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HomeMy WebLinkAboutT12N R3W SEC 33 LT 24T12N R3W SEC 33 #018-191-12 30' S 89'58'02" E 329.53' (R) (N 89'5854' E 329.70' P117t No. 84-383) 33' 299.53' (299.70' Piot No. 84-383) _N 25' Side Setback— — — — — — — — 29.7' 13 10 199.8' ! I w757 x ! o z o 1 Shop14 o ( 0o O o w CD ry 0 100.0' o I w0 O ^1 p o X1d 15. Gravel Loi 24 (I IV � C, -.I 0 X I Driveway I v! Cj 12 1 C) QShed I M i3 0 t 6x8 15 1. 0 w o W 1 I o O 0.NO (I o ;U 2 Story House ' 0 See Building Detail (fD r 142nd �,, —25' Side Setback-� -- — — Ave. �' 299.55' 33' Patent R—O—W Reserve S 89'58'04" E 329.55' (R) 0 NOTES Bearings and distances are record per the Dependent Resurvey and Subdivision of Sec. 33 T. 12 N., R. 3 W., S.M., Accepted Feb. 14, 1952. 2. Sufficient boundary evidence was recovered to establish the subject parcel on the ground Not all controlling evidence is shown hereon. 3. Points 1-16 as shown above were recreated from survey field notes taken by others during their survey performed on May 26, 2006. s farlolnt Land 5eryiCe5i, LLC N SURVEYING, MAPPING, LAND PLANNING, GIS 1 13 1 E. 76th Ave., Suite 101 Anchorage, Alaska 995 18 FarpointAK.com • (907) 522-7770 • survey@farpointak.com EXHIBIT OF HISTORIC SURVEY: SURVEY CERTIFICATION: FARPOINT has conducted a physical Gov't Lot 24, Sec. 33, T. 12 N., R. 3 W., survey of the subject property, the improvements situated Seward Meridian, thereon are within the property lines as shown. Anchorage, Alaska EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which WORK ORDER Nol DATE: SCALE: ZONING: do not appear on the Plat used for this survey. NOTE: Under no Jan. 5, 2023 1"=80' R6 circumstances should any data hereon be used for construction 22330DRAWN:CHECKED: GRID No: FB BOOK/PAGE: or for theestablishin of ro er lines. JLA ME SW3035 164/29,30 g P P tY LEGEND REPARED FOR: NOTT VICTOR A & I LAPAN 4114 Rocky Rd nchorage, AK 99516 Monument n Septic Vent c7CID Power pole ❑EP Elec. Pedestal X —X Existing Fence REPARED FOR: NOTT VICTOR A & I LAPAN 4114 Rocky Rd nchorage, AK 99516 V -� Municipality of Anchorage Development Services Department Building Safety Division y Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 WWw.c(.anchorage.ak.us (907)343-7904 Page of ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ermit Number: SW030116 PID N 018 191 1 Nemo: umber. -2 Victor Knott Wastewater System: 0 New ,,�,,,,,; 13 Upgrade 130 Joan Ct, Anchorage, AK 99515 ABSORPTION FIELD Phone: 349-7'126 Number of sedmoms: 3 ❑DeePTmnch Oshanowrrenohla Bea I]Mouna []other. LEGAL DESCRIPTION Totes D"Ot born original graft: Bleck tot: 1 GPD/Fte 1.5 Lot 24 subdi tion: To ip. T12N Rot%e R3W Section: Sec 33 Well: 0 New ❑ Upgrade Private'p' 120 Fr 120 3/6/03 1 30 6 gpm ' ---Unk wmg nepm,N _ GPM Ft 2 S SEPARATION DISTANCES From Tank FieldMS&6w r Wap +100 +100 suaaoe water +100 +100 Lath +10 +10 Fwndedm +10 +10 anon Dr.ln N/A N/A Remerlu: Homeowner Installation. A total of 7 inspections were performed. Final inspection performed, / / . Sand Filter Quality Sand & Gravel, See attached sieve report. PPe ootrom Vern adginM prase: Orevel aBl 1 Ft. above-ginel(,reds: Gravel lar 2.57 Ft. �' Number of 15 pt. 3 rrptlon tree: p Meter 675 Ft' owner I Dale lnZi TANK ❑Septic ❑ Holding O S.T.E.P. anu rer. Anchorage Tank Matadel. steel 0.5 45 s: Distance bebvee 5ft c/c PVC 9/16/03 ❑ Other: paGlY: 1,250 DO, Number I Compadmer 2 LIFT STATION 250ecru Get Orenco W, level at 'Pump W level at Nigh w 87.31ft TBM y,, 54.178 TSM in Make a Model Ebcircei loepe-one peRormey by STD LG Electrical BENCH MARK eM Desaipbon. Floor of Garage = 100.0 ft Inspections performed by: R. GOdden Dates: 1M 09/16/03 to .. 