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Home My WebLink AboutMEADOW RIDGE ESTATES NORTH ADD BLK 5 LT 2Meadow Ridge Estates North Add Block 5 Lot 2 #051-531-30 Municipality of Anchorage Community Development Department Page 1 of 3 OnSlte Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http.1ANww.muni.org/onsite • (907)343-7904 ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSP121411 PID Number: 051-531-10 ❑ New ®Upgrade Nome: COREY LUNDY ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 25135 MEADOW RIDGE COURT *CHUGIAK, AK 99567 ❑ Other Phone: No. of Bedrooms: Sell Rating: Total Depth from original grade: 763-614-9590 3 GPD/Sq. R. Ft LEGAL DESCRIPTION Depth to pipe invert from original grade: Gravel depth beneolh e: n. Subdivision: g C� - A U D Block: Lot: Fill added above original grade: am rigth: MEADOW EST NORTH 5 2 Ft. Owns Ip: —Range: — section: — Gravel width: G eds Number of lines Distance between linea: �r\S FL Ft SEPARATION DISTANCES Total shoo pti a ea: umber of trenches: Wet. between trenches: To Septic Absorption Lift Holding Public/Private From Tank Feld Station Tank Sewer Line SO. Ft. Ft. Well 200'+ EXISTING — — 25'+ TANK ® Septic ❑ S.T.E.P. DHolding ❑Other Manufacturer. Capacity: Surface water 100'+ EXISTING — — ANCHORAGE TANK 1000 Gal. Lot line 5'+ EXISTING — —Material: N/A Number of compartments: STEEL 2 Foundation 5'+ EXISTING - - LIFT STATION Manufacturer. Capacity: Curtain Drain NONE KNOWN Gal. Remarks: OLD TANK WAS DECOMMISSIONED PER UPC Pump on' level at: •Pump aH• level at: Hi er alar at: Pump Make d: Mode ctrical Inspections performed by: PIPE MATERIAL - -- House to tank D3034 Tank to D3034 Grainfield Installer NORTHERN EXCAVATION Drainfield EXISTING CO/MT EXISTING Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 Ft. Inspection Location and Description: Dates: 1 st 8/16/1 2nd — 3rd — 4th — BOTTOM OF SIDING ® FCO Community Development Department Approval ENSIMEEIYS SEAL 00000 _ Op Conditional approval._ Qoa `s��00 .i... ................*..0 Qp '•.J e A. Gar ss;' O CE— e O O ev. ` O�sr 4�4/'rafesslan°oma Approved: Dater �OO0000� i V PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: OSP 121411 051-531-10 MEADOW RIDGE ESTATES MEADOW RIDGE ESTATES NORTH; BLOCK 5, LOT 4 NORTH; BLOCK 5, LOT 5 -- --- — SERVFAB)�OIWNQX.WATER._.....,_ _ .^ SERVED BY COMMUNITY WATER MEADOW RIDGE ESTATES NORTH; BLOCK 5, LOT 3 SERVED BY COMMUNITY WATER NEW 1000 GALLON SEPTIC TANK. EXISTING GRAINFIELD DBL1&,5'i%EXISTING 3 BEDROOM / HOUSE A B 30.10 17.3526.09 i 22.4923.45 A 24.79 DBL1&,5'i%EXISTING 3 BEDROOM / HOUSE A B 30.10 17.3526.09 i 22.4923.45 24.79 22.54 25.05 MEADOW RIDGEESTATES NORTH; BLOCK 5, LOT 1 SERVED BY COMMUNITY WATER A MEADOW RIDGE CT ------------N SCALE: op6�0 _ 4 GARNESS ENGINEERING GRO P Ltd. T 0.. CONSULTANTS & GENERAL CONTRACTORS �....... ... .. ... .. ........ =1 E. TUDOR ROAD, SUNS 101 " MICNORM:E, AX 99501 • P NE (907)337-8179 • FAX (907)338-3249 " MEHSIIE: mn.gammw,pinwng. a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .. ... •..•••. COREY LUNDY 763-614-9590 2 OF 3 QO e f Garn S. LEGAL DESCRIPTION: DRAWN BY: Qo9 CE— adG MEADOW BROOK ESTATES NORTH; BLOCK 5, LOT 2 PNB �� e,@''•.g�t.9. 13 ��a�oG TYPE OF WORK: DATE: 4�Qa Plo fessionoo AS -BUILT DRAWING 99/13 44400��0 PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: — OSP121411 051-531-10 TOP OF TANK AT INLET = 95.50 INVERT OF BUNG AT INLET = 94.90 INSULATION FINAL GRADE = 99.05-99.09 ST1 ST2 /TOP OF TANK T OUTLET = 95.52 NEW 1000 GALLON SEPTIC TANK GARNESS ENGINEERING GROUP, Ltd, CONSULTANTS & GENERAL CONTRACTORS 3701 E. MU NMD, SlI9E 191 • PNN+DW£, M 99607 • PHONE (997)337-6179 - FM (907)336—M46 � WE9^a9E: NNN.gmnesae�iwenng.cnm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: COREY LUNDY 763-614-9590 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: MEADOW RIDGE EST. NORTH; BLOCK 5, LOT 2 PNB TYPE OF WORK: DATE: PROFILE AS—BUILT DRAWING 9/9/13 INVERT OF BUNG AT OUTLET = 94.77 f rfy Ga ess; �mo CEF eG B, r_ I[,- On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121411 Tax Code Number: 05153110000 Work Type: Septic Upgrade Permit Effective Dates: December 12, 2012 to December 12, 2013 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: MEADOW RIDGE ESTATES NORTH ADD Site Legal Address: MEADOW RIDGE ESTATES NORTH ADD BLK 5 LT 2 G:1462 Owner/Address: BITTNER JOAN WOODY PO BOX 671227 CHUGIAK AK 995671227 Site Mailing Address: 25135 MEADOW RIDGE CT, Chugiak Lot Size in Sq Ft: 24389 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: ALL MUNICIPALITY OF ANCHO Community Development Department Development Services On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel 1. D. 051-531— IO Fax: EpusHs DEC i i 2012 Property owner(s) JOAN BITTNER Day phone C/O AGENT Mailing address 25135 MEADOW RIDGE COURT *CHUGIAK, AK 99567 Site address 25135 MEADOW RIDGE COURT *CHUGIAK, AK 99567 Legal description (Sub'd, Block & Lot ) MEADOW RIDGE ESTATES NORTH; BLOCK 5, LOT2 Legal description (Township, Section & Range) Lot Size Sq. Ft. THIS APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 THIS APPLICATION IS AN: Initial ❑ Upgrade IK Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: aoe � � �SI) Waiver Fees: _ Date of Payment: 17-1 la -11 a, fjyc�_ Date of Payment: Receipt Number: 04044 Receipt Number: Permit No. as? 161 Ll k 1 Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Lid. CONSULTANTS & GENERAL CONTRACTORS December 11, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Tank Upgrade for Meadow Ridge Estates North; Block 5, Lot 2; To whom it may concern: The existing 3 bedroom house is served by a community water system (Class "A") and a private septic system. The existing septic tank is within 5 feet of the homes foundation; a waiver was informally requested and then denied by your department. In response we are proposing to remove the existing tank and replace it with a new 1000 gallon septic tank in a location which meets all separation distance requirements. 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. M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com TANK DESIGN MEADOW RIDGE ESTATES NORTH; BLOCK 5, LOT 4 SERVED BY COMMUNITY WATER TO OBTAIN A COPY OF THE LETTER - CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY _ HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND COMMUNITY WELL IS LOCATED MORE THAN 200' FROM EXISTING PROPOSED SEPTIC TANK TANK TO BE PUMPED AND FILLED WITH DRAINROCK MEADOW RIDGE ESTATES SO NOT TO UNDERMINE NORTH; BLOCK 5, LOT 3 FOUNDATION: SERVED BY COMMUNITY WATER PROPOSED - 1000 GALLON SEPTIC TANK. DOUBLE CLEANOUT'S \ WATERLINE LOCATED BY NORTHERN UTILITIES AND 1 INSPECTED BY ROB CAMPBELL. EXISTING 3 BEDROOM HOUSE 'P MEADOW RIDGE CT GARNESS ENGINEERING GROUP, Ltd_ CONSULTANTS & f3EN.ERAL CONTRACTORS 3701 E. W" RO S191E 101 • NiGi WF4 " 99507 • PHONE (907)337-8179 • FM (907)339-3218 • WE9511E: w .g m neVnme g.� PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JOAN BITTNER N/A 1 OF 7 LEGAL DESCRIPTION: DRAWN BY: MEADOW RIDGE ESTATES NORTH; BLOCK 5, LOT 2 PNB TYPE OF WORK: DATE: SEPTIC TANK UPGRADE DESIGN 12/11/12 MEADOW RIDGE ESTATES NORTH; BLOCK 5, LOT 5 SERVED BY COMMUNITY WATER MEADOW RIDGE ESTATES NORTH; BLOCK 5, LOT 1 SERVED BY COMMUNITY WATER laylo-111A 16, "IM �, V '•.J ffrey ess;' CE -79 3 o4�n"_^w_.Y �.�t2..l•� F�od�� j— MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 \ ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME Geo CONslraetf QG ZEm PHONE'I 6919-3437 CC NEW ❑UPGRADE MAILINGADDR Q Box 13ozEaaL IUP r J LEGAL DESCRIPTION LoT 2 614 5 Mein Qtate.5 owr4e. LOCATION (� Go D, PeTevs C NO. OF BEDROOMS 3 7 P Well WR DISTANCE T0: Absorption are Dwelling Ft PEHMITNO.,6 sD?EO D Y Mu r V D E Q Manufacturer Material S� l=e No. of compartments W1r-e w Liqj capacity in gallons IF HOMEMADE: I Inside length Width Liquid depth tj Y DISTANCE TO: Well Dwelling PERMIT NO. JZ2 _ _ f Manufacturer Material Liquid capacity in gallons D DISTANCE TO: Well A' Foundation O Nearest lot line PERMIT NO. -3 R, m= 't' J O -i LL Z No. of lines Length of eac line Total length of lines Trench width Distance between lines FZW fr IOChas OH Top of the to finish grade Material beneath tile-7�/z T Total effect ive abso�ion areg � l Length _ Width Depth PERMIT NO. W t7 4 F W d Type of Crib Crib diameter Crib depth Total effective absorption area w DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lo[ fine PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS Pvc AS SOIL TEST RATING /s 4 T Se N cp INSTALLER Cr n 4s REMARKS a h — , %it e0 %. cE 5035 r' 1 71 �lj7jN72 +S V APPROVED DATE LEGAL 9-21-$3 Loi 2 Blk S Meadowridge EF: tes 72-013 1Rev. 3/78) \ _DEPARTMENT OF HEALTH AND ENVIRONMENTAL -PROTECTION 825 'L' STP.EET, ANCHOP.AGE, Af;. 