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Home My WebLink AboutSAND LAKE #2 BLK 2 LT 13AOnsite File Sand Lake #2 Block 2 Lot 13A PID# 011-133-52 Formerly Sand Lake #2 Blk 2 Lts 13 & 14 5 VbMITTA nrT 9. A ��cv v.n vu iui Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211173 PID Number: 011-133-51 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name STEVE MCNEESE ABSORPTION FIELD UPPER/LOVVER ❑ Deep Trench❑ Wide Trench ❑ Bed ❑ Mound Site Address 5215 WEST 82ND AVE *ANCHORAGE, AK 99502 __jNumber ❑ Other Phone of Bedrooms Soil Rating Total depth from original grade 907-360-1957 4 1.2 GPD/SF 10 & 10 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 4 & 4 Ft. Subdivision Block Lot SAND LAKE #2; BLOCK 2, LOT 13 & 14 Fill added above original grade SEE DWG. Ft. Gravel length 25 & 25 (50) Ft. Township Range Section Gravel width 5 & 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 500 Ftz 2 8+ Ft. Well 1001+ 100,+ - - 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity ANCHORAGE TANK 1250 Gal. Surface Water 100'+ 100'+ _ _ Material Number of compartments Lot Line 5'+ *51+ _ _ NA HDPE 2 Foundation 0'+ 1 10'+ _ _ LIFT STATION Manufacturer Capacity Remarks OLD SEPTIC TANK DECOMMISSIONED PER UPC Gal. WR#OSV211031 Alarm location Electrical installed by Installer PIPE MATERIAL House to tank D3034Tank to D3034 drainfield ARM SEPTIC SERVICES Drainfield D3034 CO/MTD3034 Inspector GEG AND TIM ECKLUND BENCH MARK (Assumed elevation) 97.58 ft Inspection 1st 6/22/21 2nd 6/22/21 Location and description 3'd 6/23/21 4th 6/23/21 TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp oo6oOp Conditional Approval: Date5P o 0O p.......... ............ ...:. D 0 Septic System Approved Date /2 ho -If Jeff r Garn s. Q 1. p CE— �Q ,coo Note: this approval does not include well permit requirements. nnecc884°OOoo��o ��cv v.n vu iui Carroll, Rebecca M. From: David Garness <David@garnessengineering.com> Sent: Thursday, December 9, 2021 8:25 AM To: Carroll, Rebecca M. Subject: Sand Lake #2; Block 2, Lot 13 & 14 Attachments: doc11370120211209082429.pdf Follow Up Flag: Follow up Flag Status: Flagged [EXTERNAL EMAIL] Rebecca, The "old system" was decommissioned, and a dirt plug was installed between both trenches. I would like to note that Tim was also onsite during the installation. Also, attached is the updated survey with the MH riser Sincerely, David Garness, P.E., M.S. Civil Engineer Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Phone: (907) 337-6179 Mobile: (907) 632-4528 Website: www.garnessengineering.com � R GARNESS ENGINEERING GROUP, Ltd ENGINEERING= SALES, CONSULTING 0ni Cs r WRI ORATION Ata, , i A,nho; i:ed A:al'o r" +1.'s'14t,; (?ziSHWO PERMIT NUMBER: OSP211173 I A I B7 FCO 2.4 18.4 MHl 13.4 21.2 STI 18.2 24.5 DBL1 20.1 25.9 DBL2 21.0 26.6 FS 24.1 29.6 C01 25.7 35.5 MTI 27.1 36.4 CO2 45.3 58.3 MT2 44.4 57.9 CO3 38.3 42.8 MT3 36.4 41.8 C04 52.1 62. 0 MT4 52.2 61fl NEW DRAINFI RECORD DRAWING PARCEL ID NUMBER: 011-133-51 WELL RADAII AND LOT LINE FLAGGED BY A PLS PRIOR TO jool WELL RADIUS CONSTRUCTION BLOCK 2, LOT 15 Fz� I 0 DBL1&2 TI ti o, S .4 . �A S 1 ui j 0 S 1 / 1 0 EL MHl NIlW 1250 GALLON CO HOPE GREER TANK A I x PREENHOUSE EXISTING 4 0 BEDROOM HOUSE U F m m > U) CARPORT m 2 1 m A- 82ND AVENUE z A N SCALE: 1"=30' -- ENGINEERING ,,o SALES- CONSULTING 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, ALASKA -PHONE (907)337-6179*WEBSITE: www.gamesser4needng.com PREPARED FOR: J PHONE NUMBER: PAGE NUMBER: STEVE MCNEESE 907-360-1957 2 OF 3 PROJECTILEGAL DESCRIPTION: DRAWN BY: SAND LAKE #2; BLOCK 2, LOT 13 & 14 D.J.G. TYPE OF WORK: DATE: RECORD DRAWINGS OF TANK AND DRAINFIELD 7/6/2021 -OF 0-w ........... o �'_k i ey A-Zarfiess % CE -7953 0 .......... Ix1l 4 PROF LICENS killkwilk"** PERMIT NUMBER: PARCEL ID NUMBER: OSP211173 RECORD DRAWING 011-133-51 1-7,F MH =97.58FINAL GRADE = 96.8-97.3 MHrT-2� I I 2'INSULATION TOP OF TANK AT INTLET = 93.47 INVERT OF BUNG AT INLET = 92.76 ORIGINAL GRADE AT HIGHEST POINT = 95.00 GEG T.H.#1 LOWER MT CO T T RELATIVE ELEVATION OF BOTTOM OF T.H. = 79.00 DRY ON 6/16/21 NEW 1250 GALLON H.D.P.E. GREER SEPTIC TANK RATED FOR 10' BURIAL ORIGINAL GRADE AT HIGHEST POINT = 96.5 FINAL GRADE = 95.5-95.9 r FILTER FABRIC _ INVERT OF PIPE = 89.00 BOTTOM OF TRENCH = 85.00 8'+ TOP OF TANK AT OUTLET = 93.47 T 4.0' T INVERT OF BUNG AT OUTLET = 92.67 UPPER FINAL GRADE = 96.4-96.7 GEG T.H.#1 LTER FABRIC INVERT OF PIPE = 90.54 "5 BOTTOM OF TRENCH = 86.54 RELATIVE ELEVATION OF BOTTOM OF T.H. = 80.54 DRY ON 6/16/21 — OF ��P.• 7N ,.77 a77 2�,.. , ,.-�:-.. �_�_..-� �.,... �� ..., _ _��.. • ............... ........................ 0 ENGINEERING � SALES - CONSULTING / 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507 - PHONE (907) 337-6179FAX (907) 338-3246' WEBSITE: —.gam.—gmee(i q-. ,,,,, , , , „ A PREPARED FOR: PHONE NUMBER: PAGE NUMBER: kv rn • . rey ••. •SS• •:• 4�tAr STEVEN MCNEESE 907-360-1957 3 OF 3 06), CE -79,53 ° _� LEGAL DESCRIPTION: DRAWN BY: \ • SAND LAKE #2; BLOCK 2, LOT 13 & 14 D.J.G..;,,,,..•PROF(••. TYPE OF WORK: DATE: LICENSE♦�� ESS` !. � SEPTIC SYSTEM PROFILE 7/6/2021 #AECC884 �rra��►* / VY9V71' NH(71N,71V aVVAI :IS 'A]E9 'Alf 11 FC --N.5 NI (171FJ07 (ZL-1zOZI6 Id) NOISIAM911S z oN YXV7 (INNS zMao Im Iva Jo I d3ANl7S.L71 WSV ,5Z = „I :ale: KV :Rq umwC[ tuoo-srtaA_ nsjsuooNlo molaw :p u.ig SLLV-#,E (LOO :x'Rd 5OS5-bb€ (L06) :aO!JJp ZaS66'IV `3JVMOHJNV HAY QNZ8 M STZ5 V 3NI.LSRIID V W N3A31S 3SUNalkl 90-4 (13HY93(d WV W'DWM21D 30-ZI Q3.LVQdflr 8j(QZO1LO.23e([ AC WnS P[al3 afelogauV -aAV PuZB M 5I Z5 :ssajppV Eer;uapss2-d :031S 8 I S66'C ISRIV `a'Bn.'OgOuy 41 aamS `p -d Susjnno(:I 9 L06 SSOA.inS uol;;)n.qsuo3 "sel V SHNI7 -7ON9.d YOMMIt IGIff ` NIHS179VISY god QySIl Y8 NOHUyH dJ V(I ANV Q7I2OHS SNVIS 93 Nflily ,� ON 2IHCINl2 JV7d CT3CWOD3y yHJ SO Y VZcfd V ION OQHOIHAt ENOIJMISHY dOSJNWN9A00 S.LNIN-VE V9 AN 90 ZONH.LSIX-7 3HI YXIM7JYQ OJ dYQ7II28 SIO Y3NAi0 SHJ .d0 A117I8ISNOJM 9HJ SI JI SAIaIS1711OX3 '(73-1 ON SV l J-VOXV :LSM^.7 9, LN7NH,)VOYONJ ON M,Z GjV V 'NOIS ARyffnS Z 'ON U V7 QNb'S 'Z XOO78 'VE E107 �Jd.?dOYd JNIA107709 YH.L (T -VA YAVH ILMI ARJ,N--) A9VN.VH I p ag l 1 0 X m Jm t3OU7 019a 80 IIIIII �kks �tzz`t I iidW d { •,� wiv i o H�al9 O MOLL V3MIJ ff2J I 7 SST I� �l ---------------------- AAV ---- _.