2nd 10/05/03 Development Services Department Approval Reviewed and approved by: Date: Z • (S .1z") 87.7ft TBM Ft E WWEN: *, u_fIR �S I fj =s 0 O C N CD cn CD 7 N - N_4-1 ICL fD O d -�� �•►. \ co °: ' m .c n n C/) 7 t- a \ `y CDC CD o .. Wgo 1 m� {p 'wJ •� O ;13 4 11 0 c=o m CD - Age"' as J C)000> .P. CA) N) 'z 4 3 w ' o � 0 0) ZZZZ� 5' CO M O O o O N AOCD'4 gsd'�i N N 10' Utility Easement CD S00.03'3YE 300.82' ropey ine of OP O ,—,. Ove : , o q 10' Utility M Mil o t" Easement IN yG O O 7 (DN T 3 o o o ,V x m _ m N CD m m rn 90 y 0) .. =r 0 IQO DmM05i A n to ? o� g O My J J c'oo'c CD O 0 $ m tr m O, F In S. 3 m O �•O fD E cA� n �° m tail .°r. cW °vcccco O O g+ 7 pA 4 7 O �' n C = �D �v ' 7 .o•, MM I R cn CD D — lA w \ L\x D m W c Rocky Road O o m m n T d ur g c DCwN m fig. o mm 0 o m � w CD �V - _ d cr N Cn CL 'r���`�ll i u_fIR �S I fj =s 0 O C N CD cn CD 7 N - N_4-1 ICL fD O d -�� �•►. \ co °: ' m .c n n C/) 7 t- a \ `y CDC CD o .. Wgo 1 m� {p 'wJ •� O ;13 4 11 0 c=o m CD - Age"' as J C)000> o � 0 0) M AOCD'4 I OP Ove : Mil o t" W O ,V ISO` v m m rn op4�v IQO A n to ? O My J J w o �, co L4 n °vcccco �v N zr o j fA A 0 my �0Fr 9)cn :L Dma y N a ain in— CD N O a� m <fn nn =r CD CD �h C 0 " N S N dqe of Bed �O n 0 O l Li d i w 0 l m x l�^' l l� m l 7 CD 0 CA m �- ��I 066 c� � 7 \ i 0 0 O O V O l -n li00 n l (D n O m l m5 y C U) 0 O OD402N - � a co N m n o n = O O(gyp D N a 010 m l pm X O O n l N r < � m Iq PD I CDC dqe of Bed f n (n �O n m O l Li d i l l l m x l�^' l l� m l 7 CD 0 CA m �- ��I R m c� � 7 V V m i x .4 J 7 O V f n (n �O n m O l Li d Li M � x l�^' b CD l 7 CD 0 Y l � N c� � l � l ( l l lm l O l -n li00 n l n O m l m5 �I b OD402N m l °c l N r < � m Iq PD I f n (n OTV Q G N {. O ;* I fA 1 V m A r. A? "o- 0 9 R W "-_ A �O n O c Li d Li M � x n b 0 rN 7 CD 0 Y � � N c� n O � OTV Q G N {. O ;* I fA 1 V m A r. A? "o- 0 9 R W "-_ A Li d Li M Y 0 f � m Cl. 3 N C 7 f�D CD Cl. P. U3 m I ., MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragew Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW030116 Legal DescriptionIT12151 R3W SEC 33 LT "24 Design Engineer: 0072 Theta Environmental Engineering Owner Name: Victor & Cristyna Knott Owner Address: 130 Joan Court Anchorage , AK 99515 - Date Issued: May 06, 2003 Expiration Date: May 05, 2004 Parcel ID: 018-191-12 Site Address: Lot Size: 108900 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: II`` 03 Date: 0 i Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 ( A - I9 I - 12 Permit Number SW Property owner(s) Vic46K Mailing E CQis_ry,,JA ,Luo -r! Day phone 5.29 Sri96 Mailing address (1) / 30 SCA.r [T AIA'd AK ic z^9 S/<- Mailing address Code Legal description (Lot, Block & Sub'd.) 'T 1QA1 E3 LJ cPlT nil 33 to -r o7 L/ Legal description (Section, Township & Range) SAE- Lot Size 0�' Acr /Sq.F Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dtyelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: 0 Waiver Fees: Date of Payment: 1— 3 i - O 2 Date of Payment: Receipt Number: 3 ss-ir Receipt Number: (Rev. 12/00) OE2 THETA ENVIRONMENTAL ENGINEERING 23254 Northwoods Drive Chugiak, Alaska 99567 (907)688-0755 May 5, 2003 On -Site Services Program Dept of Health & Human Services Municipality of Anchorage P.O. Box 196650 Anchorage, Alaska 99519-6650 Re: Lot 24, Carhart Subdivision, On -Site Wastewater Disposal System Permit Application, Modified. This is a re -design of an On -Site Wastewater Disposal System, which was submitted on or about July 29, 2002. The reason for the re -design was high ground water, as measured, 10/15/02. Additional test holes, TH # 8 and TH # 9 were installed, 11/09/02. The lot was extensively re -graded and formed in such a manner as to control surface water and run on and off on the property. The water monitors installed in the test holes were checked 4/22/03. Anchorage Municipal Code requires that the ground water be measured between April 15 and June 1 to determine the seasonal high ground water level. The code further requires that at least 2 feet of