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WHITE KNUCKLE HEIGHTS LT 1
White Knuckle Heights Lot 1 #021-022-58 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241343 Work Type: Septic Upgrade Tax Code Number: 02102258000 Site Legal Address: WHITE KNUCKLE HEIGHTS LT 1 G:2943 Site Mailing Address: 13520 SUNSHINE LOOP, Anchorage Owner: BRENNAN BLASSINGHAM REVOCABLE Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: Dclrarttnclit 10/9/2024 10/9/2025 135739 © Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Reeeived y: Cr-arh e s �-, �r]q, Date: Issued By: Date: G�•1 d ON-SITE SEPTICMELL PERMIT APPLICATION Parcel I.D. 021-022-58 Property owner(s) BETSY BLASSINGHAM Day phone 907-312-8103 Mailing address 13520 SUNSHINE LOOP, ANCHORAGE, AK Site address 13520 SUNSHINE LOOP, ANCHORAGE, AK Legal description (Sub'd., Block & Lot) WHITE KNUCKLE HEIGHTS; LOT 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms I APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field FRI Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank ❑ Upgrade Duplex (D) ❑ Holding Tank El Renewal 0 Multiple Dwellings El Privy 0 (SF and/or D) Private Well R Water Storage R THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 9� Date of Payment:L!� h t Receipt Number: D 5 qjq6 Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. GAIDevelopment Services\Building Safety\On Site Water and WastewaterkFormsUient Forms\Pen-nit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241343, Deb Wockenfuss, 10/09/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241343, Deb Wockenfuss, 10/09/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241343, Deb Wockenfuss, 10/09/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241343, Deb Wockenfuss, 10/09/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241343, Deb Wockenfuss, 10/09/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241343, Deb Wockenfuss, 10/09/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241343, Deb Wockenfuss, 10/09/24 7 �` 6) 2� 6 i 70d 6, DETAIL 1=50' EXSITING TWO-STORY HOUSE 13520 SUNSHINE LOOP LEGEND ELECTRIC METER GAS METER o- POWER POLE @ SEWER CLEANOUT Cw� WELL EASEMNENT x -- FENCE G i' OVERHEAD ELECTRIC ----ROOF EAVE "7 DECK EDGE OF GRAVEL NOTES: 1) BEARINGS AND DISTANCES RECORD PER PLAT NO. 94-161. 2) BUILDING IS MEASURED TO THE TRIM. 3) IT IS THE OWNERS RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. 4) 50' ROAD RIGHT OF WAY EASEMENT PER WARRANTY DEED BOOK 361 AND PAGE 182 IS NOT DEPICTED HEREON. 5) EXISTING HOUSE ENCROACHING 1.6' INTO 10' T&E EASEMENT 6) THIS SURVEY WAS MADE WITHOUT A BENEFIT OF A TITLE REPORT AND THEREFORE MAY NOT DEPICT ALL MATTERS OF RECORD. 7) TRAILS WERE NOT LOCATED BUT MAY EXIST WITHIN THE SURVEYED AREA. 8) AT THE TIME OF THE SURVEY, THE EPHEMERAL CREEK MEASURED APPROXIMATELY 2 FEET IN WIDTH. �' Ln o c) W 5 0o N j t0 O � O UNSUBDIVIDED N 90°00'00" E 164.32 CB gCCF r6SMr So \ ./ w Urysy �E v o HO 47 2' -85.1' % I W ON In UNSUBDIVIDED p � i p PUBLIC ROAD WAY ESM 290 PG 105 00 \L IEDI N 89°56'00" E 164.52' / CREEK (SEE NOTE 8) CREEK (SEE NOTE 8) S 89057'54" W 329.22' UNSUBDIVIDED UNSUBDIVIDED N �J 0' 100, 200' I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY. LOT 1, WHITE KNUCKLE HEIGHTS LOCATED WITHIN THE ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND PO BOX 110485 NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. ANCHORAGE, AK 99511 DATED AT ANCHORAGE, ALASKA THIS 5TH DAY OF SEPTEMBER 2024. aklands@aklands.com AS -BUILT PROJECT MOA GRID MAP DATE OF FIELD SURVEY FIELD BK. AND PG. (907) 744-LAND°�— NO. 12931 SW2943 03/07-06/07/23, 7/19-8/22/24 5/29, 5/69, 10/72, 11/39 https://aklands.com — --- - -- .., ., .� _J _\L 1� `�` 4it r'C 103.1' - ,.._ �.0 .�.-... _ �.. .._✓ 1J ._ �.. �:� F-",, ;� ....,v _v - -n Y n ' .... .r �\ .�§.J=z ,. .. �,� i _.. 1._ v r, rs .,. .. r _ 5., ..� .. ,. .� .. .. \J �..i� i / LOT 1 WHITE KNUCKLE 3 HEIGHTS a �/ PLAT NO. 94-161 0 i 135,739 SQ.FT # c 3.116 ACRES / CREEK (SEE NOTE 8) CREEK (SEE NOTE 8) S 89057'54" W 329.22' UNSUBDIVIDED UNSUBDIVIDED N �J 0' 100, 200' I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY. LOT 1, WHITE KNUCKLE HEIGHTS LOCATED WITHIN THE ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND PO BOX 110485 NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. ANCHORAGE, AK 99511 DATED AT ANCHORAGE, ALASKA THIS 5TH DAY OF SEPTEMBER 2024. aklands@aklands.com AS -BUILT PROJECT MOA GRID MAP DATE OF FIELD SURVEY FIELD BK. AND PG. (907) 744-LAND°�— NO. 12931 SW2943 03/07-06/07/23, 7/19-8/22/24 5/29, 5/69, 10/72, 11/39 https://aklands.com — --- - -- .., ., .� _J _\L 1� `�` 4it r'C •�,. .., rte, r�.' - v� ... - ,.._ �.0 .�.-... _ �.. .._✓ 1J ._ �.. �:� F-",, ;� ....,v _v - -n Y n ' .... .r �\ .�§.J=z ,. .. �,� i _.. 1._ v r, rs .,. .. r _ 5., ..� .. ,. .� .. .. \J �..i� 1 ..!� ..✓_`',5 ?. i1 a.s. _ ...i. ,. NlJ Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page ( of I— www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: Sti1 06p -501 PID Number: oZ( _ 022 —'S % Name: V� r, uvl atICOM&I Wastewater System: ElNew P, Upgrade Adtlress: Lam, • LrS�j2Q SVYL ABSORPTION FIELD Phone: Number of Betlrooms: .Z_ ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other: LEGAL DESCRIPTION Soil Rating Total Depth from original grade: GPD/Ft?Ft. Block: Lot: 1- , r 3u1divisio�nl: /1 el Depth to pipe bottom from original grade: Gravel depth beneath pipe: f Ft. Township: Range: Section: Fill added above original grade: Gravel Length' Ft. Ft. Well: El New ❑ Upgra Gravel width: Number of lines: Distance between lines: FL Ft. Classification (Private, A, B, C): Total DepUr: Cased to: Total absorption area Pipe Material: Ft. FL Ft' Driller: Date Drilled: Static Water Level: Installer I Date Date Installed. V-4 Ft. ncH fY Y �/ i Qy PumpSatatCasing Height Above Ground. GPM Ft. FL TANKSEPARATION DISTANCES ff—IS Septic ❑ Holding ❑ S.T.E.P. ❑ Other: eptic Absorption Lift Holding w (Private Manu/f�acturer. Capacity: ank Field Station Tank Sewer/Line AKA T"np�/()0p Gat0 t1/ * Material: =I�C('• Number of Compartments. 2L Surface Water r oo tf•, LIFT. STATION - .. Lot Line 7-0 '4- Size: Manufacturer Cal Foundation fir 20 'Pump on' level at: "Pump ofr level High water—alarm at: f inj in. in. Curtain Orain N Pump Make & M Electrical Inspections performed by: Remarks: / C.// BENCH MARK SOu'iN (4 nceJ Location antl Descriptio¢ F r„ u'%o .�• ror„ter /D r �� i/ Assumed Elevation' • Ft (CD.pp Inspections performed by: Dates: 1St 9 Engineer's Stamp 0110 OF 2nd 9 Z e 6 �t Xk$ l@ � Development Services Department Approval �p �. ' • ! Conditional ApprovalDate: • �, f *' 49TH .gid ..... j� •tel ill.! . . 0- MICHAEL N. ANDERSON .'Cl - 'ClCE- CE -46 Reviewed and approved b PP Y Date: 3/ (Rev. W/06) pRn/�f[[fpc _Permit No. SW060308 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 1 WHITE KNUCKLE HEIGHTS MAR AB GRND. ELEV. PIPE ELEV. col 62 165 96.1 93 7 TC01 6��( 67 96.2 TCO2 7 69 96.2 02 �' 75 95.5 93.1 03 6 � 72 95.5 93.1 PID No.: 021-022-58 �I I I I I I BENCH, CONCRETE SLA I \ J y B A \ C01 \ � 2 \ CO3 1 � 1 OPEN WATER OPEN WATERI AREA 3' SQUARE ASBUILT SCALE: 1"=30' 4 -v vi SL( a 4 r, . I I Lo'' 1.000 GA LM STEEL TPNH SEPTIC SECTION N.T.S. 499 T/H�.l� ....... MICHAEL N. ANDERSON. 