— ._..-.—_And ❑ N Z8 IVB z i OVOM IVAS-d[HD i Hanle n � D p �y �^Nr�?JIBJJ r r p■ T ,96*Pf All,PL iOJ o6NA ov 4VO j5 a9s,u Z N0oIs VIE 6 loI ZE ,0 5z A2i1N3 � 093 13AOO Fw laodado N3dO ,Z'N 3snOH 3W"A N332i`J 9 w U00M Aao15 Z N a3lNrld I Ct I a .d'L6 V � *13O aOQM � W 30NAA000M ❑vd 13AVHO m 6E m 3ON3jppOM i86'$£I�u�'I.QS o6$S 5 4 101 LLL QNnoi ONIH1oN i a ryrj ® -1 D�H�aIB I� n `.z W O I� C�Irn all II 31aHPJVW � ry3 1 S3dld M31GAS OIld3S ®/ ® I ®® I I � I MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://avw.v.muni.oro/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211173 Work Type: Septic Upgrade Tax Code Number: 01113351000 Site Legal Address: SAND LAKE #2 BLK 2 LT 13,14 G:2224 Site Mailing Address: 5215 Nl 82ND AVE, Anchorage Owner: MCNEESE STEVEN R & CHRISTINE A Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Q Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: Department 6/4/2021 6/4/2022 13500 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received B) Issued By: C Q _11'r I See leter dotcj 6/17/0-1. °am K-" Date: /* (vb I Date: 6 2 f 0 P` -_--- - Municipality of Anchorage Depar P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Proaram x x x x VARIANCE/WAIVER REVIEW x x x Waiver#: OSV211031 COSA#: Permit#:OSP211173 PID#: 011-133-51 Legal Description: Sand Lake #2 Bilk 2 Lts 13 & 14 AMENDED 6/17/21 Engineer: Garness Engineering Group Your request for a waiver of the required 8' horizontal separation from the absorption field to the existing absorption field has been approved. The approved separation distance is up to 0.0 feet. See the engineer's letter dated 6/17/21. In addition, the field may be 5 feet from the north property line. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: 6 / 7/z- I Approved by: Name of eviewo **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Development Services Department` Phone: 907-343-7904 On -Site Water 8 Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 011-133-51 Property owner(s) STEVE MCNEESE Mailing address 5215 W 82ND *ANCHORAGE, AK 99502 Site address 5215 W 82ND *ANCHORAGE, AK 99502 Day phone 907-360-1957 Legal description (Sub'd., Block & Lot) SAND LAKE #2; BLOCK 2, LOT 13 & 14 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Fx_1 Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank 0 Upgrade Q (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 5C/5 Date of Payment: 5 D 2 i Receipt Number: 17 `% 8' � Permit No. 0S,P,2 0 1 %-3 Waiver Fees: 92.2.5 Date of Payment:61y121 ,-- Receipt Number:QGr�hciG Waiver No. 03UZ 1103 ( G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc `•4 r i.•, GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES- CONSULTHLIG r7 June Joh, 2021 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Sand Lake #2; Block 2, Lot 13 & 14 To whom it may concern: During the layout it was noted that there is a large birch tree that is in the location of the proposed south trench. Based upon this fact, we are requesting that your department issue a variance from drainfield to lot line down to 5 feet. This will allow the trench to be outside this location and possibly preserve the tree. Justification for granting this wavier is as follows: Per MOA records, the drainfield on the lot to the north (Lot 15) is 10' from the south Lot line. In short, our trench would not encroach upon the neighbors drainfield. The trench for Lot 15 runs perpendicular to the lot line. Additionally, per the initial design, we were proposing to install the drainfield below the existing field. During the layout, the contractor exposed portions of the existing field. It was discovered that it is approximately 1.2 feet out of level and a portion of the proposed drainfield effective would overlap with the existing fields effective depth. It should also be noted that a seepage pit was found in addition to a trench. We are requesting that you allow for the proposed drainfield be installed as designed, but that a "dirt plug" be installed between the drainfields at the portions where the drainrock/s of the proposed field and the existing fields overlap. Additionally, we are requesting that your department allow for a 4' dirt plug where the proposed effective and existing effective would overlap that is not "in between" the two proposed fields. Justification for granting this variance is as follows: • Several areas of the existing drainfield have been exposed by the contractor. The bottom of the existing system has been found to be higher than the bottom of the proposed system. In short, they do not encroach on groundwater. • During the excavation of the testhole, the soils were noted as an SM. In theory, this would serve to "filter" the effluent more so than a gravel and/or GP type material. We are unaware of any adverse impacts this installation or waivers would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank�ou for your e assistanc ... ...... :.. '.E., M.S. +V� J�irreya ca�noss� t`0 PROFESS' O i 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211173, Deb Wockenfuss, 06/04/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211173, Deb Wockenfuss, 06/04/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211173, Deb Wockenfuss, 06/04/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211173, Deb Wockenfuss, 06/04/21 Municipality of Anchorage `�✓� ue,,irrn,enc P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV211018 COSA#: Permit#: PID#: 011-133-51 Legal Description: Sand lake #2 Blk 2 Lt 13 and 14 — AMENDED 4/12/21 Engineer: Pannone Engineering Services Your request for a waiver of the required 100 feet horizontal separation from the absorption field serving Lots 13 and 14 to the private well serving Lot 15 has been approved. The approved separation distance is 98.0 feet. In addition, the field is approved to be 2.5 feet from the property line. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: 2 Approved by: Name of Review .......................................................... ................... **** VARIAN C E/WAIVER REVIEW **** Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com March 25, 2021 Subject: Sand Lake S/D No. 2 Block 2 Lots 13/14 Well to Drainfield Waiver Request Drainfield to Lot Line Waiver request I am writing to request a Separation Distance Waiver be issued for the existing well on Lot 15 and the existing wastewater disposal field on lot 13/14. The lot 13/14 are in the process of having the common lot line removed. During the preliminary survey, it was discovered that a separation issue was existing. The request for a waiver is to resolve the separation issue and bring this into compliance. The septic system on lot 13/14 was installed in 1982. The well on Lot 15 was drilled in 1981 and deepened in 1984. In reviewing recent water results for COSA's on lot 15 the nitrate levels have been consistently 0.1 -no nitrates detected, even though this situation has been extant for 39 years. a. Waivers - Drain Field (E) to Well (E): We would like to request a waiver for separation distance for the existing septic system on Lot 13/14 to the well located on Lot 15. The distance between the existing drain field and well is 98.7'±. i. DEC Criteria: The well on Lot 15 is a private well and was drilled in 1981. The data is summarized as follows: LOT # WELL DEPTH STATIC WATER LEVEL YIELD Well Data Date H2O Test Date Soil I Characteristics Well Log Data Nitrate Level Lot 15 415' 115' 10+ gpm 03/05/1984 03/26/2008 1 Y Y 0.1U The ground water in this area typically flows from the northeast to the southwest. The soil cross-sections are similar across the area and a homogenous cross-section was used to calculate the DEC criteria for all components. As outlined under 18 AAC 80.020 and 18 AAC 72.021(a), I have calculated the following points: Lot 13/14 Septic Svstem to Well: Distance from sewer system bottom to groundwater 7.07 Soil sorption below sewage system 2.19 Soil permeability below the system 1.22 Water table gradient 6.00 Horizontal separation 2.76 Total Points 19.24 "The sum of the above values could equate to the following conditions: 16-24 Almost sure to be free from any form of contamination from household sewage." P.O. Box 13037, Palmer, AK 99645-1307 i elephone: (907) 745-3200 FAX: (907) 745-5201 Page 2 of 2 b. Waiver - Drainfield to Lot Line. The clean-out at the corner of the existing drainfield was found to be 5.4 feet from the lot line. The drainfield is a 5 -wide drainfield and the clean-out is assumed to be in the middle of the field. We request a separation distance waiver for an existing absorption field to the lot line to two and a half feet (25). This is an existing drain field which was installed in 1982 and upgraded in 1984. The field has been in operation since 1984. Granting this waiver is not likely to affect the health and safety of this lot or the surrounding lots now or in the future. In my opinion, this waiver request meets the above criteria for approval and does not constitute risk to health, and a waiver to the minimum separation distance should be granted. The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, Steven R. Pannonei a e i °rAtlls®'�®O Steven R. Pannone, P.E. Owner/Civil Engineer P.0, Box 1807, Palmer, AK 99645-1807 Telephone: (907) 745-8200 FAX: (907) 745-8201 0 N: i� V L O N N L ;o ,o O N : � T C O O O O C m m v o .n v, t� o v v 3 3 < o w 4 , m m in 0 0 3 aj S N F a = � � 0 0 o m m m Z 0 0 0 p o m O O O n N LD 1(. 0 0 0 0 °0000 N IE 1� lD m N c0 O t0 0 o m o 0 000aoo n oa00000aoo) 000000aoo E O N v F i� d L ;o ,o p 0 s N N : � T C O O O O C m m v o .n v, t� o v S900 00'00'E 135.00' WOOD FENCE O O O o w SEPTIC SYSTEM qS z 34.1' LL ui GRAVEL ¢ - O RISERS O � U PAD � O U O O \ O O O p LOT 14 WOOD FENCE BLOCK 2 s 0 � —BIRCH \ O GM 6,750 SF hpRFF O vSFO 'LU 1 ' PLANTER � cli o N GREEN F I' r, 7 — 7--1 1 O HOUSE 1 h � 54.0' v J 32.7' o �+�� w LOT 13 �- BLOCK 2 P o- U 0 0 61750 SF o J 20.1' BIRCHO o O GRAVEL 191, DRIVE O O UnN90° 00' 00"W 135.00' 0 BIRCH BIRCH � 4 O O o SPRUCE BIRCH 0 CHIP-SEAL ROAD 0 82ND AVE Adw �°F•••••.illl AO '•9 �� ....... ... ..... r� :• MATT T. CROW i •. 11597-S .• / S� AW 11 0 11 OFESSIONA��Y,`� 17 Jul 2020 ASBUILT CERTIFICATION I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING PROPERTY, LOTS 13 AND 14, BLOCK 2, SAND LAKE NO. 2 SUBDIVISION, AND THAT NO ENCROACHMENTS EXIST, EXCEPT AS NOTED. EXCLUSIONS IT IS THE RESPONSIBILITY OF THE O WNER OR B UILDER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENENTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED PLAT. UNDER NO CIRCUMSTANCES SHOULD ANYDATA HEREON BE USED FOR ESTABLISHING BOUNDARY OR FENCE LINES. �A Alaska Construction Surveys C� Y � ►.J _ Office: (907) 344 5505 907 E Dowling Rd, Suite 10 ALASKA Anchorage, Alaska 99518 COsuxv Ys ON Fax: (907) 344-4775 Email: mcrow@akconstsurveys.com Site: Residential ` Drawn by: A.V. Address: 5215 W 82nd Ave. Anchorage Scale: V = 25' Field Survey Date: 07/02/2018 *UPDATED 07-17-2020 Crew: M.C. & A.V. ASBUILTSURVEY PREPARED FOR LOTS 13 AND 14, BLOCK 2 MCNEESE STEVEN R & CHRISTINE A SAND LAKE NO. 2 SUBDIVISION 5215 W 82ND AVE LOCATEDIN ANCHORAGE, AK 99502 SEC. 23, 1] 3N, R3 W, SEWARD MERIDIAN, ALASKA S90000'00"E 135.00' 173.0 I \ BIRCH C F_ W NW ry vJ X O U J 1 _ 1 CHIP -SEAL ROAD JJ./ P,•• ••,• , o AW • 10 82ND AVE••••••010001 0 r ...................... .