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KNIK VIEW ESTATES BLK 3 LT 18
Onsite File Knik View Estates Block 3 Lot 18 #051 - 043 - 20 Municipality of Anchorage On-Site Water and Wastewater Section ^ (907) 343-7904 PpgI ` d ON-SITE WASTEWATER INSPECTION REPORT ==f Permit Number: OSP171121 PID Number.• 051-043-20 Dwelling: K Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: Flffl New ❑ Upgrade Name Midnight Sun Construction LLC ABSORPTION FIELD FER Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 22543 Judd Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 10.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original 4.0 grade Ft. Gravel depth beneath pipe 6.0 Ft. Subdivision Block Lot Knik View Estates 3 18 Fill added above original grade 0.0 Ft. Gravel length 42.0 Ft. Township Range Section Gravel width 2.5 Ft. Beds: n/a Number of Lines Distance between lines n/a Ft. SEPARATION DISTANCES Tol Septic I Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field i Tank Line 504 Ft2 1 n/a Ft. Well n/a n/a / / n/a TANK ❑ Septic © S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1500 Gal. Surface Water 100'+ 100'+ / / Material Number of compartments Lot Line 5.0'+ 10'+ / ! NA Steel 2 Foundation 10'+ 10'+ / / LIFT STATION Manufacturer Capacity Remarks Orenco 250 Gal. Alarm location House Electrical installed by Solid Ground PIPE MATERIAL House to tank 3034 Tank to 3034 Installer drainfield Doug Grey Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 100.0 ft Inspection 9/11/17 9/12/17 Location and description 2„n 3i11 9/12/17 41” 12/19/19 NE Bottom House Trim ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF A/_'� — ---- ----- --- �r • �- ------- - ----- ----- � t Septic System,- Approved Date Note: this approval does not include well permit requirements.`�`� 1.fRCv VOIU41 10) nr NOTES: RECORD DRAWING I DRAWN I ACP I mf_ __ � -i-PC �2- U-2 ;>;, 101) M-0 >1 CZ ;11) 0 r) cl i M -0 z - — rl DSDC) m> n 7, K Fq U) -Ti cc) > M P.O. BOX 1807 PALMER, AK 99645 > N)x z > -'l 0 Fri -•1mozmrrno Z ➢ X := o ci, —-o M N U) U, CY) m o M 0 O. Cy)0 Frl c� M > -P, 0 < :j CA M -OLO -Tl TI M �A 0 C/I > 0 Z C) M C) P" Qi cn MID -4 F-rl cn � O CA (f) M M 0 K O w JUDD , F- 0 60 6d M 90 > n gs- II M co z P > 700 > M --- F� I+ r1l) 6 z 0 REVISIONS DATE 1/6/2020 SCALE 1" = 50' P.I.D. NO 051-043-20 PERMIT NO. SP171121 S H OEE F 1 2 OF 2 n PANNONE ENG SVC, LLC 2 OF At, P.O. BOX 1807 PALMER, AK 99645 -'l PHONE (907) 745-8200 FAX (907) 745-8201 N) m co KNIK VIEW ESTATES 133 L18 :j n MIDNIGHT SUN CONSTRUCTION LLC co P" Qi 22543 JUDD CO CE 8149 CHUGIAK, AKIVERI c'j -P, I+ r1l) 6 z 0 REVISIONS DATE 1/6/2020 SCALE 1" = 50' P.I.D. NO 051-043-20 PERMIT NO. SP171121 S H OEE F 1 2 OF 2 n K 2 -'l N) m cn 11 :j n co c0 00 CO m c'j c'j -P, O (A N) (o 0 > 00 CD - ('n -,1 0 --j v co m r'j - -P, NM -P, CT' C4 M ci 0) I+ r1l) 6 z 0 REVISIONS DATE 1/6/2020 SCALE 1" = 50' P.I.D. NO 051-043-20 PERMIT NO. SP171121 S H OEE F 1 2 OF 2 Lot 93 Lot 14 MORTGAGE SURVEY X SCALE 1" = 30' GRID NW i558 Project Na K24-043/R1 P.O. Box 210005 Lang & Associates, inc. Anchorage, Alaska 99521-0005 0o©o0p� Professional Land Surveyors ken langsurveycom o� OF AL �tOtt ionothan0lonosurvev.com 4�'�, ....7 nh I hereby certify that 1 have surveyed the following described property: LOT 18, BLOCK 3, KNIK VIEW ESTATES (PLAT NO. 86-113) Anchorage Recording District, Alaska, and that this Mortgage Location Survey Is a representation of the conditions that were found an the date the survey was