unsaturated soils be present in order for the soils to be used as part of an on-site soils absorption system. Since the ground water levels on the property had been questionable, due to poor surface drainage, a request was made for members of the On-site Water and Wastewater Department to visit the site. Mr. Dan Roth and Mr. Joe Goodall visited the site 04/25/03 and observed the measurements of the ground water in the test holes. The ground water in Test Hole # 8 measured 7.5 feet below grade. The ground water in Test Hole # 9 measured 7.1 feet below grade. The difference in elevation is due to the difference in surface elevation. It appears there is at least a 3 -foot layer of unsaturated soils above the seasonal high ground water level. The soils in the test holes are consistent. However, the soils surface appears to slope to the south. For this reason, a bed type absorption system with a sand filter appears necessary to maintain a 4 -foot separation from the bottom of the bed and the high seasonal ground water levels. Further, the sand filter will level the bed since there is a slope to the south. A lift station is necessary to move the wastewater from the septic tank to the bed for distribution. An Anchorage Tank 1,250 gallon Septic Tank with Orenco Lift station is specified. 9/26/01 KnottL2410unitr3 in accordance with AMC 15.65.030, the following information is provided in support of a modified On-site Wastewater Disposal System Permit Application for the subject property: 1. The subject property currently has not been developed. 'There are no buildings, wells, or wastewater disposal systems on the lot. This application is for a 3 bedroom single-family dwelling. 2. The property lies near Dearmoun Road, adjacent to an unplatted street, Rocky Road. The lot is in the shape of a square and is bounded by Lot 24 Carhart to the West and Lot 25 Carhart to the East. It is also bounded by Lot 9 B, Deitz to the North and Lot 41, Carhart to the South. 3. The property is generally flat with a 2 to 7% slope to the southwest. The lot has been cleared and most of the organic soil removed. 4. The area, where the soils absorption system will exist is located generally, in the Southeast corner of the lot. There appears to be sufficient area for a replacement system on the east side of Test Hole # 8 and both the east and west side of Test Hole # 9. 5. A new Anchorage Tank 1,250 gallon Septic Tank with an Orenco lift station will be installed. 6. The soils found during the soils test were sandy silt, silty sand and poorly graded sand and gravel. During soils testing, groundwater was observed in the test holes, in the silty sandy gravel. During subsequent monitoring, the groundwater was observed in the same general area of the silty sandy gravel. 7. Percolation tests were not performed due to the coarseness of the silty sandy gravel. It must be assumed that the material will percolate faster than 1 minute per inch. A two -foot thick sand filter will be required and is specified. 8. The system will be a bed design. The existing soil will be removed down to the gravel layer over the extent of excavation for the bed system. Filter sand, meeting the MOA specifications will be placed in the excavated area and be at least 3 feet thick. The gravel layer slopes slightly to the south, and the control point will be the area in the vicinity of Test Hole # 8. There will be a single bed, 15 feet wide and at least 45 feet long. This will provide for a total of at least 675 sq ft of absorption area. The bottom of the bed will be at least 6 feet above an impermeable layer or bedrock and at least 4 feet above seasonally high ground water. 9/26/01 KnottL24MuniLtr3 9. There are existing wells and on-site wastewater disposal systems on Lot 913 Deitz, and Lots 25 and 41, Carhart. Lot 23B, Carhart is an undeveloped lot. There are no wells, or surface waters within 100 feet of the proposed system. 