HomeMy WebLinkAboutGLENN VIEW ESTATES WEST PH 2 BLK 2 LT 5Glenn View
Estates West
#2
Block 2
Lot 5
#051-793-26
1U
'� Municipality of Anchorage ;
'°•.
y%E -
.IW -- '
•b
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page
wwn.cI.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SW000344 PID Number. 051-7934f .2 to
of
Arctic Devco. Inc.
Wastewater System:
0 New
■
Upgrade
PO Box 3489 Palmer. AK 99645
ABSORPTION FIELD
Phone: Number a Bedrooms
4
O Deep Troch El Stilt Trench 0 Bed 0 Meat 0 Other
LEGAL DESCRIPTION
SWRaleg
0.8 Gm*?
To4Depth from an5paW
6.45 FI.
Blodc La SItMm.cn:
2 5 Glenn VlewWest
Depth to bottom from anginal
Gravel depth beneath Mt
2.96 FI
pp grads:
3.40 FI.
TpmrW.p: Range- $edco: Prt*.ka
F. acted above argot areas:
1.25 FI.
Grml Length:
92 FI.
Well: ■New
■Upgrade
Greet width:
5 Ft.
Number el inn
1
Distance anew
between
NA FL
Clams/atm (Privets, A B, CI:
Public Water
Tat Depth:
FI.
Ca.ed lo:
FL
Total absentee area
793 Fe
Pp Matti:
SCH40 E. F810
Driller
Date Dread.
Sltc Water Leve.
FL
heeler
Turner Construction
Date Instated:
8130/2000
Yield.
GPM
Porno St at:
Ft.
Casing Het/ Above Ground
FL
TANK
SEPARATION DISTANCES
e
•3 Septic O Holding • S.T.E.P. ❑ Other.
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
Public/Private
Sewer tineAnchorage
M"6"wer.
Tank
Capacity-
1250 Gt-
1250
wea
100'+
100'+
NA
NA
25'+
Metal.
Steel
Number a Cenpwl m«sc
2
1001+
100'+
NA
NA
LIFT STATION
Lot Lit
5'+
10'+
NA
NA
Sue.Manufacture.LotLi.
Gel
Cue
FaaMalbn
5'+
10'+
NA
NA
Pump level al.
h.
'Pena OW level at.
InIn
High water atom O.
Cotten win
NA
*501+
NA
NA
Pump Make a Model
awped.as p"lolmed by
Raorte
'none known
BENCH MARK
Location and Desolation
Top of foundation
Assumed L.raLon.
100 FL
Engineer's Stamp
�atiltOFA44111
a P's,.es»see.a.se S 1
.1
.0 le sa�f
* 1, H 'e ` a: *
a .-:,
eio
Inspections performed by: KND Engineering Dates: 1'8/30/2000 j
r•..:
2nd 8/31100nem
t Kenneth M. Duff
�CE ma .
�o• •a+a••PeaT�q-e
Development Services Department Approval CI/II of
-23-ya-�j
ed and approved by: /v/ G✓/" ate:
�lRevi
K ID ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
ell *a
SOILS PERCOLATION TEST
Performed fon. Arctic Devco
Project:
Depth
(Feet)
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20 -
Lot 5, Block 2, Glenn View West
Kenn c �' W d
4/ % CCE7113 i
l •
.c.,
f43/41 pROFES5t0re
Date Performed:
08/301‘,P61°.
TEST 1IOLE # 00-1
ORG — black rootmat
GP —brown, loose clean, w/
slight trace of silt
GM —w/sand some silt
GM -more silt, some sand, inc.
density , some smearing
B.O.H.
