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EKLUTNA HGTS STEWART ADDN LT 17A
Eklutna H ight tewart Addn Lot 17A 051 - 063 -94 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211155 PID Number: 051-063-94 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name PETER CASEY ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 21661 MADSEN'S PLACE, CHUGIAK ❑ Other Phone71f Bedrooms Soil Rating Total depth from original grade 773 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot EKLUTNA HTS. STEWART ADD. 17A Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft' Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Stat Lift ion Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field . Tank Line Ft' Ft. Well *97'+ -_ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation 10'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks TANK SERVING THE MAIN HOUSE *MOA WAIVER. N EX CONFIRMED 3'+ TO FIELD Alarm location Electrical installed by Installer NORTHERN EXCAVATION Tank to PIPE MATERIAL House to tank 3034 d ainfeld 3034 Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1s' 7/19/21 7/19/21 Location and description 2nd 3`d 4" TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date '• .. ....•.. tom... C " " "' �F���,' CE 128991 n Septic System Approved - Date a 30 .2421 ...��� 1r.3/_x,- �c /20_ 1. Note: this approval does not include well permit requirements.���" kmtav voiuz/ ion PID: 051-063-94 PERMIT: OSP211155 a A -C=19.8' B -C=12.7' A -D=22.8' B -D=17.3' A -E=25.7' B -E=19.6' MAIN HOUSE TANK SEPTIC SECTION SCALE: NTS EKLUTNA HEIGHTS STEWATR ADD. LOT 17A SUPPORT,SERVICE PREPARED FOR: PETER CASEY 21661 MADSENS PLACE F.W, CHUGIAK, AK 99567 FIRST WATER CONSULTING DATE: 8/26/2021 SURVEY: JLS 13030 SUES WAY DRAWN: FWCS ANCHORAGE, AK 99516 SCALE: 1" = 20' 907-350-9566 firstwaterAK©gmail.com PAGE: 1 OF 1 xI c c c C C r - i OF .A.L\ �* 9TH10 *� rtis Huffmani 1 f� C8/26/2021 N89 57'10"E 120.00' 23.6' 20' 1 X—X—X—X—X X—x-X—X—X-X-X- X—X—X x I o o GRN Lx HSE I ' • EXISTING • cn x FIELD 84' o 0 CANT rX 11.2 Aw woa x C-) o EXISTING o � EXISTING o N 3BR HOUSE OCO DCO O FCB C D EXISTING SHED N 320, 2 CANT E FIELD ia.0' O FP • o 97' RADIUS x RADIUS I LOT 17A DECOMMISSION D -`100' EXISTING SEPTIC TANKS I & INSTALLED i 20.5' EW 1000 -GAL EXISTING HDP SEPTIC TANKS. FIELD N SHED N i • x 20.5 GRAVEL RADIUS � D/W 75' �H � DCO K CO fv�T J O AAIB nn I A -C=19.8' B -C=12.7' A -D=22.8' B -D=17.3' A -E=25.7' B -E=19.6' MAIN HOUSE TANK SEPTIC SECTION SCALE: NTS EKLUTNA HEIGHTS STEWATR ADD. LOT 17A SUPPORT,SERVICE PREPARED FOR: PETER CASEY 21661 MADSENS PLACE F.W, CHUGIAK, AK 99567 FIRST WATER CONSULTING DATE: 8/26/2021 SURVEY: JLS 13030 SUES WAY DRAWN: FWCS ANCHORAGE, AK 99516 SCALE: 1" = 20' 907-350-9566 firstwaterAK©gmail.com PAGE: 1 OF 1 xI c c c C C r - i OF .A.L\ �* 9TH10 *� rtis Huffmani 1 f� C8/26/2021 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211155 PID Number: 051-063-94 Dwelling: ® Single Family (SF) ® with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name PETER CASEY ABSORPTION FIELD ❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound Site Address 21661 MADSEN'S PLACE, CHUGIAK EJ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 1 0.6 GPD/SF 5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 2 Ft. Subdivision Block Lot EKLUTNA HTS. STEWART ADD. 17A Fill added above original grade VARIES 1.1 — 3.3 Ft. Gravel length 35 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 250 Ft2 1 Ft. Well *75'+ 100'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface water 100'+ 100'+ Material HDPE Number of compartments 2 Lot Line 5'+ 10'+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks THIS IS THE 1 -BR ADU. SYST. REBUILD. *MOA WAIVER Alarm location Electrical installed by Installer NORTHERN EXCAVATION PIPE MATERIAL House to tank 3034d a n k to 3034 Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection ection V 7/20/21 2nd 7/20/2021 Location and description 3'd 8/13/21 4" 8/14/21 TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF A Conditional Approval: Date TH • • .. .......... Septic System Approved - Curtis Huffman �`- �%s' CE 128991 Date 30 ,2021 �•. si2s/202}.-��c��,� .� Note: this approval does not include well permit requirements. �FQ�°R©FESSIQNA OPROF�SS -�� PID: 051-063-94 PERMIT: OSP211155 Y1UF't JtF Ill, IANKJ. rltL_U N SHED N • x GRAVEL 20.5 D/W 75' RADIUS K � �H • DCO CO i i O O DECK MH CO O O FCO F = N EXISTING > � o 0 1BR ADU 32.0' G STAKED WELL WELL RADII M L & PL TCOx W PRIOR TO I CONST. x 25.7' X—X—X—X—X —X—X X X—X—X — N89 57'10"E 120.00' APPROX. LOC. OF ST & FIELD PER DMS ASB F -H=19 4' 6-H=35.8' FCO H CO DCOCO MT MT CO F - I = 2 4.3' BM 99.50 96.90 FINAL GRADE 94.70 O 93.60 G - I = 3 8.8' ORIGINAL GRADE _/ - 95.73 1, ORG/OL F --J=28.1' INSUL FILTER FABRIC G -J=40,9 95.15 1,000 -GALLON 4.98 0.60 90.60 F - K = 5 0.4' HDPE TANK SEWER ROCK SM/gm G -K=57,9' /13/21 F—L=57,2' 88.so 88.60 7/24/21 8' GRND WATER 0 11 R ®11' TH21-1 G -L=49.5' ADU SYSTEM 14' F -M=54.6' SEPTIC SECTION 79.60 BOH G -M=47.1' SCALE: NTS EKLUTNA HEIGHTS STEWATR ADD. LOT 17A SUPPORT, SERVICES:Aw PREPARED FOR: '��� OF �� �' PETER CASEYF C. s 21661 MADSENS PLACE * 9 TH CHUGIAK, AK 99567 FIRST WATER CONSULTING DATE: 8/26/2021 SURVEY: JLS ` �, rtis Huffman 13030 SUES WAY DRAWN: FWCS 1 f�►';'�,a g�26%291 X01 ANCHORAGE, AK 99516 SCALE: 1 OF 20 1 \ p ��' ' h�oFEssz0' i 907-350-9566 firstwaterAK®gmail. com \�`'� W P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section ,o•cnt 5 I�eparcmcut x x X x/ x x x x Waiver#: OSV211067 COSA#-. OSC211493 Permit#: OSP211155 PID#: 051-063-94 Legal Description: Eklutna Hqts Stewart Addn Lot 17A Engineer: First Water Consulting Applicant: Peter Casey Your request for a waiver of the required 100 feet horizontal separation from the private well on Eklutna Heights Stewart Addn Lot 17A to the following septic system components has been approved for the reduced separation as noted: To the septic tank and absorption field serving the house on Lot 17A — waived to 97 ft. To the septic tank serving the ADU on Lot 17A — waived to 75 ft. To the septic tank on Eklutna Heights Stewart Addn Lot 16 — waived to 90 ft. In addition, your request for a waiver of the required 5 feet separation from the septic tank to the absorption field serving the house has been approved. The approved separation distance is 3.