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HOMESTEAD HILLS #1 BLK 3 LT 6
Homestead Hills Block 3 Lot 6 #015-173-28 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number:.OSP251123 PID Number: 015-173-28 Dwelling: E Single Family (SF) n with ADU F] Duplex (D) El Two Single Family Project: n New E Upgrade Name JENNIFER L OPSLIT ABSORPTION FIELD — IDSF FIELD El Deep Trench FJ Wide Trench Z Bed 0 Mound Site Address 11440 BEARPAW STREET, ANCHORAGE El Other Phone Number of Bedrooms Soil Rating depth from original grade 1 4 2 GPD/SF JTotal (TOP OF SAND + GRADE) 0.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade (TOP OF PEA GRAVEL +GRADE) 0.75 Ft. Gravel depth beneath pipe (3" PEA GRAVEL) 0.25 Ft. Subdivision Block Lot HOMESTEAD HILLS #1 3 6 Fill added above original grade VARIES 3.43 Ft. Gravel length 36 Ft. Township Range Section Gravel width 10 Ft. Beds: Number of Lines 4 Distance between lines 2 Ft. SEPARATION DISTANCES To Septic Absorption Holding j Sewer Lift Station 1 Total absorption area Number of trenches Dist. between trenches From Tank Field Tank 1 Line 360 Ft' Ft. Well 50'+ 25'+ TANK 0 Septic 0 S.T.E.P. [:1 Holding 0 Other Manufacturer EXISTING Capacity EXISTING 1500 Gal. Surface Water 50'+ Material (EXISTING) STEEL Number of compartments 2 Lot Line 5'+NA Foundation 10'+ 1 LIFT STATION Manufacturer EXISTING Capacity EXISTING 1500 Gal. Remarks NEW IDSF INSULATED FIELD W/ AIR LINE & REMOTE MONITORING ADDED TO EXISTING STEP. Alarm location Electrical installed by AIR COMPRESSOR / GARAGE BRICKWELL / LARRY BETTS PIPE MATERIAL Housetotank3034 Tank to 3034 Installer A+ drainfield Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspdates: ection 15t 07/07/2025 2„d 07/08/25 Location and description 3d 07/11/25 4th DOOR THRESHOLD ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date • TH Septic Sys &��_ ApproveOY . ......... Curtis Huffman CE 128991 Dat p8/06/25. . Aw AWr PROFES$0' Note: this approval does not include well permit requirements. (Rev 05/02/18) PID:015-173-28 PERMIT:OSP251123 FIRST WATER CONSULTING HOMESTEAD HILLS #1 BLOCK 3, LOT 6 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: OSP251123 Work Type: Septic Upgrade Tax Code Number: 01517328000 Site Legal Address: HOMESTEAD HILLS #1 BLK 3 LT 6 G:2636 Site Mailing Address: 11440 BEARPAW ST, Anchorage Owner: OPSUT JENNIFER L Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 6/17/2025 6/17/2026 62701 Z Disposal Field ❑ 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 ILI Received By: La, Date: Issued By:Date: / �� MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-173-28 Property owner(s) JENNIFER L OPSUT Day phone Mailing address 11440 BEARPAW STREET ANCHORAGE, ALASKA 99516 Site address 11440 BEARPAW STREET ANCHORAGE, ALASKA 99516 Legal description HOMESTEAD HILLS #1 BLOCK 3 LOT 6 Number of Bedrooms 4 Engineering Firm FIRST WATER CONSULTING Building Permit Number Not Applicable RN APPLICATION IS FOR: APPLICATION IS AN: (Z all that apply) Absorption Field Initial ❑ Septic Tank ❑ Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Well ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: Date of Payment: Permit No. Waiver Fees: Date of Payment: Waiver No. Phone: 907-343-7904 Distance: 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! May 28, 2025 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: HOMESTEAD HILLS #1 BLOCK 3 LOT 6 The property owner has requested we obtain a permit to upgrade the failed septic system of the above referenced lot. The existing absorption fields are encroaching groundwater and will be abandoned in place. We propose to install augment the existing STEP tank by installing an IDSF septic field per the attached design. Per the attached test hole conducted in May 2025 to ascertain groundwater levels, we propose to add 1.5’ Type II soils, then sand and pea gravel for this IDSF field. L&S Services will install the appropriate panel, airline, alarm and air compressor for this system. DOT recently improved the ditch along Elmore Road and an additional berm will be added / extended along the southeast property line to direct any potential surface flow towards the ditch. The slopes are moderate at 0-3 % at the proposed upgrade location. The lot and adjacent lots are served by private water, and any possible encroaching separations must be staked prior to construction The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251123, Curtis Townsend, 06/17/25 FIRST WATER CONSULTING DESIGN CALCS: NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. FLAG ALL ESMTs, PLs, WELL RADII, ETC...PRIOR TO CONST. HOMESTEAD HILLS #1 BLOCK 3, LOT 6 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251123, Curtis Townsend, 06/17/25 FIRST WATER CONSULTING HOMESTEAD HILLS #1 BLOCK 3, LOT 6 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251123, Curtis Townsend, 06/17/25 3030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL: HOMESTEAD HILLS #1 BLOCK 3, LOT 6 PERFORMED BY: FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 05/27/2025 DEPTH FEET OG SOILS 1 2 ORG/OL 3 4 5 6 GM - wet 7 8 9 BOH 10 11 12 13 14 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE NA (MIN / INCH) TEST RUN BETWEEN NA & NA FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: YES IF YES, AT WHAT DEPTH: 4’ DEPTH TO WATER AT MONITORING: 2.6’ DATE: 05/27/2025 TESTHOLE # 25-1 DATE PERFORMED: 5/19/2025 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: GROUNDWATER MONITORING ONLY – SIMILAR SILTY SOILS PER ORIGINAL TEST HOLE #2 BY LARS SPURKLAND 8/16/2006. PERFORMED FOR: JENNIFER L OPSUT 05/27/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251123, Curtis Townsend, 06/17/25 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE �A�ND1 REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this JDay of Jb&jj — of 206?67, by and between e 0 I —ke �Jb 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 AN INTERMITTEN DOSING SAND FILTER (IDSF) located at (legal description) HOMESTEAD HILLS #1 BLOCK 3, LOT 6 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) 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 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. Severahility. 