1=106'+/- A -H=128'+ - B -H=68'+ - I -J=46'+ D-1=88'+/ D -E=31'+/- F-1=38'+ KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Fax (907)696-8111 DATE. I1-4-95 DRAWING 4 SCALE: F= 50' 95021-ASB1 7'W 233.60' 1s.s in �O %> 2 m ar_N N 22.1 a ' DRIVE .ASPHALT 0 2.7: 1 26.3 m 5� 0WELL C 'LINE Ii. b u 4.1 n EXISTING > O o HOUSE 2.5 x 0. /1II CANT. - 4 b i a.o B 26.1 3 JOE GALBRITH 8450 SWANSON CIRCLE ANCHORAGE, AK 16 RECOV. 5/8" A-C=33'+/- -REBAR (TYP) 8-C=58'+/- A -D=42'+/- B -D=70'+/- A -E=72'+/- B -E=81'+/- A -F=92'+/- B -F=70'+/- A -C=97'+/- B -G=74'+/- A-1=127'+/- B-1=106'+/- A -H=128'+ - B -H=68'+ - I -J=46'+ D-1=88'+/ D -E=31'+/- F-1=38'+ KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Fax (907)696-8111 DATE. I1-4-95 DRAWING 4 SCALE: F= 50' 95021-ASB1 rl FINISHED GRADE \ r�l - ORIGINAL GRADE 2000 I STEP 90,17 SEWER ROCK FILTER FABRIC AND 2' INSULATION TANK N s• FILTER SAND -2.0' N[N s• x 36' SAND FILTER 6,88'gr L57'inv M.T, 10' SAMPLE BASIN 77.5' AW °F Azo 1 /6� fry, 49TH / KENNETH M. FUS CE -7116 ,rya -11 84,46 BOTTOM OF TH 1 1/4' PVC FROM TANK TO SAND FILTER 2000 GAL. \o T O° ° 33' 5' 97.28'gr M.T• 91.72'inv 97.05'gr )1,55'inv I.T. AIR LINE FROM BASEMENT - Consisting of: 5, 3/4' polyethylene pipe encased In 3' styrofoam and 4' D3034 HDPE pipe, Run from house downhill and buried between 4'-5', 19' JOE GALBRITH 8450 SWANSON CIRCLE ANCHORAGE, AK KND ENGINEERING 22041 PTARMIGAN DR EAGLE RIVER, AK, 99577 (907)696-6111/FAX(907)696-8111 )ATE- 11-4-95 DRAWING 0 NTS 95021-ASB2 DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 3, BLOCK 1 FORELAND VIEW SUBDIVSI❑N P.I.D. 017-401-43 8.86' z Q z 99.42 a W '0 J U W UU J W W W U fl Il fl n n � fl 92,66 n� rl FINISHED GRADE \ r�l - ORIGINAL GRADE 2000 I STEP 90,17 SEWER ROCK FILTER FABRIC AND 2' INSULATION TANK N s• FILTER SAND -2.0' N[N s• x 36' SAND FILTER 6,88'gr L57'inv M.T, 10' SAMPLE BASIN 77.5' AW °F Azo 1 /6� fry, 49TH / KENNETH M. FUS CE -7116 ,rya -11 84,46 BOTTOM OF TH 1 1/4' PVC FROM TANK TO SAND FILTER 2000 GAL. \o T O° ° 33' 5' 97.28'gr M.T• 91.72'inv 97.05'gr )1,55'inv I.T. AIR LINE FROM BASEMENT - Consisting of: 5, 3/4' polyethylene pipe encased In 3' styrofoam and 4' D3034 HDPE pipe, Run from house downhill and buried between 4'-5', 19' JOE GALBRITH 8450 SWANSON CIRCLE ANCHORAGE, AK KND ENGINEERING 22041 PTARMIGAN DR EAGLE RIVER, AK, 99577 (907)696-6111/FAX(907)696-8111 )ATE- 11-4-95 DRAWING 0 NTS 95021-ASB2 E DESIGN DETAILS DISTRIBUTION PIPES LOT 3, BLOCK 1 FORELAND VIEW SUBDIVSION ING PORT P.I.D. 017-401-43 /4" DIST. LINES M. T, O u / O M. T, SAMPLING BASIN, MANIFOLD iu iu M. T, O nu _ O M.T. AW OFAL1� TH .....Kgg1.IETg M. / 1 CE -7116 AOf \ pftnSS10N0 AV AIR LINE IF -T 1 1/4" PRESSURE LINE -HKLIJ I- L1K: KND ENGINEERING - 20441 PTARMIGAN BLVD JOE GALBRITH EAGLE RIVER, AK, 99577 8450 SWANSON CIRCLE (907)696-6111/Fox (907)696-Blil ANCHORAGE, AK DATE,u-4-e5 DRAWING 0 SCALE, NTS 95021-ASB3 PIPE DESIGN DETAILS INNOVATIVE SAND FILTER BOX LOT 3, BLOCK 1 FORELAND VIEW SUBDIVSI❑N P.I.D. 017-401-43 LUSHING PORT ILTER FABRIC & 2" HDP INSULATION ORIFICE SHIELD, 18" FILTER SAND AIR LINE\ 6" FILTER SAND , a °- 0oa°ao°°o°nOo_°0o0°o°°000° _1:a--00-0-000 00o°. °°a°o_ 36' LONGITUDINAL CROSS SECTION '"I*'K1 9TH ) _.._.K�,yM. D.. ;zs CE -7116 W� .+GSA 1 A�BESSIOt3P�' � PREPARED FOR; JOE GALBRITH 8450 SWANSON CIRCLE ANCHORAGE, AK M.T. 3;1 FINAL SLOPE 1 1/4" LINE FROM TANK 2" HDP INSULATION 6" PEA GRAVEL 2° LEVELING SAND KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Fax (907)696-8111 DATE, 11-4-95 DRAWING # NOT TO SCALE 95021-ASB4 - TNSPEC+TUN RSFDRI' MUNICIPALITY O ANCSiO2Ati6. BUILDING GAlt.'CY DIV TSTDN 3500 SAsT 7UMIR ROAD O: plY 563-3464 INFORMATION: (907) 736-8211 vxs___a__pc__xxzaas�xxaoax-xaxex__a___--�-asexsaaxxaaaecaaseoaxcxaasc ■.e>PPRMIT ?. 95-8546 ({fAVF,NLY LCGHT ELEC DATE: OJ/20/95 No PHONE it: '242-6847 PHONE t2: Lit.00K: 3UEtAtUISCt.1N: EORBLAND 1,11-T STATION ---_. - ...--. -- -- - --... - -- ••------- - -..-- REINSPrCTION: Y pr,CTIGN: 3 viral Service 2: ----------^---- ____..--------- 1Pt2'S.IANCE OBSERVED C I CDRRECTIUNS ESSENTIAL AS EXPLAINED BFLOG'. hXAMIN'E AT NEXT INSPECTION C 7 DO NOT -CONCGAL- UNTIL -''evINSFFCTED--------- 1 rj 9 zo--,7s DATE: ----------------- ----.---------------------- WHEN CORRkCTIONS ARE MADS•:. PLEASE CALL FOR INSPBCT ION DO NOT RtMOVE THIS NOIICE I 'd 0521 669 'Oft XVd DRUBA M ME Wd LPE NOW S6-SZ-dBS MOO -02-1995 09:53 REMAX PROPERTIES INC. 907 276 1584 P.02 r R OCT -31-3995 16=@7 , �RE/PAX PROPERTIES INC. : 907 276 1584 P.03 t PROPUTY O WPii'..R MA WM.LMANCE AGREEMENT 'NTERMTrTENT SAND MTER WASTEWATER DW1 0SAL SYSTEM This agreement, dated November 1 , 1995, is made between the Municipality of Aaeharage Depsrbm at of Health and H unen Services o(L)iifi� and the psvperty 1►IIer�s) Oi_ Th=s agreement is =aide for the purpose of innintaining an intermittent saad filter on-site wastewater di* systam on the subject Properly - The propertY ow=r(a) agree to the following. Tom' 1Dmp�9 o•�aer{a) w,il haw an annual inspection of t] performed by a registered professional engineer.