995+1 .T 1 1 264-4720 e�? C t4 I TE EEFJEFR F EF<I i I T PEF PJ'�"TJO. ^C, 830928 ) APPLICANT• ROBEPT ZEHM PO BOX 104200 99510 553-6163 LOCATION T15N RIM SEC. 2 LEGAL L2 B5 MEADOWP.IDGE EST. LOT SIZE 22000 SQUARE FEET TYPE OF SOIL ABSOP,PTION•SYSTEM IS: DRAINFIELD MA;IMUM NUMBER OF BEDROOMS = 3 SOIL RATING (50 FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: �I /I( -3s- q �o�s GEF TH= tYs LE"13—rH= 7!_29 CiF�F14�EL_ DEPTH= THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DP,AINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THE TFS Er-JCH L_J I C?TH I'S w—=;. 104-» FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). F zaL,lU I FREEY 'SEPTIC TFI"K 1C-+9 O 1:3RLL_(3":S PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY I -JELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL I -JILL SERVE. --- TWCI C �;a 7 I F-a�F ECT 101 t -a'- F=1FiE FREE GU I F� Ea --- SACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUH DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL., MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER, LINE IS 25 FEET AND TO A COMMUNITY SEWER, LINE IS 75 FEET. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS.AND r'ONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER.' INSTALLATION. F=•EF<1.1 I T EXP I FSE=• OECEFIEEF-: = 1s :IL S;lLo I CERTIFY THAT 1: 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. -s: I UNDERSTAND THAT THE ON-SITE SEWER, SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. I!�%V� + SIGNED : --- �1_ -------- ��--------- APPLICANT R:OB ZEHM hEL = 3�, ISSUEC> BY_e��1CL_l_1lL'L� �TH,7(Sr�f'O ` S�' i lac ' 1/ � 9�l q/& 3 ----- G'e'�v` t Pte` V4. 0 CIE�.s..�.�[:..- G24JE�C{E��=g Loz SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 625 L. Street. Anchorage, Alaska 99501 264J720 TEST ? SOILS LOG - PERCOLATION TEST ,S/C /J p y I PERFORMED FOR: /VGG.CC,tt//ei0U/GCE P.S DATE PERFORMED: / - � / - g3 ! LEGAL DESCRIPTION: Z"-' 'gee 1 -7 -FP -171 s /yfa'GOoJ,E?iQl�F �sT:�'rc5 r SLOPE SITE PLAN 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 '5"" .0TTAC#d-4 601c5 <0� Bi/ SS`S CW/rltlneeilvj eATE4 Y -/'/-S^, wH/cN ales ARwy FOP, S+t/3PY/ n2K &A115rQc--T/1VJ. To ;.At F,o'e0e417W. q /S�rrT s Fedr(!1] ,c/rt/c Q To -6r Ho GE- l✓xe ieEOUS GoCrE ,Bo dcOe'.PS n/E.ef /:/C, t es4ol aas ro .oda r'a 'Ce -z jCoe,k Lv�e 'o7G tbeI4,e wf CEN Tivc J dF/F Tb T//E &o7TDy Ya<t Ij�O JQ FE/QeO ptya� WAS GROUND WATER —f S ENCOUNTERED? /V L 0 P IF YES, AT WHAT E DEPTH? Y Somm oFNc' Reading Date Gross %%% Depth to Net Time i Water Drop r • � re".' �-T L wnnn C. I �d F9 '••.. .• F S Is PERCOLATION RATE �/� (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS Aneloi/aKl .C',A,r..tr dN,o<L e.,- zl`65V1;Ed / {'e .4612) /f fe e Ce11 S['rF,/'Cc' .CT /�S'A fy,1�Z4Ef,�FiJ.P,nr>N PERFORMEDBY: �ftX.t'/_ C.A/,CST.!_'t/cr7/tt/f Z�/_�" _ CERTIFIEDBY: L.Er DATE: ex R3-raf 5r SS -r02, 72.008 (6/79) _ ........... g�tl i�r�t.rrla/ tt m /v 1 ; t.EGu DEE'4: MTtON- Zn ?_ 6L S_.1'Ze, 11 15 16 17 18 19 9-17-F3 o�fef:fDf:.tto., _ INN Re"ev Date arms 11� .6eptn to TimeJ�Watn j 1 .StE .cTTicYXa'L ,j:-n/E 6 <� j � Lj'Ss5 Cy'-ptti'Tii�s LirC'tEb i i FN.' �ti� K:•.CGTltfaA'�t.�. t iaT A'j,: To s 6 Lt'eyF(.'nc�cdli;i'+�</.'!le:aaNlFl;C1 i 7 /.«,j�ccti !,'{G ,try rO Ie fill" �' �C.t'4 r.'e �i d ,E�or:t 1✓/c fti'��d 8 9 TXc s•t.lf m TE�vr" ck.rtt++! t\- 10 kGCi _71 foo ec s<lt<�/.may, WASCRWNDWAM, . ENC�DIFMERE D? li r IF YES, Al W..AI 13 wp7N.> 11 15 16 17 18 19 9-17-F3 o�fef:fDf:.tto., _ INN Re"ev Date arms 11� .6eptn to TimeJ�Watn Net~y Ehoi. i dad s �t�,��DP•:-E� 6 0 �� MOOCATtON RALE TEST FVN MWEEN fl LND fl COMMEN79 iLfP.1/n .1/'i+t �trr�+'� r;•,`r ,b'e7it:�L� / fe .eArD 1/Se. �'ier..f _._ Stets SCJ At'n rr\ 3c /.f')rut / r lERf of•.uED6Y:�f'%Y �'/ C�l%S7/_'t>•a1/r�tr .�/.�' CE RIIf if Ct6Y: Ir' .