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Home My WebLink AboutKNIK VIEW ESTATES BLK 5 LT 14Knik Vi W Block 5 Lot 14 #051-043-54 Municipality of Anchorage Development Services Department Building Safely Division · On-Site Water & Wastewater Program. 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Poge I of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW020242 PID Number:. 051--04.3--54 Nome: TOM w/ HEARTLAND HOMES INC. Wastewater System: BI New I-I Upgrade P.O. BOX 3434 * PALMER. AK 99645 ABSORPTION FIELD P'~""'-907-( ) 746-4525 No. of LEGAL DESCRIPTION ~' ~ 1o0 ~,~/s~ 5 14 KNIK VIEW EST. 4.52-5.02 SEE DWG. : ri New I-I Upgrad 5.0 ,,~ RI r, 450+ s~ D 3034/ F-810 r, BAILEYS BACKHOE ~'~/25/2002 =- ~, ,. TANK SEPARATION DISTANCES =s,p~c =.o,di~g ~s.T.~.,. TF~m~"~° Septic AblF~e?dt]O n Uti: Holding ~¢~'=. c~ Tonk S~Uo, ~'onk ~,-~'~"~ ANCHORAGE TANK 1000 Well 200°+ 200'+ -- -- 200% ~ STEEL ~ '~ ~ 2 Surfoc. wore, 100'+ 100'+ - - - LIFT STATION .~-/ Let Une 5'+ 10'+ -- -- -- az. b ~ J~. Foundation 5'+ ' I0'+ -- - -- ~ ~'' ~"" '~ ~-~'""~'~ I ~,mo~<~: BENCH MARK TOP OF CMU FOUNDATION 100.00 Inspections performed by: AKWWC, INC. Dates: 1st 7/25/2002 2nd 7/25/2002 3rd 7/25/2002 ,,., ................. Development Serviqes Department v Appro..al . -~ -~ ~' R~viewed and approved by: #/,,/~/~ /z:?~Da[e. ~- ~ (~.2... N[W DRNNRI~-/ A B ST1 46.01 15.96 ST2 48.24 17.,39 DBL1 51.20 22.46 DBL2 52.,32 27.,36 C01 7.3.02 29.08 MT1 75.97 ; ,.31.66 C02 49,75 52.30 MT2 46,92 50.54 8/20/2002 ~SI~ ~TER & ~STE~TER ~ ~ ~." 49'~/~ ~ '~ CONSULTA~S, INC., . ..: ....... TOM w/ HEART ~ND HOMES INC. (907) 746-4525 2 OF 3 ~ ~ ~.de~r,~omes~i'"~ KNIK VIEW ESATES SUBDIVISION; LOT 14, BLOCK 5 ~'"~ ~E OF WORK: AS-BUILT DRAWING OF NEW SEPTIC SYSTEM AS BUILT DRAWING ~ PARCEL ID NUMBER: SW020242 051-045-54 RNAL GRADE: - 95.90+ TOP OF TANK AT-.~ : : !~LL~ m gl.gO J /.--TOP OF TANK AT INVERT OF BUN0 SEPTIC TANK INVERT OF BUNG AT AT INLET ~ 91.34 [ OL/TL.rT - 91.04 ~SI~ 5~TER & ~STE~TER ~ CONSULTANTS. INC., . TOM w/ HEART.ND HOMES INC. (907) 746-4525 3 OF 3 ~ ~:, ,}~; ,' , ~;;;', '"~ PROFILE AS-BUILT D~AWlNG OF NEW SEPTIC SYSTEM MUNICIPALITY OF ANCHORAGE Development Sen/ices 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 Initial Date Issued: Jul 23, 2002 Expiration Date: Jul 23, 2003 Pem~it Numbe~ SW020242 Legal Description: KNIKVIEWESTATES BLK 5 LT 14 Design Engineer. 0041 AKWater & Wastewater Consultan' Owner Name: Heartland Homes Inc. Owner Address: PO Box 3434 Total Bedrooms: 3 Palmer, AK 99645- Pamel ID: 051-043-54 Site Address: Lot Size: 23700 SQ. FT. 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: I. 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 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. Received By;. ~c~~ Date: Issued By: ~~ ~, ,~~ Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 O Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number _5 Property owner(s) Mailing address (1) Mailing address (2) HEARTLAND HOMES INC. P.O. BOX 3434 * PALMER. AK Day phone (907) 746-4525 Zip Code 99645 Legal description (Lot, Block & Sub'd.) LOT 14. BLOCK 5: KNIK ViEW ESTATES SUBDIVISION N/A Number of Bedrooms 3 Well Onl~; ' Water Storage Legal description (Section, Township & Range) Lot Size 74:7' Ac,e THIS APPLICATION IS FOR: Sewer Only ~] Sewer and Well Sewer Upgrade [] Jacuzzi Water Softening Unit THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER &: WASTEWATER CONSULTANTS, INC. (Signaturc of propcdy owncr or outhorizcdeg.,,,~ Permit Fees: Date of Payment: ~7 - ] ~1 ' O ~._ Receipt Number. ~.~,~.~ Waiver Fees: Date of Payment: Receipt Number:. 