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Home My WebLink AboutRABBIT CREEK VIEW & HEIGHTS BLK 2H LT 3ARabbit Creek View Heights Block 2H Lot 3A #020-531-15 Municipality of Anchorage • `J• Development Services Department /' Building Safety Division • " - — On-Sfte Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 9951M650 Page I of 3 www.d.anchorage.ek.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO50051 PID Number. 020-531-15 Na" Owen & Merle Farrar Wastewater System: ❑ New 0 Upgrade AEdnw 16200 Diane Dr., Anchorage ABSORPTION FIELD phone N~dBednunr 4 0 DeepTtanch l] Shaticnv Tn9 ea❑Bed ❑Mound ❑oI am Rateg Trial DepthNan a9na1 gr We. LEGAL DESCRIPTION NA GPNFe Ft. Bbch la[ Suednecn. 3A Rabbit Creek Heights Depth to p" enxtan ham CVMI grace G," depth beneath ppb 2H Ft FI To hp Range seceon Fe added aeons w9mal gods Gt" Length Ft. Ft. Well: ❑ New ❑ Upgrade Gn,alwan: Nun dine& DatanpeeW.eenanes Ft FL cmag"hoo (Pmate, A, B. L7: Tonal Depth: Chad V Taal aCaapuon ane Ppe Materrl ASTM D3034 private - existing 73 Ft, 72.2 Ft Fe Dnw MW Drlg Den Dnred 411/87 soot Wale' Levet surf Ft Imteiw A Plus Home Services Dan lnaalled. 3/22/2005 .oldPump sd K D.a,ng H right Ae Ground TANK 20 GmA unk Ft• 2+ FL SEPARATION DISTANCES ❑septic ❑" Holding ❑S.T.E.P. ❑Other. To Septic Absorptlon LM Holding 011UPrivale " ' 'W. Anchorage Tank & Welding peaty 4000 Gal From Tank Field Station Tank sewer Line Materol Nunerr d canprenena Wel NA NA NA 116 100+ steel 1 sadacew" NA NA NA 100+ LIFT STATION e m, MunN Ld La» NA NA NA 13 V NA Gal •Pump of Wel aL 'Pumpo 'enol al H9h YgtM a4tm at Fwnd.mn NA � NA NA 33 ti ti in Purr; lAaks a Model EleWcal InrPecto"F park~1 eY an,ma.. NA NA NA 30 Renhe" Old holding tank abandoned in place. Tank BENCH MARK anchored against flotation and alarm installed. Lxahon and Dewtpuon. front door threshhold Aawnvd Eievlon 101.98 FL Stamp �Engineer's 49TH P.E. a 3/22/2005 Inspections performed by: Cindy W. Ellis, Dates: 1 *i 2nd 4/25/05 Development Se ices Department Approval A; V. C dy W. Ellis by: Date: " •., CE-los? Reviewed and approved (ta. ITAe) A ' 100 ft we \ adiuss / m / `\ 4000 gal holding tank, w/al rm, anchored against flotation \` 75 ft 'radius Z HT1 L HT' HT3 i ar'PN \C� ( cMl \ 110""c gE I 4gEo� I / ✓ ' I SHED ti 10, / Z Rabbit Creek Heights, Blk 2H, Lot 3A Record Drawing of Septic Upgrade Watkins Engineering, Inc Owen & Merle Farrar Parcel ID: 020-531-15 i SHtiD \ / Approximate Location of curtain drain AS -BUILT Cindy W. Ellis, RE P.O. Box 110443 May 16, 2005 Anchorage, Alaska 99511-0443 Scale 1 Inch = 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 -- OF A w CI Y W ELLIS E - 10577 �C� ., ..... A B DC01 40.4 49.5 DCO2 40.6 50.8 HT1 40.2 52.3 HT2 37.5 59.2 HT3 36.4 65.5 ' 100 ft we \ adiuss / m / `\ 4000 gal holding tank, w/al rm, anchored against flotation \` 75 ft 'radius Z HT1 L HT' HT3 i ar'PN \C� ( cMl \ 110""c gE I 4gEo� I / ✓ ' I SHED ti 10, / Z Rabbit Creek Heights, Blk 2H, Lot 3A Record Drawing of Septic Upgrade Watkins Engineering, Inc Owen & Merle Farrar Parcel ID: 020-531-15 i SHtiD \ / Approximate Location of curtain drain AS -BUILT Cindy W. Ellis, RE P.O. Box 110443 May 16, 2005 Anchorage, Alaska 99511-0443 Scale 1 Inch = 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 -- OF A w CI Y W ELLIS E - 10577 �C� ., ..... FINAL GRADE HT1 98.36 HTP HT3 N.T.S. AS -BUILT Rabbit Creek Heights, Blk 211, Lot 3A OF At Record Drawing of Septic Upgrade .......•.�,-• 1." Owen & Merle Farrar Watkins Engineering, Inc. c��Q� T. V THF` e : 49- �,�, Parcel ID: 020-531-15 Permit No. SWO50051 p ........... .....: '•, CIN W. ELLIS VIM:.