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Home My WebLink AboutRABBIT CREEK VIEW & HEIGHTS BLK 10H LT 25ARabbit Creek View & Heights Block 1OH Lot 25A #020 - 581 - 51 Municipality of Anchorage Development Services Department ¢~= Building Safety Division ~ On-Site Water & Wastewater Program. 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ~ y www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW020378 PID Number: 020-- 113--50 JIM CUCCULU Wastewater System: · New i'-I Upgrade Address: 8101 E. 140th AVENUE * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 345-5544 5 r-IDeep Trench · Shollow Trench [] Bed []Mound []Other LEGAL DESCRIPTION ,o,, Rating: T~ta, Depth from original grade: 1.2 ORb/Sq. Ft. 6.5 MAX 10 25 RABBIT CREEK HEIGHTS 2.4 (MAX) F~ 4.1 SEE DWO. F~ 63 Ft WELL: · New [] Upgrade 5 ~ 1 - ~t, PRIVATE 167 Ft. 104 Ft. 630 S~. Ft D 3034/ F'-8~O/ SCH 4O ALPINE DRILLING 7/6/2005 10 Ft. DAN BEEK 6/21/2003 8 GP~ UNKNOWN 2 ,. TANK SEPARATION DISTANCES ~ s~pt~= []Holding m S.T.E.P. [3 Other T~o Septic Absorption Uft Holding )ubllc,/PH¥~l Menufacture~ C~3p~acfty in gellons: Tonk Field Station Tank S..o.U... ANCHORAGE TANK 2000 Well 100'+ 100'+ - - 25% ~..o1: STEEL ..mb,, ~ ~o,,,.~o,~: 2 Sun~ac, Water 100'+ 100'+ - - - LIFT STATION Lot Line 5'+ 10'+ -- mz~ I, ,o~m..: ANCHORAGE - - 2000 TANK/ORENCO SYSTEMS Cur[ain Drain NONEi KNOWNi J~20 OSI 05 HHF OWEN'S INSPECTION ~e~nork~: BENCH MARK TOP OF GARAGE SLAB 100.00 or ~nspections performed by: AKWWC, INC. Dates: ist 6/21/2003 2nd 6/21/2003 era 6/21/2003 )* .~j~ ,/i '~.''~o~,e,,: ~ Development S rvices Department Approval ~0~"~."' I/C -795~" R~viewed and approved by: Ci'~ Date: ///J/aY' (,o,. L ,~, res' PERMIT NUMBER: AS BUILT DRAWING PARCEL ID NUMBER: SW020578 - 020-113-50 / NyTWE.~?OC~2LLO N ~ ~ ~ ~ ~HL ~ ~ALTERNATE DRAINFIELD 12/15/2003 ~¢ Ur.l~, ~. ~~ ~I ER & ~VAS l EW~I ER ~ ~ CONSU LTAN~S~ J NC~ PREPARED FOR: PHONE NUMBER: PAGE NUMBER; ............. ~ DESCRI~ION: .. [-7953 .." AS-BUILT DRAWING OF SEPTIC SYSTEM PE. ,t .U BE : AS--BUILT DRAWING SW020578 020- f FINAL GRADE = 101.74)AVG) TOP OF TANK ~1 / ~2 ~:~ / TOP OF TANK AT ,NL~ = 96.78~ .- ----- ~ ~TL~ = 96.80 /r NEW 2000 GALLON /~ ~T C , ~ FI~ GRADE = 111,00(AV~) HOLES SPACED ~ERY 24" ON CENIEE [ 5' I~BOWOM OF IRENCH = 104.02(AV6) -~ RESTIVE EL~AIION OF TESt HOLE =96.02(TH DRY) ........ CONSULTANTS, INC,~ SCALE: 4 JIM CUCULLU (907) 545-3544 5 OF 5 " RABBII CREEK HEIGHTS SUBDIVISION; LOI 25, BLOCK 10 PROFILE AS-BUILT DRAWING Of SEPTIC SYSTEM UPGRADE FROM : ALPINE DRILLING FAX NO. : 907 345 0202 Jul. 31 2003 ll:4TAM Pi Municipality of Anchor. age Department of HeaR. h. and Human Serv,ces 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick My$ffom ht~p:l/www, ci,anchorage,ak, us Meyor Permit Number: #SW 02037'8 Date of Issue: 9/30/02 Parcel Identification Number: 020-/, 13.50 Date Started: 7-05-03 Date Completed: 7-06-03 Is well located at approved permit location? [] Ye~ [] No Legal Description: Propert~ O,.uer Nsme & Address: Rabbitt Cmk. k Hoht~. BIk. 10. Lot 25 Jim Cucullu 8~01 East 140~ Ave. Anchora, ~e, Alaska 9951,6 Depth (ft) From To Method of Drilling ~ air rotary Borehole Data: -" Soil Type, Thic, lm=~ & Water Strata stick-up 0 2 gravelly sit 2 57 $ifly gravelly sand wet 57 60 gravelly silt 60 lO0 bedrock 100 167 [] cable tool Casing type: .,s~eel Diameter: ~inches Depth: ,I0,4 f~t Liner Type:, , Diameter: ~ inches Depth: feet Casing stickap above ground: ~ feet Static water level (from ground level): 10feet Pumping level: 167 feet after _2 hours pumping _8 gpm Reeovery Rate: _8 gpm Method of Testing: airlift Well Intake Opening Ty~e: [] Open End [] Open Hole [] Screened Shirt feet Stopped , feet [] Perforations Start feet Stopped feet Grout Type: bentonite # 8 Voinme: ~ bg Depth: Start 0feet Stopped ? feet Pump: Intake Depth , feet Pump size ILo Brand Name Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: Comments: Well Driller. Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 995t I Attention: The well driller shnll proi, idea well log to ~he property owner within 30 days of complellon and the property MUN/C/PALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Progrem 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM /WATER SUPPLY PERMIT Initial Date Issued: Sep 30, 2002 Expiration Date: Sep 30, 2003 Permit Number: SW020378 :Legal Description: RABBIT CREEK HEIGHTS BLK 10 LT 25 Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: Jim Cucullu Owner Address: 8101 East 140th Ave Anchorage, AK 99516- Pamel ID: 020-113-50 Site Address: 008220 ROBERT DR Lot Size: 21306 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( '/8AAC72 ) 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: ~ IssuedBy:~~- ~ ! Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING [~:~ it ~~ ~'P Permit Number Property owner(s) Mailing address (1) Mailing address (2) JIM CUCULLU 8101 EAST 140TH AVENUE * ANCORA(;E. AK Day phone 345-3544 Zip Code 99516 Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size ~?-,~,/,~-,~ [~2 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Acre~ LOT 25. BLOCK 10: RABBIT CREEK HEIGHTS SUBI~IVI$10N N./A Number of Bedrooms 4 [] Well Only [] · Water Storage [] [] Jacuzzi ' [] [] Water Softening Unit [] 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. ALASKA WATER &: WASTEWATER CONSULTANTS~ INC. Permit Fees: ~/"/~)0° 'J' '~"~"~'"~'~5~ '"~ai~vver Fees.'. Date of Payment: Date of Payment: Receipt Number:~ Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. March 12, 2003 Municipahty of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Reft Revisions to the Proposed Septic System Design (Permit# SW020378) for Lots 25, Block 10; Rabbit Creek Heights Subdivision To whom it may concern: A permit (#SW020378) was issued for a proposed well and septic system for the referenced property. An Advantex Treatment System was to be installed on the property. A confirmation test, labeled test hole #3, was excavated south of test hole #2 and a percolation test was performed between 5.0 to 5.5 feet which found the rate to be <1 minute/inch. It is our opinion that the insitu sandy soils will act as a sand filter. No groundwater was encountered to the depth of 14.5 feet in test hole #3 during the excavation. The highest groundwater level in test hole #2 was found to be between 11 to 11.9 feet during the month of September. Based upon this information, we m'e proposing to revise the design to use a 2000 gallon S.T.E.P. tank and a pressurized 5-wide drainfield. Also, per the homeowners request, we are designing for a 5 bedroom house instead of a 4 bedroom house. We request that a revised permit be issued to include these changes. The following is the revisions to the design criteria: REVISIONS TO TRENCH DESIGN: a. Percolation Rate: 1 & <1 miuntes/inch b. Proposed Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 5 d. Design Flow: 750 gallons per day e. Minimum Absorption Area: 625 ft2 f. Total Depth: 6.5 feet (max.) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 63 feet long k. Effective absorption area: 630 ft2 6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 Note: the distribution lines are to be 1.25 inch Schedule 40 PVC with ¼ inch diameter holes spaced 24 inches on center (15 holes per lateral/30 holes total). TOPOGRAPHY: The average topo~'aphy in the area of the proposed drainfield is a 10%-15% slope running approximately south/southwest to north/northeast. In short, there are no slope concerns. CLOSING: I am open to any suggestions bom your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at 337- 6179. ~a~ s. Pres/ ~ 6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 - Fax: (907)338-3246 % '~' ~OOD ~'RCLE _ DA~: JIM CUCULLU 345-~544 1 OF 4 RABBIT CREEK HEIGHTS SUBDIVISION LOT 25, BLOCK 10 ~t~ [.~ ........ .~ ~ o~ wo.~: ,~ _ SITE P~N FOR PROPOSED WELL AND SEPTIC SYSTEM NOTE: THE CONTRACTOR SHALL HAVE THE PROPOSED 100' WELL RADIUS AND THE EAST AND SOUTH LOT LINES FLAGGED BY A REGISTERED . LAND SURVEYOR PRIOR TO CONSTRUCTION ,t..~9-' ~ ~ }~{i:.ii'" '~!!!X ~ ~EVISED ~./ DF'SIGN i xx-"~-'..2;-~?,..~...-: :".':/;...:\ \ rPRoPosE, 20°° ~ ~ / ~ / (15 HOLES PER ~TREm~30 HOL~ TOT~). ~T~: REVISED M~~ ~VATER & WASTE~VATERc.~.~./~.L.~. '[~... ~ ~:~ ~ '..~ - CONSULTANTS, INO. - 1" JIM CUCULLU (907) 545-5544 2 OF 4 ~ '. leffl ~!' A. Gorness.-' - RABBIT CREEK HEIGHTS SUBDIVISION; LOT 25, BLOCK 10, ~'-~.~ ......... .-' DESIGN DRAWING OF PROPOSED WELL AND SEPTIC SYSTEM ALASKA WATER & WASTEWATER · ¢.r3CON~S,U. LTANT$, Ir,l,(,... 7 ISOIL LOG - PERCOLATION TESTI LEGAL DESCRIPTION: .~BIT CRE£K HEIGHTS; LOT 25, BLOCK 10 __ __ JIM CUCULLU DATE: 9/11/2002 PERFORMED FOR: ORGANICS ITEST HOLE SOIL CLASSIFICATIONS ORG HL CL OL HH CH OH SC DEPTH TO DATE GROUNDWATER 10' 9/11/2002 6.8' 9/13/2002 S.8' 9/18/20 SOILS LOGGED BY: COHP1ENTS: DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) READING (INCHES) 9/13/2002 1 - _ 6- - 2 - 5 O" 6" 5 - _ 6. - 4, - 6 O" 6" 6 - 6 O" 6" 8 - 6 O" 6" 10 - 6 O" 6" 11 - _ 6. - 12 - 6 O" 6" PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.0 FT. AND 5.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: r-"lYES I NO SUSAN OSWALT PERCOLATION TEST PERFORMED BY: MA'FI'FISCHER PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA,8 PI~RFORMED IN ACCORDANCE I WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I ALASKA WATER & WASTEWATER -- h... ...... ~ ......... :.,..~ A. ~ss.' PERFORMED FOR: JiM CUCULLU DATE: 9/11/2002 [-7953 .." DEPTH ~ (feet) ORGANICS [TEST HOLE GH CL GC 0L ~ SP CH SC DEPTH T0 DATE GROUNDWATER ~ SM 11.0' (SEEP) 9/11/2002 11.9' 9/18/2002 ~,~' JSITE P~N 2 - 2 O" 6" 13 ~ 3 - _ 6- - ~ - 2 O" 6" 1~ 5 - _ 6- - 6 ~ 3 O" 6" 15 ~ 7 - _ 6- - 16 8 - 3 O" 6" 9 - _ 6- - 17 10 - 3 0"' 6" 11 ~ - _ 6- - 18 12 - 5 O" 6" PERCOLATION RATE <1 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 5.0 FT. AND 5.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORHED: ~ YES ~ NO SOILS LOGGED BY: SU~N OSWALT PERCOLATION TEST PERFORMED BY: MA~ FISCHER COHHENTS: PERFORMED BY AKWWC, INC. I, dEFFR~ A. GARNESS, CERTI~ THAT THIS W~S P~RFORMED IN ACCORDANCE WITH ALL ~ATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DEPTH TO DATE GROUNDWATER 11,0' (SEEP) 9/11/2002; ~11.9' 9/13/2002 11.9' 9/18/2002 CONSULTANTS,]NC.~ ,~...." ~ ...... ...... .~ ~ ........ ISOIL LOG - PERCOLATION TEST~ LEGAL DESCRIPTION: RABB~ CREEK HEIGHTS S/D; LOT 25, BLOCK 10, PERFORMED FOR: JIM CUCULLU DATE: ~/10/200~ (feet)'~ .... ORGANICS ITEST HOLE ~3I 5- sw SP CH s_ :~Z, , sc 7-- ~]~::::' DEPTH TO S ~ O~OUNDWATER DATE 8-- ,,~,,., MIXED DRY ~/10/0~ ,.,.... - 9-- i~)~ WITH DRY 3/11/03 GRAVEL :~:~ DATE READING CLOCK NET TINE WATER LEVEL NET DROP 11 -- ~¢:~ TINE (MINUTES) READING (INCHES) 12__~¢:~¢~ ~/11/0~ __ 1 __ 2:~6 - 6- _ 1]-- ~[~ 3 2:39 - 6- _ 4 2:41 2 O" 6" ~ 5 2:42 _ - - B.O.~, 6 2:45 5 O" 6" 15 -- 7 2:52 - 6. - 16 -- 8 2:55 5 0" 6" 9 2:55 - 6. - 17 -- 10 2:58 3 0"' 6" 11 2:59 - 6- - 18-- 12 3:02 3 0" 6" PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19- TEST RUN BETWEEN 5.0 FT. AND 5.5 FT. 20 ~ ~ A FOUR HOUR PRESOAK WAS PERFORMED: ~ YES I NO SOILS LOGGED BY: MA~ FISHER PERCOLATION TEST PERFORMED BY: MA~ FISHER COMMENTS: THE INSI~ ~NBY SOILS WILL ACT AS A SAND RLTER. PERFORMED BY AKWWC, INC. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS W~ P~RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ~/I DEPTH TO GROUNDWATER DATE DRY 3/10/0~ DRY 5/11/03 GE BL • "� Municipality of Anchorage n .o On -Site Water and Wastewater Program._ {' (907) 343-7904 5 a F E T Y Certificate of On -Site Systems Approval Parcel I.D. 020-581-51 1. GENERAL INFORMATION: Expiration Date: S / �, -Zd ZZ Complete legal description RABBIT CREEK VIEW AND HEIGHTS; BLOCK 10H LOT 25A Location (site address) 8220 Robert Drive *Anchorage Current Property owner(s) Leroy Jester Day phone 903-1213 Mailing address Real. Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) _Day phone 3. NUMBER OF BEDROOMS: 5- 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 ❑ WaiverNariance request for. Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $__-650 Date of Payment Z -/�� 2Z Receipt Number _C VT L -1d COSA # 05 G Z2_1 0 �� Date: Waiver Fee $ _ Date of Payment Receipt Number, Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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=Engineering-Group,=Ltd=(GEG)— - - - _Phone:=-907-337-61.79---__�_ - Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 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 ��aooU�40 Industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or C - -------- .•••"'encroachments encroachmentsmay exist that were not identified during the evaluation. The operational life of all wells Ol� and septic systems depend upon a variety of variables, including but not limited to, soil conditions,y 1 groundwater levels (that may fluctuate during the year), quality of construction (materials and the the family the These Q �" """" '. "' """" workmanship), and water usage of utilizing system/s. 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/�^.. .. • • • . • • • • • • . •.. • • • •• • • J= f fr `. Gcrn ss.-* G' can be installed on the in the event either of the systems fail to in �)l,u ' E–? property current perform adequately the future. The content of this report is for the sole benefit of the person/party that retained GEG to . ulf ' •.J� °�U /5' perforin the evaluation. Reliance upon the information provided in this report by any other person or ��re7 r . Eo party (including subsequent property purchasers) is not authorized, nor will it confer any legal right \ �1 pr^yes=0" whatsoever. 6. DS IGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved \Nl] Conditional approval for bedrooms, with the followit�`f ulations: f�))' 7tf'dl��N� By: l/v\ I-�X Original Certificate Date ))ji)?w11 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site 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 __X_�—X o,�,ki A-o1vi S i vv y COSA Checklist Legal Description: RABBIT CREEK VIEW AND HEIGHTS; BLOCK 10H, LOT 25A parcel ID: 020-581-51 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA _Wel-I_log-is::filed with Onsite_(or_attached)—_ --_ Date drilled 7/6/03 Total depth 167 ft Cased to 104 ft Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 2/1/22 Static water level at beginning of test 14.8 ft. Comments B. TANK DATA Age of tank(s) 19 years Tank type/material 8'E5'Ea Measured operating fluid level in septic tank ST1-31' ❑■ Standpipes/foundation.cleanout per record drawing Date of pumping 2/9/22 D. ABSORPTION FIELD DATA Structure served by this system -—Well.production-at=time-of=test=21'==gpm _ __— Water storage tank volume N/A gallons Well di nfected for coliform test? ❑ Yes M Nc [31,Coliforrn bacteria is Negative Nitrate N mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L LMArsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 211/22 C. LIFT STATION FN Required maintenance completed Age of lift station 19 years Lift station material STEEL Comments: Which system tested (date installed) 6121/03 Adequacy test date 2/1/22 0 ALL standpipes present per record drawing Results QPass For 5 bedrooms Total measured depth from grade 8.25 ft (max) Fluid depth prior to test 24 in Measured depth to pipe invert from grade ft (min) Water added 876 gal Q N/A — pressurized field 30 New depth in ❑ Monitor tubes go to bottom of effective. If not, state 120 depth into effective ' Elapsed time min 0 Code -required soil cover over field Final fluid depth 26 in ❑ System presoaked Absorption rate 750+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) Gallons introduced NIA gallons If yes, enter date N/A Comments/Deficiencies: '4' DIFFERENCE IN ELEVATION BETWEEN MT1 & MT2 COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) 0 Yes if No Septic Tank/Lift Station on Lot > 100' Surface Water > 100' 0✓ Yes Community Sewer Manhole/Cleanout > 100' ft Ov Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' 0✓ Yes if No ft Private Sewer/Septic Line > 25'[D Yes if No ft __ Abso[ption_Field=on Lot:> 1.00',0% :Y_esif_No - . ,_ it.-- --- Holding Tank ->.1.00'- - __ ,-__Q✓ =Yes-if_No--ft- Water Main > 10' 0 Yes Neighboring Absorption Fields > 100' ft Community Wells > 200' Animal Containment > 50' Yes if No ft [D Yes if No ft ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Manure/Animal Excreta Storage > 100' Building Foundation > 10` Q Yes Community Sewer Main > 75' 0 Yes if No ft -0✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No *5'+ ft Surface Water > 100' 0✓ Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' 121 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10` Q 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 >1 0' Q Yes if No ft Private Wells > 100' El Yes if No ft Water Service Line > 10' El Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100' ✓0 Yes if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL - ST1 IS APPROXIMATELY 3' TO DECK POST (SEE ATTACHED PHOTO). BASED ON LIQUID LEVEL IN 1 ST COMPARTMENT OF S.T.E.P. TANK, THE BAFFLE MAY BE COMPROMISED BETWEEN COMPARTMENTS. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with p* :. MOA COSA guidelines in effect on this date. ...... _ _ fr y` A. a ss" 9; !• 0�4E-7953 _ �r •• r� �j�¢''r'• .cG COSA Checklist yellow sheet4�ed °ro F e s sion& #AECC884 4��DOD�Oo MUN0C PAP T V ®F A, HCHO A GE DEVELOPMENT SERVICES DEPARTMENT "�{` 907-343-7904 On -Site Water and Wastewater Section` 4 �,`� .� Fax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 221049 Subdivision: Rabbit Creek View and Heights Block 10H lot 25A Starting at 20 years of age the MOA issues Advisory's for steel septic/ STEP tanks. The septic tank for this property is 19 years old. Potential concerns as listed on the checklist regarding the - - -"-. baffle. and given the age are the reason for the Advisory. Typical replacement costs range from — $11,000 to $15,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. .a r -•• r:. .,h � 31 w- !+ '•` �• � :gyp } ✓ �7 i. ti Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org NOTE: DUE TO SNOW & ICE COVER, THE DRIVEWAY IS APPROXIMATE. ,.Z1 �6 / N WELLS " .• ' ':GRAVEL �� h Lot 24A / RETAINING' WALL . Qo= ASPHALT nA 'svh� 4.0' -_CANT lP 4.0'x19.3' c�'(0 �� CANT 1 1' 3' N. � '• `—RETAINING N ECS WALL 2.0'x33.5' CANT \—SEPTIC PIPES:, Lot 26A r ps . Lot 25A/ K 21,027 S.F. / / Lot 17A IN / / 6•Z52/ / \\ S 10' UTILITY / \ EASEMENTS / Lot 16A MORTGAGE SURVEY _X_ SCALE _ 1"__ 40'_ GRID SW 3341Project No. ___ 21= 852LR1 QP Associates, � H 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lan & s ss o c i a t e s inc. c, (907) 522-6476 Phone 9 (907) 522-4625 Fax �ooODOpo4� Professional Land Surveyors ken®longsurvey.com o OF A( ap Jonothan0longsurvey.com I hereby certify that I have surveyed the following described property: �A� LOT 25A, BLOCK 10H, RABBIT CREEK VIEW/HEIGHTS SUBDIVISION (PLAT No. 2004-91) 0 49TH Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and is subject to any inaccuracies �•. :�ETIi.. ....NG that a subsequent boundary survey may disclose. The information contained hereon shall 4 C o G not be used to establish any fence, structure, or other improvemenfis. VO :sem (� O� `n'P . LS -5202. • •' J¢ O Dated this the _� `___ Day of __ r�� _� "�`__, at Anchorage, Alaska �QFo,o Nom --__—� p�QROFESSIONA\- It is the responsibility of the owner to determine the existence of any easements, �OpppoQo covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 Municipality of Anchorage On~Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL 02o - 5I?1- WI Parcel I D .... 11 = ='~ 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent Expiration Date: ~/~ 1//,~ RABBIT CREEK HEIGHTS; BLOCK 10H~ LOT 25A 8220 ROBERT DRIVE *ANCHORAGE, AK 99516 JAMES & KAREN CUCULLU Day phone 8220 ROBERT DRIVE *ANCHORAGE, AK 99516 C/O AGENT DIANA WEBB W/ PRUDENTIAL Day phone 632-0573 TYPE OF DWELLING: · Single Family (w/wo ADU) [] Duplex [] Multiple Dwellings (Single Family and/or Duplex) NUMBER OF BEDROOMS: 5 TYPE OF WATER SUPPLY: Individual Well · Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site · Individual Holding tank [] Community On-site [] Public Sewer [] Received by../ COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Date of Payment Receipt Number COSA# Waiver Fee $ Date of Payment Receipt Number Waiver # STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown be/ow, verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify, that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 5701E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P;E. Engineer's Comments: In conducting this evalubtion, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater'levels thbt may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactoo/ test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE '~ ~ System #1 Approved for System #2 Approved for bedrooms. bedrooms. Disapproved. Conditional approval for __ Phone 357-6179 Date bedrooms, with the following stipulations: ' ~ 'y chomge Develop, emt Semices Division (DSD) issues Ce~ificates of On-Site Systems ~pmval (COSA) based only upon the represenatafions given in paragr~h 5 by an independent pro~ssional civil engineer mgiste~ in the State of Alaska. The Municipali~ of Anchorage is not responsible for errors or omissions in the professional engineeFs wo~. 7. ATTCHMENTS: COSA Checklist Septic System Advisory / (Rev 11105) Nitrate Advisory Arsenic Advisory Other Original Certificate Date: If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system __ Certificate of On-Site Systems Approval Checklist Legal Description: RABBIT CREEK HEIGHTS; BLOCK 1OH, LOT 25A Parcel ID: -8~ A. WELL DATA Well type PRIVA'r[ IfA, B, orC provide PWSID# N/A Well Log (Y/N) YES Date completed 7/6/03 Sanitary seal (Y/N)YES Wires propedy protected (Y/N) YES Total depth 167 ft. Cased to 104 ft. Casing height (above ground) 24+ FROM WELL LOG AT INSPECTION Date of test 7/6/03 11/15/12 Static water level 10 ft. 23 ft. Well production 8 g.p.m. 4.05 g.p.m WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: ND ug./L. B. SEPTIC/HOLDING TANK DATA Nitrate 0.548 mg./L. Date of sample: 11/7/12 Tank Type/Material Tank size 2000 gal. Foundation cleanout/Y/N) YES Date of pumping ~/~-~-,-~ / ~°~' C. ABSORPTION FIELD DATA Date installed 6/21/o3 Length 65 ft, Total depth *9.58+ Date of adequacy test Collected by: GEG. Ltd. .in. System type SHALLOW TRENCH Gravel below pipe 4.1 ft. STEP/STEEL Date installed 6/21/03 Numberof Compartments 2 Cleanouts (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) pBELOW EXISTING GRADE] Soil rating (~r ff~/bdrm) 1.2 Width 5 fi, ft. Eft. absorption area 630 ft2 Monitoring tube YES 11/15/12 Results (Pass/Fail) PASS Fluid depth in absorption field before test 26.5 in. Water added 750 gal. Elapsed Time: 120 min. Final fluid depth 32 in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE Depression over field NO For 5 bedrooms New depth 35 in. 750+ g.p.d. If yes, give date - D. LIFT STATION Date installed 6/21/'03 "Pump on" level at 39 in. Datum BOTTOM OF TANK E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas. 50'+ Size in gallons 2000 "Pump off" level at 39 in. Cycles tested. 3 Manhole/Access (Y/N) YES High water alarm level at 45 .in. Meets alarm & circuit requirements? YES On adjacent lots. 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete stsrage areas 1 O0% SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line. 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation. 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS Absorption field 5'+ Surface wetar. 100'+ Water main N/A Driveway, perking/vehicle storage 10'+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above sys~rns are in conformance with MOA COSA guidelines in effect on this date. Engineer's PdntadName JEFFREY A. GARNESS Date " /l '~l /[~' (Rev. 11/05) GARNESS ENGINEERING GROUP, Ltd CONS[JLTANT$ & G~NEF:AL CONTRACTORS To whom this may concern: The interior alam~ at 8220 Robert Drive will be fixed by Beeks Contracting. Garness Engineering will assure this gets done. Please contact us with any questions. Thank you. P.E. 3701 E. Tudor Road, Suite I01 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel P.D. 1. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAP11LY DWELLING 020-115-50 HA,Afl GENERAL INFORMATION Expiration Date: L.~ ~ / J,./. - O LtL Cornplete legal description RABBIT CREEK HEIGHTS SUBDIVISION; LOT 25~ BLOCK 10~ Location (site address or directions) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address 8220 ROBERT DRIVE * ANCHORAGE, AK 99516 JIM CUCULLU Day phone 345-354-4 8220 ROBERT DRIVE * ANCHORAGE~ AK 99,.516 Day phone Day phone Unlessothe~iserequeste~ HAA wNbeheldbyDSD ~rpick~. 2. NUMBEROFBEDROOMS: 5 TYPE OF WATER SUPPLY: In~Mdual Well · Individual Water Storage [] Community Class .Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site · Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for proper[les served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples, (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or pdor to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone 557-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE¢ AK 99507 Engineer's Printed Name JEFFREY A. OARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysts of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, end separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above, Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE V""' Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: ON-SffE : - WASTEWATER · Attachments: HAA Checklist Septic System Advisory Well Flow Advisory p ROG Manltenance Agreements %':~ O~' Suppleme,tal Engineer s Reo. 7);~ I., ~;,;,," Other {Rev. 12101) Original Certificate Date: I-1 / Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Legal Description: A. WELL DATA Well type PRIVATE IfA, B, or C provide PWSID# N/A Date completed 7/6/2003 Sanitary seaI(Y/N).YES Totaldepth 167 ft. Cased to 104 ft. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: N/A mg./L. HEALTH AUTHORITY APPROVAL CHECKLIST RABBIT CREEK HEIGHTS S/D; LOT 25, BLOCK 10, Parcel ID: FROM WELL LOG 7/5/2005 10 fl. 6 g.pm. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION gp.m Nitrate 0.46 mg./L. Other bacteria__ Date of sample: 12/16/2003 Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL/S.T.E.P. Tank size 2000 gal. