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T15N R1W SEC 19 LT 39
T15N R1W Section 19 Lot 39 #052-241-28 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.ci.anchorage.ak.us (907) 343-7904 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number: SW020429 PID Number: 052-241-28 Name: HJALMAR & MARIA SYVERSEN Address: 17720 WERRE STREET * CHUGIAK, AK 99567 Phone: No. of Bedrooms: (907) 688-2064 3 LEGAL DESCRIPTION Block Lot - 39 Township: 15N WELL: Subdivision: Rouge: 1W Section: 19 E] New 0 Upgrade�� Cloenrwum (Pnwl.• &LC}. Total • Cased Ta R rt Odle: ciASI\NO Data Dnbod: Static war tont R I Pump sat At re* NORM Anon Garet R R fin SEPARATION DISTANCES To Septic From Tank well Surface Water Lot Une Foundation Curtain Drain Remarks: Absorption Field 100'+ 100'+ *2' 10'+ Un Station 100'+ 100'+ 5.-1- 50+ '+5'+ NONE KNOW ‘I Wastewater System: 0 New Page 1 of 3 ■ Upgrade ABSORPTION FIELD a Deep Trench ■ Shallow Trench 0 Bed D Mound Sol Eater w ooer' Tool Myth Nan anginal grader 6.0 GPO/Sa R 5 MAX. n. aper b PM bottom horn aWnol pro& Crawl depth b.nsolh Pke 2.34 MAX. R 0.56 R /• aided be etyma erode qr...l length: SEE DWG. n. 30 n. Omni Inas Mabee M Imo aleto,c• between bis 5.0 R 1 — R Tota et.aptbn area Mpg sneak 150 so. R D-3034/F-810/SCH. 40 PVC AMC,Installsn INC Dots10 25-30/2002 TANK 0 Septic 0 Holding N S.T.EP. HTankg Pl...' IJn.. uanuf ANCHORAGE TANK - 25'+ FIBERGLASS sp.aItr bIlallsnc 500 Number of comportments: LIFT STATION D Other 2 Si. In solos=; I Narefact ren - 1500/43.5 ANCHORAGE TANK/ORENCO SYSTEMS 'Pump an' tore at rump mer keel .t Iligh water Dorm a: - TIMER/32" I TIMER/32" I 46736" Powe Nolo t Mod.t Electrical performed 1y j20 051 05 HHF Allit .A\zcka. near; t`. *LOT LINE WAIVER GRANTED WITH ISSUANCE OF SEPTIC PERMIT. **THIS IS AN ADVANTEX TREATMENT SYSTEM WITH A PUMP VAULT AND A PRESSURIZED DRAINF1ELD. THE EXISTING SEPTIC TANK AND DRAINF1ELD WERE COMPLETLEY ABANDONED. BENCH MARK taoabon and b..aatbn: TOP OF DECK ON BACK PORCH SE CORNER Inspections performed by: AKWWC, INC. Dates: 1st 10/25/2002 2nd -4th 10/25-29/02 5th 10/30/2002 00 i A.sterod a.waa,. ENGINEER'S e enfc OF..i� 4 .p0 r w Q of r y A Gam ss.• Av E-79`to V ProfessloNoe r �OOoo�d� 100.00 R Development Services Department Approval 12/01) Reviewed and approved by . _ /c/, / t Date://' /- eZ (Nov. PERMIT NUMBER: SW020429 AS BUILT DRAWING NOTE: THE EXISTING SEPTIC TANK AND DRAINFIELD WERE COMPLETELY ABANDONED. NEW ORAINFIELD TOE OF SLOPE I PARCEL ID NUMBER: 052-241-28 .4 •_•••• • 4f•. ,�•.4 ST1 MH#1 MH#2 MT1 MT2 A 16.7 11.6 15.5 51.7 78.0 2 FEET LOT UNE W 8 23.0 32.7 35.3 32.4 54.1 ,LTH/2 ALASKA WATER & WASTEWATER CONSULTANTS, INC, 6001 OFRARR ROAD. SUITE 29 • ANCHORAGE. AK 00304 • PHONF (907)331-0179 • FAX (002)330-3240 PREPARED FOR: PHONE NUMBER: HJALMAR & MARIA SYVERSEN (907) 688-2064 LEGAL DESCRIPTION: LOT 39; T15N, R1W, SECTION 19 TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE TH/4 MH/1 MH#2 NEW 1500 GALLON FIBERGLASS S.T.EP. TANK WITH ADVANTE% TREATMENT SYSTEM WITH PUMP VAULT. DATE: 10/31/2002 DRAWN BY: J.L.M. SCALE: 1"=40' PAGE NUMBER: 2 OF 3 ff-e✓ A. ernes 3. ts'ecoPro �‘4fosso�o=a p000� PERMIT NUMBER: SW020429 FMAL GRADE -100.4+ TOP OF TANK - 97.71 (TOP OF RIBS) AS -BUILT DRAWING TOP OF ADVANTU POD - 100.96 INVERT OF PIPE - 96.83 MONITORING TUBE INSULATIO FILTER FABRIC GRADE 100.50 TOP OF TANK` •' 97.70 (TOP OF RIBS) 4 INCHES OF INSULATOR FINAL GRADE - 100.70+ ORIGINAL GRADE m 100.94 (AT of - HIGHEST POINT) OVERT OF DISTRIBUTION LJNE - 98.60 (AVC.) ./SIVN Y.,.f.V:t-1F... r!!JS.wY ./1.' ,yam';=M.bA APPROVED: r. I✓-' .e. D FATP BOTTOM OF SAND FILTER 95.94 (AVERAGE) NOTE: THE DISTRIBUTION LINE IS 1.25 SCH. 40 PC WTTH 1/4 INCH DIAMETER HOLES SPACED 10 INCHES ON CENTER (30 HOLES TOTAL IN STmItM) FEET WIDE ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6001 OFRARR ROAD. SUITF ?R • ANCHORAGF. AR 90504 • PHONF (007)3174179 • FAX (907)11b371.6 PREPARED FOR: PHONE NUMBER: HJALMAR & MARIA SYVERSEN (907) 688-2064 LEGAL DESCRIPTION: T15N, R1W, SECTION 19; LOT 39 TYPE OF WORK: PROFILE AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PARCEL ID NUMBER: 052-241-28 TOP OF MANHOLE - 102.00 FLA;OrAT `j / TO DFUIN FIELD ORENCO PUMP VAULT TOP OF SAND FILTER 98.04 (AVERAGE) NO GROUNDWATER OR BEDROCK OR IMPERMEABLE SOILS TO 90.45 DATE: 10/31/2002 DRAWN BY: J.L.M. SSE: N.T.S. PAGE NUMBER: 3 OF 3 SOF O� ° •••• ....•.. • itcf Q(O�e � d��Profes 310116 4 40000� Nov 01 02 09:58a Allied Alaska Electric (9071 373-3894 p.1 C nrn crnvc arcr.V1C./ November 1, 2002 Fax# 907-338-3246 Electrical work performed @ request of: Alaska Water & Waste Water Consultants, Inc. 6901 Debarr Road, Suite 2 B Anchorage, AK 99504 To whom it may concent The electrical installation of the lift station at: T15N, RI W, Sec. 19, L39 Address: 17720 Weere Street, Chugiak, Alaska 99567 was performed by a licensed electrician, in accordance with the current national electric code. Under penalty of perjury, I certify the above information to be true and correct. Sincerely, ALLIED ALASKA ELECTRIC, LLC d� 1 anctte L. Brown, Vice President/Owner cc: Alaska Water & Wastewater Consultants, Inc. File P.O. fax 876310, Wasilla, Alaska 99687 Office (907) 373-3893 / Cell 232-8687/ Fax 373-3894 George I'. Interch, Mayor 11/1/2002 Municipality of Anchorage Building Safety Division Alaska Water & Wastewater Consulants 6901 DeBarr Road, Suite 2B Anchorage Ak. 99504 Subject: Waiver Request for TI 5N RI W Section 19 Lot 39 Waiver Request #WR020085 Parcel ID #052-241-28 Dear Engineer: Anchorage `'ansa All -America City 11111! III1 ' 2002 Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 2.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jeffrey W. Poet Engineering Technician On -Site Water & Wastewater Program P.O. Box 196650 • Anchorage, Alaska 90519-6650 • Telephone: (1)07) 343-8301 • Pax: (907) 343.8200 47(X) South Brngaw Street • Anchorage, Alaska 99507 latp://www.ciamehorage.akais 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.ci.anchorage.ak.us (907) 343-7904 Waiver Review Worksheet WR#: 020085 PIM: 062-241-28 HA#: 020662 SW020429 Date Received: 10-16-02 Legal Description: T15N R1 W Section 19 Lot 39 Engineer. Alaska Water & Wastewater Consultants 6901 DeBarr Rd.. Suite 2B Anchorage. Ak. 99504 Applicant: Hlaimar & Marla Svversen Waiver Requested: 2 feet absorption Heid to property line Criteria: Geology A. Water Table B. Sal Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Total: Points: Permit#: Waiver is Granted: tl List Conditions or Reasons for above: Date: ) ! — / Waiver is not Granted: By: t am of eviewer Rec#: 10-16-02 Amount: MQ Date Paid: 1111/2002 10-31-02 11:16 FROM-CTLE ENVIRONIENTAI SRV . CTL. DISE Environmental Services Inc. CT&E RefR Client Name Project Name/® Client Sample ID Matrix PWSID Sample Remarks: EP 300.0 - I.CS was outside of acceptance criteria for Nitrate; MS and Duplicate were recovered within the criteria for the analyte. Sample results are not affected. 