10. Since all lots adjacent to this property, except one, are developed, it does not appear the system on this property will prevent development of the adjacent lots. Care will be needed, when Lot 23B, Carhart is developed to place the well in such a way that it does not prevent development of Lot 23A. However, it appears the system on Lot 24 will not prevent development of Lot 23B. Based upon the data and drawings attached, it appears a permit for this wastewater system may be granted. If there are any questions, please feel free to contact me at (907)242-0755. Note: The owner intends to install this system. The installation will be under the supervision of Theta Environmental Engineering. Sincerely VRonGod en, P.E. Enclosures: Soils Log, Test hole # 8 Soils Log, Test hole # 9 Sheet 1, Plan View Drawing Sheet 2, Typical Details Drawing 9r2srot KnottL24Mun1LV3 L I --------c Iiv� Ilk VAN Z��v ��..� c30 000 ca " ---------------------------------------------* -----------------------------------------AV Air TA ------------------4 -------- -L---------b----- b0 N %�a YOiSaV - C ' M 7 U •c_.: V/ V / ui L E3 EE rL M , I a L ' , `y I b C Q I a Ca iv y c �� c O �Wz X:LO omF-- z� H a m� 4 Lu O R Q LL G b a 0 O3 C N O > ow in Y ?r f0 C/) (DQ m M m V cc O �3 U� v C Q Z sN J Z m N U------- -------------- ------- 40 ~ *------------------------- ---- b sewn �YedOid Peo*dA)POM w mooli O v ---J------------------------------------------------------------------ ------- u, M o o i O I N r ' I � I I r-% I O O goo �c ul o 3 1016 _ C :S _O�� �y m'"m m OO Nw J £ CL e$g ai303 �' Iz ; �8i Yeo.. 0 I , coot c 1 wo c m c v FQ- LU ad cc tO ai=�'c W o E E I=- 18a�--m E e to y ca y juewese3a I C •- k!�!3f1 AL e 3 f W m _ I _____ L N C N tlw_ u.- 4jGdoi ,Z9'OOE 3.ZE-EO.00S a _________-- _--- ___________________ 3 3 0 3 n d --------------------- --- ` 0\\ wewese3 �7 im ml y y y N I I ' mt• 1 Z Z Z Z :: F'i O z i m N Z w° j A 0 Cl) n 0 n D W N N O. y CCD Q m 0— CD 0 " N T Cn a� �;�O N 0 0 I N � 4f - W O N A 8� o Zo CD I O = I W CD 0 I O 0 r a, I 3 E3 f0 X � I g n o I O� T Cn a� O y W APr O N A ■ten L E J n 0 O O W APr O 8� o Zo CD 0 W n O =ym ■ten L E J n 0 .E PERFORMED FOR: Vic Knott Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0850 SOILS LOG - PERCOLATION TEST DATE PE LEGAL DESCRIPTION Lot 24 — Carhart Subvision Township, Range, Section: T12N, RM, SEC 33 SLOPE SITE PLAN DEPTH (Feat) 1 2 3 4 5 11 12 13 14 15 18 17 18 19 20 Silty Sand (SM) Brown Sift with few cobbles (ML) Orange/Tan Sandy gravel with few cobbles (GP) Brown Water encountered at 10.0 R Silty sand with cobbles and Boulders (SM) dark Gray, wet ottom of hole LL WAS GROUNDWATER t ■■■■._■■■■■ PERCOLATION RATE > 1.0 (minuteelnch) PERC HOLE DIAMETER TEST RUN BETWEEN — FTAND — FT COMMENTS [Inghle to nemolate greater than 1 minute per --h Water monitornerformed 04/23/03 with Dan Roth and Joe Goodall Note epprox'mate(y 0 5 foot of original AJ�y, owner while clearing lot and attempling to improve drainage. - PERFORMED BY: R. Godden I Ronald E. Godden CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 05/05/03 72-000 (Rev. 4/05) PERFORMED FOR: Vic Knott LEGAL DEPTH (Feet) 1 2 4 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST TFI#9 DATE PERFORMED: Lot 24 — Carhart Subvision Township, Range, Section: T12N, R3W, SEC 33 SLOPE SITE PLAN Silty Sand (SM) Brown Sift with few cobbles (ML) Orange/Tan 5 ®® 6 40 o - ® 7 _ ®® Sandy gravel with few cobbles (GP) Brown 13 14 15 16 17 18 19 LL WAS GROUNDWATER 20 8 SOMME ® IB 9 ®® iytrlfii • a ---- 10 Water encountered at 10.0 ft. ® ® Silly sand with cobbles and 11 Boulders (SM) dark Gray, wet 12 1 1 1 1 1 Bottom of hole 13 14 15 16 17 18 19 LL WAS GROUNDWATER 20 SOMME iytrlfii • a ---- 20 -( I iL— JI PERCOLATION RATE >1.0 (minutes/Inch) PERC HOLE DIAMETER TEST RUN BETWEEN — FT AND - FT COMMENTS 1 nahip to te. areaterthan 1 minute per inch later monitor performed 04@4/03 Note approximately 0-5 foot of original surface removed by owner while clearing lot and afternotong to Improve draFn— PERFORMED BY: R. Godden I Ronald E. Godden CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 05/05/03. 