• E - 10577 " Cindy W. Ellis, RE P.O. Box 110443 :: •, ��'•., May 24, 2005 Anchorage, Alaska 99511-0443 " '•••"•'44 No Scale Phone: (907) 349-1851, Fax: (907) 349-1934 M -W DRILLING, Inc. P0. So. 1103-9 • 10330 Od Soward H,ghwyp (9071 349.0535 ANCHORAGE. ALASKA 99511 DRILLING LOG 51-14', O::en Farrar 1 DOMESTIC Well Owner_ Use of Wel Location (address of. Township, Flange, Section, if known; or distance main road 1 11 r" its hit 1-Sc•+'+fin t Size of casing 6 nepth of Hole 73 feet Cased to— 720 Size Static water level nr. Cesinln (shove) (below) laud surface. Finish of well (check one) open end Screen ( 1; Perforated ( ). Describe screen or perforation — Well pumping teat at 0 gaLlons per XbOU) (minute) for 1 -_hours with.._ UO*/_ft of drawdown from static level. Date of completiott_.^pri L 1, 1987 WELL LOG Depth in feet from ground surfece Glva details of fonnations penetrated, size of material, color and hardness p _TO_=' __ Casing Stickup 2 _TO 4 Organics _ 4 TO 12 +ray Silt wiL1t wcr travel TO_1.2 Tan Silt• r }cl wet Tari Silry Gravel d� -- f� 5_TO_ 3_ Tan Gravel Water �P�ng _TO-_ _ -- - TO -- --TO— — 0 O- TO— O TO — __. __TO TO TO— ` fer lie onrr tom r Certilicate Nis. 879 & 9,3 I —CUSTOMER MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Mar 21, 2005 Expiration Date: Mar 21, 2006 Permit Number: SWO50051 Parcel ID: 020-531-15 Legal Description:IRABCIT CREEK HEIGHTS SUBDIVISION BLOCK 2H LOT 3A' -'f Design Engineer: 0844 Watkins Engineering, Inc Site Address: 16200 DIANE DRIVE Owner Name: OWEN & MERLE FARRAR Lot Size: 24696 SO. FT. Owner Address: 16200 DIANE DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank Q Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specked 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. Date: 3'ZZ"05 Issued By.( r w Date: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERM/ELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 92e 632 80 Off' S31-15 Permit Number SSW Property owners) Owen &Merle Farrar Day phone Mailing address (1) 16200 Diane Dr. Mailing address (2) Anchorage, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Rabbit Creek Heights. Blk 2H. Lot 3A Legal description (Section, Township & Range) Lot Size 80.60 vklto(p —Acreso Number of Bedrooms 4 THIS APPLICATION IS FOR: ❑ Sewer Only Q Well Only ❑ Sewer and Well ❑ Water Storage Sewer Upgrade ❑ THIS PROPERTY CONTAINS: ❑ Hot Tub ® Jacuzzi ❑ Swimming Pool [3Water Softening Unit Therapy Pool ❑ 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. ;E. (Signature of propAy owner or authorized agent) Permit Fees: HUE) DO Waiver Fees: Date of Payment: 3I j! IOC Date of Payment: Receipt Number. 104 q36� Receipt Number. (Rev. 12100) Watkins Engineering, Inc. P.O Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net March 17, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Rabbit Creek Heights, Blk 2H, Lot 3A Septic System Upgrade: Holding Tank To Whom It May Concern: Attached please find the application and supporting documentation to install a 4000 gallon holding tank for the referenced 4 bedroom house. The house was built approximately 25 years ago and a 1250 gallon holding tank was installed at that time. The property is now proposed for sale. There is no suitable location for a soil absorption system on the lot. We propose to abandon the existing undocumented holding tank and install a new 4000 gallon holding tank, per the attached design. On March 11, 2005, we dug a test hole to attempt to find a suitable site for a soil absorption system. The location is noted on the attached site plan. We encountered 2 ft of fill over 2 ft of peat, which was directly over impermeable blue silt. This soil is unacceptable for a soil absorption system, and there is no other available place on the lot. A holding tank is the only option for wastewater disposal for this property. It is proposed to abandon the existing holding tank in place. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, Cindy Ellis, P.E. President I Proposed Holding Tank Existing Holding tank To be Abandoned.. i I I C7 T F- r— /610 WELL OR S WELL I I / 5 NO WELL OR SEPTIC UNDEVELOPED i �4 17 \� NO WELL OR SEPTIC \ \ � > WE � I \I WELL I I / Approximate location I of well serving house ` Ion Lot 4.o \ Rabbit Creek Heights, Blk 2H, Lot 3AOF •A C � .