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Home My WebLink AboutGLENN VIEW ESTATES WEST PH 2 BLK 2 LT 4Glenn View West #2 Block 2 Lot 4 #051-793-25 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage. AK 995196650 www.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Eel �..,1y Page /of Permit Number. SW010456 Name: MM&M Contracting. Inc. Add.: PO Box 670495. Chugiak. AK 99567 Phone 688-1236 Block: 2 Township: Well: Number of B.dmons: 4 LEGAL DESCRIPTION Lot SWmnuon: 4 GLENN VW. ESTATES WEST PH 2 RAMA Section: 0 New 0 Upgrade Classification (Pinata, /1/413, CI: Public YAW: Taal Dear: IGesd to: FI. FL Dee Dived: static Water Level: Ft. I Pump Set et I Cava Hewn Above Ground: Fl GPM FL SEPARATION DISTANCES To Septic From Tank Absorption Field Wel 200'+ 200'+ Surface Water 1001+ 100'+ La Ln. 5'+ 10'+ Foundabon 5'+ 10'+ Curtain Drain NA *50'+ Remarks: *none known Field Insulated Lift Station NA NA NA NA NA Holding Tank NA NA NA NA NA Inspections performed by: KND Engineering, Inc. PublidPrivate Sewer Line 25'+ PID Number. 051.793.25 Wastewater System: ® New 0 Upgrade ABSORPTION FIELD 0 Deep Trench as Shallow Trench 0 Bad 0 Mound 0 other. So. Rating: 0.8 GPO/Fe Depth to ppe bonen from original grads: 2.5 FA added above anginal grade: 0.88-6.59+/- Grh.l ,dth: 5 Total abwpbar area: 800 Installer: Turner Const. FI. FI. FI. Fr Taal Depth from orgn.r grade: 4.5 Gravel depth ban .th pp.: 2.0 112 Gravel Length: FI. FL Ft. Number of Mian: I Distance between nes: 2 10+ Pips Ma4aW: SCH40 & F810 Date Mulled: TANK S Septic 0 Holding 0 S.T.E.P. MmutaUuer: Greer Tank Maimed Steel Sae. 'Pump on' level aL Pump Melia S Model LIFT STATION Manufacturer. Gel. 'Purim olf level aL In. Location and Desolation: Bottom of siding Dates: 11/28/01 Ebancal Inspections p.do mad by BENCH MARK 1" 11/28/2001 2md 11/28/2001 e" '• me none Development Services Department Approval 34/0140C 91 « ••••-••••• /d tie; Kenn. Ft. 0 Other. cap.cay: 1250 cel. Number a Compartments: 2 High water alarm aL Assured Lavation. 100 FL Engineer's Stamp E OF AC''''11 S�Q� ••''....ee•ee 421 •%.'4 "5 •r_ Q .g;• • . Reviewed and approved by: (Rev.lZaol /c/ re -et Date: /6 - 3 / -o3 14 Nom'. Ce 71 AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SW010456 GLENN VIEW ESTATES WEST VD, LOT 4, BLOCK 2 PID#051-793-25 A -C= 28.0' B -C= 24.0' A -D= 29.6' B -D= 28.4' A-E= 26.6' B-E= 62.4' A -F= 58.3' B -F= 41.3' A -G= 40.9' B -G= 73.6' A -H= 67.7' B-H= 57.9' A -I=42.4' B -I=51.8' TOR TutC MONITOR Tut( FINAL GRADE It✓IY'Iv-1 -. n .I C�ICI4��Ly�(yy fart. IMM:\ 'MytATIOM SCALE: ArS-Ci.PF A4 fed. NTS SEWER ROCK TRENCH 1 56 Ilt of47 Il FINAL GRADE rauknufrnwmuliIii±rn-� IL I� fLK1IMlG\ /M4LLfip1 L IOM: TCR IRK =TMCIT SEWER ROCK TRENCH 2 YAMS r 7 X89 3 89.3 I >� II CIIJILy II It-IIF-IIHII--III--IIHIFyll�ltj 56'I < 80.75) PREPARED FOR: REX TURNER ARCTIC DEVCO, INC. P.O. BOX 3489 PALMER, ALASKA 99645 FIELD BOONS GNAWED: eek."" SEWARD STAMM* AgIU" LANG 10/29/02 oM6. nc: NW1459 ACAs nc: 01101.DWG '08 M' 01101 MAU . VBG ocacm KMD OAR GRIM SCALE:AL�D NTS }} J11��,dV ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 11 (907)898-8111/FAX (907)898-8111 1K„iV ID ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 1 SOILS PERCOLATION TEST Performed fon. Turner Construction Project: Glenn View West Est. Ph2,132, L4 Depth (Feet) is ORG — brown overburden 1 2 a ..r GM/GP — med dense, brown w/ cobbles 6- 7- 8-, B.0.11.- Bottom of trench Material consistent along trench. 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 1IOLE PRESOAKED 20- PRIOR TO TEST OF iSCP; .••'".......,, .er 4. 