6. No. C 9 9 ���� r+�J R...1Y`�..� 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 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW060308 Legal Description: WHITE KNUCKLE HEIGHTS LOT 1 Design Engineer: 0088 ANDERSON CONSTRUCTION & E Owner Name: RONALD BRENNAN Owner Address: 13520 SUNSHINE LOOP ANCHORAGE , AK 99516 - Date Issued: Sep 21, 2006 Expiration Date: Sep 21, 2007 Parcel ID: 021-022-58 Site Address: 13520 SUNSHINE LOOP Lot Size: 135739 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: ❑ Disposal Field [?] Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 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:--6�/al `J°�—� Date: Issued By: U� LZLL_ nye Date: q10-110-6 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. C-9 'Z i—(92 Z- S �(� Property owner(s) PO VI 0 N "0 y) Yt a Mailing Day phone 3 Z_T`� 2 S i DbP f iP Zip Code 9951 Site address / Zip Code Legal description (Sub'd, Block & Lot) W LI 1-T_' �V_ rl14 (e, 4 L!J' ii co Legal description (Township, Section & Range) Lot Size I 35, 31a - Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade 9 Renewal ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: g6o' B, e. Waiver Fees: n Date of Payment: 7/OV/Dr� Date of Payment: Receipt Number: 86 Receipt Number: (Rev. 11/05) Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4640 Shoshone Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Sept 20, 2006 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: White Knuckle Heights S/D Lot 1 (T12N R2W Section 30 W1/2, SETA, SWIM, NEIA, SE 1/4) To Whom it may concern: This is a request for a new septic tank permit. The current tank has caved -in and needs replacement now to keep effluent from spilling out on the ground. The other building shown on the plan is a garage with no plumbing facilities provided. Nothing will be changed except a new 1000 gallon tank will be installed. The neighboring lots wi not be impacted by this new construction. If you have any question please call me at 345-3377 Since✓ Michael N. Anderson, P.E. EXISTING GARAGE NO PLUMBING EXISTING WELL, - S 0 100' RADIUS L 0`B\P w / EXISTING HOUSE WELL z i ¢ EXISTING HOUSE EXISTING SEPTIC EXISTING SEPTIC - GLEN �ON N� 1 ♦ynF kN�Ok`e hF��HTs PROPERTY LINE A C H R 0 A D - - B Septic Design Prepared For RON BRENNAN ♦ �� OF / tit LOT 1, WHITE KNUCKLE HEIGHTS SUBDIVISION ��Gj�:''♦♦♦ Anchorage, Alaska 49TH ';'� ♦/ •••••. •• • • • ................ Prepared By MICHAEL N. ANDERSON, P.E. 4640 SHOSHONI DRIVE .i............................ .•••••.............••••:• • i N. ANDERSON; = ♦ :MICHAEL o. CE 9469 � (907) 345-3377 / FAX (907) 345-1391 ♦♦♦,E�.����•• SCALE: 1"=100' SEPTEMBER 20, 2006 i i \\ % -SUNSH�Ne\ i \\OOP` % O \ i r \ I I \ I 1 I 1 I PROPERTY WELL j II 1 LINE 1 I 1 I \ v, FXiST i \\ E o /106, F SEXISTING!SEWER LINE\��TO REMAIN 3 \\ REPLACE EXISTING 1,000 GALLON EPTIC TANK WAIVER GRANTED w 3/11/86 --, •--�e_� _____ EXISTING DOUBLE C.O. - -- --- EXISTING DRAINFIELD \ \� TO REMAIN S o ` \ ri NEAREST SURFACE FLOW \ s—EXISTING SURFACE WATER Septic Design Prepared For RON BRENNAN �' ♦���. LOT 1, WHITE KNUCKLE HEIGHTS SUBDIVISION : Anchorage, Alaska � : i �;' 49TH ..,. ... ..%. .............. Prepared By MICHAEL N. ANDERSON P.E. •••.•.. �• jjjj.����.: 0 4640 SHOSHONI DRIVE ♦'.MICHAEL N. ANDERSON ��� No. (907) 345-3377 / FAX (907) 345-1391 CE 9469 . ••,E \.����•• SCALE: 1"=40' SEPTEMBER 20, 2006 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROAON �..t ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME - PHONE tl' —(SS"z ,❑,-.,,.,, NEW ER1 PGRADE MAILING ADDRESS SP- �2 -L LEGAL DESCRIPTION TO Sho_l C 2 w(/ sF-'IqA)wllq se l!4 L LOCATION NO. OF BEDROOMS 3 a7 Y DISTANCE TO: Well Absorption area Dwelling PERMLT �&3O83f� _ iL G wF Manufacturer Material No. of compartments rn Liq. capacity in gallons IF H ENIADE: Inside length Width Liquid depth O Y JWZ DISTANCE TO: Well Dwelling PERMIT NO. 2 F Manufacturer Material Liquid capacity in gallons a w= DISTANCE TO: Well too Foundation- ] r Nearest lot line > Or PERMIT NO. 083 � u- z F w No. of lines Length of each line -r Total length of lines $— Trench width .3 {cinches Distance between lines ¢ F O Top of the to finish grade 1 W % / Material beneath tile i0 inches Total effective absorption area f 'V'so 4 w C7 Length Width Depth - PERMIT NO. Q F- wa Type of crib Crib diameter Crib depth Total effective absorption area H DI STANCE TO: Well Building foundation Nearest lot line J J C 1 y Dept Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foqdation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING /S0 INSTALLER I w 3r REMARKS E .S 'T W 70' 0 F k r of 4+1 APPROVED DATE_ LEGAL A'3 7-aAJ 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE 8/e3 Department Health and Environment rotection 825 Street, Anchorage, AK.501 3- 264-4720 HANDWRITTEN PERMIT # # * q.31-�3 /.:3 Permit # - -0 ON-SITE SEWER PERMIT Applicant: /�/ ���M�S Mailing Address:5e)9 ANS, Location: Phone Number: t .Z N .?cy S w/� tb /i✓.vu. �y Legal Description: .¢c30 Lott Size: Type of Soil Absorption System s: Trench: Drainfield: A _ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: 3 Soil Rating(sq.ft/br) /SV The Required Size of the Soil Absorption j7S�ystem Is: 1 , 6 ylisc�f!/: / DEPTH _0� LENGTH �s0 GRAVEL DEPTH ANOuWN WIDTH 3 The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). cC /00a * * REQUIRED SEPTIC(HOLDING) TANK SIZE = CXif�N� GALLONS # # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. ' # # # TWO(Z) INSPECTIONS ARE REQUIRED # # # Backfilling of any system without final inspection.and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fef 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. Well logs are required andmust be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. # # # PERMIT EXPIRES DECEMBER 31, 1 9 3 3 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 codes. (3) I un stand that the on-site sewer system may require enlargement if tiTe� sidence is remodeled to include more that oms Ssgned: Issued by: App icant pj �z? Date: O � J SWP/024(1/81) 8-1 �--1983 ----�------ -----S�R)AL_DISTR.I�UTI�N_�€L•'T1c--S�T�r�--�- �r�ss€L _- FOP- NE11. THOMAS R4M # 351141 PA6F- I OF i - INVERT OUT OF TR"CR SkALL Be fe" A6ovE THAT 122' MIN. UNDI5TVAbrD 501L 4boVE DRAJOAGE 6AnYEL, TYP, OF DISTKI ON MOYNO To PROVIDE MINIMUM i8" SOIL . OVE{L DISTRIBUTION o:: _NEw" TReNCIt INSVLATIoN,TYP 2" EXTRVDED NEW ' POLYSTYA , 6 MIN. (� 6' M IN, f ExIsnNG , NEk/ / I !��% BepRotK 6' MIN.—ij — FILTER FA6kjC i -T°221 Wg5kED ROCK flflRRIEE A@oYE �/ MIN• d a BELOW PIPE wA5HE6 kocK PAIN, Z AbOVE PIPE 4SotiD PVC 5fgln p15TmemoN PIPe ° PLAce 4' mor LAYek of z" TIIIC?r FATP-M-4 P'LYSTVRENE IN5ULAT1oN CANT44CV OVf-k PIPE RIVA COVER WITH M1N. )i",,501L TYP, CR,os S 5 E CT)o N A -A 1. SEWU DI5TRI6UTt0PI TRErICrIEs SHi?LL GoNTA1N A LRy[R. OF W19SHF-D GAAVEL AT LEAN IV' OF-F.P. TNG A65CAL710PI PREA FOR. 514ni.10%,d sNALL BE 6115EA arl TNF TR.ENCII BOTTO?LA kkEA WITH T14E 37 t*? i, ApF-A :NcRElISE k1=4UiR.I-,D 0Vf& TNkT RE?v!r? -0 Fop_ D:EP TrFNCH 51>?FWFLL5. T)WE FELT wlOf- TAtNCNFS ',/ILL PRoV10E TILL F-QVIVALFEFdT OF 2 5Qv4Ac FFF-T of 965oAeTlotl flAFF- Prit, LINEAL. Foal OF Tf-4-KCH, A TOT6L- OF 150 L1NF,9L PFFT OF 3 FfE.