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Home My WebLink AboutTROLL KNOLL BLK 2 LT 10Onsite File Troll Knoll Block 2 Lot 10 #051-521-10 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201266 PID Number: 051-521-10 Dwelling: 7 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name DANIEL AND BETA WOLF A ORPTION FIELD ❑ De Trench E] Wide Trench E] Bed ound Site Address 23826 HILLTOP DRIVE, CHLIGIAK, AK 99567 Other Phone Number of Bedrooms Soil RatingTotal grade 688-3358 3 isF !:;��original Ft. LEGAL DESCRIPTION Depth to pipe invert from origin EXISTING vel depth beneath pipe Ft Subdivision Block Lot TROLL KNOLL 2 10 Fill added above original gr Gr I length Ft. Ft. Township Range Section - - - Gravel width Ft. Beds: Number of Lines Dist a been lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total a rption area Number of trenches Dist. between ches From Tank Field Tank Line Ft2 Well 'COMM EXISTING — _ COMMTANK N Septic ElS.T.E.P. ElHolding ElOther Manufacturer GREER TANK Capacity 1000 Gal. Surface Water 100-+ EXISTING _ _ Material HDPE PLASTIC Number of compartments 2 NA Lot Line 5r+ EXISTING _ - Foundation 10'+ EXISTING _ _ L TION Manufacturer Capacity Remarks *200'+ TO COMMUNITY WELL Gal. Alarm locationElectric�by PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer NORTHERN EXCAVATION Drainfield EXISTING CO/MTD3034 Inspector JODY MAUS, GEG, LTD. BENCHMARK (Assumed elevation) 100.00 ft InspectionX51 7/23/2020 Location and description 2nd dates: BOTTOM OF SIDING NEAR DBL CO'S 3r' 41h ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Op60� Conditional Approval: Date o° *G') 4 T I gyp........... .................... A� : ,......... �.........0 0, ey A. mess, Septic Syste .��f Approved Date S21 ZU Q 9 CE 7953 Q 0 �'I" �?.dic0 4 Pr -:.:..`1 Note: this approv oes not include well permit requirements.4p0 �ores5;o�°0� �9%ECC884 �OOp�Oo (Nev uo/uZ/ib) PERMIT NUMBER: PARCEL ID NUMBER: OSP201266 RECORD DRAWING 051-521-10 / / ��- / i /'' SUMP vs Col i 'ST7 • ' i.. Myf a A B DBL1 17.3 1 12.6 DBL2 17.0 13.6 MH1 17.4 19.9 ST1 19.2 24.4 DBL3 20.1 25.5 DBL4 20.5 26.2 C01 21.2 31.9 SUMP 39.5 54.2 TROLL KNOLL; BLOCK 2, LOT 11 SHED FA Deck Qk TROLL KNOLL; BLOCK 2, LOT 9 DRAINFIELD DOUBLE CLEANOUTS (DBL1 & DBL2) NOTE: OLD SEPTIC TANK WAS COMPLETELY REMOVED AND DISPOSED OFFSITE PER CONTRACTOR TROLL KNOLL; BLOCK 2, LOT 3 ENGINEERING- SALES -CONSULTING 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507' PHONE (907) 337-6179' FAX (907) 338-3246' WEBSITE: www.gamessengineering.cm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DANIEL & BETA WOLF 907-688-3358 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: TROLL KNOLL S/D; BLOCK 2, LOT 10 J.L.M. TYPE OF WORK: DATE: �._ RECORD DRAWING OF SEPTIC TANK UPGRADE 7/28/2020 -INSTALLED DOUBLE CLEANOUTS (DBL3 & DBL4) -NEW 1,000 GALLON / GREER HDPE TANK / / TROLL KNOLL; BLOCK 2, LOT 4 N SCALE: = 40' OF L ♦. a H. ( am SS �•�: C •�?n 7 ♦ �' • '�7i LICENSE ,S"\��•` #AECC884 i PERMIT NUMBER: PARCEL ID NUMBER: OSP201266 RECORD DRAWING 051-521-10 TOP OF MH LID = 99.78 TOP OF TANK @ INLET = 94.37 - INVERT OF BUNG @ INLET = 93.76 - FINAL GRADE = 99.56-99.59 NEW 1000 GALLON GREER HDPE SEPTIC TANK ST1 GARNESS ENIG"INEERING GROUPLtd ENGINEERING,, SALES CONSULTING _...x,:mm. N_ :R . '. h,..r:: W _ ._,..; .. t., .:....w ._. 