's * • ' 4W �I f•,� C'e 711'FI : �� le �pROFEss0.1 Date Performed: 117S1431..".4g* TEST HOLE # 01-1 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monitoring? NO What depth? NA Date? NA Reading Date Gross Net Depth to Net Time Time Water Drop 1 11/28/01 1:00 2 1:10 3 * 1:11 4 1:21 5 e 1:22 6 1:32 7 ' 1:33 8 1:43 9 • 1:44 10 1:54 11 • 1:55 12 2:05 ' Water Added 6" - 10 min 212/16" 3 4/16" 6" 10 min 2 15/16" 3 1/16" 6" 10 min 3" 3" 6" 10 min 3 2/16" 214/16" 6" 10 min 3 1/16" 2 15/16" 6" 10 min 3 1/16" 2 15/16" Percolation Rate 3.4 (min/in) Pere Hole Diameter 6" Test Run Between 4.5 feet and 5.5 feet 1, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. 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 / T 7#%p(c rroii 11- 28 - 0 / /EDO q, et, 2= ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Oct 31, 2001 Expiration Date: Oct 31, 2002 Permit Number: SW010456 Parcel ID: 051-793-25 'Legal Description: GLENN VIEW ESTATES WEST PH 2 BLK 2 LT 4 Design Engineer: 0070 KND Engineering Site Address: Owner Name: Tumer Construction Lot Size: 40881 SO. FT. Owner Address: PO Box 3487 Total Bedrooms: 4 Permit Bedrooms: 4 Palmer , AK 99645 - This permit is for the construction of: G Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well • 0 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 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: Issued By: Date: *VC) l Date: ( /4( Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O5/-793— l s_ Property owner(s) Turner Construction Mailing address (1) PO Box 3487. Palmer.AK 99645 Mailing address (2) 0 i t y Permit Number SW 0 I d tiSfo Day phone 242-4555 Zip Code Legal description (Lot, Block & Sub'd.) Glenn View Estates West. Phase 2. Block 2. Lot 4 Legal description (Section, Township & Range) Lot Size 40,881 Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ® Well Only Sewer and Well 0 Water Storage Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub • 0 Jacuzzi Swimming Pool 0 Water Softening Unit Therapy Pool ❑ 0 0 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. (Signature of property owner or authorized agent) Permit Fees: 't 320 Waiver Fees: Date of Payment: 10123/OI Date of Payment: Receipt Number: 111513 `/_. Receipt Number: (Rev. 12/00) AK.dV`' D ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 U (907)696-6111/FAX (907)696-8111 October 22, 2001 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New sewer permit — Glenn View Estates West Phase 2, Block 2, Lot 4 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. On April 19, 1999 one testhole was excavated for the proposed septic system. The result of the test is attached. The general slope of this lot is flat or of moderate slopes from northwest to southeast at a grade of approximately 3 - 7%. We have designed our system utilizing the testhole we excavated for the 4 -bedroom house, which is proposed for this lot. The lot will be served by public water. We propose to install a 5' wide shallow trench. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, END Engineering Kenneth M. Duffus, P.E. Attachments: On -Site Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN GLENN VIEW ESTATES WEST S/D, LOT 4, BLOCK 2 L KND Lot 9 S Lot 8 • • Lot 3 NINIgtop s S a 1116 St Lot 4 Lot 7 Lot 6 AO PUBIC WELLS WITHIN $00' Cr PROPOSED SYSTEM PC PRIVATE YELLS WITHIN ;!00' CA PROPOSED ST$TCH EXCEPT AS ROTCD PC SEPTIC SYSTEMS WITHIN E00' Of PROPOSED VCLL EXCEPT AS NOTED. ��. DF' 4444,5 .9I DUV'S '''£ss101414,' ../ CE -7116 DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD 600 GPD/.8 GPD PER SO. FT. (1.6 MIN/IN.)= 750 S0. FT (750/5'(V)) X .70(RF) (2.0' GRAVEL) = 105 FT. TRENCH USE 2 TRENCHES - 53 (L) X 5' (V) X 2.0'(D) Total depth of system is 4.5' from original grade. Total depth of grovel below distribution pipe is 2.0' . NOTES: • 1. USE 1250 GAL SEPTIC TANK AND INSULATE 1F LESS THAN4' OF COVER. MAX BURIAL DEPTH = 4' OF COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR VILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL VILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REOUIRED. 5. CONTRACTOR VILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS. LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. PREPARED FOR: REX TURNER ARCTIC DEVCO, INC. P.O. BOX 3489 PALMER, ALASKA 99645 FIELD 8004(5 Ca JTED: DRAWN: VBG ocLRED KMD "JaR" sEWARD SEWARD SEWARD CAC fu STAKING ASDtRT: I DATE I Aum RC: 01101.DWC 'DDR"' 10/30/01 NW1459 Scale: 1'= 100' PAGE 1 OF 2 LEND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 01101 (907)898-8111/FAX (907)698-8111 eD 4 'OUSE WASTEWATER DISPOSAL SYSTEM DETAILS GLENN VIEW ESTATES WEST 5/1), LOT 4, BLOCK 2 FCO 69' PROPOSED 1250 GAL SEPTIC TANK CO ZABEL Z200 FLOW DIVIDER 29' I ti/ 1C' SCO CO -- MT MT# O CO 4i =9-2/4 Lot NT 11' a CIF 44S ‘ 4,4 "Pr..*/ KENNETH N. DU CE -7118 •ilf ••...s_ wAir 'TiSS1oNo•I' PREPARED FOR: REX TURNER ARCTIC DEVCO, INC. P.D. BOX 3489 PALMER, ALASKA 99645 FIELD BOOKS I 1 1 °0LO"" SEWARD s'"""' SEWARD A" SEWARD ow. nu: ""D ru` 01101.DWG caw¢a anew: VBG ammo: KMD Del[: uo XS NS: 10/30/01 NW1459 01101 Scale: 1'= 20' PAGE 2 OF 2 "END ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)898-8111/FAX (907)698-8111 KND ENGINEERI ; 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 !y, ' ;. - x_ :'til. wd1_i_2 1p Performed fon Project: Depth (Feet) 15- 16- 17- 18- 19- 20- ..r` v• ?'L4!l1 V •:::1,011 or •�1 !��',�. X91/ '/*ztir9Th _S */et .. ./ . -"x_31- ._ter — itrS_ r co tenth rxt �em Cr7116 Date Performed: 04/1 SOILS PERCOLATION TEST Arctic Devco Lot 4, Block 2, Glenn View West ORG — black rootmat SM — w/ some rootmat GM/SM loose to med. dense, med. dense to bottom B.O.H. HOLE PRESOAKED PRIOR TO TEST IWas Ground water encountered? NO TEST HOLE 11 99-2/4 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Depth to water after monitoring? NO What depth? NA Date? 05/15/99 Reading Date Gross Net Depth to Net Time Time Water Drop 1 2 3 4 5 6 7 8 9 4/19/99 4:15 10" - 4:25 10 min 24/16" 712/16" • 4:26 10" - 4:36 10 min 212/16" 74/16" • 4:37 - 10" - 4:47 10 min 3 4/16" 612/16" • 4:48 10" - 458 10 min 312/16" 64/16" • 459 - 10" 10 5:09 10 min 312/16" 64/16" 11 • 5:10 10" 12 5:20 IO min 312/16" 64/16" Water Added Percolation Rate 1.60 (min/in) Pere Hole Diameter 6" Test Run Between 4 feet and ;t feet I, Kenneth M. Chaffin, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. JKND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907) 696-6111/FAX (907) 696-8111 April 26, 2002 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Inspection Report Delays - Glenn View Estates West Gentlemen: The on-site septic systems listed below have been installed as permitted. At present, we have not received the as -built surveys from the property owner and we are unable to submit the inspection reports. Once we have obtained the needed information from the property owner, we will submit the inspection reports and all other required documents for your review and approval. • `Glenn View Estates West Lot 3, Block 11 • Glenn View Estates West Lot 11, Block 1 Glenn View Estates West Lot 4, Block 2 • Glenn View Estates West Lot 8, Block 2 • Glenn View Estates West Lot 3, Block 2 If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully, MD Engineering, Inc. rent M. Western cc: file Municipality of Anchorage KtulK LOcie ( Development Services Department V Building Safety Division On -Site Water 8 Wastewater Program . 