- This itis, SII O luent and air ptnaps, times®, and alarms ase faactioj dgfia ,;sa shall be carseeted and the euoneer's stmemea f+mctioning a6 desig ed shall be flied aanualiY with the D. 1 4---� R3ApFifYs£! ' ' `DTai 1 A55tS7A�i' SEi3.'w'iaRY PNO SA0RTGAG5 BANK, N.A. FlKIA SEARS SAVINGS BANK (NomrUe Here) sand filter syrte= bion Shall verify that ig as designed. Any fiat the systmn is Property Owner Name oFFlciA� segs. USAN M. PE7EASON NMANYSPUiLIG, STATE OF RLINpI� YY NISSION EXVIRES LB.yp C 1 IO6n7innro nor It 7-t, nInn--- TOTAL P.02 PAGE 1 OF 1 • MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT ����� PERMIT NUMBER:SW950160 DATE ISSUED: 7/14/95 DESIGN ENGINEER:KND ENGINEERING EXPIRATION DATE: 7/14/96 OWNER NAME:GALBRAITH JOSEPH M & DENISE K OWNER ADDRESS:8450 SWANSON CSR ANCHORAGE, AK 99516 PARCEL ID:01740143 LEGAL DESCRIPTION: FORELAND VIEW BLK 1 LT 3 LOT SIZE: 44933 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / HOLDING TANK SYSTEM 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 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE BOTTOM OF THE ABSORPTION FIELD MUST BE A MINIMUM OF 3FEET ABOVE THE IMPERMEABLE 160 MIN/IN SOIL STRATUM. AS A CONDITION OF APPROVAL OF THIS SYSTEM BY DHHS, THE ATTACHED MAINTENANCE AGREEMENT MUST BE EXECUTED, NOTOR- IZED AND FILED WITH DHHS. RECEIVED BY: ISSUED BY: DATE: i KNDENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 /FAX (907)696-8111 July 6,1995 Municipality of Anchorage Department of Health and Human Services On -Site Services Section P.O. Box 196650 Anchorage, AK 99519-6650 ATTN: Dan Roth Subject: Lot 3, Block 1, Foreland View Subdivision - Request for Permit Dear Dan: Attached is our request for a permit to upgrade the on-site sewer system for the above lot and replace it with a sand filter system. The existing system is in failure with sewage backing up into the house and the owner is presently without septic and has requested an expedited permit. The subdivision is served by on-site water and no on-site or public wells will be impacted. As shown on the site plan, there are no conflicts with existing wells or sewer systems. In addition, there are no class "A" public wells within 200' of the property, and sufficient distance (10'+ ) is provided for all area water lines. This lot is gently: sloping to the west with alder and low shrubs. The lot has a slope of approximately 4 -5% running east to west. The natural slope will provide positive drainage away from the proposed installation site. There is no surface water within 200 feet of any portion of the proposed installation. We performed four soils test within in the proposed absorption area, and conducted three percolation tests on this property. The area soils as shown on the soils logs are a mixture of SM to GM with varying densities and silt contents. Due to the area high ground water and marginal soils encountered we are requesting the installation of a sand filter system. The design we are submitting is based on the existing five bedroom house and a percolation rate of approximately (30 min./inch). In addition, water seeps were encountered during the excavation at approximately 8' and at 6.7 after water monitoring although Al, ttal'high groundwvater appears to be at 42". The proposed sand filter design appears to be the most reasonable solution to providing an on-site system short of a holding tank. Subject: Lot 3, Block 1, Foreland View Subdivision - Request for Permit July 6,1995 Page 2 of 2 Thank you for your consideration of this request. If there are any questions, please call me at 696-6111. Sincerely, `4 Kenneth M. Duffus, KND Engineering Attachments: On -Site Well and Sewer Application Site Plan Wastewater Absorption System/Sand Filter Details (4) Soils Log/Percolation Tests (5) SITE PLAN WASTEWATER DISP❑SAL SYSTEM LOT 3, BLOCK 1 FORELAND VIEW SUBDIVSION P.I.D. 017-401-43 i of A44S 1,VfH Y. D US _. .� 1 CE -711 �Ajolf eow �F'ESS10�py � On -Site Water Lot Size Less House/Drive Total Available JOE GALBRITH 8450 SWANSON CIRCLE ANCHORAGE, AK 68, 000 5. f 31600 5.£ 6 y y00'5.f KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Eax (907)696-8111 DATE: 7/5/95 LEkVING 0 Scnu> r = 50' 95021 -SI DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 3, BLOCK 1 FORELAND VIEW SUBDIVSI❑N P,I.D. 017-401-43 0 SEWER ROCK FILTER FABRIC AND 2' INSULATION 15' SN f—NIN. 5'—I MIN 5' 1750 S.T.E.P. BOTTOM OF BED 1.0' TANK GN 18' X 20' SAND FILTER O° ° e.o• (SEE SHEETS S3 & S4) C 11 GP/GM bm- rl r C.❑ 5' 4" S❑LID MANIF❑LD 5' (TYP) Adw AW OF AL C� co 49TH".* _ I KENNETH M. FUS CE -7116 - ,104 ,wA; a �$Aif SSIOIZPL Aw 1750 GAL STEP TANK 1 1/4' PVC FROM TANK TO SAND FILTER SAMPLE BASIN DESIGN CRITERIA: 1. 5 BEDROOMS X 150 GPD/BEDROOM = 750 GPD 2, SOIL RATING 30 MIN/IN = USE 2.0 GPD/SF 3. 750 GPD / 2.0 GPD/SF = 375 SF ABS. AREA 4. SHALLOW TRENCH DESIGN WITH 375 SF, MAXIMUM 5' WIDE 5, 375 SF / 5'WIDE = 75' LONG G. MINIMUM DESIGN SIZE = 5' W x 75' L SHALLOW TRENCH 7, 0.5' MAXIMUM DEPTH OF GRAVEL 8, 2' HD INSULATION REQUIRED OVER FIELD <3' OF COVER 9, INSTALL TANK W/2' HD INSULATION REQUIRED OVER & ON SIDES OF TANK 10. CONTRACTOR TO PUMP TANK AND ABANDON IN PLACE. I1. ALL SOLID PIPING WILL BE D3034 OR EQUIVALENT. 