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the existing well and septic systems noted above. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. a a a a a a■■ e a a a a a a a a a a a a a a a a a a a a a a a m a a a m a a a a a a a a a a a a a a a a a a a a a a a i a a a a a a a a a a a a a a a a l Waiver is Granted: X Waiver is not Granted: Date:Approved by: WX�, 67,urff Name of Reviewer aseemaaaaasaamamaaaaaaaaaaavaaaamaaaaaaaaaaavaamama a a a a amaaaaaaaaaaa®aaaaaaaaI 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com August 26, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: EKLUTNA HEIGHTS STEWART ADD. LOT 17A – WAIVERS Per the attached as-built survey by John Schuller, RLS dated August 23, 2021— it appears that the recently installed septic tank serving the house is within 100’ of the existing well. It also appears the original septic and as-built surveys (RP Kinney, PE and Kevin Smith, RLS) were not entirely accurate. The tank for the house was replaced in the same location as the original tank and connected to the existing DCOs. Ken Lang, RLS staked the well radius prior to installation and Northern Excavation kept outside of those 100' stakes. We had Schuller go back out to verify and he's within 1-2 hundredths accuracy and we trust his work. Per the attached as-built, 97' waivers to field and tank to well and 3' to tank to field (this was confirmed at tank install excavation) are necessary. This should have been addressed originally and we are requesting the fees to be waived and perhaps wrap this request into the 75' existing tank to well waiver for the ADU. We are therefore requesting waivers to 97’ between the referenced well and septic tank and field and a 3’ tank to field be granted at this time. Granting of these waivers is justified in the fact that the well is up gradient from the septic and the slopes continue away from the well with no chance of surface effluent reaching the well. The well is on the opposite side of the house and there have been no known issues or influence over the past few decades from the previous existing tank to the well and/or field. Granting of the waivers is further justified by the improved HDPE tank and good nitrate results (1.09 mg/L). Granting of these waivers will not impact any of the neighboring properties. Please contact us if you have any questions. Respectfully, Curtis Huffman, P.E. Attachments: As-Built Survey Inspection Report COSA Application SGS Water Analysis T 0 z r D I0m i N89°57'10"E 120.00' ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: EKLUTNA HEIGHTS STEWART ADD LOT 17A :PLAT 2004-44 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E -MAIL - AUG 23, 2021 1 "=20' schullerOok.net 21-124 DRAWN BY: CHECKED BY GRID NUMBER: BOOK AGE JLS NW1460 210264 "' • ,..... , �L LAND •°4 Air 49TH ••.`�' o�, Vyk ? PA ►F'jr�! M` . ,,....• ........................0 ••.J HN L. SCHULLER.- LS -10408 ��'� ' �,, • . , , . • �4 1831 Talkeetna. Street 16 AW Anchorage, Alaska 9950$ ��pro � fe e� (907) 327--1455 office \1Z s s ioO�•s (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program o'T,cnt PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 ^� http://www.muni.org/onsite r d Department On -Site Wastewater Disposal System Permit Permit Number: OSP211155 Effective Date: 5/26/2021 Co# 1 Work Type: SepticTWk Upgrade Expiration Date: 5/26/2022 Tax Code Number: 05106394000 Site Legal Address: EKLUTNA HGTS STEWART ADDN LT 17A G:1460 Site Mailing Address: 21661 MADSEN'S PL, Chugiak Owner: CASEY PETER Lot Size in Sq Ft: 16800 Design Engineer: FIRST WATER CONSULTING Total Bedrooms: 4 This permit is for the construction of: disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ElPrivate Well ❑ Water Storage I 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 -X CornS4-ruc41 on 01-+ Flour OWY\ r- Sk `ori 0 r �"c,a� Gi'� YZA r i 0.d+` 0 S ,1� bQ VLa-fed ova 4ks4 61o, +0 0 wE PIAM 41 '1/211 2021 Received By: Date: Issued By: Date: (,/,w, MUNICIPALITY F ANCHORAGE Development Services Department ` t Phone: 907-343-7904 On -Site Water & Wastewater Section '-- Fax: 907-343-7997 ON-SITE SEPTICM/ELL PERMIT APPLICATION Parcel I.D. 051-063-94 Property owner(s) PETER CASEY Day phone Mailing address 21661 MADSENS PLACE, CHUGIAK, AK 99567 Site address 21661 MADSENS PLACE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) EKLUTNA HTS. STEWART ADD. LOT 17A Legal description (Township, Range & Section) Lot Size 16,800 Sq. Ft. Number of Bedrooms 3 & 1 APPLICATION IS FOR: (® all that apply) - - - Absorption Field 0 Septic Tank 0 Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ - Upgrade 0 Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) ❑ (w/wo ADU) Duplex (D) ❑ Multiple Dwellings 0 (SF and/or D) Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. nature of property owner or authorized agent) Permit/Rush Fees: 4 2.2 t # 370 Date of Payment: '/ ' Z 7/2T21 Receipt Number: 90 ctimy 31713 Permit No. 0-5,02-1115-5 Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com May 20, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: EKLUTNA HEIGHTS STEWART ADD. LOT 17A The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tanks on the above referenced lot. We propose to install two 1000-gallon HDPE tanks per the attached design to serve the existing 3-bedroom residence and 1-bedroom ADU. The tank serving the ADU will maintain the 75+ separation to the well per previous MOA waiver. The continuance of this waiver is warranted due to the improved type of tank (HDPE) and that the tank is down gradient and on the opposite side of the ADU structure from the well. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211155, Rebecca Carroll, 05/26/21 16"'ilrst C 0 N S U L T 1 N G A t 13030 Sues Way, Anchorage, AIC 99516 907-350-9566 / firstwaterAK@gmail.com July 24, 2021 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: OSP211155 CHANGE ORDER - SEPTIC FIELD UPGRADE PERMIT LEGAL: EKLUTNA HEIGHTS STEWART ADD. LOT 17A The owner has requested that we obtain a septic permit to upgrade the existing failed field serving the 1 -bedroom ADU on the above referenced lot. We propose to remove the existing trench, add MOA sand and install one 35' shallow trench per the attached design to serve the existing 1 -bedroom ADU. The slopes are flat at the proposed field location and no slopes greater than 25% exist within 50' of the proposed field. The lot and area are served by private wells. The deli -n will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, &A6 LZI-%— Curtis Huffman, P.E. F'151 Walt £1:: �z F F A(EF ,;!IG Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211155, Rebecca Carroll, 05/26/21 1 -BR ADU DESIGN CALCS: 1 BDRM X 150 GPD = 150 GPD 150 GPD/0.6 GPD/SF, = 250 SF SAS 250 SF / 5 X .70 RF (2'ED) = 35 FT. TRENCH USE 1 TRENCH - 35' (L) X 5' (W) X 2'(ED) TOTAL DEPTH FROM EXISTING GRADEt -5' �� REMOVE EXISTING TRENCH, ADD MOA SAND TO 5' FROM ORIGINAL GRADE & INSTALL PER DESIGN. NOTES: STAKE PROPERTY LINE & WELL RADII PRIOR TO CONSTRUCTION MH 0O 32.0' FCO CO -5' o EXISTING ' FIELD 14.0' O STAKE WELL DECOMMISSIO RADIUS (100' & 75') EXISTING PRIOR SEPTIC TANKS TO CONSTRUCTION & INSTALL NEW 1000 -GAL HDPE EPTIC TANKS. K:20.El SH75' RADIUS \ DCO CO oO ITi111Tt�f(i l r 32.0' EXISTING 41 o GARAGE o 1BR ADU WELL 32.0' ® S89°57'10"W NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. EKLUTNA HEIGHTS STEWATR ADD. LOT 17A PREPARED FOR: PETER CASEY 21661 MADSENS PLACE CHUGIAK, AK 99567 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK@gmoil.com MH MT ` FLAT U) m -P c, O D x FLAT JEMVE REPLACE IN IELD DES] MUST STAKEMT WELL RADII CO & PL FLAT PRIOR TO / I-- CONST. 20.00' iN 100' APPROX. RADIUS F40 Water CONSULTING 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK(cr)gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: EKLUTNA HTS. STEW. ADD L17A OF -49 7H Curtis Huffman �'c�`'•, CE 128991 ,``� ����s,F�" • . 7/24/? 1 • ® pROFESSt4NQ�� DEPTH FEET OG SOILS PERFORMED FOR: PETER CASEY ORG/OL TESTHOLE # 21-1 DATE PERFORMED: 7/19/21 1 5 0 7 16 17 18 19 20 GROUNDWATER ENCOUNTERED: YES IF YES, AT WHAT DEPTH: 12.5' DEPTH TO WATER AT MONITORING: I F DATE: 7/24/2021 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION Reading Date Gross Time Net Time Depth to Water Net Drop 7/22/21 30 min 6" 1 14/16" 30 min 6" 1 15/16" 30 min 6" 1 15/16" PERCOLATION RATE 16 TEST RUN BEWTWEEN 4 PERC HOLE DIAMETER 6" (MIN/ INCH) & 5 FT PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1 /16Tx PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7/24/2021 ll~ Services ~I~_: __0__ i Municipality of Anchorage ?,, Development Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore Road~ P.O. Box 196650 Anchorage, AK 99507 Page www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ~ ~ ~ I ) I -'&.O~ PID Number: O ¢ I' ~ f¢ ~ d( ~ o ~ Name: ~ ~ ~'[ ~ ~a~¢o~ Wastewater System: ~ New ~Upgrade Address: ~ ~ ~~5 ~l~ ABSORPTION FIELD Phone: ~ -- ~ ~ ~ .... s: ~ ~ Deep Trench ~ShallowTrench ~Bed ~Mound ~Other: Number of Bed Total Depth from original grade: LEGAL DESCRIPTION SoilRating: ~' ~ GPD/Ft2 3' ~¢ ~ [ Ft. Bl~k: Lot: Subdivision: Depth to pipe bottom f/om original grade: Gravel depth ~neath pipe: To--ship:I ¢ ~ Range: ~ ~ Section: ~ Fill added ab ..... iginal grade: t Gravel Length: G d Number of lines: ~ J Dis.now be.wen Ii .... Well: ~ New~ ¢ Ft. ~ f~¢ Ft. Classifi~tion (Private, A, B, C): ~ Cased to: Total absorption area: Pipe Material: Driller: / Date Ddlled: Static Water Level: Ft. Ins~ller: ~.~¢.~. ~ ,~.,... ~.~..~, ~ . Date Installed:._Z,_,, ~ Y~ Pump Set at: Casing Height Above Ground: .~. .~. TANK GPM SEPARATION DISTANCES B Septic B Holding B S.T.E.P. ~~ Other: ~To Septic Absorption Lift Holding ~ublic/Private Manufacturer: ~ Capacity: From ~ Tank Field Station Tank Sewer Line~ ~ I Numar of Compadments: Well [ ~ ~0 + / ~ ~ ~ateria~ too' oo'+ UFTSTAT ON [[eclfical Inspections peffo~ed by: Rema~s: ' ~. ~bf~-~ ~,c,~ ~<~ BENCH MARK L~ati~n and Description: ¢~,~ %~~% -- ~&¢&~ ~A ..... d Elevation: Inspections pe~ormed by: ~ ~~ Dates: 1s' ~ -~* U .~ ,, ~ Development Se~ices Depa~ment Approval ~ ~.' ~.=~,.,~¢ Conditional Approval Date: ¢, · · ~, · · ¢¢ ·. Ca. Reviewed and approved by: /./'/{.C,/ /ic; 2 7-// I~¢-', :, ,',' ~, Date: ' · ..... , /--10' MIN. TO · 1 ZU.~ 33.5 L.F. roDE mENCH /~ ~l /~1 LF. WDE mENCH "~NOR~ TRENCH ~ 4" PERF. PIPE~/ ~0, ~ ~ ~ PERF. PIPE ~ /~ CUT C 0 BELOW ! / C0~9~ ~ ...... C0¢8 // I ~' =1~.~ L.~ ~e ~EN~ ~-~ ~ / ~S~D~ ~ ~ . ~ ~ PERf. PlPe~ ~ ~ ~ f 5' MIN TO EDGE OF T~EN ~ 4" PERF. PIPE~ ~ .... ____~-'-'~'~ .- / EBGE OF 12.0 LF. ~DE ~ENCH~/ %~ ~ 4" PERF PIPE~ /- ~ I 23 bf. ~OE ~EUCU~ ~ ~ o ~ .. p..f. ~.~ ~ Z ~////(~/¢/ ~ 4' PERF. PIPE,~.~ Z~' I 13.5 L.F. ~DE ~ENCH ~m ~" PE~. P~PE,~.~ TRENCH TBM ~-TOP OF CONC. SLAB, ~ ~ NORTH EDGE OF DOOR. ~ F ~ S co ~:~oo.oo'~ ~s~ ~~/ - ~.. DR~VE // ~/ , o.oo' S~NG TIE DISTANCE ~ ........ ~" S~UC~RE CORNER A CORNER B .'"'~9 ST~ ~..o' ~o.~' I ~...-:-¥-~/~.~ ....... ~....~ GRAPHIC SCALE C02 46.2' ~.~' 2o o ,o 2o C03 62.8' 54.2' cos 2s.s' 39.~' '~;.".. m-,~ ..-' ,~;,~-.. ...-'.¢~ 1 inch = 20 ft. RFKA ~F.~~i~.~,..~ SEPTIC TANK REPLACEMENT/WIDE TRENCH 10/6/2011r FIGURE 1 SWING TIE DISTANCE STRUCTURE CORNER a CORNER B ST1 19.0' 10.6' C02 46.2' 33.3' C03 62.8' 54.2' C08 25.8' ,.'39.4' ~- EXISTING PROP. EXIST-- ...... ST#2 _~GROUND C~#6~ 6' EXIST. ST#1 15' . ~--INSTALL TEE WITH 100 C0#1 'l~ 't'/ AIRTIGHT CAP ON 100 --// ~i~ ~! / PROP' C0#8' -- -- J 4" SOLID 21 L.F. -- '" PIPE 4" PERF.I ~ 5.5 L.F. ! -- ~ PIPE 5.2' MIN. __ II 4" SOLID: / LE G #2 ~o LEG #1 INV. EL=95.55' -- z--INSTALL ,<, ~ INV. EL.=95.55'~ SEE PROFILE BELOW -- 90 L_ ~J SPLITTER n- er II SEE PROFILE BELOW _j SEE SHEET 5 FOR 90 __~ ",,, WIDE TRENCH DETAIL. EXISTING 1000 ~< >~ GALLON SEPTIC TANK 21 b.P. WIDE TRENCH NORTH TRENCH H: 1'=10' v: 1"=5' AIRTIGHT CAP, TYP.--~ I 1 O0 , PROP. 100-- ~ EXISTING GROUND C0#7 4" PERF. -- PIPE 5.2' MINI 95 $ 95 ~ INV. EL.=95.55' -- INV. ,,~ 0% i EL=93.55'-/ -- -- ~ WIDE TRENCH = SEE SHEET 3 FOR __1 WIDE TRENCH DETAIL. J LEG #1 H: '1'=10' V: 1"=5' /--EXISTING GROUND PROP. 1 O0 / AIRTIGHT CAP, TYP. ~#2 PROP. C0#9 1 O0 I - AS-BUILT 95 I 95 ........ IWIDE TRENCH DETAIL.--/ __ LEG #2 H: 1'=10' V: 1"=5' · RPKA LOT17A, EKLUTN^ HEIGHTS SUBDIVlS, O. PROFILES/ R.H. STEWART ADDITION, SECTION 5, T15N, Rl W, SM DETAILS IIIIIvF. IIII~IIIIIIII~II~ SEPTIC TANK REPLACEMENT/WIDE TRENCH -----,---- o~. o,. ,o,, I FIGURE 2 I EXIST. EXIST. EXIST. PROP. DBL · 100 C0#1 ST#2 C.O. __ EXISTING 1000 GALLON SEPTIC TANK 85 6.3 PIPE INSTALL SPLITTER C0#1 WITH AIR TIGHT CAP, TYP. EXISTING C0#2 GROUND 4" PERF. PtiE 3.2' MIN. INSTALL TEE ON PROP. C0#3. lO0 95-- INV. EL.=94.58' SOUTH TRENCH EL =93 35' INV. PROFILE' ' i~ LEGLEG #4#4 90 BELOW , INV. EL.=93.55 sSEEEE THIS SHEET FOR SEE PROFILE BELOW WIDE TRENCH DETAIL. 