- Proposed Septic Upgrade -Site Plan Watkins Engineering, InG✓Q�' R.S'.f'vt, Owen & Merle Farrar O 0TH 7. Parcel ID:020-032-80 p a '� 49 ^1 �+ �l.... k1 G�.... LUS P.O. Box 110443 O • •. CI Y W. 77 Cindy W. Ellis, P.E. E - 10577 March 17, 2005 Anchorage, AK 99511-0443 �� : ' •. Phone: (907) 349-1851 Fax: (907) 349-1934 ��'•., Scale 1• - 100' Existing 1250 gal Holding Tank (Undocumented) To be Abandoned — — -.in place. \ Line beneath driJewayy to be 4 ft / deep with 4" insulation. / v0` I yy0 I I WELL I `\ 100 ft we radius / Proposed 4000 gal holding tank, w/alarm, ` \ anchored against flotation, \ 75 ft 4+ ft deep I `\ well radius Install DCO F� o TESTS / \ �Iry \ � / b� 0� SHED / SCO. ti , / \ / N� 10.Ur/411 Rabbit Creek Heights, Blk 2H, Lot 3A Proposed Septic Upgrade Watkins Engineering, Inc. Owen & Merle Farrar Parcel ID: 020-032-80 Cindy W. Ellis, P.E P.O. Box 110443 March 16, 2005 Anchorage, Alaska 99511-0443 Scale 1 inch - 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 SHtiO \ Approximate Location of curtain drain c`, .00- 49 TH CIN W. ELLIS sosn U 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.orWonslte (907) 343-7904 Soils Log - Percolation Test Performed For: Owen Farrar Cindy W. Ellis CE -toss .. Date Performed: 3-11-2005 Legal Description: Rabbit Creek Heights. Elk 2H, Lot 3A Township, Range, Section: Depth (Feet) 1- FILL 2 3- PEk r 4 5- IY)L Ir✓IR2frn¢Q- 1 6- IoM 7- 6- 9- 10- 11- 12- 13- 14- 15- 16- 17- 16- 19 - WAS GROUND WATER NO ENCOUNTERED? IS L IF YEs, AT WHAT DEPTH? — D Depth to Water After P Monitoring? E Date: — Reading I Date NO PERC Gross Time Net Time I Depth to Water Net Drop PERCOLATION RATE la.oa ' PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS Noaoassuitablefora6labao lion I 1 1 tank. PERFORMED BY: Cindy W. Egis, P.E. I KiK CERTIFY THAT THIS TEST WAS id PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI ES IN EFFECT ON THIS DATE. DATE: 3' i' 0 Municipality of Anchorage On -Site Water &Wastewater Program a ri0V (907)343-7904 \' 8 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 020-531-15 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: Expiration Date: .2, — I �) ^ 1 RABBIT CREEK VIEW & HEIGHTS; BLOCK 2H, LOT 3A 16200 DIANE DRIVE `ANCHORAGE VELTON JOHNSTON Day phone 317-2094 16200 DIANE DRIVE *ANCHORAGE - 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding tank Community On-site ❑ Public Sewer ❑ WaiverNanance request for. HOLDING TANK TO SURFACE WATER Distance: 20 FEET Received by: �✓ Date: 6 /� '6 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ KU • 0 0 Date of Payment ) )9A Lf I/U Receipt Number 0o2to COSA # OSC I lO l5 Lfg Waiver Fee $ 00 Date of Payment Receipt Number Waiver # 5. STATEMENT OF TION 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 Finn 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 andlorselsk system in accordance with the guidelines and regulations established by the Municipality ofAnchorege and industrypcik,& The reportedresuds describe the condition ofthe systentls on the date/sof the evaluation. Separation distances were measured to madilyidentifiable features. Haden defects orencroachments may exist that were not identified during the evaluation. The operdtionallife of all wells and sepfic systems depend on a variety of variables including, but not limded to, soil cenddlons, groundvraterlevels (that may fluctuate during the year), qualdyof wnstructiun (materials and workmanship), and the waterusage of the family Wlizing the systerNs. These conchions can vary, orders outside the mnfml of GEG. Satisfactory test results do not guarantee future performance of the systenvs, theratore, GEG makes no wamenty (express orimplied) regarding the future performance o1 the