• MATT �+ T. CROW o ``� •. LS -11597 .• / itl °ROfESSIONA�` A PLOT PLAN 09 Jul 2018 I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING PROPERTY, LOTS 13 AND 14, BLOCK 2, SAND LAKE NO. 2 SUBDIVISION, THAT THE DRAINAGE PATTERNS AREAS SHOWN HEREON, ALL LOT CORNERS HAVE BEEN SET AND ALL DIMENSIONS HAVE BEENMEASURED TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND ABILITIES. EXCLUSIONS ITIS THE RESPONSIBILITY OF THE OWNER OR BUILDER TO DETERMINE THE EXISTENCE OF ANYEASEMENTS, COVENENTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR ESTABLISHING BOUNDARY OR FENCE LINES. MATT T. CROW, LS 11597 Alaska Construction Surveys 907 E Dowling Rd, Suite 10 Anchorage, Alaska 99518 Site: Residential Lot Address: 5215 W 82nd Ave. Anchorage Field Survey Date: 07/02/2018 Crew: M.C. & A.V. PREPARED FOR MCNEESE STEVEN R & CHRISTINE A 5215 W 82ND AVE ANCHORAGE, AK 99502 Office: (907) 344-5505 Fax: (907) 344-4775 Email: mcrow@akconstsurveys.com Drawn by: A.V. cale: 1" = 25' PLOT PLAN SURVEY OF LOTS 13 AND 14, BLOCK 2 SAND LAKE NO.2 SUBDIVISION LOCATED 17V NW ? SEC. 23, T13N, R3W, SEWARD MERIDIAN, ALASKA We, the undersigned, add Lots 13 and 14 Block 2 Sand Lake Subdivision #2 to the Articles of Partnership agreement concerning that certain water system located�on Block one (1) Sand Lake Subdivision #2. There will be a monthly charge of $15.00 toward the monthly electricity expense of operating the pump. �/ William J. 1 ee, r. Lot 12 Block 1 Sand Lake Sub. #2 STATE OF ALASKA THIRD JUDICIAL DISTRICT Kare/h V. Tiede Lot 12 Block 1 Sand Lake Sub. #2 On this 11th day of June, 1981, before me personally appeared William J. Tiede, Jr.. and Karen V. Tiede, known to me to be the persons named in and executing the foregoing instrument, and they acknowledged to me that they signed and sealed the same as their -free and voluntary act and deed, for the uses and purposes therein mentioned. WITNESS, my hand and official seal the day and year hereinabove written. Nota y Pub' cin and for Alaska My Commission Expires: /�l- 6 SvuTiiCr--ATeAL kEG1JiiAL LFFICE 437 "E" STREET, SUITS 'Go AilCHURAGE, ALASKA 99501 June 19, 1984 274-533 mr. Glen mead 187.3 deutiow Anchorages Alaska y9504 Dear Fir. i -lead: Subject: Lots 13 ana 14, Block 2, Sand Lake #2 Subdivision (8421 -UA -334) We ilave reviewed tije as -built plans for the subject project. This letter cclstiwtes final aNproval for the Wastewater systen modification. Sincerely, liames. F. )laydien cnvironeental Fi6o Ufficer J H'Aisn MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION FEB 11989 RECEIVED - 914 East 78th Avenue ANCHORAGE, ALASKA r r' 344 9242. START COMPLETE ' DAT i NAME // //jt3 NO } ADDRESS' t k CITY t �V PJ -ONE '! i0e LocAnoN TIME ,` WELL LOG DEPTH WELL LOG z if �'�X J'r: Nci yl rA�-� - �'.•�!r-Y` �:. , -.� Safi t. li��fw., '- rf� �M. • ��'//r� i e' c e ,7 r �. y •L. i 1 p Ez StATIC LEVEL' GPM »YIELD ,�yrr �3 s .� u• s�iT2i�i t f � �z 'rVr �r5. S }!r S Received STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL I. GENERAL INFORMATION Source of Water and Containment (Checkall that Apply) Legal Description of the Location ,Lo`fs /3 !iW CornoF2 of'GUi �C G;nci 82�`� wwell (Drilled or Driven) ❑ Surface (Identify) Applicant Name Ap licant is: (Check one) , Bank ❑Certified Installer No. ❑ Roof Catchment ❑ Other (Identify) Owner/Builder Address (Street or P. O. Box) Type of Residence�� Total No. of Bedrooms ❑Other: ❑�� Single Family I{?Multi-Family Well Data City, State and Zip Code Telephone s� a� Send Approval to: ��•.� � � l ElApplicant M`6'ther: (Give Name & Address)1.2t)n R3 /•' r II. WATER SUPPLY SYSTEM Source of Water and Containment (Checkall that Apply) Te of Water Supply System yp Treatment of Water (Check all that Apply) wwell (Drilled or Driven) ❑ Surface (Identify) ❑�,/ Private _ (�rvone ❑Chlorination ❑ Roof Catchment ❑ Other (Identify) �� L7Public (Serves more than one EJ Filtration ❑Mineral Removal ❑ Holding Tank family) ❑Other: Well Data Is the Height of the Well Casing more than 12" above the Ground? ❑ Yes ❑ No Is a sanitary seal installed on the well casing? ❑ Yes ❑ No Is drainage directed away from or around the casing within a radius of 10 feet of the well casing? ❑ Yes ❑ No Date Drilled Depth of Well (Feet) Static Water Level (Feet) Yield (If Available) Pump Rate (If Available) Gal/Min Gal/Min Separation Distances from the Well Casing to each of the Following Sources of Contamination: Septic/Holding Tank on Lot Sewer Lines on Lot Absorption Area on Lot >I.SG Closest Septic/Holding Tank on Adjacent Lot Closest Sewer Lines on Adjacent Lot Closest Edge of an AbsorptiomArea on Adjacent Lot If toxic materials are stored on the property, including fuel tanks, paints, lubricants and other petroleum On Lot - On Adjacent Lot based materials, pesticides, fungicides or herbicides, indicate distance from contaminants to well casing: Water Sample Taken by: Name Sampler is: ❑ Buyer ❑ Engineer Address _ ❑ Banker ❑ Government Official Water Sample Results: Attach Copy ❑ Satisfactory • Date: ❑ Unsatisfactory - Date: Comments /Recommendations: I certif that the above information is correct: Signature - Typed/Printed Name Title Date NOTE. Must be signed by aCertified Installer, Professional Engineer. Department of Environmental Conservation or the Owner/Builder III. WASTEWATER DISPOSAL Date Installed / ��,�� El Installer ❑ Other: P--Owner/Builder Septic Tank/Absorption System No. Package Treatment: - ❑ (Specify Brandand Name Process) , Nf Soil Type or Rating Z,B ?) 