HOLE PRESOAKED
PRIOR TO TEST
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO
Depth to water after monitoring? DRY
What depth? NA
Date? 10/08/01
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
8/30/00
9:30
-
8"
-
2
9:40
10 min
61/16"
115/16"
3•
9:41
-
8"
-
4
931
10 min
66/16"
110/16"'
5•
9:52
-
8"
-
6
10:02
10 min
68/16"
18/16"
7
•
10:03
-
8"
-
8
10:13
10 min
611/16"
15/16"
9
*
10:14
-
8"
-
10
10:24
10 min
611/16"
15/16"
11
•
10:25
-
8"
-
12
10:35
10 min
611/16"
15/16"
•
Water
Added
Percolation Rate 7.62 (min/in Perc Hole Diameter 6"
Test Run Between 4 fee and 5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
YNENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907) 696-6111/FAX (907) 696-8111
January 17, 2001
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject Modification of sewer design — SW000344
Glenn View Estates West SID, Block 2, Lot 5
Gentlemen:
At time of construction it became apparent that the best location for the septic
system for the subject property would not be where originally planned because of
the lot layout and proposed foundation location. Subsequently, on August 30, 2000
we dug one testhole for the proposed system. The results of this test is attached. W e
modified the design accordingly and installed a 5' wide shallow trench. Water was
not encountered during the excavation and the soils were consistent with
neighboring testhole data. All other items on the previous request will remain the
same.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
END Engineering
Kenneth M. Duffus, P.E.
Attachments: On -Site Inspection Report
As -Built System Details/Site Plan
Soils Log/Percolation Test
AS—BUILT SYSTEM DETAILS/SITE PLAN Pernit SWO
GLENN VIEW ESTATES WEST S/D, BLOCK 2, LOT 5 PID#051-79
A -C=37.0'
B -C=21.3'
A -D=39.2'
B -D=26.4'
A -E=31.8'
B -E=76.4'
A -F=78.8'
B -F=34.9'
FINISH GRADE
FILM IWIC‘NN
1250 GAL
SEPTIC
TANK
OF AL,
f, * e
KENNETH
CE -7118
0
3
Et 1' = 50'
9
(•98.97
i�91.49�
SEWER ROCK
VNKt
94.3
u
091.27,
92'
PREPARED FOR:
REX TURNER
ARCTIC DEVCO, INC.
P.O. BOX 3489
PALMER, ALASKA 99645
SCALE' NTS
0344
-23
C 85.27) o
FIELD BOOKS
COMPUTED:
B neurt:. LANG
on".,: VBC
STA". LANG
°COQ KM0
Aat1 LANG
4" 1/17/01
DIC. FILL:
°°a NW1439
"4"D ^,L 00057.DWC
a N. 00057
LEND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)898-8111/FAX (907)898-8111
]KNID ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Performed for: Arctic Devco
Project
Depth
(Feet)
1-
2
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
M; Kenneth M. Du t W f
�i I • CE 7116 • :•y4'%
(4l� pROFESS10Na�e
least
Date Performed: 08/30/����21��
Lot 5, Block 2, Glenn View West TEST HOLE 41 00-1
ORC — black rootmat
GI' —brown, loose clean, w/
slight trace of silt
GM —w/sand some silt
CM -more silt, some sand, inc.
density , some smearing
BOH
HOLE PRESOAKED
20- PRIOR TO TEST
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring? NA Date? NA
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
8/30/00
930
-
8"
-
2
9:40
10 min
61/16"
115/16"
3•
9:41
-
8"
-
4
931
10 min
66/16"
1 10/16"
5•
9:52
-
8"
-
6
10:02
10 min
68/16"
18/16"
7•
10:03
-
8"
-
8
10:13
10 min
611/16"
15/16"
9
•
10:14
-
8"
-
10
10:24
10 min
611/16"
15/16"
11•
10:25
-
8"
-
12
.
10:35
10 min
611/16"
15/16"
*
Water
Added
Percolation Rate 7.62 (min/in Pere Hole Diameter 6"
Test Run Between 4 fee and 5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
awzreiono
7/3/ /c:CD lap„-,
?k: /ta& 1{p,- _
Date Issued: Aug 30, 2000
Expiration Date: Aug 30, 2001
Permit Number: SW000344 / Parcel ID: 051-7 3-23
Legal Description: Glenn View Estates West, Tract A C Ib f S a fO c %G o2
Design Engineer: 0070 KND Engineering
Owner Name: Tumer Construction
Owner Address: PO Box 3489
Palmer , AK 99645 -
Site Address: Glenn View Estates West, Lot 5,Block 2
Lot Size: 626225 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
Q Disposal Field Q✓ Septic Tank O 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
(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.
