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Home My WebLink AboutKENAI VIEW LT 1Kenai View Lot 1 #018-332-04 Municipality of Anchorage Page of a DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S W 99 033 $ PID Number: 011? --33-a-04 Name:Wastewater L.)a I /n System: ❑ New Upgrade /•a G G Address: 3 dl T; es z e!I Ave Ani S 6 ABSORPTION FIELD 77 Phone: 1 o No. of Bedrooms: l D Deep Trench ❑Shallow Trench ❑Bed ❑ M d ❑Other LEGAL DESCRIPTION SOII Rating: Total Depl original grade: GPD/S Ft. Lot:I Block: Subdivision: A Depth to pipe bottom hom original grade: gravel depth beneath pipe C 'Ick1 / 14111. 1 Ft, Township:Range: Section: Fill added above original gra Gravel length: I Ft. Ft. WELL: ❑ New ❑ Upgrade Gravel width: Number of lines: oatanal beteeeo fim: Ft. Ft. Classification (Private. A.S.Ct: total D Cased To: Total olotion area: Pi material: (� X17/• Dao �X I .1 /It, /'t ✓d1� Ft. Ft. SO. Ft. I Driller: Date Drilled: Static Water Level: Installer Date installed: /�� 9�± IG--a6-`i -1 Ft. ween . CQ y4 f?' Yield: Pump Set at: Cuing lkight Above Ground: TANK GPM FI. FI. SEPARATION DISTANCES ❑Septic PLHolding 0S.T.E.P. To Septic Absorption LIR Foldbq bIINPmile Men Iadturer: Capacity In gallons-.,,, OQO From Tank field Stenon Tank Sewrlirros /7e,6r, !�Q /7 Well .� �• "" AA 1 1 $ v+ T Materiel: �' e Number of Compartments: ^ p( Watery lour+ NA LIFT STATION � Lot N Size in gallons: Manufacturer. Line — R Foundation �. �• Sa� h, /A "Pump on' level at: 'P "level al: High water alarm at: Curtain ,-. NIA Pump Make el Electrical Inspections performed by: i Drain HlA Remarks: TANK- i r 1-45va-4444 BENCH MARK � AA,A fiAS 3 of CovE/e Location and Description: rl^rTl — FLa47-AT/0N LJIE.G-HrS Assumed Elevation: r S7.94,L0-O. 1Ft r .�� OF AL,a lit •. JAW (.g�J 1 ••'I�+f �� 17034 Eagle River Loop Road2 Nli tg Inspections performed byZaale, River. Alaska 9987.1. Dath 1stf�"a6—`i9 �iy1 2nd rl• y y i 20CERT C. COWAN ftit�s'f E 1801 Department of Health and Human Services approval ..•r�= Reviewed and approved by: Date: /D-2-7- 1 eo,711 Ir 72-013(Rev.99t( MOA 25 PERMIT NO. SW990378 PACE 2 OF 2 Municipalit of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Te'l�ephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LECAL LOT 1, KENAI VIEW P.I.D. NO. 018-332-04 D ORA AVE. (NOT BUILT) 3' ROAD R.O.W. ` EASEMENT SURFACE WATER 10' UTILITY EASEMENT F��-I I RADIUS i� I3 75' WELL co LD co 3 O ISY YS' THREE e s� I I BEDROOM `C0 w HOUSE 8 0 A z 0 ALARM IV) LOT 2 o I EC C0 " 2000 GA LON POI ALARM HOLDING TANK c SCALE: 1• -I30' p E� E— E— E— E— E— E— G IN A t't TIESZEN AVE. p ROBERT C. COWAN i� CE -8801 .•i% - (1l1 I I MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-S@e Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Oct 07, 1999 Expiration Date: Oct 06, 2000 Permit Number: SW990378 Parcel ID: 018-332-04 Legal Description: KENAI VIEW LT 1 Design Engineer. 0003 S & S Engineering Site Address: 003401 TIESZEN ST Owner Name: Eric Wallace Lot Size: 11400 SQ. FT. Owner Address: 3401 TIESZEN AVE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE, AK 99516-4042 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 DHHS at least 2 hours prior to each Inspection. Provide notification by calling g (907) 343-4744 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either. A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: 10— Z-?'