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HomeMy WebLinkAboutSAND LAKE #2 BLK 7 LT 3and Lake #2 Block 7 Lot 3 #011-132-34 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Number: OSP201451 PID Number: 011-132-34 V Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Upgrade BRIAN COLE Site Address 8231 WILCOX STREET *ANCHORAGE, AK Phone Number of Bedrooms 907-440-8664 3 LEGAL DESCRIPTION Subdivision Block Lot SAND LAKE #2; BLOCK 7, LOT 3 Township Range Section N/A SEPARATION DISTANCES To Septic Absorption Lift Station THolding Sewer From Tank Field ank I Line Well *901+ *901+ Surface Water 100'+ 100,+ Lot Line 5' *1'+ Foundation 110,+1 1 0,+ ABSORPTION FIELD ❑ Deep Trench 0 Wide Trench ❑ Bed ❑ Mound ❑ Other Soil Rating JTotal depth from original grade 1.2 GPD/SF 9.81 (MAX) Ft Depth to pipe invert from original grade Gravel depth beneath pipe SEE DWG. Ft. 4 Ft Fill added above original grade Gravel length SEE DWG. Ft. 43.5 Ft. Gravel width Beds: Number of Lines Distance between lines 5 Ft. - - Ft. Total absorption area Number of trenches Dist. between trenches 435 Ft2 1 - Ft. 25'+ TANK ❑p septic ❑ S.T.E.P. ❑ Manufacturer INFILTRATOR NA HDPE 1CM9;-UATION Remarks EXISTING TANK DECOMMISSIONED PER UPC *WR#OSV201067 JAIarm location Other 1530 Number of compartments 2 by PIPE MATERIAL House to tank Tank to Installer D3034 grainfield D3034 ARM SEPTIC SERVICES Drainfield D3034 CO/MTD3034 Inspector GEG AND MOA BENCH MARK (Assumed elevation) 100.37 ft Inspdeates: ction 1s,10/5/21 2nd 10/5/21 Location and description 3rd 10/6/21 41110/7/21 TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL I Engineer's Stamp Conditional Approval: Date Septic System Approved 1JJPiC� Date Note: this approval does not include well permit requirements. (Rev 05/02/18) . ... _ Vo q f A. G rness: 004; CE -795]z, 4paPr0fessW'0\ tfAECM4 A19 PERMIT NUMBER: OSP201451 DRAWING PARCEL ID NUMBER: 011-132-34 FA-1 B SAND LAKE #2; BLOCK 7, LOT 2 \ DBL1 22.0 41.1 co DBL2 22.9 41.4 O~ MH1 25.6 43.1 ST1 34.2 48.1 DBL3 37.7 50.4 U DBL4 38.6 51.1 0 C01 46.7 63.2 °0 MT1 44.8 .9 35.5 .8 t29.8 uYg! M2 2 36.7 3 54.6 50.7 p NOTE: PIPE LOCATIONS ARE SHOWN PER GEG z < ' SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING-TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. a a SAND LAKE #2; a 19 I BLOCK 7, LOT 21A e' EXISTING 3 MT2 —r►I 4'+ •e e. G BEDROOM HOUSE MT3 /02 JJ / DECK DBL3&4 24.5' O Obi- DBL1 O 1 1'+ NEW IM1530 INFILTRATOR SEPTIC TANK NEW DRAINF LD \ 100'+- WELL WAS PROFESSIONALLY SURVEYED IN DURING CONSTRUCTION AI / SAND LAKE #2; BLOCK 7, LOT 4A SCALE: 1" = 20' 1011, lk Is NESS SIN J d - ENGINEERING - SALES - CONSULTING ,. i 3701E TUDOR ROAD, SUITE 101 - ANCHORAGE, ALASKAPHONE (907) 337-6179' WEBSITE w .garnessengmeenng tom • • 4• ......•• •.......••.... ••. o :, rey arness = PREPARED FOR: PHONE NUMBER: PAGE NUMBER. . ��J,'.,: BRIAN COLE 907-440-8664 2 OF 3 CE-7953 •,.'.;`� # F�,'_�.�` � ♦ '�O (� �, i, `S,;'�� PROJECT/LEGAL DESCRIPTION: SAND LAKE #2; BLOCK 7, LOT 3 DRAWN BY: D.J.G. TYPE OF WORK: DATE: SEPTIC SYSTEM RECORD DRAWINGS 11/8/2021 #AECC88 PERMIT. NUMBER: PARCEL ID NUMBER: OSP201451 RECORD DRAWING 011-132-34 TOP OF MANHOLE = 100.37 MH ST1 FINAL GRADE OVER TANK = 99.59-99.67 2" INSULATION PER CONTRACTOR TOP OF TANK AT INLET = 95.72 TOP OF TANK AT OUTLET = 95.71 INLET f t2-COMPART! OUTLET INVERT OF BUNG AT INLET = 95.10 JINVERT OF BUNG AT OUTLET = 94.85 IM-1INFIL ORIGINAL GRADE AT HIGHEST POINT = 100.35 MT CO FINAL GRADE = 98.06-100.40 FILTER FABRIC 4' FEET INVERT OF PIPE = 94.54 \--BOTTOM OF TRENCH = 90.54 DIRT PLUG WAS INSTALLED ADJACENT TO NEW TRENCH AND BELOW SECTION THAT "CROSSED" THE "OLD TRENCH". MOA ONSITE EMPLOYEE TIM ECKLUND WAS PRESENT WITH GEG TO INSPECT THE "DIRT PLUG" ♦�~•`` ",qll� it AV� *` �I o.....:.. .d....... ..................... / . � r� ENGINEERING - SALES � CONSULTING � a _ ,� � . �.u. i i 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 -PHONE (907) 337-6179- FAX (907) 33&3246' WEBSITE www.gameasengneenng.cwn ; {. ......... ............. , , 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: # �n rey A. , arness ,: / f ir BRIAN COLE 907-440-8664 3 OF 3 0 c'i'' _„ ♦ � - 53 Aw LEGAL DESCRIPTION: DRAWN BY:♦+♦� �C`O`'• dl �.I �l .�•P���AV SAND LAKE #2; BLOCK 7, LOT 3 D.J.G. ..,�` TYPE OF WORK: DATE: LICENSEt1is PROFESS`�`���+ SEPTIC SYSTEM PROFILE 11/5/2021 #AECC884 4VA►•iki*** ESS ENGINEERING GROUP, t AetOCjj' ENGINEERING- SALES < CONSULTING :r ..... sta. hari. d Doatcr 44 ':Z f * October 4th, 2021 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Well and Septic System for Sand Lake #2; Block 7, Lot 3 To whom it may concern: A design was approved by the department for the subject lot without a testhole. Per MOA records for the subject lot, there is an MH layer (un -perked) above an underlying SW -SP soil. However, during the installation of the trench it was noted that an SM layer was encountered (not an MH). Due to this fact, a percolation test was completed by GEG on 9/30/21. The results of the percolation test (performed at a depth of 4.0 to 5.0 feet) were 1.7 minutes per inch. In short, we are requesting that your department allow 4 feet of effective (instead of 3 feet as noted on the design), as we have now perked the "upper layer". The design sizing requirements are as follows: • Percolation rate: 1.7 min/inch • Application rating: 1.2 gpd/ft2 • Bedroom count: 3 • Total Depth: 11 Feet • Required FT2: 375 ft2 • Length: 43.5 feet • Effective: 4 feet • Reduction factor: 0.5 • Actual ft2: 435 ft2 The trench configuration (L -shape) will be the same as shown on the originally approved design. Given the simplicity of the design change, we did not feel that new drawings are necessary. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Carroll, Rebecca M. From: David Garness <David@garnessengineering.com> Sent: Tuesday, March 15, 2022 3:04 PM To: Carroll, Rebecca M. Subject: FW: Emailing: 8308_20220315.pdf Attachments: 8308_20220315.pdf [EXTERNAL EMAIL] Becca, Please see attached survey. The MH layer that was supposed to be located under the organic layer was not encountered. I visually observed a uniform soil throughout the trench that I would have visually classified as an SM (if I were doing a soil log). I would like to note that SM vs SW vs SP can be challenging to visually classify as they are very similar and are all "sands". In short, a percolation test was done in the trench excavation and the soil was uniform (as far as I could tell visually) throughout the trench. -----Original Message ----- From: Fred Walatka & Associates L.L.C. <walatkas@gmail.com> Sent: Tuesday, March 15, 2022 2:42 PM To: David Garness <David@garnessenginee ring.com> Subject: Emailing: 8308_20220315.pdf Your message is ready to be sent with the following file or link attachments: 8308_20220315.pdf Here us the right one. Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. Fred Walatka & Associates L.L.C. 3107 W. 29th Ave. Anchorage, AK 99517 907 248-1666 walatkas@aol.com J -off farness From: David Garness Sent: Thursday, September 30, 2021 3:31 PM To: Deborah M. Wockenfuss Cc: Jeff Garness Subject: FW: 8222 Endicott St. Importance: High Deb, This is in reference to the installs going on at Sand Lake #2; Block 7, Lot 23 & 24 and Sand Lake #2; Block 7, Lot 3 (three designs total). From: Deric Hart <alaska.aes@gmail.com> Sent: Wednesday, September 29, 20215:03 PM To: David Garness <David@garnessengineering.com> Cc: armservicesak@outlook.com Subject: 8222 Endicott St. Importance: High David, This email is in refence to the requested water line locates for 8222 Endicott St. Attempting to located the water line for Sand Lake #2 BLK 7 LT23 was tried previously when a new septic was to be installed at 8231 Willcox St. Locating the water line for each home on the shared well for properties 8223 Wilcox St., 8231 Willcox St,. 5116 W82nd Ave. and 8222 Endicott St was the goal. I was able to pick up a signal heading to the east between both Wilcox properties until I broke the plane of the rear of those two homes. At that point my water line trace signal was overwhelmed by the utilities in the area that my transmitted signal had bled into which are far shallower than the water line. In order to do a water line trace it requires a completed circuit. Home to Home main water stub in connections or wellhead/water key to main water stub in of the home connection. All water lines are grounded to as per city code. Due to the grounding it potentially allows my trace signal to bleed into anything else that may be grounded. Most of the time a direct connection creates the path of least resistance and my transmitter only lights up the water line or creates the strongest signal. This was not the case for these four properties. I had signal bleed into everything grounded to the homes. I spent an extraordinary amount of time on this water locate project in attempt to sort though the stronger signals being picked up from the gas lines, cable lines, telephone lines and electric lines that had signal bleed over. Ultimately 1 was not able to confidently identify the water line location for any of the homes east of the rear of the Wilcox homes. I attempted individual home to home connections and well head to home connections in attempt to isolate each water line from the area utilities without success. I was very disappointed with the outcome but, after exhausting my best efforts I was not able to provide further information as to the exact location of the water lines for 8223 Wilcox St., 8231 Willcox St,. 5116 W 82nd Ave. and 8222 Endicott St. Please let me know if this provides a proper understanding of the locating situation. Thank you, Deric Hart WILCOX St. N00002`00"W 50.00 -i - I J=cOt..Ia]--1C> a=a-- ZZ a•1.i tpa a)a 20.0 4.85.0 CX)€Ill.I•a)-cO cOcoa7rCJ- cO6.Ch _Jf#__- a aCh-®a i 10.0igivoNa,,a4a I Ch-ro:==>ll..i 118 CJ 5.25.0 @a C>=®I = CD C)I ..IIIL CJ1 cO®0.0 CA C3 CJ| a2]HJJmmmE§5 .C>a //00 0 I--=aa110I®®I.+ deck 8 E=E ==q, - I 8Ore 00¥ :i§--<0-o_ Noooo2'oo"W 50.bo "Ia-a+ 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201451 Work Type: Septic Upgrade Tax Code Number: 01113234000 Site Legal Address: SAND LAKE #2 BLK 7 LT 3 G:2224 Site Mailing Address: 8231 WILCOX ST, Anchorage Owner: COLE BRIAN L & FAYEDRA L Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: �,1,cnt Department 2/8/2021 2/8/2022 6750 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater- code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: Issued By: Date: 2 2 3 Municipality of Anchorage I)r.p:n•tment P.O. Box 196650 a 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 * x Waiver#: OSV201067 COSA#: Permit#:OSP201451 PID#: 011-132-34 Legal Description: SAND LAKE #2 BLK 7 LT 3 Engineer: Garness Engineerinq Group Your request for a waiver of the required 100 feet horizontal separation from the absorption field and septic tank to the private well has been approved. The approved separation distance is 90.0 feet. In addition, the field is approved to be 1 foot from the southern properly line and 4 feet from the east property line. Part of the field may perpendicular to the contours, see the design. This waiver approval applies to the proposed absorption field and septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ................................................ ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: Z 2 I Approved by: Name of Reviewer **** VARIAN C E/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Ethan Berkowitz On -Site SewerMell Permit Application For A Single Family Dwelling Parcel I. D. 011-132-34 Property owner(s) FAYADRA COLE Day phone 907-440-8664 Mailing address 8231 WILCOX STREET *ANCHORAGE, AK 99502 Site address 8231 WILCOX STREET `ANCHORAGE, AK 99502 Legal description (Sub'd, Block & Lot) SAND LAKE #2; BLOCK 7, LOT 3 Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: (Nall that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Sq.Ft. Number of Bedrooms _ 3 (5 -BEDROOM TANK) APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: DRAINFIELD TO LOT LINE TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: 1 -FOOT I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Yy Date of Payment: _J 0 `21 —Z-0 Receipt Number: (T If 8 (O2C9 Permit No. 0 S e') o 141; 1 Waiver Fees: W 1� 5. rl 5 I Coy I b-19 Date of Payment: Receipt Number: Waiver No. OS V a 0 1 0 (o `7 (Rev. 01111) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201451, Deb Wockenfuss, 02/09/21 Page 2 of 2 unknown and cannot be located. In short, we do not know the separation distance from the existing and/or proposed drainfield to the existing water lines. It is reasonable to believe that the water line heads due east and then north, given the location of the structures served by the well; however, this could not be verified by One Stop Services. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Garness`. P'E.. M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Website: www. garnessengineering.com Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201451, Deb Wockenfuss, 02/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201451, Deb Wockenfuss, 02/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201451, Deb Wockenfuss, 02/09/21 U Ca 0 C\l N c O J m ST 17, U) S c6 Ah a C ca LU (100 00 ce) 0 0 ui G 00 Y).G '00, tOm CD g - 0 L' 0 OQ-0(3 It OOON a) 2 — �L :3 8 vc cli 0) Lo I., W. h* U) 0 C ID 0 2 (D < a) CL C: CO (D o6 2 C�l 0 2 cc 0. —'—, �a -0 :3 m c 2 CL 2— co CL V). a) E tm Fp —E) 4—sl fit ca OY cli �.o 0 a) .o -0 co .0,0 (j cff ch x > 0) CD -20 Z ' E a) S2 0 ca myv C: cwo 2 a E CL E Z r- I U) z tn 3: > 0 ..x Cc: =0 2 -� 2 C- 12 m w U) cr) .0 CD CL 2 -°-- LL C-) 0 0 CL CD OM 0 m ui -5 r_ a) tz �5 E = -Y X c 0 0 F- U) LL LU 42 Ed 0 4 w © a) C: m 00 0-0 0 c: coo 3: W, Cr)a) N Z C/) -j 0 2 m s Z5 16 5 'mo 0 > o CO < C) C) -:S (CD 2 .0 ton 2 M, �9 cn !E 0:9 -2 6 o o M 0- w 0 z t 0 Q0 o > 4) CD w (0 0 CL LL cc 11 C) cb m Q1 t C/) PE: cap) r- a 5 cm E cam -0 U) *2 a) 2 - 2 , a) Q� < 0-0 0 > 0 a) CD a) ui 0 2-0 0 0) 0-0 N 0 452 t - w M (n w C:) < c E M:E 0) Z5 ca m co m 0 '6 L) )Pop w c m 2 -Te 0 j 0 ai 0*9 E =03 0*9 O*ot7C c C) E 'gy, -r� �5- C) -j 'o cD m C) 00 w in z w U) CN Aw 2 'a tc,> 0 cle) aw --j < CN 00 a', z Lu o a) m ��* * i 1 2 00 Z. 00 E CL a) 00CD 0 3: �s . — E 00 -C Or , C) -4.1 A CD 0,0 L Z"9 0 JD CD to 0'06 41d.d 4:) AMW Aw c 0 LO el Q C) AIW a) LO U 0 Cl) ?0 Cc c6 C 0 �F M 0) 00 z 00 O*OZ z Cl im c: E2 �(D cli o a 6 E CD (Y) ci o 11 0 E ID 0 E .2 (,, c 4) 0 —dl=7 Ljj .2 E cu -0 "a c < Q.S =m E U) < z =3 0— O —0 U3 w (D e-% lo 0 CA w 00*09 MIIOOIZOOOO-.N F- w 0 - o C) x 0ohm www dW 7 F- Cc: E,4 '6 W W 0 = >,— v omzz 49 (D 0 0E -3:W w Z 0 U) CY) W 0 U3 3: 8L Z—X -M, Cc la r- W (n 0 :c a M:s z�Z c w 0 G0) 2 z -6 ?h W U) (D LIJ W (n < W U) W a ami Cl) 0 -j J2 2 2 Is x0ollm m z 03 CL V 90ce I-- CL A L A s K A 2020-052795-0 Recording Dist: 301 - Anchorage 11/5/2020 01:40 PM Pages: 1 of 4 1203-1OB Grid 2224 EN20025 011-132-34-000 ENCROACHMENT PERMIT This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519 and Brian L. Cole and Fayeds L. Cole (herein "Permittee"), whose address is 8231 Wilcox Street, Anchorage, Alaska 99502. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Described in that certain written instrument recorded on the 11" day of March, 1952, in Volume 69, Page 105, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: The East Ten Feet (E10') of Lot Three (3), Block Seven (7), Sand Lake Subdivision No. 2, according to Plat Number P-176, filed on the 26" day of April 1950, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska. Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot Three (3), Block Seven (7), Sand Lake Subdivision No. 2, according to Plat Number P- 176, filed on the 26th day of April 1950, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Third Judicial District, Seward Meridian, Alaska, (herein "Parcel") Encroachment Permit - Page 1 of 4 eRecorded Document 2. Encroachment. Permittee will construct or purchased the following improvements on or within the real property subject to said Easement: A septic drain field with sewer cleanouts that encroaches approximately Six Feet (6') into the west side of said Easement for a distance of approximately Thirty-five Feet (35'), (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility :facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. Encroachment Permit - Page 2 of 4 2of4 eRecorded Document 2020-052798-0 b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. C. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. PERMITTEE By• By: � ShellyyySchmitt Seni r Manager Brian L. Cole � A/V IZeIJ LA0 1-IL1 N, V? � 7/NES �/Ncy Date: I/ Z�/z o Zc3 Date: By: Fayedra L. Cole Date: 11 -3 -- Encroachment / -3 -- Encroachment Permit - Page 3 of 4 3of4 eRecorded Document 2020-052798-0 STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this( -3a day of '= 2020, by Brian L. Cole and Fayedra L. Cole. NOTAPIY PUBLIC...-" �/iw rE' nF PL�;��• STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) Notary Publi and for the State of Alaska My commission expires: Th f4regoin instrument was acknowledged before me this day of , 2020, by�i� r�� Senior Manager, Distribution Engineering of Chugach Electric Association, Inc., an Ala Ica corporation, on behalf of the corporation. X f -S V I AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Notary Public ' and for the State of Alaska My commission expires: ar=c( - ZZ Encroachment Permit - Page 4 of 4 4of4 eRecorded Document 2020-052798-0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION *0 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE 1P1EW Fxe-AvArfA16. UPGRADE MAILING ADDRESS iN e.r a. io rr orf 9c4. LEGAL DESCRIPTION 40 7-3 t.o 7 ff ' zn/ LOCATION 8Z"dAve. a wi lcoX NO. OF BEDROOMS 73 UY DISTANCE TO: Well J. Absorption area ♦ Dwelling 48 .0 PERMIT NO. Q y< F Manufacturer G2ie, Materia�T�le� No, of compartments Liq. capa in gallons IF HOMEMADE: Inside length AIA Width AIA Liquid depth Y ZAd DISTANCE TO: Well A Dwelling PERMIT NO. = Z FQ- Manufacturer Material Liquid capacity in gallons w= DISTANCE TO: Well O ♦ FoundationNearest -s, lot line PERMIT N0. J LL z 1 No. of lines + Length of each line ♦ Total length of lines Trench width Distance between lines h ZW 'z 2 10inches ^ �Q f Top of tile to finish grade it 4♦0 Material beneath the +z " "' Total effective absorption area 0 02` X ouG— 9'.0'-".4es I Uj Length N Width Depth PERMI i ®®® a I- Type of crib Crib diameter Crib depth Total effective absorption ar ¢� a+oeee °ooIM ° y DISTANCE DISTANCE T0: Well Building foundation ------AGO- Nearest lot ° line ® ° e o 0llilh Class Depth Driller Distance to lot line J W DISTANCE TO: Building foundation Sewer line Septic tank 9 VINN"t IWANSON e° Q OTHER 1>334-E ° ° It a '➢fit` `° se• °° f4� P PIPE MATERIALS "C.t i roti 5 T M D z7z9 Dao ®� e SOI L TEST RATING ZS INSTALLER P' gAE'.-c c i A16 K REMARKS cr-�Lsf ;­rM4 �-o fic 7`�►k L� 0 w ClJO 4— —z72.9 Z 72.9 s esrt Ev�i.� w h o r,%t Cl 0 4mvp at a cc, s w ..c, - aw.cEl APPROVE17 DATE LEGAL 72-013 (Rev. 3/78) f / _� �� ! It' / n vcrr/n//�c/v/ _f F- ncoL-/n nmm MmvIxumruLm/HL rK'u/tc{IU0 - 825 '| STREET, ANCHORAGE,HK 99 � 264-4720 Cl"__`- I ���lwl I -T- PERMIT NO. ( 8]0082 ) APPLICANT EMMH JEAN THOMPSON 2211 E NORTHERN LIGHTS 279-8486 LOCATION LEGAL L3B7 SAND LAKE #2 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E-sFIF=`F"= A &Z, I EF_P-49:3i-V"� �� �����EER ED FE F:' -W- F-1�� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIEL[l THE DEPTH OF H 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). -1���� 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. ` 71-4 CH < �2 > I V-1 —0=- F� NE CZ-- -IF ILE CA P-1 _'. #=:w p-! F= ���U 3E Fe I=- E -a — — — BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS � DEPARTMENT WILL BE SUBJECT TO PROSECUTION. � MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS � 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING | UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO 8 COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ��F;;_A-1 T -r F:->4oF::' T F;,E:,_=� I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR 8N -SITE SEWERS HND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENC INCLUDE MQRE THAN ] BEDROOMS. SIGNED: ��_-----~, KDELED .M i MN V4 0 � ~~ �� J & 'ENGINEERS, INC. V 7125 OLD SEWARD HIGHWAY ANCHORAGE, ALASKA 99502 (907)3496561 SOIL LOG PERCOLATION TEST SOIL LOG L�-'PERCOLATION TEST 1.7._ BEDROOMS JOB NUMBER: PERFORMED FOR:______xJ1/✓)X�.4VA7/�l/G --DATE PERFORMED: LEGAL DESCRIPTION:>/. +__L.OG..;` r—.-S/4r✓L� L�r.�E S�/S. —I SLOPE SITE PLAN ybt- z 3 Sc It DL 4 / p 5 6 SG-Hd sw-sp a 9 10 j 11 =� OF A�O WAS GROUND WATEF / A/®�.��' ^ -n ENCOUNTERED? °••esseeea ®V 1z co ° s° a • � ° • � ®IF YES, AT WHAT ° 13 /• �• oe EPTH? 14 a JOHN E. SWANSON m Q 15T®° 1834 E ° ° °° ® Reading a ® n �OFESSIM' 16— 00*6 ® 17 /?1 !, U, 1s 19 20 Date Gross I Net Depth to I Net Time Time Water Drop DEPTH PERCOLATION RATE _ (minuleslinch) (FEET) TEST RUN BETWEEN / w FT AND _ FT COMMENTS S e5,�.L`j__"�—Q_—..r PERFORMED BY: / ``$/..