�_[`f,�/" DATE: ».oa tans[ SOILS LOG MUNICIPALITY OF ANCHORAGE �J\ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L Street, Anchorage, Alaska 99501 2643720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: f", DATE P7ERF Net / LEGAL DESCRIPTION Net -74Z-1y-t-5 C/Si� �^J / DEPTH / T 1 E •/JUC L) it 2 3- X 4 r 77, CJ s . nip! �I'Gcc fGl/c��/Uc C! / /S 81- 9 10 Y/ SLOPE 11 1 / / WASGROUNOWATER ENCOUNTERED? l! 12 o��/ ( IF YES, AT WHAT 13 �tef_% DEPTH? 14 Date Gross Net Depth to Net Time Time Water Drop 16 I NCS 17 �• r •• r 18 19 9F C �'DNOFE�S(��...'." SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop I s 20 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT n P' PERFORMED BY: 1''" 72-008 (6/79) CERTIFIED Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPRM u Parcel I. D. 051-531 _V Expiration Date: 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent MEADOW RIDGE ESTATES NORTH ADDITION; BLOCK 5, LOT 2 " 25135 MEADOW RIDGE COURT *CH COREY LUNDY AK 99567 Day phone 763-614-9590 25135 MEADOW RIDGE COURT *CHUGIAK, AK 99567 Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A Well Public Water System WaiverNariance request for: 3 Received by: T� Date: S /s COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5240 Date of Payment��j �5 Receipt Number COSA# Waiver Fee $ Date of Payment Receipt Number Waiver # Distance:. — TYPE OF WASTEWATER DISPOSAL: ❑ Individual On-site E ❑ Individual Holding tank ❑ Community On-site ❑ ❑ Public Sewer ❑ Received by: T� Date: S /s COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5240 Date of Payment��j �5 Receipt Number COSA# Waiver Fee $ Date of Payment Receipt Number Waiver # Distance:. — 5. S 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG provided an engineering evaluation of the well and/orseptic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the dates of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty(express orimplied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event eitherof the current systems fail. The content of this report is for the sole benefit of the persor✓party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but riot limited to subsequent property purchasers, is not authorized. In short GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6. DSD SIGNATURE �L System #1 Approved for bedrooms. 0 System #2 Approved for Disapproved. Conditional approval for bedrooms. Phone 337-6179 Date/r£/,, bedrooms, with the following stipulations: ON-SITE WATER AND WASTEWATER PROGRAM Original Certificate Date: .6-- / "T – /.57— The bl'unicip9lity�rA rage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represen ations given in paragraph 5 by an independent professional civil a ngmeer regis tere d in the Stafe ofAlaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory ra— naris Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: MEADOW RIDGE ESTAES NORTH ADDITION; BLOCK 5, LOT 2 ! e7 ParoeIID:051-531 D[l A. WELL DATA Well type A COMMUNITY WATER If A, B, or provide PWSID# 211431 Date completed Sanitary seal (Y/N)_ Total depth ft. Date of test Static water level Well production WATER SAMPLE Cased to ft. FROM WELL LOG Coliform colonies/100 ml. Nitrate mg./L, A�5 e 1c: —ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1000 gal, Number of Compartments 2 Foundation cleanout (Y/,I NN) YES � Depression over tank (Y/N) NO ut/ Date of pumping :! l A ) � C. ABSORPTION FIELD DATA Well Log (YIN)_ Wires properly protected Casing height (ab( AT ft. 9— p.m- Collected by: Date installed 8/16/13 CleanoutS(Y(N� , YES High water alarm (YIN) N/A in. Date installed 9/21/83 Soil rating (g.p.d./ftlor lbdrm 150 System type TRENCH Length 30 ft. Width 3 ft. Gravel below pipe 7.50 ft. Total depth X2.5 ft. Eff. absorption area 450 ft' Monitoringtube **YES Depression over field NO Date of adequacy test 5/4/15 Results (Pass/Fail) PASS Forbedrooms Fluid depth in.aksorption field before test 14 in. Water added 780 gal. New depth ***12in, Elapsed Time: 15 min. Final fluid depth ***58 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — **MONITORING TUBE ONLY EXTENDS 5.83 FEET INTO THE EFFECTIVE. ***WATER LEVEL WAS LOWER THAN THE INITIAL READING. D. LIFT STATION Date installed Size in gallons Manhole/Acosss (YM "Pump on" level at in. "Pump oft" level High water alarm level at in. Cycles tested Meets alar $ circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line areas On adjacent On adjacent lots manhole/cleanout Holding tank Manurelanimal excrete storage areas SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ Absorption field 5'+ Water main 10'+ Water service line *10'+ Surface water. 