0 1:2 or 4 Holding Tank ❑ Capacity of Tank r 1 6 Where Waste is Disposed f Frequency of Pumping Specify: l[ NA:NxIck 's1 Percolation Test Results N1,4 Percolation est b - (Name) I' 1 Nl4 , Septic Tank Outfall ❑ Discharged To:❑ Minimum Ground Cover over Septic Tank Other (Specify} - Cleanout Pipes/Caps Installed on Absorption System I Feet (Outhouse, Incinerator, etc.) Q/ Yes ❑ No Gj�' New System — 6Lpc, tpj C -",o Name of Installer Gt Date Installed / ��,�� El Installer ❑ Other: P--Owner/Builder Type/Manufacturer No. Type/Manufacturer Septic Tank Size (Gallons) Number of Compartments Soil Type or Rating Z,B ?) 0 1:2 / Type Soil Absorption System Dimensions/Size Soil Absorption System Type/Quantity Backfill Material used for Soil r 1 6 / / Abs ption Syste ;C1 d r NA:NxIck 's1 Percolation Test Results N1,4 Percolation est b - (Name) I' 1 Nl4 , Minimum Ground Cover over Absorp- tion area Minimum Ground Cover over Septic Tank Cleanout Pipes/Caps Installed on Septic TTalk Cleanout Pipes/Caps Installed on Absorption System Feet Feet wyes ❑ No Q/ Yes ❑ No - Separation Water Supply Source on Lot N earest Water Supply Source on Adjacent Nearest Body of Water Water Table/Bedrock Lot Line Distance to:I �/ [) Feet Lot C) Feet N,� .Feet NItor Feet /Q Feet Comments/ Recommendations r)pz_44clej s sk 7�> AC joedpe�omS, I certify that the above information is correct: Signa reTyped/Printed Name - Title, Reg. /Cert. No., Inst. No. Date /OU Feet L. bW eu My �U Feet Comments/ Recommendations lot dfq NOTE: Must6b signed bqqlC6rtffled installer, professional Ingineer or DEC Staff. ltd" Existing System Name of Installer 1 Date Install/ed `Of �-,/ IVJ Owner/Builder ❑Certified Installer ❑ Other: Type/Manufacturer No. Septic Tank Size (Gallons) Number of Compartments Soil Type or Rating T pe Soil Absorption Sys?6m r / DimensionVSize Soil Absorption System Type/Quantity Backfill Material used for Soil I ( ( / Absorption Syste NA:NxIck 's1 Adequacy Test Results: ❑ ❑ OrA- Adequacy st Perf rmed By: Attach Copyof Repo ) h)(.+ Date Septic Tank Pumped (Attach Copy of R ceipt Pass Fail Minimum Ground Cover over Absorp- Minimum Ground Cover over Septic Cleanout Pipes/Caps Installed on Cleanout Pipes/Caps Installed on tion Area -T Tank Septic Tank Absorpt on System Feet Feet Yes No es ❑ No Separation Water Supply Source`�o/ mat- CC Nearest Water Supply Source � Adjacent Lot Nearest Body of Water Watgr Ta Ip/Bje rock Lot Line Distance to: /7,2 Feet (� Feet /OU Feet T f£Q pr% Feet �U Feet Comments/ Recommendations lot dfq r J C(S S�S k tiv/ c�c�tt,� z&. (f.Q�V (C OC)OP_, WAS C1Cl ` dt1 . certify that the above information is correct: Signature Typed/Printed Name Titl No. Date �+ eee••e•.eof. NOTE: Must be signed by a professional engineer. •� ee * jdOTM JM 0 * pclj C. Reid, Jr. ; >- .2251•F �a eq'stered Professional AFESS�� P.�� Engineer MUNICIPALITY OF ANCHORAGE • �e 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 NAME /C^ PHONE EW f p - // (' _ (' ( ❑ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION 1 dt t a i R-2 s, ��K£ z LOCATION NO. OF BEDROOMS U Y DISTANCE TO: Well 'I T Absorption area +�� Dwelling '! 7iS� PERMIT NO. Cj�U (J 1—Z Manufacturer Material No. of compartments Liq. capacity in gallons IF HOMEMADE: Inside length ._ Width Liquid depth _ z DISTANCE TO: Well Dwelling PERMIT NO. = z F Manufacturer Material Liquid capacity in gallons w= Well DISTANCE TO:4(5-o( Foundation Nearest lot line cor /[' / PERMIT N0. // aC�8S1'S� Lu LL Z I a n No. of lines Length of each line °� // 2 a Total length o� Iipes Trench width / 6 S Distance betvyeen lines _,�z Top of the to finish grade nehes Material beneath the / r Total fecctive absorption area w C inslaes (p'� w Length Width Depth PE MIT NO.- C7 —� i F W° LU Type of crib Crib diameter Crib depth Total effective absorption area W DISTANCE TO: Well Building foundation Nearest lot line _j w'n�� ass r r Depth Driller Distance tp lot line PER IT N = DISTANCE TO: Building{f Sewer lin Septic tangy Absorption area(s) (Sut / a OTHER " PIPE MATERIALS D 3o3' SOIL TEST RATING S-D C J INSTALLER REMARKS J J 2 FZ n12AU ' �D ? S p( 17` n's is eH'1 ILLILLJ APPROVED DATE LEGAL /� / f -2— MU"lR::-*l,F-::_'nl I_rV OF= -lot 0-0 DEPARTMENT HEALTH AND ENVIRONMENTAL ROTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 I -FE: F=l'E:Fz_-Ml-F- /� �" PERMIT NO. 820894 APP 'LICANT GLENN G MEAD 521514 82ND AVE 99502 21el LOCATION L Lnl s?,) / I Lt) JK LEGAL L14 82 SAND LAKE #2 LOT SIZE 99999, SQU TYPE OF SOIL ABSORPTION SYSTEM IS:!, DRAINFIELD MAXIMUM NUMBER OF BEDROOMS 4 SOIL RATING (SQ FT/BR)= :150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: _/}". THE LENGTH CII THE DEPTH RAINF E D. tL � OF GROUND AND THI E OF T(Er THE GRAVEL DEI PALL PIPE AND THE BOTTOI E_= AD u I F-0 F= C-4 b2- a soz PERMIT APPLICANT � F41 1 0 r_4 INSTALLATION DURING THE INSI D THE NUMBER OF RESIDEI 0 j jr -rwcl F? BROKFILLING OF Al THIS DEPARTMENT WILL L �__ MINIMUM DISTANCE BETWEEN R 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 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F:n'EFS* t-1 11 _F E:eo.F=o I FRE_. 0,E:l:_E=lr-l�F=F;,: _. -_=®e=: o_D:=_o I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED: - APPLICANT GLENN G hfEA ISSUED BYQ:�__ A !° POUCH 6-650 ANCHORAGE. ALASKA 99502-11650 (907)264-4111 TONY KNOb7LES. 'VA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL_ PROTECTION January 4, 1982 Glenn G. Mead 1333 West 25th Avenue Anchorage, Alaska 99503 Permit # 810525 5ln 'Z' Subject: Lots 13 and 14 Sand Lake Subdivision #2 A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. 