performed. This survey does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained hereon shall not be used to establish any fence, structure, or other improvements. Dated this the _ 1 Day of i 4 , '4� 'L, at Anchorage, Alaska it is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear an the recorded subdivision plat. L 9TH : 9* fi, .. KENNE H G. LAi�.....a ' . s 202�oy�op AECCB63 Lot 13 Lot 14 IK PLOT PLAN --_ AS BUILT _X_ SCALE _1" =_ 30__ GRID _ NW 1558Project No. ---17-26V86 ___ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 000�Opp� (907) 522-4625 Fax o, Professional Land Surveyors kenOlangsurvey.com OF Y jonothanOlangsurvey.com q �S�p 1 hereby certify that I have surveyed the following described property: G'�O4�E Lot 18, Block 3, KNIK VIEW ESTATES (Plat No. 86-113) 0'•.�¢0� Anchorage Recording District, Alaska, and that the improvements situated thereon are �'• within the property lines and do not encroach onto the property adjacent thereto, that 0 no Improvements on the property lying adjacent thereto encroach on the surveyed �'p•: •r� premises and that there are no roadways, transmission lines or other visible n easements on said property except as indicated hereon.Z-( �j,A2o V --.LS-520Z.-- Dated -ILS 5202. --Dated this theDay of___1�fv._�--"`� �"O _. at Anchorage, Alaska Q O,o NOoo �04ROFfSSIONA� �o It Is the responsibility of the owner to determine the existence of any easements, �ppppo�d covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 q -0-17 ="PA r.0 „, MUNICIPALITY OF ANCHORAGE mens On-Site Water &Wastewater Program N.° '50;, PO Box 196650 4700 Elmore Road �. t; 4 /4' Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite .. / pa in On-Site Wastewater Disposal System Permit Permit Number: OSP171121 Effective Date: 8/31/2017 Work Type: Septic Initial Expiration Date: 8/31/2018 Tax Code Number: 05104320000 Site Legal Address: KNIK VIEW ESTATES BLK 3 LT 18 G:1558 Site Mailing Address: 22543 JUDD DR, Chugiak Owner: HOUSE JAMIE & Lot Size in Sq Ft: 22247 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: Disposal Field 9 Septic Tank 0 Holding Tank D Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing . or Received By: CU _na 1. ! , -1-- `I Date: Issued By: Livia/11rDate: OAF MUNICIPALITY OF ANCHORAGE Community Development Department \ Phone: 907-343-7904 Development Services Division �`-J� Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWERNVELL PERMIT APPLICATION Parcel I.D. 051-043-20 Property owner(s) Jamie House & Doris Yanas-House Day phone Mailing address 92-1085 Palahia St., Unti E, Kapolei, HI 96707 Site address NSN Judd Drive Legal description (Sub'd., Block & Lot) Knik View Estates, Block 3, Lot 18 Legal description (Township, Range & Section) Lot Size 22,247 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X (w/wo ADU) Septic Tank N Upgrade El Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: Use of proposed slope section of 15.65 Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. .____,_— *r)9\ ___2 ---2 (Signature of property owner or authorized agent) Permit/Rush Fees: t 569 Waiver Fees: 15 Date of Payment: (Z1611? Date of Payment: WZ.07 Receipt Number: O f LE(Q3C Receipt Number: Permit No. oS Pl 7-1 al Waiver No. 0 S lJ j 710c Permit App_ - : c Pannone Engineering Services LIC Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@oanengak.com August 23, 2017 Subject: Knik View Estates, Block 3, Lot 18 Septic System Permit Request Design Narrative This is a design narrative for a permit to install a new septic system to be issued for this property. The proposed system will serve a proposed four (4) bedroom house. Currently the lot is undeveloped. The system will utilize a new 1,500g S.T.E.P. tank and conventional drain field. This lot and the surrounding lots are served by public water. There are no wells within 200' of the proposed septic system. 