�' WlaE TRt"NGN WILL Br- RF-QVIPF-G. Z F©F 3C0fPfiF,T1G LPj0VT SEI -TVI NIPAlfrzo UP A5-EVILTDkf)WIN6 �mGF3) M�TUTAL 5 It WR58Ep GbgVF-L (),go' X 3' x i I /2-7 = '17 Como YPkV5 �•x, Z4 -PN5) 2, PIPE : 4-f` PEFFOPAITC-0 PVC = 15-> FFF-T 4" SOLID (SVG 5o FF.FT 2 Eli. 45" ELBowj B-12-83 --- -'. _.----- - - 61L_TO MAR5 -- R-tM # 351181 - ----- -_6LA55EL TEI<s 3 EF;. PAGE i of 3 CAPS Crap 1N5PECTIOR p1Pe5) PPOPoSeb TRF-NC1} LAYOUT — X 2" THICK .y 4' EXISTING X a,l TMCK �pkoP CO"ImErTCeMS)="'>2O BOFRIJ FCi INSPECTION PIPE SEPTIC .YQVPiRE FE r -T OF 2 "TA/Ck 12.20 BOARD FU �- TANK F-ATkLIDEp P005YReN1= 1MlSULATION LIMITS (pow MPOFogn4 H 3-1) c>~ \0A E4VAL 4, 1N5PECTION PIPS I i 6, MIN. 3 a ti -' ��•' N 3 - A: i 4, EX15TING FAILED �Y57t rA-- I /-10PECTioN PIPE a9 �a- M�TUTAL 5 It WR58Ep GbgVF-L (),go' X 3' x i I /2-7 = '17 Como YPkV5 �•x, Z4 -PN5) 2, PIPE : 4-f` PEFFOPAITC-0 PVC = 15-> FFF-T 4" SOLID (SVG 5o FF.FT 2 Eli. 45" ELBowj 6 EA V-tJ0 CAPS & EA, TEI<s 3 EF;. v Ir -A CAPS Crap 1N5PECTIOR p1Pe5) 3, IN,5ULPTtoN 3' X 1'30' X 2" THICK TRE-NCNF,5) = 9010A°1)ff FF6 4' X 4o X a,l TMCK �pkoP CO"ImErTCeMS)="'>2O BOFRIJ FCi � aI4 .YQVPiRE FE r -T OF 2 "TA/Ck 12.20 BOARD FU �- 9r'!C —,.45s 54vrkt fff. f Q'A- 50 5Qu)IP-9 YITAD5 i —119.5 O - croperty and that no en the premises r;orcther visible ., -,n. - o =. 2x2 huh9 tack recovered •._=5/8"x 3d��rebar set this survey X 7,4 3c^ia /N ✓ jI: Gci- _ /J —=F CO0 Preporedby: -. (907)279-.6200 W 5f 5W �a A'. JO T /Z /U, ®fy?�'�••..»... �0 V , /I CAd' 1 �JQ'Vo S:J�F�ct waT�=.2 x - croperty and that no en the premises r;orcther visible ., -,n. - o =. 2x2 huh9 tack recovered •._=5/8"x 3d��rebar set this survey X 7,4 3c^ia /N ✓ jI: Gci- _ /J —=F Preporedby: -. (907)279-.6200 W 5f 5W �a A'. JO T /Z /U, ®fy?�'�••..»... Anchorage Recording Precinct, Aiaskrc V , /I CAd' 1 �JQ'Vo LOT SURVEY CERTIFICATION — F:>I is [; 5'1> Tr- r✓; F-ht5TtNG TKFUCH' /64.57 ti 89.54 0 w C YRGE 36F-- I TAX LOT iib - croperty and that no en the premises r;orcther visible ., -,n. - o =. 2x2 huh9 tack recovered •._=5/8"x 3d��rebar set this survey sT . L. Bu on J�,4 ® Eq'°•, oQ's FOP•'••...,.••'P�aO� 3c^ia /N ✓ jI: Gci- _ /J —=F Preporedby: -. (907)279-.6200 W 5f 5W �a A'. JO T /Z /U, ®fy?�'�••..»... Anchorage Recording Precinct, Aiaskrc V , /I CAd' 1 �JQ'Vo LOT SURVEY CERTIFICATION LEGEND se I hareby certify that I have surveyed the propert,, . wn and described 1j6 = Brass capped monument recover • •• • ••• .� hereon and that the improvements situated there^i :ra within the prop- o = Iron pipe and/or rebar recovered a arty lin as and do not overlap orencroach on ad;ec:. ;mprovements on adjacent property overlap or ec::-�h inq'vesrlon and that there are no roadways, uti:ity: ec3aments on said property except as indicated L - croperty and that no en the premises r;orcther visible ., -,n. - o =. 2x2 huh9 tack recovered •._=5/8"x 3d��rebar set this survey sT . L. Bu on J�,4 ® Eq'°•, oQ's FOP•'••...,.••'P�aO� 3c^ia /N ✓ jI: Gci- _ /J —=F Preporedby: -. (907)279-.6200 R.L.BUT'-u ' Registered LaIV 5!9 W. E/ghth Ave: Ancbo, ag.., A 7s8o 9950/ F. B. No. 4-51 Property of: r- x GREOR ANCHORAGE AREA BOF40GH Department of Environment Quality 3500 Tudor Road Anchorage, Alaska 99507 c)a I - Caa -4Co INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING ADDRESS S',PHONE3��-�/9�r7 Lo - s�z• 30 !vi z� fF`!� rti`f� �' g LOCATION � � 47-'�--r LEGAL DESCRIPTION -r%fl% SEPTIC TANK: DISTANCE .��i'/'<sr�' NUMBER OF FROM WELC��D MANUFACTURER MATERIAL COMPARTMENTS — INSIDE LENGTH INSIDE WIDTH - LIQUID DEPTH LIQUID CAPACITW_ �®� GALLONS. TILE DRAIN FIELD: TOTAL LENGTHL� DISTANCE FROM WELI�� FOUNDATION NEAREST LOT LINED �� OF LINES NUMBER OF LINES / DISTANCE. BETWEEN LINES ABSORPTION AREA `3� DEPTH: TOP OF TILE TO FINISH TRENCH WIDTIii IN. TOTAL EFFECTIVE . FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TIL&- IN. ABOVE TILEIN. WELL: TYPE CONSTRUCTION BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION , LOT LINE , SEWER LINE , TANK , SYSTEM_ CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED .REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL; !�/�°fT_/l0p� LOT SLOPE: REMARKS: /�/�/✓!�/��i� �®!lam Form PW -027 q✓ I DISTANCE. FROM: DIAGRAM OF SYSTEM G.A.A.B. 0 GREATER ANCHORAGE AREA BOROUGH r v� DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT No. 3330"C"STREET ANCHORAGE, ALASKA 99503 3 f TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT J scyUST�Z/s/1e57 3� 3Y5� NAME OF APPLICANT MAILING ADDRESS PHONE O 9 INSTALLATION LOCATION✓ LEGAL DESCRIPTION LOr �6 s�z..�0, l vp2 .fE-i///" sl�/`y /�c� y!�/ f !y TjZ/✓�Z/.rJ INSTALLATION OF: SEPTIC TANK SEEPAGE PIT—, DRAIN FIELD 4— OTHER TYPE AND SIZE OF FACILITY TO BE SERVED ��� /���//�/I/G����,✓`y/�'-I- �O�✓1T FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS 4 ��L�� NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPEZ OZ/ SEEPAGE AREA SIZE GF TYPE dVii/CR�T>� .d�j.�/T/Ger/N y ' u/io�Ti2r�+vi ref/ 3 � oG GiJ/�-utL/3e SYSTEM a p MINIMUM DISTANCES, REQUIREMENTS D11"7�CCGSYSTEM RAM OF T/ter i FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PITA, DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL XJ SEPTIC TANK SEEPAGE PIT DRAIN FIELD /0 TO NEAREST LOT LINE. WELL TO SEPTIC TANK /y SEEPAGE PIT DRAIN FIELD -�l / ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK ✓D / SEEPAGE PIT DRAIN FIELD /% / O / SEPTIC TANK, /�, SEEPAGE PIT DRAIN FIELD/y , TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. �+ C G.A.A.B. OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE 1� �� APPLICANT'S SIGNATURE FORM NO. EQ -616 r13 os - R&M ENGIREERING & GEOLOGIA CONSULTANTS 229 EAST 51st. AVE. — P.O. BOX 6087 — ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419 Civil Engineers Geologists Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P.E., L.S. JAMES H. WELLMAN, P.E. May 7, 1974 R & M No. 462019 Mr. E. J. Schuster SRA Box 393R Anchorage, Alaska 99509 Re: Test Hole and Soil Log Report for Sanitary System, Lot 46, Section 30 W 1/2, SE 1/4, SW 1/4, NE 1/4, SE 1/4, T12N, R2W, S.M. Dear Mr. Schuster: RALPH R. MIGLIACCIO Engineering Geologist We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of May 6, 1974, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 46 area for the purpose of defining general subsurface soil conditions for the proposed sani- tary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 10.