39 L.F. WIDE TRENCH 85 H: 1'=10' V: 1"=5' · 95 AIRTIGHT CAP, TYP.- PROP. co#4 4" PERF. F PIPE i3.2 O% 13.5 L.F. WIDE TRENCH EL.=95.35' 1PROPOSED GROUND .-,-----~INV. EL.=93.35' 95¸ -I SEE THIS SHEET FOR WIDE TRENCH DETAIL.- 90-- LEG #5 H: 1'=10' V: 1"=5' PROP. PROP. AIRTIGHT CAP, TYP. MT#1 C0#5 /I PERF ',~ :lPE 3.2' I MIN. ;I 0% 15.5 L.F. WI~F TP FNI ¢1-1 PROPOSED GROUND 95 ' ~"~-- IN V. EL.= 9 ~. ~5'~~ /NV. EL.=93.35' ~ SEE THIS SHEET FOR 90 WIDE TRENCH DETAIL.eo- SURFACE MOUNDED TO INSURE DRAINAGE AWAY FROM DRAINFIELD GROUND ~/~/~'~--~//~/ //-~-~ ~ LEVEL i / . ~./~./ /// NATIVE SOIg / 3' (MIN.) --5/ BACKFILL / / f4" PERFORATED ~ FILER FABRIC 6~ GRAIL ~ '~ o''%o - o' o- - ' NO~: ~ J CONS~UCT ~DE ~ENCH SYS~M PER MOA HANDOUT A~ACHED. SEASONALLY HIGH STATIC GROUNDWATER TABLE BED ROCK OR OTHER IMPERMEABLE ~~ BARRIER WIDE TRENCH LEG #4 H: 1'=10' V: 1"=5' BPKA LOT 17^, EKLUTN^ HEIGHTS SUBDI~SION PROFILES/ R.H. STEWART ADDITION, SECTION 5, T15N, RI W, SMDETAILS IIBYP, iYI#IIIfltli SEPTIC TANK REPLACEMENT/WIDE TRENCH ..../,..... ~=-- ~. ,-, I FIGURE I · ..... , /--10' MIN. TO · IZU.~ 33.5 L,F, WIDE TRENCH ~ ~ //~1 L.F. WIDE TRENCH x/--NORTH TRENCH WITH 4-" PERF. PIPE~/ ~"'~0, (~ WITH &' PERF. PIPE--7 /~ CUT C 0 BELOW / c~9'-,~ x,,--.:-- co~8 // .... , .... I -~ ~1.~ L.5 WIDE TRENC. '~;.~-' ~i ./ / /ASHED~/× ------- ~ · . WITH 4-" PERF'. PIPE ~ ~ ;i · I ~ //////// -- ~/y//~/W.~.×××××~ / °0#7 ,,_,_ = , ~T //- \ - '~ // lO' I 1' 1' ~SHED'/~/~ .,¢ ~ ~ CO~L~' I ~// x DRIVE ~ // \ / './2 ST;~I ST~20BL ~ X-BEGiN ,///////, ~=~/~/,.,w./Z/~--'-~© ~ ~---I,ST^LL SPL,~R ~SHED.~ -- -- -- -- -- ~-- ~'--'~/" co~1 TP-~ NOTE 5, F1GURE 4 ~/ [ / ~ ~'~" ' 5' MIN TO EDGE OF 4.0 L.F. WIDE TRENCH ~ ~ '~_0...~ 'r~-Nr'~4 TYP /- ' ' WITH 4" PERF. PIPE~ /',.,"~N .... --,-"'%X';;-" ' / 42.0 L.F. WIDE TRENC,\/ ~/' WITH e' P~RF. PIPE---' /. . ~'r~;1 , ' · WITH 4-" PERF. PIPE ~ ~ ,~ ~ / I/ 13.5 L.F. WIDE TRENCH ~1' ~ ~/~///////~ WITH 4' PERF. PIPE,TYP.~ ~ CO~, /C ///'//////~, ,=2 ,.F. ,DE TR,,¢, WITH ~ PERF. PIPE,'r~,--/\ TBM #1-TOP OF CONC. SLAB, _ ~ ~ \ NORTH EDGE OF DOOR. ~ l- ~ S LEACH FIELD GRAVEL ~ GARAGE ~ o.oo, " ...... ~" S~NG TIE DISTANCE GRAPHIC SCALEco~I 4~.2' 33.3' ~o o ~o ~o ~03 ~2.8' 54.2' ir~ ~ xR~e7 P. ~' ~7 lt..' ~,' C08 25.8' 39.4' ~i~_"-. C¢ ?955 .."~ ~ [ [~ch = 20 ft. lPll .. ~F,~~ SEPTIC TANK REPLACEMENT/WIDE TRENCH I ~ ~.I..~ ~ o~. 20.I FIGURE 1 SWING TIE DISTANCE STRUCTURE CORNER A CORNER B ST1 19.0' 10.6' C02 46.2' 33.3' C05 62.8' 54.2' C08 25.8' 39.4' ~- EXISTING PROP. 1 O0 co#'~ ~¢~ ST#.2 .[,. 15' ./~INSTALL TEE WITH '~'/ AIRTIGHT CAP ON 1 O0 __ /~~ ~ PROP. C0#8. __ J 6.3 L.F. I J 4" SOLIE 21 L.F. FINISH GRADE __ / PIPE ' 4,, PERF. EL=98.67' I / 5.5 L.F. PIPE 3.2' MIN.I / II 4" SOLID 95~ ~ --'rJJ- 1- I ' // EL.=93.68' 95 2% 0% ~%'---LEG #2 I INV. EL.=93.71 I ] % SPLITTER LEG #1 - INV. EL.=93.35' SEE PROFILE, SHEET 2 I 90 L _~ ~-INV. EL. ¥ ~ SEE PROFILE, LSEE SHEET 3 FOR 90 =93.58' ?, rd SHEET 2. - _/ EXISTING 1000 a:: ~ WIDE TRENCH DETAIL. -- _i EL-=92.35' __ -- GALLON SEPTIC TANK LU u_l a:: BOTTOM -- ~>; OF T.P. 2 -- 85 21 L.F. WIDE TRENCH 85 NORTH TRENCH H: 1'=1o' v: 1"=5' AS-BUILT il''"'. ....................... :""~ BPKA TRENCH' LOT 17A, EKLUTN^ HEIGHTS SUBDIVISION PROFILE & R.H. STEWART ADDITION, SECTION 3, T15N, R1W, SM ELEVATIONS I#IIVF. IIIVI#IltlI~IIL SEPTIC TANK REPLACEMENT/WIDE TRENCH ----,.-.-- o~. ,z ,o. I FIGURE 5 I Permit Number: Tax Code Number: Work Type: Permit Effective Dates: Design Engineer: Subdivision: Site Legal Address: Owner/Address: On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 OSP111205 05106394000 Septic Upgrade August 19, 2011 to RODNEY P KINNEY ASSOC INC August 18, 2012 EKLUTNA HGTS STEWART ADDN EKLUTNA HGTS STEWART ADDN LT 17A G:1460 MADSEN GARY E & ALICE 21661 MADSENS PL CHUGIAK AK 995675570 Site Mailing Address: 21661 MADSEN'S PL, Chugiak Lot Size in Sq Ft: 16500 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: The 100 foot well radius and property lines in the vicinity of the permitted drainfield shall be flagged by a registered surveyor prior to construction. Special Provisions: The existing drainfield shall be decommissioned by disconnecting the distribution piping from the active system. Please note on the final inspection report. Received By: Date: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On-Site Water & Wastewater Program Mayor Dan Sullivan Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Property owner(s) Mailing address Site address Day phone Legal description (Sub'd., Block & Lot) L~ )~ Legal description (Township, Range & Section) Lot Size [ (¢ ~ OO Sq. Ft. Number of Bedrooms ) THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (~ all that apply) Absorption Field ~k, Initial [] Septic Tank [] Upgrade ~'~-;J~' Holding Tank [] Renewal -~. Privy [] Private Well [] Water Storage [] THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 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. ( f property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. O 5' Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Building\On Site\Forms\Client Forms\Permit App_010411 .doc (Rev. 1/11 ) I odney r. Kinney Associates, inc. Consulting Engineers & Surveyors August 9, 2011 Municipality of Anchorage Development Service Department On-Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519-6650 Attention: Subject: Mr. Jay Crewdson Eklutna Heights Subdivision, Stewart Addition, Lot 17A Absorption Field Replacement Dear Mr. Crewdson: The subject property is currently occupied by two residential structures consisting of a three bedroom single family house and detached two story garage. The site plan shows the location of the structures and related on-site water and wastewater systems. We are requesting your review and approval to construct an absorption field replacement. Attached is the following: Site Plan, profiles and details, MOA handout for construction requirements, Soils Log with percolation test, and On-site Sewer/Well Permit Application for a Single Family Dwelling. The adjacent properties consist of single family homes with onsite systems. We have confirmed that no wells exist within 100 feet of the proposed absorption field replacement. The surrounding properties should not be affected by the location of the proposed improvements with regards to wells, septic systems, reserved spaces and drainage. The property generally slopes to the east at approximately 2% to 