3701 E. TUDOR ROAD, SUITE 101 `ANCHORAGE, AK 99507 • PHONE (907) 337-8179' FAX (907) 33&3248' WEBSITE: www.gamemnglnwdng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DANIEL & BETA WOLF 907-688-3358 3 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: TROLL KNOLL S/D; BLOCK 2, LOT 10 J.L.M. TYPE OF WORK: DATE: I- RECORD DRAWING OF SEPTIC TANK UPGRADE 7/28/2020 TOP OF TANK @ OUTLET = 94.35 -INVERT OF BUNG @ OUTLET = 93.63 OF WWWW"m LICENSE,Mr ESS, ��• #AECC884 ��`��~ LOT 10 rs BLOCK 2 OfO S FD RBR CEJ FD RBR OF A�,gsli+rr ,* 4o--n-y*, I hereby certify that I have surveyed the following described ; property: Lot 10, Block 2, Troll Knoll Sub'd, Plat No.73-178, � til P. Boneta: * ,& Anchorage Recording District' and that no encroachments exist LS -10393 except as indicated hereon. This As -built will only show the � Flo �,lct/aN� easements that apear on the corded sudivision Plat No. 73-17 Anchorage R cording District under no ciircumstances should his�data till, f i I t t t ;\ hereon be used for the construction or establishing of boundary or fence lines. Nofe : eot r ee,44 sep #" Flie aoav !1•P$ 0 20 4o Troll Knoll Sub'd ASBUILT SURVEY APB Land Surveying SCALE IN FEET Lot 10 Block 2 Daniel & Beta Wolf Liv Trust As Depicted on: Plat No. 73-178 Wolf D B & B Trustees 12204 East Prince of Peace Drive 1'= 40 P PO Box 671263 Eagle River, Alaska 99577 Anchorage Recording District Chugiak, Alaska 99567 Surveyed: August 4, 2020 Grid: NW1360 oRAFIMRsrt CES (907) 227-1361 43' septic Pipes 57 ater Y \ i Frame ,� Chain Link House FenCe Wood ,� Eave jFence 1z•xta \ I ' shed 4' _ J Eave Ch Fe ce Fence LOT 10 rs BLOCK 2 OfO S FD RBR CEJ FD RBR OF A�,gsli+rr ,* 4o--n-y*, I hereby certify that I have surveyed the following described ; property: Lot 10, Block 2, Troll Knoll Sub'd, Plat No.73-178, � til P. Boneta: * ,& Anchorage Recording District' and that no encroachments exist LS -10393 except as indicated hereon. This As -built will only show the � Flo �,lct/aN� easements that apear on the corded sudivision Plat No. 73-17 Anchorage R cording District under no ciircumstances should his�data till, f i I t t t ;\ hereon be used for the construction or establishing of boundary or fence lines. Nofe : eot r ee,44 sep #" Flie aoav !1•P$ 0 20 4o Troll Knoll Sub'd ASBUILT SURVEY APB Land Surveying SCALE IN FEET Lot 10 Block 2 Daniel & Beta Wolf Liv Trust As Depicted on: Plat No. 73-178 Wolf D B & B Trustees 12204 East Prince of Peace Drive 1'= 40 P PO Box 671263 Eagle River, Alaska 99577 Anchorage Recording District Chugiak, Alaska 99567 Surveyed: August 4, 2020 Grid: NW1360 oRAFIMRsrt CES (907) 227-1361 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 19UO5U 47O0Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 Permit Number: DSP201266 Effective Date: Work Type: SaptioTankUpgrade Expiration Date: Tax Code Number: 05152110000 Site Legal Address: TROLL KNOLL BLK 2LT 10 G:1360 Site Mailing Address: 23826HILLTOP DR, Chugiak Owner WOLF DANIEL & BETA L|VTRUST Lot Size inSqFt: Design Engineer: GARNESGENGINEERING GROUP LTD Total Bedrooms: This permit iofor the construction of: 7/21/2020 7/21/2021 [] Disposal Field 0Septic Tank [] Holding Tank M Privy [] Private Well [] Water Storage All construction shall boioaccordance 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 (1OAA{|72)and Drinking Water Regulations (18AAC8U) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.G5.Provide notification bycalling (S07)843-7SO4(24/7). 4. From October 15 to April 15, a subsurface soil absorption system' under construction during freezing weather shall beeither: o. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: 3 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 Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 051-521-10 Property owner(s) DANIEL & BETA WOLF Mailing address 23826 HILLTOP DRIVE *CHUGIAK, AK Site address 23826 HILLTOP DRIVE'CHUGIAK, AK Legal description (Sub'd, Block & Lot ) TROLL KNOLL; BLOCK 2, LOT 10 Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: ( ® all that apply) Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Day phone 907-688-3358 Sq. Ft. Number of Bedrooms 3 APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: N/A TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees:y2%U COVIN Waiver Fees: Date of Payment: I �.2 1,2 02 0 Date of Payment: Receipt Number: Q 1 O 7G Receipt Number: Permit No. I sn w1 X66 