ReceivedBy:c77/-- Date:n&^-3 O -od
Issued By: / Dint:1 �Z / `"L Date: 6"'30"O0
KNLJ ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
August 23, 2000
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject New sewer permit — Glenn View Estates West SID, Block 2, Lot 5
Gentlemen:
The owner has requested we proceed forward to obtain a septic permit on the subject
lot. On April 19, 1999 we dug one testhole for the proposed system. The result of
the test is attached. The general slope of this lot is from northwest to southeast at a
grade of approximately 3 - 5% for the northwest two -third of the property. From
there it continues at a slope of approximately 5 to 15% for the remaining one-third
of the property.
We have designed our system utilizing the testhole we excavated for the 4 -bedroom
house, which is proposed for this lot. The lot will be served by public water. W e
propose to install a 2' wide deep trench. Water was not encountered during the
excavation or monitoring.
There are no public or private wells within 200' of our proposed system location
except as noted. There is no surface water within 100' of the proposed system and
there are no known curtain drains within 50'. We do not expect there to be any
adverse effect on adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
IIKNIC) Engineering
enneth M. Duffus,
attachments:
On -Site Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN
GLENN VIEW ESTATES WEST S/D, BLOCK 2, LOT 5
B
IO PUBLIC YELLS WITHIN COD' a*
PROMISED STSTEIL
!O PRIVATE YELLS VUHDI R00' IT
PROPOSED SYSTEM EXCEPT AS MOTED.
IO SEPTIC SYSTEMS MYON 200' 6
PROPOSED WELL EXCEPT AS MT9.
ALL LOTS SERVED WITH COMMITS WATER
8
DESIGN DETAILS
4 BDRM X 150 GPD = 600 GPD
600 GPD/.8 GPD PER SQ. FT. (10 MIN/IN.)= 750 SQ. FT
(750/(2'(V) X 6'(D)) (6.0 GRAVEL) = 62.5 FT. TRENCH
USE 2 TRENCHES - 32' (L) X 2' (W) X 6'(D)
Total depth of system Is 7.0' from original grade.
Total depth of gravel below distribution pipe is 6.0' .
NOTES'
1. USE 1250 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MAXIMUM 27. SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
PREPARED FOR!
REX TURNER
ARCTIC DEVCO, INC.
P.O. BOX 3489
PALMER, ALASKA 99645
Scale! 1'= 100'
PAGE 1 OF 2
FIELD BOOKS
C01wTI
RQ1M0AR1 LANG
DRAMk VBG
Inn° LANG
°Ear@ KMD
Ant LANG
DAIL 8/23/00
END ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
Dai. ME
OOP NW1459
ACRD rEE: 00057.DWG
°BMs 00057
(907)696-8111/FAR (907)898-8111
2
1
6
5
4
3
IO PUBLIC YELLS WITHIN COD' a*
PROMISED STSTEIL
!O PRIVATE YELLS VUHDI R00' IT
PROPOSED SYSTEM EXCEPT AS MOTED.
IO SEPTIC SYSTEMS MYON 200' 6
PROPOSED WELL EXCEPT AS MT9.
ALL LOTS SERVED WITH COMMITS WATER
8
DESIGN DETAILS
4 BDRM X 150 GPD = 600 GPD
600 GPD/.8 GPD PER SQ. FT. (10 MIN/IN.)= 750 SQ. FT
(750/(2'(V) X 6'(D)) (6.0 GRAVEL) = 62.5 FT. TRENCH
USE 2 TRENCHES - 32' (L) X 2' (W) X 6'(D)
Total depth of system Is 7.0' from original grade.
Total depth of gravel below distribution pipe is 6.0' .
NOTES'
1. USE 1250 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MAXIMUM 27. SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
PREPARED FOR!
REX TURNER
ARCTIC DEVCO, INC.
P.O. BOX 3489
PALMER, ALASKA 99645
Scale! 1'= 100'
PAGE 1 OF 2
FIELD BOOKS
C01wTI
RQ1M0AR1 LANG
DRAMk VBG
Inn° LANG
°Ear@ KMD
Ant LANG
DAIL 8/23/00
END ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
Dai. ME
OOP NW1459
ACRD rEE: 00057.DWG
°BMs 00057
(907)696-8111/FAR (907)898-8111
•
K�o
WASTEWATER DISP❑SAL SYSTEM DETAILS
GLENN VIEW ESTATES WEST S/D, BLOCK 2, LOT 5
VACANT
TTER
D 1250 GAL. S,T
11.0' 6'O
•O'
cc PROPOSED PR❑P❑SED 4BDRM
22H❑USE
O'
CE -7118
1.214
4k, Av
ate- -`'lam
ns1014—
PREPARED FOR'
REX TURNER
ARCTIC DEVCO, INC.