5%. No cut banks are present on or near the property. The septic tanks are easily accessed adjacent to each structure. The septic system is located outside any travel ways. If you have any questions, please call (907) 694-2332. Sincerely, RODNEY P. KINNEY ASSOCIATES, INC. inney, Jr., P.E. RODNEY P. KINNEY ASSOCIATES, INC. Principal Attachments 16515 Centerfield Drive · Suite 101 · Eagle River, Alaska · 907.694.2332 · Fax 901.694.1807 · www.rpka.net 99577 3,:3.5 L.F. WIDE TRENCH ~ ~l ./~1 L.F. WIDE TRENCH \/--NORTH TRENCH WITH 4-" PERF. PIPE i,~ '~, <:~F' WITH 4-" PERF. PIPE ~ J~ ~ CUT C.O. BELOW / ~ "~2'~ 'I J~ ~ ~ GRADE AND CAP. NOTE 5 FIGURE 4 ..i/ I / 'CO#'V ' 5' MIN TO EDGE OF ~ I x ~ECK x / ~ ' ~4" --EXISTING DEEP TRENCH LEACH GRAIL ~ GARAGE ~ I J20.O0' S~NG ~E DISTANCE* S~UC~RE CORNER A l CORNER B .... ''~ - ( ~ ~T ) *TO BE FILLED OUT AFaR I iac~ = 20 fL CONS~UC~ON IS COMPLEX. LOT 17A, EKLU~A HEIGHTS SUBDI~SION SI~ PLAN R.H. STEWART ADDITION, SECTION 5, T15N, Rl W, SM ~F,~~i SEPTIC TANK REPLACEMENT/WIDE TRENCH I SWING TIE DISTANCE* STRUCTURE CORNER a CORNER b EXIST ...... ~- EXISTING PROP. EXIST. qT" I- Xl~/. ~GROUND C0#6 6' 100 c0#1 ~l ST#~2~,,~_ )(. .~. 15' ,~INSTALL TEE WITH ~i'/ AIRTIGHT CAP ON 100 -- ~ 4" PERF. / PIPE -- _ / 5.5 L.F. PIPE 5.2' MIN. ~ -- ~ II ¢" SOLID -- ~ 2% 0% 0% ~ LEG #2 ~-INSTALL ~ ~ LEG #1 ~ INV. EL=95.55' I 90 L ~ SPLITTER ~ ~ INV. EL.=93.35'~ see PROFILE BELOW -- m II SEE PROFILE BELOW SEE SHEET 3 FOR 90 "' "J' WIDE TRENCH DETAIL. EXISIING 1000 ~ ~ GALLON SEPTIC TANK o z 21 L.F. WIDE TRENCH NORTH TRENCH H: 1'=10' v: 1"=5' AIRTIGHT CAP, TYP.--~ PROP. 100 __ 100 ~EXISTING GROUND -- C0#7 __ 4" PERF. I PIPE 3.2' MIN I 95 I 95 I ~ INV. EL.=93.35' I INV. J 0% -- __ EL.=95.35' 11.5 L.F. ~ -- --WIDE TRENCH = SEE SHEET .3 FOR WIDE TRENCH DETAIL. LEG #1 H: 1'=1o' v: 1"=5' /-- EXISTING GROUND PROP. PROP. 100 / AIRTIGHT CAP, TYP. ~#2 C0#9 100 - , - BPKA LOT17A, EKLUTNA HEIGHTS SUBDIVISION PROFILES/ R.H. STEWART ADDITION, SECTION 3, T15N, RIW, SM DETAILS ~F.i~~ SEPTIC TANK REPLACEMENT/WIDE TRENCH ,i.i,,,,i,--, ~u~s~o",2o"l FIGURE 2 I EXIST. EXIST. ST~i ~T,~9 , ,,....,, . ~,_.,~T 1 .... PROP. DBL 1 O0 co#1 - "fl' -',,-'; _c.o. ",,"" -- o/t PIPE 4'5' . ,.. II [ SEE PROFILE BELOW~ Lbb ~- -- "~ L INV EL =95 55' ~j SEE THIS SHEET FOR .gF~: PR'QFI/~ RF/(}W..--/ , -- WIDE TRENCH DETAIL. _ ............... I ~'Lt'6'~S~UTlUC TAN 39 L.F. WIDE TRENCH INV. EL.=95.59' 85 /IpROP C0#1 WITH EXIST. /AIR TIGHT CAP, //' TYP. INSTALL TEE ON 100 ' 85 . SOUTH TRENCH H: 1'=1o' v: 1"=5' AIR~GHT CAP, TYP.-- PROP. co#4 4" PERF. -- PIPE 95 I 3. ,= ~3.?,LF. ' WIDE TRENCH V. EL=93.35' 1PROPOSED GROUND ~----IINV. EL=93.35' 95 WIDE TRENCH DETAIL. m 90 LEG #3 H: 1'=10' V: 1"=5' PROP. PROP. /i AIRTIGHT CAP, TYP. -- .__ MT¢/1 C0#5 / -- ~ PROPOSED MIN. ~ 95 ~ 95 ~13.50~°-~k.F. ~I~V. [L=~3.35' ~' --__ ~ I~V. [L=~3.35' ~ ~0 w~[ ~[~c~ ~[~C'~O · LEG #4. H: 1'=10' V: 1"=5' SURFACE MOUNDED TO INSURE DRAINAGE AWAY FROM DRAINFIELD GROUND ~ / / ~ -"% LEVEL 3' (MIN.) ~' NATIVE SOIg / / ,~/ BACKFILL /.~ ~4" PERFORA~B ~ FILER FABRIC 6" GRAIL ~ *~ o-.-o ' o o. - '.. i BELOW PIPE. (12") NO~: CONS~UCT ~DE ~ENCH S~M PER MOA HANDOUT A~ACHED. SEASONALLY HIGH STATIC i GROUNDWATER TABLE BED ROCK OR OTHER IMPERMEABLE ~~ BARRIER WIDE TRENCH CROSS 6 BPI[A EKLUTN^ HEIGHTS SUBDIVISION PROFILES/ R.H. STEWART ADDITION, SECTION 3, T15N, RI W, SM DETAILS Iiili~l~.IilllIIiIlllli, l~ SEPTIC TANK REPLACEMENT/WIDE TRENCH .-Ii,.... ,,~,,-. ,-11 FIGURE 3 I GENERAL NOTES: 1. CONSTRUCT WIDE TRENCH SYSTEM PER MOA HANDOUT ATTACHED. 2. NO WELLS WITHIN 100' OF ABSORPTION FIELD. 5. NO KNOWN IMPACTS TO ADdACENT PROPERTIES (WELLS, SEWER SYSTEMS, RESERVED SPACES AND DRAINAGE). 4. ALL SOLID PIPE RUNS SHALL BE CONSTRUCTED USING ASTM-.3054. 5. ADDITIONAL TEST PIT/PERCOLATION TEST- ONE(l) ADDITIONAL TEST PIT (T.P.-2) AND PERCOLATION TEST SHALL BE COMPLETE PRIOR TO CONSTRUCTING THE NEW ABSORPTION FIELD. THE RESULTS OF THIS WORK SHALL BE SUBMITTED TO MOA FOR APPROVAL BEFORE ANY FURTHER WORK IS DONE. MODIFICATIONS TO THE ABSORPTION FIELD MAY BE REQUIRED. ANY CHANGES MADE TO THIS DESIGN WILL REQUIRE A CHANGE ORDER APPROVAL BY MOA AND MOA PROCESSING FEE'S. INSPECTIONS REQUIRED BY ENGINEER AND MOA FOR BOTTOM OF TRENCH EXCAVATIONS AND TOP OF PIPE. DO NOT PROCEED WITH WORK UNTIL INSPECTION HAS BEEN COMPLETED BY ENGINEER. OWNER TO CALL MOA ON SITE WATER AND WASTEWATER AT (907) 343-7904 TWO (2) HOURS PRIOR TO INSPECTION. WIDE TRENCH SYSTEM1 CALCULATIONS AND SIZING BEDROOMS: .3 GRAVEL DEPTH: 12 IN. REDUCTION FACTOR: 0.87 APPLICATION RATE: 0.6 TANK SIZE: 1000 GALLONS DRAINFIELD LENGTH:IS2' (MIN.) FORMULA FOR TRENCH LENGTH: 150 SO. FT./BEDROOM x NUMBER OF BEDROOMS APPLICATION RATE X REDUCTION FACTOR = LENGTH 5' (WIDTH) 150 SO.FT./BEDROOM x 5 BEDROOMS 0.6 X 0.87 = 130.5 FT. (SAY 132') 5' I :...:...Zz.....;i BPKA LOT 17A, EKLUTNA HEIGHTS SUBDIVISION GENERAL NOTES R.H. STEWART ADDITION, SECTION 5, T15N, R1W, SM IIdlIVF. IIIIVIIIIdI~IIL SEPTIC TANK REPLACEMENT/WIDE TRENCH ^u~usToo. 2~, I FIGURE 4 I Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 w.c,. chora,..a .us (907) 343-7904 Soils Log-Percolation Test 2- 3- 5- 7- 10- 11- 12- 14- 17- 18- 19- 20- COMMENTS ~ ~ ~ ¢ ~ Date Performed: ") ~ ~ t~ ~'~, Township, Range, Section: 'J-J~'/~J ~JV~J Slope Site Plan WAS GROUND WATER ENCOUNTERED? I S IF YES, AT WHAT DEPTH? I I, 5 O Depth to Water After Monitoring? ~, (2~ I p E Date: Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE ~/'7 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN (,1' FT AND "~ FT PERFORMED BY: ge& ~-'~¢~"~ I ~¢:~ ~1~"~3 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH A'f_L STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '-/ -- ~ - I ( August 8, 2011 To Whom It May Concern: We are putting in a septic system ourselves with the help of a friend. We will not be using a contractor to do this job. We will rent a backhoe from the rental center on the comer of Old Glenn Highway and Voyles Road to do the digging and backfill. Our friend knows how to run this equipment. Our friend has a dump track to get the sewer rock from T and J's on the Wasilla highway. He also has a bobcat that he will use to move the rock into the trenches. We will purchase the pipe from the store ourselves. We will be doing the fittings and placing the pipe in the trench. Alice and Gary Madsen 21661 Madsen's Place Chugiak, Alaska 99567 NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [PHONE [ ~IEW ¢'~.