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 OWNER: a r By; � ���� (signature) Date: e (print name) STATE OF AJEASK.,k- (� ) ss. 6.6L"'. y The foregoing instrument was acknowledged before me this �...� day of NOTARY PUBLIC FOR sI k o My Commission expires: 10'Ld--Zca(=_ NOYARY PUBLIC lotK"TS'rt j STATE OF( A�ReIZONA pjna ity t 4x P O dhIISSION it 637578 Iv Commission (*;pins C�c(ober 11.2126 MUNICIP 6 By: (signature) Date: 1 2 Z5 ✓ MSS TILL-5 A,,)(print name) Title: QUI E'`'� �- ��✓r /L (rev. 05/18/2018) Page 3 of 3 SUBANITTAJ OCT 22 2013 Municipality of Anchorage Development Services Department ry` Building Safety Division On -Site Water and Wastewater Program, 4700 Bmgaw St. P.O. Box 196650 Anchorage, AK 995196650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S WO(o03 PID Number. OIS- 113 - Z$ Name: { 1 L Wastewater System: JANew El Upgrade Jat1 cn5 Address : Qb IS, 2323 vl aA ABSORPTION FIELD Phone: Numba of Cmnot s: ❑ Deep Trendr Shallow Trenrh 0 eetl ❑ Mound ❑ Other LEGAL DESCRIPTION ) .a Still Rebn1501��3 Total Depth fromo ginal grade: 1• 5,L. {50 GPD/Ft' Ft. Block: Lot SubOiv cion' 3 1.1-1ilt'* 1 Depth to ppe bottom from anginal grade: ij &- R. Gravel depth beneadi pipe: 3,51 3.5 FL TownshipRange: Section: Fill added ab ve original grade: Gravel Length: p^ 0,5-0 Ft. O L Off/ Ft. Well ®New ❑Upgrade • Gravel andm: 1 5 3 Number dl . Distance be reen lines: IO Ft. Ft. Clasefication(Pmate, A, B. CL Total Depth: cased W. Total atsorption area. Pipe Material: PC,%V /- a� Fl. Z6(o Ft ISCO Ff f PVC SC -1,, 4L) Dnllec IA-VJ Date'Ilea' Static Water Level: (o C(p '24-4 Inslalla[ - 1 DEAN Con Datelnslalled 6 +Y 6 15 0 t . Ft. l0 Yield:Pump S"e"' L Z(ui0 Casing Heyht Above Ground: +la TANK GPM Ft. Ft. SEPARATION DISTANCES []Septic ❑ Holding N[S.T.E.P. ❑ Other: To Septic Absorption Lift Holding lubliclPirivate -Manuraewrer: Twer I50Q From Tank Field Station Tank SeLine AnAorr, {-Ank - Gal. wall +100' mol + loo' N A 4-7-51 Material:Number or Compartments: Surface Water 10o +fool A/ LIFT STATION Lot Line t. ,f 1 1 + 1D' }5 1 N A Sae: 150D Gal. Manufacturer ne kora e Foundation t } 5 1 ;• I D I 451 /V A 'Pumpon,owelat Z 5 'Pump Or level t aC High water alarm at: *2Z'/2_ In. /Z in. in. curtain Drain /VA p N/} /�/� /� N/i Pump Make&Model Or Electrical lnspedions performed by: pA MNni Ct7 Remarks: BENCH MARK Locatimt and Description: o Licl CaSin Assumed FJevation: 1010 Ft. Inspections performed by: Lars sOurklamil Dates: 1" Q/y)0-+ Engineer's Stamp •`��i\\\\t _ ,aka 111 2 n /s o 6 �'OF Development Services Department Approval Conditional Approval Date: , �• LA els `�. to o}: •, Reviewed and approved b Date: 7/ IV 113 . 60 / 8 4H EOROO SE M I I Ij INSTALLED S£P71C SYSTEM 1500 GALLON STEP TANK I X 80 & 1 X 82 FEET 5-670£ TRENCH TOTAL DEPTH 5 FEET Ral EFFECTIVE ROCK DEPTH 15 FEET 1 -INCH INSULATION COVER 2 FEET NOTES., 1) ALL WORK SHALL BE PREFORMED IN ACCORDANCE 677H AMC 15.65 11 2) MATERIALS USED SHALL BE IN ACCORDANCE WITH THOSE SPECIFIED IN AMC 1565. 25 0 25 50 75 100 125 150 SCALE 1' = 50 FT FA -(� Well 20.5SPURKLAND ENGINEERING I ( HOMESTEAD HILLS BLOCK 3 LOT 6 I I SEPTIC SYSTEM ASBU/LT I 203 W TH. AVENUE DATE.- OCTOBER 23, 2007 /NCH. AK.K.99501 JOHN LYONS SHEET.• 2 3 GRID: 2636 /0/171 97o_zols 11440 BEAR PAW PERMIT # SWO60348 PID # 015-173-28 HHBA61,BW5 82 L,F. SCH 40 PVC 1-1/4' 3/16 Holes 30' on Center 1 5 -Wide Trenches \ 5' Wide 1X80'&1 X82 Long 10' 5' Deep 3.5' Sewer rock 11 2 -Inch Insulation 2' Feet Cover (ain.) 80 L.F. SCH 40 PVC 1-1/4' 3/16 Holes 30' on Center NOT T17 SCALE (N.TS) T.R. ELEV.= 99.6' Silt Barrier ELEV.= 96.1' 9kc 3.5 Ft of Septic Rock Effective TH,f2 0. 0. ELEV.= 103.3' T.R. ELEV.= 101.6' Silt Barrier— ELEV.= 98.1' H2O ELEV.= 91.8' 80H. ELEV.= 86.3' Monitor +2' Cover Graded to Drain 2' Insula tion rv— 4nn 7• X T.S. Monitor +2' Cover Graded to Drain 3.5 Ft of Septic Rock Effective N. TS, C N 4 th W ' ■ .... �....:... . ............... ... L. SPURKLAND•• o •*� f No. CE -11500 ELEV.= 9.0' ELEV. 94.9' 1500 Gal. STEP Tank BENCH MARK TOP WELL CASING ASSUMED ELEVATION 100' SPURKLAND ENGINEERING HOMESTEAD HILLS BLOCK 3 LOT 6 SEPTIC SYSTEM ASBUILT 203 W15th Ave JOHN LYONS DATE, OCTOBER 23, 2076 Anchorage Ak 99501 11410 BEAR PAW SHEET, 3/3 GRID, 2636 PERMIT f SW06OJ48 PARCEL ID # 015-173-28 HHB3L63.DWG Municipality of Anchorage Development Services Department Building Safety Division ' yar On -Site Water and Wastewater Program 4700 South Bragaw, St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchoraoe ek.us (907) 343-7904 i Soils Log - Percolation Test Performed For: Legal Description: 1 1 [;. 9 f H 'L J. 3r'Uq,<LAi V e J((O hyt (I�yph5lrf� p Date Performed: d: H0fV1e 91-e U ,ti [ LffS BMJ t. W Township, Range, Section: _ WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? L Depth to Water After p Monitoring? E Date: Reading Dale Gross Time Net Time Depth to Water Net Drop b $ b t0: 5 -- o min l2 7/0 It t2_ It [LP 2 Ng tt t lillb u t2t it it>5 60 Mn t COB I t 101:2 `tD Wtin 5/8 tr u PERCOLATION RATE (minuteMnc) PERC HOLE DIAMETER to TEST RUN BETWEEN _FT AND 5 FT COMMENTS Qrp. Sbak� _ pyrc Dell ' It PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: oPouo�wmB11Bn rtalw V. Na as VIER s �9 NBTmcT 5 Mm FTiBNT BAI G SETBACK >S9s00 BB, SETBACK Nae 53 4VE BAIJMQ SETBAO, 259 59 SIDE REAR WELL 09y��\- . iI � I Ill Q 0. IV' I Goo O I I I 3p$ o `Y r4.0' I N J Op ^ I b 20 0' EXISTING R z.0.4 a' b ?o HOUSE p� �:. z I 'A a p I EXISTING HOUSE Z 60 I I I 20'x20' 's°2 T00 o ANCHOR ESMT I o o 7 I T.51 ® Z 00 i oN LU I I .0• ^o rn UJJI IFI N N I LU `I i W I NI ��,C.O.s 12' O10' I I I I I L+—t---------------------- 10' T&E ESMT 200.02' N89° 57'46'E UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBIUTY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABIUTY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPROOUC90N MAY CAUSE EP4oRS IN SC..LE. LOT SURVEY SURVEY TYPE SYMBOLS FOUNDATION AS -BUILT ❑ FINAL STRUCTURE AS -BUILT . nxB RRCP°ip SET REBAR � ♦ DRAINAGE ""``"" ASPHALT ❑ PLOT PLAN ... AS-BULLT ...LOT SURVEY ... TOPOGRAPHY o FOUND REBAR 9 e 9 WOOD FENCE .a"°""' CONCRETE AS-BUR.T ... NO FR SET RECQ211FlCATION AS -BUILT ... NO CORNERS SET 004 - ASSUMED ELEV. -I( it it METAL FENCE ® WOOD DECK PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION •.•�E of `q�''��� Prepared b Robert E. Johns, Jr. & Assoc. PLOT PLAN llwtlY mHllY tlml�Mw FeRYmbY vwYE m• lM armT, ala �.. Arm. ma lA•t i "'�ryy Professional Land Surveyors 8,.. b,.a a ..tPW r a IM i•t ams eM Nm mN to m• Eut a ���.�P,..•..............� �.•' �. 1700 Brink Drive. ANCHORAGE, ALASKA 99504 .mi••a a�u..'sia�mma.anm+m. Am .• . S.F. Rec. Plat File � 49th � All Scale; „ _ , Rec. Lot No. FOUNDATION AS -BUILT ..... •• ••••••• Date Surveyed: 03/04/13 Drawn REJ Checked bJ. MK iA. Rw Iw+tme11•d mk A.. Wt Y mHxy•r ew. I /•unCatlen m qb let aN Bwt a. ..... ..... ........ bti„mVm• aW FlmmalYn m ahmm A•ten wee mamu.nme. .mt ww • ROBE . JOH , JR. •.' M Date Drawn: w A 03/05/13 Grid: 2636 W.O. 13-74 FINAL STRUCTURE AS BUILT 4RaMpr�t .Y. MMy Mlh poll •• •: Ae. �i�, Legal Description: yEmJeyhnr, •bueW� m Mb bt aM MN !�U•ef IF• atiP.................o�Dy.��• Lot 6 BLOCK 3 „" " ,��gi%�w�i�••• HOMESTEAD HILLS #1 AlumJLality of Anchorage ; c. t IGrc l!NNii(1 • .\nchr,r,,rNt..\laslar !C Lilf4(i:ill • Tdrphont 1!N17) R3.4-fi1(11 • 1 (m,) 343-&!(X) 5♦ LT. \ �' � -0iINI IA:y:nr 5r n'.I •.\nchumpc, .11slm!NRiI)i ' TT�Lro.nnmLnrp MayorMark Bcyich Brrildinrf Safety Division 18 September 07 (� John L b� J ons y PO BOX 232341 Anchorage, AK 99523 S Subject: Expired On -Site Water and/or Wastewater Permit Permit Number: SW060348 Legal Description: Homestead Hills Block 3 Lot 6 Dear John Lyons: An On -Site Water/Wastewater Permit, number S W060348 issued by this office for a single-family system, will expire on 24 October 07. Permits are valid for 365 calendar days from date of issue. If this was a well permit and the well has been drilled, a well log and a pump install log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A one-time renewal fee for a second year may be issued for a $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are $460.00 for a wastewater permit and $175.00 for a well permit. szti -F.f� If you have any questions, please call this office at 343-7904. Sincerely, Daniel J. Roth Program Manager On -Site Water and Wastewater Program �" -16 ALL UOJ_Lnl�(6 {'km _-� Enc: Copy of permit j/j l3l c Collunilitity, Security, Prosperity g6dpYJjul�' tar5 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SWO60348 Legal Description: HOMESTEAD HILLS BLOCK 3 LOT 6 Design Engineer: 0007 SPURKLAND ENGINEERING Owner Name: JOHN LYONS Owner Address: PO BOX 232341 ANCHORAGE. AK 99523 - Date Issued: Oct 24, 2006 Expiration Date: Oct 24, 2007 Parcel ID: 015-173-28 Site Address: 11440 BEAR PAW Lot Size: 62701 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy [R/Pri Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, seated, and heated to prevent freezing. Received By. Issued By: Date: 10Zy 04' Date: JAtl-19-2007 04:18 AM Job No.: 07-102 • Well Owner. ♦ Legal Deserlpilo_n. P.01 M -W Drilling, Inc. *P.O. Box 110378 *Anchorage, AK 99511• •907-345-4000 ♦ 907-345-3287 Fax• Parcel No.: 015.173.28.000-17 Permit No. SWO60348 Permit Dated: 24 Oct. 2006 Groundwater Well As -Built A Loc Construction ♦ Use of Well: Domestic ♦Bole Depth: 267' ♦CaingSize: 6" ♦Cased To: 266.27' ♦Afaterla4 A 53 Steel ♦DrlllMelhod: AlrRotary ♦{yap. Pert •Well Completion- Open end X Screen Ptrforated _ Afethod. ♦ScraN,Perjoration Awapdox. None ♦Grout Notes: (3) Sack(s)- No. 8 bentonite granules • Nota: ♦ phW ead Yea No Method: a Wel/ Development Method: Air surge Notes: *Slade water level (SWL) 217' (06ere) (below) top of casing (TOC). ♦ Weil ykid test at 7 gallons per minsrte (GPMyt&U4napePAau#,("N) for 'h hosir(s) with 100% of drawdown (DD) front static level (SWL). ♦Method: Airlift ♦Dare ofstarted: 8 December 2006 ♦ Date of compledon: 14 December 2006 • Pump Install. Well Log Depth In feet from top of CR51n& Detalls of formations penetrated, size of material color *ad miscellaneous detalls. 0 TO 2 Casing stickup 2 TO 6 Organics: black 6 TO 238 Glacial till: light to dark gmy,silty ravel with interbedded clays 238 TO 245 Silty gravelij_.Emy, dam 245 TO 258 Sil avel: clayey 258 TO 267 Water vel: medium to coarse TO TO TO TO TO TO TO AYNB.E.AVESI'BERG NWA Ctlltllied IAft 8iardwft Ctai Idx TO TO TO Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.orglonsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015' Ir43—AS Property Mailing 3 phone Code 495>11 Site address II A10 '&T' Pa- _Zip Code Legal description (Sub'd., Block & Lot) Nobles ieaA Hills Wk 3 Lot 6 Legal description (Township, Range & Section) Lot Size (0-, ID ( Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field E} Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 9 THIS APPLICATION IS AN: Initial E} Upgrade ❑ 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. 40 J UAtd-- (Signature of proArty owner or authorized agent) Pennit(Rush Fees: 17' (7 a Date of Payment: /0 —x2 4 — O G Receipt Number. S / '7 l5/ / 3 (Rev. 11l0b� Waiver Fees: Date of Payment Receipt Number. SpuMand Eimponewong Environmental Consulting and Design SEPTIC SYSTEM DESIGN LOT 6 BLOCK 3 HOMESTEAD HILLS Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 OCTOBER 20, 2006 We are submitting an application for the installation of a well and septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: Groundwater at 10.5 Ft. Soil Rating. From Testhole 8/16/06. 35 minim a 0.45 gal per sq-ft/day No. of Bedrooms 4 Required Area per Bedroom: 150/ .45 -333 sq.ft. Total arca required: 333 x 4 - 1334 sqft Bottom Rock 5 Feet Below Ground Surface (B.G.S.) Top Rock 2 feet Rock Depth 3 feet Total Trench Length 1334 /5'.54= 144 feet USE 2 5 -WIDE TRENCIIS 90 FEET SYSTEM CONFIGURATION 1500 GALLON STEP TANK TOTAL LENGTH 2 x80 FT TOTAL WIDTH 5 F TOTAL DEPTH 5 FT ROCK DEPTH 3.5 FT INSULATION 2IN. COVER 2 FT (MIN) The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. 