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 should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. -_ ;__. _ er Les N. Buchholz R. Program Manager Sewer and Water Program Enclosure: Copy of Permit TYPE OF 'SOIL. ABSORPTION SYSTEM IS: F:RAIMFIELD MA,--, I Ptl_!M NUMBER OF BEDROOMS -_ 4 SOIL RATING (9-7! FTe BR) =• 2:18 THE REQUIRED SIZE OF 'THE SOIL ABSORPTION SYSTEM IS: 8__ 1:3 -T'" = _-L CD :2 Ail FZ 4=� �_ F" -T- 1--1-- _ THE LENGTH DIMENSION I • ' THE LENGTH -(IN FEET) OF THE TRENCH OR DRA I NF I ELD. THE DEPTH OF F! TRENCH OR PIT IS THE DISTANCE BETWEEN 'THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION r*IN FEET?. _T_ 9-1 Ev I- fi" E_: r-4 A_ : E-A 0-4 I E: _T` t --I I; "� - a.= 19.1 t�-9 F__ -ir THE GRAVEL. DEPTH I 'THE MINIMUM DEPTH OF GRAVEL BETWEEN 'THE OUTFALL F'IF'E AND THE BOTTOM OF THE E<<.C:A'•• ATION (IN FEET). I =.E=.:F_°-r 3: A. - F=l P -A --- -=a T ;E FE PERMIT APPLICANT HAS 'THF_ RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF AP'd'r WELLS ADJACENT TO THIS PROPERTY FIND THE NUMBER OF RESIDENCES 'THAT THE WELL WILL ERRE. — ..__ •--- -T-1"-19_@ .- "_ > I P'•I -_ F° F= Aw • 'T- _6- CA r -J "—° FA F^? E= F --?E7 . !_:-a LJ 11'u._ E-=. E -a BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL- E"r' THIS DEPARTMENT WILL BE: SUBjEC:T TO PF=OSECUTION. MINIMUM DISTANCE BETWEEN A WELL. AND ANY ON --SITE SEWAGE. DISPOSAL SYSTEM 15 100 FEET FOR ,A PRIVATE WELL. OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIt'IUM DISTANCE FROM A PRIVATE 14ELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY ' E14ER LINE IS 75 FEET. OTHER REQUT REMENTSMIAY APPLY. SPECIFICATIONS AND E::UNSTRUC:TION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. l_" E=_ Via=_ L"°*l lE -T" BE 4-< 4-.'° :T r ---"F= ^ ra E-7- A._- Ew 1--1 E — F:- .., -- j ." ::L °__I � 3 - I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE :=:EWERS AND WELL__ AS SET FORTH BY 'THE MUNICIPALITY OF ANCHORAGE. _..: I WILL INSTALL ALL THE SYSTEM IN ACCORDANCE WITH THE CODES. _ . I UNDERSTAND THAT' THE ON --SITE SEWER 4'STEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. I GNED : _ _.,,�_ .__ ._____.________.____ AF='F'L GLENN MEA.i I .°-?_!E[:=' DATE-.--Gt J._. _... V4. 0 yti e'; l l 7 o 1.4"PHRTMENT •. HEALTH AND ENVIRONMENTAL jTEi_TIOtJ 825 ` L ` STREET, ANCHORAGE, AK. 264-4720 PERK IT NO. :: 10525 APPLICANT GLENN G. NEAR !.J. 25 AVE S b z 279-0991 LOCATION 5215 W. 82ND LEGAL L138.14 B_ 'SAND LAKE #2' LOT SIZE ; 00CI SQUARE FEET TYPE OF 'SOIL. ABSORPTION SYSTEM IS: F:RAIMFIELD MA,--, I Ptl_!M NUMBER OF BEDROOMS -_ 4 SOIL RATING (9-7! FTe BR) =• 2:18 THE REQUIRED SIZE OF 'THE SOIL ABSORPTION SYSTEM IS: 8__ 1:3 -T'" = _-L CD :2 Ail FZ 4=� �_ F" -T- 1--1-- _ THE LENGTH DIMENSION I • ' THE LENGTH -(IN FEET) OF THE TRENCH OR DRA I NF I ELD. THE DEPTH OF F! TRENCH OR PIT IS THE DISTANCE BETWEEN 'THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION r*IN FEET?. _T_ 9-1 Ev I- fi" E_: r-4 A_ : E-A 0-4 I E: _T` t --I I; "� - a.= 19.1 t�-9 F__ -ir THE GRAVEL. DEPTH I 'THE MINIMUM DEPTH OF GRAVEL BETWEEN 'THE OUTFALL F'IF'E AND THE BOTTOM OF THE E<<.C:A'•• ATION (IN FEET). I =.E=.:F_°-r 3: A. - F=l P -A --- -=a T ;E FE PERMIT APPLICANT HAS 'THF_ RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF AP'd'r WELLS ADJACENT TO THIS PROPERTY FIND THE NUMBER OF RESIDENCES 'THAT THE WELL WILL ERRE. — ..__ •--- -T-1"-19_@ .- "_ > I P'•I -_ F° F= Aw • 'T- _6- CA r -J "—° FA F^? E= F --?E7 . !_:-a LJ 11'u._ E-=. E -a BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL- E"r' THIS DEPARTMENT WILL BE: SUBjEC:T TO PF=OSECUTION. MINIMUM DISTANCE BETWEEN A WELL. AND ANY ON --SITE SEWAGE. DISPOSAL SYSTEM 15 100 FEET FOR ,A PRIVATE WELL. OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIt'IUM DISTANCE FROM A PRIVATE 14ELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY ' E14ER LINE IS 75 FEET. OTHER REQUT REMENTSMIAY APPLY. SPECIFICATIONS AND E::UNSTRUC:TION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. l_" E=_ Via=_ L"°*l lE -T" BE 4-< 4-.'° :T r ---"F= ^ ra E-7- A._- Ew 1--1 E — F:- .., -- j ." ::L °__I � 3 - I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE :=:EWERS AND WELL__ AS SET FORTH BY 'THE MUNICIPALITY OF ANCHORAGE. _..: I WILL INSTALL ALL THE SYSTEM IN ACCORDANCE WITH THE CODES. _ . I UNDERSTAND THAT' THE ON --SITE SEWER 4'STEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. I GNED : _ _.,,�_ .__ ._____.________.____ AF='F'L GLENN MEA.i I .°-?_!E[:=' DATE-.--Gt J._. _... V4. 0 yti e'; l l 7 o GREATER ANCHORACL AREA BOROUG1. \ a HEALTH DEPARTMENT CASE ,V I � 327 EAGLE STREET I ANCHORAGE, ALASKA 99,501 Performed For��i C�ZJ Date Performed �� /C- Lega:. De scriptl-on : Lot �`ulock Sut�dyl 7=1 oil (lL� '•.I,�ox,ts a: Soa.i.s Leg-. .pereolation Testi Dep' h ''ee Soil Chavac.`1erist%cs Location Sicetc'r. T& se/7 c ohcl, Yrrk /I -C 1-171.!; 'ire) The hvrr"zovr centa.c is %re da l,onc /, ///P C�, 11/1d s,'// con l el? l i7 O el' j errs 116, The/P Guy/S' Gt /6�t/ .is?d:SfGr/� 7// ,/ 111-e l / Ll /Psi r'G f )d aorb 6Y/D✓-� Ca��/� �f, Was Ground Water Encountered? If Yes, At What Depth Proposed SnstalTat'aon -- >� eepage pit [s - Drain Field Depth Of Inlet COMMENTS: ,)eptn To Bottom Of Pit Or 'i'renc / / � E2 s7 / ri e C A / AM 4), Test Performed By, "^ - Datta Certified By. DateL"" --»� As od1z-r I licam, IyII/ s u N59a55'45" W 135,0 lets Pur 11 L j O< his N M ' /4.L j)CCK• c i i n � .l7•s X7.0 ,11 Faarr� M N 0 Or 3Z.t r o � L;4: I 13 m ml 5' 45'1 W 1'55.0 q- W, v2 N!' AV5. _ sreby certify that I have surveyed the following described property, Lots 1L- 1¢ I;t,ock 2 3ition 111) LAK£ 511'8 41 2 , %/rJ<' q, recording Precinct, Alaska, and that the rovsmonts situated thereon are_ within the property lines and 'do not overlap or encroach the property lying adjacent thereto, that no improvementson property lying adjacent thereto roach on the promises In question and that there are no roadways, transmission lines or or visible easements on said property except as indicated hereon. irharago, Alaska OV ( MA Y '1 � 72 U) 7LA z"4 4 Qa ,a9C'.)