~ ~(.~ [] UPGRADE Liq. capacity in gallons DISTANCE TO: Man ufacturer DISTANCE TO: No. of lines Top of tile to finish grade Absorption~ ~. IF HOMEMADE Inside length We, IWell 3undation Length of each line length of lines beneath tile Length ~,~,~ Width / .~ Type of c~ Crib d am_%~.~., Crib depth~.~ DISTANCE TO: DISTANCE TO: OTHER PiPE M AT ~A~.~__ INSTALL~ R EMAR KS ~ DATE NO, OF BEDROO..~ Dwelling ~) ~ ,Pr~RMITNO. L Ne' °f c°mpart ent Z_ IWidth Liquid depth_ PERMIT NO, Material Liquid capacity in gallons Nearest lot line PERMIT NO, Trench w dth inches Distance between lines Total effective absorption area inches ~MIT NO. Total effective absorption~.~._.~ Nearest lot line /~.~ ./ Distance to lot line I PERMIT NO. Septic tank I Absorption area(s) LEGAL ~ ..MUNICIPALITY OF ANCHORAGE ~0~ Department/ ~ Health and Environmenta!~%rotection 825 ~ Street, Anchorage, AK. 9~501 ~ ~ 264-4720 ~ ~ ~ HANDWRITTEN PERMIT ~ ~ ~ Permit ~~ta ~ AND/OR ON-SITE SEWER PERMIT Applicant: ~~L~ ~' ~ Mailing Address, ~ Location: Phone Nu~er: ~ /-/~00 Leqal Description: ~/~ ~~ ~ Lot Size: Type of Soil ~sorption System Is: Trench: Drainfield: Seepage Bed: ~ Holding Tank: Maximum N~ber of Bedrooms: ~ Soil Rating(sq.ft/br) The Required Size of the Soil ~sorption System Is: DEPTH 5~ LENGTH /~/ ¢~ GRAVEL DEPTH ~" WIDTH The length d~ension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minim~ depth of gravel between the outfali pipe and the bottom of the excavation(in feet). ' ~ REQUIRED SEPTIC(~) TANK SIZE = /~0~ GALLONS Permit applicant has the responsibility to inform this department during the instaliation inspections of any wells adjacent to this property and the n~ber of residences that the well will serve. ~ ~ ~ TWO(2) INSPECTIONS ARE REQUIRED ~ ~ ~ Backfilling of any system without final inspection.and approval by this department wiii be subject to prosecution. Min~um distance between a weii and any on-site sewage disposai system is iO0 feet for a private well or 150 to 200 feet from a pubiic weli depending upon the type of public well. Minim~ distance from a private well to a private sewer line is 25 feet and to a co--unity sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are avaiiabie to insure proper installation. ' ' ' PERMIT EXPIRES DECEMBER 1 g 8 3 ' ' I certify that: (i) I ~ f~iiiar with the requirements for on-site sewers and weiis as set forth by the Municipality of ~chorage. (2) I wiii instai1 the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Applicant ~/ - SWP/024(1/81) Issued by: Date: PC)UCH 6-650 ANCHORAGE, ALASKAg9502'0650 (907) 264-4111 /'ON Y i', NO ~,W F~S. tv!/~ ~ Oil AND [~NVI~]ONMFNIAL PE~,O] E CTION ~Permit #: 820580 .January 31, 1983 TO: Permit Applicant Subject: Lot 18 Eklutna }{eights Subdivision A permit issued by this department for an individual well and/or on-site sewer syste~% has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 PERMi]' NO,, [}Ei]::x/.",R'T'JvtE:.'N't/ %:'' HE,'.~L'I'H AND ENVIROI',INENT/.:~i. .................... "~ 8i3Ei '~' STREET:, AN('..:HORA(;;E, AK. ~!64-4'7e0 I~iEE:L.L_ ~.':.~lt"qt[Z) C/:}thqt ...... ~EE~ :[ '"'IF'EZ: C~:II~,~E'ZtI::~~. 1F:dliiE]F~. ti",1t ][ *] .... AP P L.. I C: Alii]' _OC A'T 1 ON [..E(~AL DESEI:~:AH t',IADSEN STAR ROUT'E a BOX sgBo LCYI" 18 EKLU'I"NA HEIGH'TS ~/D LO't" ,SIZE L"~.O(:)O0 SGUARFZ FEIET Type ¢.,f: so:[l absorption system 1 ..... DRAINFIELD ~lax i'mL~T~ nJJmber o{': bedrooms = ':.3 Soil rating (SG FT/I::3R)= 1BO "t"he required size of' the soil absorptJ, o'n system ~.s: T'he length dimension is the length (iTl {'eet) of' the trench or drainf:ield, The depth o'F a 'trench or. pit is the distance between the surd:ace of. the gr'ound and the bottom of: the excavation (in f:eet), thk-- t ret. ch wi dth i s S. (2)()0 f. eet.. 'T'he gravel depth is ~he mi'r, imum depth o~: grave:[ between ~he outf:all pipe and the bo'ttofr~ of. the excavation (in feet). Permit applicant has the responsibility to inf:orm th:is department .r. luring the inst~.~llai:ion inspections o.F aT, y wells adjacent to this property an,'~ the nuTnber o.F residenEes that the well will serve, Eiai::k.F:LlliT'~g of. any system without f:inal inspection and appr'oval by this depart'merit will be subject to prosecution. 4inimum distance between a well and any on-site sewage disposal system is 1(}O .Feet f'or a private well[ or 1SO to 2(i)O f. eet f;rom e public well depending upo'n 'the type o'f" public wel:k. l','tin&mum distance .F. roma private well to a private sewer line is ;3S .Feet and to a con'm'~unity se~en line is '7S f:eet. Well logs ape required and must be returned to the department within :30 days o'f' the well completion, Other requirements may apply, Specif:.icatio~s and co'nstruct:ion diagrams ape available to &nst.zP8 proper installation, I certif, y 'that 1: I a~'~ ~amiliar with the requirements f'op on-site sewers a'nd wells as set f:orth by the Nunicipality of· Anchorage, 2: I will install the system in accordance with the codes, B: i understand that the on-site sewer system may require enlargement if. the r'.esidence is r. emodeled 4:0 include more than :3 bedrooms,, ::, .[ ~ NED. - ................................................................ AI::U::*L. IC. AN'T' DEE~ORAH I IAL)~EII Permit % Location: Legal Description: ~_ /(~ ,~'~ ,!: (;~ !~'~ dX Type of Soil Absorption System Is: Trench: Drainfield: Maximum Number of Bedrooms: ~MUNICIPALITY OF ANCHORAGE,--~ Department/ ~ Health and Environmenta'. rotection 825 ,. Street, Anchorage, AK. ~9501 264-4720 ~ ~ ~ HANDWRITTEN PERMIT ~ ~ ~ WELL AND/OR ON-SITE SEWER PERMIT /¥! J ,~! ~"'"'- Mailing Address: Phone Number: °93A ~ }~-~( % Lot Size: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) /~ O The Required Size of the Soil Absorption System Is: ' DEPTH '~-; . LENGTH ,_~) GRAVEL DEPTH ~ ' WIDTH '-~ The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The: gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). ~ ~ REQUIRED SEPTIC(HOLDING) TANK SIZE = /gF?3'~D GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. ~ TWO(2) INSPECTIONS ARE REQUIRED ~ ~ ~ Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 215! feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other reqUirements may apply. Specifications and construction diagrams are avaiIable to insure proper installation. ~ ~ ~ PERMIT EXPIRES DECEMBER 1 9 8 I c~rtify that: (1) (2) (3) Sig. ne~: I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. I will install the system in accordance with codes. I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedroo~s. ~ SWP:/024 (1/81) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: ! 