HomeMy WebLinkAboutKNIK VIEW ESTATES BLK 3 LT 6 & 7Knik Vi w
Estetes
Block
Lot 6&7
#051-043-60
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 S. Bmgaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page
www.ci.anchorage.ak, us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: .~ (,",.) 0~0 I 6~ PID Number:
N*~e:~O{~ ~~]~ WastewaterSystem: ~New DUpgrade
~ ~a~ ~ ~9/e~V~ ~qS~ ABSORPTION FIELD
Township:
LEGAL DESCRIPTION
Range: Secti(~c
Well: [] New [] Upgrade
Cla~ificaden(Pfivate. A,,B.C}: t # To~alDep~ Casedto:
FL
Sta§c Water Levek
Fi.I Ft.
SEPARATION DISTANOES
Septic Absorption Lift Holding
Tank Field Station Tank
Installer.
TANK
-
LIFT STATION
~Manufacturec ~
in, 'n, in.
BENCH MARK
S & S ENGINEERING
Eagle River, Alaskd ~577
D ev el o p m e,r~.~,c¢~)~p.~ ~tJ:~ n} Approval
PERMIT NO. 5W020163 PAGE 2 OF 4
Municip. a~it: oF Anchoraae
DEPARTMENT OF HE~[TH
AND HUMAN
SERVICES
ENWRONMEN'rAL SERVICES
P,Q. Box 195650 ~Anchopage, A%aska 99519-6650eTe(ephone: 343-4744
ON-S~TE WASTEWATER D~SPOSAL SYSTEM AND/OR WELL ~NSPECT~ON REPORT
LEGAL LOT 68::7, BLOCK 3, KNIK VIEW ESTATES
/
/
/ ALT SiTE
/ (INASTALLED)
TH#2
P.[.D. NO. 051-045-60
-KEYBOX
/
/
/
' / ALT, SITE CRITERIA:
/ 4.5' EFFECTIVE DEPTH
42' LONG EACH /
N/EW TRENCHES
/
/
NEW 1250 GALLON
:TIC TANK
/
~T2 /
/
)BL1 & DB~2
(DIVERTER VALVE)
LOT
6
~SCALE: 1" = 30'
......
,.,. / ' ::.. ~
'~..F.~,:'-.,.
PERMIT NO. SW020163 PAGE 3 OF 4
iVlunicip, o, tid: oC Anchor-'o. c3e
DEPARTMENT OF HEA~THAND HUMAN SERVICES
ENVIRONMENTAL SERVICES D~VISION
· P,~. Box 196650 ~_Ancho~'oge, ALcskc 99519-6650·Te[ephone~ 343-4744
ON-S~TE WASTEWATER U~SPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 6&7, BLOCK 3, KNIK VIEW ESTATES P.[.D. NO. 051--043--60
FINAL
S_T1 S T_~....- 99.0'
GRADE-/
2"
/- INSULATION
GALLON
SEPTIC TANK
A B
FCO ~ 7.0'
ST1 43.5' 17.5'
ST2 49.5' 25.5'
DBL1 53.0' 30.5'
BBL2 54.0' 31.5'
DV 54.5' 32.5'
FS1 68.0' 57.5'
FS2 48.0' 48.5'
C01 65.5' 45.5'
MT1 67.5' 47.0'
C02 84.5' 77.0'
MT2 85.0' 77.0'
C03 52.5' 36.0'
MT3 54.5' 38.0'
C04 74.5' 71.0'
MT4 71.5' ' 68.5'
C05 42.0' 30.0'
MT5 43.5' 31.0'
C06 66.0' 68.5'
MT6 66.5' 67.5'-
C07 32.0' 29.0'
MT7 33.5' 32.0'
C08 61.0' 69.0'
MT8 61.0' 68.5'
PERMI? NO. SW020165 PAGE 4 OF 4
~nicip. o, Li~ of Ancho:'o, ae
DEPARTMENT OF HE.~[THAND HUMAN SERVOCES
ENVIRONMENTAL SERVICES D~V~SDON
. P.O. Box 196650 ~ncho~age, ALaska 99519-6650 ~TeLeDhone: 343-4744
ON-$~TE WASTEWATER UISPOSAL SYSTEM AND/OR WELL ~NSPECT~ON
REPORT
LEGAL LOT 6&:7, BLOCK 5, KNIK VIEW ESTATES P.i.$. NO. 051--043-60
CO1 =97.4'
-_-/C02=98.6'
FINAL / ~~"
GRADE [ ~ .