___._—CERTIFIED BY: —-- —--DATF: 72 W8 j9i83) a y, MUNICIPALITY OF ANCHORAGE 1 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 PHONE EW oY,(f0 > � F�� ❑UPGRADE MAILING ADDRESS WOO 5&-111190 j?D Sl (' H- q LEGAL DESCRIPTION PT G) / /7AO G19X O. 2 LOCATION NO. OF BEDROOMS 0)1_603e (�' r_)CIZO 13 Well Absorption area Dwelling PERMIT NO. vY DISTANCE TO: ao t 5- 92,118-5- i Q Manufacturer Material No. of compartments w 2 ti Liq. ca acity in gallons IF HOMEMADE: Inside length Width Liquid depth Y DISTANCE TO: Well Dwelling PERMIT NO. J t�Z = z < Manufacturer Material Liquid capacity in gallons Lu DISTANCE TO: Well / /,S Foundation 80 Nearest lot line X3.2 PERMIT NO. J LL z No. of lines Length of each line Total length of lines Trench width Distance between lines f Z wl� 0 inches % H Top of tile to finish Material beneath tile Total grade f—c-2:7- effective absorption area p 5& C,-- inches ; 1.. Length Width Depth PERMIT NO. W Qa F Type of crib Crib diameter Crib depth Total effective absorption area wLU a N Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J w � DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS i SOIL TEST RATING pp INSTALLER REMARKS a(�°mpoppe,. e gth jam Q ig, o JOHN E. SWANSONa �A. < • v- E-H APPROV •��� LEGAL A///T �n R -U 1_0 t Nev. S/ /ts) a POUCH 6-650 ANCHORAGE, ALASKA (CO_ 264-4111 r( , ,, �c ,jnWL,'s. -!4%_'. �r3i rnErn-NviRONMEN 1 AL Pizoi I'M ION :Permit #: 821185 January 31, 1983 TO: Permit Applicant Subject: Lot 3 Block 7 Sand Lake Subdivision #2 A permit issued by this department for an individual well and/or on-site sewer system 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. Sincerely Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 DEPARTMENT � HEALTH AND ENVIRONMENTAL r`OTECTI�N ! 025 /i\ -/STREET/ ANCHORAGE, HK. 99��-1 264-4720 � j, -rU W E-7 FR F=� FEE F? M I _F PERMIT NO. ( 821185 ) ! APPLICANT ROYCO INC. 2700 SPENHRD ROAD 272-1755 LOCATION LEGAL LOT 3BLK 7 SAND LAKE SUB LOT SIZE 23000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS ] SOIL RATING (SQ FT/8R)= 125 THE REQUIRED SIZE OF THE SOILTEM IS: ��3 � ��F��"�� ��`°F= . �������� ���� �� ������� '' THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.lt~eul�s' THE DEPTH OF H 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). . FR' �Q U I F2 EE C.- �����I C--: -r F:� " K ��I = F=* - ::L &11 Cl I D- 973 F� 9 0— C-9 " �—=- 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. --- -rWCH <;a" > I " _�­ FD� FE #::: -F I Cl N 0=-. F=l F;.'! E= �F= C-! U I Ff F= C -A BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H 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 H PRIVATE SEWER LINE IS 25 FEET AND TO 8 COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRQCTJON DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F::'� EE: F;;? M I _F 1-=:�F=3 I F2 ���a M E- Ez' R-� - ::L _=;a �=1;2 I CERTIFY THAT jL: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. I: I UNDERSTAND THAT THE GN -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. � SIGNED ---------_-^~--~~_~^-- ""'L^ S & dra.� wINEERS, INC. t - 7125 OLD SEWARO HWY. 'SOti-S LOG ANCHORAGE, ALASKA 99503 349-6561 PERCOLATION TEST SOILS LOG -- PERCOLATION TEST PERFORMED FOR _Tuo&APstgt4 Co NS1 .__ ----- OATI PERFORMED: LEGAL DESCRIPTION:L. 7 86c� —7 5AMD r.,F\KEt+-t? _ SLOPE SITE PLAN 1 1 M7 l< I Z ' 3 --4 _ :'. :5c,J> SAMD,�TRACtr f>tt_T 5 g20c �U� IVto15 I 6 9 -' 10 14 15 o",�t,�°vr .�.q b� �. . oli � 16 0 °°, H d' 17 000 : e ea e* a .. o ��/e.e s •. •e� 18 �y1 THOMAS R. 5 ®� '• ' 2248 as0' A 19e.e°e C+4il WAS GROUND WATER ENCOUNTERED) IF YES, AT WHAT DEPTH? � O � O P E Reading Date Gross Time Net Time Depth to Water Net Drop M,/, 1I 15 /f " /o .'00? '5 M 14'4 Orr Pb7X— r5coA-I: vE D u rr 20 u PERCOLATION RATE / / 67Z Mi'Y (minutes/inch) I —Sri 1�,T,EST RUN BETWEEN 4 FT AND FT COMMENTS \NA -M -'Q 17] I�L� FK -F7 6" WIDE BY :err P&IT 14 Me IAA 5nrllM. PERFORMED BY: 72008 (6/79) CERTIFIED BY. DATE: ANCHOFlAl"IF. A; (907) 26 ., DEP ,1; -.-\;!_!�M I! CA I_T H AfND F',I \,, i IONIOIN TAI_ PRO I FI:' <Permit #: 821130 January 31, 1983 TO: Permit Applicant Subject: Lot 3 Block 7 Sand Lake Subdivision #2 A permit issued by this department for an individual well and/or on-site sewer system 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. Sincerely IQ CA / Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 r - 0. r.. ANCHOFlAl"IF. A; (907) 26 ., DEP ,1; -.-\;!_!�M I! CA I_T H AfND F',I \,, i IONIOIN TAI_ PRO I FI:' <Permit #: 821130 January 31, 1983 TO: Permit Applicant Subject: Lot 3 Block 7 Sand Lake Subdivision #2 A permit issued by this department for an individual well and/or on-site sewer system 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. Sincerely IQ CA / Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 '�L-9 F-4 JL U: F� r_-1 C�: V-1 ��" C -i F=�� DEPARTMENT HEALTH AND EN�IRQNMENTHL� TECTION U ^ ` 825 'L' STREET/ ANCHORAGE/ HK. 99501 ' 264-4720 WF=L—1 I -FF= 2E.���F;7:-" ��F;-I Ir -1 l -r PERMIT NO ( 821130 ) APPLICANT EMMA JEAN THOMPSON 2211 E NORTHERN LIGHTS 279-8486 LOCATION LEGAL LIB7 SAND LAKE #2 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ���_r " -1 RD ��" C_i _r " �vr !ffo 0 F? Fl u-.0 FEE I ���-F "� :3 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H 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). ���u I F;;_, F=, C-9 ���_r I c� _r F:� " K ��I ::__� Fz-� ���&7-1 �"l I OD"!F. 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. 