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 lot SLOPE I I DATE PERFORMED= SITE PLAN ENCOUNTERED? p, IF YES, AT WHAT (,~ DEPTH? / Gross Net Depth to Net Reading Date Time Time Water Drop ¥ PERCOLATION RATE ~/~ TEST RUN BETWEEN · FT AND . - COMMENTS ~,/~, ,/~ ~'" *~ '~ ~'t, :;-~, CERTIFIED PERFORMED BY:~ (¢AV~),~; ;' ..... /~ '~ (~ ~"~'~¢ (minutes/inch) · FT / / 72-008 (6/79) SREATER ANCHORAGE AREA BOROUSH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-,SITE SEWAGE DISPOSAL SySTEM,~ ~ SEPTIC TANK: DISTANCE FROM WELL~Z/~ I MANUFACTURER INSIDE LENGTH INSIDE WIDTH ,~ -~-~--/)~-- MATERIAL LIQUID DEPTH NUMBER OF ~ COMPARTMENTS LIQUID CAPACITY. ~dCL~t'-g~ALLONS. NUMBER OF PITS ~' DIAMETER __ LINING MATERIAL A.g-~ CRIB SIZE: OR WIDTH ~ DIAMETER BUILDING FOUNDATION__ NEAREST LOT LINE __ ADDITIONAL ABSORPTION LE,NGTH DEPTH DEPTH' r D STANCE FROM: WELL TOTAL EFFECTIVE ~., ~ ~'~ ABSORPTION AREA (WALL AREA) ~ ~ SQ. FT. WELL: TYPE ~A-~ BUILDING FOUNDATION __ CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED _ NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK __ SYSTEM DISTANCES: DIAGRAM OF SYSTEM LOT SLOPE:. REMARKS: __ DATE ~ ~//~/{~,~.~ _ *-<', APPROVED G.A., B. NAME OF APPLICANT INSTALLATION LOCATION '-EGALDESOR,PT,ON INSTALLATION Of: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED SO,L TEST RESULTS COMPLETION DATE ANTICIPATED ' GREA,ER ANCHORAGE AREA Bor~ ~JGh ~,~/~_~)~ ;'; . 3330 "C" STREET ANCHORAGE, ALASKA 99503~ ~ --' / ~ )' N.. ' S~W~ ~IS~OS~L ~YST~ -- ~LIC~TIO~ ~N~ ~ll~IT SEEPAGE PIT DRA~ fl~ , OTHer BE INSTALLED BY , , ' ~ NOTE~ THIS PEE~ IS NOT VALID WITHOUT SOIL FINAL INSPECTION: 2~ HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL (~UALI~Y ~UTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK .p~// FOUNDATION TO SEEPAGE PIT ,DRAIN ~ SEPTIC TANK TO SEEPAGE PIT WALL . ~ f ', SEPTIC TANK ~ SEEPAGE Pit iDRAIN TO NEAREST LOT LINE. WELL TO SEPTIC TANK ~ / /~ . , SEEPAGE PIT 4 INCH DIAMETER CAST IRoN SIPHON piPES ON SEPTIC TANK AND SEEPAge PIT FITTED WiTH Am~.T e~O~A~ CAPS~ ? ~ ~ ~.' ' CONFORM TO BORO0~" ~ULATIONS REGARDING I~['k~TIq.., . AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE /W CONSULTANTS, INC. P-O. BOX 6087 ANCHORAGE, ALASKA 99~03 TELEPHONE 907-2~79-0483 AN(~'HORAGE FAIHIIANKS JUNEALt TELEX 090-35419 September 2, 1975 R & M No. 562104 ~rs. Alice Madsen P. O. Box 557A Chugiak, Alaska RE: Test Hole and Soil Log Report for Sanitary System Lot 17, Section 3, NE %, SW %, T 15 N, R 1 W, S.M. Dear Mrs. Madsen: We are submitting herewith the test boring results and our comments regard- ing soil conditions encountered at the subject site. This investigation was performed in accordance with your request of August 26, 1975, and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 17 area for the purpose of defining general subsurface soil conditions for the proposed sanitary sys- tem. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 18 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. Vice President JWR/PJ/ja xc: GAAB TH-1 9-2-75 ORGAN I C S SILT, SO~ SAND QfL) 0.0~ 0.~~ 2.5y GRAVELLY SAIIO w/SOP-~ SILT (SP-SM) 200 sq ft/bedroom 10.0' GRAVBLLY SAhq) TRACE SILT (SP) ...... 14.0' SILTY SALrDY GRAVEL OCCASIONAL COBBLE (GM) NO WATER TABLE 18.0' T.D. Log represents Lot 17 Section 3 NE 1/4, SW 1/4, T 15 N R 1 W, S. M. Consultants inc. ANChOrAGE FA,~8~XS ALASKA JUNEAU >4kDSEN PROPERTY Log of test hole Chugiak, Alaska ~'oAr~. 9-2-75 ' SC~USCAL~ 1"=31''=3" OWNOWN ~SY WED .~~ I__~wo NO. A-01 /6 ?c~ MUNMWALITY OF ANCHORAGE Development Services Department `� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I. D. 051-063-94 1. GENERAL INFORMATION Complete legal description Expiration Date: �0\1 3 d °Qod EKLUTNA HEIGHTS STEWART ADD. LOT 17A Location (site address) 21661 MADSEN'S PLACE, CHUGIAK, AK 99567 Current property owner(s) PETER CASEY Mailing address Real estate agent Day phone 21661 MADSEN'S PLACE, CHUGIAK, AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 (3BR + 1BR ADU) Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public WSystem El PublicSewer ❑ l�./� � � //at^^er Waiver request for: f -bulk °t L Z7"k /Public -h -fame- I d p Distance: / 7 3 Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2g0 + 6M 6$ (Sl�l) Date of Payment 9 11%AZ l [16 IReceipt Number 5171sy5 `� COSA # 0jC21 I `l9 Waiver Fee $ 02 5 + � 13 5 (4US-H) Date of Payment FS/.? r7X02 1 4 VO -0,21 Receipt Number 17,2 Z2 q () 0 5 Waiver #— os v a 11 a (0 7 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN PE Date 8/17/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the �• '° F well and septic system. Therefore, any estimate of how long a system will function satisfactory ��.®'���:' • • .„Q ��� for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWrS . 49 , TH .. •'. _ �� 6. DSD SIGNATURE/ ) • ' • Curtis Huffman System #1 Approved for l bedrooms ���'���'•, CE 128991 S Y pp � System #2 Approved for bedrooms PROFE CNP' Disapproved Conditional approval for bedrooms, with the following stipulations: OF 6' ON -SIT€ WATER AND By: Original Certificate Date: �13o aa2 % 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 Legal Description: EKLUTNA HTS. STEWART ADD. LOT 17A Parcel ID: 051-063-94 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled CIRCA 1976 Total depth 163+ ft (ACOUSTIC READINGS AT TEST) Cased to UNKNOWN ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/10/2021 Static water level at beginning of test 163 ft. Well production at time of test 2 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 1.09 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 5/17/2021 Comments B. TANK DATA – NEW TANKS: HOUSE & ADU Age of tank(s) *NEW TANKS years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank * Standpipes/foundation cleanout per record drawing Date of pumping * C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA HOUSE - 2011 / ADU - NEW Which system tested (date installed) 2011 ALL standpipes present per record drawing Total measured depth from grade 4.8 / 8.3 ft (max) Measured depth to pipe invert from grade 3.8 / 4.1 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 Adequacy test date 5/10/2021 / ADU - NEW Results Pass For 3 bedrooms Fluid depth prior to test 2 in Water added 450 gal New depth 8 in Elapsed time 1400 min Final fluid depth 1 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No *75+ ft Neighboring Tank > 100’ Yes if No ***90 ft Absorption Field on Lot > 100’ Yes if No **97+ ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No **3+ ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ 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’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS *75’+ FOR ADU – MOA WAIVER. **MOA WAIVER FOR HOUSE (WELL TO TANK & FIELD 97’ & TANK TO FIELD 3’). ***PER DMS ASB FOR LOT 16 TO THE SOUTH. G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 8/25/2021 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 05 I O b~c] HOC, O GENERAL INFORMATION Complete legal description Location (site address) COSA # O~P-.