MTl=88.0'~
MT2=88.2'
C03=99.4'
_._/C04=99.7'
INSULATION
C02=93.0' . C04=93.2'
MT5=88.2'~
MT4=88.2'
C05=99.6'
___/C06=99.3'
FINAL
GRADE "i~ CO5=92.7'
MT5=88.0'
MT6=88.0'
C06=92.6' ~
MT7=88.1'~
MTn=88.1'
·
NO WATER FOUND
82.5' B.O.H.
C07=99,5'
__._/C08=100.5'
C07=92.6'
C08=92.6'
MUNICIPALITY OF: ANCHORAGE
Development Sen/ices Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Jun 12, 2002
Expiration Date: Jun 12, 2003
Permit Number: SW020163
Legal Description: KNIK VIEW ESTATES BLK 3 LT 6 & 7
Design Engineer: 0003 S & S Engineering
Owner Name: Mike & Johnny Snell
Owner Address: PO Box 670657
Chugiak, AK 99567-
Parcel ID: 051-043-60
Site Address: 021902 REBECCA CIR
Lot Size: 43583 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[~ Disposal Field [] Septic Tank [] Holding Tank ~ Privy
Private Well ~] Water Storage
All construction must be in accordance with:
1. The attached approved design,
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15,65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and 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: ~~'/~- ~
Date:
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/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 6~-/- ~)/'t/'~''' ~_OO
Permit Number
Property owner(s)
Mailing address (1)
Mailing address (2)
kegal description (Lot, Block & Sub'd.)
ke~al description (Section, Township
Acres Sq. Ft.
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
:~, 3'oA i~I 5' 1~ 6 LL Day phone
Number of Bedrooms '/~
Well Only []
Water Storage []
[] Jacuzzi []
[] Water Softening Unit []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
' S 8, S ENGINEERING
(Signature of property owner or authorized agent) 17034 Eagle River Loop Eoad, NO, :204
Eagle River, Alaska
Permit Fees: /n/ (2 O. <'' ~ Waiver Fees:
Date of Payment: 5'-' / ) ¢ / O 2- Date of Payment:
Receipt Number: O I ~ 5" .,t' ~. Receipt Number:
(Rev. 12/00)
May 7, 2002
ROBERT C. cOWAN, P.E.
CIVIL ENGINEEP-~.q
(907) 694-~'979
FAX (907) 094-121 'i
SEWER&WATER
MAIN EXTENSIONS
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 6 & 7, Block 3, Knik View Estates S/D
SEWER &WAIER
INSPECIION
ENGINEERING STUDIES
ANDREPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
It is requested that you issue a permit to install a septic system to serve the proposed
four bedroom dwelling on the referenced property.
A test hole was excavated and a per~colation test was performed. The approximate location
of the test hole is located onthe attached site plan. Atthe t'mae of excavation on 1/18/02 no
water was found. After seven days of ground water monitoring the test hole was still found
to be dry.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you require additional information, please contact us.
Sincerely,
RCC/jhm
Enclosure
STRUCTURAL&
MECHANICAL
tNSPECTIONS
ONSITE
W.~T EWATER
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577
LOTS 6 & ?, BLOCK 3,
R.C.C.
17054 EAGLE RIVER LOOP ROAD
EAGLE RIVER, ALASKA 99577
PHONE# (907)694-2979
FAX# (907)694--1211
/
/
/
d~NSTALL
FLOW
/
J.H.M.
DESIGN CRITERIA:
4 BDRM = 600 GPD
SOILS = 0.8 GPD/SQ.FT.
600/0.8 -- 750 SO.FT. REQ'D.