? IEALTHAUTHORITV APPROVALS SEWERS WATER MAN DITENSIONS SEWERS WATER PSPEcRON ENGINEERINGST DIES AND REPORTS WELL INSPECTION S FLOW TEST SITE PIANS r:. r.1 SM TEST PERCOLATION TEST STRIX.RIA ALI MECHANICAL. INSPECTIONS CN SITE WASTEWATER DMPOSALSYSTEM DESIGN ROBERT C. COWAN, P.E. CML ENGINEERS (907)694-2979 FAX(907)694-1211 September 27, 1999 i MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519 REFERENCE: Lot 1, Kenai View SID This letter is a request to issue a permit to install a holding tank serving the three bedroom residence on the referenced property above. The existing 2000 gallon holding tank is to be pumped, crushed and abandoned. Replacing it will be a 2000 gallon steel holding tank. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. The proposed 2000 gallon holding tank is to be placed outside the 75' protective well radius. Attached is a site plan which depicts the locations of the existing and proposed tanks. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P. E. RCC / jhm Enclosure 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 v = qn' ifs y r A�0 ,Ix O N O C.z V1 mZ0 2 C �N DOn Z 75' FOM I �I CI 01 -- X Z D =0CA n m O ;0 > - 0 D_ Zip Z o 0 oCD 1 >c0 D m r m m-im ;00. ^ SITE DESIGN S T WSHOE Lane OX r 0 C D p p x RP��VS I I •� �5 c = rn -+O Z • r Off= I c z m x O c:�� O C f Ln o N O m � D 0 o m O rrm N N� 13 1OO• TO 0 SURFACE WATER SUBSURFACE DRAIN OX r 0 C D p p x Z0 �,� gD-Ox 00� O Ln Nf`� rzm^ O y G)z D z [) 00' O -+O Z �'j� r N z m x O ! v O C f Ln o x � D m r HEATHALfNORRY APPR(NAS SEWERSWATER LONEXTENSKM SEWERSWATER NSPECTION ENGINEERINGSTUDIES ANDREPORTS WELLNSPECTIGN A FLOW TEST SITEPWS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURALS MECRANMN. I SPECTICNS ONSITE WASTEWATER DISPOSASTBTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES ROBERT C. COWAN, P.E. and CML ENGINEERS MATERIAL SPECIFICATIONS FAX(694-29AX(907)694- 4-1211 Lot 1, - Kenai View S/D September 27, 1999 1. The scope of this project includes the installation of a 2000 gallon holding tank to serve the three bedroom residence located on the referenced property. The existing 2000 gallon holding tank is to be pumped, crushed and abandoned. 2. 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. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 1 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. 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. ,ING TANK INSTALLATION: 1. A holding tank is to be constructed by a certified wastewater holding tank manufacturer. Construction shall include a 6" cleanout for pumping access, and water -tight manholes. 2. The holding tank shall be sufficiently bedded to prevent settling or shifting If the tank. 3. All standpipes on the holding tank shall extend a minimum of 12 inches) above final grade. 4. Holding tanks installed with less than 4 ft. of cover shall be insulated. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER ALASKA 99577 PAC-&-- 1 5. The holding tank shall be equipped with a high-water alarm which registers both visually and audibly inside the dwelling. The alarm shall be positioned to allow at least 150 gallons of storage per bedroom or a minimum of 300 gallons after the alarm has been activated. 6. Final grading over the holding tank shall be such that a positive slope exists away from the holding tank. MININIUM MATERIAL SPECIFICATIONS: 1. Any holding tank proposed for installation must be constructed by a Municipally approved holding tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pine Perforated $41id 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 (Doi Chemical Company Styrofoam HI or equal). 4. Tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). INSPECTIONS: Typically there will be a minimum of two (2) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the tank has been set; lines, cleanouts, standpipes and insulation are in place; and prior to backfilling. 2. The final inspection is to occur upon final grading of the property. 