Waiver No. (Rev. 01111) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201266, Deb Wockenfuss, 07/21/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201266, Deb Wockenfuss, 07/21/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201266, Deb Wockenfuss, 07/21/20 43, Septic Poes Jay\y� j / r 00% Ck K., Frame House Eave 12'42 - shed 4' _J E*ve 014 n Lh* Fence LOT 10 BLOCK 2 C, Ch in Lk* Fence I hereby certify that I have surveyed the following described property: Lot 10, Block 2, Troll Knoll Sud'd, Plat No.73-178, Anchorage Recording District, and that no encroachments exist except as indicated hereon. This As -built will only show the easements that appear on the recorded subdivision Plat No. 73-178, Anchorage Recording District; under no circumstances should this data hereon be used for the construction or establishing of boundary or fence lines. SCALE IN FEET I' = 40' Surveyed: July 15, 2020 Troll Knoll Sub'd Lot 10 Block 2 As Depicted on: Plat No. 73-178 Anchorage Recording District Grid: NW1360 OF A4 AQ TH Ag 4'.t h o n y P. Boneta..',w LS— 10393 ,fit t ASBUILT SURVEY Daniel & Beta Wolf Uv Trust Wolf D B & B Trustees PO Box 671263 Chuglak, Alaska 99567 APB Land Surveying 12204 East Prince of Peace Drive Eagle River, Alaska 99577 (907) 227-1361 GRE,~,IER ANCHORAGE AREA BOk,.,dGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INS. P~CTION,REPORT ON-SITE SEWAGE DISPOSAL S¥STENt~:~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH I~DE WIDTH .. NUMBER OF P.J~° / DIAMETER OR WIDTH~''~ M A N U F AC T U R E R ~--~'~'J~'--i~t-~'-'- MATERIAL LIQUID DEPTH LINING MATERIAL BUILDING FOUNDATION CRIB SIZE: DIAMETER NEAREST LOT LINE C~//. NUMBER OF COMPARTMENTS LIQUID CAPACITY //c'~ GALLONS. J / LENGTI~~, DEPTH ISTANCE FROM: WELL ADDITIONAL ABSORPTION WELL: TyPE CONSTRUCT,ON BUILDING NEAREST FOUNDATION -- LOT LINE NEAREST SEWER LINE DEPTH SEPTIC TANK DISTANCE FROM: SEEPAGE SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: C'L/-.~''-~c~''~ - PIPE MATERIAL: LOT SLOPE: REMARKS: i'-ll_ll'-J I O~]' FILI T'-:-' OF DEPRRTI"IEI.IT OF HEFILTH Ri'ID EI.IVIROI.ii"IENTRL I-'ROTECTIOH 2516 E. TUDOR RD., ANCHORAGE, RFC 99507 276-2221 ori--S I TE SEI---IEF-: F'iF-:l-1 I T F'EF:r. IlT i..lO. ( 76723. ) AF'F'L1CANT Ft ri'OD P~lqql=l L. LOCATION HILLTOP DR OFF SKI RD LEGAL % Lit£~ E:2 TROLL KNOLL \ TYFE OF SOI. L RBSORBTI(]I.I SYSTEI,1 IS: \ i'tAXIi"lUi"l NLIf'IE',EP OF BEDROOI.'IS = E:OX69 ELEANORA EAGLE RIVER LOT SIZE 20400 SC!URRE FEET TRENCH SOIL RATING <SO FT?BR)p 85 ' THE REE!UIRED S.~'~ZE"O(. THE SOIL RE:SORPTION S",.'STEi"! IS: [:,EF'~T.&TI/ 22 LEI'-JGTt-']~''~' '"'~..""].-.~ ,Jt~R'-.-'EL BEF'TIi== ,-- ~HE.~LI~N;-tTH DIl,.]EN.=,IOr.l IS THE LEHGTH <IIq FEET) OF THE TRENCH pR DRAII.IFIELD. .4 'HE [~F'TH OF A TRENCH Ot;' PIT IS THE DIC, TANCE BET!4EEI.I THE .~JPFR3E OF THE ~¢~RT~RALlfil[> Ri'iD THE BOTTON OF THE E,'.<CAVRTIOi'.~I (II1 FEET). ,,~:E~IS lqO SET ~IlDTH FOR TRENCHES. ~-'~ H~; ¢:i~.:R',/EL DEPTH IS THE 1'lIl,JIi"lUl] DEPTH OF GRI=¢,,'EL £:ETbIEEN T~IE OUTFRLL PIF'E Ft'~[:, ~'HE BOTTOi'.I CIF THE EXCR'¢RTIO!N <II,l FEET). -~.~13 i '{ 2 ;. I [-~SF'EOT I O~-lS AF-:E ~E6!LI I ~:~:. B¢~¢~-~LIIIG OF ANY SYSTEM I,IITHOUT FINAL IHSF'ECTIOH AND APPROVAL' BY THIS ~.?R~ENT I,IILL BE SU~,$ECT TO PROSECUTION. .['~Ii"lll,'lUtl DISTRNbE BETIiEEN A I.IELL AND ANY ON-SITE SEI,IAbE DISPO_SRL SYSTEi"I IS jiIO~'F-FiEET FOR A PRIVATE PELL OR 288 FEET FOR ¢1 PUBLIC I..IELL /SF'ECI..~ICATIONS AND CONSTRUCTION [:'IRGRRi"IS RRE AVAILABLE TO Ir,ISURE FROPER ~ ll,~S2[¢L[LAT I 0["1. t?i-%,Ii~:P~ ~ T ',.-'l=lL ~ IZ, F~: 1Z~[-~E '-r'~fl~l FF-:Ord T ~__~,l_lE C i~'-~:.; Ej~:~' I Fl,' THAT - , ¢,, ~ ,~ -,'q, , ,:' c' 1-:'--.~ffft FRr'IILIFtR IIIZH TH,E, REOUIF,'EI,,1EriT_ FOR ON-_ITE _.EiiER= Rr. JC~ llELL_, RS _.ET ~ORTJ-f E:~ THE I,.1UNICIF~LI~N OF ANCHORAGE. Z: ~I HILN .~NSTFII_L THE-SYSTEI,.1 IN RcCOR[:,RNCE WITH THE CODES. 