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HomeMy WebLinkAboutKNIK VIEW ESTATES BLK 3 LT 1Knik View Estates Block 3 Lot ! #051-043-01 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP251117 Work Type: Septic Upgrade Tax Code Number: 05104301000 Site Legal Address: KNIK VIEW ESTATES BLK 3 LT 1 G:1558 Site Mailing Address: 22309 KNIK VISTA ST, Chugiak Owner: MUELLER CHRISTOPHER W & Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 5/19/2025 5/19/2026 31927 Q Disposal Field ❑ 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 (2417). 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 Received By: i v- Issued By: Date: Date: 3 MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-043-01 Property owner(s) CHRISTOPHER & MICHELLE MUELLER Day phone Mailing address 22309 KNIK VISTA STREET CHUGIAK, ALASKA 99567 Site address 22309 KNIK VISTA STREET CHUGIAK, ALASKA 99567 Legal description KNIK VIEW ESTATES BLOCK 3 LOT 1 Number of Bedrooms 3 Engineering Firm FIRST WATER CONSULTING Building Permit Number Not Applicable M] APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Absorption Field ® Initial ❑ Septic Tank ❑ Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Well ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: bus' Waiver Fees: Date of Payment: U ` ZC 5 Date of Payment: Permit No. CNP2Sld 7 Waiver No. Phone: 907-343-7904 Distance: 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! May 13, 2025 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: KNIK VIEW ESTATES BLOCK 3 LOT 1 The property owner has requested we obtain a permit to upgrade the failed septic fields of the above referenced lot. Both absorption beds are saturated, appear to be influenced by groundwater and will be abandoned in place. We propose to install an anchored pump basin & install one elevated, mounded absorption bed to serve the existing 3-bedroom residence. The design is based on the recent test hole conducted on May 6, 2025. Heavy groundwater was observed at test hole excavation at 5’ and at 3.5’ at monitoring. The slopes are flat at the proposed upgrade location. The lot and area are served by public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251117, Curtis Townsend, 05/19/25 26.1' 2 3 . 9 ' 2 3.4' 2 8 . 3 ' 3 0.3' 1 5 . 8 ' 39 .4' 2 6 . 3 ' 1 3.0' 1 4 . 1 ' 7.2' 4 . 0 ' 3BR RES IDEN CE 1 0'x12' SHE D 8 'SHE D 1 6' FIRST WATER CONSULTING KNIK VIEW ESTATES BLOCK 3, LOT 1 DESIGN CALCS: NO WELLS WITHIN 200' OF PROPOSED SEPTIC SYSTEM. NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. NOTE: STAKE PROPERTY LINE, ESMTS & WATERLINE PRIOR TO CONST. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251117, Curtis Townsend, 05/19/25 26.1 ' 2 3 . 9 ' 23.4' 2 8 . 3 ' 30.3' 1 5 . 8 ' 39.4' 2 6 . 3 ' 13.0 ' 1 4 . 1 ' 7.2' 4 . 0 ' 3 BR RES IDEN C E 10'x12' SHED 8 'SH ED 16' FIRST WATER CONSULTING DESIGN DETAILS: KNIK VIEW ESTATES BLOCK 3, LOT 1 SERVED BY PUBLIC CLASS A WATER Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251117, Curtis Townsend, 05/19/25 3030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 FirstWaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL : KNIK VIEW ESTATES B3, L1 PERFORMED BY: FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 05/13/2025 DEPTH FEET OG SOILS 1 2 ORG/OL/PT 3 4 5 6 GRAB SAMPLE 7 GW/gm 8 9 10 BOH 11 12 13 14 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 05/06/25 1 min 6” 6” “ 6” 6” “ 6” 6” PERCOLATION RATE <1 (MIN / INCH) TEST RUN BETWEEN 4.5 & 5 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: YES IF YES, AT WHAT DEPTH: 5’ DEPTH TO WATER AT MONITORING: 3.5’ DATE: 05/13 /2025 TESTHOLE # 25-1 DATE PERFORMED: 5/6/2025 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERY RAPID PERCOLATING SOILS & MOIST GW PERC RIGHT ABOVE GROUNDWATER – SEE SIEVE ADJACENT LOT ALSO HAD GW W/ <1MIN/” SOILS. VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: CHRIS & MICHELLE MUELLER 05/13/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251117, Curtis Townsend, 05/19/25 Report No: MAT:25-21-1Issue No: 211301 Olive Lane, Anchorage, Alaska 99515 Client:First Water Consulting Services The testing services reported herein have been performed to recognized industry standards and relate only to the items inspected. Unless otherwise noted, no other warranty is made.Should engineering interpretation be required, NGE-TFT will provide upon written request. This report shall not be reproduced in full, without the prior written approval of NGE-TFT. Andrew Fortt, EngineerReviewed By:5/12/2025Date: 7311-252025 Material TestingProject: Northern Geotechnical Engineering, Inc. - Material Test Report Terra Firma Testing This report replaces all previous issues of this reportsigned