'ALASI WATER & WASTEWATER CONSULTANTS, INC. July 15, 2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Proposed Septic System Design for Lot 14, Block 5, Knik View Estates Subdivision To whom it may concern: The proposed 3 bedroom house will be served by a community water system and a private septic system. Two test holes were excavated in the area of the proposed septic system. The septic system will be designed around the 30 foot radii of these test holes, We are proposing that a 1000 gallon septle tank and a five foot wide drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. The natural sandy insitu soils should act as a sand filter. 2. TRENCH DESIGN: a. Percolation Rate: <1 & <1 minutes/inch b. C. d. Des!gn How: 450 gallons per day e. Mimmum Absorption Area: 450 fl2 f. Total Depth: 9 feet (max.) g. Effective Depth: 4 feet Proposed Application Rate: 1.0 gallons/day/ft~ Number of Bedrooms: 3 h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 45 feet long k Effective absorption area = 450 fix 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.cora 4. TOPOGRAPHY: The area for the proposed scptic system is a 1%-5% slopcd running approximately southwcst to northeast; in short, there are no slope conccms. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Je ff~/ey P.E., M.S. Pre]idc~t ~ NOTE: Attached is a site plan drawing, a design drawing, two soils log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debar Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com " i II il II . II II II I I LOT 7. BLOCX ~; I I KNIK VIL'W ESTATES i NOTE: ALL PROPERTIES SHOWN ARE SERVED BY A COMMUNITY WATER SYSTEM I I LOT $. BLOCK Ill KNIK V~EW ESTATE~ II II ,..~! II I I II I I 5, B~K II I I KN~K ~ II LOT 3. BLOCK KNIK V1EW ESTATES I I I I LOT 12, BLOCK 5; LOT 13, 8LOCK 5; I(NIK V~[W ESTATE~ BEdrOOM HOUSE I I I I I I LOT 17. BLOCK 3; KNIK V1L'W ESTA'r[~ I I I I I / LOT 18, BLOCK ,3; / KNIK V~EW [:STATES I I j# ALASKA WATER & WASTESVATER' CONSULTANTS, INC. TOM with HEART LAND HOMES INC. (907) 746-4525 LOT 14, BLOCK 5; KNIK VIEW ESTATES SUBDIVISION SITE PLAN FOR PROPOSED SEPTIC SYSTEM / 'IRACT C. BLOCK 3; KNIK ~L-'W ,,ESTA~S 7/12/2002 DRAWN BY; J.LM. 1" = 100' PAGE NUMBE~ 10F2 LOT 2. BLOCK KNIK V1EV//ESTAT[~ 1]~T IS 9 tLLI ~ UAXluUu 8Y W~DE BY 45 tL~ LOfiG, ADD 4 tLLI ctx~, WAS~E~ SgW[~ D~.~N~OCr,. ~N~r~u. ~ / T~a~CH p~u~u~n ~0 SLO~E ~mou~s ~ / INSTALL CLEA~OUIS APPROXII/ATE LOCAllON OF' PROPOSED KEY BOX-- API~OXIWATE Lo~KrloN OF' P~OPOSED WAT[R +/- PROPOS~:D 1000 O~.LON THll ,~ SE]V~lC TA~K FOUNDATION CLr. ANO~T I: I I / NOTE: THE CONTRACTOR SHALL HAVE THE NORTHI LOT UNE FLAGGED BY A REGISTERED LAND SURVEYOR PR OR TO CONSTRUCTION. 7/12/2002 ALASI~. WATER & W~TEWATER, ~.J.o.. TOM w/ HEART ~ND HOMES INC. (907) 746-4525 2 OF 2 LOT 14. BOCK 5~ KNiK YIE~ ESTATES SUBDIVISION DESIGN DRAWIN~ OF PROPOSED SEPTI~ S~STEM / / / / / / / / I I i I I , / AI_AS I~ '~X-~ ~-W--~-S T EwA;F-I~-R "' CONSULTANTS, INC. ...... [S01L LOG - PERCO~TION TESTI ~ D~CRI~ON: ENOZ ~ ~A~ S/D; LOT 14, BLOCK 5, . o[P~ ~: 0R$./LOAU ITEST HOLE ~1l (feet) ~--~ GP & SP MIX SOIL CLASSIFICATIONS ~ GW ~ ORG ~ GP ~ ML GM CL GC OL SW MH SP CH SM OH SC DEPTH TO GROUNDWATER DATE 7/912002 7h .lo z_ DATE 7/9/2002 READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 1 - - 6" 2 - 41 O' 6' 4 - <1 O' 5 - - 6' - 6 - <1 O' 6' 18m PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) lg~ TEST RUN BETWEEN 4.0 FT. AND 5.