'T- LJ C) < :2" 1 P -J _�­ F:" F= 0::7 -F I C-3�� ��� �����F;: EF Ca BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR 8 PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE 15 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. �F= FZ M I _r E= X F=� I Rf 1= _�­ C-9 F= C_D F= M E� FE FR' :E: -1 �!E4:E?.;2 I CERTIFY THAT 1: I HM 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. I: 1 UNDERSTAND THAT THE ON—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. ISSUED BY /) �,C�L0s, (l4 kpA (:c, 1.6 2 0^ ^, 0 -) 0^" ^ ^ ` — ` A SOI LS LOG - MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 \ - SOILS LOG - PERCOLATION TEST PERFORMED FOR:_ E M M A :EAA1 -T 4 p H P 5C) N DATE PERFORMED: 1® 122. IS P--. LEGAL DESCRIPTION: LoT a E L.� II a 6K s.6,ND- kA<a No P. SLOPE SITF PI AN 1 2 3 4 5 6 7 13 9 10 Date Gross Time Net Time BILI I"lH 1 /] UNIFomf✓0 sAtN0 Net Drop .. • ROTTO" O r �-li0L•C 11 WAS GROUND WATER t® S ENCOUNTERED? Int O 12 P F 13 - =- 14 ®9 a1.ga �'.. ` • lye. i. 15d t�• .. 1'v 1. .9TH d 16 �. :. .......16 •S• • •.t• 17 � P.O.• 2225-E P?� J NE 25, 1971 900 20 COMMENTS PERFORMED BY: 72-008 (6/79) IF YES, AT WHAT DEPTH? �7 Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN CERTIFIED BY: (minutes/inch) FT AND FT YDATE: CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION . PUBLIC WATER SYSTEM APPROVAL TO CONSTRU Plans for the construction o LZ I _ f- t4 --1 1 X ,1 C :_ (—; public water system located in P ylC. Lo V ek � �' Alaska, submitted in accordance with 18 AAC 80.100 by l re Cy i ! h �nnran t7Ci)Li Cam � �• have been reviewed and are 19 approved. conditionally approved (see attached conditions). TI L�111��)� g E _ ATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS Change (contract order no. Approved by Date or descriptive reference) The "APPROVAL TO OPERATE" section must be completed before any water is made available to the public. APPROVAL TO OPERATE The construction of the 'jqP) fJ (_ t -) IC ✓✓ SJ l0 .=H 2— �° > 2 water system was completed on l - St's' (date). The system is hereby granted interim approval to operate for 90 days following the cpmpletion date. gY DATE As -built plans submitted during the interim approval period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted fina pproval to operate. BY TITLE DATE 9 Time APPLIC. AT FILLS OUT UPPER HAL ONLY Time Property Owner Emma Jean Thompson/Bruce J. Ki essl i ng e T279' Mailing Address 2211 E. Northern Lgts. Blvd., Anchorage, Ak. Zip Code 99504 -8486 Beyer Emma Jean Thompson and Bruce J. Kiessling Inspector 2211 E. Northern Lgts. Blvd., Anchorage, Ak. 99504 Address Zip Code Lending Institution Alaska State Bank Phone _ 310 E. Northern Lgts. Blvd., Anchorage, Ak. 99503 277-5661 Address n" -C2 Zip Code V Realty Co. & Agent none OF ANCHORAGE Phone Address Zip Code Legal Description Lot 3, Bl k 7 Sand Lake #2 q-)- tnl/�o�i a,It�U Street Location 8231 Wilcox AUG 26 ens -j, I�d*iiii u� tSl1 � Type of Residence 1-23-$3 �- IX Single Family 3 RECEIVED ( ,) APPROVED BEDROOMS ❑ Multiple Family, _ ; No. of Bedrooms ( ) DISAPPROVED ❑ Other ( ) CONDITIONAL APPROVAL' Water Supply ❑ Individual rG C4 ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. g Community BY: For wells drilled prior to that date, give well depth (attach log if available). U Public Utility Soils Rating Date Sewer Installed Well To Absorption Area>5 �— Well Log Received Sewer Disposal 1982 Well to Tank IX Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date) Inspector Inspector Inspector Inspector Field Notes: / `<<._ G �fy2vi,. Wim- n" -C2 MUNICIPALITY V OF ANCHORAGE v ^l DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION q-)- tnl/�o�i a,It�U ���o�/JIL� AUG 26 ens -j, I�d*iiii u� tSl1 � 1-23-$3 �- RECEIVED ( ,) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE 2- BY: Soils Rating Date Sewer Installed Well To Absorption Area>5 �— Well Log Received Septic Tank Size �,> (j Well to Tank 72-023 (3182) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. COSA # Expiration Date: 1. GENERAL -INFORMATION Complete legal description Lot 3: Block 7: Sand Lake Subdivision n9 Location (site address) 8231 Wilcox St. An ho agp_ AK 09509 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Dale Cole Day phone 440-7770 9345 Strathmore Anchorage, AK 99502 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site]x 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 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. ,a s Y� 1t TT i 5 [ I CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. COSA # Expiration Date: 1. GENERAL -INFORMATION Complete legal description Lot 3: Block 7: Sand Lake Subdivision n9 Location (site address) 8231 Wilcox St. An ho agp_ AK 09509 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Dale Cole Day phone 440-7770 9345 Strathmore Anchorage, AK 99502 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site]x 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 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 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. Name of Firm S & S Engineering, Phone 694-2979 Address 17034 N. Eagle River Loon Ste, 204 Earle River, AK 99577 Engineer's Printed Name R06",— C. COwA^✓ Date �tN,.:05EGCOWAN 5. DSDSIGNATURE C:RT -8801 Approved for bedrooms. i.Eo' ,1% `RN�Lr.i1•i �1 Disapproved. Conditional approval for bedrooms, with the following stipulations: COSA Checklist X Arsenic Advisory Septic System Advisory Well Flow Advisory Nitrate Advisory Maintenance Agreements Supplemental Engineer's Report Other_ By: Original Certificate Date: 1 2 sl. (Rev 11105) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Sheet P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsfte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: �-O� 3.;t oe k 7 ,; Slut> -3L2 Parcel ID: A. WELL DATA Well type l.tA S C If A, B, or C provide PWSID # = Well Log (Y(9&b Date completed -. 