3.:t I LINpEF<STFtf¢~, THAT THE ONZ~ITE-.SE~iER SYSTEfl l,.1AY RE6,UIRE ENLFtRG~HEI.IT IF THE P.E~IDEN¢~ IS REI.1ODELED TO IN~LUDE 1.lORE THAN _~ BEDROONS. FIF'F'L I ' i3N1 1',~,- LOY ~E--,RI..ISE";ELL 0 8- E GEC'"ZCHNICAL 8- DEVEL' 'PMENT CO. Russell Oyster 694-2774 Soits Et Foundations Performed for: Legal Description: Depth (feet) 0 2 ? 8 10 12 15 16 Bottom of pit Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 ~OIL LOG Name: Hr. Floyd Russell Matllng Address: Box 69 Eleonora Eagle River, Lot 10 Block 2 Troll Knoll Subdivision $otl Characterfst~cs ML - Silt topsoil with roots and organics. GW- Sandy Gravel with cobbles to 12 inches. Very loose and clean. Eatt Ellis 688-2280 Land Development Tel. No. 694-2762 Alaska 99577 275 sq. ft./Br. 85 sq. ft./Br. Ground Water Encountered: Yes Ho 7Jc If yes, what depth Proposed Installation: Seepage Pit Drain Field xx Con~ents: ?it measured approximately 3' x 15' in plan area. South end of pit Very clean sandy gravel for the full depth, the north end of pit had slightly silty sandy gravel from 5' to'8' with the remainder clean sandy gravel. Russell Oyster 694 -2774 Civil Engineering Soils ~ Foundations 0 El' E E/' .INEERING Ef DEVELO,"'""¢ENT CO. Box 90. Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 Earl Ellis 333-5240 Surveying Land Development FOUNDATION REPORT Lot 10, 1. 2. mo Block 2, Troll Knoll Subdivision See attached sol1 log for subsurface soll conditions. In situ soils exhibit a high bearing capacity, and are strong, dense and stable. Subsurface soils exhibit excellent drainage characteristics. There is no evidence of ground water at or near the footing level. RECOMMENDED FOUNDATION TREATMENT: 1. Standard spread footing foundation. 2. Landscaping to drain surface water away frm= foundation walls. 0 If crawl space, basement or daylight basement type dwelling, no requirement necessary for foundation drains. • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 051-521-10 Expiration Date:1-SIW2. _ 1. GENERAL INFORMATION: Complete legal description TROLL KNOLL BLOCK 2 LOT 10 Location (site address) 23826 HILLTOP DRIVE CHUGIAK AK 99567 Current Property owner(s) DANIEL AND BETA WOLF Day phone 688-3358 Mailing address 23826 HILLTOP DRIVE CHUGIAK AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class A Well ® Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ yia. SO ( CZV / b - % � Waiver Fee $ Date of Payment Z-2(92-0 Date of Payment Receipt Number (976::,&5_6 Receipt Number COSA # 05C.20) i 31 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm- Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: Z c 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 system/s 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 lj �, � • ' 1 +!� - and septic systems depend upon a variety of variables, including but not limited to, soil conditions, fj ; 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? nes , f ..., ness, system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of �i, c ' , r r,c 70�,i the well or septic system. GEG makes no representation whether an alternative well or septic system Q s �• j G can be installed on the property in the event either of the current systems fail to perform adequately inE�.2�. •v��c�G the future. The content of this report is for the sole benefit of the person/party that retained GEG to `�lllC _`((� F perform the evaluation. Reliance upon the information provided in this report by any other person`��,'(� O ''�F� '� o party (including subsequent property purchasers) is not authorized, nor will it confer any legal whatsoever. ff C884 6. DSD SIGNATURE SAT z o System #1 Approved for 3 bedrooms WPRp FAMCO System #2 Approved for bedrooms/JJ`O Disapproved J:/JJ7?FNT SER1 Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date:_g 21 The Municipality of AnchQF ge Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10-12.doc