well or septic system. GEG makes no representation whether an adematNe well orseptic system can be installed on the property in the event edheroflhe current systems fail. The content ofthis report is for the sole benefit of the pe=rVparty who retained GEG. Reliance upon the information provided in this report by any otherperson or party, including but not limited to subsequent property purchasers, isnot authorized. In short, GEG disavows any legal duty to anyone other than the persoNpar(y who paid for this report. Phone 337-6179 Date 6. DSD SIGNATURE CE �E114441, FESSt System #1 Approved for bedrooms. System#2 Approved for bedrooms. \`O�rff Disapproved. ` e� y hrrr O , �Q �% Conditional approval for bedrooms, with the following stiL ion SITE �'% —s nTFR AND By: Original Certificate Date: I � - I � -1 b 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 10112112) Nitrate Advisory Arsenic Advisory Other If more than 7 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: RABBIT CREEK VIEW & HEIGHTS; BLOCK 2H, LOT 3A A. WELL DATA Well type PRIVATE (ARTESIAN) If A, B, or C provide PWSID# N/A Date completed 4/1/1987 Sanitary seal (Y/N) YES Total depth 73 ft. Cased to 722 ft. FROM WELL LOG Date of test 4/1/1987 Static water level (ARTESIAN) ft. Well production 20 g.p.m. WATER SAMPLE RESULTS: Parcel ID: 020-531-15 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 10/18/2016 - (ARTESIAN) ft. 2.7+ g.p.m. Coliform o colonies/100 ml. Nitrate 0.154 mg:/L. Collected by: GEG, Ltd. Arsenic: ND<5 ug./L. Date of sample: 10/18/2016 B. SEPTIC/HOLDING TANK DATA - 'SEE ATTACHED PUMPING RECORDS FOR LAST 12 MONTHS Tank Type/Material - STEEL Date installed 3/22/2005 - 4/25/2005 Tank size 4000 gal. Number of Compartments ? Cleanouts (Y/N) Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) Date of pumping `8/30/2016 Pumper ISAACS PUMPING SERVICE C. ABSORPTION'FIELDDATA HOLDING TANK Date installed, Soil rating (g.p.d./ft or ft'/bdrn) _ System type Length ft. Width -.ft.. Gravel below ft. Total depth ft. Eff. absorption area Date of adequacy test Fluid depth in absorption field befor YES ft' Monitoring,tL ResultsailF ) in. Water added Elapsed Time: In. Final fluid depth _ in rejuvenation treatment (past 12 mo.) (Y/N & type) _ Depression over field For bedrooms _gal. New depth _in. Absorption rate >= g.p.d. If yes, give date Ila 111I2�-i010[a]Z Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level.at . in. "Pump off' level at igli wa er alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES HOLDING Ti�NK SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A Absorption field on N/A On adjacent lot! On adjacent lots 1 Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 6+ Property line 5'+ Absorption field N/A Water main 10'+ Water service line 10'+ Surface water '20' Wells on adjacent lots 75'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water Water service line Surface water ^�veW Wells on, adjacent lots F. COMMENTS `SEE ATTACHED WAIVER REQUEST 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 COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date (Rev. 10/12/12) icle storage %,&ILILIL It VA A/ ��♦♦ . :i �� rr A. carness : u= ♦ E-7 LICENSE 44 "! ESS ��♦♦ #AECC884 Municipality ®f Anchorage �, ��' P.O. Box 196650 ® 4700 Elmore Road Anchorage Alaska 99519-6650 e (907) 343-7904 o Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW"" Waiver#: OSV161135 COSA#: OSC161548 Permit#: _ PID#:020-531-15 Legal Description: Rabbit Creek View and Heights B 2H Lot 3A Engineer: Garness Engineering Group Applicant: Velton Hohnston Your request for a waiver of the required 100 feet horizontal separation from the holding tank to the surface water has been approved. The approved separation distance is 20.0 feet. This waiver approval applies to the existing holding 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. Advanced