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINE/EERIINNG & GEOLOGICAL CONSULTANTS, INC. J�/v �t Rooney JWR:ph ANCHORAGE FAIRBANKS JUNEAU T. H. 1 5-6-74 ~ ORGANICS ORGANIC SILT Gravelly Sand Trace to Some Silt (SP) Bedrock Refusal No Water Table NOTE: Test hole extended with auger type drilling unit. R Engineering 81 Geological Consultants Inc. yA ANCHORAGE FAIRBANKS ALASKA JUNEAU DATE 5-7-74 SCALE I"=5' DwN BY JRS CHKD BY WED D42273 0.0' 1.5' 2.0' 9.0' 10.0' T. D. E. J. SCHUSTER PROPERTY LOG OF TEST BORING Anchorage Alaska PROJ. No. 462019 1DwG No. A-01 Well • M -W DPJWNG, Inc, •' �5� %62w Location (address of Township, Range, Section, if known; or distance main road L469 K�p.Sri SYi4, hE�L SES, Sec. 30 T1St R2K, len AIps 6 10 75 f t Cased to 10 feet Size of casing Depth of Hole__7 ee Static water level 17 ft (abutre _ low) land surface. Finish of well (check one) open end( - i -7C. Screen ( ) ; Perforated one - " Describe screen or perforatio Describer for--L-1---hours with Well pumping test at 10 "gall�pe - sF. (minute) of drawdown from static e w 9� yr+' Date of completio 3 an WELL LOG Depth in feet from color and hardness ground surface Grvae _ f ormations penetrated, size of material, 5 TO 10 10 TO F0 b5 TO 7r, TO- O -TO- TO TO- TO TO TO - TO TO �Se.!)`t e4 Anr Arrlllitr, tinrl. rr►or snyN� o Rb Ky.. _ -_3—CONTRACTOR 1 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Parcel ID 021-022-58 Certificate of On -Site Systems Approval OSC241484 Expiration Date: -J1Al- 2 Legal description WHITE KNUCKLE HEIGHTS LT 1 Site address Current property owner(s) BRENNAN BLASSINGHAM REVOCABLE The On -site system(s) is/are approved for bedrooms X Conditional approval for 2 bedrooms, with the following stipulations: Comments or advisories: This structure is to remain unoccupied until Spring 2025 when the new septic system is to be installed. No wastewater is to be produced from this structure until the new septic is installed. d I By: A Original Certificate Date: 11 /25/2024 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 Service 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 enqineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section I Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 021-022-58 Complete legal description White Knuckle Heights Ll Location (site address, �% 13520 Sunshine Loop *Anchorage, AK Current property owner(s) Betsy Blassingham 2. ON -SITE SYSTEMS SIZED FOR 2 BEDROOMS Day phone 907-312-8103 3. TYPE OF WATER SUPPLY: MN Private Well E] Private Well serving 2 dwelling units R Private Well serving 3+ dwelling units [I Community Well or Public F] Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic F1 Private Septic serving 2 dwelling units F71 Holding Tank El Community Septic or Public Sewer 5. SEPTIC TANK: NJ Steel E] Plastic [] Concrete F1 Fiberglass Age 18 _ See advisory if steel older than 20 years 6. ABSORPTION FIELD: 171 AWWTS Fl Bed E] Deep Trench n Wide Trench El Seepage Pit Waiver request for: Expedited review requested: R 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 $ 7 Waiver Fee $ Date of Payment I I ( / Z ( / Date of Payment COSA # _ IS S C z '/ / V ' Waiver # COSA Awlication—June 2022 rJJ GARNESS ENGINEERING GROUP, Ltd Aerocell ENGINEERING SALES CONSULTING ams aAuaro:,: eJ Ocaicr 11 /20/24 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Request for Conditional COSA White Knuckle L1 To whom it may concern: I am writing to request the issuance of a Conditional Certificate of Onsite Systems Approval (COSA) for the property located at 13520 Sunshine Loop. The septic system has failed, and a permit for its replacement has been issued. Due to adverse weather and road conditions, the contractor has been unable to perform the installation. It has been conveyed to us that the property will be winterized and the home unoccupied until the septic system is installed in the Spring of 2025. In support of this request, we have submitted the following: • Septic system upgrade permit • Contractor bid for installation • 50% Paid invoice from the contractor confirming the commitment to perform the work. • Letter from the lender confirming that funds will be escrowed for the project Curtis Townsend confirmed that this is sufficient to demonstrate the client's commitment to addressing the system replacement. Given these facts, issuing the Conditional COSA presents minimal risk. Thank you for your consideration. Please let me know if you require any further information. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com COSA Checklist Legal Description: White Knuckle L1 Parcel ID: 021-022-58 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Date drilled 6/3/1974 Total depth 75 ft Cased to 10 ft ❑■ Sanitary seal is functioning correctly ❑� Wires are properly protected Casing height (above ground) 2+ in. Date of flow test for COSA 11 /19/24 Static water level at beginning of test ft. Comments B. TANK DATA Measured operating fluid leve ' septic tank Date of pumping ❑ Requitete aintenance completed, if AWWTS ments: Tank to be replaced D. ABSORPTION FIELD DATA Which system tested (date installed) UALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade 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 s6d for more than 30 days prior to date of test Gallons introduced allons date Any rejuvenation tre ent (past 12 months) If yes, end ate - COSA Checklist June 2022 Well production at time of test 4.75+ gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes ❑■ No ❑■ Coliform bacteria is Negative Nitrate 0.989 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑■ Arsenic less than MRL (ND) Collected by _ Date 10/17/24 GEG C. LIFT STATION ❑ Required maintenance com', Age of lift station years Lift statio terial Adequacy test date Failed Results ❑ Pass Fluid depth prior to test in Water added .gal New fluid derpth�_ in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) Effective depth used in Effective depth remaining in 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' Community Sewer Manhole/Cleanout > 100' ❑■ Yes if No ft ❑■ Yes if No Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' Q■ Yes if No Absorption Field on Lot > 100' ❑ Yes if No 90, ft Holding Tank > 100' Q Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No 0■ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑■ Yes if No ft ■❑ Yes if No ❑ 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 Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' W®ebr_Service Line > 10' F. ENGINEER'S COMMENTS ❑ Yes if No ft ❑ Yes if No ft —ems ❑Yes if No ft ❑ Yes if No ft Wells on.Adjacent Lots: Private Wells > 100' ❑ Yes if No _ Community Wells > 200' ❑ Yes if No _ If tank or field is under driveway comment below Septic system is not in use. To be replaced in spring 2025 ft ft ft ft ft ft ft ft 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 Garness Engineering Group, LTD. (GEG) Phone Engineer's Printed Name Jeffrey A. Garness Date _ In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 aZECc M 907-337-6179 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 4_ Day of O!Q }L Of of 20A � , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as _Quanics Aerocell located at (legal description) _13520 Sunshine Loop Anchorage, AK Loop 99516 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) C Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. 'It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). . Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 C Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any pArt hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 I�M By: Date: _(print name) STATE OF ALASKA ss. THIRD JUDICIAL DISTRICT The foreglojn� instrument acknowledged before me this& �day Of �) Cil Y111- 201� by , i, -� D I % MIMMA H A 10 AR B C FOR \SKA Z 4Z: TA,A_ My Corrunission expires: ( P '%B 0 A- -lif,110F f MUNICILALITY: By: PA -nature) Date: t i ? (print name) Title: & (Z— (rev. 05/18/2018) Page 3 of 3 Escrow Holdback Request Loan Number: Subject Property: 13520 Sunshine Loop Borrower Last Name: Anchorage, AK 99516 Escrow Setup: Escrow Required Completion Date: 07/31/2025 Escrowed Funds Provided By: Seller Seller: X Request to hold funds for the following repairs: •Septic install -A+Home Services •Final COSA •Final As-Built Survey Escrow Calculation: Bid Completed By: Contractor Total Bid Amount: (Using the larger of the two bids provided, multiply the total estimated bid by 1.5 to calculate total bid amount) $ 49,836.00 Final Inspection Fee/As-Built Survey:$ 1,450.00 Total Funds Escrowed: (Total Funds Escrowed will be held at closing) $ 51,286.00 Approval: Underwriter Approval: Lita Beck Date: 11/20/2024 Senior Management Approval (If Applicable): __________________________ ** Attach all bids / email approvals / additional documentation as applicable ** First National Bank Alaska 101 W 36th Avenue Anchorage, AK 99510 Sonja Blewett From: Lora Nordstrom <lora@loranordstrom.com> Sent: Wednesday, November 20, 2024 10:49 AM To: Sonja Blewett Cc: Jamie Rose Subject: Sunshine Loop - A+ Services Payment Receipt Please see the email below from A+ Services. Thank you, Lora Lora Nordstrom REALTOR@, GRI, CRS, ASP@ Stager Jack White Real Estate 907-360-8540 http://www.Lorallordstrom.com LORA NORDSTROM REALTOR,a. GRI, CRS, ASP12: Stager ----- Forwarded Message ----- From: A+ Home Services <info@aplusak.com> To: "lora@loranordstrom.com" <lora@loranordstrom.com>; "betsylarchwood@icloud.com" <betsylarchwood@icloud.com>, "bpetterson@fnbalaska.com" <bpetterson@fnbalaska.com> Sent: Friday, November 15, 2024 at 01:02:21 PM AKST Subject: Hello Besty: This is a transaction receipt for the work performed recently at 13520 Sunshine Loop in Anchorage. Payment Amount $33,224.00 Authorization# Job# # 1054138707 Transaction Time 10/25/2024 01:10 pm Payment Memo For reference, below is a complete break -down of the job charges. 1 Description Unit Cost Total Products, Services, Taxes & Fees: $56,448.00 Total Time and Labor: $0.00 Total Billable Expenses: $0.00 Job Total: $56,448.00 Payments/Deposits: $33,224.00 Total Due: $23,224.00 Should you have any questions or concerns, please feel free to call or email us. A+ Home Services 700 W 41st ave Suite 201 Anchorage, AK 99503 (907) 345-1890 info@aplusak.com PSS�AIGHTF(USH deftA FULI01V Estimate A+ HOME SERVICES ESTIMATE# 1053340006 907-345 -1890 ................................................................................................................. DATE 10/14/2024 ............................................................. PO# 700 W 41st ave Suite 201 — - Anchorage, AK 99503 (907)345-1890 info@aplusak.com CUSTOMER SERVICE LOCATION Betsy Blassingham Betsy Blassingham 13520 Sunshine Loop 13520 Sunshine Loop Anchorage Alaska 99516-6962 Anchorage Alaska 99516-6962 (907) 312-8103 (907) 312-8103 To excavate and install a new Infiltrator IM-1530-gallon tank with an A400 series Quantics AeroCell completely decommissioning the existing tank per UPC code. To install one trench that is 30 long X 5 wide X 0.5 effective and to meet ALL engineer specifications per design dated 10/07/2024 *WE WILL MATCH COMPETITOR PRICING BASED ON COMPARABLE INCLUSIONS/EXCLUSIONS *50% deposit required prior to the start of commencement of work, remaining balance to be paid upon job completion. Inclusions: Price of required pumping Surveying for septic install -Not an As -Built *Add an additional $1500 to this estimate if the existing tank has to be removed and hauled to the landfill. -Will decommission the tank in place if room allows. DESCRIPTION **In the event that ground water is encountered during excavation, In order to maintain integrity of the tank and prevent damage or "floating" Tank Ballasting will be required. This will incur an additional charge to cover the required ballasting materials and labor, based on engineer/code requirements and/or manufacturer suggested method. If you have any questions or concerns, please do not hesitate to call our office at the number listed above. We are not responsible for underground utilities unless located by the Locate Call Center or settlement over disturbed areas. Pricing is subject to change in the event of unforeseen circumstances such as but not limited to ground water influx gravel and or sandy soils causing the hole to collapse. If one of these events occur the customer will be notified and charged an hourly rate of $250 until event is remedied. A 5% per handling fee will be charged if paying by credit card (we accept all major credit cards), and a monthly 3% finance charge will be added to all past due invoices. Tank & Drainfield Description Rate Total CUSTOMER MESSAGE Estimate Total: $56r448.00 * Please note that 50% is due upon acceptance to secure a scheduled slot * This estimate is based on the current design only * Any work outside of this scope will need to be reapproved by the owner prior to continuing work. * We are not responsible for any damage to driveways, walkways, and or pavement. * Estimate does not account for any ground water problems if they occur. If you have any questions or concerns, please do not hesitate to call our office at the number listed above. We are not responsible for underground utilities unless located by the Locate Call Center or settlement over disturbed areas. New construction or loose soils may cause settlement. We are not liable for regrades or repairs due to frost jacking, settlement or natural causes. ACCEPTED ONLINE Signed By: PRE -WORK SIGNATURE Signed By: Docusign Envelope ID: E3C34139-DC68-4E83-A3D0-C27873431450 Hiland Excavation LLC Po box 772752 Eagle River, AK 99577 US hilandexcavation@gmaii.com Estimate ADDRESS Betsy Blassingham 13502 Sunshine Loop Anchorage, Alaska 99516 DATE ACTIVITY Services Disclaimer DESCRIPTION Install QuanicsAreocell cat II System as per engineers design. To include 301 x 5'W x 0.5'ED Absorbtion trench with sand filter, IM 1530 Septic tank, and Areocell A400 and associate components. **Any Design changes will require a change order** **Landscaping and excess material haul off is not included in this quotation. ** **A Landscaping contractor will be recommended upon request. ** I� r HILANv F— EXCAVATION ESTIMATE 1120 DATE 10/16/2024 EXPIRATION DATE 11/30/2024 QTY RATE AMOUNT 1 45,500.00 45,500.00 1 0.00 0.00 * Contractors not responsible for damage to unmarked or unlocated underground utilities. Any damage will be repaired at owner's expense. * ----------------------------------------------------------------------- —------------------------------------- —----------------------------- —--------- '* If an item is not fisted above it is not included in this estimate. Unless TOTAL specifically agreed otherwise, the property owner shall be responsible for final grading areas depressed from soil settling." " Price is subject to change per specific engineering design request and permit approval."' 