1. Soils. One test hole was performed in the vicinity of this system by PES in August 2017, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 18.0' below the surface in the test hole monitor tube in August of 2017. Bedrock was not encountered in the test hole to 18.0'. Based on the results of the percolation tests and overall soils appearance; an application rate of 1.2 gallons/day/square was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography on the lot generally slopes from east to west, with a slope of approximately 20%to 35% in the area of the drain field. There are no slopes that exceed 45%within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all slopes steeper than 45%. See waiver request for the use of the proposed wastewater code. 5. Waivers: We are requesting a separation distance waiver between the proposed septic system and a slope greater than 25%to a distance of 0'. The proposed 15.65 allows for the installation of this type of system on the existing slope on this lot. Due to the nature of and drainage capacity of the soils found in the area (I-ISG A) the designed infiltration line of 45% for septic system installation on steep slopes should be used instead of the assumed/worst case soil classification infiltration line of 25%. The slopes and soil types enable installation of the proposed system without the system effluent "daylighting" further down the slope of the hill (see system site plan). Mailing: P.U. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 6. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Please contact me if you have any comments or concerns. Sincerely, ......OF 111•, • /.... .1a. .. * /• Steven R Pannone ;\�+/N R♦+4 ESS l)74•. 111.a. Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 1 / 7 / DRIVEWAY (BY OTHERS) SEPTIC AREA (E) TO BE CONSTRUCTED TO TITLE 21 REQUIREMENTS / / Ii g � a 4 / 1,5008 S.T.E.P. TANK (P) S o INSTALL FOUNDATION CLEAN OUT � .o S' ' r v � ' ` 1 • PRIMARY/RESERVE DRAIN IELD (P) • ss ss 42LF x 2.5'W x 6'ED x 10.0'TD • INSTALL 1.25" x 4" REDUCER k ss INSTALL MT AND CO AT EACH END 4BR ,rs / HOUSE `ss / �ry 11/ 1-44j f\i . TH-1 k • T 11 1� / -----....,.....,..„ 2 LOQ 18 U SEPTIC AREA (E) • / �_ 1•'• SEPTIC AREA (E) / 1 7 . 1 / NOTES: 1) MAINTAIN 10' MINIMUM SEPARATION FROM SEPTIC SYSTEM TO WATER SERVICE / 4. 2) NO SLOPES GREATER THAN 1 46% DOWNGRADE OF THE DRAIN FIELD / / 3) 50' DOWNGRADE OF THE DRAIN FIELD SHALL REMAIN UNDISTURBED OR RE-VEGETATED. DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM LEGEND NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1,500g S.T.E.P. w WATER LINE/ PERC RATE: 2.6 MPI WELL RADIUS ABBREVIATIONS SOIL RATING: 1.2 GPD/SF AREA RQD: 500 SF TH TEST HOLE SS NEW SEPTIC SYS. TYPE: DEEP TRENCH- 6.0'ED (P) PROPOSED MIN LENGTH: 41.7 LF _ - _Ga_ ._ — GRADE BREAK (E) EXISTING CO CLEAN OUT NO. USE: —0 0 RETAINING WALL MT MONITOR TUBE NO. 42 LFx2.5'Wx6.O' E.D., 10.0' TD TYP TYPICAL TOTAL AREA: 560 SF NOTES: ���Nxxx\ Dote PANNONE ENG SVC, LLC aF AC`.% Dote o, FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ��•'''''' 4S Ii PHONE (907) 272-8218 FAX (907) 272-8211 / 7 �g�P �4,•!:f.