~ \ \\ Expiration Date: j - Current Property owner(s) Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class ~ Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding Tank ' [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request .to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy 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. NameofFirm ~o¢~¢~,~.~ f, ~'lv~8..~ fl~¢.¢oc1~,~-~.~I J~. Phone Address IG~}~ ~f ~C~ P~ ~ ~ ~7~ Engineer's Printed Name ~o~g0 ~ ~B~,~. Date bedrooms. DSD SIGNATURE ~""' Approved for ."~ Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory. Well Flow Advisory Nitrate Advisory X (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: /~)'- ~, 7- / / Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: E k I u.l[vl. ~L~-it~ 5~'¢~,~,' F A~.~ l[.=~L I'7~ Parcel ID: WELL DATA Well type Im~ IW IfA, B, or C provide PWSID # ~ Well Log (Y/N) Date completed ~ - !/~ --1 G Sanitary seal (Y/N) ~ Total depth ~0 ft. Cased to I~'~ ft. Y Wires properly protected (Y/N) ~' Casing height (above ground) I ~ in. FROM WELL LOG AT INSPECTION Date of test ~ - I ~ - '~ b /~ - I ,~ - ! I Static water level I C~O ft. / ~ ~, '~' ft. Well production ~ g.p.m. ~- g.p.m. WATER SAMPLE RESULTS: Coliform ~ colonies/100 mL Nitrate 0.7, I ~ mg/L Arsenic: Collected by: ~ r'; 14. ~-o ~-~ {- B. SEPTIC/HOLDING TANK DATA Tank Type/Material ~.~- I (~e ~"~ ) Date installed {~ iat /~q Tank size I~OO gal.~J~o~l~)Number of Compartments Z.- ~.~ Cleanouts (Y/N) ~ Foundation cleanout (Y/N) ~ Depression over tank (Y/N) ~ High water alarm (Y/N) /~ Date of pumping ~/ll ~ ~'/l~ Pumper ~)'41~i"~,~'~ fkVk}f¢¢'£ C. ABSORPTION FIELD DATA Date installed ~ O ] I ~ Soil rating (g.p.d./ff2 or ft2/bdrm) O0 Length J ~ ~,, ff. Width 5 ff. / Total depth3~ '~ ~ ft. Eft. absorption area '1~o ft2 Monitoring tube . Date of adequacy test IO - 1,- ~ { Results (Pass/Fail) System type ~U;c~ ~r'lr~v~[-, Gravel below pipe ! ft. ~ Depression over field /,~ For '~ bedrooms Fluid depth in absorption field before test ~ in. Water added ~ gal. New depth ~) in. Elapsed Time: Z?,~' min. Final fluid depth ~ in. Absorption rate >= ~ ~) g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) i~'l If yes, give date D. LIFT STATION Date installed ' ~,4f~- Size in gallons Manhole/Access (Y/N) J~l~ "Pump on" level at -'-' in. "Pump off" level at ~ in. High water alarm level at ~ in. Datum --'~ Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1~)~ Absorption field on lot J E)~) 'J-' I Public sewer main j OO 'lL Sewer/septic service line Animal containment areas On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank J Ccc 'l'- Manure/animal excrete storage areas ! 1oo -I-- 14)o ~- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~ ~' ~ Propertyline ~o~* o Absorption field Watermain ~ CO ~ '{- Water service line -~' ~)'~ Surface water I Wells on adjacent lots I Co ~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line - ~ ~) Building foundation ~ ~ I Water main J Co + Water Service line ~'~,~' /~t>~& Suffacewater ~ Ot~ ~ Driveway, parking/vehicle storage Curtain drain ~Oo -I- Wells on adjacent lots F. COMMENTS G. ENGINEER S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in _~'~,~'_,*°°" '~,~.~.~.~ conformance with MOA COSA guidelines in effect on this date. .. Date /~ - ~-// COSAFee $ ~-~[~ ~) ~~ WaiverFee$ Date of Payment ~O ~ I~ ~ ~ Date of Payment Receipt Number [~ ~ ~ ~ Receipt Number (Rev. 4/10) ANALYTICA GROUP Rodney P. Kinney Associates Attn: Erik Jordt 16515 Centerfield Dr. Suite 101 Eagle River, AK 99577 907-694-2332 Fax: 907-694-1807 Client Sample ID: Sampling Location: Client Project: Sample Matrix: COC #: PWS#: Residual Chlorine: Comments: Eklutna Subdivision Lot 17A Drinking Water Testing Drinking Water Analytica Anchorage 4307 Arctic Boulevard Anchorage, AK 99503 Phone: 907-258-2155 Fax: 907-258-6634 Report Date: 10/25/2011 Receipt Date: 10/13/2011 Sample Date: 10/13/2011 Sample Time: 3:05:00PM Collected By: EJ Flag Definitions: MRL = Method Reporting Limit MCL = Maximum Contaminant Limit B = Present also in Method Blank H = Exceeds Regulatory Limit M = Matrix Interference J = Estimated Value D = Lost to Dilution ** = RL higher than MCL; target not detected TNC = Too Numerous to Count - result rejected CF = Confluent Growth - result rejected TCNG = Turbid Culture No Growth - rejected Lab#: A1110252-01A Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst 4500-NO3E (Aqueous) - Nitrate+Nitrite pres Test was conducted by: Analytica - Anchorage Nitrate-Nitrite as Nitrogen 0.800 mg/L 0.50 10 10/21/201110/21/201 IMC Lab#: Al 110252-01B Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst 9223B-PA (Aqueous) - Colifonns in DW E. Colt Pass PASS/FAIL 1.0 Total Coliform Pass PASS/FAIL 1.0 Test was conducted by: Analytica - Anchorage 1 10/13/201110/13/201 IKM 1 10/13/201110/13/201 IKM Page 3 of 3 AS-BUILT ! I hereby certify that I have surveyed the following descn'bed Ancho .rage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the ]~rog~,tv lines and do not ov .eylap or encroach on the prolr~Tty ly~-adj~cent thereto, that no ..m~provements on property l~(ing adjacent thereto encroach on me premi.s, es.. in question and that'there are no roadwayS, transmission lines or other visible easements On said property except as indicated hereon. Dated at Ea~le River, Alaska ROBERT C. JONSON ~," t?,;~,.';:' SCALE: Registered Land Surveyor Nc~. ~'LS --- -;- C: ~Box ~'/-~.~, Eagle Riv6r, Alaska 99577 rnone (907) 6942543