12. ANY ASPHALT, CONCRETE OR APPERTANENCES DAMAGED OR DESTROYED BY THE CONTRACTOR DURING CONSTRUCTION SHALL BE REPLACED BY THE CONTRACTOR AT NO ADDITIONAL COST TO THE OWNER. 13. CONTRACTOR TO VERIFY AND INSURE 2X GRADE FROM HOUSE. KND ENGINEERING 22041 PTARMIGAN DR JOE GALBRITH EAGLE RIVER, AK, 99577 8450 SWANSON CIRCLE (907)696-6111/FAX(907)696-8111 ANCHORAGE, AK DATE 7/5/95 IDRAWING k NOT TO SCALE 95021-S2 W N F =O o Z H O F z z Q z h a ¢ W o ❑ z W W W J JJ J IJ ~ Q Z V U V f W r J J E LJ N FINISHED GRADE ORIGINAL ORIGINAL GRADE 0 SEWER ROCK FILTER FABRIC AND 2' INSULATION 15' SN f—NIN. 5'—I MIN 5' 1750 S.T.E.P. BOTTOM OF BED 1.0' TANK GN 18' X 20' SAND FILTER O° ° e.o• (SEE SHEETS S3 & S4) C 11 GP/GM bm- rl r C.❑ 5' 4" S❑LID MANIF❑LD 5' (TYP) Adw AW OF AL C� co 49TH".* _ I KENNETH M. FUS CE -7116 - ,104 ,wA; a �$Aif SSIOIZPL Aw 1750 GAL STEP TANK 1 1/4' PVC FROM TANK TO SAND FILTER SAMPLE BASIN DESIGN CRITERIA: 1. 5 BEDROOMS X 150 GPD/BEDROOM = 750 GPD 2, SOIL RATING 30 MIN/IN = USE 2.0 GPD/SF 3. 750 GPD / 2.0 GPD/SF = 375 SF ABS. AREA 4. SHALLOW TRENCH DESIGN WITH 375 SF, MAXIMUM 5' WIDE 5, 375 SF / 5'WIDE = 75' LONG G. MINIMUM DESIGN SIZE = 5' W x 75' L SHALLOW TRENCH 7, 0.5' MAXIMUM DEPTH OF GRAVEL 8, 2' HD INSULATION REQUIRED OVER FIELD <3' OF COVER 9, INSTALL TANK W/2' HD INSULATION REQUIRED OVER & ON SIDES OF TANK 10. CONTRACTOR TO PUMP TANK AND ABANDON IN PLACE. I1. ALL SOLID PIPING WILL BE D3034 OR EQUIVALENT. 12. ANY ASPHALT, CONCRETE OR APPERTANENCES DAMAGED OR DESTROYED BY THE CONTRACTOR DURING CONSTRUCTION SHALL BE REPLACED BY THE CONTRACTOR AT NO ADDITIONAL COST TO THE OWNER. 13. CONTRACTOR TO VERIFY AND INSURE 2X GRADE FROM HOUSE. KND ENGINEERING 22041 PTARMIGAN DR JOE GALBRITH EAGLE RIVER, AK, 99577 8450 SWANSON CIRCLE (907)696-6111/FAX(907)696-8111 ANCHORAGE, AK DATE 7/5/95 IDRAWING k NOT TO SCALE 95021-S2 s "3 i t'S N Y 5� It W 0 U3 W J U U CoQ N Mzw a N u 0 o wo u in u ovz �m a yE� (1) v i 0 Z ti CD. > Q Z E w W �- LDN L W Z W " Q O > mo I— o¢. Ca N PEI J w H LL W O I Q a 3 Y f (� N Q 3 J W M F- 0 J s "3 i t'S N Y 5� It W 0 U3 W J U U CoQ N Mzw a N u 0 o wo u in u ovz �m a yE� bit M W Yrls YY IQD J IMPE pipe SAND FILTER DESIGN WASTEWATER ABSORPTION SYSTEM LOT 3, BLOCK i FORELAND VIEW SUBDIVSION TOP VIEW P.I.D. 017-401-43 `Z MML11ION AROUND PMULTER OF FILTER AZ `S THTH* ... KENNETH Y. FFUS_- CE -71 6 �q 1 p F ' F'ESSIU�p� D FOR: JOE GAEBRITH 8450 SWANSON CIRCLE ANCHORAGE, AK NCO w air ler oN[IoR rn.) KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-611]/Fax (907)696-8111 DAiC1 7/5/95 DRAWING R SCALD NIS 95021-S4 0 )I U51I YA IB• � 21�ORD1¢ SHSID � a0m11 PYC IBRII� CCIDAIR N. Ole DLL 8R1 N iI]W. YT(R®, a tseel. Ou / tm /T DLL NIQIIa /,® S' 0.0 Al rcp p[pr eWp-wl JJ I I/i DK C1A¢ ][q RL WNQDIp �• / • f DV f DLL SSD slaWd PYC l4e Iht I/r .w..w. 2-S/Z w W. eO w i • I IIRIIIIIIIIIIIIIIIIIIIIIIII(IIIIIIIIIIIIIINIIIIilllllll llR1111111111111111111111RlIIIIIIIIIIIIIIIINOIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIII PDLL PPC w I i W ORE line dlfu 2" R TIGNSpORf 17NE 1-1/i du. Cie= 200 Pi TRANSITION t,, 1' <h•D1 etr ddue<r L I. Or 1-1/4-1)1t PVC BOOT ?be teal /hone b b=ded b 30 mil. BRer\ W, W O 6 (T 1B' `Z MML11ION AROUND PMULTER OF FILTER AZ `S THTH* ... KENNETH Y. FFUS_- CE -71 6 �q 1 p F ' F'ESSIU�p� D FOR: JOE GAEBRITH 8450 SWANSON CIRCLE ANCHORAGE, AK NCO w air ler oN[IoR rn.) KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-611]/Fax (907)696-8111 DAiC1 7/5/95 DRAWING R SCALD NIS 95021-S4 SAMPLE BASIN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 3, BLOCK 1 FORELAND VIEW SUBDIVSION (PARR P S311K A<AY *:49TH KOWEM U. w AtV' 0 �FESSIOIIPV � P.I.D. 017-401-43 rmrnc•« 1m nrR arAReem arm. wus, xmpuvc uses( Axo roumRrzs ¢urunox(orp WRAP 111f[ a z a m vnCuta+ to raw w 1111111111111E ° - _ � mweer RrscxARce m uaaRmn 0 m ox r aRscfm R}5 wxrsue. °• O O JOE GALBRITH 8450 SWANSON CIRCLE ANCHORAGE, AK KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Fax (907)696-8111 DRAWING x 95021-S5 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 625 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Joe C 91.1b-f 7q / 7/Lof DATE LEGAL DESCRIPTION: Lai3 &oll / FOYelai?W11 w Township, Range, Section: DEPTH SLOPE SITE PLAN (FEET) 0742eS 5MlML - 1 0�90.✓+105 2 5M sin R� 3 4 per� 'Dense w cobbles 6 Tan 7 N 10 i GP�GM 11 12 13 14 15 16 17 18 19 20 WAS GROUND WATER Alp ENCOUNTERED? ND IF YES, AT WHAT DEPTH? UePlh to Water After Monitoring? BaW PERCOLATION RATE (mmut0 inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FY COMMENTSIlele eal&�/ S""t wa%r m hole- G//8g zs- No Pere I& -sl Wo /2c PERFORMED BY: S-0 AA10 eh I �R bu 2f'_f-i� S _ CERTIFY THATHIS TE5T M 5 PERF O(IED IN x/33,/// ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON 1116 DATE DATL___.f•� _ ""Lj� 72-006 IFlay. 