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 contractor's 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. CONTRACTORIOWNER �UrlICIPALITY OF ANCHORAGE ilea. , and Environmental Protec' Sn Fourth Floor wcst 825 L Street 't Anchorage, Alaska 99501 264-4720 IN_SP_E�oC.TTIIO�N' REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS V LEGAL L'ESCRIPTION_. LOCAT 10:1---- -- 1.1Sli\NCL L NUMBER OF C I I1 qr.1 l'JLLL }�� _- F.IANUT'ACTURER4'�— MATFRIAL �.__ COMPARTMENTS I:1 �I:JE LENGTH -_._ TILL DRAM FILLO: DI:,11.rICE I F101.I 1:LLL t of Lincs IDN ARLA INSIDE vJ101H LIQUID DEPTH LIQUID CAPACI a TQTAL LENGTH —FOUNDATION —_NEAREST LOT LINE— OF LINE DISTANCE 6ETWEEN LINES TRENCH YNDTH_— IN. TOTAL EFFECTIVE 1G1. 01' TILL 101INISH C ADE 5LLPAGL PIT: SQ. FT LENGTH OF EACH LINE. — ULPTII OF FILTER —MAILRIAL-BENEATH TILE IN. ABOVE TILE E _ - - IN. DIAMETER —OR WIDTH _. LENGTH_, DEPTH ' bog Crib pings_ Crib Size: CIAM1ILILII---ULi'T11_DISTA"ICEFROMI WELL TOTAL EFFECTIVE Ut1:1DA110.'1_—_, NEARLST LOT LIME /',[,SORPTION AREA (WALL AREA) SQ. FT. :)) Depth: ,)) Distance To: Lot Linc _ dg: Saler Line: :,c tlatcrials: �� of I edroo:ns: DAILID'3�--F-7,IPRGVFT _ . t IIS -I i l i 1 1 FT, ! ! f�-i- r 1 I It i I� I-� I I I I. I I .l 1.. i._I_. I I• - I—I �)-. —I I r DAILID'3�--F-7,IPRGVFT _ . t GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99501 TELEPHONE 274-4561 j mPrl1. �v 3 ►-�7 /Yin �l1g. PERMIT NO. 79k2-, SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT MAILING ADDRESS ! PHO'p ;t�-�/ INSTALLATION LOCATION LEGAL DESCRIPTION G�/�✓L� ��.L/ INSTALLATION OF: SEPTIC TANK /S EEEEE-PAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED • �� FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED TO BE INSTALLED BY I NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, SEEPAGE PIT TO RIVER, LAKE, STREAM. o7pG'4 DRAIN FIELD DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING G.A.A.B. OR LICENSED DESIGNER EA SIZE TYPEI_ i DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORM NO. EO -0I6 ORDINANCE NO. 28.68 AND THAT THE ABOVE October 24, 1977 Everett IIoneger 2820 C Street Anchorage, Alaska 99503 Subject: Lot 1 Kenai View Subdivis&on Dear Mr. Iionegar: The circumstances of high -ground water tabal, no septic tank and unknown location of the cesspool serving the sub4ect property dictates the installation of a 2,000 gallon holding tank before this department could grant an approval. A permit is required prior to installation. A $20.00 fee is charged for this type of upgrade permit. If there are any further questions, please contact this office at 264-1720. Sincerely, Les V. Buchholz, R.S. Sanitarian L:I3/l j h cc: Peoples Bank, and Trust Mortgage Loan Section Pouch 7-007 99510 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519519 ` -6650 \U< www.muni.org/onsite (907)343-7904 CERTIFICATE FOR A RUSH OF ON-SITE SYSTEMS APPROVAL SINGLE FAMILY DWELLING Parcell.D. 0m-?)a2_•Dq_ COSH# Ug)t4gL1 1. GENERAL INFORMATION Expiration Date: _1z q_06 Complete legal description KENAI VIEW SUBDMSION: LOT 1, Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address 3401 TIESZEN AVE. ' ANCHORAGE. AK 99516 GARY AND DIANE SNELL Day phone 345-5020 3401 TIESZEN AVE. • ANCHORAGE. AK 99516 Unless otherwise requested, COSA 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 ❑ Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding tank N Community On-site ❑ Public Sewer ❑ ------The Municipality of Anchorage Development Services Department JDSD) 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 Onsite 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 seat affixed hereto and as of the validation dale shown below, I