on 05/12/2025Phone: (907) 344-5934 | www.nge-tft.com 56½in 493/8in 40¼in 67¾in 1003in911½in % PassingSieve Size Limits 7No.40 5No.60 4No.100 12No.20 35No.4 21No.10 3.1No.200 Drying By:OvenDate Tested:5/8/2025 GrabSampling Method Sample Details 25-21-1Sample ID 5/6/2025Date Sampled Lot 1, Blk 3, Knik VW EstatesField Sample ID Atterberg Limit: Liquid Limit:Plastic Limit:Plasticity Index:Linear Shrinkage (%): Sample Description: [GW] Well-graded Gravel w/Sand Grading: Not Obtainable NP (Non-Plastic) NP (Non-Plastic) 31.4181D85:14.6328D60:9.8296D50:3.4556D30:1.1513D15:0.6447D10:22.70Cu:1.27Cc: ASTM C136 Tested By:Rebecca Pineyro Particle Size Distribution Page 1 of 2© 2000-2025 QESTLab by SpectraQEST.comForm No: 18909, Report No: MAT:25-21-1 mm µm 100 60 20 6 2 600 200 100 50 3"1 1/2" 3/4" 1/2" 3/8" 1/4" #4 #10 #20 #40 #60 #100 #200 Sieve Size COBBLES 0% GRAVEL (65%) COARSE 32.7% FINE 32.0% SAND (32%) COARSE 14.5% MEDIUM 13.5% FINE 4.2% SILT/CLAY 3% Diameter mm µm 100 60 20 6 2 600 200 100 50 3"1 1/2" 3/4" 1/2" 3/8" 1/4" #4 #10 #20 #40 #60 #100 #200 Sieve Size COBBLES 0% GRAVEL (65%) COARSE 32.7% FINE 32.0% SAND (32%) COARSE 14.5% MEDIUM 13.5% FINE 4.2% SILT/CLAY 3% 0 10 20 30 40 50 60 70 80 90 100 Perce ntage Pass i ng (by mass ) LEGEND FOUND 5/8" REBAR, PLASTIC CAP EDGE OF GRAVEL UTILITY PEDESTAL DECK FENCE EDGE OF ASPHALT RECORD DATA PER PLAT #86-113 SEPTIC PIPE FOUND 5/8" REBAR, 2" ALUM. CAP PIPES UNDER DECK LOCATIONS PER 8/26/02 SWING TIES BY ROBERT COWAN 2 6 .1 ' 2 3 . 9 ' 2 3 .4 ' 2 8 . 3 ' 3 0 .3 ' 1 5 . 8 ' 3 9 .4 ' 2 6 . 3 ' 1 3 .0 ' 1 4 . 1 ' 7 .2 ' 4 . 0 ' R E S I D E N C E 1 0 'x 1 2 ' S H E D 8 'S H E D 1 6 ' TIMBERLINE SURVEYING AND MAPPING 17035 BARONOFF AVE EAGLE RIVER, AK 99577 907-242-5320 ryan@timberlinealaska.com FILE NO.: 25.087 SCALE: 1" = 30 FEET DATE: 4/28/2025 SHEET: 1 of 1 MOA GRID: NW1558 SCALE: 1" = 30 FEET(11"x17") 30'0' 60' AS-BUILT OF: ADDRESS: 22309 KNIK VISTA ST, CHUGIAK, AK LOCATED IN: ANCHORAGE RECORDING DISTRICT LOT 1, BLOCK 3KNIK VIEW ESTATESPLAT #86-113 0 Municipality of Anchorage N�. Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON -SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: _.-S U;0 0Z.0 PID Number: Q V Name: Wastewater System: [I New W'Upgrade Address:I] qq-5-1) 7-,_)`W1 1 ABSORPTION FIELD Phone: " Number of Bedrooms: S" 3 --1-[ R ", _� 0 Deep Trench 0 Shallow Trench V Bed El Mound 0 Other. LEGAL DESCRIPTION Soil Rating: 0 GPOJFF Total Depth from original grade: LLD Ft. Block: Lot Subdivisionr Depth to pipe bottom from original grade: L4 Gravel depth beneath pipe: 0 I eo 15 Fl. 6- Ft. Township: Range: Sec!iorr. Fill added above original grade: at Gravel Length: FL 1 , u Ft. Well: F1 New F1 Upgrade Gravel wicift Number of lines: Distance between lines: Ft. Ft. Classification (Private A, B C 06�e Total Depth: Cased to: Total absorption area: Pipe Material: L 6; #PI vYl 14 J?f t— Ft. FL F1 Driller. Date Static Water Level: Installer. fv:'O Date Installed: FL Yield: Pump Set at Casing HeightGrcund: 'TANK GPM Fj FL SEPARATION DISTANCES Septic El Holding El S.T.E.P. El Other: To Septic Absorption Lift Holding PubliciPrivate Manufacturer. b _Fc-a—pacity: Pre 'er lac� e0c, From Tank Field Station Tank Sewer Line t 1 Gal. Material: Number of Compartments: Surface Water LIFT STATION Lot Line Size. Manufacturer. Foundation It I Pump on' level at: High water alarm at. in. Curtain Drain V f 0 o e ro Pump Make &U� Electrical Inspections performed by: I Remarks: BENCH MARK Location and Descripticn: k 110 /f 11j Assurred F!elaticn: (71 011 F t. Engineer's Stamp As OF-44 S & S ENGINEERING River Loop Road, 17034 Eagle H82M st '--1'7-CQ Inspections performed by: Eagle Rival, Ai 5 nd 2 17- OD Devel opme tt Services Department Approval -A 1 ROBERT C. COWAN CE - 8801 Reviewed and 2pproved by: Date: qZ 4' PERMIT NO. SW020256 PAGE 2 OF Munici'paht of Anch,,a,, DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION RD, Box 196650 *Anchorage, Alaska 99519-6650 9 Telephone : 343-4744 ON -SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 1, BLOCK 3, KNIK VIEW ESTATES P.I.D. NO. 051-043-01 Y) JUDD DRIVE --------- ------ ------ ATH#5 oli--- uu/ B (j MT1 NEW 1000 GALLON IQ) A BM HDPE SEPTIC TANK FCO TMT ATH#6 ST1 DV (DIVERTER VALVE) C ST2 N PSQQ DBL1 & DBL2 15' DRAINAGE EASEMENT SCALE 1" 40' ENjjobw "VIP cc) lw AOF % At ROBERT C. COWAN CE ­3801 PERMIT NO. SW020256 PAGE 3 OF Munibpal,it oF Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION R0. Box 196650 6 Anchorage, Alaska 99519-6650 * Telephone : 343-4744 ON -SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 1, BLOCK 3, KNIK VIEW ESTATES P.I.D. NO. 051-043-01 STn n��_' 1 ST2 99.5' FINAL GRADE NEW 9 6.8' 1000 GALLON POLYETHYLENE SEPTIC TANK 2" INSULATION 9 9.2' --\ CO1� 100.3' 100.0' MTl � 99.5' �MT2 CO2zX 95.6' 95.1' 95. 