TRENCH CRITERIA:
8' DEEP
5' EFFECTIVE
2.5' WIDE
75' LONG(2@ ,38' LONG)
-KEYBOX
ALL PORTIONS OF SYSTEM
WITH LESS THAN 5.5' OF
COVER REQUIRE INSULATION.
KNIK VIEW ESTATES S/D
I° .... 5-9-02 I
~,~Eo: 5- 3 1 - 0 2 20 F 2
STRUCTURES, EASEMENTS, OR ENCROACHMENTS
SHOWN ON TH~S SITE PLAN ARE AS SHOWN ON
AN AS-BUILT SURVEY DRAWN BY:
WILLIAM D. FLEMING
IT IS THE RESPONSIBILTY OF THE CONTRACTOR
TO VERIFY EASEMENTS, REQUIRED SEPARATION
OISTANCES, AND PROPERTY LINES PRIOR TO
CONSTRUCTION.
WATER
/SERVICE
LINE
~.
69'
MT
CONTRACTOR IS REQUIRED TO
OBTAIN UTILi~ LOCATES
PRIOR TO ANY EXCAVATION
WORK.
INSTALL ~':~/ ~ 8
NEW 1300 ~
OALLON
HDPE
/ SEPTIC TANK ' ..... ~
INSTALL
DOUBLE
CLEANOUT
NEW
TRENCHES lO PROPERTIES .SERVED BY
COMMU SYSTF~. NO WELLS
WITHIN 200' SEPTIC/ SYSTEM.
LOTS 6 & 7, ~3LOCK 3,
J.H.M. ] R.C.C.
ineering DESIGN CRITERIA:
4 BDRM = 600 GPD
SOILS = 0.8 GPB/SQ.FT.
6oo/o.8 = 75o SO.FT. r~Eq'D.
TRENCH CRITERIA:
8' DEEP
17054 EAGLE RIVER LOOP ROAD 5' EFFECTIVE
EAGLE RIVER ALASKA 99577 o
PHONE# (907)69 29 7:~ /t~klC'[Or',~ ~' /f~kl~-\ / /
FAX# (907)694 1211
/ 14 /' / ,
.-' / /
/// j/ . FLOW --
,'ff ./' /,,-
KNIK VIEW ESTATES S/D
] .... 5-9-02
.e,,sEo: 5-51-02 1 OF 2
STRUCTURES, EASEMENTS, OR ENCROACHMENTS
SHOWN ON THIS SITE PLAN ARE AS SHOWN ON
AN AS-BUILT SURVEY DRAWN BY:
WILLIAM D. FLEMING
IT ~S THE RESPONS~ERLTY OF THE CONTRACTOR
TO VERIFY EASEMENTS, REQUIRED SEPARATION
DISTANCES, AND PROPERTY LINES PRIOR TO
CONSTRUCTION.
/
FCO.,
~W 1300
GALLON HDPE
SEPTIC TANK
DOUBLE
CLEANOUT
/ NEW
/' x. / y~.,,. TRENCHES
/ WITHIN
ALL PORI[ONS OF SYSIEM
WiTH LESS THAN 3.5' OF ~ //
COVER REQUIRE INSULATION.
8
PROPERTIES ,,,~'VED BY
SYSTE)~. NO WELLS
SEPTW/SYSTEM.
~"&¥',-"' "'[""..'~'
i%-':
/ OBTAIN UTILI~ LOCATES
/ PRIOR TO A~Y EXCAVATION
/ 10
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.anchoraae.ak.us
(907) 343-7904
Soils Log - Percolation Test
(Fe.,?t)
l-
s-
10-
~2-
14-
20-
COMMENTS
PERFORMED
PERFORMED
Slope
/
WAS GROUND WATER
ENCOUNTERED? ~'~ C>
S
iF YES, AT WHAT DEPTH? -- L
O
Depth to Water After ~ [
Monitoring?