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 5'+ Water main 10'+ Water service line *10,+ Surface water 100'+ Driveway, parking/vehide storage 1 '+ — Curtain drain NONE KNOWN Wells on adjacentlots 200'+ F. COMMENTS SHOWING WATER SERVICE LINE LOCATE. G. ENGINEER'S CERTIFICATION I ovdify that / have detannined through Heid inspections and review of Municipal records that the above systems 66 in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date SI it kr (Rev. 11/05) Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 051-531—+0 Expiration Date: 1 1— ly 1. GENERAL INFORMATION Complete legal description MEADOW RIDGE ESTATES NORTH ADDITION; BLOCK 5, LOT 2 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 25135 MEADOW RIDGE COURT *CHUGIAK , AK 99567 COREY LUNDY Day phone 763-614-9590 25135 MEADOW RIDGE COURT *CHUGIAK , AK 99567 RANNA FEKART W/ KELLER WILLIAMS Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: 441-5815 TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class A 'Nell N Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Receipt Number /� COSA # I/ Z I J`r "/ 3 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. t 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. in conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of alt wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE V System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. Phone 337-6179 Date lu'3 _oo600pp04 QooP�. off... ,C,gS�OpO 4 T v* G QOP^ fA. Goness:'i QO9' E— ro fes sl0000 Conditional approval for bedrooms, with the following stipulations: OF (CyO ON-g1TE �� WATER AND �a WASiEWA�ER The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other By: Original Certificate Date: 1Rov 11M If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist ADO Legal Description: MEADOW RIDGE NORTH: BLOCK 5, LOT 2 Parcel ID: 051-531-00 A. WELL DATA Well type A If A, B, or C provide PWSID# 211431 Well Log (YIN) Date completed Sanitary seal (YIN)_ Wires properly protected (YIN) Total depth ft. Cased to ft. Casing height (abo round) in. FROM WELL LOG AT I CTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RES Coliform colonies/100 ml. Nitrate mg./L. Collected by: enic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/16/13 Tank size 1000 gal. Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA BELOW EXISTING GRADE Date installed 9/21/83 Soil rating (g.p.ddft'or lbdrm 150 System type TRENCH Length 30 ft. Width 3 ft. Gravel below pipe 7.50 ft. Total depth *12.58 ft. Eff. absorption area 450 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **11/10/12 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 2 in. Water added 450 gal. New depth E in. Elapsed Time: 110 min. Final fluid depth E in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date **TRENCH WAS PRE—SOAKED WITH 2000 GALLONS OF WATER ON 11/10/12. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump ofr level at_ ' . High water alarm level Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflift station on lot Absorption field on Public sewer main Sewer /septic service line On adjacent On adjacent lots manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ Absorption field 5'+ Water main 10'+ Water service line **10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 5 �+' Water main 10'+ Water service line ** 10'+ Surface water 100'+ Driveway, parking/vehide storage 1' + — Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS **SEE ATTACHED SKETCH SHOWING WATER SERVICE LINE LOCATE. G. ENGINEER'S CERTIFICATION Ov \� o I certify that I have determined through field inspections and 9 review of Municipal records that the above systems are in ....• . "' •' conformance with MOA COSH guidelines in effect on this date. Q J f Engineers Printed Name JEFFREY A. GARNESS 44e@ Dae (Rev. 11/05) ff793� l/!.