72-005 (Rev. 4/95) i or4 -WEST WINO WARE CANGE DE ARMOUN RD 26 e2 64 2ZS71 2610 3100 3140 32]0 3310 µO20 VARO 1 r 19 µ04O !2 !1 /0r14045 Y U'4 N 14011 w1y CA 2701 m a34 f z Y Y N M143 1 7 E. NY / B 19 20 a 21 22 ]YW 24 u e 2941 3021 3141 3221 E. 142 ]241 1 142 A� _ Z .IT. 274 2640 290 294 3040 900 3230 WO 3 r: I— w 43M W 4/ 9B nIDICYyCIR 470 48 µT90 14 3 Z 14291 92 z Z ' 14260 0 4 4_ 4)!_ 414 _ JA YI m I]-0 aYy N C K305 >.gI I rzGE 14320 1 52 SJ 59 55 3241 m 36 J r ' � 1 2 14391 2621 2701 279 _ 3121 3431 O, P 2 E. 144 AVE. --' '----� Er AVE. 144 AVE 2610 >" N400 g0 ! 27]0 2140 f 114409 W 3110 3244 79 17 ,Lg 79 7B 77 75 I 74 C J�,4=6 i A B. L. M. LOT 1449 m I 1 260 - -.._. __ _.I - _. _ _ off N W G r 1 z BZ au av ' w w B5 ' KA 4s4 4m 310 II4 pV' 2701 2749 2601 2649 2901 2943 30U' y49 3311 NUGGET 2700 2746 2600 2640 2900 n4,3090 3132 111 "o 29 0 /OS 0 rp4 rm z 3 o r 2 107 06 6fi LAKE OTISL 4 _ z NOD _ 14711 «_..- 1191 LAKE OTIS- 117 //a !20 2641 `.. $9 1 2749 1269 11'4726 3021 7131 339 F PORCUPINE TflP1L RD. T SNOWSWOE GR. 3034 RW 114 SEC. 33, T12N R3W 3,611 SEE OVERVIEW MAP "0" 352+ 334 353 361 COI7N6 n 1697 .614 HEFTY DRILLING 3540 AKULA DRIVE ANCHORAGE, ALASKA 99516 (907) 345-0593 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES MINING, LAND, WATER HYDROLOGIC SURVEY WATER WELL LOG Drilling Started: �/��1 Completed: / 11 /Al City/Borough: Su 'vision/USS: Block Property Owner Name & Address: oY 1 ,S rt0tl 0 zea•. C-0%IA4 �J vmIZO~ n�• \Lot ani` �o b ] ,u Meridian_.._._.__._... Township \,LN. RangQ3 W.. Section X1-7 t�4of '/4 Of ..__......_t/4 Of ...__..........tI4 Lar. N - __-- Long: W NAD: L7 OR k3 Elevation: BOREHOLE DATA: (from zrmind %m l'are) Depth Drilling method: CKAir rotary, O Cable tool, Other Material: Type, Color & wetness I from I TQ Well use: O Public supplyA Domestic, D Other >_ Depth ofhole: 1a� ft, Casing stickup:_ ft Casing type . �\,,S jgaThickness . U inches Casing diameter: 16 inches Casing depth ft 0. �! Liner type: Diameter. inches Depth: ft Y 0, V4.. L I I U Static water i I1 o 181y p ft on o611! a Pumping level & yield: feet after hours at gpm Recovery rate: b gpm, Method of testing: Development Duration: �tq30 4 method: Well intake opening type: IZOpen end, 0 Open hole 1 ❑ Screened; Start: $ Stopped ft j 1 S Screen type: Slot/mesh size 0 Perfotated;Start: ft, Stopped ft Start: 4 Stopped �^ J p Note: ....... _.__.R... ' �j {-f° d 1� + q (] Grout type: a r-� a r• • a- Volume t_ Imo o Depth; from tt, to ft 1,a 0 S Pump intake depth: ft '8 Pump size hp, Brand name: Was well disinfected upon completion? -Yes, ONO k V f t u.' Method of disinfection: It, Driller comments/ disclaimers: Well Driller Name: Company Name: HEFTY DRILL Mailing Address: 3540 AKULA DRIVE City. ANCHORAGE State: ALASKA Zip: 99516 Phone Number: 1-907-345-0593 Drillers Signature: ff tate law requires that cop4%1 Pu, v -Ji 6.c I, - tit, &d dhm4n 4thin 45 ,lays. FF'a_x5'sAir acccriahlc.. (AK statutes 38.05.020, 38.05.035, 1.08.020, 46.15.020 and AK regulations i l AAC 93.140). DEPARTMENT OF NATURAL RESOURCES Mining, Land & Water Hydrologic Survey 550 W 7th Ave„ Suite 900A Anchoraee. AK 99501-3577 Within the City of Anchorage, it is required that a copy of the well log be sent to the appropriate city office within 60 days and that another copy of the well log be sent to the well/property owner within 30 days. Permit Number: ;I Q 03 0 116 Parrnl identifiratinn Nnmhnr•�i 1 fl—,. 