4/85) / / // Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Jee GQIb1'/ /r! 7 Z PCr6 *11 DATE PER LEGAL DESCRIPTION: LOf 3 &e1 FOre4'7-- 11''cw (FEET) - 1 �i,z — 5A/i Srn�iPcc� dy 2 GM Tan dry 41rc UM -ran/6,2,'yUZ Dcnsc cAble-S 5 1 I� G PIG M C,raj R GM �an/Gr�J 8 �rlsc (^obb7e8 9 10 11 12 13 14 15 16 17 18 19 Township, Range, Section: SLOPE SITE PLAN IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? 119/?fi Dale: zo n PERCOLATION RATE 3.3 (minute571nch) PERG HOLE DIAMETER � I TEST RUN BETWEEN FT AND 2_ F7 COMMENTS flf eQk ti pzinr- � �e PERFORMED BY. S AI h FM I ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE 72-006 (Nev 4185) CER7IFY THAT THISTEST WAS PEFIFORMED IN / /Y-151— // DATE —A"/ Y-15 —______ --- ._. Moto©■■�����©ice �� oMA zo n PERCOLATION RATE 3.3 (minute571nch) PERG HOLE DIAMETER � I TEST RUN BETWEEN FT AND 2_ F7 COMMENTS flf eQk ti pzinr- � �e PERFORMED BY. S AI h FM I ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE 72-006 (Nev 4185) CER7IFY THAT THISTEST WAS PEFIFORMED IN / /Y-151— // DATE —A"/ Y-15 —______ --- ._. • +K Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 625 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: LGYC ! DATE PER FORMLaF4 IConi. � wwea►��� LEGAL DESCRIPTION: ZZ" �l FOYC/QhP/Y/'CW Township, Range, Section: DEPTH SLOPE SITE PLAN 6 7 8 9 10 11 12• 13 14• 15- 16- 17- 18- 19- 20 - GM Qe.nse. C066Tes WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? "It to fuer Atter MoAwrufy? node- Wit PERCOLATION RATE _3. 3 (mmute .nch( PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FY COMMENTS PFHI (1fIMLD BY _�—O*EVJY�1 _ _ f _f>._L.1 LI- V u� (.I H 11r Y Ilih 1(�111CL If bi V!/', PI hf r�I ILI II IN AC(JAII)AWA. VJI I II At 1 SYAII Af4ri MUNI( IPA[ 6U11A I INI IN Lf f 1 <, 1 11f1 I11'.. fa. I1 01. I I 1,//[///'� 7J 1011: 1I.,.,, g1B•,1 (FEET) C) 0.Y11 CS 1-3 p`rc 5M 51VIAVcd GM Tan dry 3 4 pert uZ GM 7anjGtay Dense- c&b✓7lGS Q 5 G P/G M Cr ra} N 6 7 8 9 10 11 12• 13 14• 15- 16- 17- 18- 19- 20 - GM Qe.nse. C066Tes WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? "It to fuer Atter MoAwrufy? node- Wit PERCOLATION RATE _3. 3 (mmute .nch( PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FY COMMENTS PFHI (1fIMLD BY _�—O*EVJY�1 _ _ f _f>._L.1 LI- V u� (.I H 11r Y Ilih 1(�111CL If bi V!/', PI hf r�I ILI II IN AC(JAII)AWA. VJI I II At 1 SYAII Af4ri MUNI( IPA[ 6U11A I INI IN Lf f 1 <, 1 11f1 I11'.. fa. I1 01. I I 1,//[///'� 7J 1011: 1I.,.,, g1B•,1 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 625 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Ig 6QIbr//rl PerCA2DATE P LEGAL 2 i 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19. Forel~111,tw Or- ganICS SM 13r."Id dy G M Tan dry GM 'Tanl6ray Dense- cobbles G PIG M Cfrafl Gm To, n/ea Den5e CobbZ Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depthto Wrier Acer munit faonilarinq? Y10{iL fine lul PERCOLATION RATE 11 (mmmevmch) PERC HOLE DIAMETER TEST RUN BETWEEN 3 FT AND F"f COMMENTS 146te _pa --500 kej n✓) n✓' 4-n i'e $� PERIOHMEDBY. ._501K ��•_]1_le.-L11 ---- .—CLHIrtY THAI THIb Tff:1VJ/S ('(f<(GL•NI Il IN ACCO(1(JANCE VAT Ii ALL S1 AIE AND MUNICIPAL GIJIUfi 1. I NES 114 LR LCT Ofd IML OAII. OAl f 0001:(Itry 41r;(,( Depth to Water ®mss Ono IFIRIMEMWO, lul PERCOLATION RATE 11 (mmmevmch) PERC HOLE DIAMETER TEST RUN BETWEEN 3 FT AND F"f COMMENTS 146te _pa --500 kej n✓) n✓' 4-n i'e $� PERIOHMEDBY. ._501K ��•_]1_le.-L11 ---- .—CLHIrtY THAI THIb Tff:1VJ/S ('(f<(GL•NI Il IN ACCO(1(JANCE VAT Ii ALL S1 AIE AND MUNICIPAL GIJIUfi 1. I NES 114 LR LCT Ofd IML OAII. OAl f 0001:(Itry 41r;(,( Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 625 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATIONTEST PERFORMED FOR: Joe. Ogalb'im DATE LEGAL DESCRIPTION: Id Ji &e/ Forelane/JQOW Township, Range, Section: DEPTH SLOPE SITE PLAN (FEET) II I I 1 Of'ganICS 2 GM 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 7.0 WAS GROUND WATER ENCOUNTERED? Nb S IF YES, AT WHAT OL �- DEPTH? P E Depth to Water Aller Monitoring? Date: PERCOLATION RATE tmmutevinch) PERC HOLE DIAMETER / / TEST RUN BETWEEN FT AND FT COMMENTS �a��"'='� ao451'51,?4t wA rH-1t% 71 �0/iC PERFORMED BY. :5olewa J I A • DU 4L 5 CERTIFY THAI THIS TEST WAS PERF ORMLO W ACCORDANCE WITH AL� AND MUNICIPAL GUIDELINES IN EFFLCT ON IHIS DAIE OATS 72-008 (Rev 4185) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Jne ildbr/AlDATE LEGAL DESCRIPTION: 1013/� FOYCIQr7�V''CIY Township, Range, Section: SLOPE SITE PLAN 1 Organics 2 GM 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? AIo S IF YES, AT WHAT L N" O DEPTH? P E Depth Ia Water After MenbrinD? Date 20 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND / F'F COMMENTS ��fPI'i /('Ol9 /Stdl/Y W"/'� T� � ND /G YGST CAleC PERFORMED BY.