`(�.t3•• coo Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL 051-531- 10 Parcel I. D. 054-4&;-2.3- 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: Expiration Date: 27 25135 MEADOW RIDGE COURT *CHUGIAK , AK 99567 JOAN BITTNER Day phone C/O AGENT 25135 MEADOW RIDGE COURT *CHUGIAK , AK 99567 RANNA FEKART W/ KELLER WILLIAMS Day phone Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 441-5815 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class A Well 0 Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: �:L -��7 C Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 44011) --Gin Waiver Fee $ Date of Payment 0lip (I a. Date of Payment Receipt Number 6-11 q 6 i 0 401 96- Receipt Number COSA# DS9�9'154b Waiver# S. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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. /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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.F. Date U rS 1 i— Engineer's Comments: in conducting this evaluation, GEG, LtD, attempted to provide a thorough, 0060 0 conscientious engineering analysis of the system in accordance with ADEC and MOA o F OpQ4 DSD Guidelines & Regulations. The reported results described the performance of the p s�4 system under the conditions encountered at the time of the test, and separation Q distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels That may.:... ... .......... *3 fluctuate during the year, and the water usage of the family being served by the system. Q These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that J f Garn e s.: � there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any 44pre fesst000� 0 other person or party isnot authorized, nor will it confer any legal right whatsoever.k,`i (V, O ik ,(/ 6. DSD SIGNATURE ��q� �(FA�CS�'� System #1 Approved for bedrooms.Y\NATER ON-SITE AND System #2 Approved for bedrooms.y o WASTEWATER O Disapproved. ±'2 PROGRAM ,o Conditional approval for °��*, t pp _ bedrooms, with the following stip*&% ?)a; . SER The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Nitrate Advisory Arsenic Advisory ll Flow Advisory Me Other By: (N (Rev. 11/05) Original Certificate Date: Z-17 If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of -On -Site Systems Approval Checklist Legal Description: MEADOW RIDGE NORTH; BLOCK 5, LOT 2 Parcel ID: 051-531-10 A. WELL DATA Well type A Date completed Total depth ft. Date of test Static water level Well production WATER SAMPLE If A, B, or C provide PWSID# 2114,31 Sanitary seal (Y/N) Cased to ft. FROM WELL LOG Coliform ._,-� colonies/100 ml. Nitrate mg./L. Vinic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1000 gal. Number of Compartments ? Well Log (Y/N)- Wires properly protected Casing height (abo n AT Collected by: M. Date installed 9/21/83 Cleanouts(Y/N) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping 11/20/12 Pumper JR'S SEPTIC PUMPING in. C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 9/21/83 Soil rating (g.p.d./ft`or /bdrm 150 System type TRENCH Length 30 ft. Width 3 A. Gravel below pipe 7.50 ft. Total depth *12.58 ft. Eff. absorption area 450 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **11/10/12 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 2 in. Water added 450 gal. New depth 2 in. Elapsed Time:11 o min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date **TRENCH WAS PRE—SOAKED WITH 2000 GALLONS OF WATER ON 11/10/12 D. LIFT STATION Date installed "Pump on" level at in. Size in gallons Manhole/Access (YIN "Pump off" level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main — On adjacent lot: On adjacent lots manhole/cleanout Sewer /septic service line Holding tank Anim fent areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation *2.5' Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line ** 10'+ Surface water Do'+ Wells on adjacent tots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10,+ Building foundation �J , Water n Sin 10'4- Water 0'+Water service line **10'+ Surface water 100'+ Driveway, parking/vehicle storage 1' +/– Curtain – Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS *NEW SEPTIC TANK WILL BE INSTALLED IN THE SPRING OF 2013. **SEE ATTACHED SKETCH SHOWING WATER SERVICE LINE LOCATE. G. ENGINEER'S