COSA Checklist Legal Description: TROLL KNOLL S/D; BLOCK 2, LOT 10 If more than 1 septic system on lot: COSA Checklist # 1 of 1 LL DATA ❑ Well lo6'�d te (orattached) Date dri Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) n. Date of flow test for COS Static water le beginning of test ft. B. TANK DATA Age of tank(s) NEW years Tank type/material PLASTIC; Measured operating fluid level in septic tank NEW R Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA DEEP TRENCH Which system tested (date installed) 4/3011976 X ALL standpipes present per record drawing Total measured depth from grade 11.3 ft (max) (AT SUMP) Measured depth to pipe invert from grade 4.9 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 6.4' Parcel ID: 051-521-10 Structure served by this system 1 Well production at time of test m Water storage tank volu gallons Well disinfecte coliform test? ❑ Yes 0 No ❑QpWilfrm bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) A --- ug/L ElArsenic less than MRL (ND) Collected Date of Sample STATION ❑ Requlr aintenance com Age of lift station ye Lift station material Comments:. Adequacy test date 6126/20 Results M Pass For 3 bedrooms Fluid depth prior to test 44 in Water added 533 gal New depth **77 in Elapsed time 305 min WCode-required soil cover over field Final fluid depth 64 in F01 System presoaked * Absorption rate 450 and (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced *1671 gallons If yes, enter date Comments/Deficiencies: 'SEPTIC SYSTEM WAS PRE-SOAKED WITH 1671 GALLON OF WATER ON 6/2/20 AFTER WHICH SYSTEM WAS 100% FULL. ID LEVEL AT INVERT OF DISTRIBUTION LINE. COSA Checklist yellow sheet E. SEPARATION DISTANCES ICOMMUNITY WATER SYSTEM I �r ivate Well mnLot to: (Please enter distances if less than required urifcommunity well) Septic Tank/Lift Yes Yes if No ft r7 Yes if No. ft Neighboring Tank > 100' []Yeo if ft Absorption Field on Lot > 100' F-1 Yes if No ing Tank> 100' Yes if No ft Neighboring Absorption Fields Animal C i ft �1Yes ifNoft ifNoft Water Service Line >1U' Private Wells >1O0' Manure/Animal Excreta Storage Corn ewerMain >75' Yeo ifNoft [:]'Yes ft FromSeptic/Holding Tank wnLot to: (Please enter distances if less than required) Building Foundations >1O' Yes ifNoft Surface VVmber>�1O0' UYea ifNoft Property Line >5' Yea ifNoft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field >�5' Mo( ifNoft Water Service Line >1U' Private Wells >1O0' Yes KNoft Water Main >1O' Yee ifNoft Community Wells >�2OO' Yes ifNoft Water Service Line >1O' Yes ifNoft |fseptic tank iounder driveway comment below From Absorption Field onLot to: (Please enter distances if less than required) Building Foundation >�10' MYee ifNoft Ifabsorption fieldisunderd comment below Property Line >1O' MYes ifNoft Wells on Adjacent Lots: Water Main >1U' Yes ifNoft Private Wells >10O' Yee ifNoft Water Service Line >1U' Yea ifNoft Community Wells >�2OO' Yea ifNoft Surface Water >1O0' Yes ifNoft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION / certify that / have determined through fi*ldinspections and review of Municipal records that the above systems are /nconformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet #AECo884 Jf4 -Zt�.E 795 MUNICIPALITY OF ANCHORAGE DMSION OF ~gVI~ HEALTH DEPARI%~ENT OF ItEALTH AND EZf~IR0~MENTAL PRDI~C£~ON APPLICATION FOR I~.ALTH AUIttORITY APPROVAL ~rIFICATE 1. Ce~eral Inf~Liaticn Application ~ate (a) (b) ~egal. Descripti~on (include lot, block, subdivisic~w section, tcw~mhip, ~anGe) /3 · Telephone (c) Applicant is (check o~e) Lendirg Institution ~ ~ O~ner/builderJ~; Suy~ ~; ~ ~ (e~lain); Address (e) R~al Estate Co. & Agent Address Te!ephor~ Type of B~midena~ Single-Family ~' Number of Bedrc~s Multi-Family Othe~ (describe) 3. Wate~ Supply e Ncte: If cut,tunity ~11 system, ~st ha~ w~itt~n ccnfirmaticn ~ ~ State ~nt ~ ~vir~ntal Com~ti~ attestt~ to ~ legality ~d s~tus. Is ~ ~11 a~a~ ~ t~ ~r of ~ s~cifted in ~is ~ ~ Dis~al O~ite~- . ~blic ~ ~,,~nity ~ ~lding Tar~ ~ Is ~ ~s~ater dis~al sys~m ~ f~ ~ ~r of [Page 1 of 2]~ 2-15-84 o Engineering Firm Providir~ Inspectice~, Tests, Data and Inf~,,aticn (ENGINEER SEAL) Add=ess Sigc=d by Date 6. DHEP A~proval Appro~d for ~ kedrccms Approved~ Disapp=oved ~--~ Terms of Conditicnal Approval The Municipality of Anchorage Departm.