1027275001 AK Water & Wastewater Consultants Inc. T15N, RIW, Sec 19; L39 T15N, R1 W, Sec 19; L39 Drinking Water 0 9075615301 1-551 P.02/03 F-901 All Dates/Times are Alaska Standard Time PrintedDate/flme 10/30/2002 8:47 Collected Date/Time 10/24/2002 16:55 Received Date/time 10/25/2002 10:30 Technical Director Stephe/Ede Released By Parameter. Waters Department Nitrate -N Microbiology Laboratory Total Coliform Results PQL Units Method 0.247 0.200 mg/L EPA 300.0 0 Allowable Limiu Prep Analysis Date Date !nit (<-10) 1025/02 JS eol/IOOmL SM199222B (<=1) 10/25/02 SKW air 10-31-02 11:17 FR011-CTSE ENVIRONMENTAL SRV 9075615301 T-551 P.03/03 F-901 CT&E Environmental Services Inc. Laboratory Division rarrased.sxtv-vs_er,acre. ✓rr..stlemogrteslrs- .-abo.srr awcocx.o scora•z a,rm.bv 200 W. Potter Drive Drinking Water Analysis Report for Total Coliform Bacteria Tel: 1907) 562-2343Ancnnraoe, AK 995187605 READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE twe (9071581.5301 MUST BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: XSatisfactory O Unsatisfactory D Sample over 30 hours old, results may be unreliable O Sample too long in transit; sample should not beover3lgtours old at examination to indicate reliable results. Please send new sample via special delivery mail. w Cyt. Date Received l0/25`6 2- 0 O PUBLIC WATER SYSTEM I.D. # X PRIVATE WATER SYSTEM O Send Renate 0 Send invoke w.es,aa...Na.&caAtEdie%A WATER & WASTEWATER"s" s"` ppSULTAN!' ,, nor. 6901 E:BARR RD,. SUTIE 20 ;i1Firg CYr fP, isr 99504 nem reinter wawa Mem Cur O Send Results cw1..r H .. MA*4 Maas cw SAMPLE DATE: 0 Send Invoke baa Month' ALa3laA WArbR & WASTEWATER. 6'iu CO SI.MTANTS, INC. ANC`f^^u• 2ERD., SURE 2B ,:s;; 99304 z,"'" 11101 Month .12-11 Day SAMPLE TYPE: 0. Routine O Repeat Sample (for routine sample with lab ref. no. • ) O Special Purpose SAMPLE LOCATION [021 Year O Treated Water D( Untreated Water Time Collected ttizAj RteSec, tc ..3 5%stem. Comments: Collected By Zc.chltl raw NW Time Received f'DSL' Analysis Began t15) Analytical Method: _D*3 Membrane Filter O MMO-MUG * Number ofcolonies/100ml. Lab Ref. No. Result* Analyst (107-1-2 ?Cfan, Sent to A.D.E.C. Anch FbW Jun ❑ Fazed Date: Time: Client notitied of unsatisfactory results:_ El Phoned Spoke With Date: Time BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-MUC Result: Total Coliform Membrane Filter. Direct Count CP Verification: LTR BCH Fecal Collfurm Confirmation Final Membrane/Filter Rnolt��,C%y%� ReportedHy�'1L � i e"" Date et�fn )-26-02 0 E. Corr Colonies/1W ml COLIFIRM CollforniltO ml Time Jbto bra Faxed rare'- r« N.sen..t ra Cnni 08 •Oise cream.. f; * SGB Member of the SOS Group (Societe Generale do Sarveillante) .....nn.......... r..... ,e.ra ... •. •w... n. .rnn.e• n nem.. 0 1 IMtUO mays sun Sa1PMGAN MISSOURI NFW JFRSFY mon WFST VIRGINIA 'A• `y 9 0 N N \/' V D 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 Permit Number: SW020429 Legal Description: T15N R1W SECTION 19 LOT 39 Design Engineer: 0041 AK Water & Wastewater Consultarr Owner Name: HJALMAR & MARIA SYVERSEN Owner Address: 17720 WEREE STREET CHUGIAK , A 99567- 1°(2llo.wl Date Issued: Oct 22, 2002 Expiration Date: Oct 22, 2003 Parcel ID: 052-241-28 Site Address: 17720 WEREE STREET Lot Size: 51150 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: 17 Disposal Field Q Septic Tank 0 Holding Tank 0 Privy 0 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 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: ria Issued By: a fie 27ez,— Date: /6/2/0a Date: /0/2 2/02. Parcel I.D. 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.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 0 •P1i+ u.r1:; •. f� 052-241-28 Permit Number 5Iv02o429 Property owner(s) HJALMAR & MARIA SYVERSEN Day phone 688-2064 Mailing address (1) 17720 WEREE STREET • CHUGIAK. AK Mailing address (2) Zip Code 99567 Legal description (Lot, Block & Sub'd.) LOT 39 Legal description (Section, Township & Range) SECTION 19. T15N. R1 W. Lot Size .5• 7 /310 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade Acres Number of Bedrooms 3 ❑ Well Only ❑ Water Storage THIS PROPERTY CONTAINS: Hot Tub 0 Jacuzzi 0 Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool 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. ALASKA WATER & WASTEWATER CONSULTANTS, INC. (Signature of property owncr or authorized agent) .o Permit Fees: S/IOU Waiver Fees: 4 X50 AD. Date of Payment: ID /i(0/0 2- Date of Payment: IO/l&/c0�2_ Receipt Number: 21194 Receipt Number. Z� 1 q 1 l ALASKA WATER & WASTEWATER CONSULTANTS. INC. October 11, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Ref: Proposed Well and Septic System for T15N, RI W, Section 19; Lot 39, ADVANTEXTm TREATMENT SYSTEM To whom it may concern: 1. GENERAL: The existing 3 bedroom home is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. Four test holes were excavated on the property to find an area suitable for an on-site septic system due to virtually the entire lot is fill over a swamp area. We are proposing to design the septic system around the 30 foot radii of test hole #4. Due to the limited amount of area on the property, we are proposing to use an Advantex treatment system and a 5 -wide trench type drainfield. The well is to be located in the area shown on the site plan and design drawing. 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex Treatment System that will allow the use of a small drainfield in the area around the 30 foot radius of test hole #4. The Advantex system has received class III approval and we are going to conservatively assume an application rate of 3.0 GPD/FT2. 4. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Proposed Application Rate: 3.0 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 150 ft2 f. Total Depth: 4 feet (max.) g. M.O.A. Approved Sand Filter Depth: 2+ feet 6901 Debarr Road, Suite 213— Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 h. Effective Depth: 0.5 feet i. Width: 5 feet j. Minimum Length: 30 feet long k. Effective absorption area: 150 ft2 5. ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. 6. SURFACE WATER: There is no surface water within 100 feet of the proposed septic system upgrade. 7. TOPOGRAGIIY: The proposed drainfield is to be installed on the toe of a slope exceeding 25%. All area below the drainfield is to be graded less than a 25% slope. 8. LOT LINE WAIVER: We request that you issue a 2 foot lot line waiver from the south lot line to the proposed drainfield. 9. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at 337-6179. Sincerely, Jeffr y A . )amess, P.E., M.S. Pres ilent NOTE: Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail, four soil logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 213.— Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 T15N, R1W, SEC 19; LOT 278 KLONDIKE STREET TI5N, R1W, SEC 19; LOT 40 T15N, R1W, SEC 19; LOT 29 / / THI / •\ / \ / / / TI5N, R1W,1SEC 19; LOT 45 CSE TIC \ ••• r gine 100' WE11 RADIUS, .J T15N, R1W, SEC 19; LOT 38 • \•1 • •• \\ THN. POS 1 • • O 1 • • • \\ t / / / r THI3 ISTING SEPTIC bTSICM EXISTING 3 BEDROOM • • • PROPOSED SEPTIC SYSTEM (SEE DESICN PACE 2 OF 4) \ • T1SN, RIW SEC 19; LOT 41 1 150' CUSS 'C' WELL RAS j DIU 1 / 1 • T15N, R1W, SEC 19; LOT 47 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 0001 DFRARR ROAD. SUITF 2R • ANCNORAGF. AR 90504 • FHONF f0071337-0179 • PAX f007)33A-5249 PREPARED FOR PHONE NUMBER: HJALMAR & MARIA SYVERSEN 688-2064 LEGAL DESCRIPTION: T15N, R1W, SECTION 19; LOT 39 TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE LATE: 10/11/2002 DRAWN BY: C.J.G. SCALE: 1"= 100' PAGE NUMBER: 1 OF 4 H0rE a O A. Gmrndss. d . ' —7953/: 'FG V'V � .Pr0 fol ssloct_cu. INOTE: THE CONTRACTOR SHALL HAVE THE SOUTH LOT UNE FLAGGED BY' A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. INSTALL FOUNDATION CLEANOUT EXISTING BED TO BE COMPLETELY ABANDONED PER UPC. TOE OF SLOPE 2' LOT UNE �/ \ WAIVER REQUESTED PROPOSED DRAINFIELA. EXCAVATE A TRENCH THAT IS 4 FEET DEEP MAXIMUM BY 5 FEET WIDE BY 40 FEET LONG. ADD 2 FEET OF M.O.A. APPROVED SAND FILTER \ \ THEN 0.5 FEET OF CLEAN, WASHED SEWER DRANROCK. -THE HOLESIBUTION SPACEDUNE 15 TO BE 1 EEVERY 12 INCHES ON ON C NTPIER(} (30 HOLES TOTAL). (SEE DETAIL, PACE 4 OF 4) - ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DFRARR ROAD. SUITE 79 • ANCHORAGE. AK 99504 • PHONE (0011137.6110 • FAX (907)319•3766 PREPARED FOR: PHONE NUMBER: HJALMAR & MARIA SYVERSEN 688-2064 LEGAL. DESCRIPTION: T15N, R1W, SECTION 19; LOT 39, TYPE OF WORK: DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE THIO TH+2 2' 4j_ H STING SEPTIC TANK TO BE COMPLETELY ABANDONED PER UPC. PROPOSED 1500 GALLON FIBERGLASS ADVANTEX TREATMENT SYSTEM WITH LIFT VAULT. (SEE DETAIL PACE 3 OF 4) DATE: 10/11/2002 DRAWN BY: C.J.G. SCALE: 1"=40' PAGE NUMBER: 2 OF 4 NOTE: JIM CROSS, PE. HAS THE ADVANTEX MANUAL UAL INLET AdvanTex` Treatment System AX20 - Mode la 40x94Pod ,-x-r-x-r-x-x-x-x-r-x-r• .x -x -x -x -x -r -x -r -x -r -x -x• abwa rl0ua UFT STATION NOTE: THE BOARD INSULATION TO BE INSTALLED OVER THE SEPTIC TANK k 4• BEYOND ON ALL SIDES EXCEPT UNDER THE ADVANTEX FILTER THIS WILL ALLOW FOR HEAT TO ESCAPE FROM TANK & RISE TO THE FILTER ABOVE IL B• AM CAP FINAL GRADE— 0P2) iI- mor •- `t ^^ C PVC PUMP -out (TYP3)—LN I 6• PVC COUPLING CLUED 10 TANK INLET OPTIONAL, SUDE SECTION OF r PPE OVER 7145 CONNECTION TO PROWDE SHEER PROTECTION - MEND TO BRIDGE EXCAVATION 1. A TO PROPOSED DRNNFIELD 7-/�ADVANTEX 4X20 POD ;'.: • 1ori'. — A 1 A A\ i 4 SEWER digtels. 1011.6ROCK 70 NCH NSU(ATED RISER IPDADVIresenst ORENCO BIOME SCREENED VAULT ORENCO EFFLUENT PUMP ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6001 DF RARR ROAD. SLATE PR • ANCHORAGEAMC 00504 • PHONF (007)337-6110 • FAX (OOTU36-3246 PREPARED FOR: PHONE NUMBER: HJALMAR dE MARIA SYVERSEN (907) 688-2064 LEGAL DESCRPnoN: T15N, R1W, SECTION 19; LOT 39. TYPE OF WORK: DETAIL DRAWING OF ADVANTEX TREATMENT SYSTEM DATE 10/11/2002 DRAWN BY: C.J.G. SCALE: N.T.S. PAGE NUMBER: 3 OF 4 THE 05IRIBUDON UNE IS TO BE 1 1' PC PPE WRH r HOLES SPACED EVERf 12 ACHES ON CENTER (30 HOLES TOTAL) — FILL AS REQUIRED TO CREATE A SLOPE OF 25% OR LESS INSULATION FILTER FABRIC INSTALL BRACING AND STAKING AS NEEDED 30 FEET LONG fMTFINAL GRADE ORIGINAL GRADE WIDE THE DISTRIBUTION LINE IS TO BE 1 ;' PVC PIPE WITH j' HOLES SPACED EVERY 12 INCHES ON CENTER (30 HOLES TOTAL) ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6001 DFRARR ROAD. SOITF 7R • ANCHOPAGF. AK 0050E • PHONF (0071337.6179 • FAK (907)336-3R6 PREPARED FOR: PHONE NUMBER HJALMAR & MARIA SYVERSEN (907) 688-2064 LEGAL DESCRIPTION: T15N. R1W. SECTION 19; LOT 39, TYPE OF WORK: DETAIL FOR PROPOSED SEPTIC SYSTEM 2' OF M.OA APPROVED SAND FILTER DATE: 10/11/2002 DRAWN BY: C.J.G. SCALE: N.T.S. PAGE NUMBER: 4 OF 4 • c; 4gT yy f•qE;�A/A. am ss: C -7953 )#- 'taro teeelo�°•oa 044400 Arca• ALASKA WATER & WASTEWATER CONSULTANTS. INC. 6905 DOA N ROAD, sun 3s • MMCNOR GC M. 99504 • Wed: (907).37-6179 • FAX: (907)376-124 • WEBAIE: a,ncmn SOIL LOG - PERCOLATION TESTI T15N, R1W, SECTION 19; LOT 39 HJALMAR & MARIA SYVERSEN DATE: 9/17/2002 LEGAL DESCRIPTION: PERFORMED FOR: DEPTH ^-+- (feet) 1— • • ;'•• CM/SM 2_ • (FILL) 3 E ORGANICS -E_= w/ DEBRIS 5—MIXED -==-'THROUGHOUT 6 7 6—+• • 9_2 •. SM (BLUE ;•,•:'•' SILTY SAND) to —i• ' 11 + :; 12 13 — 14- 4- 15- 15- 16- 16- 17- 17- 18- 18- 19 19 — 8.0.11. 20 SOILS LOGGED BY: COMMENTS: PERFORMED BY AKWWC, INC. 1, JEFFREY A. CARNESS, CERTIFY THAT THIS WAS pERfORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: An / f ost- NEST HOLE #1I SOIL CLASSIFICATIONS C,ro;• GW '�': GP GM GC 0•'o'o' L.egnoper SW SP SM SC '•'-= ORG ML CL OL MH CH Ace OH DEPTH TO DATE GROUNDWATER 10' 9/17/2002 DATE effrey A. Gbcn/.ss. CIT�I-7953 .' •451 ••5.... c*gpo0 • dricifessian°er �000oo:a NG 9/16/2002 bDSnc i� SEPTIC SYSTEM READING CLOCK TIME NET TIME (MINUTES) SITE PLAN 1 •=100' WATER LEVEL NET DROP READING (INCHES) PERCOLATION RATE TEST RUN BETWEEN - (MIN./INCH) - FT. AND PERC. HOLE DIA. 6 (INCHES) - FT. A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO JODY MAUS PERCOLATION TEST PERFORMED BY: ALASKA WATER & WASTEWATER CONSULTANTS, INC. 5901 6i8MR ROW. SURE 18 • ANCHORAGE. M. 99504 • PICML (907)337-4179 • F (907)334-3244 • WEBSITE: Mwermom LEGAL DESCRIPTION: PERFORMED FOR: ISOIL LOG — PERCOLATION TESTI T15N, RIW, SECTION 19; LOT 39 HJALMAR & MARIA SYVERSEN DE(feet) ORGANICS 1— • GM/SM 2— ' (FILL) 3 ORGANICS/ DEBRIS 4 — z_ 6- 7 - -• 7— 8— ' 9 - 10- " 12- 2- 13- 13- 14 14 8.01I. • • 15- 5- 16- 16- 17- 17- 18- 18- 19 19 — GM/SM 20 SOILS LOGGED BY: COMMENTS: PERFORMED BY AKWWC, INC. I. JEFFREY A. GARNESS, CERTIFY THAT THIS W P RFORMED IN ACCORDANCE WITH AU.. STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: /A /) DATE: 9/18/2002 NEST HOLE #21 SOIL CLASSIFICATIONS 2 5E ORG ML CL OL MH CH OH DEPTH TO DATE GROUNDWATER 6.0' 9/18/2002 DATE READING — .