�.' �z;,.-.Ti ti's .J �� lOj,.�iM' �� • � �ey�DD.N�N •U •••••pN.be.C• ¢1 04 "naeS SU�� `�Yr yL V MUMUFAN UTY OF A HC HOR%AGE Development Services Department Phone. Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 011-133-52-000 Expiration Date: 8/2/2023 Legal description SAND LAKE #2 BLK 2 LT 13A Site address 5215 W 82ND AVE Anchorage AK 99502 Current property owner(s) MCNEESE STEVEN R & CHRISTINE A X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: 3Z Original Certificate Date: 5/2/2023 his Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist Absorption Field Advisory Tank Age Advisory Other X Well Flow Advisory Nitrate Advisory Arsenic Advisory x COSA Approval June 2022 MUNMPALITY OF ANCHORUSF Development Services Department On -Site Water & Wastewater Section Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 011 -133 - Complete legal description Sand Lake #2; Block 2, Lot 13A Location (Site address) 5215 West 82nd Avenue *Anchorage, AK Current property owner(s) Steve MCNeese Day phone 907-229-5047 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: JN -1? ivate-Welk ❑ Private Well serving 2 dwelling units cf� Private Well serving 3+ dwelling units ❑ Community Well or Public R ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: FE -1 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel 0 Plastic ❑ Concrete ❑ Fiberglass Age <2 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench * Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee Date of Payment COSA # Waiver Fee $ Date of Payment Waiver # COSA AppIlcaUon June 2022 Al. COSA Checklist - � Legal Description: Sand Lake #2; Block 2, Lot 13A Parcel ID: 011 -133 - If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ AWELL DATA SUBJECT LOT IS SERVED BY A "SHARED WELL" "LOCATED ON SAND LAKE #2; BLOCK 1, LOT 12 . ❑ Well log is filed with Onsite (or attached) Date drilled Total depth f Cased to ft ❑ Sanitary seal is functio ' g correctly ❑ Wires are prope protected Casing heig bove ground) in. Date o w test for COSA is water level at beginning of test ft. Comments :=:g ;t;a at time of t tj�5m' nkvolume gallons Well disinfected for coliform test? ❑ Yes ® No Coliform bacteria is Negative Nitrate mg/L ENitrate less than MRL (ND) Arsenic)�"3- • I ug/L ❑ Arsenic less than MRL (ND) Collected by GEG Date 3/28/2023 B. TANK DATA C. LIFT STATION Measured operating fluid level in septic tank 58.5°❑Required mainten completed Date of pumping 4 17-12-3 Age of lift stati years ❑ Required maintenance completed, if AWWTS Lift stat' material Comments: ments: D. ABSORPTION FIELD DATA UPPER/LOWER TRENCH Which system tested (date installed) 6/22-23/21 Adequacy test date N/A ❑ ALL standpipes present per record drawing Results Q Pass Total measured depth from grade 1016"0.9 ft (max) Fluid depth prior to test - in Measured depth to pipe invert from grade 5.86/6.5 ft (min) Water added - gal ❑ N/A - pressurized field. New fluid depth - in ❑ Per record drawings, field is insulated. Elapsed time - min 0 Monitor tubes go to bottom of effective. Final fluid depth - in If not, state depth into effective Absorption rate 600+ gpd ❑ Presoaked required if FIELD STATUS - POST RECOVERY (Required if house vacant or field not used for more than 30 days prior to date of test) Effective depth (per record drawings) 48/48 in Gallons introduced N/A gallons date Effective depth used 14 in Any rejuvenation treatment (past 12 months) Effective depth remaining 34 in If yes, enter date N/A Comments/Deficiencies: DATA TAKEN FROM GEG INSPECITON REPORT. PER GEG INSPECITON ON 3/28/23 THE LIQUID LEVEL IN THE NORTH (LOWER) TRENCH WAS 14 INCHES AND THE LIQUID LEVEL IN THE SOUTH (UPPER) TRENCH WAS 13 INCHES. COSA Checklist June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleano _ Yes if No ft Yes if No ft Neighboring Tank > 100' Yes if No ft Private S eptic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft olding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No ft es if No ft Manure/Animal Excreta Storage > 100' Community ain > 75' ❑ Yes if No ft r] Yes if No ft ❑ N/A - Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' f -E-1 Yes if No ft Surface Water > 100' Yes if No ft Tank to Property Line > 5' r■ Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No *51+ ft Private Wells > 100' Yes if No ft Water Main > 10' p■ Yes if No ft Community Wells > 200' n Yes if No ft Water Service Line > 10' FE Yes if No:_DIf tank or field is under driveway comment below F. ENGINEER'S COMMENTS A'J StA� �.� ,n d i.v C.L' n�1 *WR#OSV211031Q�, L 12 G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gamess Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 ;Z&C 84 a J77 s� ,(;// /z 133�JiS XOOjjM MAZZMMMA�� Myl 31VO 1/0 ui 0 z uj U- rN, 0 0 cv) 3: 1 ft� 00 *s w ou 00 z w LL 0 0 i U. 0 00 zo C4 Lo 00 0 —J 133�JiS XOOjjM MAZZMMMA�� Myl 31VO 1/0 ui 0 z uj U- rN, 0 0 cv) 3: 1 I I 6,F*00[ .7jj'OO i 00 oOA[ 10-1 z � 10-1 Awl 00 F— U-) Oo CD Aow 0 AIMW ,qo 0 < 4*n C� 0 0 co ry o d. 00 CLs i;oo -3/HO--3/HO-3/HO-3/HO-3/HO-3/HO 3/HO-3, ou 00 i U. 0 00 zo LO *..# CV) IVL 0 >- W F - 30N3-4 1/0 0 w C�e LU cn - ----- 0 Zo W) wG - --- ----- CK ui -- ---- w CL 04 n3 k 70(7 3:0 co Lli F- W -co > W il 0- 0 z CL U) Z D LL w Z LLJ (D F- o oo w z z Ix 0 < 0 ----- — — — — — — — — — IWS3 3VI 0 � 0— �. z .... .. — — — — — 3/HO-3/H0-3/H0-3/HO-3/HO�3/HO(q-3/HO—I/HC-3/HO-3/HO— I I 6,F*00[ .7jj'OO i 00 oOA[ 10-1 z � 10-1 Awl 00 F— U-) Oo CD Aow 0 AIMW ,qo 0 < 4*n C� 0 0 co ry o d. 00 CLs i;oo -3/HO--3/HO-3/HO-3/HO-3/HO-3/HO 3/HO-3, 0 pow *..# C�e cn wG Arsenic Advisory Certificate of On -Site Systems Approval # OSC231089 Subdivision: Sand Lake #2, Block: 2, Lot: 13A A water sample revealed an arsenic concentration of 22.1 micrograms per liter (ug/L). 