~nt cf [{ealth and Envir~,~ntal Protection dces not guarantee the contirmed satisfactory parformance cf the water supply and/c= the wasb~water disposal system. Tnis approval indicates that, as cf the validation date sho~n abow, based cn th~ data and inf~n~ation furnished by an er~ineer registered in the State of Alaska, t~he wate~ supply and wastewater disposal system is safe and func- tic~ml for the rnmber cf b~dro~,~ and type of structure indicated. (DHEP SEAL) 7. Mail the HAA to the following add=ess: I~./d5/,; [Page 2 of 21 2-15-84 A. ~LL ~TA I~K~CIP~ OF A'~'~O~ ([~,) HFALTH /VfI~-K)RIT~ APPROVAL (HAA) CHECKLIS~ - FEBRUARY 1984 Well Classiftcattc~ Well ~ l~ese~t (Y/N) To~al Depth Cased Stmttc Nater ~e~sl Pump ~et At Electrical Wiring in Ore.lair (Y/N) Separation Distances f~cm Well: To Septic/Molding Tank ca To Nearest ~ of ~sc~ption Field ca ~t To Nearest ~ublic Sewer Line Wate~ Sample Collected By Water Sample Test ~esults MUN~OPALrrf O~ ANCHoRAoE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Legal Description: ~ ~,~d Yield ~p~ of ~ti~ Sanitary Seal c~ Casing (Y/N) /Dep~essic~ A~ound Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public sewer To Nearest Sewer Service Line on Lot [Page 1 of 2] 2-15-84 Ce ABSORFrION FIELD ~TA ~te ~,tamd ~ /?7? ~m~ of F~ld Z~ ¢ ' Width of Field f'~ ~" ~ C, ra,~elDePth of BedFieldThickness TO ~ildi~ F~n~ti~ ~ / I ~ ~isti~ = ~d To Outbank(if p=esent) To ~ate= Main/Service Line To St~e~/Pond/Laks/c= Maj~ ~aina~s Cc=se To D=iveway, Parking A=ea, cr Vehicle Stc~aGs A~a D. LIFT STJtTITN Date Installed Sizs in Gallons "Rm~ On" Leal at High Water Alarm fe~l at Tested fo~ Electrical Codss (Y/N) (Y/N) 1 at Cycles du~ing Adequacy 7~st. ** Check Pe=mitted Bedroom Rating Against HAA Bequest I certify thgt~ha~ checked, ~rified, c~ confo=,,=d to all Guidsline$ effect ~_ ~.,~,. in on the da~of · . ~Y,'~' ~" .19:3,, Si 2-15284 DEPT. OF ENVIRONMENTAL CONSERVATION BILL SHEFFIELD, GOVERNOR n~=pho..:I~7) 274-2533 437 E Street Suite 200 Anchorage, AE 99501 April 27, 1984 PWS I.D. ~21143! To ~om It D~y Concern: According to records on file in this office the Dawn Water System, Wynter Park Subdivision is lu compliance with the State Drinking Water Regulations. JFH/msm j~ cc: fir. Robert Shafer Sincerely, Officer Municipality of Anchorage DttHS On-Site Services Attn: Dan Roth ERDMAN & ASSOCIATES CONSULTING ENGINEERS 151 E, HERNING AVENUE WASILLA. ALASKA 99687 NIUN~PAt,ITY OF ANCHOe, AGE DEPT. ~ HEAL"D-I & ENVI£ONMENTAI. PI~OTECTIOf~I 'AUG DATE _ August 4, 1989 SUBJECT Lg/B2 Troll Knoll . Project #89132 As requested, we have re-inspected the referenced property. We found no evidence of a foundation cleanout. Although the inspection report dated 10/14/76 shows a foundation cleanout adjacent to the "proposed" foundation, it appears that this cleanout either was not installed or may have been removed during installation of the foundation. Please call if you have any questions. Michael R. Erdman, P.E. T~me Date Inspector Time Date Inspector Inspector Comments Conditional Approval Date Sewer Installed Soils Rating Permit No. Well To Absorption Area Well to Tank t/'q~ Septic Tank Size Holding Tank Size Well Log Received APPLICANT FILLS OUT LOWER HALF ONLY Typ~ Residence CSIngle Family 3 D Multiple Family No, of Bedrooms D Other Water Supply ~ Individual ~mmunlty D Pubflc Sew~ Disposal ~ Public Utility: ~ Holding Tank ', ~O~E tH~ IN~C~IO~ FE~ ~U~t ACCOMPANY EACH