Reading Date
PERCOLATION RATE
TEST RUN BE'DNEEN
Date.Pe,o~ed: ' // t~ / O ~
Township. Range. Sec~on:
Site Plan
Gross Time Net Time Depth to Water Net Drop
o o I'
) .~. (minute$/~nch) PERC HOLE DIAIvIETER ~, ~
~ FT AND ~' FT
BY: ~v~"~..'/..~~ I "~//~/..__ CERTIFY THAT THIS TES~T WA~
IN AC(~O~DANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN L~FF~CT ON THIS DATE. DATE: //'-~-,Y'/O ~,.
SEWER & WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUOIES
ANDREPORTS
WELL INSPECTION
& FLOW TEST
SITE pLANS
ROAD DESIGN
SOIL TEST
F'~ROOLATION
TES. T
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
W,~S'FEWATE R
O~SPOSAL S~TEM
DESIGN
ROBERT C, COWAN, P,E,
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Lots 6 & 7, Block 3, Knik View Estates S/D
May 7, 2002
GENERAL:
The scope of this project includes the installation of a 1300 HDPE gallon
septic tank and new trenches to serve the proposed four bedroom residence
located on the referenced property.
Construction shall be in accordance with the approved site plan and design
drawings, Municipal permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
The contractor shall be responsible for obtaining any necessary underground
utility locates.
Unless specifically agreed otherwise, the property owner shall be responsible
for final grading areas subsequently depressed from soil settling.
o
Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing their
own systems must also receive prior approval from the Municipal Health
Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
Page 2
Lots 6 & 7, Block 3, Knik View Estates S/D
May 7, 2002
All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
Septic tanks installed with less than 4 ft. of cover shall be insulated.
A foundatio.n cleanout shall be installed one to four feet from the building foundation. In
the line between the tank and the leachfield there shall be two adjacent cleanouts (unless
an effluent pumping system exists within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout shall be to clean toward the
septic tank.
Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (rafted-up) before gravel (sewer rock)
placement.
Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion
of the monitoring tube extending through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is equivalent to the effective depth of
the gravel as noted on the design.
Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The
finish grade over the trench must be mounded to prevent the formation of a depression
after settling.
Page 3
Lets 6 & 7, Block 3, Knik View Estates S/D
May 7, 2002
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
Page 4
Lots 6 & 7, Block 3, Knik View Estates S/D
May 7, 2002
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel, A septic tank may be
set in place, but may not be backfilled before this inspection.
The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or
control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR / INSTALLER
2002-038731}-0
Recording Dist: 301 - Anchorage
6/10/2002 2:09 PM Pages: I of 1
II Iltll IIII II IIII Ill II IIIII I II II Illl II II IIIII I IIII II lll li
]~ASEMENT
JUDD WALKER, hei'einaP, er referred to as Grantor, whose address is 1001 Boniface Parkway,
Anchorage, AK 99504, owfler o£the land descn'bed as:
Lot 6; Block 3; Knik View Estates, as per pht thereof recorded in the Anchorage Recording D/mic~
under plat file number ~6 -I I.J .
For good and valuable consideration, the receipt of which is hereby acknowledged, hereby grants and
conveys Io SUDD WALKER, whose address is 1001 Boniface Parkway, Anchoraga, AK 99504, the
followin~ easement to be used for ingress, egress and utilities.
The easement granted is described as:
An easement t'or a Wastewater Disposal System access over Lot 6, Block 3, Knik View Estates
Subdivision for use by owner and tenants of Lot 7; Block 3; Knik View Estates Subdivision, as pcr plat
thereof recorded in the Anchorage Recording DistrJcl under plat file number ~6 --//$, and further
described as follows:
This easement is for the benetrR of and peflinent to that land and any portion thereof described as:
Lot 7; Block 3; Knik View Estates Subdivision
Grantors, ~eir heirs, successors and assigns, agree to said ingress, egress, and utility
easements and their use by JUDD WALKER, his heirs, successors, and assigns.
JUDD WALIO~R and his successors in tmerast, shall use the rights granted above with due
regard to the rights of others in their use thereof. Grantors, and their successors in Jmerest, shall no!
obstruct the easement in any way.