-7o1./l1 ACCORDANCE WITH ALL 72-008 IRc v. 4/851 I A / /td f'%9u C CERTIFY THAT THIS TEST WAS PERFORMED IN MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATL _ QS 8 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Ig egad bri 1% �Y/ _ DATE P LEGAL DESCRIPTION: Id3 &XI FOYCIQ/ a/ IiCW Township, Range, Section: ncI vrw Tl SLOPE SITE PLAN (FEET) 1 Q�gan�cs 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS GM PERFORMED BY. �/l/AN/J ACCORDANCE WITH ALL STA 72-008 IR,v, 4185) WAS GROUND WATER ���"" ENCOUNTERED? v_LO S L IF YES, AT WHAT O DEPTH? P E Depth to Water After MoniaarinD7 Date: PERCOLATION RATE (mmule mch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT /6 -7-d sd -57 nin 111,15-1 /,,;/ lyolz�,e, I �pya'4s CERTIFY/THAT ppTHIS �c+TEST WAS PERFORMEO IN ) MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATC a MUNICIPALITY O. 72-013 (Rev. 3/78) ''I 19 W,ENVI<ON`AE:dTA.L DEPT. OF HE,,3 c; MUNICIPALITY OF ANCHORAGE _;,,;;,I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION QCT — 8 1984 625 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION R NAME PHONE NEW CAR LJC',.ti $Trit<,-r, (: jy, .._ 7 ''l ❑UPGRADE MAILING ADDRESS n LEGAL DESCRIPTION 01 3 85i 1 F6A6 EE `,( 1 ��J), T 12 A f iR 3Lti - PC 'Zs LOCATION NO. OF BEDROOMS (` /l: y�( Y�V ii SC C_—i . Well Absorption area Dwelling A PERMIT NO. O DISTANCE TO: �eO _- sv l' --,- > 4'4- _Y F 2 Manufacturer Material No. of compartments w� C-;,P�CF` y Liq. capacity in gallons - IF HOMEMADE: Inside length Width Liquid depth � r �' DISTANCE TO: Well Dwelling - PERMIT ND. J t% Z �U SAF Manufacturer Material Liquid capacity in gallons Well Foundation F Nearest lot line,/ PEPVIT NO. w= DISTANCE TO: r, 7 AJ L+- Li� 6 LL z No. of lines Length of each lin@ Total length of Ines Trench width- )t Distance betwee lines P z w .�".i S 6 inches fTop of tile to finish grade s Material beneath tile L Total effe v�bsso`rlirjn area D T es �s Length Width Depth PERMIT NO. C7 otw Q F Type of crib Crib diameter Crib depth Total effective absorption area LU W Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J ^ ? I n Ila w � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS, CAS-irCcAu V 34pj3� SOIL TEST RATING I Lis ; If E,t,[yC /3L/ INSTALLER _t ti (_;Ll 1-6A.) CX - jib l3 G REMARKS 1 A)i G4- AT)'C1t f3 U L K rAAJ -:U =. •` 6 y. r.>L�:��` r� t� x: �r : a a /+,U <�t rte s ' �n Ell, APPROVED DATE LEGAL J/l ID iO T C� `'li4J�4 L 3 i FC a_tA,UI) 'T/2 f -'LL-3 s[ .Z 72-013 (Rev. 3/78) ''I 19 IN19T THIS PERMT 15 .VFIL10 FORA I4: ;. •• � S f�Uf�ING LOG LMATMN 5��1�N—F I 5 T �TaAd sajs;.oNm=_ Sec's DATE 7-Z �/ F3/ `T,ESTNOLE N0. / _ L 8 I sw UINSPECTOR STRATI- FICATION o z z - w SAMPLE TYPE Q GENERALIZED SOIL LOG a a REMARKS lu a- � - Q Jw +i! 0 w -1 - 1�9VeiZ_jAL - GRDo"d Co0EIZ C 'LAVEL S, (6 rte) 'I ick (,1Zo,-)�fd watEtz- EN Cou,Jre2E-P SAMPLE ANALYSIS NO. DEPTH DESCRIPTION Pie- 4z , /p GROUP BLOWS °NIf NOTES: MISCELLANEOUS DATA DEPTH OF HOLE IG' DIA.OF CASING h" DEPTH OF GROUND WATER DEPTH OF REFUSAL WT. OF HAMMER AVG. FALL OF HAMMER ■ PERCOLATION TEST RESULTS TEST GROSS NET GROSS NET PERCOLATION TEST RUN HOLE TIME TIME DROP DROP RATE BETWEEN TH-1 12:33pm 0-11" 3:54pm 201 min 2'-8" 21" 10 min/in 1'-3' TH-2 11:40am 3'-5" 3:52pm 251 min 8'-0" 55" 5 min/in 3.5'-8' TH-3 12:00pm 1'-3" 3:40pm 220 min 3'-3" 24" 10 min/in 1'-3.5' TH-4 11:32am 11-311 3:19pm 227 min 2'-11" 20" 12 min/in 1.25'-3' * For safety factor use 210 sq.ft. for bedroom for TH-1 thru TH-4 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 21 Day of August of 20_23, by and between Rebecca Altenburg , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to uti described as located at (legal description) Foreland View Blk 1 Lt 3 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) �— Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential i failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner 17acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. __ Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without anew Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of OWNER: By- �� 0(signature) (print name). STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) Date: I -Z3 The foregoing instrument was acknowledged before me this d l day of. 20_11, by ra V_y, C.�,� 5; TARY PUBLIC FOR ALASKA y Commission expires: 1- z--5- - z-1 MUNICIPAL ,UTY: BY_ (signature) LsV Xjf S O Lam^- S Ln(pflnt name) Date: J 72� Title: C w(L.- (rev. 05/18/2018) Page 3 of 3 MUNICIPALITY OF ANCHORAGE aI . 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. 017-401-43 Legal description FORELAND VIEW BLK 1 LT 3 Site address 8450 SWANSON CIR Anchorage AK Expiration Date: 12 ? 20'2 Current property owner(s) ALLEN TIMOTHY &CASSIDY X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: � P By: Original Certificate Date: 1� 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 x Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 3 r Development Services Department - Phone: 907-343-7904 On-Site Water u Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 017-401-43 Complete legal description FORELAND VIEW; BLOCK 1, LOT 3 Location (site address) 8450 SWANSON CIRCLE *ANCHORAGE, AK Current property owner(s) TIM ALLEN 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS Day phone 907-444-9447 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: ❑ Steel 0 Plastic ❑ Concrete ❑ Fiberglass Age NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: X AWWTS ❑ Bed ❑ Deep Trench 0 Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: P 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 $ D �'() Waiver Fee $ Date of Payment COSA #_ OS( -2 -1) 13 S 7 Date of Payment Waiver # COSA Application—June 2022 COSA Checklist Legal Description: FORELAND VIEW; BLOCK 1, LOT 3 Parcel ID: 017-401-43 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____- A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 9/23/84 Total depth 105 ft Cased to 105' ft 0 Sanitary seal is functioning correctly R Wires are properiy protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/25/2023 Static water level at beginning of test 10.7 ft. Comments NEW SEPTIC TANK - SEE B. TANK DATA ATTACHED RECORD DRAWING Measured operating fluid level in septic tank NEW Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: *SEE MAINTENANCE REPORT D. ABSORPTION FIELD DATA Which system tested (date installed) 1995 FM ALL standpipes present per record drawing Total measured depth from grade 3.25 ft (max) Measured depth to pipe invert from grade 2.4 ft (min) ❑ N/A — pressurized field. R Per record drawings, field is insulated. FM Monitor tubes go to bottom 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) NO If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 7.0+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes © No Coliform bacteria is Negative Nitrate 3 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ,RArsenic less than MRL (ND) Collected by GEG Date 5/25/2023 C. LIFT STATION F01 Required maintenance completed Age of lift station NEW years Lift station material PLASTIC Comments: Adequacy test date 5/25/2023 Results Q Pass Fluid depth prior to test 0 in Water added 950 gal New fluid depth 6 in Elapsed time 70 min Final fluid depth 0 in Absorption rate 750+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in 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' ❑Yes if No *50'+ ft E Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50'+ ft Holding Tank > 100' E Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft ❑o Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft R] 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' r-01 Yes if No ft Surface Water > 100' ❑ Yes if No *50'+ ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' F. ENGINEER'S COMMENTS *AWWTS Q Yes if No ft 0 Yes if No ft Q Yes if No ft 9 Yes if No ft Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' ❑ Yes if No *50'+ ft 0 Yes if No ft If tank or field is under driveway comment below 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 Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gamess Date (Z3 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist—June 2022 oma;. 9T per. QO .Jef A. Gcaess: Q E 753 m G 0 0 LICENSE�Q prote55i00�av #AECC8U Nitrate Advisory Certificate of On -Site Systems Approval # OSC231357 Subdivision: FORELAND VIEW, Block: 1, Lot: 13 A water sample revealed a nitrate concentration of 8.37 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Ma�Urg Address R O Box 196650 *Anchorage, Alaska 99519 6650 �` www mum org 30' ACCESS EASEMENT 171 Lot 4 %P 0 RETAINING G WALL /-12.1'x8.0' SHED CHAIN-LINK FENCE A) 10' T&E c9 Lot 2 EASEMENT Tract B 10' ACCESS, TELECOM. & DRAINAGE EASEMENTS PLOT PLAN AS BUILT -A- SCALE 1-= 40- GRID SW 2841 _ Project No. 23-458ZL1_ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone ken*lcngsurvey.com Professional Land Surveyors jonoihan*longsurvey.com OF Az travis0langsurvey.com I hereby certify that I have surveyed the following described property: LOT 3, BLOCK 1, FORELAND VIEW SUBDIVISION (PLAT No. 83-203)*.41, TH TH ?� - Anchorage Recording District, Alaska, and that the improvements situated thereon are ?I - N .......... . ..... within the property lines and do not encroach onto the prop" adjacent thereto, that ZA no Improvements on the property lying adjacent thereto encroach on the surveyed . .. .. . . premises and that there are no roadways, transmission lines or other visible KENNETH G. LANG % easements on said property except as Indicated hereon. Dated this the Day of of Anchorage, Alaska A 0 -Aw It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plot. State of Alaska AECC963 MUNICIPALITY OF ANCHORAGE UNICIPAUTy • � DEPARTMENT OF HEALTH &HUMAN SERVICES oFANCHow.tct Division of Environmental Services � ENIALSERVICE$plylStOks "On -Site Services Section ' "V -08 Box 196650 ` Anchorage, Alaska 99519-6650 - Q 8 )995 343-4744 ... :., . Location (site address or directions) f� Da hone 91, -/a/// /N/VWX AV/ar ' ,� i Address otherwise requt 2. Az NUMBER OF SEDROOMS:4111F,.= L - 3 TYPE OF WATER SUPPLY — '- ,Nt Individual well Fr Nr _5 -r x iik sn w -. Community well 4Y.- ;;�'� %2.1 `4x '?= . P_ubhc'water NOTE: If community well system, o ystem, provide written confirmation from State ADEC attest - Ing to the legality and status of system 4 TYPE OF WASTEWATER DISPOSAL Individual on-site Holding tank stir.:,:,^ z>:1 . .vrt..>.. , .. ... krvk�.sv4��:•S k..1. .,. -. ..66.e.