REQUEST BEFORE ~OCESSlN~ CA~ ~E INITIAT~, Phone Phone '2.72 ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. For welts drilled prior to that date, give well depth (attach log If available.) Year Individual Installed: /~ 7 ~ When Connected to Public Utility:. EXCAVATION WORK March 21, 1982 ROBERT A. SHAFER CIVIL ENGINEER 694-2979 Totem Realty ATTENTION: Bob Dunn P.O. Box 911 Eagle River, Alaska 99577 Dear Mr. Dunn, Reference:, Lot 10: Block 2: Troll Knoll Subdivision A sewer system adequacy.test 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 ~ absorption trench was tested by a continuous flow of 600 gallons of water over a 24 hour period without any adverse effect on the system. 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, this system cannot be guaranteed ag&inst subsequent failure. If we may be of further assistance, please do not hesitate to call. cc: Alaska School Employees Federal Credit Union Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA EXCAVATION WORK March 21, 1982 ROBERT A.$HAFER CIVIL ENGINEER 694*2979 Totem Realty ATTENTION: Bob D~nn P.O. Box 911 Eagle River, Alaska 99577 Dear Mr, Dunn, Reference: , Lot 10: Block 2: Troll Knoll Subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The ' absorption trench was tested by a continuous flow of 600 gallons of water over a 24 hour period without any adverse effect on the system. It can bt concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, this system cannot be guaranteed against subsequent failure. If we may be of further assistance, please do not hesitate to call. 7' cc-- Alaska School ~p[oyees Fede~e~ C~ed$[ Un$o~ Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA /.)q~j ,-f ~d IIPI~'IpAI I'TV ~~ DEPT. OF ~EALTH & ~ /v MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 LStr.t-A~r~,AI~,~I JAN 2 3 1979 ENVIRONMENTAL ENGINEERING DIVISION RECEIVED Jack/Aprill Zelenka Post Office Box 279 -~ BUYER Eric B. Saver MAILING AOORESS 741 Price Street #2 3. LENDINGINSTITUTION SECURITY PACIFIC MORTGAGE 1011 East Tudor Road 99507 4. REALTOR/AGENT Lola Peterson % Great Land Realty Post Office Box 279 99577 PHONE 276-7964 JPHONE 276-1933 JPHONE 694-9125 E. LEGAL DESCRIPTION Lot 10 Block 2 Troll STREET LOCATION Knoll subdivision S. TYPE OF RESIDENCE NUMBER OF BEDROOMS I--1 One [] Four ~ SINGLE FAMILY · .r-1 Two [] Five i-'l MULTIPLE FAMILY :[~ Three [] Six 7. WATER SUreLY [] INDIVIDUAL* * A'FI'ACH WELL LOG. A well log is required for all wells drilled Other ~ COMMUNITY (Semi-public) since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISIN)SAL SYSTEM ~[~ INDIVIDUAL/ON-SITE** '"*If individual/on-site, give installation date 1977 If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72.010(3/78) TIME DATE INSPECTORr DIRECTIONS: THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME DATE DATE INSPECTOR INSPECTOR 1. TYPE OF RESIDENCE [~Y'~ SING LE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY (~ INDIVIDUAL [~/COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [~NDIVIDUA[./ON -SITE I-"1 PUB LIC UTILITY Connection Verified [-]Septic~Tank or I-'lHolding Tank Size: J~)~)~) If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WE LL TO: Absorption Area to nearest Lot Line 5. COMMENTS F-3 ONE [] TWO PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL Septic/Holding Tan~Aree NUMBER OF BEDROOMS [] THREE ["1 FIVE [] FOUR r~ SIX ISewer Line [] OTHER INearest Lot Line DATE LEGAL DESCRIPTION ~'~APPROVED FOR _'"~ BEDROOMS I-'1 CONDITIONAL APPROVAL (letter must accompany certificate) (~ DISAPPROVED 72~10 (Rev. 3i7S} MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2, Property Owner: Mailing Address: 3. Name of Buyer: ~'~?1~ Mailing Address: 7'~! 4. Name of Lending Institution: o FHA CONV Day Phone: --~ ' Mailing Address: Name of Realtor or Agent: Mailing Address: Legal Description: L0 Location: /L/ l '/_ L ro ? 