203 West 15te Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng@gci.net ii Rte /I � So \ A I I .P 4L 49th �..» .».»..» .... ........ .. \ :.... .»�A .r LABS PURKLAND •» Na. a-11300 � so 0 50 loo 1.50 SCALD r = 100 FT.2uo 2sn San •�����aa aa:�••. PURKLAND ENGINEERING HOMESTEAD HILLS BLOCK 3 LOT 6 SEPAL SYSTEM DESIGN 03 W 15TH. AVENUE DAM OCTOBER 18, 2006 NCH. AK. 99501 JOHN LYONS 907 179-3916 11440 BEAR PAW SHEET' 1/3 GRID: 1636 'ERMIT NSV020XXX PID k 016 -141 -XX HHB3L61.BVG We III / J 110 I e � �' • ,... PROPpS � 1 ED 1 w Y 9c� 4HO�DR00 a 1 a TH USE ' 1 A U 1 INI 1 WTALL W17C 15M`ALLON STEP TANK 2 X 80 FELT 5 -*W IND CII TOTAL OEPTN S /EET gal LWCINE ROCK XPIN 15 FEET — — 2-04CH 16W WH COYER 2 ffET (W) /o• NO1ES: 1 1) ALL WOW SNAIL K PRETORMEO IN 11 ACCIOROUCE WIN AMC 15.61 I 2) MATERIALS USED SHALL K N ACCOROU" WW INOSE SPECM N AMC 1161 25 0 25 50 75 100 125 150 SCALE? I' = 50 FT 60 r -(- Well SPURKLAND ENGINEERING HOMESTEAD HILLS BLOCK 3 LOT 6 203 W 1ST?. AVENUE JOHN LYONS ANC?. A7rnfc 11440 BEAR PAW SEPTIC SYSTEM DESIGN DATE: OCTOBER 18, 2006 SHEET. 2/3 GRID: 2636 I PERMIT / PIB / HHB3L61.BVG 10 fe N I SLOPE 'WIN. a MI a w 1111 IIIQI� RESERVE ORAINT � N ISI I w 11 I W U 1 INI 1 WTALL W17C 15M`ALLON STEP TANK 2 X 80 FELT 5 -*W IND CII TOTAL OEPTN S /EET gal LWCINE ROCK XPIN 15 FEET — — 2-04CH 16W WH COYER 2 ffET (W) /o• NO1ES: 1 1) ALL WOW SNAIL K PRETORMEO IN 11 ACCIOROUCE WIN AMC 15.61 I 2) MATERIALS USED SHALL K N ACCOROU" WW INOSE SPECM N AMC 1161 25 0 25 50 75 100 125 150 SCALE? I' = 50 FT 60 r -(- Well SPURKLAND ENGINEERING HOMESTEAD HILLS BLOCK 3 LOT 6 203 W 1ST?. AVENUE JOHN LYONS ANC?. A7rnfc 11440 BEAR PAW SEPTIC SYSTEM DESIGN DATE: OCTOBER 18, 2006 SHEET. 2/3 GRID: 2636 I PERMIT / PIB / HHB3L61.BVG 80 LJ: SCH 40 PVC 1-1/4' 3/16 Holes 30' on Center # 5 -Vide Trenches \ 5' Wide 2 X 80' Long 10' 5' Deep 1 3.5' Sewer rock 2 -Inch Insula tion 2' Feet Cover (min.) 80 L.F. SCH 40 PVC 1-1/4' 3/16 Holes 30' on Center NDT TO SCALE (N -TS) Sit t 3.5 ft of Septic Rock Effective SII t 3.5 ft of Septic Rock Effective Monitor 2' Cover (min.) 2' Insulation 2' Cover (min.) 2' Insulation N. T. S. N.T.S. Col to Drain to Drain a 1° ' 49th' ...h .................. ............ .....U.. ........................................ R , LARS SPURKLAND No. CE -11500 1500 Cob STIP rank SPURKLAND ENGINEERING HOMESTW HILLS BLOCK 3 LOT 6 I I SEPTIC SYSTEM ASBU 111ILT I 203 W15th Ave JOHN LYONS DATE DC BCR 20 02AT6 Anchorage Ak 99501 11440 BUR PAW SHEET, 3/3 GRID. 2636 PERMIT 1 PARCEL ID / HHBJL63.DWG muu spuft and En&eeflnu _ Environmental Consulting and Design Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: Homestead Hills Block 3 Lot 6 Date: October 23, 2006 General: 1. The owner shall contract with a contractor to perform the work outlined in these specifications and plans in accordance with the attached MOA permit. There is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will Inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the project includes the procurement and Installation of a +bedroom on- site wastewater disposal system at the location depicted on the attached site plan drawings. The scope of the work also includes the Installation of a new 1500 gallon STEP tank, a drainfiekl comprised of 2 trenches, 5 -feet wile x 80 -feet long, 5 feet deep, with 3.5 feet of septic rock below the distribution piping. The location of the drainfiekl is shown on the attached site plan drawings. The total depth of the field will be 5.0 feet below the existing ground surface. All components of the proposed septi: system must be constructed a minimum of 100 feet from any surface water or water wells in the area. A minimum of 4 feet of earthen cover Is required over the septic tank and a minimum of three feet of cover Is required over the drainfield. In addition to the required earthen cover, 2 -inch thick, 40 psi, direct bury board foam shall be installed directly over all installed piping. 3. Construction shall be in accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, Onsite Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc 5. The property owner shall be responsible for final grading any depressions formed from settlement of backfill material. The property owner is also responsible for vegetation of all areas disturbed by septic system installation activities. 6. Contractors installing wastewater disposal systems must be certified to do so by the MOA DSD, On-site Water Wastewater Program. Property owners Installing their own systems must receive advanced approval from MOA DSD prior to system installation activities. 7. The contractor shall ensure that ALL materials being used are In Compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used in the 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEngogci.net 0 \ Environmental Consulting and Design Construction of On-site Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. Septic Tank Installation: 1. A new septic tank, of the size specified In the design drawings, shall be procured from a qualified manufacture/supplier if the existing septic tank is found to be defective. Construction shall include two 4" diameter cleanouts for pumping access. 2. The burial rating of the tank shall be adequate for the actual burial depth encountered. 3. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 4. All standpipes on the tank shall extend a minimum of 12inches above the final grade. S. Tanks installed with less than 4 feet of cover shall be insulated. 6. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 7. The Inlet and outlet lines from the tank shall be bedded in drainrock or the soil shall be sufficiently compacted to prevent future settlement of the soil. S. Septic tank Inlets, outlets and deanouts shall be fitted with water tight couplings. 9. A cleanout shall be installed 1 to 4 feet from the foundation. 10. Post tank deanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there Is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 13. All holding tank and lift stations shall have an audible and visible alarm inside the residence being served. 