I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 12 11-1 /t Z (Rev. 11/05) Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program t N DeparStznent **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP121412 COSAM OSC121543 Permit#: PID#: 051-081-23 Legal Description: Meadow Ridge Estates North Block 5 Lot 2 Engineer: Garness Engineering Group Applicant: Joan Bittner Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the foundation has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ...................................................................... a . . . . . . . . Waiver is Granted: X Waiver is not Granted: Date: Z ZZ, Z Approved by: I/ Name of Rei wer ........................................................ ..................... Rec#: 01129G Amount: $200.00 Date Paid: 12/12112 **** VARIANCEIWAIVER REVIEW **** December 11. 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 tal�al�a e_* 611 a0-1 G Ref: Waiver Request for Meadow Ridge Estates North; Block 5, Lot 2; To whom it may concern: The existing drainfield currently serves the existing 3 bedroom house. The separation distance between the drainfield and the building foundation is 5 feet which does not meet MOA requirements. The effective depth of the drainfield is positioned lower than the elevation of the foundation so there is no potential for effluent to adversely impact the structure. In short there is minimal risk associated with the grating of this waiver. If you have anyq*stions, please contact us at 337-6179. Thank you for your assistance. Sincerely 1 P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Lot- 4 Lot 5 S89'29'48"E 130.00' _ 10' Utility Easement Lot 2 W b M N � x62 N •S Existing 42.4' IN House d N Lot 3 a Lot 1 40.15' x6.z O U^ryayel Orlue -. 00 `v M O N O m rn 311M Section Llne Eosern ant _ N90'00'00"W 105.00' T Nr9 o 6 "� N '0� Meadow Ridge Court ��y�P• 49TH >0 0... 0 �^q Janice M. Zilka 0 VV ° � LS-8629 �aboop �,t .i.a<�.r?�xoo NOTES: 0 °fesalono\ L°o 1) THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT ppppp�o� PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. 2) SNOW AND ICE MAY CONCEAL MINOR SURFACE FEATURES. L°Ahl oee."PUon: AS-BUILT ordered ss Alita/Ronna & Associates Fend: Septic etcnaplP ® u-`=.F�helt tti;'a Lot 2, Block, 5, Meadow Ridge Estates Subdtvision water Well ® I` North Addition SURVEY RCAnaN: LINRCN M1ae eondmtetl o ph Ical aurwy o1 IDA property ae he. as Able drawing and eerUBu that the Improwmenta 9 tWtad trhf °re wlthrn the ppperty In. and no .Cr o°cteraras ..bA Iowaother rnG of then noted. — E%CLUBIDNgRT NOR: it is the maeW reaponelhiBty to determine the LAND & CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERSxW.h.e of any aeeemenb, ..v.nante, restticaone or rlgM—cf—way townwM1leh de rrot appear an the re<ordetl eubdlNeien plot Under 440 West Benson Boulevard, Suite 200 Phone: 562-5291 b fo operty 11 any rota hereon be ueed for =anatmouon. Anchorage, Alaska 99503 Fax: 561-6626 ror eetablifRofilnnce A property ranee, or for ploi-plhereon Punred s. Pmt: 74-133 Grid: NW1462 Date: Novembo 14, 2012 Drown 6x PL Worn Arden 2012^L-220 R/PA: 786/45-46 $pom: 1"=30• Choked By. JMZ I (i..tj �� r 1 i i•i 1� l.� j ts��2cmer�-c'Yv J�I/ THE BEST PEOPLE MAKE THE BEST COMPANY 100 Calais Drive, Suite 100 Anchorage, Alaska 99503-4049 (907) 222-8800 phone (907) 222-8801 fax 1-888-357-2707 toll free ww w.res identi a hnt,. com December 18, 2012 RE: Escrow for SepticTank Installation, 25135 INIcadow Ridge Court, Chugiak, Alaska To whom it may concern: 'We received bid from Northern Excavation and Construction, LLC for $6,200 and another from .1R's Septic Pumping for $6,250, Our company will escrow at Ioan closing Sl 2,500, which is two (2) times the funds of the highest bid to perform the scope of the work agreed to by the owner and contractor. The source of the escrowed fiords will be the seller's proceeds from the house sale and/or cash the seller provides for the escrow at time of closing. We will not release the funds in the escrow wail we get municipal approval in the forn of full (unconditional) C:OSA. Sincerely, �.Iim McCormack Loan Originator License ,tI_ AK 198606 