14 1 - 1-1 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval / /,, Parcel 1. D. 018-191-12 Legal description T12N R3W SEC 33 LT 24 Site address 14114 ROCKY ROAD Expiration Date:_ 4�� Current property owner(s) KNOTT VICTOR A & SILAPAN X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: LnZ ,mow ),�Jh ginal Certificate Date: 1/5/23 �Z�►-�w��� I.3 12o z 3 This 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 X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory X Other COSA Approva"une 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 018 191 12 Complete legal description T1 2N R3W SEC 33 LT 24 Location (site address) 14114 ROCKY RD Current property owner(s) KNOTT 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑■ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 19 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: NONE 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 $ 5�5y Waiver Fee $ Date of Payment Date of Payment COSA # Det✓ a 2 ��3 Waiver # 067U 014D COSA Application—June 2022 1 Legal Description: TI 2N R3W SEC 33 LT 24 Parcel ID: 018 191 12 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 2004 Total depth 120 ft Cased to 120 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Well production at time of test $ �gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Casing height (above ground) +18 in. Arsenic 2.629 ug/L ❑ Arsenic less than MRL Date of flow test for COSA 11/9/22 (ND) Collected by C.BALZARINI Static water level at beginning of test 20 ft. Date 6/21/23 Comments WELL TEST PERFORMED BY HEFTY DRILLING ON -1 1/912T B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping 7/6/22 ❑ Required maintenance completed, if AWWTS Comments: Owner applied extra paint prior to install. D. ABSORPTION FIELD DATA Which system tested (date installed) 2003 ❑ ALL standpipes present per record drawing Total measured depth from grade 4.6 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons _ date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 C. LIFT STATION ❑ Required maintenance completed Age of lift station 19 years Lift station material STEEL Comments: control panel in crawl space Adequacy test date 11/29/22 Results o Pass Fluid depth prior to test 0 in Water added 600 gal New fluid depth 2 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 _ in Effective depth used 0 in Effective depth remaining 6 in 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' ❑ Yes if No Community Sewer Manhole/Cleanout > 100' Yes if No ft FC Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' Yes if No ft Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑ Yes if No ft 0 Yes if No ft ft If tank or field is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ©Yes if No ft FMI 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' ❑ Yes if No ft Surface Water >100' _ ❑Yes if No ft Tank to Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Q Yes if No ft Private Wells > 100' M Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' ❑ Yes if No ft Water Service Line > 10' Q Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS HOME HAS BEEN LIGHTLY OCCUPIED OR UNOCUPIED SINCE TANK WAS PUMPED. SLUDGE 6-8". RECOMMEND EXTENDING COSA APPLICATION THROUGH 911/23 WITH CURRENT PUMPING. 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 C&M ENGINEERING Phone 907-854-5558 Engineer's Printed Name COSA Checklist June 2022 CHARLES BALZARINI, PE Date 12/05/22 7/11/23 ';, COSA Checklist Legal Description: T12N R3W SEC 33 LT 24 Parcel ID: 018 191 12 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Well production at time of test 5 gpm Date drilled 2004 Total depth 120 ft Water storage tank volume NA gallons Cased to 120 ft Well disinfected for coliform test? ❑ Yes Nc ❑O Sanitary seal is functioning correctly ❑■ Coliform bacteria is Negative X Wires are properly protected Nitrate mg/L 0 Nitrate less than MRL (ND) Casing height (above ground) +18 in. Arsenic 9.72 ug/L ❑ Arsenic less than MRL (ND) Date of flow test for COSA 11/9/22 Collected by HEFTY DRILLING Static water level at beginning of test 20 ft. Date 11/09/22 Comments WELL TEST PERFORMED BY HEFTY DRILLING ON 11/9/22. B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping 7/6/22 ❑ Required maintenance completed, if AWWTS Comments: Owner applied extra paint prior to install D. ABSORPTION FIELD DATA Which system tested (date installed) 2003 FNI ALL standpipes present per record drawing Total measured depth from grade 4.6 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field. ❑■ Per record drawings, field is insulated. n Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: C. LIFT STATION ❑■ Required maintenance completed Age of lift station 19 years Lift station material STEEL Comments: control panel in crawl space Adequacy test date 11/29/22 Results A Pass Fluid depth prior to test 0 in Water added 600 gal New fluid depth 2 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 Effective depth used 0 in Effective depth remaining 6 in 1s If/ACC- COSA Checklist—June 2022 L O&D O c 1C DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section www.muni.org/onsite 5� Arsenic Advisory Certificate of On -Site Systems Approval # OSC221573 Subdivision: T12N R3W SEC 33, Block: , Lot: 24 907-343-7904 Fax: 343-7997 DA-r�- I> J '2. 22 A water sample revealed an arsenic concentration of 9.72 micrograms per liter (ug/Q. 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 a Municipality of Anchorage �/<• s • Development Services Department Building Safety Division On -Site Water and Wastewater Program :- n 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orgionsite (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ��yy�t2 Parcell.D. 018-191-12 HAA# IN �J33 Expiration Date: 1. GENERAL INFORMATION nq Complete legal description Lot 24, Sec 33, T12N, R3W (Carhart Subdivision �7 Location (site address or Dear mond Deawnd to Rocky Rd, second lot on right. 14111A KU -P,, Current Property owners) Victor Knott Day phone 349-7228 Mailing address , '130 Joan Ct Anchorage, AK 99515 Lending agency . Unknown Day phone Mailing address Real Estate Agent None Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual On-site ✓❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site', ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Theta Environmental & Engineering Phone 242-0755 Address 23254 Northwoods Dr, Chugiak, AK 99567 Engineer's Printed Name Ronald E. Godden Date 7 11 ;' 5. DSD SIGNATURE /I OODDEN, 40 j -, Approved for r3 bedrooms. 1589 •r 4 Disapproved. �R�o"pNl��= Conditional approval for bedrooms, with the following stipulations: WIRr- O' J ON • n: Additional Comments , WATER AN — ; _tn _ PROGRAM 9w NTS))`�00" Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report . Well Flow Advisory Other By: Original Certificate Date: o (Ray.01/02) Municipality of Anchorage r">; • Development Services Department b,•;� Building Safety Division ` Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 24 Sec 33 T12N, R3W (Cerhart Subdivision) Parcel ID: 016-191-12 A. WELL DATA Well type °tlT"B„B If A, B, or C provide PWSID # _ Well Log ('Y/N) Y Date completed°Y0"0� Sanitary seal (YN) Y Wires properly protected (Y/N) Y Total depth 120 ft. Cased to 120 ' A. Casing height (above ground) 30 in. FROM WELL LOG AT INSPECTION Date of test 03/06/04 N/A Static water level 30 ft. N1a ft• Well production 6g.p.m. 6.N/A g.p.m.' WATER SAMPLE RESULTS: 'Colifomi - colonies/100 ml. Nitrate o.to(ND) mg.A. Other bacteria ;U colonies/100 ml. Arsenic: o.00 ee mgA. Date of sample: m3l ' Collected by: R. Godden B. SEPTIC/HOLDIIgG TANK DATA >.41 Tank Ty r}al.