Treatment System may be required ❑ 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. ............................................................................... Waiver is Granted: �I /X Waiver is not Granted: Date: I' I L i0 Approved by: V^ Name of Reviewer t ............................................................................... **** VARIANCEIWAIVER REVIEW **** GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS November 5, 2016 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Qianics D 6M Ref: Surface water waiver request for Rabbit Creek View & Heights; Block 2H, Lot 3A To whom it may concern: The existing 4 bedroom home is served by a 4000 gallon holding tank. The existing tank is approximately 25 feet from surface water. We are requesting that your department waive the required separation distance from a holding tank to surface water from 75 feet down to 20 feet. Justification for granting this waiver are as follows: • The existing holding tank has a high water alarm. If the tank were to become surcharged, the homeowner would be notified and corrective action taken • Per MOA records the holding tank was installed in 2005. It is likely that the encroachment has existed for approximately 11 years. • The area between the holding tank and surface water is highly visible. If the tank were to become surcharged it would be noted by the homeowner and corrective action taken. If you have any questions, please contact us at 337-6179. Thank you for your assistance. n Si Jeff"rey�. G' iness, P.E., M.S. Preside 3701 East Tudor Road, Suite 101 ' Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 ` Fax: (907) 338-3246' Website: www,garnessengineering.com 20 FOOT OFFSET FROM HOLDING TANK TO SURFACE WATER — EXISTING 4000 GALLON HOLDING TANK APPROXIMATE LOCATION OF PER GEG INSPECTION ELLIT DISH \C9FFr \ Q \ \ \lt9�'F rO M 4 .:.DNTVEYN ' a.4 .. I I I I k� nr: o� o \ q tp S�OR� SHED GARNESS ENGINEERING GROUP, Ltd - CIVIL& ENVIRONMENTAL ENGINEERS 3701 E. TUDOR ROAD. GUITE 101 • ANCHORAGE, M99507 - PHONE (907) 337-6179 • FAX (907) 330321fi • WEBSRE: www.9arream�NireM�N.wm •.. ...... ...... ,• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 1 C� 11 ByA. •Ga • BS; VELTON JOHNSTON 317-2094 1 OF 1 ♦j��Jh: CE7EI 7qi6� PROJECTILEGAL DESCRIPTION: DRAWN BY ♦♦"("� ••,, I1Jfj l/� ,•' RABBIT CREEK VIEW & HEIGHTS; BLOCK 2H, LOT 3A L.K.B. ♦ R� TYPE OF WORK: DATE: ♦♦♦� ;SS\ WAIVER DRAWING 11/4/2016 AIECNCRR4 41111 N AS -BUILT SURVEY 1" = 40' ��040 NO CORNERS SET THIS DATE �� OF q �gspo I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY O OF THE FOLLOWING DESCRIBED PROPERTY 49 T H .7 y� QLOT 3 A, BLOCK 2 H, RABBIT CREEK HEIGHTS SOB. THE INFORMATION STI LIRS FIC.IMENT SAND ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE ANDACCI BETWEEN EXISTING STRUCTURES nND/Wfn SEMENTUSES IS COT WEENEX15TCS STRUCTURES D VISIBLE IMPROVEMENTS SITUATED EDN ARE WITHIN OT TOBEUSE RFOR ALSP CT ESiIINES 0AE DDOSEAP OTHER BLER PROPERTY LINES AND NO VISIBLE ENCROACHMENTS SHANE A. HOLT a I> THAN EARIN5 ON THE RECOVEMENT, ARE NOT En5EMFNiS OF RECORD, OTHER THAN THOSE nPPEnRIN60N THE RECORD PLAT, ARE NOT SHOWN ECORD, EXIST OTHER THAN NOTED. O LS 6914 .Z O HERE 0. INDICATED) ON,FECPEENE5 THAT MA APPEAR ON THIS SQAMOCS ARE NOT TO BE USED TO DETERMNE DATED AT ANCHORAGE, ALASKA THIS_MTH DAY OF ADO pR WERN LINES 0R PO 5ITION ADDITIONAL IM➢ROVEMENTS. 2016. 1Q sla ne3 a X0000 ANY PA VEND SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. _OCTOBER HPDtT LAND ISCUIEWRRAVE 00 NCHORA f£nL' 9955 9659, FB 117-37,53, SCAN,179-55 1a1 I'll OL�_ W\�fbt'5 Municipality of Anchorage e ''" " .� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Sl. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsfte (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 020-531-15 1. GENERAL INFORMATION HAA# C)5C);2ia5< Expiration Date: 9 - vZ-14 - 0 S Complete legal description Rabbit Creek Heights, Blk 2H, Lot 3A Location (site address or directions) 16200 Diane Street, Anchorage Current Property owner(s) Owen & Merle Farrar Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 16200 Diane Dr., Anchorage, AK 99516 Day phone Todd Schlegel f Coidwell Banker Day phone 265-9129 2525 C Street, Suite 100, Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well (] Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding tank (] Community On-site ❑ 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. 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 forthe number of bedrooms and type of structure indicated herein. I further verity 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 Watkins Engineering, Inc. Phone 349-1851 Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W Ellis Date 5. DSD SIGNATURE Approved for _ bedrooms. Disapproved. 6-Zo-o5 Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By:/�Gi' Gam= v C'""' Original Certificate Date:_ 6 '.2— 41 — OS Municipality of Anchorage • Development Services Department Building Safety Division On -Ste Water & Wastewater Program 4700 South Bragaw, St. P.O. Box 190850 Anchorage, AK 995198050 www.muni.org/onstte (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Rabbit Creek Heights, Blk 21-1, Lot 3A Parcel ID: 020.531-15 A. WELL DATA Well type I'd If A, B, or C provide PWSID A = Well Log (YAV) Y Date completed 4mw Sanitary seal (Y/N) N wires property protected (Y" Y Total depth 79 fl. Cased to 72.2 R. Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 411/87 3122/05 Static water level surface fl. Well production 20 9 - p.m -WATER SAMPLE RESULTS: 4 _25 _p5 Coliform 0 colonies1100 ml. Nitrate 40.1 'Arsenic: mg.A. Date of sample: ar�r0s B. SEPTICIHOLDING TANK DATA Tank TyWMatedal steel holding tank Tank size 4000 gal. Number of Compartments surface fl. 8.4 Other bacteria 0 g.p.m. oolonies/100 mi. Collected by: Cindy Ellis Date installed V22105 Cleanouts (YIN) Y Foundation cleanout (YAC DCO Depression over tank (YAV) N High water alarm (YM) Y Date of pumping NA C. ABSORPTION FIELD DATA Date installed NA Length fl. Pumper NA Soil rating (g.p.dJe or fe/bdrm) _ System type fl. Gravel below pipe ft. Total depth fl. Eff. absorption area fe Monitoring tube Depression over field Date of adequacy test Results (Pass/FaiQ For _ bedrooms Fluid depth in absorption field before test _ in. Water added! gal. New depth_ In. Elapsed Time: _ min. Final fluid depth _ In. Arty rejuvenation treatment (past 12 mo.) (YAV & type) Absorption rate >z g.p.d. If yes, give date D. LIFT STATION Date installed NA 'Pump on' level at _ in. Datum E. SEPARATION DISTANCES Size in gallons 'Pump ofr level at _ in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septi: tanl/Iifi station on lot NA Absorption field on lot NA Public sewer main 100* Sewer /septic service line 100+ Manhole/Access (YM) High water alarm level at in. Meets alarm 6 circuit requirements? On adjacent lots 1004 - on 00* On adjacent lots 100« Public sewer manhole/deanoul 100+ Holding tank 118 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 33 Property line 19 Absorption flew NA Water main 100+ Wells on adjacent lots 100+ Water service Ane 50+ Surface water 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line NA Building foundation Water main Water Service Ane Surface water Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION ► cert►!y that ► have detemdned through sea btspecBons and review of Municipal records that Me above systems are in conlbrmance w1M MOA HAA gu►de6nes in effect on this date. Engineers Printed Name Cindy W. Ellis Date 6/20/05 Driveway, parldng Vetdde storage HAA Fee $ q:0 Jb Waiver Fee $ Date of Payment IP// 1;211&5 Date of Payment Receipt Number Ca �%% Receipt Number (Rev. 1201) NnQy W. Ellis i_6Efi`i6yf7. |■ `| |6 | ; it t.. T §!! \§ [ ®| /(k § d q \ \\