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF. ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1.13. -025 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address COSA# O(r,hDR Expiration Date: 3 - a. a— 07 WEST" GLENN VIEW EST. PHASE 2, LOT 4, BLOCK 2, 21241 PAULA SUE CIRCLE • CHUGIAK, AK 99567 ROBERT & BARBARA EVANS P.O. BOX. 772432 Day phone 250-4630 Day phone REGAN RUSSEY w/REALTY EXECUTIVES Day phone 244-0225 341 W. TUDOR ROAD. SUITE 103 * ANCHORAGE. AK 99507 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 0 • TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer 0 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 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. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my I cation, investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this app 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelinos B Regulations. The reported results described the performance of the system under the conditions encountered at the time of the fest, and separation distances measured to readily Identifiable features. The operational life of ell wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Sat isfa � test results do not guarantee future performance of the system, nor do they guarantee there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC a MOA DSD. The content of this report is for the sole benefit of the owner listed above. My reliance upon or use of this report by any other person or party Is not authorized, nor will ft confer any legal right whatsoever. 5. DSD SIGNATURE Approved for L.1 bedrooms. Disapproved. Conditional approval for Phone Date 337-6179 bedrooms, with the Mowing stipulations: `; • ON-SITE ..-.17c/r- t :� _ • m. . WASTEWATFR trtrivATEFAND o•••• PROGRAM Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory ey Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other /R-, 11M1 stwv- Original Certificate Date: 3 - 02 2- 0 6 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 6 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 we5r Legal Description: A. WELL DATA Well type Date completed Total depth GLENN VIEW EST. PHASE 2, LOT 4, BLOCK 2, PUBLIC WATER If A, B. or C provide PWSID# Well Sanitary seal Y . Wires properly protected (Y/N) Cased to ft Casing height (above ground) in. AT INSPECTION Parcel ID: Date of test Static water level Welt production FROM WELL LOG / ft. WATER SAMPLE RESULTS: Coliform Arsenic: B. SEPTIC/HOLDING TANK DATA Spm colonies/100 ml. Nitrate mgJL. Date of sample. Tank Type/Material Tank size 1250 9aL SEPTIC / STEEL Number of Compartments 2 / ft. gpm Foundation cleanout (Y/N) YES Depression over tank (YIN) NO Date of pumping 3/14/2006 Pumper C. ABSORPTION FIELD DMA Date Installed 11/25/2001 Length 112 ft. colonies/100 mi. Collected by: Date installed 11/28/2001 Cleanouts (Y/N) YES High water alarm (Y/N) N/A JR's PUMPING I'BELOW EXISTING GRADU Soil rating (g.p.dJft'orte 0_8 Width 5 ft. Total depth 45.5-11.6 ft. Eff. absorption area 800 ft' Date of adequacy test 3/10/2006 System type SHALLOW TRENCH Gravel below pipe 2 ft. Monitoring tube YES Depression over field NO Results (Pass/Fall) PASS Fluid depth in absorption field before test"'9 in Elapsed Time: 132 min. Water added 823 gal Final fluid depth 15 In. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) **TESTED THE NORTH WEST TRENCH For 4 bedrooms New depth 21 in. 600+ g p d NONE KNOWN If yes, give date — 1 D. LIFT STATION Date installed Size in gallons Manhole/ "Pump on" level at in. "Pump off Cycles tested Meets alarm & circuit requirements? High water alarm level at In. Datu E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: PUBLIC WATER Septic tank/lift station on lot On adjacent lots Absorption field on lot Public sewer main Public sewer manhole/deanout Sewer /septic service lin - Holding tank Ani , : - inment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 51+ Water main 10'+ Water service line 10'+ Surface water 1001+ On adjace Wells on adjacent Tots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 101+ Surface water 100'+ Wells on adjacent Tots 200'+ Water service line Curtain drain NONE KNOWN F. COMMENTS 10'+ Driveway, parking/vehicle storage 10'+ G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems am in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Date r f• lot* JEFFREY A. GARNESS • y A. t. nsas; CE -7953 0feeip COSA Fee Date of Payment 3 4, Jib Receipt Number (Rev. 11/05) 5( 946' Waiver Fee $ Date of Payment Receipt Number 03/16/2006 11:37 9073449821 03/13/2006 16:06 907344982/ JRs Pumping PO Bnx 773115 Bath Rinr,AK 99577 OfRa: (907) 694.6131 Fat (907) 344.9121 F iItingJnforntsport 1 Gamest Engineering Group 3701 E Tudor Road Suite 101 Anchorage, AK 99507 (807) 337-8179 Meagan & Chris JRS SEPTIC JRS SEPTIC Jak, DoeoN6an' 1250g P 0 Number Tis Net 30 a.nrp: Nlkole Mao Book blob site Information I Cross Sten' Voyles Blvd Remy. Robert Evans, home owner Job Comrwe. Fast seNiCe 10/13/04 21241 Paula Suo Circle CnuOtak, AK 99587 (907) 337.8179 Additional Location Comments dro•r+: Jvlara'n.trg Uo:1t tan house wf 0. 4bdrrn sepse in back - go to lett when facing rause. Front of tank le under deck. short board allows YCcess. Service Type Contractor Job City Price Each 1 8115.00 1n2s AfrA3,r. 9 Calm 6••C. LinnetD Coen '}-e Tax? No NomTw.ble TMS Cairn! Charger. 3115.00 Atha! Chortles: PAGE 02 PAGE 02 Service Agreement Number: 019352 Order Date: 13 -Mar -2008 Sentra Date: 14 -Mar -2008 12:0 Technician: Tony & Steve Tee %: 0 Jeb Typ.' Repeat Map Ord: 21 1250g Cations Planned: 1250 Gal. Actual' resale Total 30.00 Hose Length: 1.5 Double Tani: ❑ Pumo System' Baffles Inlet 0 Baffles Outlet 0 Extension alktual 8115. //S.= Tax Total Mend Tots 30.00 3115 00 Cato net .ISI PIP* Waw and eendtlene PMtea Signature and TON d Cuelor r R TMs la p eINCIM3 AGREEMENT. Accs9Nd by JR* Dete Accepted Fee yes ease eem,wre. w Beset Amaral Gmrrn. ()cos. VS. and Mem& Care Par.nenla OW. P. plane Aar 30 Da). a tooni. a ba meadow be toilette's. 325.00 Fee NSF Cheeks Returned. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program • .4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL Parcel I.D. 051.793.25 1. FOR A SINGLE FAMILY DWELLING SiAgb HAA# j//a naGSG-o Expiration Date: /0- 3 / - v :3 GENERAL INFORMATION Complete legal description GLENN VW. ESTATES WEST PH 2. BLOCK 2. LOT 4 Location (site address or directions) NHN PAULA SUE CIR.. CHUGIAK, AK 99567 Current Property owner(s) MM&M CONTRACTING, INC Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. PO BOX 670495, CHUGIAK, AK 99567 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 4 Day phone 688-1236 Day phone Day phone 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 5 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 sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer s work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority 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 KND Engineering, INC Address 20441 Ptarmigan Blvd. Eagle River, AK. 99577 Engineer s Printed Name KENNETH M. DUFFUS Phone 696-6111 Date 10/30/02 O> :a .. __ ..I.... ..