7. Type of Facility to be lnspected: ~io,~J~. 8. Water Supply .~ ~-~I ~' Type of Supply: Public Utility If Individual, number of dwellings I~resently served Individual If Individual, depth of well o Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) 72.003(3/76) % Greatlan~ Realty Post Offioe ~ox 279 · affle ~iver, Alaska ~9577 ~ub~ect~ Lot 10 ~lock 2 Troll Xnoll Subdivision Jack/April1 Zel~nka Property Approval for your individual se~er and water facilities will no~'b~ ~ranted ~ntil tho following ltc~.~s have been ( ) A ~ell log is subnittcd to thiz dcpar~r~nt. ( ) Tho top of tho well casing is sealed with a sanitary seal as t~.at it is water tight. ¢) The ~epression or pit around tho Well casing should b~ filled with lnpervious type soil so that it slopes away fron~e well casing. Tho ~11 ca~in~ is extended ~lvc(12) inches above ~round l~vel. () the wall for our incpection to dote~i~o ~ oonstruction, also, to An~ure the minin~ ~lstance roquir~ments are met between your w~ll and sower system. (X) The septic tank is Dunped with a receipt submitted to this office. ( ) A four{4) inch cast Iron aleanout be install~q to the septic t~snk or leachln9 area. A percolation test M~ I~.rformed on the existing leachin9 area. This will ~eterminc if the syste~ is adequate according to National Standards. A list of private fires who perfor~ tho test Is enclosed. Lola Paterson January 31, 1979 Page () Your application showe the n=~b~r of bedrooms exceeds the n~-~ber the sewer system was originally a~provad for, therefore, ar. u~grade will be rQquired. ( ) Connect to the ~rablic s~er which is available to ~JDuo l~otify this departnent for a re-inspection when descrepancies have been oorrected. If there are any further questions, please contact this office at 264-4720. SXncerely, P~hert C. Pratt, R.S. Associate Spucialist P CP/i w. cc~ Security Pacific ~XortgagQ 1011 ~ast Tudor Road - ~uita 190 99507 ~F HEALTH AND ENVIRONMENTAL. PROTECTION L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 Date Received: March 15, 1977 1st Inspection: Time Date Inspector 11:00 a.m. 3-16-77 Wed. R Pratt 2nd Inspection: Time Date Inspector REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: State Veteran's Administration Mailing Address: 907 West Northern Lights Blvd. Phone: 2. Property Owner: Floyd Russell Phone: 694-9354 Mailing Address; Post Office Box 279 Chugiak 99567 3. Legal Description: Lot 10 Block 2 Troll Knoll Subdivision 4. Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms: Number of Bedrooms: 3 5. Well Data: Type Community Depth Well Log Filed ( ) Construction Bacterial Analysis 6. Sewage Disposal System: On-site system ~) Public Utility Permit ~ 76723 Installed 1976 Septic Tank Size Absorption Area Manufacturer Soils Rate Material Distances: Well to Septic Tank to Sewer Lines Nearest Lot Line Absorption Area to Nearest Lot Line to Absorption Area Page ~wo ~ i ~. · Department of Health and Environmental Protection · Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 10 Block 2 Troll Knoll Subdivision Comments: Affadavit Attached: (') Letter Attadhed: ( ) Approved: .~(-- ~ Date:~.~/~-/~ ' - Disapproved: Date: ~partment Worksheet: I ~%UH1C1PALITI OF ANOIO~,,GE DEPT. OF II?ALT,! MUNICIPALITY OF ANCHORAGE E[~VI?.OH~,~Ei~iT,\L p~.oT[C~tON DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 ~ ~ 5 ~'~ 279-2511, ext. 224, 225 INDIVIDUAL SEWER and WATER PACILITIES 1. Type of Inspection: ..~-~,~ VA FHA CONV Property O,,,,',er: J Mailing Address: 4. Name of Lending Institution: . ~/"~'~' F/O/' Day Phone: Mailing Address: Phone: s. Nameo, Realtor or A~nt: ~-~- Z~M ~-~7 Mailing Address: ...-- Phone: 6. Le~l De.r,ption:~, /O ~/~ ~ ~/I 7. *y~ of Facility to be Inspected'~'~ /~ ~'/7 8. Water SupDly Type of Supply: ..,~,q/~' Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation / ~' Individual (on-site) 72.003(3/76)