\ CLOCK TIME i •• \ . I.. • GUSTING sEP1IC SYSTEM SITE PLAN 1'-100' NET TIME WATER LEVEL NET DROP (MINUTES) READING (INCHES) PERCOLATION RATE TEST RUN BETWEEN - (MIN./INCH) — FT. AND A FOUR HOUR PRESOAK WAS PERFORMED: JODY MAUS PERC. HOLE DIA. 6 (INCHES) — FT. ❑ YES PERCOLATION TEST PERFORMED BY: ❑ NO • x' ALASKA WATER & WASTEWATER — CONSULTANTS, INC. 4901 DS&RR ROM. Suitt 18 • ANCHORAGE. M. 09504 • PHONE: (907)331-4179 • Mk (907)3314-3244 • at Sinc.awa ISOIL LOG - PERCOLATION TESTI LEGAL DESCRIPTION: T15N, R1W, SECTION 19; LOT 39 PERFORMED FOR: HJALMAR & MARIA SYVERSEN DATE: 9/18/2002 DE r� ORGANIC (feet) 1— . ▪ FILL 2— • GM w/ • DEBRIS 3— 4 6.0.11. 5- 6- 7- 8- 9- 10- 11 — 12- 13- 14- 15- 16 — 17- 18- 19 — 20 SOILS LOGGED BY: COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: io/o/(�J. TEST HOLE #31 SOIL CLASSIFICATIONS d: o;• GW = ORG !z GP 1111111 ML GM et CL GC 11 OL SW 1111111 MH ;: '• SP //p/ CH SM !/V i OH SC DEPTH TO 44 \ 111 a GROUNDWATER DATE 3.0 9/18/2002 / \• ISTING . S5E°"0u= snte►1 � • DATE READING N° PERCOLATION RATE TEST RUN BETWEEN CLOCK TIME SITE PLAN 1'.100' NET TIME WATER LEVEL NET DROP (MINUTES) READING (INCHES) — (MIN./INCH) FT. AND PERC. HOLE DIA. 6 (INCHES) — FT. A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES 0 NO JODY MAUS PERCOLATION TEST PERFORMED BY: ALASKA WATER & WASTEWATER CONSULTANTS, INC. 8901 DEA RR ROAD. SURE 28 • ANCTTORACE, AX. 08504 • PHONE. (907)3.17-6179 • FAX. 007)336-3244 • WEBSITE, .k..cam SOIL LOG - PERCOLATION TESTI LEGAL DESCRIPTION: T15N, R1W, SECTION 19, LOT 39, PERFORMED FOR: HJALMAR & MARIA SWERSEN DEP a ORGANICS —: 2—�;z 4- 5 —5 6—'.. 7- 8— t•;. :;:. 1 12—•w=.; 13 14- 4- 15- 15- 16- 16- 17- 17- 18- 18- 19- 19- 20 20 SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ZACH GALL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W/SERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL CUIDEUNES IN EFFECT ON THIS DATE: to J I01 8.0.II. GP/SM TO SP/SM MORE SP w/ DEPTH (TEST HOLE #41 DATE: 10/8/2002 SOIL CLASSIFICATIONS :`•d.:::o;• GW = ORG !f:1:44k GP GM GC SW SP SM p SC DEPTH TO GROUNDWATER ML CL OL MH CH OH DATE 12• 10/8/2002 Oft 4.. IZI' 1°/&S/o2 DATE READING 10/8/2002 1 2 3 4 5 6 •X odppp . 3F A .49 Woh 7.1 efNay A. �rness% j7 CE -7953 !F440 •.Pro fess10TI tO -•=1 ‘pppooz.c5" CLOCK NET TIME TIME (MINUTES) • <1 <1 <1 WATER LEVEL READING 6' 0" 6' 0" 6' 0" SITE PLAN 1'-100' NET DROP (INCHES) 6' 6' 6' PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES MI NO i,,-----\ • MUNICIPALITY OF ANCHORAGE ,jr .t't, , . --.t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME KRILL/4 4 ( 2/ F0Ci l CI PHONE z43"OS7g -ONEW 0UPGRADE MAILING ADDRESS Coo4 w, 3Pro/ APT, 7 / AJCHt A/c 79&x3 LEGAL DESCRIPTION LOT 39 5t61 /9 RlW 7/5A/ LOCATION kvZ sTPFr i NO. OF BEDROOMS J O I- 2 NF. DISTANCE TO: Well /00 + Absorption area /on / Dwelling /1 PERMIT NO. ,,/ FiA4J can/.7-7-EA Manufacturer GP_EER__ Material .5 re cl_ No. of compartments Liq. capacity in gall /.� ®O IF HOMEMADE: Inside length .—_ Width Liquid depth 6 i' Jt72 2 2 < DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons TILE DRAINFIELD TRENCH DISTANCE TO: Well /00 1 Foundation// / Nearest lot line 4-0 / PERMIT NO. f/Aakin Watt-TE/t) No. of linesLength 5 of each line 30 / Total length of lines / 50 Trench width 7/2 inches Distance between lines / 5 Top of tile to finish grade/ Material beneath tile /� inches Total effective absorption areat 9/0 .. Ctp,/ %r SEEPAGE PIT Length Width Depth PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J J w Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER )^. PIPE MATERIALSnn Pct / SOIL TEST RATINGra / 9 6.2/ 13/)n INSTALLER Nom r- menu EA- f, Q REMARKS W � � cCJ , S NOXEi Y I • c by :. rmon Green Nures MOR- P3{ -'{c,ol w„-, •_ o, , S/ Waw Wa . 1-Da I /Z--5 ®f ` i i / 0` Q I I, I I I /�v I �I �tPI I I1 f I l f •�P l CrD `-i f I 1 I 77....0/9 - z 1ic SDS 2.5 :$.� a U APPROVED DATE LEGAL i//0371e3 'TI6 F Wi ( zedInn 19 zol 39. 72-013 (Rev. 3178) Permit # MUNICIPALITY OF ANCHORAGE Department! , Health and Environmenta7,"trotection 825 L Street, Anchorage, AK. _J501 264-4720 HANDWRITTEN PERMIT WELL AND/OR ON-SITE SEWER PERMIT Applicant: Location: Legal Description: let 3°/ .Sm 17 R!w 146 A tt CAt24v Atte Mailing Address: Phone Number: ,2100 W. 33 99,523 /;09 2y3—os?3 Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: _ Seepage Bed: -i/ Holding Tank: Maximum Number of Bedrooms: ,3 Soil Rating(sq.ft/br) /964 The Required Size of the Soil Absorption System Is: DEPTH ,26--/ LENGTH� GRAVEL DEPTH oS: WIDTH (2I The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = Permit applicant has the responsibility to inform installation inspections of any wells adjacent to of residences that the well will serve. /000 GALLONS * * this department during the this property and the number * # * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residenc is remodeled to include more that 3 bedrooms. Signed: A SWP/024(1/81) Issued by: Date: "In the event that a lift station is installed an electrical permit and inspection must be obtained. As-builts cannot be approved un- til the electrical inspection is received in this office. The electrical work must be per: formed by a licensed electrician." 81/21 /S-3 Diste:t boo— (� s6�, i S Kot if CESSAi 0V2— ,ez6tallid. 