Cn'anlccs and their successors in interest
61 8 9 Ip
• ,f45...�� 7
7
'� Municipality of Anchorage % ,:`-`� I '
On-Site Water and Wastewater Program � ,t
(907) 343-7904
c qL fil r il^'_8 n
d
1 ti
Certificate of On-Site Systems Approval ��4' •hw
Parcel I.D. 051-043-60 Expiration Date: L( Zc—j7
1. GENERAL INFORMATION
Complete legal description Knik View Estates Block 3 Lot 6&7
Location (site address) 21912 Rebecca Circle
Current Property owner(s) Timothy&De Etta Page Revocable Living Trust Day phone
Mailing address PO Box 670332 Chugiak, AK 99567
Real Estate Agent Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
LI Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ❑ Individual 0
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System 2 Public Sewer ❑
WaiverNariance request for: Distance:
Received by: _ i1 ' (Q, j Date:
COSA to be released to the engineer,unless otherwise requ sted the engineer.
COSA Fee $ 6--g.4, Waiver Fee $
Date of Payment qM to/17 Date of Payment
Receipt Number 1(3./5-96 Receipt Number
COSA# 616C-17//7Z/ 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.
In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations.The reported results describe 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 soil
condition,ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 4/24/2018
co.- � il
. 49 TM * I
6. DSD SIGNATURE % V�I) rA
System#1 Approved for bedrooms •-eri �� none:
s% CE-8149 /
System #2 Approved for bedrooms . �� 9s' �'
��k�`�P40FESSIOt,A 4 ..
Disapproved 1\\N"`,�.`„
Conditional approval for bedrooms, with the following stipulations:
`jt•• Alva;
'...i0.�_S1It f
WPB S. ��P ER o
00
n � C j. X22 --( 7
By: J ttiv,_ i Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_f . .
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description: Knik View Estates Block 3 Lot 6&7 Parcel ID:051-043-60
A. WELL DATA
Well type Public If A, B, or C provide PWSID# Well Log (Y/N)
Date completed Sanitary seal (Y/N) Wires properly protected (Y/N)
Total depth ft. Cased to ft. Casing height(above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L
Arsenic ug/L Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 7/23/2002
Tank size 1250gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N/A
Date of pumping L.2j,—10 Pumper 4 rS
C. ABSORPTION FIELD DATA
Date installed 7/23/2002 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 GPD/SF System type Deep Trenches
Length 2 @ 40 ft. Width 3 ft. Gravel below pipe 5 ft.
Total depth 9 5 ft. Eff. absorption area 800 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 4/20/2018 4Results(Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test in. Water added 600 gal. New depth CO in.
Elapsed Time:‘eu min. Final fluid depth —1 in. Absorption rate >= 600+ g.p.d.
N
Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed 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
WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer/septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ 10+
Surface water 100+ Driveway, parking/vehicle storage
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
Survey on file.
G. ENGINEER'S CERTIFICATION SOF Ai,Q�kih
I certify that I have determined through field inspections and ,��aj'�lp- -.,1"-- 11
review of Municipal records that the above systems are in 0*; , • I I N -.*y
conformance with MOA COSA guidelines in effect on this date. I•...=
S
T 9/18/02 AS BUILT j 56-44 .
4,25/02 PLOT PLAN 54-53
A14‘
'\ DATE _ FLD. BK.
REBAR YAR THIS �•' 11`��
COR. DISlURBsD. �t�.'• *.7ftsral.4.
i a
' S 41°27'33'E 246.68' (R) I • '••
r + 0 Auto D. Fleming
S 4 1°28'05"E 246.74' (A4) 1 o�••• : g
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cC � I 1 O '• •• a
8 I 1 $ ♦� %ar930: at...+
GR/C1F.L DRItF i aj Ety1 � , Ilk 1111&%1161116
w a LtN��PL.LtSEtA a
0
z lr, I PO , to NOTES: Easements not appearing on record subdivision
`2.' 6 c� sJ� I tc I w plat ore not shown unless description of eosement is
L7 2 O • Z w 7h . I
�, a r- `� , 1 N ti provided by client. It is the responsibility of The owner
N
iv X cam,. 7 a m In or builder, prior to construction, to verity proposed
LL, i , o building grade relative to finish grade and utilities
j 1« _ 32.9 - ,, + uoi connections, and-to determine -the existence of any
.J w z In00.0 1 i z `c easements, covenants, or restrictions which do not
U co ,,tl 32•I' C C.a0 ° + W appear on the recorded subdivision plot.