verify that my Vn✓estrgation, basedaon procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, fhows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate or the-AVmber of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage (les 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. Date 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 8 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 Me 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 porson or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for --3— bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: �`�ttt��`t1tOF qNC viii ON-SITE • v,m*rrP AND wASTEwAI trc Attachments: `/ f OSA Checklist ArsenieAdvisory Septic System Advisory Well Flow Advisory Nitrate Advisory Maintenance Agreements Supplemental Engineer's Reort Other By: QZ __ Original Certificate Date: 41-217-06 ,n- I'M% Municipality of Anchorage • Development Services Department Building Safety Division On-Ske Water b Wastewater Program 4700 Bragaw Street P.O. BOX 198850 Anchorage, AK 995198650 www.muni.orglonsite (907) 343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: KENAI VIEW SUBDIVISION: LOT 1,. _Y; - 4" _ Parcel ID: 0 / 9 - 3 3 2 - 0 y A WELL DATA Well type SATE If A, B, or C provide PWSID# N/A Well Log (YM) NO Date completed PRE 10/1977 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 90+ ft. Cased to 40+ R. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 9/20/2006 Water added _gal. New depth Static water level, ft. 85 ft. Absorption rate >= O Well production tJ g.p.m. 3.2 g.p.m. WATER SAMPLE RESULTS: Coliform * colonies/100 mL Nitrate _htD—mgA. Other bacteria --(k—colonies/100 ml. Arsenic: jAdfUg./L. Date of sample: 9/20/2006 Collected by: GEG. Ltd. S. SEPTICIHOLDING TANK DATA Tank Type/Material HOLDING/STEEL Date installed 10/26/1999 Tank size 2000 gal. Number of Compartments 1 Cieanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alar (YM) YES Date of pumping 9/11/2006 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./it'or ftlbdr) _ System type Length Width Total depth ft. Eft. absorption area _ ft' Date of adequacy test ft. Gravel b4Wff (i"pe ft. Depression over field For bedrooms Fluid depth in absorption fieldbsorption fletd be _ in. Water added _gal. New depth —in. Elapsed Time: Final fluid depth _ in. Absorption rate >= g•p.d• treatment (past 12 mo.) (YIN 6 type) If yes, give date D. LIFT STATION Date installed "Pump on" level at _in. Datum — E. SEPARATION DISTANCES Size in gallons "Pump ofP 1 �� High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAih station on lot N/A On adjacent lots 100'+ Absorption held on lot N/A On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/deanout N/A Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption held 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 75'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water service line Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I car* that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effed on this date. Engineers Printed Name JEFFREY A. GARNESS Date 'T h7 -IOL COSAFee a q3o tu;� 4 17-4.(r.> Date of Payment �� G Receipt Number y ri r, (Rw. 1 1105) ' h A Waiver Fee E Date of Payment Receipt Number parking/vehicle storage 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.