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: r-lYES ~NO SOILS LOGGED BY: CAI_EBCALL PERCOLATION TEST PERFORMED BY: CALEB CALL COMMENTS: THE NATURAL SANDY INSITU SOILS SHOULD ACT AS A SAND F1LTER PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS ~AS/PERFORMED IN ACCORDANCE WEH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: ~)ll{,[O~' At-&SI(A W.a/I~ER & WAS I~EWATER , ISOIL LOG - PERCO~TION TESTI ~ DESCRI~ON: KNIK ~ ~A~ S/D; LOT 14, BLOCK 5, PERFORMED FOR.- H~O HOME INC. DA~ 7/9/2~2 ~~ ORG/LOAM ITEST HOLE ~21 GP & SP MIX SOIL CLASS!F]CATIONS ~ ow ~ ORG GM CL GC OL SW MH SP CH SM OH SC DEPTH TO GROUNDWATER DATE DRY 7/9/2002 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 7/9/2002 1 - - 6" - 2 - 4 O" 6" 4 - 4 O' 6" 6 - 4 O' 6" 18m PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19- TEST RUN BETWEEN 5.0 FT. ANO 6.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORHED: /--I YES III NO SOILS LOGGED BY: CALEB GALL PERCOLATION TEST PERFORMED BY: CALEB CALL COMMENTS: THE NATURAJ_ SANDY INSITU SOILS SHOULD ACT AS A SAND FILTER PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS ~{AS/PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN E~FLCT ON THIS DATE~ '"7]1~/0'~ i • '-� Municipality of Anchorage On -Site Water and Wastewater Program_ (907) 343-7904 CERTIFICATE OF ON-SITE .SYSTEMS APPROVAL. Parcel I.D. 051-043-54 Expiration Date: 1. GENERAL,INF.ORMATION Complete legal description Knik View Est Block 5 Lot 14 Location (site address) 22436 Judd Dr. Chugiak, AK Current Property owner(s) Kendall Huseman Day phone Mailing address 22436 Judd Dr. Chugiak, AK Real Estate Agent Day phone 2. TYPE OF DWELLING;.._, ® Single Family (wlwo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) j 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual N Individual Well ❑ Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class — Well ❑ Public Sewer ❑ Public Water System WaiverNariance request for: _ _ Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ d"_6 - Waiver Fee $ i Date of Payment (a `GD/ p ; Date of Payment Receipt Number Receipt Number COSA # 6 3C'(G 1 24;2 Waiver # COVID-19 25% DISCOUNT APPLIED Legal Description: Knik View Est Block 5 Lot 14 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA is filed with Onsite (or attached) Date drilled _ Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments B. TANK DATA Age of tank(s) 18 years Tank type/material Septic/Steel Measured operating fluid level in septic tank 49 05 Standpipes/foundation cleanout per record drawing Date of pumping 6/1/20 Parcel ID: Structure served by this system 1 nel nAll e.1 Well production at time of test apm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes 0 No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) n i c ug/L ❑ Arsenic less than MRL (ND) Coilecte Date of Sample C. LIFT STATION ❑ ' ed maintenance completed Age of lift statio years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 71WaDdr% Adequacy test date 5/28/20 ALL standpipes present per record drawing Results QPass For 3 bedrooms Total measured -depth from grade 8.2 ft (max) Fluid depth prior to test 8 in Measured depth to pipe invert from grade 4.2 ft (min) Water added 450 gal ❑ N/A — pressurized field New depth 12 in Monitor tubes go to bottom of effective. if not, state depth into effective Elapsed time 10 min Code -required soil cover over field Final fluid depth 8 in ❑ System presoaked Absorption rate 450x- gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons 1f yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑Yes if No ft Private Sewer/Septic Line > 25' ❑Yes if No ft Absorption Field on Lot? 100' Cj Yes if No ft Holding Tank > 100' ❑ Yes if No ft I Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft j ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to; (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water > 100' ® Yes if No ft i F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet 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 (a(e) 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 ARCTERRA CONSULTING, INC. -,Phone 696-6111 Address 20441 PTARMIGAN BLVD.. EAGLE RIVER. AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 6?9 •0 Jq Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen r OF AZ encroachments, deficiencies or discrepancies exist. 4 ((� 4.9 a i.-� 6. DSD SIGNATURE �- System #1 Approved for bedrooms. 4' KENNETH N t System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following >G\QP`IJTY p��7 AT P pag -vI ATE Jai"1114 4- -Try— yOriginal Certificate Date: �� 1 '%�CD The Municipality of Anchorage 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 141412.doc Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road - P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051 -043-54 1. GENERAL INFORMATION Complete legal description KNIK VIEW ESTATES Expiration Date: BLOCK 5., LOT 14 Location (site address) 22436 Judd Street - Chugiak, AK 99567 Current Property owner(s) Steven & Erica Martin Day phone Mailing address 22436 Judd Street - Chuqiak, AK 99567 Lending agency Day phone Mailing address Real Estate Agent Olmstead & Associates - ReMax Day phone 694-5050 Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A Well Public water System 3 TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding Tank [] [] Community On-site [~ [] Public Sewer ['"-] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy 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 ArcTerra Consulting, Inc. Phone. 868-3792 Address Z0441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Pdnted Name KENNETH M. DUFFUS Date 03/Z3/11 Engineer's Comments: This investigation was completed in compliance with ADEc and MOA regulations. The assessment of the condition of the Well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate dudng the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these vadous and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. DSD SIGNATURE '~/ Approved for '~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: · PROGRAM % .~ ~ ~_" .~.~' Attachments: COSA Checklist Septic System Advisory Well Flow Advisory :l,~te Advisor/~/~,/~7 X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (9O7) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: KNIK VIEW ESTATES BLOCK 5, LOT 14 Parcel ID: 051-043-54 A. WELL DATA Well type COMMUNITY-CLASS A Date completed Total depth f. Sanitary seal (Y/N) Cased to f. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: f. g.p.m. IfA, B, or C provide PWSID # Z 1 8409 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) __ AT INSPECTION g.p.m. in. Coliform colonies/100mL Nitrate __.mg/L Other bacteria __ colonies/100 mL Arsenic: __mg/I Date of sample: SEPTIC/HOLDING TANK DATA Collected by: Tank Type/Material Septic/Steel Date installed 7/ZS/Z00Z Tank size 1000 gal. Number of Compartments Z Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High wateralarm (Y/N) N Date of pumping 03/23/11 Pumper JRs C. ABSORPTION FIELD DATA *Total depth from existing grade measured 3/23111 Date installed 7/25/2002 Soil rating (g.p.d./ft2 or ff2/bdrm) 1.0 pod System type Trench Length 45' ft. WidthSff. Gravel belowpipe 3,98 f. Totaldepth*8.1 5 f. Eft. absorption area 450+ fi2 Monitoring tube Y Depression over field N Date of adequacy