14. All lift stations shall be wired In compliance with all MOA guidelines and the Uniform Elecbiol Code. A municipal electrical permit and Inspections must be obtained where required by the MOA. 15. The contractor shall verify that the septk3ank/lift station Is a minimum of 100 feet from any residential water well, 150' from any class well and 200 feet from any community water wells. Additional separation distances must also be maintained. 16. The contractor shall remove or abandon the existing tank in compliance with the Unform Plumbing Code. Drainfield Construction: 1. The drainfiekl shall be excavated to the dimensions outlined in the design drawings. If any discrepancies are noted, contact the engineer Immediately for clarification. 2. The drainfieki shall be Installed parallel to slope contours. 3. The bottom of the drainfiekf shall be within 2" of level. If the sidewalls or bottom of the excavation become smeared, they must be raked or scarified prior to the placement of filter sand or drainrodc. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng@gcLnct spuvik%fld Eflahawong Environmental Consulting and Design 4. The drainfield must be a minimum of 5 feet from the test hole excavation. S. Distribution pipe Is to be installed level with perforations facing downward, atop a level bed of drainfield rock. Septic rock shall then be placed atop the distribution piping to provide a minimum of 2" of cover, level across the entire width and length of the trench, above the piping. 6. A silt barrier must be installed at between the final drainrock and the native soil backfill. The silt barrier shall cover the entire drainrodk surface. 7. Monitor tubes must be 4" In diameter, Installed in the locations depicted on the design drawings, and extend a minimum of 12" above final grade. The portion of the monitoring tube below the septic rock must be perforated and the portion above the drainrodk shall be solid. S. Backfill over the final gravel layer must not be less than 2 feet. Insulation must be installed when the backfill depth Is less that 3 feet. 9. Drainfiekt back fill shall be mounded to prevent depressions from forming due to subsequent settlement of backfill material. 10. The contractor shall verify that the drainfiekl Is a minimum of 100 feet from any residential water well, 150' from any dass'C well and 200 feet from any community water wells. Additional separation distances must also be maintained. Inspections: 1. A minimum of two Inspections are required by the Municipality of Anchorage. These inspections must be conducted under the supervision of a Professional Engineer licensed to practice In the State of Alaska. 2. The first inspection must be conducted after the excavation of the dnainfieki and before the placement of any gravel. The septic tank may be set in place, but may not be backfilled. 3. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, stand pipes, deanouts, and Insulation, but before the placement of any backfill. 4. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use in preparing the record drawings. 5. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours notice Is required prior to the start of construction. If necessary, a preconstruction meeting will be held on-site. 203 West 15t6 Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng@gci.net Municipality of Anchorage Gross Time Development Services Department 01 Building Safety Division F �l l r y1 On -Site Water and Wastewater Program ENCOUNTERED? 4700 South Bragaw SL Y 5 10- P.O. Box 196650 Anchorage, AK 995146650 t www N anchorage it 907 04 ) 343-79 Depth to Water After P 11- Soils Log- Percolation Test 16ionlloring7 E Performed For: -r 4 tM Date Perk 1 �, •t-' 4, 13k ��e'10 e uA� Township, Range, Section: Legal Description: 7 b/ Depth O 2- 7-11111 5;14- — Gross Time Net Time WAS GROUND WATER 9_ F �l l r 7i%G$C ENCOUNTERED? Y 5 10- IF YES. AT WHAT DEPTH ? L O Depth to Water After P 11- 16ionlloring7 E 12- I l: y.5- Date. 15- 16- 17- 18- 20 - COMMENTS NT i o wl O F do 1_.t" ��. Or .40.f1 •'-{ENGINEER'&.$EALl4 •� CrnTN j'<,a y .......... 7 y ben Spurkland CE -2215 Zr A. '•.•.....•.o •���. w Of ESStO,` ti1,. d' Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop F �l l r 7i%G$C I l: y.5- A o 7 b/ — - - - ---- PERCOLATION RATE I�r+^^rn) ,1 r��...,v.�.....•••�•�•• TEST RUN BETWEEN '3 FT AND 4 FT PERFORMED BY: ( I / , CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: b -3 / -D Municipality of Anchorage Development Services Department Building Safety Division yr On -Site Water and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage. AK 99519-6650 www ci anchorage ak us ( 907)),3417904 Soils Log - Percolation Test Performed For. Jean Won4 Date Perfc Legal Description: Rolle 4 }e n) 14 i lIS 81 k3 Lof 6— Township. Range. Section: Depth 1 2 1 slit 3 I• •l LT(aJL { (l♦tIIA, 6- 7- 17- 18 - COMMENTS i P�����•�„Ili i y TH Ra 1SPURK1-4.'�0.-, i rated: ` \ Reading Date Gross Time WAS GROUND WATER ENCOUNTERED? /yo 9- Net Drop S 10- Or,7.. 91/Y It L IF YES. AT WHAT DEPTH? C 83%/ Ir 2 3e ( 11 Depth to Water After 11- -� 8 u 1�10.f11 monitoring? 10.5t e 12- rr 3111, Date a 2y OL 17- 18 - COMMENTS i P�����•�„Ili i y TH Ra 1SPURK1-4.'�0.-, i rated: ` \ Reading Date Gross Time Net Time Depth to Water Net Drop 81� old 2 08 Or,7.. 91/Y It 83%/ Ir 2 3e tO.q q 1 tr -� 8 u rr 3111, 13114Ir 38 om o wtirr 1311t. rr PERCOLATION RATE 3-4._ (mMwrrhi PERC HOLE DIAMETER TEST RUN BETWEEN �_ FT AND (v FT 1171!1 C11i._Ina &,, A 12:08 PM PERFORMED BY: Lars SD,,rk12,J ) ^tp < Y— CERTIFY THAT THIS TEST WAS DATE: B 2 i PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINE IN EFFECT ON THIS DATE. O Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 995196650 www.ci enchorene.ak.0 yam.se*s (90 343-7904 Soils Log Percolation Test 497H ,::s,1:. '• LABS SPURK 115C0 Performed For. UA LyegS Date Performed: Legal Description: ,!