>1r r:.i.. ,,1 ;�{� Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(RM.1/91) Front MOAM21 5. STATEMEM I %Jr. .INSPECTION BY ENGINEER 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 application 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 furtherverifythat 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 ineffect on the date of this inspection. Name of Firm KN Engineering -. Phone -- Ea91aRiver. AK 99577 A7 �.1. 8y: 3 Dais -1 z2 t_ .�,F 1� The Municipality ot&chorage Department of Health and Human Services (DHHS) issues Health Authority s based only upon the representations given in paragraph 5 above by an independent Approval Certifctite professional engineer registered in the State of Alaska. The DHHS does this as acourtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-=(F1G%1/91) Bak MOANS/ Ro Municipality of Anchorage DEPARTMENT $-T OF HEALTH & HUMAN SERVICEFNT4< FRt,�stio Environmental Services Division 09 0/,-/ 825"L" Street, Room 502 • Anchorage, Alaska 99501• (907 -4744 ` %y9 Cpsi ell s Health Authority Approval Checklist Legal Description:Foreland Veu) LO(J d llc l Parcel I.D.: V 7- 11NI– y3 A. WELL DATA Well type /A/p If A. B. or C, attach ADEC letter. ADEC water system number Log present (Y/N) y Date completed Total depth /Qrj Cased to 7l0 Casing height (above ground) Sanitary seal (Y/N) % Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test i Static water level /jJ �t �esia� w��0.C/�e✓ i Well production 30 g.p.m. 7 g.p.m, WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: B. SEPTIC/HOLDING TANK DATA Collected by: Date installed Tank size Z(Y/NHimgh entsleFoundation clea t (YM) Depression w• r alarm (Y/N) Date of Pu ping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (.p.dJfr or €ttPo ) 2. Q System type 7�P✓ i Length 75 Width 5 ' Gravel thickness below pipe D. Jr / Total depth 3. 2 Effective absorption area 37:5- Monitoring Tube present(YRN)__�_ Depression over field (Y/N) 4V Date of adequacy test Results (Pass/Fail) — For bedroom Fluid depth in absorption field before test (in.): Immediately after= gal. water added (in.): Fluid depth — (ins.) Minutes later: — Absorption rate = — g.p.d. Peroxide treatment (past 12 months) (Y/N) — If yes, give date D. LIFT STATION Date installed 9//Z l%:5- Size in gallons 2060 1 Manhole/Access (Y/N) N /I "Pump ori" level at* y/ "Pump oil' level at* High water alarm level at* Z/y *Datum -&#em a K&L ,�Z Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: i Septiclholding tank on lot /DD / f ; On adjacent lots /DU % Absorption field on lot d D e / -/' ; On adjacent lots /OD / Public sewer main AIA Public sewer manhole/cleanout A Sewer /septic service line .SO / '{ Lift station /CV / t SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation /�� Property line -/ +` Absorption Water main/service line Surface water/drainage — Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation /p /* Water main/service line /6 -/- Surface Surface water /OD r-/- Driveway, parking/vehicle storage area / Curtain drain SD t F. ENGINEER'S CERTIFICATION S / -r Wells on adjacent lots /UO 4 Property line /O /- 1 certify that I have determined thru field inspections and review of Municipal in conformance with MOA HAA guidelines in effect on this date. Signature L� Engineer's Name y. t�u n us Date HAA Fee $ , Date of Payment &Z4� �- Receipt Number Z-��� Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number Kenneih M. CE 711 are .t * MUNICIPALITY OF ANCHORAGE 40 DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General_ Information Application Date .7 �S'_ '3- (a) Legal Description (include lot block subdivision, section, township, range) P a a > G� C t j'�G/'CL-%ri'�--�_':� ri�l:-.h.,1 -- ....s.e�'� : �..0 Location (addgess or directions) .�LEJA f'�S!1Y rll c: `1 ( b) Applicants�� telephone HamE Nam �� `; .a - !� > j � y' Business Applicants Address f� /} (-'; ..• ( ( � ,.`, (c) Applicant is (check�one) Lending Institution �� ; Owner/builder {; Buyer = 9 Other 4� (explain), — —�-- (d) Lending Institution Telephone _ Ads.> l (e) Real Estate Co. G Agent Address Telephone (f) Mail the HAA to the following address; 2.. Type of Residence Single -Family Multi -Family f:__7 Other (describe) Number o` Bedrooms a. Water Supply Individual Well, Community E-7 Public Mj Note: If community well system, must have written confi—,aat.ion from the State Department of Environmental Conservation attesting to the Legality and status. 4., Sewage Disposal Onsite Public Community Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 21 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shoran 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 Ptunicipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm .: j �- r�i i` �= i' Telephone .`?% ;2 �CZtl= Address_; ,e Date 6. DHEP Approval .-\ Approved for Lc,"e- bedrooms Approved 1_1� Disapprove Terms of Conditional Approval (ENGINEER SEAL) ►k1 CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DEEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL. AND STATE REQUIRE- MENTS. 