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. Mailing Address P O Box 196650 * Anchorage; Alaska 99519 6650 *www muni org MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # D/%—/ >�— /> z/z/ HAA # X//f8-_ 92T, 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) X07' /3 -/1/ $1-0M z s*A 4,� '*�Z 7_/ 7,A1 X 14 Location (address or directions) (b) Property owner f%u� Telephone: (home) Mailing Address (c) Lending Institution Telephone Business Mailing Address (d) Real Estate Company and Agent Address 5Ft°S e Telephone ?Wf /7/7 (e) Mail the HAA to the following address: (or check here,, if hold for pick up.) List contact person and day phone number below: /SEGS ?lee uP 2. TYPE OF RESIDENCE Single -Family Number of bedrooms S 3. WATER SUPPLY Individual Well ❑ CommunityX Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site X Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 L 13 -i /if i3 i. -W, 1446 'Otz- 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval 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. Name of Firm AEGf Telephone Address /�ly /J 33c_� ""ell /`}1 915-4j Date Z"/ -V7 6. DHHS APPROVAL Approved ford—bedrooms by Approved X— Disapproved Terms of Conditional Approval Ag 0 j. '•00 u f ` 6 CE - 2251 e� F Date — Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above byan independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto 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. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) MUN• Health Authority Approval (HAA) F ANH 46MCKLIST - FEBRUARY 1984 ENVIRO NTAL PROTECTION HEALTH � 343-4744 - Legal Description: /-eT /3 —/s'/ ;t3mo Z E 8 1 1989 spa ot-i A. WELL DATA RECEIVED Well Classification CehN• Log Present(Y/N) Cased to Static Water L�u� Casing Height Above G and Electrical Wiring in Conduit Date Completed SEPARATION DISTANCES FROM To Septic/Holding Tank on Lot Depth of Grouting To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments If A, B. C, .E.C. Approvedr'�1 N) Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots On Adjoining Lots To Neareslublic Sewer Cleanout/Manhole Date V B. SEPTIC/HOLDING TANK DATA \ Date Installed 6 4 Size /�� No. of Compartments \ Standpipes (YiN) Air -tight Caps 0N) Foundation Cleanout (Y6) Depression over Tank (YuN Date Last Pumped /JAGS Pumping/Maintenance Contact on File (Y/N) ; for IJ114 Holding Tank High -Water Alarm (Y/N) 444 Temporary Holding Tank Permit (Y/N) /! SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well /%Z To Building Foundation % To.Property'Line /O r�" To Disposal Field s To Water, Main/Service Line i To Stream, Pond, Lake or Major Drainage Course Comments 72-026 (Rev. 7/88) Front Page 1 of 2 CL lupLw_Q i - j10 -k3 > ] r'PG_ 4J-'� 1_04,7z- SAS low -lL C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /Sd Type of System Design Date Installed /d /9��L �i "b' 8� Length of Field /Oio Width of Field Depth of Field Gravel Bed Thickness Square Feet of Absortion Area i13 Statndpipes Presen(Y N) Depression over Field (Ye Date of Last Adequacy Test /Z " 7-rr Results of Last Adequacy Test �EQuf1�6 �� S B�KfiS. 3/ SEPARATION DISTANCE FROM ABSORPTION FIELD: 01 To Water -Supply Well To Building Foundation Lot To Water Main/Service Line To Property Line To Existing or Abandoned System on On Adjoining Lots /O -,A- To To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION ZInstalled in Gal o "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) `*Check Permitted Bedroom Rating Against HAA Request' "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. VOWA Signed g ,�� OF A 6 Company ,'fie TH ng rVf Seal Date ; * t MOA No. D Receipt No. 4QS � �-yz; Date of Payment Amount: $� iAll r 1 e MR C. REID, JR. f o Ci -2251 Al Receipt No. 404 Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 5. LEGAL DESCRIPTION DoT DATE RECEIVED INSPECTION APPOINTMENTS _S#ql_\dleAlCe- -42 TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTORh/�� MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI9MVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 • jliN ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RR EEc vv OF INDIVIDUAL WATER AND SEWER" Ck�' 0 REQUEST FOR APPROVAL DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM MAILINGADDRESS _ nn F PROPERTY RESIDENT (If different from above) PHONE ❑ PUBLIC UTILITY 2. BUYER j 5' a w �- C- e Ck r PHONE 3 7) �� -MAILI GiADDRESS A;�':.;� Cr�v-Lal( Pl�r� -3;--LENDING INSTITUTION PHONE L Sic FJ- N U F GDY" n.q e --r c e 7L 07 r9--0 MAILING ADDRESS '( e" _:�-t r e Lo 7- 4. REALTOR/AGENT 4. PHONE rn)qr-((-?lam MAILING ADDRESS " V'lqa 6USinP5_5 PGr' 5. LEGAL DESCRIPTION DoT 62- _S#ql_\dleAlCe- -42 STREET LOCATION -a ,5- uj 0S i 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other ❑ SINGLE FAMILY ❑ Two ❑ Five g- MULTIPLE FAMILY ❑ Three Cl Six 7. WATER SUPPLY - ❑ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled - CZ COMMUNITY • since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - ❑ INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79)I C..� �i a-� s tw G' ,iweas Pte-- La F THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE O SINGLE FAMILY D MULTIPLE FAMILY NUMBER OF BEDROOMS O ONE D THREE O FIVE O OTHER D TWO D FOUR O SIX 2. WATER SUPPLY D INDIVIDUAL D COMMUNITY D PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM DINDIVIDUAL/ON-SITE OPUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER OSeptic Tank or D Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER _ TOTAL ABSORPTION. AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line [Nearest Lot Line Absorption Area to nearest Lot Line' 5. COMMENTS D APPROVED FOR BEDROOMS D CONDITIONAL APPROVAL (letter must accompany certificate) D DISAPPROVED DATE BY 72-010 (Rev. 6/79)