-7i0Scale DRAWN BY: *,• , • r /\ •*,/ 1"=50' DRM .... ipr ."f ..` . .... / P.I.D. NO KNIK VIEW ESTATES, BLOCK 3, LOT 18 '-en' onnorae / 051-043-20 MIDNIGHT SUN CONSTRUCTION tI PERMIT NO. c. CE 8149 .•�?j 05P171121 NSN JUDD DRIVE �+ s • � PLAN CHUGIAK, AK 99567 �I� ssio•`,s ; Sheet ,,NIL .��� 1 OF 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: INSTALL NEW TANK AND DRAIN FIELD. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 18.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 18.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: . TITLE: DATE: NOTES: PANNONE ENG SVC, LLC ofA, Dote �V� Date FOR CONSTRUCTION _ P.O. BOX 100217 ANCHORAGE, AK 99510 •""'•'9S `4 2017 PHONE (907) 272-8218 FAX (907) 272-8211 Awco.P �4� g � Scale DRAWN BY: *' • * TM. ` . '/� P.I.NTSO DRMt4 KNIK VIEW ESTATES, BLOCK 3, LOT 18051-043-20 MIDNIGHT SUN CONSTRUCTION r teven onr� noe r PERMIT NO. NSN JUDD DRIVE #�s CE 8149 . . OSP171121 DESIGN DETAILS CHUGIAK, AK 99567 �� �F � Sheet 4 OF 4 SOILS LOG - PERCOLATION TEST TEST HOLE 1 SLOPE s LAN OR ORGANICS ) .11 / Ili • / I2 3 • 4 GM/ SILTY GRAVEL / H 4BR . SM AND SAND OUSE 5 (ID) -1� 6 x I-si..i: / TH ///��� // 8 / 7----------- w • � LOT 18 10 1SEPTIC AREA (E) • • 11 12 SM SILTY GRAVELLY 1 7 ` SAND / 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES,AT WHAT TH DEPTH? -DRY 16 x 17 DEPTH TO WATER AFTER MONITORING? -DRY 18 DATE: 5/31/17 WATER 19 READING DATE CT MEK NET TIME LEVEL NET DROP READING 20 BOH 1 5/16/17 11:00 --- 5.19 --- 2 11:10 10 MIN 9.04 3.85 DATE PERFORMED:5/16/17 3 11:10 5.19 4 11:20 10 MIN 9.07 3.88 5 11:20 --- 5.19 --- 6 11:30 10 MIN 9.01 3.82 7 11:30 --- 5.19 --- 8 11:40 10 MIN 8.99 3.80 PEROLATION RATE 2.6(min/inch)PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS:Test hole excavated by SANDERS AND SANDERS PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC, LLC _-�oF`,�`V� Dote FOR CONSTRUCTION . ...�q li` 6/22/2017 P.O. BOX 102954 ANCHORAGE, AK 9951 D r '� S /�Q'' '� Scale PHONE (907) 272-8218 FAX (907) 272-8211 /Oj . y r DRAWN BY: Al*: 4! */ , NTS DRM "' •• •1� I P.I.D. NO KNIK VIEW ESTATES, BLOCK 3, LOT 18 _ .. I 051-043-20 MIDNIGHT SUN CONSTRUCTION d Steve R.`�annone / PERMIT NO. ��c. CE 8149 ••cam j OSP171121 NSN JUDD DRIVE # 4� SOILS LOG CHUGIAK, AK 99567 �l�l���?OFESSI=-� Sheet 4 \��� 040.002 Crowther Associates Client: Pannone Engineering Services Projects: Kink View Estates Block 3 Lot 18 Date: May 19, 2017 Particle Size Distribution Table Sample Source Sieve Size 3 inch - - 1-1/2 inch 100 3/4 inch 91 #4 77 #10 70 #40 49 #100 17 #200 10 0.02 mm Classification Silty Gravelly Sand (SM) 1632 Bellevue Circle/Anchorage, Alaska 99515 Telephone(907) 349-2198/E mail: crowther@alaska.net SOILS LOG - PERCOLATION TEST TEST HOLE 2 SLOPE SITE PLAN OR ORGANICS \\ illi1 2 3 48R • HOUSE ` 4 (P) • 5 `o iTH-2 6 X TH 7 GM/ SILTY GRAVEL LOT 18 8 GWW AND GRAVEL 9 TIC AREA (E) • • SEPTIC AREA (E) 10 / 11 12 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES,AT WHAT TH DEPTH? -DRY X 16 17 DEPTH TO WATER AFTER MONITORING? -DRY 18 DATE: 8/16117 BOH WATER 19 READING DATE CLOCK NET TIME LEVEL NET DROP READING 20 819117 8:55 -- 4.91 -- 2 9:05 10 MIN 7.82 2.91 DATE PERFORMED:8/9/17 3 9:05 -- 4.91 -- 4 9:15 10 MIN 7.25 2.34 5 9:15 -- 4.91 --- 6 9:25 10 MIN 6.99 2.08 7 9:25 — 4.91 -- a 9:35 10 MIN 6.95 2.04 PEROLATION RATE 4.9(min/inch)PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS:Test hole excavated by SANDERS AND SANDERS PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC, LLC �!OF AC At� Di;6�20,7 OR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 .