50% due upon start of project with the Total amount is Due within 15 days of final invoice unless otherwise agreed upon. If final payment is not received within 15 days of final invoice. A fee of 1.5% per day of the remaining balance will be applied to the invoice until paid in full. Signed by- C7 .Signed bey: Accepted By 13E64DB1DA8E_5A62_. SFDAFEtE56414E7__ Accepted Date 10/17/2024 i 12 : 28 FW/W2024 i 11: 30 AM AKDT $45, 500.00 PogS 1 0f 1 MUNICIPALITY OF ANCHORAGE • ^� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # - LtLo — HAA# 0 Q92DQ 3-Q1-1 1. GENERAL INFORMATION (/� SE /H Sw� NEIN SE 1�Y Sec30 Complete legal description W r � �,� i—r— / 12 N. RZw Sr`t Location (site address or directions) 13SZo SunSh'ne Loan Property owner /- 1/7 dcL Go (b„ —I Aa-LLq 6Y1 Day phone Zs7 - 13 2 y Mailing address P U GO x23 09 & 2 Lending agency C' �r Morf-g ave Day phone 563-0706 Mailing address I? I w- r,,rebl eed /-,ane,fMw /4-k 99507 Agent N&'Jc? - hDude_ �'dgrSold Zv ocunor Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 \' 3. TYPE OF WATER SUPPLY: Individual well 'l� Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-925(Rev.1/91) Front MOA#21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Waver /c sur-rr c we, tee- mycA ire o(, Name of Firm Ftafk4n 71echni[ar Sarvk>i Phone 3NS-13Ss- Address 1HS 3o C—cho ArAcboCc=9P, Al -c 99Slz Engineer's signature - Date 0 F ACza4�� ��, SO.." �J............• n..^ / 4 ip I ➢•THEODO,:E F.. -1002E ,• rf` r,.• C., 35'.9 M 6. DHHS SIGNATURE" X Approved for 3 bedrooms. Disapproved. Conditional approval for Additional Comments 0 UITIC bedrooms, with the following stipulations: Date -7-28-93 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Ru.1/91) Beck MOAN21 Municipality of Anchorage lak Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: W Y2 SE 114 SWY* NE Ya SEY4 SEC 3o Parcel l.D, A. WELL DATA Well type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Y Date completed 6-3-74 Driller M 4 W Total depth 75 Cased to to r Casing height 12" Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y FROM WELL LOG., AT INSPECTION .' Date of test { {, ><3 �71it G �1 (i�1G A 't1 Static water level ) 7 14 Ind' { � � - Well flow 1 n g.p.m. > '7.5 9•p• Pump level SEPARATION DISTANCES FROM WELL TO:- Z Septic/holding tank on lot 125, qq ; On adjacent lots >/Oo i Absorption field on lot Or 3 J% wAwER oN F14E) ; On adjacent lots >100' Public sewer main >too1 Public sewer manhole/cleanout Sloop Sewer service line y Ifor Petroleum tank No.(E a65ERvED WATER SAMPLE RESULTS: Coliform O cc,1 !fc'Ofit Nitrate 1'S n- -e_ Other bacteria A00 e- �°or� Date of sample: 411113 Collected by: FL 477x!' TCCY SVCS B. SEPTIC/HOLDING TANK DATA Date installed -5 /Q. 174 Tank size 10M 641 Compartments 2 Cleanouts (Y/N) y Foundation cleanout (Y/N) Depression (Y/N) N High water alarm (Y/N) Nr A. Alarm tested (Y/N) NA, Date of pumping 57 (7 ! 9 3 Pumper Den a1! S ewer t Or)a"A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot , 125 Onadjacentlots > loor Foundation 771 r Topropertyline a5D Absorptionfield 7 Water main/service line Surface water/drainage* 90 * $¢@ Psc161eo(_ cewaiue� ecpf 14^/76n 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at - Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump Off" level at Cycles tested Surface water _ Date installed '11,183 Soil rating 150 018DRM System type SNAceOw TRENCH r r r Lengtb.170 f45 Width 3 Gravel thickness 0• S Total depth j• S r Total absorption area Cleanouts present (Y/N) Depression over field (Y/N) Date of adequacy test /I/T3 Results (pass/fail) Pass for 3 bedrooms Peroxide treatment (past 12 months) (Y/N) N09E Kkawu OF If yes, give date t4,A. SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot D rr'86 aA1vER On adjacent lots i'/0°1 Propertyline To building foundation r To existing or abandoned system on lot - 7 On adjacent lots 95ot Cutbank KA Water main/service line %� 701 Surface water* 53 Driveway, parking/vehicle storage area > qO r Curtain drain NONE OBSERVED E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature �-�- �r Engineer's Name %%T &0dam F r'taooP . R Date June THEODORE E. L500RE • 0 •.� E-3589 : st' �Af HAA Fee $ C b`� Waiver Fee: $ �D Date of Payment - p/� Date of Payment Receipt Number ���( ��Receipt Number 72-026 (Bev. 3/91) Back MOA 21 WR# WR930034 Date Received *MUNICIPALITY OF ANCHORAGEO Department of Health and Human Services On-site Services Section Waiver Review Worksheet PID# 021-022-46 HA# HA930324 Permit # June 21, 1993 Legal Description: T12N R2W Section 30 Wz SEk SW; NE; SE; Engineer: Ted Moore, P.E., Flattop Technical Services 14530 Echo Street, Anchorage, Alaska 99516 Applicant: Linda Bowlby-Layton Waiver Requested: Leach field to surface water of 53 feet. Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: X Waiver is NOT Granted: List Conditions or Reasons for above: SEE A)TR CHFP Date: 7- 26 -93 By: Rec #: 24820/8553 Amount: $ 590.00 Date Paid: June 21, 1993 MunApality of Anc0brage Department of Health and Human Services Cih Tom Fink, 825 "L" Street Mayor P.O. Bax 196650 Anchorage, Alaska 99519-6650 343-4744 July 28, 1993 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for T12N R2W Section 30 W2 SEq SW; NEa SE; Waiver Request #WR930034, PID #021-022-46, HA930324 Dear Mr. Moore: Your request for a waiver(s) of the required 100 foot horizontal separation of a septic system to the surface water has been approved. The approved separation distance(s) are the leach field to the surface water of 53 feet. This waiver approval applies to the existing septic system to surface water separation only. Any future upgrade to the septic system will require all separation distances be met or another approval from this department. Should the operation of the subject wastewater disposal system cause any contamination or degradation of the subject surface water, this waiver will become void. Sincerely, � Daniel J. Roth Civil Engineer On-site Services ljm:#5 Co cur: J hn Smi/anager P.E. rogram On-site Services /-,2 Qoo 0 0 wA/vER I?F_Quffs r Fob W%z SE V4 5wY4 Alf % SE /4 SEL770,v ,3O 7-/2N R2 WA/vER RF4aESr Ivi4"off/? wR93oo 34 WRIvEn RFgaEsr FoR ON L cT IARSORPTIOA. rRENCH TO SAWA4CE Gv OF S3 '. 5fOTl6 H1,17 -CRI" %HE SG BJEcr W,45TF_u.,4rbR SYJrB,u L-hS f041s7RWC7-6"to /N SEPr. 1993. THE SURFACE a,47,ER wgsNor 0/ScovF)?Ev qr rRIf 71 AAE, TKF 5-liRF,4CE c,14TER Ml► K A,vT HI3v£ fzlsreD RT r TIMI_. THF ANA4r,vE FvtIA6E /u rH1, RR4,9 IS TNICk f T/9LL. Aue06e0 l4 51TE VISIT OA., ]-22-C(y /?EUEAIF0 7-1464 fr?r4m W1gS vl?