1' 95.5' A WATER FOUND @ 90.6' 8 9. 1' B.O.H. A Q C FCO 16.0' - 24.5' ST1 12.0' - 3 2. 0' ST2 13.5' - 34.5' TMT 8. 0' - 3 6. 0' QQL1 1 5.b' - 3 6. 0' QQL2 15.5' - 37.0' QV 16.5' - 37.5' COI 20.5' 22.5' - MT1 12.5' 26.5' - CO2 67.0' 7 7. 0' - MT2 68.5' 75. ' ORIGINAL AND FINAL GRADE N T, S. MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 31, 2002 Expiration Date: Jul 31, 2003 Permit Number: $W020256 Legal Description: KNIK VIEW ESTATES BLK 3 LT 1 Design Engineer: 0003 S & S Engineering Owner Name: Lora Ginter Owner Address: PO Box 672411 CHUGIAK, AK 99567-2411 Parcel ID: 051-043-01 Site Address: 022309 KNIK VISTA ST Lot Size: 31927 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Ddnking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Parcel I.D. Mtittlclpality o£ At(diet-age t)eVelohhleli{ ~e~ices bepaHmenl: I~ullding Safely blvlslon On-Site Water and WasleWater Program 4700 Soulh Bragaw St. P.O. Box '196650 Anchorage, AK 995f9-6650 www.cl.anchol'age.ak.us (907) :~43-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A S~NGLE FAMILY DWELLING O$"1 -- ow3-ol Permit Humber Properly owner(s) Mailing address (i) Mailing address (2) Legal description (Lo{, Block & Sub'd.) Legal description (Section, ToWnship & Range) Lei Size -~,~_ 'rills APPLIcATIoH Is FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPER~ CONTAINS: Ho{ Tub Swlmmln~ ~oo~ Therapy Pool Day phone ~_. ~- Z. '- 3 Jt-c~ ') Zip Code c~cl ,5 ~ ~- Humber of Bedrooms Well Only Water Storage 1~!' Jacuzzi Wa[er Softening Unit [] I cer!,ify (hat the above Information Is correct. I t'urther certify that thls application Is being made for a Single Family Dwelling and Is In accordance wlth applicable Munlclpal Codes. (Signature of properly owner er aulhorlzed agenl) Permit Fees: Date oi' Payment: I~ecelpl Humber: (Rev. 12/00) Walver Fees: Dale o{' Paymenl: Receipt ~umber: S & S ENGINEERING 17034 Eagle River Loop Road, Eagle River, Alaska 99577 ROBERT C. COWAN. P.E. CML ENGINEERS (907) 694-2979 FAX (907) 694-1211 July 16, 2002 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 1, Block 3, Knik View Subdivision ROAD OESIGN It is requested that you issue a permit to upgrade a septic system to serve the existing three bedroom d~velling on the referenced property. t~,r ~,-¢ :#g' was excavated and a percolation test was performed on 12/19/94. The approxim, ate location of the test hole is located on the attached site plan. Ground water was momtored and after seven days i¥~. ~, q ~.." as shown on the attached soils logs. We do not anticipate any adverse ~ffects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC hm Enclosure 7034 NORTH EAGLE RN~R LOOP * SUITE 204 · EAGLE I~/~R, ALASKA 99577 SITE PLAN I DESIGN I I " = 40' n::E > Orr < m r- 0 M CA 0 (A 0 c Z m > z 0 z Lo c Ln r- - L0 > 0 m m :Md3s / SCALE > 0 xz 0 - - R ------ ------ --T o .1 KNIK VISTA DRIVE > I ,DNA - - - - - - - - - - - - on (A wC.0 > -octrJ :E z E OD z c 0 Q)�j 2� t,� �� 'c n 0 Z- 0 0 c:I C-4 n co cn OHOC) 0 ul 0 m C) 0 -n q M;o cn > 0 M o ;u m 0 (A ;o c: -a cn o m 0 Ln r— m;u C) L-.1 c) m -< �� (A --i --4 m > -u < --j tTl mM L --3 > > (D � 0 Z on In'z ;N z m m z ;o > n 0 < m m C-) > 0 0 0 0 Ln U4 pQ ON > oil,O O m m c/) 0 m 0 z 0 m c� > NO WELL SEPTIC c/) WITHIN 100'� m < > w cn oho Z --3 > 0Cn m --i K: -3 > m < > 0 z 21 r- m r N) (A (A r-1 czx 0 0 CA > M n M > r- 40> 0 Z c/) M,Z, n < �A- m -u Z - r- M --3 �� m -3 co -<Mm C'l-A > > > z z 0 Zz 0 > M --3 r':l M �,o M 0 cnz- > cn > z > -q I z 0 > > oto 0-9 z z 0 0-3 O cn a 0 n m 0 z C., z 0 c- -90 two n m \ z r x1 M to rh nom > >no > --3 (IINGINEER'S SEAL)_ Municipality of Anchorage Ar DEPARTMENT OF HEALTH & HUMAN SERVICES ...: 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST j' PERFORMED FOR: M N ` ' LLJ I�RA�/ C' L '*'"�C' • DATE PERF`OI'2Moi'.' 17 19q LEGAL DESCRIPTION: w'r ( 0LGr-Gi--� l_ j 1 i� Township, Range, Section: D�, PFEd ST-47SLOPE SITE PLAN F �TJ. � iAl 5 6 7 8 9 10 11 12 13 14 15 m ID 'CT 5, WAS GROUND WATER Jp ENCOUNTERED? /v S IF YES, AT WHAT L O DEPTH? P E Depth to Water Alter I �Z-- 1 %Z f $ j by Monitoring? Date: Reading Date Gross Time Net Time Depth to Water Net Drop kl /Z Z4 Z:05- rl n h6 417.0 20 � 4 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER ---�--� �. TEST RUN BETWEEN FT AND�'�' FT COMMENTS ! C5r 140446' L7 r�l Jf. �j p(�I{�j�� -p'O PERFORMED BY: , `• yq'4&A L4 I TIFY THAI Xv TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev, 4/85) '1 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES u4p 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG PERCOLATION TEST''R`` PERFORMED FOR: ` i Co N•f QA trI rq 6P TAJ C. • DATE PExi:FORM' ED �Jzll. LEGAL DESCRIPTION: to,-/, BLOUC..30 14WI14_ Township, Range, Section: 11, 11(Z70 G"S-rAra-s SLOPE SITE PLAN. 3 10 WAS GROUND WATER f v ENCOUNTERED? rV 11 g oTi0 m O i S IF YES, AT WHAT ,. ff L DEPTH? NCi O 12 E 13 Depth to Water After . /O Z t gq Monitoring?