�"cS._• •"•qS k0 i'.P' 4- Scale PHONE (907) 272-8218 FAX (907) 272-8211 fir*. ^ 4 dr-i, *�� NTS DRAWN BY: / DRM .01 ••• •• • •• '.I.D. NO KNIK VIEW ESTATES, BLOCK 3, LOT 18 411x: • 1051-043-20 MIDNIGHT SUN CONSTRUCTION 'teven .1: : Ponnorae / PERMIT NO. �� CE 8149 .•.-•, OSP171121 NSN JUDD DRIVE �� s�. q SOILS LOG CHUGIAK, AK 99567 1�jT�-" oFEss000.. . Sh3ett OF 4 \\\�� Certificate of On -Site Systems Approval Parcel I.D. 051-043-20 Legal description KNIK VIEW ESTATES BILK 3 LT 18 Site address 22543 JUDD DR Chugiak AK 99567 Current property owner(s) WISNIEWSKI Expiration Date: / 2 X The On -site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: c Original Certificate Date: 6/4/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 I. GENERAL INFORMATION Parcel I.D. 051-043-20 Complete legal description KNIK VIEW ESTATES; BLOCK 3, LOT 18 Location (site address) 22543 JUDD STREET, CHUGIAK, AK 99567 Current property owner(s) KYLE WISNIEWSKI 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 478-320-7802 3. TYPE OF WATER SUPPLY: R Private Well El Private Well serving 2 dwelling units n Private Well serving 3+ dwelling units On Community Well or Public El Water Storage 4. TYPE OF WASTEWATER DISPOSAL: RE Private Septic F] Private Septic serving 2 dwelling units R Holding Tank El Community Septic or Public Sewer 5. SEPTIC TANK: ME Steel F] Plastic El Concrete El Fiberglass Age 4-6 - See advisory if steel older than2o years 6. ABSORPTION FIELD: El AWWTS F] Bed X Deep Trench n Wide Trench n 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. COSA Fee $ 5 _0 Waiver Fee $ Date of Payment. 51 2 (/ 2,, Date of Payment COSA# Q.SC 2 q � -7_ Waiver # COSA Application —June 2022 COSA Checklist Legal Description: KNIK VIEW ESTATES; BLOCK 3, LOT 18 Parcel ID: 051-043-20 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 LL DATA ❑ Well log is with Onsite (or attached) Date drilled depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) _ e Date of flow test for COS Static water le eginning of test ft. B. TANK DATA Measured operating fluid level in septic tank 47" Date of pumping T ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 9/"/"-,2/19/19 HE ALL standpipes present per record drawing Total measured depth from grade *10.5 ft (max) Measured depth to pipe invert from grade 3.9 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. n Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced _gallons date Any rejuvenation treatment (past 12 months) N/A If yes, enter date Well production at time of test01- gpm Water storage tank a gallons Well dis' ed for coliform test? ❑ Yes W No bacteria is Negative _ mg/L ❑ Nitrate less than MRL (ND) ug/L ❑ Arsenic less than MRL (ND) Collected by Date C_./L'IFT STATION i� Required maintenance completed Age of lift station 4-6 years Lift station material STEEL Comments: Adequacy test date 3/26/2024 Results ❑ Pass Fluid depth prior to test **41.5 in Water added 1009 gal New fluid depth **72.5 in Elapsed time 150 min Final fluid depth 65.25 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 72 in Effective depth used 65.25 in Effective depth remaining 6.75 in Comments/Deficiencies: *BASED UPON GEG ELEVATIONS, THE BOTTOM OF THE SOUTH MT IS 6.12' BELOW THE SOUTH CO INVERT AND THE NORTH MT IS 6.14' BELOW THE NORTH CO INVERT. **945-GALLON OF WATER WAS ADDED I U I HE DRAINFIELD ON 3/25/2024 WITH THE STARTING FLUID DEPTH AT 17" IN