test 3/23/1 1 Results (Pass/Fail) Pass For 3 . bedrooms Fluid depth in absorption field before test 0 in. Water added 490 gal. New depth Oin. Elapsed Time: O__min. Final fluid depth O in. Absorption rate >= 450+ Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date __ g.p.d. LIFT STATION Date installed NA Size in gallons "Pump on' level at in. "Pump off' level at in. Datum Cycles tested Manhole/Access (Y/N) High water alarm level at in. Meets alarm & drcuit requirements? SEPARATION DISTANCES - COMMUNITY WATER SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NA Absorption field on lot NA Public sewer main NA Sewer/septic service line NA Animal containment areas NA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: On adjacent lots NA On adjacent lots NA Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas NA Absorption field 5'+ Surface water 1 00'+ Building foundation 5'+ Property line 5'+ Water main 1 0'+ Water service line 1 0'+ Wells on adjacent lots Z00'+ Water main 10'+ Driveway, parking/vehicle storage. Z $ '+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 1 0'+ Building foundation 1 0'+ Water Service line 1 0'+ Curtain drain NONE KNOWN Z00'+ COMMENTS Surface water 1 00'+ Wells on adjacent lots G. ENGINEER'S CERTIFICATION I certify that I have determined through fieldinspections and review of Municipal records that the above systems aro in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name KENNETH M, DUFFUS Date 3/23/11 COSA Fee $490.00 Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.munLorglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING ParcelI.D. 051-043-S4 1. cos^# rYT. Expiration Date: / &- i ' OR GENERAL INFORMATION Complete legal description KNIK VIEW F.q'A'I'E~ RLOCK ~: lOT 14 Location (site address) ?2436 Judd ~;treet - Chugiak; AK fl_q~;67 Current Property owner(s)Von & Deborah .(;tephens Day phone Mailing address PC) Rex 670929 - C. hugiak: AK 99567 Lending agency Day phone Mailing address Real Estate Agent Mailing Address B~iley & Associates Day phone GRg-G4S1 1GG3S Centerfield Drive: Ste. 103 - Eagle River~ AK _qgS77 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBEROF BEDROOMS: ;~ 3. TYPE OF WATER SUPPLY: Individual Well ' [] Individual Water Storage [] Community Class ~; Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer [] [] [] [] The Municipality of Anchorage D~velopment Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a pedod of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Muriicipality 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 Arc. Terra Fngineering & Surveying: Inc. Phone 868--~797 Address 20441 PTARMIGAN RLVD.: EARl F RIVER: Al( .q9577 Engineer's Printed Name KENNE'TH M. DLIFFUS Date 1 ?/19/07 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate dudng the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the eva uator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. \-~. Approved for '~ bedrooms. Disapproved. Conditional approval for ~ bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: t "~--'- ~ ! -- O 7 Municipality of Anchorage Development Services Department Building Safety Division On. Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: KNIK VIEW E.C;TATE.C; I~LO£K F,= LOT 14 Parcel ID:~ A, WELL DATA Well type COMMUNITY-CLASS A Date completed Total depth ft. Date of test If A, B, or C provide PWSID #_.~,J_~_~LQ~ Well Log (Y/N) Sanitary seal (Y/N) Wires properly protected (Y/N) Cased to ft. Casing height (above ground) FROM WELL LOG AT INSPECTION in. Static water level Well production WATER SAMPLE RESULTS: g.p.m, g.p.m. Coliform colonies/100mL Nitrate Arsenic: mg/I Date of sample: B, SEPTIC/HOLDING TANK DATA mg/L Other bacteria Collected by: colonies/100 mL Tank Type/Material_~ Date Installed ..