C M e; 1—r- I S 41 26'40"E 256.54' (M)
U N 1 BASIS .. 256.48' (R) I M Elevations based on assumed datum unless otherwise
�c+ r o + �+ indicated, and bearings and distances are record data.
— ct — I I o
Z O I I O
C) v 4" CLC SEPTIC '
1 in 9
U CD STD-?1?rs (1W) 8 e: I Z
v +
WI — co- \ �° aSBs SBS Engineering
W i- w0 6 Polc MEQ , 17034 cA6:t RNtR LOOP ROAD
1 QS� • ' E q xc• LADti MYLR,ALASKA 91577
o° ro °- co ?0 ' tit i `c' ill ' �; (907)594-2971)
co 0 1 I
d' I I
Z I
I LEGAL DESCRIPTION
1
1 N 4 I°27'57'W 253.77' (R) r
LOTS 687, BLOCK 3,
I i KN I K VIEW ESTATES
25I
�J PL Al NO. SCALE \' GRID
86- I 13 l" 2.40' i NW 1558
,
MATANUSKA ELECTRIC ASSOCIATION, INC.
LETTER OF NON-OBJECTION
May 22, 2018
Timothy L. Page and Deetta J. Page Revocable Living Trust Dated: October 13, 2003
PO Box 670332
Chugiak, AK 99567
Re: Lot 6 Block 3 Knik View Estates (Plat 86-113, Anchorage Recording District)
Dear Tim and Deetta Page:
MEA has no objection to the encroachment of a septic located in the utility easement as depicted on the
attached as-built survey drawing, subject to the following conditions:
1. The improvement will in no way restrict or limit the current or future ability of MEA to fully enjoy the
benefits of the easement for any and all utility purposes that it presently enjoys under the easement.
2. MEA will be held harmless by the landowner from liability for any and all damages or injury to any
person or property that may result from the existing and future use of the easement by MEA, its
contractors, or assigns.
3. MEA will be held harmless by the landowner for any and all liability arising out of or relating to any use
of the easement by others under a Letter of Non-Objection.
4. The landowner will be liable for any damages caused to MEA facilities by the improvement in the
easement.
5. The landowner will be responsible for any special construction costs incurred by MEA due to the
improvement in the easement.
6. The landowner will assure compliance with all applicable safety codes relating to the improvement in
the easement.
7. Use of this letter by the landowner, their successors or assigns will constitute acceptance of these
conditions.
8. Alteration of these conditions shall invalidate this letter.
9. This letter is not effective unless it is recorded in the Anchorage Recording District before ownership of
the referenced property is changed from the above named landowner.
Sincerely,
k
Mann ..ez
Land Servi.-s •n:ge \\(
STATE OF ALASKA)SS-
THIS IS TO CERTIFY that on this 22 day of May , 2018 before me, the undersigned, a Notary Public in and
for the State of Alaska, duly commissioned and sworn as such, personally appeared
Manny Lopez
Known to me and to me known to be the individual(s) named in and who executed the foregoing instrument
and acknowledged to me that he/she/they signed and sealed the same as a voluntary act and deed for the
uses and purposes therein mentioned.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day and year first above written
5-Z6-zozo �YNiv Si�
Notary Public in and of Alaska My commission expires ,
Return to: MEA, PO Box 2929, Palmer, AK 99645
0, • ,f ,'4G
OF PA"'
Municipality of Anchorage
Development Services DeDar ment
Building Safety Division
On-Site Water and Wastewater Program
4700 Sou{hBragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 . .
www.ci.anchorage.a k.tJs
(907) 34:~-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
O
Parcel I.D.
1.