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 060474 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 1 of Kenai View Subdivision. This inspection revealed an arsenic concentration of 16.6 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. SGS Rees 1065564001 Client Name Garness Engineering Group, Ltd. Project Name/N Kenai View LI 13l Client Sample ID Kenai View LI DI hiatrix Drinking Water PIYSID 0 Sample Remarks: All Datcsrrimes are Alaska Standard Time Printed Daterrime 09/27/2006 9:33 Collected Datefrime 09/18/2006 15:00 Received Date/Time 09/18/2006 15:30 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results POL Units Method Conmincr ID Limits Date Date Init Metals by ICP/MS Arsenic 16.6 a 5.00 ug/L EP200.8 C (<10) 09/19/06 09/23/06 h111 Waters Department Nitratc-N ND 0.100 Microbiol2 Laboratory Total Coliform 0 mg/L EPA 353.2 D (<10) 09/19106 ALR col/100mL SN1209222B A (<I) 09/18/06 TLF 09/ll1/.06 110\ 14:02 FAX 907 561 4284 Buyers Real Estate s _ !� I poAA Ay E.6yor arr/i-r) 30 0 Rt 0 /r•'.3� .'ZO.1D R.o.W. ESM .'r 7 •1 IJ Z WfcL�• 0 r 44u Sroay ZAAiE .•'i. 'iC av [ 44" 4= �. ,•' ISI Z Al 8.9 31 �d 0''{ I� /00 - eo . o ' M 5Z6N FIVE - Z_ IM 003 AS -BUILT. NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the lot lowing described property: Le> r 1, /(SNR! : •v1MLa/ Su(3D1V 1510^1 •, p`� +� a•0 Anchorage - Recording Precinct, Alaska, and that the t ' improvements situated thereon are within the property lines and :'� t \ .•Y-tr.^^•i•�'� do not overlap or encroach on the property lying adjacent thereto, r• r+•y,�f,;r„ +' that no Improvements on property lying adjacent thereto + !7� encroach on,;the premises In question and that there are no y �lU. jtS6d (� ra >G4Lt` da=�d�'•.� - ,.•'.: t �' .roadways,, uensmission lines o other visible easements on said 30/. e�{1�1••LY�gt;t•�>'nrtpi+ properly ezcopl as Indicalod hereon. t,••`- q»,va; �,. Dated at Anchorage, Alaska .this'd@y of OGr--�BE� 19 Y4 EASFMFr(4TS OF RECOD, OTHER TI IAN FR6D WALATKA 6 ASSOCIATES THOSE SHOWN ON T14E RELOADED PLAT ARE NOT SHOWN HEREON. r1ge1,- q. GQ (907) 246.1666.— Engineers and Surmyors ' vS 55 O 0 r Z� av Al 8.9 31 �d 0''{ I� /00 - eo . o ' M 5Z6N FIVE - Z_ IM 003 AS -BUILT. NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the lot lowing described property: Le> r 1, /(SNR! : •v1MLa/ Su(3D1V 1510^1 •, p`� +� a•0 Anchorage - Recording Precinct, Alaska, and that the t ' improvements situated thereon are within the property lines and :'� t \ .•Y-tr.^^•i•�'� do not overlap or encroach on the property lying adjacent thereto, r• r+•y,�f,;r„ +' that no Improvements on property lying adjacent thereto + !7� encroach on,;the premises In question and that there are no y �lU. jtS6d (� ra >G4Lt` da=�d�'•.� - ,.•'.: t �' .roadways,, uensmission lines o other visible easements on said 30/. e�{1�1••LY�gt;t•�>'nrtpi+ properly ezcopl as Indicalod hereon. t,••`- q»,va; �,. Dated at Anchorage, Alaska .this'd@y of OGr--�BE� 19 Y4 EASFMFr(4TS OF RECOD, OTHER TI IAN FR6D WALATKA 6 ASSOCIATES THOSE SHOWN ON T14E RELOADED PLAT ARE NOT SHOWN HEREON. r1ge1,- q. GQ (907) 246.1666.— Engineers and Surmyors ' vS 55 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH A HUMAN SERVICES Division of Environmental Services R c JL, jjo /J y On Site Services Section 7 P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 /o CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. u 018-332-04 HAA* 1. GENERAL INFORMATION Complete legal description Lot 1, Kenai View Location (site address or directions) 3401 Tieszen Avenue . i Property owner Eric -Wallace Day phone 762-9504 Mailing address 34b1'-Tieszen Avenue, Anchorage, AK 99516 Lending agency p�s�n4~piAL ~'SRT —540,1 SrA,,A"PDayphone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank XX% Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Ft".I/91) Flans MOA#21 5. 