(aw�E 5frai V11, 13ik 3 LOf 6 Township, Range, Section: _ Depth n 6---- 7- 8- 9- to- 11- 12- 13- 14- 15- 16- 17- 18- 19- WAS - 7- 8- 9- 10-11-12-13- 14- 15- 16- 17- 18- 19- Sdf Wr forts( (aCIA WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Alter Monitor"? r Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE 7 (.O Imnaernattl PERC HOLE DIAMETER _ 0 If _ TEST RUN BETWEEN S.5 FT AND f..:r FT COMMENTS PERFORMED BY: [ 44 4 f,914,4-1414 I V^ r�j CERTIFY THAT THIS TEST WA PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELII ES IN EFFECT ON THIS DATE. DATE: a Z-040-16 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Parcel ID 015 -173-28 Certificate of On -Site Systems Approval OSC251343 Expiration Date: 4/15/2026 Legal description HOMESTEAD HILLS #1 BLK 3 LT 6 site address 11440 BEARPAW ST Current propertyowner(s) OPSUT JENNIFER L X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: Original Certificate Date 8/22/2025 This ® ificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject s em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, evelopment 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 engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-173-28 Complete legal description HOMESTEAD HILLS #1 BLOCK 3, LOT 6 Location (site address) 11440 BEARPAW STREET, ANCHORAGE, AK 99516 Current property owner(s) JENNIFER L OPSUT 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑E Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: Al Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 18 - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: ❑* AWWTS [N-1 Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Distance: Expedited review requested: ❑ 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 $ 2 5G Date of Payment X04 COSA # 0(7-5/3"/3 Waiver Fee $ Date of Payment Waiver # COSA Application_Apr2025.doc COSA Checklist_May2025 NEW INSTALL.docx COSA Checklist Legal Description: HOMESTEAD HILLS #1 BLOCK 3, LOT 6 Parcel ID: 015-173-28 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 10/24/2006 Total depth 267 ft Cased to 266 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) *18 in. Date of flow test for COSA 4/18/25 Static water level at beginning of test 208 ft. Well production at time of test 4+ gpm Water storage tank volume NONE gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 2.27 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 7/11/2025 Comments *Well is protected/encircled by pavers. B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping 4/15/2025 Required maintenance completed, if AWWTS Comments: NA- FLOATS C. LIFT STATION Required maintenance completed Age of lift station 12 years Lift station material STEEL Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) NA - NEW ALL standpipes present per record drawing Total measured depth from grade 2.93 ft (max) Measured depth to pipe invert from grade *2.68 ft (min) N/A – pressurized field. *PER INSPECTION REPORT Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date NA - NEW IDSF FIELD Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – NEW FIELD – NOT TESTED Effective depth (per record drawings) 3 in (PEA GRAVEL) Effective depth used 0 in Effective depth remaining 3 in Comments/Deficiencies: COSA Checklist_May2025 NEW INSTALL.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No *50+ ft Neighboring Tank > 100’ Yes if No ft Disposal Field on Lot > 100’ Yes if No *50+ ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No ft Sewer Manhole/Cleanout > 100’ Yes if No ft Sewer Service/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10’ Yes if No ft Field to Foundation > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No *5+ ft Water Main/Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No *50+ ft Wells on Adjacent Lots: Wells > 100’ Yes if No *50+ ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below. F. ENGINEER’S COMMENTS *MAY MEET CONVENTIONAL SEPARATIONS, BUT SYSTEM MEETS CATIII/II SEPARATION DISTANCE REQUIREMENTS. 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 08/07/2025 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 08/07/25 ATTENTION: Buyers and owners of a property served by an Advanced Wastewater Treatment System (AWWTS) ** TO AVOID SEWAGE BACKUPS** Prior to using the wastewater system, contact the service provider to ensure that regular maintenance is completed. Many of the systems require remote monitoring, the provider will tell you how to provide this capability. Who to contact: • AdvanTex: Anchorage Tank at 907-343-3704 • Quanics Aerocell: Garness Engineering at 907-337-6179 • Biocycle: Biocycle Alaska at 907-274-0314 • BioBarrier: Tim Ecklund at 907-250-0100 • Intermittent Dosing Sand Filter (IDSF): contact MOA onsite 907.343.7904 Please complete the attached document, Advanced Wastewater Treatment System Maintenance and Repair Agreement. When signing this document, you acknowledge that you are required to provide regular maintenance for your AWWTS. 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 C L 6 Day of of 20_?.,5 by and between o cv Sae M. bio , 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 AN INTERMITTENT DOSING SAND FILTER (IDSF) located at (legal description) HOMESTEAD HILLS #1 BLOCK 3, LOT 6 2. Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) 9 K ` Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AW WTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AW WTS 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). �t ,wc 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 AW WTS 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- ' knm Owner acknowledges that the Municipality may request records of maintenance and 7°�` repairs from the manufacturer's representative or maintenance provider. S COwner acknowledges that the fine for failing to maintain and repair an AWWTS may be T 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. G Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. l)� 4 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. S— 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 OWNER: By: (signature) 6e Ad I -24C -(print name) STATE OF ALASKA ) } ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this I day of'N 20 , by tae M C�� �c;u Ch i cao,sc, - NOTARY PUBLIC VOR ALASKA My Commission expires: (rev. 05/18/2018) (signature) ;print name) State ofAlaska NOTARY PUBLIC Alison Huff My Commission Expires May 30, 2029 Date: Title: Page 3 of 3 ZV MC[PALrry Or ANCNORAOR - Community Development T)epartment • On -Site Water & Wastewater Program P: 407-3437904 - F: 007.343.7997 - P.O. Box 196630 Ambomp, AK 99519-66.50 • http://w'Arw.muni,c)rgibuilding Intermittent Dosing Sand Filter Maintenance Log Owner Street Address Phone Legal mese.Plc-.