P.O. BOX 3489
PALMER, ALASKA 99645
Scale! 1'= 20'
PAGE 2 OF 3
naD BOOKS
°01"1Di1Rt LANG
pRA't VBG
Sd1ulQ LANG
OCO6s KMD
*ao LANG
DAIL 8/23/00
DRR NW1459
AOAD "° 00057.DWG
0B "" 00057
END D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)898-6111/FAX (907)696-8111
- • KND ENGINEER,
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Performed for. Arctic Devco
Project
Depth
(Feet)
1-
2-
3-
4-
5-
6-
7-;
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20- PRIOR TO TEST
Lot 5, Block 2, Glenn View West
oP�EOF.. jat
Iv* ••• ;ems �9
iti
�.�. ..:..:eine..
• ti ••N•
0 co • Kennet
C'i E 7116
•
f �'
�0,t pOFESS1O ..
Date Performed: 04/197 9•Nmei
Gu
TEST HOLE St 99-2/5
ORG - black rootmat
SM/GP -loose clean
GM -w/sand some silt
GM -more silt, some sand, inc.
density, some smearing
B.O.H.
HOLE PRESOAKED
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO
Depth to water after monitoring? NO
What depth? NA
Date? 05/15/99
Reading
Date
Gross
Time
Net
Time
Depth to
Water •
Net
Drop
1
4/19/99
4:30
-
7"
-
2
4:40
10 min
4"
3"
3
•
4:41
-
7"
-
4
431
IO min
44/16"
212/16"
5
•
452
-
7"
-
6
5:02
10 min
4 6/16"
210/16"
7•
5.:03
-
7"
-
8
5:13
10 min
4 8/16"
28/16"
9
'
5:14
-
7"
-
10
5:24
10 min
4 8/16"
28/16"
11
•
5:25
-
7"
-
12
535
10 min
4 8/16"
28/16"
'
Water
Added
Percolation Rate 4.00 (min/in Perc Hole Diameter 6"
Test Run Between, 3 feet and 4 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I D 051-793-26
HAA # , l g'i-
r�. M7L �i,Fa4
Expiration Date. .S — j O — O 6
1. GENERAL INFORMATION
Complete legal description Glenn View FstateWest #2, Block 2, Lot 5
Location (site address or directions) 21221 Paula Sup Circle Chugiak, AK 99567
Current Property owner(s) Daryl & Janet Methvin Day phone 664-541 n
Mailing address PCI Box 671972, Chuglak, AK 99567
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
_4_
3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual On-site
Individual Water Storage 0 Individual Holding tank 0
Community Class Well 0 Community On-site 0
Public Water System 0 Public Sewer 0
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given In paragraph 4 by an independent professional
civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health
Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water 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 verify that my
investigation, based on procedures outlined in the Health Authority Approval Guidelines for this
application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional
and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the Information obtained from the Municipality of Anchorage files and from my investigation and
inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all
applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm KND FNGINFFRING, tnr
Address 20441 Ptarmigap Rlvrf , Fagle River, AK 99577
Engineer's Printed Name Kenneth M.. Duffus
Engineer's Comments:
This investigation was completed in compliance with
ADEC and MOA regulations. 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 and the water usage
of the family being served by the system. 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 well and septic system.
Therefore, KND can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can KND guarantee that no unseen
encroachments, deficiencies or discrepancies exist.
5. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Conditional approval for
By.
Phone (907) 696-6111
Date 5/6/05
;zt OF Ak '1
ica ••,t 1,
*14 IA.
....