•Ancrrage Tank, Steel Date installed 09/16/03 ' , 50 Numb of Compartments 2 Cleanouts /N Y Tank size Qr P (Y ) Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (Y/N) Y Date ofpmping MA +Pumper New System C. ABSORAiJPN FIELD DATA Date installerY_10/05/03 Soil rating (g.p.d./fe or fe/bdrm) 150 System type Bed Length 45 ft. .'t Width 15 ft. Gravel below pipe 0.5 ft, Total depth 15`` ft Eft. absorption area 675 ftp Monitoring tube YY Depression over field N Date of adequacy test NIA Results (Pass/Fail) NIA For 3_ bedrooms Fluid depth in absorption field before test wA in. Water added N/A gal. New depthN/AA in. Elapsed Time:NN/A min. Final fluid depth NIA in. Absorption rate >= N/a g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N if yes, give date Date installed 09/16/03 Size in gallons 250 Manhole/Access (Y/N) Y "Pump on" level at B7_31ft in. "Pump off level at 84.17ft in. High water alarm level at 87.7ft in. Datum 100 ft, TBM Cycles tested 1 Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot + 100.0 ft On adjacent lots + 100.0 ft Absorption field on lot +100 ft On adjacent lots + 100.0 Ft Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line + 25 ft Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation + 10 Ft Property line + 10 It Absorption field +10 ft Water main N/A Water service line + 25 ft Surface water + 100 It Wells on adjacent lots + 100 It SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line + 10 ft Buildingfoundation +10 Ft Water main NA Water Service line +25 Ft Surface water + 100 R Driveway, parking/vehicle storage + 10 ft Curtain drain N/A Wells on adjacent lots + 100 ft F. COMMENTS New Well and Wastewater Disposal System for new home G. ENGINEER'S CERTIFICATION t certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Ronald E. Godden foil Date 5 HAA Fee $ t {�JO . 0U Date of Payment _ 911 U I pq Receipt Number 5535,L It IPA (Rev. 12/01) Waiver Fee $ _ Date of Payment Receipt Number °I I 3 3.oc M n hl OI ai 3 3' BLM Ro^ b RE SER V,47-rOn/ ro m RN M Z99.8(0 E- i4 -Z nA ALIE L 30 40 _ N 89. 55'34"E 37,9,8 t OF Al. It i y r ••,t9 �l� .49 rM % k I' AS -BUILT NO CORNERS SET THIS DATE I���� �• • LS 7071�JQS' t 9fp ��� �i•• P6'�� 1 hereby certify that 1 have performed a Mortgagee's inspection of the following described property: BLtit [or Zqr SECT'10N 33 T/Z —�----r—.�-i2W�1t15,'4_i Ak .Anchorage Recording Precinct, Alaska, and that the Improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises In question and that there are no roadways, transmission lines or other visible easements on said Property except as Indicated hereon. Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN I this Z 5 tti day of Jun - Poo ¢ THOSE SHOWN ON THE RECORDED FL 04 _¢t FRED WALATKA & ASSOCIATES PLAT ARE NOT SHOWN HEREON. R9 , 3) (907) 248-7666 Engineers and Surveyors i 6z +/C _95 - Al B? 58'.4"E 3ZY,'o Z 9 9.70 y 1.4 i � y F A j3LM z4 \ �� Lor- � __.-'� M�( � i V xN LL pwe. I S • o H 22 Q N � • O N •G.. i b G. -.--..urs`' __-_- ---- ` I u %L n ,S_ P7-�G r • I N W % 1 o /ae m -------.._ 335 Tz//0� �• -- .9o,oc °I I 3 3.oc M n hl OI ai 3 3' BLM Ro^ b RE SER V,47-rOn/ ro m RN M Z99.8(0 E- i4 -Z nA ALIE L 30 40 _ N 89. 55'34"E 37,9,8 t OF Al. It i y r ••,t9 �l� .49 rM % k I' AS -BUILT NO CORNERS SET THIS DATE I���� �• • LS 7071�JQS' t 9fp ��� �i•• P6'�� 1 hereby certify that 1 have performed a Mortgagee's inspection of the following described property: BLtit [or Zqr SECT'10N 33 T/Z —�----r—.�-i2W�1t15,'4_i Ak .Anchorage Recording Precinct, Alaska, and that the Improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises In question and that there are no roadways, transmission lines or other visible easements on said Property except as Indicated hereon. Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN I this Z 5 tti day of Jun - Poo ¢ THOSE SHOWN ON THE RECORDED FL 04 _¢t FRED WALATKA & ASSOCIATES PLAT ARE NOT SHOWN HEREON. R9 , 3) (907) 248-7666 Engineers and Surveyors