�l Date: -- — 14 iiN 16 S j i4G L i- 17 di , .$-°- _ 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop S --� --"t. I 2 S 4o 4C, 20 —{ PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER { TEST RUN BETWEEN FT AND FT % COMMENTS '~'t � l" TZ/r�L 145 E;1 WV./7"c.rZL-j) /nJ A10 ' Pc cy f2'j fZ4T-1E: G M 1 ri . -7-V / S' An //4. P n_.. frl C44 PERFORMED 8Y: A _ I 'I+IFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: f Z q ..A 5 72-008 (Rev. 4/85) ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS ROBERT C. COWAN. P.E. CML ENGINEERS (907) 694-2979 FAX (907) 694-12t t REFERENCE: l.ot I, Block3, GENERAL: The scope of this project includes the verification or installation of a 1000 gallon septic tank and installation of un absorption bed to serve the existing three bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall bc responsible for final grading areas subscqucndy depressed from soil settling. On all leachficld mound systems, the property owner shall bc responsible for cnstning a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK iNSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP * SUITE 204 * EAGLE RIVER. ALASKA 99577 Page 2 Lot 1, Block 3, Knlk V~ew Estates Jury IS, 2002 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield them shall be two adjacent cleanouts. These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. LEACIlFIELD BED INSTALLATION: Excavate the proposed Bed Area to the depth shown on the design. The bottom of the excavation shall be within 2 inches of level If the bottom of the excavation becomes smeared, it must be raked or scratched (rafted-up) before gravel or sand placement. Ifa sand layer is required, place sand over entire excavation to the required depth shown on the design. The top of the sand layer must be within 2 inches of level. Sewer rock shall be placed uniformly throughout the entire bed. Perforated distribution pipe must be installed level with perforations down. Gravel depth below the perforated pipe shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. The total gravel depth throughout the entire bed shall be a minimum of twelve (12) inches. The perforated distribution pipes must be no more than six feet apart. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. e Monitor tubes shall be of four (4) inch diameter, installed at the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel depth shall be perforated six (6) inches below the bottom of the horizontal distribution lines. The monitoring tube should not extend below the bottom ofthe gravel surface. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finished grade over the bed must be mounded to prevent the formation ora depression after settling. Page 3 Lot 1, Block 3, Knlk View Estates July 16, 2OO2 8. A mound system is to have the upper six inches of top soil and be seeded for vegetation. A subsurface disposal field may not be located on a slope greater than 25 percent unless there is an approved exception documented. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchomge: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No AS'I'M D2662 (ABS) Yes Yes Use ora type ofpipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam ttI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mimfi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the//200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current MOA requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These iuspectious will occur as follows: Page 4 Lot 1, Block 3, Knlk View £s~ates July 18, 2002 The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, eleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or conlxol in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached MOA permit. There will be no contractual arrangement existing between the contractor and S & $ Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5 t.,,J ~"00// PID Number: __ 0~'/0~-~0 / N.~: ~t~/~t ~-'~i~,~Z'~4 C -~O, Wastewater System: ~ew ~ D Upgrade Address: ~0. i~ ~ ']O '¢~f.~O.~,/al~, A 1~ ABSORPTION FIELD Phone: . ~ . JNo. of Bedrooms: ~ ~ l~ ~ D Deep Trench D Shallow Trench ~d D Mound ~ Other Total Oept~ from original grad~: LEGAL DESCRIPTION soil Rating: '~ GPD/S~ Ft. Lot: [ BIOCk~~/~/~Subdivisi°n:~, Depth Io pipe bottom Irom original~ /,grade:~ FI. Gravel depth beneath pipe, ~ Ft. Township: Range: ..J Section: Fill added above original grade: Gravel lenglh: ~- ~ ~ Ft. Distance between ,ine~':' WELL: ~ D New ~D~ ~Upg rade Gravel width: Number¢~of lines: ~ ¢ Ft. , 6 FL Classilication (Private, A.8.C): ~ I Total Depth: Cased To; Total absorption ~rea: Pipe materldl: SEPARATION DISTANCES ~Sept~o ~ Holding [~ S.T.E,P. To Septic Absorption Litt Holding Public/Private Manulact.rer: ~.