• • 5. DSD SIGNATURE I c+s. r W�'' t- Approved for bedrooms. O��sc• c::1 ago cr"' Disapproved. a�vti(i`� m00 -us Conditional approval for bedrooms, with the following stipulations: By: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory (Rev. 12X0) X • • ON -SI I E : 'e WATER AND • m WASTEWATER o- PROGRAM' FNS JSENA j 11) Maintenance Agreements Supplemental Engineer s Report Other Original Certificate Date: / 0 - 3/-0-2. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South BMW St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Glenn View West Estates Phase 2. Block 2. Lot 4 Parcel ID: 051.793.25 A. WELL DATA Well type PUBIJC If A, B, or C provide PWSID # _ Well Log (YM) Date completed Sanitary seal (YM) Wires properly protected (YM) Total depth ft. Cased to ft. Casing height (above ground) FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m g.p.m. WATER SAMPLE RESULTS: Col form colonies/100 ml. Nitrate mg.A. Other bacteria colonies/100 mt. Arsenic: mg./I. Date of sample:_ Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material seotic 1 steel Date installed 11128101 Tank size 1250 gat. Number of Compartments L Cteanouts (YM) f Foundation cleanout (WN) Depression over tank (YM) &High water alarm (YIN) f Date of pumping NA - New Tank Pumper C. ABSORPTION FIELD DATA Date installed 11/28101 Soil rating (g.p.dJft2 or ft2Ax1r)1Q.§ System type Trench Length 112 ft. Width �_ ft. Gravel below pipe j ft. Total depth 41 ft. Eff. absorption area J00 ft' Monitoring tube I Depression over field )y Date of adequacy test NA - New System Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test _in. Water added _ gal. New depth _ in. Elapsed Time: _min. Final fluid depth in Absorption rate >= g.p.d. Arty rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date 0. LIFT STATION Date installed NA Size in gallons Manhole/Access (Y/N) Pump on level at _in. Pump off level at _ in.High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main On adjacent lots On adjacent lots Public sewer manhole/cleanout Sewer /septic service line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line S_+ Absorption field 5'+ Water main 101+ Water service line 10'+ Surface water 100'+ Wells on adjacent Tots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water Service line 101+ Surface water 1001+ Curtain drain 50'+ Wells on adjacent lots 200'+ F. COMMENTS • G. ENGINEER S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems am in conformance with MOA HAA guidelines in effect on this date. Engineer s Printed Name Kenneth M. Duties Date 10131102 HAA Fee $375.00 + Rush Fee $150.00 Date of Payment 10/31/02 Receipt Number 27(400 (Rev. 12/01) Water main 101+ Driveway, parking/vehicle storage 20'+ Jr% OF 44. 11 • `± * /_ F. Waiver Fee $ Date of Payment Receipt Number 471.44 ,, ` is; IKerterFi, r.�. �. frit§ ; 94•14 P tizo ft. II PAPOFESSO" Y .'.. `•`ANY..-• ' A'.. (♦ or t i ,.• P:en. s' 1r..;:T-‘+.'y • : r'. $. .». I. .•os.. .a..y . • ,. �1:. •t'-' '- v • N .• - . :_.•-+ AS -BUILT.. -+ 1 hereby certify that 1 have Surveyed the following described G1.• , n.✓ s -c. E:1+.t.41 :ubc'No, 2 Set` 'e' tf;TIr rR7,V+3Mr. - Anchorage Recording Precinct, Alaska, and that the improve- r ments situated thereon are within the property lines and do not ' . overlap or encroach on the property lym& adjacent thereto, that . no improvements on property lying adjacent thereto encroach on the premises In question and that .there. are ,no roadways,: transmission lines or other visible easements on said property. • except es indicated hereon.:. .: ' -- -Dated at Eagle River,'Aliski-. ' 1 -• this 3 I-- d.y of tT`/^ e . 2001 - • ROBERT C. JOHNSON )4 Co.'4, • SCALE: - Registered Land Surveyor Not -840 -I 5 N- O 'Box 77-0456, Eagle. River, Alaska y577 Phone (907) 694-2543 ., '