%4 V0A'-FxIS TENT F. TIIC SrRE19M FLOi,5 PeST rMff A05'Oefr/o,v F/bLD A4 v0 n/sA/�PE/4�'J OuRIA,& 7-1-1E OYEIp,rkP rl,Ke Of YgE4gR SL/6fsrL PowN 6efiP1EA,T FI?Om 71 -IE Lot --&.5r Po✓?T Janes of TGtF 1030.5,419prioA rRENCrf. YAN THE EvEn,T OF A P07-EuTI6L n/3Y4/611F PROAl THE FIof09PROA, TRF—RF-/ Iti �uEST,Ou� TL(E EfFCkE.vT UouLP TRAVEL 190 .ov6 e,A-,PiewT NEIMLjy P19-1?RgL6EL To 7-1tE SulPF'ICE wATen 1A, QUFSTIoA/. THE S1+K'FAfF 1,14rER THEAi YJ/Sf1l'PL-fIRS gh-Clz /Pro THE 6Rau,,,p 4ov6 19A`F0RE 211YE OOTEA✓TIRG QlIyL/GKr pF EFFLuEA,T FROM rltE #g_rol?ppo. 7Rr-A,CA-/ COULV IA�r6/eCFP7 [~17"1-( T/4E fURFFICF L-/4r5e, THE CA,6/,vECR u'/9Lk'En THE strq� 4R15F4 THAT r/{E Sul?FfILE + /4TEI? TVW51?SFS IeA.T/L IT 015x7 /}A,p CojAj_ii Ivor F/PD R 7R,*CE OF T1-fF I—PITE/e RE,9FFFy�/NG Pow, SL OPE FOR MORE 7-KA3 Ar 2 00 FEET Fl?o� 77aE CL of Fxr OF r14E t9f50f?1°r1041 TPEIu61-e IN qu ssT/Oa. OV CLt(:r/oN — r14 falPFHCE 1„./4rER /v Qu6xr/oAi /f FREE FRO�c R/SM eF 1007FA. 'uRFA6/N(9 SEPT/C r#AIR EFFLaE,vr F,fcA4 /wTrRSECT/v,� 7 -we Sk?FAjCE! 7 8,9,v r w,,wE1? ! T.ER r S M.O.A. DHHSn L P.O. Box 19-6650 l_ �.� too J Anchorage, AK 99519 RE: Waiver - field to surface water - w2, SE4, SW4, NE4, SE 4' Sec 30, T12N, R2W, S.M. Dear Sirs: By means of this letter we are requesting a HAA certificate and a waiver of the normally required 100 foot separation distance between a soil absorption system and surface water down to 53 feet for the subject lot. A site plan and other relevant backup documents along with a description of our adequacy test procedure and results are included to assist you in your review. According to the driller's log, the well serving the residence on this lot was completed in June of 1974 and has a total depth of 75 feet and a yield of 10 gpm. On June 1, 1993 we conducted a yield test of the well. At the start of our test the static water level stood at 14 feet below the top of the casing. Steady pumping of 782 gallons of water from the well at the maximum pump output of 7.8 gpm caused the water level inside the casing to be drawn down to 28 feet, but no further. Based on our test data we determined that the total yield of the well is in excess of 7.8 gpm, which exceeds Municipal requirements for a single family residence and also exceeds the FHA lending criteria that a well be able to supply 720 gallons of water within a 4 hour period. Water samples collected on June 1 were satisfactory, showing no coliform or other bacteria and 1.5 mg/1 of nitrate -N. According to inspection documents on file at DHHS, the original wastewater disposal system serving this residence was installed in 1974 and consisted of a 1000 gallon septic tank followed by a single 48 foot long soil absorption trench. In 1973 the original soil absorption trench was abandoned and replaced by two parallel 3 foot wide drainfields with a total length of 155 feet having 6 inches of gravel beneath the horizontal distribution pipes. The installation was inspected by a municipal inspector. In February of 1986 the system was tested by AECS and found to be adequate for a three bedroom residence, however the well was found to be 90 feet from the drainfield. On 3/11/86 DHHS issued a waiver allowing the existing drainfield to be 90 feet from the well. The records do not give any indication that surface water was observed within 100 feet of the system. On June 1, we conducted an adequacy test of the wastewater disposal system. Measured quantities of water were added, first into the septic tank and later into the standpipe at the east end of the upper drainfield, while fluid levels were monitored in the septic tank and soil absorption system standpipes before, during and after the flow of water was stopped. The line between the septic tank and the upper drainfield was found to be obstructed, but the line has since been repaired by Carl's Excavating and a double cleanout installed. The standpipes in the upper drainfield initially had 6 and 7 inches of fluid in them, and these levels rose only 1 inch during the course of the test before the fluid overflowed into the lower drainfield. The standpipes in the lower drainfield initially had 0 and 3 inches of fluid in them, and these increased to 11 and 8 inches, respectively as water was being added. A total of 782 gallons of water were added to the system, and within 1 hour after the flow of water was stopped all the fluid levels were back within 1/2 inch of their original position. Based on this observed behavior, we concluded that the system continues to be able to accept water at an adequate rate for a 3 bedroom residence. In conjunction with our adequacy test we noted the presence of a small stream flowing in the approximate location shown on the site plan. We measured the surface water to be 55 feet from the standpipe at the east end of the lower drainfield at its closest point. The requested waiver distance of 53 feet is to allow for slope correction and/or possible underground protrusion of the drainfield gravel a little closer to the stream. The stream had an estimated flow rate of 5 gpm in the area where it is closest to the drainfield, with a somewhat higher flow rate further upstream. All surface flow of this stream ended within approximately 20 feet downstream of the point of it's closest approach to the drainfield, and surface flow did not reappear within the next couple of hundred feet further down the swale. The elevation of the steam at it's closest point to the drainfield is approximately 10 feet lower than the ground elevation at the standpipe at the east end of the lower drainfield. The slope of the topography in the area, however, is such that surface flow of effluent, which might conceivably daylight from the drainfield, would never reach the stream, as it would have to cut obliquely across the slope to do so. The fact that the surface flow disappears below ground and remains there should eliminate concern as to the possibility that surface water contamination could pollute other receiving water bodies. Due to the slope of the topography, no residential development exists or is likely to br built in the near future for approximately 1/2 mile downhill of the subject lot. Surface water separation distance waivers do not lend themselves to the quantitative application of DEC waiver analysis points, as is done for well waivers, so it is necessary to make a qualitative assessment of the potential public health hazard associated with granting the waiver. In this case, particularly considering the small volume of the stream and the fact that the system was inspected and tested several years ago without concern as to surface water proximity, it is our opinion that issuance of the requested waiver will not result in surface water contamination. Please feel free to give me a call if you have any questions on this waiver request. Sincerely, Ted Moore, P.E. cc: Linda Bowlby WELL VAr—PrN 7— I -OT, b.vr w Lo O vAC AN I t,o T Hous wAlvEk .,I��Is�, GRANTEn Sly t X000 6AL � 5EPT tC TANK MBw Doc 7o,+$S' ABsoRP. TRfi� �v Oop HousE SEPTIC e'S SYSTEM F�o�✓ (0 GPM F.ow WEST %,. EAST %s p Flattop Technical Services j(.S' 14530 Echo Street VACANT l.0% Anchorage, Alaska 99516 W %, SE y4, SW'/4, NE %., SE Y4 OFA SEC 30, T 12.N, R2Vq .........p'4 0 AK "''' '•.'