04_ {yid Ryvileci4ccfris , j God Cw-N Qci`dkc o'FSell le) /[/f� t Permit Departmen 825 # Q3 D 2 ! MUNICIPALITY OF ANCHORAGE `>f Health and Environments \Protection Street, Anchorage, AK. X9501 264-4720 * * * HANDWRITTEN PERMIT WELL AND/O Applicant: (;--a/H �f Location: Legal Description: Ti 5k)R./ ccs 5.I 9 - Mailing Address: W, 33rd 2 7y -3 Phone Number: d`F-3-os- 73 L3c7 Lot Size: Type of Soil Absorption System Is: Trench:-- Drainfield: Seepage Bed: < Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH LENGTH GRAVEL DEPTH WIDTH The length depth of a the bottom The gravel the bottom dimension is the length(in feet) of the trench or drainfield. The trench or pit is the distance between the surface of the ground and of the excavation(in feet). There is no set width for trenches. depth is the minimum depth of gravel between the outfall pipe and of the excavation(in feet). REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS * * Permit applicant has the responsibility to inform this installation inspections of any wells adjacent to this of residences that the well will serve. department during the property and the number * # * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 u 3 * * * I certify that: I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. I will install the system in accordance with codes. I understand that the on-site sewer system may require enlargement if th-,residence isnremodeled to include more that 3 bedrooms. Issued by: Signe Ap SWP/024(1/81) j\Jore o Date: / as /r3 So (c-,5 %e r (le )ckrk— FDK O4-S/Tb s -e10 f ; cyrvu , M. ‘5..0 o 4-✓4j)C- azi7 /To LJ p �o PERFORMED FOR MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST Car I a Foster LEGAL DESCRIPTION: T\51\1 rS I W/1 5er-bvI I Lo+SLOPE' J 1 COMMENTS DATE PERFORMED: 34 SOILS LOG PERCOLATION TEST 812_185 WAS GROUND WATERl eJ L ENCOUNTERED? ] 0 P E IF VES, AT WHAT p DEPTH? 0 2)93' k .. SITE PLAN Y 0 ;0 [RTS0 Hour) rxN E '4 0 /. Reading Date Gross Time Ne Time Depth to Water Net Drop tHaO / 8IZ 8.2 3:25:40 3:3s:µ0 1. 2-1/(pr) i./05- 31NZG /0/77/x1. -1/1z° Z. 212183 3' 3b �4a /, 32 /, ZZ /0 /0mi/7 -OWO 3. n Q 3:41 3.51 /, 25 /./6 ,• i� 7 /0 /77/17, 11120d 821?3 13/.:;105g Og //—m) O 6. 812123 N120 LI:30 fl /,..Z235 . / 2illz 11120 /o. 812-183 PERCOLATION RATE /:3Loo0 0 /Mil. 1,23 (minutes/inch) /� TEST RUN BETWEEN / `F' e / I6 4'hid 71/ 2_ I/L FT AND FT PERFORMED BY 72-008 (6/79) Connor �Carlbbn Mori 6183-024 CERTIFIED BY: DATE: 77--r-s-", -s-J. L54.74 / -2-- ALASKA Bi lUIROf1itCf1TAL CO 1TROL SCkuICCS, If1C. Subdivision LOT 39 TH I4 Supplemental 1-15N) RIW7 Sec. IQ LOT .31 TH GM v� rave�� t�Nlote1 Pt CiM c&vk t roux) kk OCC0.816nal VH4 2Q OIYL'V215 raced Soils Information. Block LOT 3 TH ;5.(Gi1/4i) $ffndk crc 2 2 - (GW) Pak DEPTH (FEET) 3 CIM soi vel 10 11 12 13 14 15 16 17 18 19 20 5 6- 9- 10- 11- 12 1- 12 13 14 v154 Q o•,o:: 6.0 .gip; cwsn- 15- 16- 17- 18- 19- 20 - 3 - 4- 5- 6- 7- 8- 9- 10- 11 - 12- 13- 14- 15- 16- 17 - 18- 19- 20 - 'L- 1200 Blest 33rd Auenue. Suite B • Anchorage. Nacho 99503 • (907) 2761361 LOT TH DEPTH (FEET) 2- 3- 4- APPLIC IT FILLS 0 T UPPER HAI 'ONLY Property Owner (f{ �/ ✓/E ' i// E gi%� P t %�- e� - ,.5 /�- �!t II �J J /y i{ ,4/,L(n�/{/ /J Mailing Address �� 6U1 4J fl t /; / -• rr �L%'+ / / / ` Zip Code 99:ziO3 h r}J j - ,7 �y `i� 067✓ 0-57-5 Buyer Address /� ' },�� f�7 lp Zip Code ` /' Date youUU'TT r / (+ ° , n {j Lending Institution ��11/m,�r /14 %{c/[f3,,/ ^r // V{'/!�' Address d•c vf' �G...SIi/�✓v1 7�f--- Zip Code Phone /} ^�/ c1r7/ Realty Co. & Agent �1 t Zip Code Address C/ 4" Phone _ -7' e / r ins- - f -- . Legal Description / r Z 9 ���ryg Street Location' A-YcY R Zit . Type of Residence ❑ Single Family 2 Multiple Family No. of Bedrooms �> ( ) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL APPRQVAL' DATE 2--- -4 Other Water Supply Individual 0 ommunity ❑ Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). Sewer Disposal Individual ❑ Public Utility ❑ Holding Tank Year Individual Installed: Connected to Public Utility: When NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date ? — 1 —V BC -I - Inspector Inspector Inspector Inspector Field Notes:• (N`_ ,p f(/_J/ u . -gyp s-ctY\¢�.CI' ' n /- MUNICIPALITY OF ANCHORAGE A/ �-r/ ('�iL ,P-LibDEPT. OF HEALTH Y: ,,,,Lia__ S� 6�/� 0') ENVIRONMENTAL PROTECTION Yr • J �'-,RECEIVE® ( ) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL APPRQVAL' DATE 2--- -4 'CONDITIONS OF APPROVAL BY: f_..2:L CA_ )---3— - Soils Rating/0 11G/t Date Sewer Installed _ 2 3-Q 3 Well To Absorption Area �a • Well to Tank Zoo Well Log Received K� Septic Tank Size 9 5•'0-0 120x3(3/92) M U HSC PAUTY OF %IHCHORAGC Development Services Department �` p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-241-28 Complete legal description T15N R1 W Section 19 Lot 39 Location (site address) 17720 Werre Street, Chugiak, AK 99567 Current property owner(s) Kyle & Samantha Tripp Day phone (907) 297-9594 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: K Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units Holding Tank Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete 0 Fiberglass Age 21 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: D❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. - mnm�rco'ra a mc��s o2 COSA Fee $ JC�(� Waiver Fee $ Date of Payment % Z 2J2 Date of Payment COSA # () S G Z y) 0) Z Waiver # COSA Application—June 2022 1/3/24 N/A N/A N/A 21 Fiberglass Benjamin Schiller, P.E. 2' *#WR020085 (907) 522-7773 12/29/23, 10:23 AM IMG_2834.jpg https://mail.google.com/mail/u/0/#search/ktripp907%40gmail.com/GTvVlcSBncMcgHvKJgwrzRdcgJnDSxLrMVfcvlGpRzFVqQsLZMWFzQpFsMGJDx…1/1 Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. l s1-241-28 ExpirationDate.' ` 1. GENERAL INFORMATION Complete legal description T15N, R1 W, SECTION 19; LOT 39 Location (site address) 17720 WERRE STREET *CHUGIAK, AK *99567 Current Property owner(s) JEREMIAH BREWER Mailing address Real Estate Agent 2. TYPE OF DWELLING: • Day phone 907-301-1349 Single Family (w/wo ADU) Duplex Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: • 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System WaiverNariance request for: n/c Li 4 Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site individual Holding tank Community On-site Public Sewer Distance: — Received by: / . ,. COSA to be released to the engineer. unless otherwise requested by the engineer. Date: r ,' 7v.,' COSA Fee $ 5x10.40 Date of Payment Receipt Number COSA # O3aost. ®5G, U/U32 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 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 Guidelines & Regulations, The reported 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, 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. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that 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 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. 6. DSD SIGNATURE _per System #1 Approved for System #2 Approved for Disapproved. Conditional approval for By: • bedrooms. bedrooms. Date S/Z° ll `F OF q i LOO 00� AA, Ginn ss: t CE -79,•' fop `9 o/4& 0•• <>\\tero f ession°a - OF (N� /i(fr ON-SITE =Z WATER AND z= a WASTEWATER o^ bedrooms, with the following stipulations: pROGRAM / 0,0 coo )))))))p)))))VP Original Certificate Date: 9-/ -/V The unictltyAnchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist L Septic System Advisory Well Flow Advisory (Rev. 11(05) Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist QS/ Parcel ID: 9.2-241-28 Legal Description: T15N, R1 W, SEC 19, LOT 39 A. WELL DATA Well type PRIVATE *BEDROCK AT 35'. If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 3/23/1983 Sanitary seal (Y/N) YES Wires properly protected (YIN) YES Total depth 100 ft. Cased to *39.33 ft. Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 3/23/2002 8/11/2014 Static water level 16 ft. 23 ft. Well production 3 g.p.m. 1 g.p_m. WATER SAMPLE RESULTS: Coliform ,Be colonies/100 ml. Nitrate 0.118mg /L Collected by: GM. Ltd. Arsenic: ta' SL ug./L. Date of sample: 8/11/14 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P. (ADVANTEX)/FIBERGLASS Date installed 10/25-30/2002 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping ADV4NTEX Pumper C. ABSORPTION FIELD DATA Date installed 10/25-30/02 Length High water alarm (Y/N) YES *BELOW EXISTING GRADE Soil rating (g.p.d./fforf/bdr� 6.0 System type SHALLOW TRENCH 30 ft. Width 5 ft. Gravel below pipe 0.56 ft. Total depth *4 ft. Eff. absorption area 150 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 8/11/2014 Results (Pass/Fail) PASS Fluid depth in absorption field before test DRY in Water added 613 gal. Elapsed Time 0 min. For 4 bedrooms New depth DRY in. Final fluid depth DRY in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date - D. LIFT STATION 10/25-30/02 Date installedl0/25-30/02 TIMER "Pump on" level at 34 in. Datum BOTTOM OF TANK S.T.E.P. TANK PUMP VAULT 1500 Size in gallons 43.5 TIMER "Pump off' level at 30 in. Cycles tested *SEE MAINTENANCE REPORT E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 100'+ Septic tank/lift station on lot Absorption field on lot Public sewer main 100'+ N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Manhole/Access (Y/N) YES 42 High water alarm level at 36 in Meets alarm & circuit requirements? YES On adjacent Tots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 1001+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main 5'+ N/A Wells on adjacent lots 100'+ Property line 5'+ Absorption field 5'+ Water service line 10'+ Surface water 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *2' Water service line 10'+ Curtain drain F. COMMENTS *#wR020085 Building foundation 10'+ Water main N/A Surface water 100'+ Driveway, parking/vehicle storage 10'+ NONE KNOWN Wells on adjacent lots 100'+ ASt?H.vT CuR'`r is og FA- P^/- /-) elk 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 COSA guidelines in effect on this date. Engineer's Printed Name €) 20/1* Date JEFFREY A. GARNESS (Rev. 11/05) From:ANCH TANK & WELDING INC 08/06/2014 08:04 8686770 277 3715 08/18/2014 14:18 APLUS 8168 SON ONO MI EWE ■111■■111 ■ ■■■1■Pee ■■ 1 ■ ■ ■ 1 ■■ ■■ ■■ mu ■ ■■■ in 1 ■1111■ ■ ■ 1■ ■■ ■ —� AdvanTexe Field Maintenance Report Annual Inspection #271 P.001/001 PAGE 01 AnchorageTank 907-272-3543 Pe n.:Ay OxaednatWq k Jeremy Brewer DparAter Mike Blakeslee Mir Address 17720 Were Street, Chugiak AK 99567 Genteel Pune (907) 555-5555 AX Site IDN AX -100251 ComdylDli SW020429 Pod 200795 BN NAIL r RTU101282 [nor lost Imposition 12/10/2013 Retrieve O&M Info Daly now Retire ratio Timer settings; Perform Field Sampling/Observations NTU (15 x NTUs) pH (49) DO (2.6) 1,stl 9 /0 Otter or sample typical Musty ❑ Earthy Non -typical 2fBulade (❑Cabbage Oilyfllmin PVu ❑Yes 1Le rN��O Eves t[_J ��O Check Control Panel ❑ Money ❑ Decay Recto Amps !3-0 Discharge Amps 13., Audible and visual alarms p t00istone (telemetry only) Y inspect/clean Pump System Baer/Lid Splice Box Float Cords Floats �OK Ekes "No Inspect Clean Pump.... Biotubee Piker Biotube Pump Vault Recirculating Splitter Valve -r Comments ,S2tA.0-- Measure Sludge/Scum Sludge Scum 1st Compartment Currerd// 10 Previous Current Previous 2nd Compartment Current// 10 Previous Current Previous Inspect/Clean AdvenTex Filter Odor-. Blomat: BrldgIng'Ponding: Normal ❑ Pungent I omlal ❑Excessive C/I NonelMinor ❑excessive Inspect/Clean Discharge Pump System Inspect Riser/Lid Splice Box Float cords Inapect/Service Other System Components Inspect Clean Disinfection Equipment Observations Additional Services Rendered ❑ Cleaned textie sheets? Repleted/Used other hems? Parts Used: W = Warranty, 8 = Billable (✓ appropriate selection) W B Item Number Oaacrlptlon 1 Inspect Clean Laterals/Orifices {3 Pod Bottom Intake Vent Floats Pump Dispersal Laterals/000c fi Inspect Clean ❑ Replaced UV items? rinal/ afety Inspection SV reinstalled rilunfold reconnected; Huth valves closed Summery/Recommendations ❑ System performing; no further action needed ❑ Call for service j Lids bolted an %Control panel reactivated Orank needs pumping Other? Fax completed form to 1.866-384-7464 AWWTS Maintenance Agreement.pdf Page 1 of 7 Page 1 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND (P s �� tag t 5G{ e Ou THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this Og Day of CT` -1,4)e ' of 20 i+ -I, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as A;k\fang- eX located at (legal description). I 15 -Ni 11.11,E , t; t' [o+ 3q http s://mail-attachment.googleusercontent.com/attachment/u/0/?view=att&th=1483e8a3l fd... 9/4/2014 AWWTS Maintenance Agreement.pdf Page 2 of 7 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that Page 2 the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site https://mail-attachment.googleusercontent.com/attachment/u/0/?view=att&th=1483e8a31 fd... 9/4/2014 AWWTS Maintenance Agreement.pdf Page 3 of 7 Wastewater Disposal KIpUrralVARd operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On- site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS Page 3 service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In https://mail-attachment.googl