1 Sanitary seal(ON) � Wires properly protectedON) N) &� Total depth �ft. Cased to —&*ft. Casing height (above ground) ��in. FROM WELL LOG AT INSPECTION Date of test Static water level p n. N A ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate 17 SLIO mg/L Other bacteria _colonies/100 mL Arsenic: •q mgli Date of sample: 11 OSI/b Collected by: Sa S Cn�/N6E211 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S&PTIC ST6E(_ Date installed it 116 46 Tank size 10M,gat... Number of Compartments _eZ CleanoutsQ (IN) �/FS Foundation cleanout&)1LS Depression over tank ()M.Lo High water alarm (YM NO Date of pumping II I I t, 0(o Pumper /-i-t �izillt�5 . C. ABSORPTION FIELD /DATA Date installed 1 5 Soil rating (g.p.d.Hf2 r ft=/bd /.25 System type bEr--P 'TI�EJtZ Length 2J ft. Width Bio raxwvr- Gravel below pipe Total depth) ft. Eft. absorption area 91ift2 Monitoring tube J -6 f2 Depression over field rc.)P Date of adequacy test l l 8 D Results Pas ail) P1153 For 05 bedrooms 0 a Fluid depth in absorption field before test � in. Water addedlgal. New depth in. 50 Elapsed Time: min. Final fluid depth 6SrI in. Absorption rate >_ '}- _g.p•d Any rejuvenation treatment (past 12 mo.) C�q type) IVU If yes, give date D. LIFT STATION k)'H Date installed Size in gallons Manh 'Pump on' level at_ in. 'Pum _ in. High water=Iarmlat Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAdt station on lot mS irF Absorption field on lot iR� rf Public sewer main 0�d4 r Sewer /septic service line a25 Animal containment areas 5014- I � On adjacent lots W f //So + On adjacent tots C0 f / J;n 4 - Public sewer manhole/cleanout Holding tank NIR Manure/animal excrete storage areas /� L SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation S Property line C �1 Absorption field S r Water main VIA Water service line /O f Surface water hQ) 1+ Wells on adjacent lots ICO 4 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: in. Property line f0 Building foundation /O + Water main AJ /l4 1 Water Service line 10 Surfacewater I np ri- Driveway, parking/vehicle storage 104 Curtain drain otXJ1UE ICRxxv/U Wells on adjacent lots /OM '4- F. COMMENTS 23 � 'AZrSiS DEL GCurSfl�i'�T1OrU4-oPF�RTIQV cFKi-• ArfiEO rt 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 COS?uideNnes in effect on this date. Engineer's Printed Name r a� T CDw7N Date h/I —r f 0 (o COSA Fee $ q -3a Waiver Fee $ - Date of Payment l t�c?® Date of Payment Receipt Number Lo 14 Receipt Number, (Rev. 11/05) iatr C COWAN CE -Sam f K t� JgNtL LAVs lveb SIZ-L463, Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 060563 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 7, Lot 3 of Sandlake #2 Subdivision. This inspection revealed an arsenic concentration of 26.9 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.or onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Time APPLIG, NT FILLS uuI urrtn nNL IVrvLT Properly Owner „ EBma Jean Thompson/Bruce J. Kiessling Phone Meiling Addrew 2211 E. Northern Lgts. Blvd. Anchorage, Ak. Zip Code 99504 279-8486 Buyer Ewa Jean Thompson and Bruce J. Kiessling Dato S 2211 E. Northern Lgts. Blvd., Anchorage, Ak. Zip code 99504 Address Inspector Inspector \ \.JV Field Notes: "b Phone Lending Institution Alaska State Bank 310 E. Northern Lgts. Blvd., Anchorage, Ak. 99503 2777-7-5661 Address Zip cede 7-13"83 RECEIVED Phone Realty Co. & Agent none Address Zip Code ' BY: BY: Legal Description Lot 3, Bl k 7 Sand Lake !2 Street Location 8231 Wilcox Well Log Received Type of Residence IX Single family , t` 3 O Multiple Family ❑ Other No. of Bedroom \: Water Supply ❑ Individual -C.S O'b4 C- ATTACH WELL Loo. A wall log Is required for all wells drilled slots 'tine 1975. For well, drilled prior to that dale. give well depth (affect' log It available fy Community [� Public Utility Sewer Disposal ' IX Individual 1982 Year Individual In O Public Utility When Connectedto Pubecled to Pub Utility: O Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Dato S Inspector Inspector Inspector Inspector \ \.JV Field Notes: "b MUNICIPALITY OF ANCHORAGE 14 DEPT. OF HEALTH !. ENVIRON.M;NTAL PROTECTION &3 fnfbj ll1i.r2a i� AUG 26 iyZ�J roillb ix, 0 J 7-13"83 RECEIVED (_7) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( 1 DISAPPROVED ( 1 CONDITIONAL APPROVAL' DATE 11 - 2 2 - BY: BY: Soils Paling Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size C.) (� Well to TankQ f fiait pin co 00 N C) o (W) 00'09 M.MMOON co J (a) 00009 M.00ZOo0ON 0 i O C CL m W u m D (M) 00009 MU004ZOoOON (W) 00'09 Mw££,vOo00N 0 co 80£8 Z0 39Vd is XOOIIM E55V 8 "iV3vM Q383 G C> N O (fl Mcvi m Q N J LO Lc) U) ui 0) 0) co co Z Z 0 n n UO) LIR2! iE 0 W 0 W irW= w It z �=z uj in MW 6 iE TMEDZL06 bE:TT 9002/ET/TT m U N O O's 0'04 CO O M M m N r r N O D O - E J ti 0 O CDh NLL. 0'0l LO L a CD 00 00 o Z Z Cd 0 i O C CL m W u m D (M) 00009 MU004ZOoOON (W) 00'09 Mw££,vOo00N 0 co 80£8 Z0 