~ Capacity in Number of ~ompa~ments: wen ~ >~ ~ >'~ Ma~.,i~: ~ ~0 Sudace w~, ~/~' >/~' ~/~ ~ ~ LIFT STATION Lot / ~ I Manufacturer: Cu~ain ~J~ ~ _ ~_ Pump ~ak Electncal Inspections perform~ Drain ~ -~ Remarks: ~" ~¢ X/'-~;~ ¢.r/'~ BENCH MARK / Location an~ Description: / , / Assumed Elevation: Inspections performed by: ~,//~r~& Dates: 1st %/z~/q¢~ *" :: ...... ' ¢. d,,. &3[') -~ ' : Department of Heal~ and Human Services approval Reviewed and approved by: .-. . . Date: ~-2~- ~F 72-013 (Rev. 9/91) MOA 25 Permit No. ~J c~oOll Page Z~ _of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System arid/or Well Inspection Report Legal Description: .__~1, ~, t{IqlK ~/1~ 1 sT>. PID No.: 52,42 Ills NI 204,( Permit No. Page ,~ of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION~ P.O. Box 196650 e'Anchorage, Alaska 99519-6550 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Ricl( Mystrom. Mayor Munic' '- of Anchorage Department of Health and Human Services 825 "L" Street P.©. Box 196650 Anchorage, Alaska 99519-6650 June 20f 1995 Michael E. Anderson, P.E. : Anderson Engineering PO Box 240773 ~ Anchorage, Alaska 99524 Subject: Waiver Request for Lot 1 Block 3 Knik View Estates S/D Waiver Request ~WR950025, PID ~051-043-01, HA950218 Dear Mr. Anderson: Your request for a waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 8 feet from the south property line This approval applies to the existing septic system lotiline separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Civil Engineer On-site Services DJR/ljm MUNICIPALITY OF ANCHORAG~ Department of Health and Human Services On-site Services Section Waiver Review Worksheet Date Received: June 14r 1995 Legal Description: Engineer: Applicant: Lot 1 Block 3 Knik View Estates Subdivision Michael E. Anderson, P.E., Anderson Enqineerinq PO Box 240773, Anchoraqe, Alaska M24 & M Contractinq 99524 Waiver Requested: Lot line waiver of 8 feet from south P~operty line Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted:I List Conditions or Reasons for above: ~ ~ ~/~ ~/;~ Date: By: ~/~/ ~ Name of Reviewer Rec ~: 00976 Amount: $ 115.00 Date Paid: June 14, 1995 June 14, 1995 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 RE:CEIVED jut4 1 1995 Munic~Pahty ol Ancl~orage Dept. Health & Human Services Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 1, Block 3, Knik View Estates Lot Line Waiver Dear Onsite Services Engineer: The absorption bed proposed to serve the house on Lot 1, Block 3, Knik View Estates was constructed within 8' of the lot line in order to take advantage of suitable soils. A waiver is therefore required to allow the encroachment within 10' of the southern lot line. We hereby request a waiver be issued allowing placement of the bed in this area. : The lots in this subdivision are served by a community water system and the setback requirements from the well are easily met. In addition, the lot immediately to the south is currently vacant but contains sufficient area for an absorption system to be constructed which will not conflict with this system. The waiver can be issued because the absorption bed, in its present location, will not conflict with any systems currently in place or to be constructed in the future. Sincerely, Michael E. Anderson, P.E. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HLTMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950011 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:WALDEC ENTERPRISES INC OWNER ADDRESS:6200 STADEM DRIVE ANCHORAGE, ALASKA 99504-1628 PAGE 1 OF DATE ISSUED 2/03/95 EXPIRATION DATE: 2/03/96 PARCEL ID:05104301 LEGAL DESCRIPTION: KNIK VIEW ESTATES BLK 1 3 LT LOT SIZE: 31927 (SQ. PT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC 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) 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 MAXIMUM TOTAL DEPTH OF THE PROPOSED BED ABSORPTION SYSTEM SHALL BE NO MORE THAN 3.5 FEET FROM ORIGINAL GROUND SURFACE. ISSUED BY: DATE:2--? ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 January 30, 1995 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 1,Block 3, Knik View Estates Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: We hereby request a permit be issued to install a new septic system on the subject lot. The lot is served by a community water system so welt separation distances are not an issue. A shallow bed system is designed as groundwater was encountered at a depth of 9'. Percolation rates for material encountered, however, was excellent and the absorption bed should function adequately to support the three bedroom home. If the system is constructed as shown on the attached drawings the following statements can be made. The system, if constructed as designed, will have no adverse impact on the wells in the area. The subdivision is served by a community water system. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. 4-, The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. LOT 1, BLOCK 3, KNIK VIEW ESTATES J SITE PLAN SCALE 1" = 30' NOTE: LOT SERVED BY COMMUNITY WATER SYSTEM LOT 1., BLOCK 3, KNIK VIEW ESTATES SYSTEM PLAN SCALE 1' ~ 20' Lot 1, Block 3, Knik View Estates Subdivision DESIGN FACTORS: Three Bedroom Home Perc. Rate: 8 Min./Inch Application Rate: .5 GPD/SF SYSTEM REQUIREMENTS: Shallow Bed System 1,050 Gal. Septic Tank Min. 2' Accepting Soil 3 Bdrms. X 150 GPD / .5 GPD/SF = 900 SF of Absorption Area 900 SF / 24 LF Wide = 37.5 LF Length Therefore: Construct a Shallow Bed System 24' Wide X 38' Long at the Location Shown on the Site Plan. Distribution Pipe Placed at 3' Below Existing Ground Surface. ................... . TYPICAL SHALLOW BED SYSTEM -' " ' (NO SCALE) NOTE: Maintain 4' Vertical Separation From Bottom Groundwater Table. Grade Area Over Absorption Bed to Drain Axvay. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 525 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~'~)'f* /, ~L-.~'~) /~'~J I~.. O6 2 7 8 9 10 11 12 13 14 15 16 17 18 19 2O (ENGINEER'S SEAL) COMMENTS Township, Range, Section: WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT 0 DEPTH? p E SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/tach) PERC HOLE DIAMETER __ TEST RUN BETWEEN 3 _ FT AND 4~ _ FT PERFORMED BY; '~' ~J ~'/Z,,~ ~,~ , ~//~b ~------~~TIFY THA'y THh,~- ~EST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ~/~-' 72-008 (Rev. 4/~) PERFORMED FOR: LEGAL DESCRIPTION: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 3 4 5 7 8 9 '"(ENGINEER'S SEAL) Township, Range, Section: ~/~4-'"/- ~ ~ SLOPE SITE PLAN 10 11 12 13- 14- 15 16 17 18 19 2O ~ OTFO c,,~ or:'- WAS GROUND WATER ENCOUNTERED? S L IF YES. AT WHAT ~k~O pO DEPTH? E Depth t° Water After A/O IZ./,~ ~/~ Monitoring? Date: _ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (m~nutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND -- FT COMMENTS ~',/¢¢~4 ~" /~ ,4-"T'~..'r~, I ~ A..~ ~/¢-4~ V -"* J ',r" '"~ T~-,~ ~-,-'-~ /¢J -~-'~JcO ~'~ A/O ~", PERFORMED BY: ~' '~7~'¢~ ~ , ~(~'~f.~ ~'~'~~,FY THAT. THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: i/~C~/~~ 72-008 (Rev. 4/85) ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATFRIAL SPECIFICATIONS SUBJECT: Lot 1, Block 3, Knik View Estates Subdivision GENERAL: 1. The scope of this project includes the procurement and installation of a 1,000 gallon septic tank and the construction of a shallow bed drainfield to serve the proposed three bedroom home. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with ally ~special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. ~: 3. The Contractor shall be responsible for underground utility locates. obtaining all 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall also be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D,H.H.S. before beginning system installation. SEPTIC TANK INSTALLATION 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access, 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Lot 1, Block 3, Knik View Estates Subdivision January 30, 1995 Page Two 3. All standpipes on the septic tank shall extend a minirrlum of 12 inches above final grade. 4. Septic tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 5, A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts shall be installed between the tank and the drainfield. The first cleanout shall be located on undisturbed soil not more than 10' from the tank. The first cleanout shall be to clean toward the drainfield. The second cleanout shall be to clean toward the tank. : 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank, DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design, The bottom of the bed shall be within 2" of level. The bed shall not be installed on a slope greater than 10%. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5, Contractor shall verify the septic tank and drainfield are a minimum 100' away from any water wells in the area, Lot 1, Block 3, Knik View Estates Subdivision January 30, 1995 Page Three 6. Direct bury insulation must be placed over the distribution system when less than 3' of backfill depth is available. Finish grade over the bed must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption bed to drain away from the bed. 8. A minimum 2' of accepting soil is required belOw the drainfield rock. Contractor shall verify this condition prior to placement of the rock. MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM [:)3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam FII or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 seive. Lot 1, Block 3, Knik View Estates Subdivision Januaw 30, 1995 Page Four INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer' registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor sllall provide a copy of all field survey layout and construction notes for use in preparing the certified as-built of the completed system. Parcel I.D. Municipality et Anchorage Development Services Del~aHment Building Safety Division On-Site Water and ~t~slewaler Program 4700 South Bragaw St. P.O. Box '196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.t.ls (907) 34;J-Tg04 CERTIFICATE OF HEALTH AUTHORITY APPROVAL 051-0&3-01 .,' ~:omplete legal descnpbon Lo t 1; {,.,~ ..,', . . -..-':- ~. . . , ...L.o..cabon (site address.? d~rectlons) ;,'-'~,Current. -. Property owner(s) 'L.: ';. :Mailing 'address L'~nding .a.gency · Mailing address Expiration Dale: ~/g03; Block 3; 22309 Knik Vista Laura Ginter same as above Knik View Estates St. Day phone 242-3491 Day phone Real Estate Agent Day phone Mailing Address Unless otherwise request.ed, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] Individual Holding tank [] Communily On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authorily Approval (HAA) based only upon the representations given In paragraph 5 by an Independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer lille (except belween spouses) for propedies served by a single t,amily on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authorily Approval are valid for 90 days from the date of Issue t,or properties served by a private or Class C well and may be reissued wilh new water sample results less ~han 30 days old. (Certificates may be reissued t,or a period of up to one year with valid water samples.) Cerlific'~t~s are valid for one year for properties served by Class A or B wells or a public water system. 'The Municipality et' Anchorage is not responsible I'or errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER o As cerfil~ed by my seal affixed hereto and as et Ihe validation da{e shown below, I verity that my Investlga{ion, based on procedures outlined In the Health Aulhorlty 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 bedrooms and type of structure Indicated herein. I fudher redly Ihal based on Ihe Information obtained from Municipality of Anchorage files and from my Investigation and Inspection, the on-sile water supply and/or wastewaler disposal system is(are) In compliance With all applicable Municipal and State codes, ordinances, and regulations [n~.e~!fect at Ihe time el' installation. Name ol' Firm $ & S F.n~;ineerJ. nR Phone 694-2979 Address 17034 [",T. ~a~le EJ. ve~: ]',oep Sba. 204 F..a~;le R'ive[', AK 99577 Engineer's Printed Name Robe~-t C. Co.an Date DSD SIGNATURE /[/ Approved for 3 Disappr(~ved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Commenls ~ : WA:511-WAII=N : ~. ' PROGRAM : £' % ..... ... Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements SL~pplemental Engineer's Report Other By: Original Certificate Date: MnnicipaHty of Anchorage Development SerVices Department Building ,Safety Division On-Site Water & W~stewater Program 4700 8ou~ Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 www. d.anchorage.ek.u$ (90D 343-7904 .0 HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescflptlon:]..OT* I /]~.oc~ 3 k',~: ¥/~, L~$~. pan:ellD:OS"l~O~,,t-ol A. WEll. DATA J'~ U~ C.. We, type Well Log (Y/N) If A, B. or C provide PWSID # Date completed Sanitary seal H/Id) V~Ires Total depth fL Cased to M J ~s~[pg4~ght (above ground) in. Date of test FR.OM WELi~ LO~~AT INSPECTION '_ Static water level · / fL fL iA/e, production _ g.p.m. WATER 8AM~ULTS: Coliform / colonies/100 mL Nitrate mg.A. ~ mg./I. ' Oate of sample: B. SEPTIC/HOLDING TANK DATA Tank~z~J'~)~ O"~'g~l:':' ;':;. Num.r of Compartments ~ i' ,' ."', ,,. ".' Fod~don Cea,out~)'"-,~ Depre~id. overta.k (YS Da~ of pumping 'N/& ':' "~ [~ Pumper c. ^ is0i mo. hELD nAYA Leng~ '."' Go fL wmt~ I 5'- fL Total depth ~ fL Eft. absorption area ~'0o ~ Monitoring ~ube Date of adequacy test ~/4 - ~a.~, Results (Pass/Fail). g.p.m. colonies/100 mi. If ye,,, give date Fluid depth in abeoq3~on field before test Elapsed Time: __ min. /. Fl~L~.~id'~th . in. Absorption rote >= Any mjuve~.~mefl~t 12 mo.) (Y/N & type) New depth Gravel below pipe O, ~ fl. Depression over field /v O For ..