BOTH MT'S AND WAS AT 48.75" THE END OF ADDING THIS WATER. PER OWNER, HOUSE WAS VACATED ON 3/10/2024. COSA Checklist June 2022 E. SEPARATION DISTANCES Nr&n4kLvate Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift on Lot > 100' Community Sewer Manhol pout > 100' Yes if No ft [:]Yes if No ft Neighboring Tank > 100' ❑ Yes if ft Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No t Tank > 100' ❑ Yes if No ft Neighboring Absorption Field _ Animal Containme _ Yes if No ft EJ Yes if No ft Manure/Animal Excreta Storage > Co I Sewer Main > 75' [:]Yes if No Myes if o ft X N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Fm� Yes if No * ft Surface Water > 100' M Yes if No ft Tank to Property Line > 5' Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' Yes if No ft If tank or field is under driveway comment below Z,V F. ENGINEER'S COMMENTS *10'+ FOR DRAINFIELD. 5'+ FROM FOUNDATION OF HOU ErWHICH MET PARATION DISTANCE AT TIME OF INSTALL. MEASURED 6-8" FROM CENTER OF MA O CLOSEST DECK SUPPORT. THE PORTION OF THE DECK NEiV, STEP TANK IS LESS THAN 30" TALL. G. CERTIFICATION & 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, indicates that the on -site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gayness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may Fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systemis. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an aftemative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist —June 2022 OF 49 T ......... Ne......... .......... (% re}h-A ness., ' CE 79�53 d4p ^^rPr .57 f LICENSEProfessio�o�� #AECCS&1 v,. �V hq MUNICIPAL1111-Y OF ANCHORAGE Developninent Servic-s E" '191"i Aatei,12 3 e,.j .ICI _7 C' - ax Lift Station/Pump Vault Maintenance Log Owner Street Address c Septic Tank: -Sludge level 2Linches -Pumping: required Yes _ Pumping completed "010'k- Lift station: -Pump basket cleaned ves no -Effluent filter cleaned �SSno7 -Control floats cleaned � es) no *Proper float settings confirmed no -Operation satisfactory (y— no Alarm System: -Dedicated electrical alarm circuit "y s/no -Audible and visual alarm inside dwelling,<,,Ve no -Alarm system operationr--t' facto not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection yes -Ground water intrusion around pipe penetrations es o.-Weep hole functional- "`�� no -Manhole lid, Functionary-e-'s'-11 no Insulated es' no Properly Secured <��_M_�no Other -All manufacturer required inspections and maintenance completed eV no Qualified Maintenance Provider: Technician C W. Company Signature Date of maintenance Date _1-i MUNICIPALITY OF ANCHORAGC��.__ Development Services Department r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 051-043-20 Certificate of On -Site Systems Approval Expiration Date: Complete legal description Knik View Estates B3 Ll 8 Location (site address) 22543 Judd Drive Current property owner(s) Midnight Sun Construction Mailing address Day phone Real estate agent Day phone 2. TYPE OF DWELLING: n- Single Family (w/wo ADU) El Duplex El Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well F] Private Septic F-1 Water Storage ❑ Holding Tank ❑ Community Well Community ❑ Public Water System Q Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineel"',unless otherwise requested by the engineer, COSA Fee $_ 70 (covi b - 19 Date of Payment Receipt Number 0 20066 COSA # 0 5 C P-0 15 0 2, 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. 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. 