6. M 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 bf this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S 6 S ENGINEERING Name of Firm ee,Phone Address Eagle River, Alaska 99577 Engineer's signature DHHS SIGNATURE _L'f Approved for T HREF bedrooms. Disapproved. — • Conditional approval for Additional Comments • Date OF yp � ROBERT G COWAM 1 W cf � CE -8801 , f•�•; IIIl1��SiL�iJ�•� y'�•� bedrooms, with the following stipulations: Date ,/D -27- 11ti The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasersof homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is Issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. r2 -025M., W) 6. MOAm e Municipality of Anchorage [ I"C D DEPARTMENT OF HEALTH & HUMAN SERVIC C v G Environmental Services Division 2 825 L Street, Room 502 • Anchorage, Alaska 99501 • (9073-ri34V99 Municipality of Anchorage Health Authority Approval Checklist Health & Human Services Legal Description: 7- / k ENA 1 V I Eu 51D Parcel I.D.: Q I % — 3 3 >- . 0 jL A. WELL DATA Well type A o *4 A T E If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/lVN 0 Date completed Total depth $ ? t Cased to Sanitary seal L9/N) y f, f 4o 4 - FROM FROM WELL LOG Date of test Static water level Weil production g.p.m. v / x - r Casing height (above ground) f -- Wires properly protected &N) Y 6.S AT INSPECTION 101 j-Ig9 S' 3 3,5— •S i g.p.m. WATER SAMPLE RESULTS: Coliform Nitrate 0.6)-j Other bacteria Date of sample: )0/ V/ B c% Collected by: S i S ENGINEERING 17024 • River Loop Road No. 204 8. 8ePT OLDIN ANK DATA Eagle River, Alaska 99577 Date Installed 101at /q l Tank size a 00 O Number of Compartments / Cleanouts(f 1) YE1 I Foundation deanout&N) V4 f Depression (YA@ rjV High water aiann&N) 1 46 1 Date of Pumping id - N4 "' Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.dJW or ft2/bdnn) Length Width Grav=pze:nt pe iotas aepm I Effective absorption area Monitorin Depression over field (Y/N) Date of adequacy test Results (Pass(Fail) For bedrooms Fluid depth in absorpti d before test (in.); Immediately after_ gal. water added (in.): Fluid depth (ins) Minutes later: Absorption rate = a:p.d. e treatment (past 12 months) (Y/N) If yes, give date 72-020 (Rev. 3198)' D. UFT STATION Date installed Manhole/Access (Y/N) _ High water alarm level at" _ Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at' "Pump ofr level at' 'Datum SEPARATION DISTANCES FROM WELL ON LOT TO: i SepticIfFof tank on lot �l Q On adjacent lots Absorption field on lot N �� On adjacent lots Public sewer main A' 14 Public sewer manhde/deanout /00 o 4- N 14 Sewer /septic service line a- S r 4 Lift station N 1,4 SEPARATION DISTANCES FROM STANK ON LOTTO: Foundation S ,} Property line S ,} Absorption field �4 Water main/service line fU Surface water/drainage /00 t Wells on adjacent lots S SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain F. ENGINEER'S CERTIFICATION Building foundation paridng/vehide storage area Wells on adjacent lots I certify that I have determined tinu field inspections and review of Municipal records tmli!� 0 in conlomrance M AJ{gqquidplines in effect on this date. y�p.Y ,, •• ••.., /�� •. Signature a// Lam• C- 4/tJ►� �L /C i,QiA.T C. C QWM✓ r .. Engineer's Name " 'a • 08;M C. 'COWAN Date /o / a /�I/01911�i CE -8801 HAA Fee $ _ ,5 CV ' 5D Date of Payment /DI/2-7/'T7 1c, Receipt Number 72-026 (Rev. 3/96)' Waiver Fee $ Date of Payment Receipt Number T I OCT -12-99 14:53 FROM -CTE ENVIRONIENTAL 5615301 T-644 PAU03 F-453 G CUE Environmental Services Inc. Y►r rirrrrrrrriirrr��r�� CT&E Ref.# Client Name Prgject Name/7 Client Sample ID Matrix Ordered By PWSID 995539001 S & S Engineering Ll: Kenai View S/D Ll: Kenai View SID Drinking Water Client POO I Printed Datefrime 10/12/99 11:56 Collected Datelrime 10/08/99 12:20 Received Date/Time 10/08/99 13:20 Technical Director: Stephen C. Ede Released By Sample Rcmar : f Altoua6le Prep Analysis Parameter Results KL Units Method Limits Date' Date t_it Total eotiform 2 08/100 NL, No Coti 5111E 92221 I 10/UM KAP eitrate•a 0.62E 0.500 rd/L EPA 300.0 10 mu 10/08/99 10/00/99 SCL I 1%SnPnT �-1a-79 S. L AL DESCRIPTIO t 116i MUNICIPALITY OF ANCHORAGE GES T. G: .