GENERAL INFORMATION
Complete legal description Lot 6
Location (site address or directions)
Current Property:,ewner(s) Rod Metcal£
Mailing address 654 Harp Cir.
Lending agency
Mailing address ..
Real Estate Agent
Mailing Address
HAA # /1/,z) O2 05'qq
Expiration Date: ~/S/OS
and lot 7; Bloe~
~T~ P~b~ Cir. Chug-iak
Day phone
Ea~le River,AK 99577
Unless otherwise requested, HAA will be held by DSD for pickup.
4
229-3028
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site
[] Individual Holding tank
Well ~ 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. Cedificates of Healtl~ Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single family on-site wastewater disposal ai~d/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 priva[e 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.) Certific'~tes are valid ~oi' one year for propedies served by Class A or B wells or a public
water ay. stem. The Municipality of Anchorage i~ not responsible for errors or omissions in the professional
engineer's work.
4. STATEMENT OFINSPECTION By ENGINEER
As cedified by my seal affixed hereto and as oi' the ~aiidafion daie 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 Syi~terrl is(are) safe, functional and adequate for the number of
bedrooms and typ? of structure indicated herein. I further Verify that based On the information obtained from the
Municipality of:.~Chorage files and from my investigation and inspection, the on-site water supply and/or
wastewater di,sl:J~s~i system is(are) in compliance With all applicable Municipal and Stale codes, ordinances,
and regul~tiofiS in effect at the time of installation.
Name of Firm S & S Engineering
Address lT034 N. Eagle River Loop Ste.
Engineer's Printed Name . Robert C. Cowan
.. 4 bedrooms.
DSD SIGNATURE
Approved for
Disapproved.
204 Ea~le
Phone 694-2979
River, AK 99577
Date /~/~/O
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
'--'-- · WATER AND
~~ : WASTEWATER :
~ ' PHOG~M
~Jjjj))))))))))}) ,'
Maintenance Agreements
S[~pplemental Engineer's Report
Other
Original Certificate Date'./Z/3/O
(Rev. 12~0)
· IFT ST ,T ON
Date installed
"Pumpon' level'at
Datum
ir1:
Size in gallons - ' _
"Pump off' level, at..:
Cycle. tested.
M~nhole/Access (Y/N)
. in.. H~h water alarm level at
Meets alarm & circuit requirements?
~S~e~tic:tahldlift statioii 'on lot~'
Absorption field on lot
Public sewer main
on. adj; Iot.~
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPTIC/HOLDING TANK ON' LOT TO:
SEPARATION DISTAN(
ProPerty line
Water Service line
Curtain drain /~
Surtace'Water
Ioo ~F
TO~
Building '~"5-~ Water main
Surface water ,/j) 0
~'~"~'~ ~' wells on adjacent lots .g;-Og'
ENGINEER'S CERTIFICATION
I certify that/have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HA~guidelines in effect ~n this date.
Engineer's Printed Name f'~O~ ~/Z./~- ~-~ ~c3/~-,,~
Date '). ~--,/3, ./I;) 'z.._.
HAA Fee $ 3 7~'-'~° -f- /J"C~. *'* ~'/~;~'~R)""
Dateof Payment: i.
Receipt Number
(Rev. 12/01) .
Waiver Fee.$
Date'ofP.ayment
Receipt Number .... .. .
REBAR NEAR THIS
COR, DISTURBED.
~,~- GRAVEL DRIVE
~:
-
25
A" P¥C SEPTtC 8
sTD-PIPE$ [TYP] .
0
0
5.0
CONC,
0
8
S 41 27:33 E 246.68' (Ri
S 41~28'05"E 246.74' (Mi
7 ~
S 41°26'40"E 256.54' (M)
BASIS ~. 256.48' (R)
N 41~27TM 253.77'
5
v
9
9/18/02
4/25/02
DATE
NOTES: Easem,
plot are not st
provided by cli
or b~)~lder, prio
building grode
connection$~ ~[
eosements~ co~
oppeor on the'
Elevofions bos~
indic(tted,
LOTS 6&7, Bq
KNIK VIEW,
PLAT NO.
86-113