eusercontent.com/attachment/u/0/?view=att&th=1483e8a3lfd... 9/4/2014 AWWTS Maintenance Agreement.pdf Page 4 of 7 Srtaxrl9etiib responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. haps://mail-attachment.googleusercontent.com/attachmendu/0/?view=att&th=1483e8a31 fd... 9/4/2014 AWWTS Maintenance Agreement.pdf Page 5 of 7 Page 4 H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties http s: //mail-attachment.googleu serc ontent.com/attachment/u/O/?view=att&th=1483e8 a31 fd... 9/4/2014 AWWTS Maintenance Agreement.pdf Page 6 of 7 are: a. Owner:¥-t�cl ,rte b. Mu cipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. Page 5 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: � u 'L � / (signature) (print name) Dat https: //mail-attachment.googleusercontent.com/attachment/u/0/?view=att&th=1483e8a31 fd... 9/4/2014 AWWTS Maintenance Agreement.pdf Page 7 of 7 STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this q day of aarbsiCsrain-W-‘a. Tr NOTARY PUBLIC FOR ALASKA My Commission expires:Para- 232, 201&-- s J — I Notary Public MICHELLE CAMPBELL State of Alaska I My Commission Expires March 28, 2018 MUNICIPALITY: By: (signature) Date: (print name) Title: https://mail-attachment.googleusercontent.com/attachment/u/0/?view=att&th=1483e8a3l fd... 9/4/2014 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 BragawStreet, 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. 052-241-28 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address COSH# ' % % / 0 I Expiration Date: T15N, R1W, SECTION 19; LOT 39 17720 WERRE STREET * CHUGIAK, AK * 99567 BARRY PERRELL Day phone 317-2483 17720 WERRE STREET * CHUGIAK, AK * 99567 Day phone SARAH HALTNESS W/ DYNAMIC Day phone 227-0599 3111 C STREET * ANCHORAGE, AK * 99503 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 • TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public SewerEl • El 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 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. 1 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. Phone 337-6179 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 Guidelines & Regulations. The reported 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, 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. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that 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 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. Date i / 3 i z©(/ co OF 4 %I\ of 5. DSD SIGNATURE J ' Approved for bedrooms. Disapproved. (((( Conditional approval for bedrooms, with the following stipulations: OF .c'' 4• • • • • ON-SITE • WATER AND 7, 111: -- WASTEWATER : :• PROGRAM o •s D ••• Jnr Attachments: COSA Checklist Septic System Advisory Well Flow Advisory • Nitrate Advisory (� 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 (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T15N, R1W, SECTION 19; LOT 39 Parcel ID: a / -'2 (4/ -2 A. WELL DATA *BEDROCK AT 35'. Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 3/23/1983 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 100 ft. Cased to *39.33 ft. Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 3/23/2002 1 2/22/201 0 Static water level 16 ft. Well production 3.0 g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate 0 mg./L. Arsenic: JD ug./L. Date of sample:12/22/2010 30 ft. B. SEPTIC/HOLDING TANK DATA 1.29 g.p.m. Other bacteria colonies/100 ml. Collected by: GEG Ltd. *NOT NEEDED. SEE ATTACHED MAINTENANCE REPORT. Tank Type/Material S.T.E.P. (ADVANTEX)/FIBERGLASS Date installed 10/25-30/2002 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping * Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 10/25-30/02 Soil rating (g.p.d./ft2or t/bd1rr 6.0 Length 30. ft. Width 5 ft. *BELOW EXISTING GRADE System type SHALLOW TRENCH Gravel below pipe 0.56 ft. Total depth *4.1-4.2 ft. Eff. absorption area 150 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 1/28/2011 Results (Pass/Fail) PASS Fluid depth in absorption field before test 0 in. Water added 690 gal. Elapsed Time: — min. For 4 bedrooms New depth 0 in. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) *NOTE: TRENCH WAS INSULATED. NONE KNOWN If yes, give date D. LIFT STATION S.T.E.P. TANK PUMP VAULT 10/25-30/02 Date installed 10/25-30/02 TIMER "Pump on" level at 32 in. *SEE ATTACHED MAINTANENCE INSPECTION REPORT. 1500 Size in gallons 43.5 Manhole/Access (Y/N) YES TIMER 46 "Pump off" level at 32 in. High water alarm level at 36 in. * Datum BOTTOM OF TANK Cycles tested * Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 1 00'+ Absorption field on lot 100'+ On adjacent lots 1 00'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 1 00'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 1 00'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *2' Building foundation 10'+ Water main N/A Water service line 1 0'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN F. COMMENTS *#WR020085. Wells on adjacent lots 100'+ 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 COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 113i IZoi/ COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) D7/o�f Waiver Fee $ Date of Payment Receipt Number GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS February 1, 2011 Barry & Wendi Perrell 17720 Were Street Chugiak, AK, 99567 REFERENCE: T 15N, R1 W, SEC 19, Lot 39; Change in Number of Bedrooms & Reserve Site To Whom It May Concern: The referenced property has a 4 bedroom home on it. The 2002 septic system was installed for three bedrooms. Fortunately, both the Advantex system and drainfield are adequately sized for 4 bedrooms, Also, by changing the number of bedrooms we are required to identify a reserve drainfield site. We are proposing to use the 1983 bed as the reserve site. Construction of a reserve drainfield on this site will require excavation of the old bed and importation of MOA approved fill. If you have any q esti•ns, please contact us at 337-6179, erely, dl President arness, P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com PROPOSED FROSHEn FLOOR MCV. (A."'IDIDD) PROPOSED SiLIM t CORNER ELEV VlSSUMECO MING tuns= P'NONt BUILDING SETBACK SCE RktrmiC 4ETRAot 1114AP Dv LWQ WIDOW LOT 38 329.80' N89° 47' 00"W NOTE ENCROACHMENT INTO scram R.O.W RESERVE 329.80' S89° 47' 00°E LUT 46 50' BLM RO. W RESERVE N00° 20' 00"W mce UNDER NO CIRCUMSTANCES SHOULD AN AS—BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONS1BIUTY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCAM it LAT SURLJ Y SURVEY TYPE ❑ FCAMNATION AS-BUN.T 0 FINAL sTuaLINE AS -BUILT ❑ PAT PLAN ... AS-DUIL1 ... LOT SURVEY , , . TOPDOFAPNY AS-FSU[t.T -.. j Sbft4ERs SET Cl RECEKIViCATIOft flS-BUN.T - - NO CORNERS SFT PLOT PLANS St LOT SURVEYS FT 15 THE RESPONSIBILITY of THE BUILDER OR OWNER, PRIOR TO CONSTRUCTION, TO VE=RIFY PROPOSED BUILDING GRAD RELATIVE TO FINISHED CRADE AND UTILITY CONNECTIONS AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. SYMBOLS • SET REBAR DRAINAGE F . 