- 7 STRE CATION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Q,, CTION 826 L Street - Anchorage, Alasks 88501 S. TYPE OF RESIDENCE • r2/ J`P ;J SINGLE FAMILY ENVIRONMENTAL ENGINEERING DIVISION I ❑ Three ❑ Six Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES i DIRECTIONS: Complete all parts on page 1. Incornplele repuens will not be proceoed. Flet allow, ten (10) days for processing. 1. PROP TYOWNER depth (attach log if available.) S. SEWAOED POSALSYSTEM [INDIVIDUAL/ON-SITE" PHONE O • _ 0Ami— ❑ PUBLIC UTILITY cfq5,5 MAILING ADDR -7 LaPROPE RESIDENT (If different from above) PHONE G6 2 BUYE I PHONE MAI LIN DDRESS 3. L ING INISTITUTIO PHONE Q e� MAILING ADDRESS C TOR/AGENT PHONE MAI G ADDRESS A c, S. L AL DESCRIPTIO t 116i STRE CATION S. TYPE OF RESIDENCE NUMBER OF BEDROOMS r2/ ❑/One 13 Four ❑ Other SINGLE FAMILY L 2j Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATERR SrLY CC? INDIVIDUAL' *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAOED POSALSYSTEM [INDIVIDUAL/ON-SITE" "If individual/on-site, give installation date I% 7% If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3n8) i THIS SIDE FOR OFFICIAL USE ONL. INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED 1� �� INSTALLER _ SOILS RATING ❑Se tic Tank or ❑Holding Tank Size: a If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER ^' ✓T'1_'r�A_ TOTAL ABSORPTION AREA MATERIAL ��+ 1 l� 4. DISTANCES WELLTO: Septic/Holding Tank Absorption Ar Sewer Line earest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 4�—APPROVEDFOR Z BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany rY icate) 1:1 DISAPPROVED DATE BY Title LEGAL DESCRIPTION — v1-ev. wret CIPALITY OF ANCHORAGE e--., DEPARTMEN EALT VIRONMENTA ROTECTION 4W �j 825 V St t, Ancho cp.. Alaska- 99501 \ x{=472 C VVI Dat Received: October 1#1: Time n #2: #3: Time - Date 1- U. 1. ate - 10" Date - 1. 2. Insp u `ns i�„�hh,-�a Insp I REQUEST F APPRO OF INDIVIDUAL SEWER AND WATER FACILITIES I Lending Institution Request: Peoples Bank and Trust I Mailing Address: Pouch 7-007 99510 Phone: 279-7511/242 Property Owner: Glen L. Carlson Phone: Mailing Address: $ Everrt Honeger 276-8188 3. Legal Description: Lot 1 Kenai View Subdivision i i 4: Single Family Residence: (x) Number of Bedrooms: Two Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual Well (x) Community/Public System ( Y I. Permit # Njr, Depth of Well 0 Well Log on File ('►)�' +, Construction ap p-U-y�) Bacterial Analysis /c 6. Sewage Disposal System: On-site System (x) Public Utility ( ) staller Permit # �-� Installed /-----7 [_[_�y� i c T nk Size rJ Manufacturer Absorption Area Soils Rate Yom► Material 7. Distances: Well to Septic Tank to Absorption Area l to Sewer Line Nearest Lot line Absorption Area I 6 i to Nearest Lot Line /�� I * PA 4. 5. Q 19 9. MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF'�TORAGe DEPT, OF HEALTH & DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 1 279-2511, ext. 224, 225 OCT 101977 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES RECEIVED Type of Inspection: VA FHA CO IV XXX Property Owner: GLEN L. CARLSON Mailing Address: Day Phone: Name of Buyer: 1 Mailing Address: 20, mre!r ('4th 4VENU£ —Day Phone:_344=6=5 Name of Lending Institution: PEOPLES TANK Z TRTTST - Mailing Address: POTIrTT 7nm Phone: 970-g.11_F,XT 242 - Name of Realtor or Agent: FVFRRT HONE FR Mailing Address: 2920 C