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 21 /--19-84 MUNICIPALITY Of ANCHORAGE DEPT. OF HEALTH $ ENVIRONMENTAL PROTECTION •MUNICIPALITY OF ANCHORAGE (MOA HEALTH A=ORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: -3 B I UrEL�j 5. eL L?Z fAe 3030: srn Well Classification/�� vif i E If A, B, or C, D.E.C. Approved(Y/N) Well Log Present (Y/N) j/ Date Ccupleted 9-23 '> Yield 30c Total Depth / US / Cased to 761 Depth of Grouting NR Static Water Level /8 ' Pump Set At Casing Height Above Ground 01 Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) / Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot .t/oo On Adjoining Lots .A- /oc' To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots i /°o To Nearest Public Sewer Lire To Nearest Public Sewer Cleancut/4anhole N�� To Nearest Sewer Service Line on Lot 75 ?4 - Water Sample Collected By Date J ZS- 9:S' Water Sample Test Results SLI 7-1-5 P;4'G Comments CoP/ES 9 F +ue LL c c Gee q 7'C f� r& 5i /47 i/4c B. SEPTIC/HOLDING TANK DATA Date Installed Size j 5 UD No. of Ccmpartments Z Standpipes (Y/N) y Air -tight Caps (Y/N) I Y Foundation Cleanout (Y/N) Depression over Tank (Y/N) A) Date Last Pumped /,,"C- Pumping/Maintenance CPumping/Maintenance Contract on File (Y/N) /-/ for Holding Tank High -Water Alarm (Y/N) 4 Temporary Holding Tank Permit (Y/'Lq)/JA Separation Distances frau Septic/Holding Tank: To Water -Supply Bell f/oa To Building Foundation 35 To Property Lire To Disposal Field / To Water Main/Service Lire �/�� To Stream, Pond, Lake, cr Major Drainage Course Comments (/ 4E S ySj Ef>/ Receipt ',#yci�� Z Date Paid: Amount:. k-` 07 (Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA 10 10 ` $oils Rating in Absorption Strata Type of System Design %i2E JG Date.Installed -�`f- Length of Field Width of Field �� " Depth of Field Gravel Bed Thickness ' Square Feet of Absorption Area Standpipes Present (Y/N) y Depression over Field (Y/N) A) Date of Last Adequacy Test N/i4 Results of Last Adequacy Test A,,IA Separation Distance from Absorption Field: To Water -Supply 14b11 .f/ate To Property Line .-U f To Building Foundation �1'5 ' To Existing or Abandoned System on Lot AIA ; On Adjoining Lots -` /oa` To Water Main/Service Line -f/adf To Cutbank(if present) A///-', To Stream/Pond/Lake/or Major Drainage Course IY14 To Driveway, Parking Area, or Vehicle Storage Area 74 SU ' Com[ents SyS7—e4vL D. LIFT STATION /) �i Date Installed Sine in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(YM) Comments Dimensions Manhole/Access MIN) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets NDA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed on the date of this inspection. Signed ' Date Company l �y✓/3�_ C S- -25�k, MOA No. Si 8;5 KBl/d5/s [Page 2 of 21 2-15-84 7 I I j I ! LOT 4 30' ACCESS EASEMENT N RT4WDO"E LOT 3 44,933 s.f. PUIYHOUSE SEPTIC MANHOLE LJ I ro 2.7' o i SEPTIC 2.5' II 4.0' -PROW I \ 1 I \ \ :10' TELECOM & RBS, � ELECTRIC SEEME AS\ ;'N \ \ >0' TELECOM & DRAINAGE EASEMENT -\ CHAINLINK FENCE / / 0 / / AD P.1 / C12/ LOT 2 10' ACCESS, TELECOM & DRAINAGE EASEMENTS TRACT B \ \/ PLOT PLAN AS BUILT X SCALE 1" = 40' GRID SW 2841 Project No. 09-045 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone _ Registered Land Surveyors (907) 522-4625 Fax Q=a�OF �1 CDU kglanglsOalasko.net / 1ciangia0alaska.net �o`�.......�'!C,9sQ� I hereby certify that I have surveyed the following described properly: AQr �OQ LOT 3, BLOCK 1, FORELAND VIEW SUBDIVISION (PLAT No. 83-203) QD* r 49 H 0� Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property Imes and do not encroach onto the property adjacent thereto, that Q no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other vlslble z " • ' G ' easements on sold property except os Indicated hereon. i, '_ KENNETH G. LONG �?o. Dated this the A Da of -1.LS-- 2 _� Y ��. 7 9 at Anchorage, Alaska QOOP� ' •$...... ,.•' SJd� 0 0 It Is the responsibility of the owner to determine the existence of any easements, 4V� 'ESSIONAL covenants, or restricflons which do not appear on the recorded subdivision plat.©pOo�C' C) -ASPHALT*... DRIVEWAY Ih� ' 1� �\ 2 4, 1 WELi / 3 1/2 STORY 1.0' OVERH F \ WOOD FRAME DECK ABO THE \ RESIDENCE24.0' GARAGE \ ?4. 26.1' o I / \ �_•_,1 I / / 0 / / AD P.1 / C12/ LOT 2 10' ACCESS, TELECOM & DRAINAGE EASEMENTS TRACT B \ \/ PLOT PLAN AS BUILT X SCALE 1" = 40' GRID SW 2841 Project No. 09-045 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone _ Registered Land Surveyors (907) 522-4625 Fax Q=a�OF �1 CDU kglanglsOalasko.net / 1ciangia0alaska.net �o`�.......�'!C,9sQ� I hereby certify that I have surveyed the following described properly: AQr �OQ LOT 3, BLOCK 1, FORELAND VIEW SUBDIVISION (PLAT No. 83-203) QD* r 49 H 0� Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property Imes and do not encroach onto the property adjacent thereto, that Q no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other vlslble z " • ' G ' easements on sold property except os Indicated hereon. i, '_ KENNETH G. LONG �?o. Dated this the A Da of -1.LS-- 2 _� Y ��. 7 9 at Anchorage, Alaska QOOP� ' •$...... ,.•' SJd� 0 0 It Is the responsibility of the owner to determine the existence of any easements, 4V� 'ESSIONAL covenants, or restricflons which do not appear on the recorded subdivision plat.©pOo�C'