----- Sectio Wank, -Sludge level inches •Pumping: required Y990 *Pumping completed t3 n4 Ab_s_o_MII -n Fielid; -Liquid level inches -Flushing valves per approved designt fo -All flushing valves oper�4d, distribution lines flushed, and flushing valves closed Lift statl:on : -Pump, basket cleaned es no-Biotube effluent fitter cleanedes o -Timer float setting inohes -High level float seiting inches -Reference point an R, `1 4 -Pump onseconds -Pump 0ff__,3jj__, minutes cies • -Cumulative lifetime cy ��iq y Cumulative run time _ •operation satisfactory a no Air System: -Air pump filter cleanedes no -Air pressure s si -Date of latest install or rebuild LIA *Air system operationsatisfa o no sat s— factory Alarm system: -Dedicated electrical circuit no -Audible and visual alarm inside dwellingno es y�� L- -Float setting inches -Alarm system operation satisfacto -not Comments: .... ...................... ............. ....................................................................... ..__,................................... ...... ._ .....................................................................,.....,..........,...........,.........................I...._......................... .............................................................................................................................................................. .............................................................................................................................. a . . . ............................. ....................................................................................................................................................I.......... .............................................................................................................................................................. Maintenance Provider: Technician Lc, s, tu - t!' Date of maintenancev/--Au company L -k e l� Signature IDSF Maintenance Log_M313.dnc 8501 R Lot 5 B EARPAW CIRCLE o 259 4,53 30 Light pole _ pS Well I I I 20'X 20' I I I ANCHOR Ret. wall f ry"a I I ( I EASEMEN �, l 140 --- 54. cp o h ae = <y' - `:. Lot 7 I 1 e © I ( G2, n/ ag 60 ?.p v ��0 co. F— o I ( I o '� st o j N I o 0- Fr W `ti 1. J 1 C\I I I 3p o youse ewe 2S 8 i� ,0 I�i o �-- 76. CO h• CO*r U) I ( I deck alb s s s o c) z I O W I ( ° Cy eCk C i>> 0 O ec 4'e I I k ck S Q 00 Z>: 1 I 1 t� (� CD W I Manhole Cf) Q o WI I ° ° �� I I m Z I I �- Se tic vent t W I I P � Yp� ~ I ( I Lot 6 0 { of I ( ° f° I I I I I I I 20.0-1 20 CEA EASEMENT I I 20.0 L-41 20' GAS EASEMENT SCALE: 1 — 50 10 T & E EASEMENT 3C} o , „ RECERTIFIED 7-31-25,", ' .. N89 57 46 E 200.02 AS-BUILT NO CORNERS SET THIS DATE I1 hereby certify that I have performed a Mortgagee's inspection Lot 11 `. X \ t in accordance with ASPLS Standards of the following �►` OF 4 ' t described property: LOT 6, BLOCK 3 �► • ' • .'9 , HOMESTEAD HILLS SUBDIVISION No. 1 AW ,C �• •� Anchorage Recording Precinct, Alaska and that the49th / f 04 improvements situated thereon are within the property lines / • �, • -, ` and do not overlap or encroach on the property lying w adjacent thereto, that no improvements on the property lying • • • • '� • adjacent thereto encroach on the premises in question and lizabeth L. Walatka •• o / that there are no roadways, transmission lines or other 8036 - LS • *AWV visible easements on said property except as indicated E`, AW hereon. •�o AW C,§7 .� Dated at Anchorage, Alaska �OF'FSSi0tA0- �� this 25th day of APRIL , 2022. EASEMENTS OF RECORD, OTHER THAN' � `��� THOSE SHOWN ON THE RECORDED FRED WALATKA & ASSOCIATES, L.L.C. � � � PLAT ARE NOT SHOWN HEREON FB 25-2, pg 62-63� �� � +� ,.B E 907-248-1666 Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 22-1, pg 4-5 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 015-173-28 1. GENERAL INFORMATION: Expiration Date: 51- 2 ©? Complete legal description HOMESTEAD HILLS #1; BLOCK 3, LOT 6 Location (site address) 11440 Bear Paw Street *Anchorage Current Property owner(s) John Lyons Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 250-2070 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for. Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $SCS Waiver Fee $ Date of Payment_....... V,2_q-2_-L_ Date of Payment Receipt Number (� S��% C Receipt Number COSA #_ O S G 22 I l l L( Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Gamess Engineednq Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: I L 12- -7- in- in conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established b the Municipality of Anchorage and moo` 9 9 Y P dY 9 0`' industry practices. The reported results describe the condition of the system/s on the date/s of the o§- ,'•) 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 O y •' 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 (%i teiiJ Lor�Pss: can be installed on the property in the event either of the current systems fail to perform adequately in ';)i E 795-� the future. The content of this report is for the sole benefit of the person/party that retained GEG to�.V perform the evaluation. Reliance upon the information provided in this report by any other person or part(including subse uq ent oropertpurchase�_is not authorized, nor will it confer anv ieaal riaht t�1 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for #AECC884 bedroomstOF (AIV6���// bedrooms, with the followin _'&atiQdb1-SVTE �0 Z \raTER AND By: 1n..i Original Certificate Date:_S_ 3 "ZOZZ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other �j COSA Checklist HOMESTEAD HILLS #1; BLOCK 3, LOT 6 Legal Description: O- If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA Parcel ID: 015-173-28 Structure served by this system ❑ Well log is filed with Onsite (or attached) Well production at time of test 4.8+ gpm Date drilled t0'24"6 Water storage tank volume N/A gallons Total depth 267 ft Cased to 266.27 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) J u in. Date of flow test for COSA 3/22/22 Static water level at beginning of test 217.1 ft. Comments B. TANK DATA Age of tank(s) 15 years Tank type/material s'rl" EEI Measured operating fluid level in septic tank 49" ❑ Standpipes/foundation cleanout per record drawing Date of pumping F v Well disinfected for coliform test? ❑ Yes LN No ❑ Coliform bacteria is Negative Nitrate 3: O 3 mg/L VA ate less than MRL (ND) Arsenic ug/Lenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 3/22122 COLIFT STATION I"- ORequired maintenance completed Age of lift station 15 years Lift station material STEEL D. ABSORPTION FIELD DATA DUAL TRENCH - EASTMEST Comments: Which system tested (date installed) 6115107 Adequacy test date 3/22/22 ❑ ALL standpipes present per record drawing Results Q Pass For 4 bedrooms Total measured depth from grade 7.25 ft (max) Fluid depth prior to test 37/0 in Measured depth to pipe invert from grade ft (min) Water added 606 gal ❑ N/A — pressurized field COSA Checklist yellow sheet 4) New depth 41/5 in ❑ Monitor tubes go to bottom of effective. If not, state 105 depth into effective Elapsed time min ❑ Code -required soil cover over field Final fluid depth 37/0 in ❑ System presoaked Absorption rate 600+ aDd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced N/A gallons If yes, enter date N/A Comments/Deficiencies: 'SYSTEM TESTED BY INTRODUCING WATER INTO LIFT STATION AND RUNNING PUMP CYCLES COSA Checklist yellow sheet 4) E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' R Yes if No ft [D Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No It Private Sewer/Septic Line > 25' El Yes if No ft Absorption Field on Lot > 100' 0✓ Yes if No ft Holding Tank > 100' [, Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' [j Yes if No ft ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft Q✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *5�+ ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes , if No ft Private Wells > 100' fv Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' 0✓ Yes if No ft Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below —Frofn-Absorptiorrfietd�omEofita� (PasrsiCer tttsr's�Yiesttin'>TtiTdj Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' B Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' [j Yes if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL G. ENGINEER'S CERTIFICATION l certify that l 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. COSA Checklist yellow sheet OF /A 1. . I V3 of A. Garn ss., c QO�s CE— ' d/yV ���p�ofession000 #AECCB84 MUNICIPALITY F ANCHORAGE Development Services Department .z. ' i' On -Site Water &Wastewater Section ;-i' Phone: 907-343-7904 Fax: 907-343-7997 Lift Station/Pump Vault /IMaintenance Leg Owner °7-_�V,1, L- 'G-rl Street Address 11 4 L-;`Q� Septic Tank: .Sludge level 12 inches -Pumping: required Lift station: *Pump basket cleaned (es no *Control floats cleaned es no -Operation satisfactory L� no Alarm System: •Dedicated electrical alarm circuit Iva -Alarm system operation -Pumping completed `je no ..f -Effluent filter cleaned es no -Proper float settings confirmed r e no _.. ire -Audible and visual alarm inside dwelling yes no Manhole Riser -Ground water intrusion at riser to tank connection es n -Ground water intrusion around pipe penetrations yes rho -Weep hole functional no -Manhole lid: Functional a no Insulated �J no Properly Secured yes no Other 11-i *All manufacturer required inspections and maintenance completed e no Comments: Ir Qualified Maintenance Provider: Technician Date of maintenance Company .x `i Signature ��.,�,,: `- ��-� Dated ��•-z= 30 IW W I� H U) 13: I¢ Im 30 i II I I 20'X20' I I ANCHOR I I EASEMEI I Lot 5 N,4o53,4� Light pole Well 0 r' Ret. wall 259.51 �17_�1_2(:1 11 -,— Lot -,-• I BEARPAW !N o CIRCLE '., '�� Quo Ret. wall d7 ✓R. V 1 I I - b' -CP o 1. o n• deck...., i7.. 10 0 W� , ... A� • �S.r �� I I a�a9e?0 G oco 210 ' 0. 1 N I I I property ?sCV and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the lying I I I �8 0_ se adjacent thereto encroach on the premises in question and I CO 76. deck o o o413 . y h 76 so ass visible easements on said property except as indicated F I I hereon. Dated at Anchorage, Alaska o deck v O W 1 I I f% deck °eck rs0 PLAT ARE NOT SHOWN HEREON i1 , ^ 2 L Z BE Engineers and Surveyors 907-248-1666 f O W I i Manhole ao I W I I Z I ol i Septic vent (typ) J Lot 6 I 1 1 20.0-1 20' CEA EASEMENT I I I — I 20.�--I 20' GAS EASEMENT 7- -I----------------------- I I 10' T & E EASEMENT ' N89057'46"E 200.02 Lot 11 Lot 7 SCALE: V= 50' AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. In accordance with ASPLS Standards or the following OF described property: LOT 6, BLOCK 3. W� , ... A� • �S.r �� HOMESTEAD HILLS SUBDIVISION No. 1 ®!�Q • LJ . • 9 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the lines '`'A 49th '• property ®./....r a.. and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the lying r ... 010 tL property ® l; `�•���f)/ �G �'"•",•' adjacent thereto encroach on the premises in question and 00� ' ' 7'`• ' ' ' - 'd • ' • • •. Walatka ®� that there are no roadways, transmission lines or other Elizabeth L. . ,o ® visible easements on said property except as indicated �saF • • 8036 - LS • J� hereon. Dated at Anchorage, Alaska aRo • • • - ' •�p�� 0 Es. this 25th day of APRIL '2022. EASEMENTS OF RECORD, OTHER THAN (� IONAt- THOSE SHOWN ON THE RECORDED ®®®®04 FRED WALATKA & ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREON i1 , ^ 2 L Z BE Engineers and Surveyors 907-248-1666 UNLESS OTHERWISE NOTED. FB 22-1, pg 4-5 t This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.