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. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 •�T Engineer's Printed Name Steven R. Pannone P.E. Date god e c� o WAS _ .. — -.; 9 �010 B 6. DSD SIGNATURE • • • • • • • System #1 Approved for bedrooms Steven R. Pannone ,Q �f7`�F�', CE 8149�� System #2 Approved for bedrooms 11\\A�@�ND .....1aN�,��� Disapproved k�, P%FE �® Conditional approval for bedrooms, with the following stipula , ®Ffl�trrr��r( --_ ►_SITE %' � g W SER AND •�T z� o WAS _ .. — -.; �010 B By: k6LKOriginal 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 Checklist blue sheet Legal Description: Knik View Estates 133 L18 If more than 1 septic system on lot: COSA Checklist # 1 rr f. A. WELL DATA ❑ Well log is filed with Onsite (or attacTiel)- Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly .-f ❑ Wires are properly protected Casing height (above ground)+ Date of flow test for COSA Static water level at beg' ping of test ft. Comments public water system B. TANK DATA, Age of tank(s) 91111' years Tank type/material STEP/Steel Measured operating fluid level in septic tank n/a ❑ Standpipes/foundation cleanout per record drawing Date of pumping n/a Of 1 D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 9/12/17 ❑ ALL standpipes present per record drawing Total measured depth from grade 10.0 ft (max) Measured depth to pipe invert from grade 4.0 ft (min) ❑ N/A - pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/DeflclencleS: home completed summer 2020. system unused COSA Checklist yellow sheet Parcel ID: Structure served by this system 1 n51-043-20 Well production at timeq..tes'f gpm Water storageJankk volume gallons Well cjisin`fected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION no Required maintenance completed 9/11/17 �- Age of lift station years -Z•.5 Lift station material Steel Comments: Adequacy test date new Results [DPass For 4 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate '600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date ID E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if communi well) Septic Tank/Lift Station on Lot > 100' Commu� Ma Cleanout > 100 r,7/ Yes if No ft p ❑✓ Yes if Neighboring Tank > 100' Q✓ Yes if No t e Sewer/Septic Line > 25' R� Yes if Absorption Field on Lot > 100' P Yes if No Holding Tank > 100' 0✓ Yes if Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if ✓V Y6s if No ft Manure/Animal Excreta Storage > 100' Community Sewer Mai _ 5' E✓ Yes if No ft Yes if From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F/I Yes if No ft Surface Water > 100' Q Yes if No. Property Line > 5' ✓V No if No ft No 0 Absorption Field > 5' E✓ Yes No ft Private Wells > 100' ✓0 Yes if No. Water Main > 10' ✓v Yes if No ft No ✓] Yes if No Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below No Building Foundations > 10' F/I Yes if No ft Surface Water > 100' Q Yes if No. Property Line > 5' ✓V Yes if No ft Wells on Adjacent Lots: 0 Absorption Field > 5' E✓ Yes if No ft Private Wells > 100' ✓0 Yes if No. Water Main > 10' ✓v Yes if No ft Community Wells > 200' ✓] Yes if No Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' E✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells > 100' E✓ Yes if No Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Q Yes if No Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION / certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet �P�fc OF A�.4Sfi� TH Q Leven R. Pannone o �F CE 8149 Vis' ,.Aw ft ft ft ft ft ft ft ft ft ft