39Vd is XOOIIM E55V 8 "iV3vM Q383 G C> N O (fl Mcvi m Q N J LO Lc) U) ui 0) 0) co co Z Z 0 n n UO) LIR2! iE 0 W 0 W irW= w It z �=z uj in MW 6 iE TMEDZL06 bE:TT 9002/ET/TT m DEPT. OF ENVIRONMENTAL CONSERVATION DIVISION OF ENVIRONMENTAL HEALTH DRINKING WATER AND WASTEWATER PROGRAM May 8, 2003 Jeffrey A. Garness, P.E. Alaska Water & Wastewater 6901 Debarr Road, Suite 2B Anchorage,'Alaska 99504 FRANK H. MURKOWSKI, GOVERNOR 555 CORDOVA ANCHORAGE, AK 99501 Phone: (907)269-7519 Fax: (907) 269-7650 http://www.state.ak.us/dec/ Re: Lots 3, 4, & 5, Block 7, Sand Lake Subdivision # 2 -Replacement of a Failing Wastewater System, AdvanTex Treatment System and On-site Deep Trench type Soil Absorption System with Waivers, ADEC Project # 3132 Dear Mr. Garness: The Department has reviewed the design drawings and supporting documentation submitted for the replacement of a failing domestic wastewater system serving a six bedroom duplex on Lot 4. The replacement system consists of a new 2,500 gallon two compartment Septic Tank Effluent Pumping system with two AdvanTex AX 20 pods, and a 15 foot long, 8.5 foot effective depth deep trench system. Waiver are also requested. Although the application rate is within the limits set for the designed advanced treatment system, verification in the field by determining if the application rate can be sustained will be required to assure the design is meeting the field conditions. After one year's operation an inspection report will be required to confirm the performance of the on lot system. Waivers The submitted waiver have been reviewed, it appears the waiver requests are protective of public health. Therefore, in accordance with the State Drinking Water Regulations (18 AAC 80.020), the following waivers are granted. • The separation distance between the Class C public water well located on Lot 3, Block 7, Sand Lake Subdivision # 2 and the proposed AdvanTex treatment system on Lot 4 of the same block, planned to serve the duplex, has been waived from 150 feet to 100 feet. • The separation distance between the proposed private water well located on Lot 5, Block 7, Sand Lake Subdivision # 2 and the proposed AdvanTex treatment system on lot 4 of the same block, both serving the duplex, has been waived from 100 feet to 85 feet. • The separation distance between the proposed private water well located on Lot 5, Block 7, Sand Lake Subdivision # 2 and the deep trench type soil absorption system on Lot 4 of this same block, has been waived from 100 feet to 95 feet. The distances noted in the waivers are from your submittal. It appears that these distances are from the nearest edge of the wastewater disposal system component to the nearest edge of the noted wells. If contamination can be traced back to the system, the waivers will be invalid. Wastewater System From the information submitted it appears that the wastewater disposal systems have been designed in accordance with State Wastewater Disposal Regulations. Therefore, in accordance with State Wastewater Disposal Regulations (18 AAC 72.225), construction approval for the system is granted. The signed construction approval portion of the Construction and Operation Certificate, constituting this approval, is enclosed. To obtain final operational approval, the following items will need to be submitted for review and approval by this office for this system: 'Document how the old septic tank was decommissioned. Document.how the AdvanTex unit is to be maintained. After one year an inspection report showing the unit has been able to met the needs of the facility will need to be submitted, include the application rate the system has operated at. A copy of the completed "Certification of Construction" form per 1 $ AAC 72.'235(b)(2) within 90 days after completion of the project needs to be provided. Record drawings must be submitted to this office, under the stamp of a Professional Engineer, verifying that the construction was per the construction plans that were approved by this office. Please remember that the inspection of the project on which the record drawings are based, is the responsibility of the Professional Engineer sealing the record drawings. Any future expansion of the subject project will require additional approval from this office. This approval is contingent upon your receipt of any other state, federal or local authorizations which are required for your project. You are required to obtain all other necessary authorizations before proceeding with your project. You are advised that if this development will require placing fill in wetlands or working in a stream, river or lake, permits from the U.S. Army Corps of Engineers and the Alaska Department offish and Game may be required. A Coastal Projects Questionnaire will help you identify other permits and approvals that may be required for your project. Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division Director, 555 Cordova St., Anchorage, Alaska 99501, within 15 days of the permit decision. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Wiloughby Avenue, Suite 303, Juneau, Alaska 99801, within 30 days of the permit decision. Ifa hearing is not requested within 30 days, the right to appeal is waived. Respectfully, William R. Rieth, P.E. Environmental Engineer Enclosure: As stated cc: Jamie Stazel, DW/WW, w/o eric.