~ Tank size 1 000 gal. Number of Compartments2 Cleanouts (Y/N)Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping _1.~/18/07 Pumper _Sanitary c. ABSORPTION FIELD DATA *Total dept~ horn existing grade measured 12/19/07 Date installed.Z/_~$oil rating (g.p.d.lft=or ~lbdrm)~l.~l;~L._ System type Trench Length .45' fl. Width -s_ff. Gravel below pipe 3,98 ft. Total depth '8,1 S ff. Eft. absorption area 450+ ft= Monitoring tube Y Depression over field N Dat(~ of adequacy test 12/19/07 Results (Pass/Fail) Pass For.'3__ bedrooms Fluid depth in absorption field before test D in. Water added_4.S0_ gal. New depth .O_in. Elapsed Time:.0_min. Final fluid depth.D_ in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give clare ..... LIFT STATION Date installed NA 'Pump on' level at Datum Size in gallons in. 'Pump off' level at Cycles tested. SEPARATION DISTANCES o COMMUNITY WATER SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NA Absorption field on lot NA Public sewer main NA Sewer/septic service line NA Animal containment areas NA in. Manhole/Access (Y/N). High water alarm level at in. Meets atarm & circuit requirements? On adjacent lots NA On adjacent lots NA Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas N^ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5 '+ Absorption field 5 ' + Water main 10'+ Water service line 1 Wells on adjacent Iots.._.~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 1 0'+ Water Service line 1 O'+ Surface water 1 0 O' + Driveway, parking/vehicle storage Curtain drain __~Wells on adjacent lots _.~ F. COMMENTS ENGINEER'S CERTIFICATION I cerfify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name KENNETH I~1. DUFFUS Date 1Z/19/ZO07 COSA Fee $430.00 Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number LOT 1 4 ._J SEPTIC (.D VENTS '--"='- Z ~ 2.0'x4.T FP rn 'e ~.z' I~- CONC U') PATIO -- 82.0' 32.0' LOT 15 COVERED -- ENTRY WALK S84'56'27"W (S84'54'39"W 190.52' NR 190.46' R) LOT 1 5 ANCHORAGE RECORDING DISTRICT ASBUILT OF: KNIK VIEW ESTATES LOT 14 BLOCK 5 PLAT 86-113 S UR.VI~.Y CERTIFICATION: I, .lohn L. Scbuller, have conducmd physical sur~ey pf this property as sh~..w~ on ~is drav~n8 and that u-nprovements s~ma. ted t~ereon are w~thm t~e p~ok, eny lines and no any in form.ation on Ibis drawing be used for conslruction of fonce~, slructures, ~mprovements, or for establishing boundary lines. ~F~e CI~USION NOTES:It is thc owners responsibility to dete~nlne do not appear on t~c recorded subdivision plaL Municipality of Anchorage Development Services Department Building Safety D~vision On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-043-54 1. GENERAL INFORMATION Expiration Date: ~ ~ ~ - ~ ~,, Complete legal description KNIK VIEW ESTATES SUBD~SION; LOT 14, BLOCK 5, Location (site address or directions) 22436 JUDD $¥REET * CHUGIAK, AK 99567 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address HEARTLAND HOMES INC. Day phone 746-4525 P.O. BOX 3434 · PALMER, AK 99645 Day phone LES BAILEY w/ PRUDENTIAL VISTA Day phone 689-6464 16635 CENTERFIELD DRIVE * EAGLE RIVER, AK 99577 Unless othenvise requested, 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 'A" Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ to closing for the engineering services provided. at, or prior 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 Health Authority Approval Guidelines for this