1 ASPHALT O FOUND ResAR ts—e--+3. WOOD FENCE :: ° CONCRETE DD ASSUMED ELEV. K M K METAL FENCE 1777 WOOD DEC( NOTE; ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE SHOWN. FENCES. WELLS. SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS. ETC„ ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION LOT PLAN hooky octay Mot 1 hero Dh1ko1y Durwood go S,t dm tnd tf.scIODd Mown. and shot I moo found cm- xtolhhod til of IAP Int Pon ea • Piwim of t110 Clan and to In. at of my moMoike and " do. saicomsat.wa. n.ivo. I,o a.. -DUNDAT10fd AS -BUILT Kent E dolma. Jr., hanky tiny trot I od on Ah-Dult Immo Mr IuAd.0 on %hiisVld Med of ifn.Rllo.y wad loin nnotmn a .boon Mom M WD and no •daouctwon11 uiLt un1rw Adm 0y111.114.. 1NAL STRUCTURE AS -BUILT 4Rana E JohneN.hnvby tmtly t 1 porranoolaat or.00r of Om u ua mi eh ON lot .D1 that idt Immwiwno ui illonwoon - whew, now. no Nus and no enwaoc l oodo *Oat tnWYa OF 4446. to 0q r ♦;�," 4.12. S, JR. tit ®s -1,fr C>4 4P ategaionat 4 L • Prepared by Robert E. Johns, Jr. & Assoc. Professional Land Surveyors B42 E. 12 AVE. ANCHORAGE. ALASKA 99501 Scale: 1"=50' Roc. Lot S.F. Rec. Pict Fie No. Dote Surveyed: Dote Drawn: 12/21/10 12/22/10 Drawn STs Rai Grki4NW0954 Chodtsd Y V L W -O. 1370 Lego! Description: T1 gN ?1 tAl Cir' 191 nT 39 0 Municipality of Anchorage *veloPment Services Department Building Safety Division On -Site Water & Wastewater Program 196650 Anchorage,ch St P.O. Box AK 99519-6650 www.clanchorage.ak.us 4700(907) 343-7904 4140 0 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 052-241-28 1. GENERAL INFORMATION HAA# i -1A 020r61 Expiration Date: 2. - / - 0 3 Complete legal description LOT 39; T15N, R1 W, SECTION 19 Location (site address or directions) 17720 WERRE STREET • CHUGIAK, AK 99567 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address HJALMAR & MARIA SYVERSEN Day phone 17720 WERRE STREET • CHUGIAK, AK 99567 Day phone PEGGY FRENCH 0 REMAX PROPERTIES Day phone 2600 CORDOVA DRIVE • ANCHORAGE. AK 99503 Unless otherwise 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 Well Public Water System 688-2064 242-6121 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 $ at, or prior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my sea! affixed hereto and as of the validation date shown below, 1 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 28 * ANCHORAGE, AK 99504 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKW WC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & Regulations. The reported 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, 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. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. 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. Phone 337-6179 Date )o/3i/Da- 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the blowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By ly cZ7 !N. / (R.o.13/01) Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: GAP.• •• 4 j`� ' ^N -SITE • •t• c `c : WATER AND : 1T NJ",STEN'ATER : • PROGRAM icy 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.d.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL .CHECKLIST Legal Description: LOT 39; 715N, R1 W. SECTION 19 Parcel ID: 052-241-28 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Wefi Log (Y/N) YES Date completed 3/23/1983 Sanitary seal (Y/N) YES Wires properly protected (YM) YES Total depth 100 ft. Cased to 391-4" ft. Casing height (above ground) 24+ in FROM WEU. LOG AT INSPECTION Date of test 3/23/2002 10/24/2002 Static water level 16 ft. 26 ft. Well production 3.0 g.p.m. 1.1+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 M. Nitrate 0.247 mg./L. Other bacteria 0 colonies/100 mi. Arsenic: N/A mg./L. Date of sample:10/24/2002 Collected by: AKWWC. INC. e. SEPTICIHOLDING TANK DATA THIS IS AN ADVANTEX TREATMENT SYSTEM. Tank Type/Material FIBERGLASS Date installed 10/25-30/2002 Tank size 1500 gal Number of Compartments 2 Cteanouts (Y/N) YES Foundation deanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES Date of pumping NEW Pumper MEIN C. ABSORPTION FIELD DATA •eaow FINAL DRADE. 2.1 FEET OF M.OA APPROVED SAND FILTER BELOW TOTAL DEPTH. Date installed 10/25-30/02 Soil rating Length 30 R. Width ft'/bdnn) 6.00 System type ADVANTEX 5 ft. Gravel below pipe 0.56 ft. Total depth '2.67 ft. Eft. absorption area150 112 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) - Fluid depth in absorption field before test = in Water added =gal. For 3 bedrooms New depth =in. Elapsed Time: - min. Final fluid depth = in Absorption rate >_ - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) - if yes, give date D. UFT STATION S.T.E.P. TANK/PUMP VAULT Date installed 10/n�ER�00 02 Size in gallons 150R/� .5 Manhole/Access (Y/N) Pump on" level at 32 in "Pump off' level at 32 in High water alarm level at Datum BOTTOM OF TANK Cydes tested NEW Meets alarm & circuit requirements? YES YES 46/ 36 in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent Tots 1001+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/deanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main N/A Water service line 10'+ Surface water Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line •21+ Water service line 10'+ Curtain drain NONE KNOWN F. COMMENTS G. ENGINEER'S CERTIFICATION Building foundation 101+ Water main Surface water 100'+ Wells on adjacent Tots 1001+ 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 (died on this date. Engineers Printed N m JEFFREY A. GARNESS Date /o//D01- 5'+ 100'+ •LOT UNE WAIVER GRANTED WITH ISSUANCE OF PERMIT. N/A Driveway, parking/vehide storage 101+ ilHAA Fee $ 3754 /.' $525rafver Fee $ 1t- %-02 2`7145 (� Date of Payment Receipt Number (Rev. 12/01) 1 Date of Payment Receipt Number