~ bedrooms iff. g.p.d. System type D. UFT STATION Data Installed 'Pump on' level et Datum Size t ~ gallons in. 'Pum ~ n~ le~, at __ Manh~a(P,c~.as High water alarm level et Meets alarm & ~ requirements? in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Sept~ tank/lift station on lot On adjacent lots At~xptlon field on lot On?.~j~ja~e,,l lots Publlo sewer main ~Publlc sewer manhole/cleanout Sewer/aeDile ~e, ,l~'e~ne Holding tank SEPARATION OISTANCE$ FROM SEPTIC/HOLDING TANK ON LOT TO'. eufldlng foundauon water main Io ' "~ ( Water eewice line /0 Wells on adjacent lots . SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Prope~,ne ~ ~' ' ' Building foundation /0 '. CUrtain drain ~.~,..& ' Water main )O ~- surfacewatar /Oo ~- g~ela~' Wells on edjacent lots ~.oa /- /0 Driveway. parldng/vehlde storage F. COMMENTS .... HAA Fee S 3 75"*."' Data a Payme.t Receipt Number (Rev. 12/01) Data of Payment Receipt Number dUDD DRIVE !r~ :':'~' I i' '~' I *it'} I-- : : LEGAL ~ESCAJPT~ON ~ ~ ~ K~IK VIEW ESTATES 1"~0 ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage/Alaska 99519-6650 343~4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O*,~ I"¢ 5/" ~O/ 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner "Mailing 'addresS; ~P Lending agency ) -~-~6,. Day phone Day phone Mailing address. Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2, NUMBER OF BEDROOMS: ,3.. TYPE OF WATER SUPPLY: Individual well Community well,, Public water ., NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site · Holding tank Community on-site Public sewer NOTE: If community well system, provide written confirmation from State ADEC attest.. ing to the legality and status of system. .-".,,-:? /.!,., If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. . 72-025 (Rev, 1/91) Front MOA f~21 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 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 further verify that based on the information obtained from the Municipality of Anchorage flies and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance .with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm /~rtO ~) ET~'O rO E~ ~;,~J ~'-~F/-. I ~ &t, Phone Address ~,0, ~0,~ Z-bLO '~7,~ ~o~ Engineeffs signature ~ . Date DHHS SIGNATURE /~. Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date ~-2a- ~l- '",l'T, he I~l~ni(~)ality of'~c~orage Department of Health and Human Services (DHHS)issues Health Authority Approval 6ertific&~ based only upon the representations given in paragraph 5 above by an independent pr6~'eSSional eng'i¢~e r'~'egistered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and thei'r 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. 1/91) Back MOA~21 Municipality of Anchorage ,~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST ~ Legal Description: A. Well Data Well type ~ Log present (Y/N) Parcel I.D. OS~iO't'~)I ; if A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level1 Cased to FROM WELL LOG Casing height Wires properly protected (Y/N) AT INSPECTION RECEIVED .g.p.m. JUN I 4. 1995 '~l~l~¢il:)ality of Anchorage Dept. Health & Human Services SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~/~ Z./c/$~ Cleanouts (Y/N) High water alarm (Y/N) .. Date of pumping /k~E v3 Tank size /,O¢0 ~4.6 Compartments '~'~ Foundation cleanout (Y/N) ~' Depression (YIN) Alarm tested (Y/N) ~/A~ C~%T ,~u L~, o ~ Pumper ~'/4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot AJ¢~ ~'~ To property line ~/ ~ Absorption field "7 ' Sudace water/drainage /"J ~ "'/~ On adjacent lots '~ Z. tOO ~ Foundation ~'- -5'' Water main/service line ~ 20 CONTINUED ON BACK PAGE 72-026 (,'~93)' Front C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at .Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~/Z 3/q ~ Soil rating (GPD/FF) o ~ ~' Gravel thickness Length · ~ Width Z-'/¢ Total absorption area (::)~'tCJ/--"?. z. Cleanout present (Y/N) Y Date of adequacy test AJ~,J Co~J ~'~, Results (pass/fail) Water level in absorption field before test O Peroxide treatment (past 12 months) (Y/N) ~ .System type Total depth Depression over field (Y/N) '~A.5 S for After test If yes, give date Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot A Jo ,q c= On adjacent lots To building foundation / ~ ' On adjacent lots '~/'A C4 ~ Y' Cutbank Surface water Curtain drain /~,/'~/J Property line To existing or abandoned system on lot ~ f~ D' Water main/service line Driveway, parking/vehicle storage area I E. ENGINEER'S CERTIFICATION I cer~fy that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Engineer's Name i~/~ ~ Ct4 ~ CCC Date Waiver Fee $ Date of Payment Receipt Number Date of Payment Receipt Number