�.,°� WASTEWATER SOIL ABSORPTION SYSTEM •49LH '1 • SITE PLAN t. vv.�ays�...........e n. 3. .... ... ......o.., �� No -TF.. THIS is NoT A •s THEODORE E. WIOORF. SC A L E '. I =50 CE. -35p9s SVRVE`(EA FLAT. p'�^�' • .......•� DATE : io /q3 L LOCAT OKS DWN RY� CA ARE APPRoxIMATE. mEAREST 53I 5uRFAC 6P� 5 J�END of 5 FLOW �RiIPI F Oop HousE SEPTIC e'S SYSTEM F�o�✓ (0 GPM F.ow WEST %,. EAST %s p Flattop Technical Services j(.S' 14530 Echo Street VACANT l.0% Anchorage, Alaska 99516 W %, SE y4, SW'/4, NE %., SE Y4 OFA SEC 30, T 12.N, R2Vq .........p'4 0 AK "''' '•.'�.,°� WASTEWATER SOIL ABSORPTION SYSTEM •49LH '1 • SITE PLAN t. vv.�ays�...........e n. 3. .... ... ......o.., �� No -TF.. THIS is NoT A •s THEODORE E. WIOORF. SC A L E '. I =50 CE. -35p9s SVRVE`(EA FLAT. p'�^�' • .......•� DATE : io /q3 L LOCAT OKS DWN RY� CA ARE APPRoxIMATE. 0 MUNICIPALITY OF ANCHORAGE 0 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ( , ,`} OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date �� d$'_____ 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) 7rjznj ,t' zi.J SCG j0 Location (address or directions) (b) Applicant Name -774y/il Telephone: Home P j`�5 f�� 6Z-- 53 Business Applicant Address �erov f"l- 3<• fcriTc /ui /%i% �j� (c) Applicant is (check one): Lending institution[]; Owner/builder; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family( Multi -Family ❑ Other Number of Bedrooms -3 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Telephone t:441rilfrJtfltUlTPry2ff n,,,�-. ....,. ;G DETIT. RECEIv..) Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ 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 72-025 (11/84) 5. ENGINEERING FIRM PROVIDIINSPECTIONS, TESTS, FILE SEARCH, DOAND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. I Name of Firms Telephone Address Date Lz%�lt5a'1ie�/diz $'�/fat�� SeFai� >�. Nib J' -z7- sr� AL E A � 6. DHEP APPROVAL Approved for yilr2r� 3 bedrooms by (S=3 -c �--�i-�'� Date Approved x Disapproved Conditional Terms of Conditional Approval CAUTION y9so3 ®eeeeoee�y_Qw� iieJJ�y a TH a eo�ese6 OYec. R"ct JR.: CE -2251 Q,4� Ftoiesstot�a��®®®� lrli— /— Pb The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional 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 requirements. 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. Page 2 of 2 72-025 (11/04) 0 w MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHCRAG2 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAR 0 5 9986 Legal Description :r /j z' � I� J� E12V� D A. WELL DATA Well Classification k/('/� �-� If A, B, C, D.E.C./Approved (Y/N) Well Log Present(Y/N) Date Completed 3 -- `f� Yield �� �= �•`%`� Total Depth i Static Water Level Cased to Depth of Grouting 4; i) P S t At Casing Height Above Ground Electrical Wiring in Conduit 6/N) Separation Distances from Well: Pum e p Sanitary Seal on Casing 61/N) Depression Around Wellhead (Y6)'! To Septic/Holding Tank on Lot / On Adjoining Lots To Nearest Edge of Absorption Field onL/A/Z '�_ ; On Adjoining Lots r To Nearest Public Sewer Line To Nearest Public Sewer r Cleanout/Manhole To Nearest Sewer Service Line on Loth Water Sample Collected by Date Water Sample Test Results ?i%i='ii','C, �`A! Comments x/''` � /11(6,4'T icjs<✓C �+/ii9v��P py )e1�i7XAlan� )i17/*eL: ,_f5A-eV 3Yr tieA, - B. SEPTIC/HOLDING TANK DATA Date Installed 4 Size ���� �/� No. of Compartments Stand pi pes((Y/N) Air -tight Cap(Y/N) Foundation Cleanout (Y N) Depression over Tank (YJ) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) �/� for > �/ Holding Tank High -Water Alarm (Y/N) ��,!'' Temporary Holding Tank Permit (Y/N)'- .f Separation Distances from Septic/Holding Tank: To Water -Supply Well To Property Line To Water Main/Service Line Course To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments /` 21M-3ia`6 *7;i?W69 AbW4& 'T 6�+T 'T Te 3aHP i s Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA W+D� DRR+moi' Soils Rating in Absorption Strata IDLE � Type of System Design Date Installed Length of Field 7a' Width of Field • Depth of Field %• Square Feet of Absorption Area Depression over Field (Y6) Results of Last Adequacy Test Gravel Bed Thickness a•� ^ Standpipes Present (Y ) AA `` Date of Last Adequacy Test Z= Separation Distance from Absorption Field: To Water -Supply Well % ) ?el To Property Line To Building Foundation V %' ' To Existing or Abandoned System on s , Lot '•J On Adjoining Lots 5-o 'r To Cutbank (if present) f To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area X53 '7— Comments 6 AIM 70 Ze?i6401P AVIWE'74 vF k17Jh eA , i h; -P& -tire per/ 1-7o D. LIFT STATION Size in Gallo "Pump On Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access(Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I hav ec d, v rified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection aBF�rR^F cct * Signed '.G�. f---' Date�-aa fir, Company MOA NO. 07 -�'�] Receipt No. ' �%<yy II Y ,4 W C� PIC o Date of Payment. Amount: $ meer s Se NQ. 2257-E Page 2 of 2 72-026 (11/84) 72-026 (11/84) 60069 ALASKA 6 1ROWnTRL COnTROL BARS, If1C. Engineering & Enulronmental Studies 03/03/86 NIEL & JUDIE THOMAS SELLER—NIEL & JUDIE THOMAS NIEL & JUDIE THOMAS 3000 A STREET/SUITE 101 3000 A STREET/SUITE 101 ANCHORAGE ALASKA 99503 ANCHORAGE ALASKA 99503 LEGAL:TI2N R2W SEC30 W1/2 SEI/4 SWI/4 NE1/4 SE 1/4 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE -2/21/86 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 465 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 678 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC 'TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT HAS NOT BEEN PUMPED WITHIN THE PAST YEAR. THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELL WELL FLOW DATE -2/21/86 A FLOW TEST WAS PERFORMED ON THE WELL. 678 GALLONS OF WATER WAS PUMPED AT A RATE OF 6.8 GPM OVER A DURATION OF 1.6 HOURS. THE DRAWDOWN WAS 23.7 ' WITH A RECOVERY TIME OF 120 MINUTES AND THE STATIC WATER LEVEL WAS 36.8 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. Ga UN E T� pF�4m-1 &RAON RC1. �a G b 1200 West 33rd Auenue, Suite Q 9 Anchorage, Alaska 99503. 907) 561-5040 Mlicipality of Anchorage MEMORANDUM DATE: March 11, 1986 TO: File FROM: Civil Engineer, On-site Services SUBJECT: T12N R2W Section 30 W-, SE-, SWI -4 NE-, SE4 Waiver, WR86-032; 90 feet well to absorption trench A risk analysis on the subject property indicated that there was very little possibility of contamination of the well from the septic system. A waiver of the 100 foot separation distance required by 18 AAC 72.021 was waived to 90 feet. This waiver is valid for the existing three bedroom single family dwelling only. Stephen S. Morris Civil Engineer On-site Services SSM/ljw cc: Alan Wien, A.E.C.S., Inc. 1200 West 33 Avenue, Suite B 99503 ALASKA ENVIRON,NTAL CONTROL SWUM, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 JOB SHEET N0. OF— CALCULATED BV �' DATE CHECKED BY DATE SCALE i r t, 'N_. �1 106 L -7-1 _1 Ali /t ___ _.... _. DAUN�cpE �, �N�px,� PROTEC't10N _ PS:�?N'"�/. ". 1.