y�� •• MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIROMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIROM ENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information (a) Legal Description (include lot block,/10 Location (address or directions) OtiJ (b) Applicants Applicants. Application Date section, township, range) (c) Applicant is (check one) Lending Institution Owner/builder ; Buyer E:j ; Other M (explain); (d) Lending Institution Address (e) Real Estate Co. S Agent Address Telephone t J 7— (f) &I the HAA to the following address: 2. Type of Residence Single—Family ZI Multi—Family Other (describe) Number of Bedrooms 3. Water Supply ,� Individual Well �� Community PUer Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage �D,isspposal Onsiteln I Public Community Q Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 4 . 5. Engineering Firm Providing Inspections, Tests, File Search Data and Information 'As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm 8 A. Address . lc � E 1 -i i &*b.n A. Shekr No. 14571 I. 6. DHEP Approval Approved for bedrooms t"L Approved -A-r— Disapproved Conditional Terms of Conditional Approval CAUTION Telephone THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSION.IL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO.: NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 A. WELL DATA Well Clas: Well Log) Total DaD1 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HIAA) CHDCRLISr - FEBRUARY 1984 nwNiaPnury CF u:a cvc_ oirr. C; rc,: 1..[ r, JAN 2 2 1-995 .On If A, B. or C, (Y ) Date Completed ._ Cased to Static Water Leval Casing Height Above Electrical Wiring in Conduit (Y Separation Distances from Walla Punp set To Septic/HeWd Tank on Lo L CQ7 To Nearest Edge of Abs9ro ion Field on To Nearest Line D.E.C. Approved(Y/N1 Depth of _ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) On Adjoining Lots �I�On Adjoining Lots To Sewer To Nearest Sewer Service Lire -on Lot WateL�ie Collected By Date � iter Sample 'Fest Results Comments l✓E' a Nn T O tj Lo -7 B. SEPlIC/AOCC:= TANK DATA Date Instal? Z B.? Size /000 No. of Compartments 2 Standpipes Air -tight Caps dyin Foundation Cleanou (Y Depression over Tank A Date Last d Pumping/Maintenanxe Contract on File Y xi ; for Holding Tank High -Water Alarm Y Tlemporary Holding Tank Permit Separation Instances from Septic/`He Tanks To Water -Supply Well Z co 4- To Building Foundation To Property Line To Disposal Field To Water Main/Ce=d=* Line% � f To Stream, Pond, Lake, or Major Drainage Course A-� o 7.J.2F Ccmaents N N E Receipt # (- I / Date Paid: Amount: H: «� (Page 1 of 21 2-15-84 c. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design• 4riie k Date Installed Z 4 3 Length of Field 30 Width of Field 36 Depth of Field %/ 1 -2 - Gravel Gravel Bed Thickness ;. Square Feet ofAbsrrption •ea 4-37L Standpipes Present Y Depression over Field (Y) Date of Last Adequacy Tbst /V EG✓ Results of Last Adequacy Mast Z/1 Separation Distance from Abscrpticn Field: To Water -Supply Wall ZOO f To Property Line To Building Foundation /0 To Existing cr Abandoned System cn Lot /U d !JE T On Adjoining Lots To WaterService Line /0 To Cutbah*(if cresent) Ne uE To Stremm/Pond/Lake% Major Drainage Carse N uO N E To Driveway, Parking Area, cr Vehicle Storage Area /D Ca=nts N t^ N E D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) wPump On* Level at f" Level at High Water Alarm Level at nt (Y/N) Tested for Pumping CycI4 Aging Adequacy Test. Meets MDA Electrical Codes(Y/N) Ccmmants " Check Permitted Bedrom Rating Against HAA Request #* I certify that I have checked, verified, cr mnfcrwed to all MOA HAA Guidelines in effect on the date of this inspection. 8 & P EJOINEEMNG Signedr SROINX Date /^Z/-8.- Ccpany PH• MOA No. KB1/d5/s [Page 2 of 21 Ar • A. SAwM `� .` �. 1 7i ,� e �'Fp "'S�Q11Pyi pRp " 2-15-84 ` • ��I(]� U I� `U � I(1� �'(,1 S BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION / Telephone: (9071 Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 49501 OATE:J"/A.tLA- -2 PWS I.0.0 1'.� I To Whom it May Concern: According to records on file in this office the l:iPLlc•�CLI}ill(� Y1�/rX, i.i.l�t�- 01.711 -.Water System is in compliance with the State Drinking Water Regulations 0 Sincerely, i