STRFFT Phone: 976—RT RS I Legal Description: LOT 1 KENAI VIEW SUBDIVISION Location: ANCHORAGE ALASKA Type of Facility to be Inspected: WELL R, grpTr SYSTEOS—No. Bdrms. ' 2 Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System WELL & SEPTIC SYSTEM Type of System: Public Utility Individual If Individual, date of installation 72 007(3/76) (on-site) I Page Two I . Department of Health and Environmental Protection I Request for Approval of Individual Sewer and Water Facilities I I Legal Description: Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved: Date: lO-3/-7 7 Disapproved: Date: I • Department Worksheet: 2 July, 1904 lir. Loren L. Carlson Box 4-534 j rcncrd. Alaska i tear ttr. Carl ncn r It had teen hrourht to ay attention that a scwa;;e preblf.., exicta at Fond View Sutdivision. Upon an inveatirutica, I found tt:at the present oyster, that servos tt.a duelling; on Lot 4, owner, Clen Carlson. In contrary to,state o: 1.1aska health regulations as folle"31 i Administrative Coder Title 7; Chatter 2. LuLcha'�ter 2, Section 301 (n) "I.o kitchen waste. laundry wrt:r, or sewnre chr:11 lie allowed to dischar;e or flow in any f,uttcr, streat, rord%my or public place-" ro3aiLly tt;ere is a r.isurdarstandin^ rc;ardint the furrtinn of a se?tic tank. ct aly rate,, "septic tank-- do not purify eeur.re. The tank effluent ray con— tain elsorae bacteria and will still Le rutrosciLle." e;tic tanks Ara claulpned to retain e..wr;,.r fo- 2r: hours Burin,^, which tine 60-70S of the cur,pended solids settle to the Lcttor., as aluara an(! ®cre torn f)oatinr ecu-. Loth tl.c alud;•C end sour., are acted upon by enzerobic bacteria to form canes and liquid. Lignetion is riot ICo� cor,lete. The trn} will fill eventually and willhave to Le PUT..rad- The main pur ore of a Ce tic trek is to condition Via nowane so that the effluent deer riot clo- the drain field or so:Papc Pit, in other words, it r:rolonr3 the life of t1:A drama;a arca. Tharefcra. the rractice of disclvarrinl- septic tank efflu^nt into ditct.cs er on the rround czuser u nueiance and rzy be d:_n crcus to the pee?le ir, 0.03 iss:ediate urea. Cattinr Lack to the rmbler.. I sura --t that effort be r..�!n tc earreet tt:e situation e:: aeon as Possible.. It MnV be mdvi.^.r_blc Tc diF a drain titch co,l ietely aroun4 the lot and tlaa n:ay allow the lot t' Jry out rind than you coup install at least 100 feet of drain Lila. j i I urider3tand that you have six lots in that zuLdivisicn. and un�l r tt•c rrcaent situation* unless thin proLlen iz corrected, this derartr.2nt will be forced to Put a ttop on any further roaic'ontial Luileinr in that arra or sell Int of lots. I trust that this proLlam will to resolved without eny resort to leehl actlon- If you thrive eny ;.rollers, rlsase Peel free to cm..11 this cfficc- PSrcw Eircerely, DAVID F. L. LUNM:, !'.% K1cL.,r,;' Stitt Cwner of property where nuisance exists Nner's Street P.dcress rhone No. Box 1I0. Location of aofiplaint: - - Street Address � �' Fhona ::o. ._r Box t O-. / Terson receiving; cowlaint (1(�ii p�CO `L�r1 ,s _ d'G S'i Date (� 6 1 I certify that such statOw.ent of facts is true to the best of ry belief incl know- ledge. I request that the for_p.oin, r::ttcr be investigated, and th.t rpnropriate action thereafter he taken. 1 am willing to testify to the facts stated in the forsoing conmlaint in court if necess:_ry. Ar 47 orp la Diant Date invastigatcd. 1 Action taken_ 1 F,F.FQP'r 4 ACT 10:7 TAKEN Date complainant- was called re&ardinL disposition of complaint orch Cgrlso►� —t�ti� Sybd. for ?G^Qfe �t�X7�`v, %erCati �.•.Oq)-1S6K aOx, 33�/_ Sp�.t� c 4►�='..e �; say 6" d CI i �/j�l�l�e.w�a �� cam! �i,y�✓L s ! : s (rCC,I y_ rS� lv