7,
. Kenneth W.:<ite
it tki=., Cr n
tl,,\ \g� .e
bedrooms, with the following stipulati tttffflrrrii/i
1/40 ed OF Alyar
0 c-
Attachments:
HAA Checklist x
Septic System Advisory
Well Flow Advisory
WAT
WASTEWATER
• PROGRAM :
iJljb///1>>�l`\
11)))11
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date• 10-03—
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
WEST
Legal Description. GLENN VIEW ESTATES PHASE 2. 82. L5 Parcel ID: 0 51 -7 9 3 -2 6
A. WELL DATA
Web type Public If A, B, or C provide PWSID #_ Web Log (Y/N)
Date completed_ Sanitary seal (Y/N) Wires properly protected (Y/N)
Total depth ft. Cased to _ft. Casing height (above ground)
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft.
Web production g.p.m
WATER SAMPLE RESULTS:
ft.
g.p.m.
Colfform _colonies/100 ml. Nitrate _Ing./I. Other bacteria _colonies/100 ml.
Arsenic: mg.11. Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material septic/steel (/Inch. Tank} Date installed 8/30/00
Tank size 1250 gal. Number of Compartments2_ Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y_Aepression over tank (Y/Nal_High water alarm (Y/N) N
Date of pumping 5/4/05 Pumper JR's
C. ABSORPTION FIELD DATA
Date installed 8/30/00 Soil rating (g.p.d./flz or ft2/bdrm) AL System type trench
Length 92 ft. Width 5 ft. Gravel below pipe 2.96 ft.
Total depth 2/ ft. Eff. absorption area 793 ftp Monitoring tube Y Depression over field t
Date of adequacy test 5/4/05 Results (Pass/Fail) Pass For 4_ bedrooms
Fluid depth in absorption field before test 22.8 in. Water added 950 gal. New depth 31.2 in.
Elapsed Time: 1440 min. Final fluid depth 23.4 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date installed NA Size in gallons
'Pump on" level at in.
Datum
Manhole/Access (YIN)
'Pump off" level at in. High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankllift station on lot
Absorption field on lot
Public sewer main
Sewer /septic service line
On adjacent Tots
On adjacent Tots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5 ' + Absorption field 5 ' +
Water main 10'+ Water service line 1 0'+
Surface water 1 0 0' +
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 1 0'+ Water main 1 0'+
Water Service line 10'+ Surface water 1 00'+ Driveway, parking/vehicle storage 20'+
Curtain drain 50'+ Wells on adjacent lots 200'+
F. COMMENTS
Sys em is operating in the top one-third of the absorption
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 HAA guidelines in effect on this date.
Engineer's Printed Name Kenneth M. Duffus
Date 05/06/05
HAA Fee $430.00
Date of Payment silt las"
Receipt Number 47 3 ?G (7' IA
(Rev. 12/01) l/ �
Waiver Fee $
Date of Payment
Receipt Number
1
L • 31.00'
R•50.00'
15' TELECOM. 8 ELECT. EASEMENT
SPLIT RAL FENCE
Lot 4
12.6' X 8.2' SHED
30' DRAINAGE EASEMENT
J
46' TELECOM. 8
ELECT. EASEMENT
SPLIT RAL FENCE
ENCROACHES
ON TO LOT 6
Lot 6
20' IRAL
EASEMENT
COVERED ENTRY
NEIGHBORS
CHAIN -INK FENCE
KM a m -am
CHAINLINK FENCE
10' VEGETATIVE
BUFFER EASEMENT
0
4
15' TELECOM. 8
ELECT. EASEMENT
HOMESTEAD ROAD
art'Lot ('''tttZu1c, 1sT t' PUt7taC-• warm— sµree —
PLOT PLAN _ ASBUILT SCALE I. • 50' GRID NW 1459 Protect No 00-143
Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska
522-6476
Registered Land Surveyors (907) 522-4625 Faxne
1 hereby certify that I have surveyed the following described property:
Lot 5, Block 2, GLENN VIEW ESTATES WEST. Phan No. 2
Anchorage Recording Dlstrlot, Alaska. and that the Improvements situated
thereon are within the property lines and do not encroach onto the property
adjacent thereto. that no Improvements on the property king adlaoent thereto
encroach on the surveyed premises and that there are no ays, transmission
lines or other visible easements on said property except as I Icated hereon.
Irk
Dated this the _ '�' Day of MA1 'o04. at Anchorage. Alaska
11 Is the responsibftty of the owner to determine the existence of any
easements, connanls. or restrictions which do not appear on the recorded
subdivision plat.
99515