app#cation. shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional end adequate for the number of bedreoms and type of structure indicated herein. I further verffy 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 ALASKA WATER &: WASTE'WATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Phone 337-6179 Date ~/3,o/~ Engineer's Printed Name JEFFREY A. CARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis cf the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reporied results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, greundwater levels that may fluctuate during the year, and the water usage of the family being sen/ed by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKI/WVC, thc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE [,'"'"" Approved for ~ bedrooms. Disapproved· Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 w',w~,ci.anchorage.a k.us (907) 343-7904 HEALTH .b, UTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA KNIK VIEW EST. S/D; LOT 14r BLOCK 5~ Parcel ID: 051-043-54 Well type. 'A' IfA, B, or C provide PWSID# 21s4o9 Well Log (Y/N) Date completed Sanitary seal I ~ ~ ~rasproperiy protected (Y/N) T,, ~ .Cased to ' ft. Casing height (above ground) Date of test Static water level FROM WELL LOG ATINSPECTION WATER SAMPLE RESULTS: In. C°lif°~trate ~mg./L. - - r~ A ' ' · Date of sample: Collected by' SEPTIC/HOLDING TANK DATA Tank Type/Material :51 ~.EL Tank size,. 1000 gal Number of Compartments 2 Date installed Cleanouts (Y/N) colonies/100 mi. Co Foundation cleanout (Y/N) .YES Depression over tank (Y/N), NO Date of pumping NEW Pumper ABSORPTION FIELD DATA Date Installed 7/25/2002 Soil rating Or ft~/bdrm)..1, .0 Length 45+ ft. Width 5.0 ft. Total depth*~.a4-1o.3aft. Eft. absorption area 450+ ff~ Monitoring tube YES Date of adequacy test NEW Results (Pass/Fail) - Fluid depth In absorption field before test - in. Water added - gal. Elapsed Time: - min. Final fluid depth - in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & lype) , - 7/25/2002 System type, TRENCH Gravel below pipe, 3.98 ft. Depression over field NO For .3 bedrooms New depth - in. - g.p.d. If yes, give date, - High water alarm (Y/N) N,/A YES Septic tangier station on lot Absorp{ion field on lot Public sewer main D. LIFT STATION '' -- Date Installed_ ~ .' Size in gallons ~ ~on'levelat' in. 'PcU¥;:;l~sted. in. M Heei;;a~V; 'rr~e r&al~r cr~u i;:eel ~',e m e n, s? in. E. SEPA. TIO. DISTANCES CO M M U N ITY WAT£R SEPARATION D STANCES FROM WELL ON LOTTO: .. On adjacent lets ~ Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main 10'+ Water service line 1 Wells on adjacent lots 200'4- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN Absorption field 5'+ Surface water 100'4- Building foundation 10'+ Surface water 100'4- Wells on adjacent lots 200'4- Water main 10'4. Driveway. parking/vehicle storage 25°4- Fo COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are In conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Date JE~FREYA. CARNESS Waiver Fee $ Date of Payment Receipt Number. Oct 02 02 O~:~?p Rolston p.l AS-BUILT SURVEY LOT 14, BLOCK $ KNIK VIEW ESTATES PREPARED BY: TRuE NORTll SURVEYS POBOX 670812 CHUGIAK, AK 99567 907-688-1770 dlttn$~gci.ne! 1. David L Lucas. ILLS 8263. hereby ccnif~ ~at I have surveyed Lot 14. Blk $. ICnlk View Estates. in the Anchorage Recording District. and that the improvements show~ he,on do not encroach or overhang adjacent properties, and thai improvements on adjacent properties do not encroach or overhang this property, and thai there are no visible roads. ~rails or oaseracn~s, except as shown hereon.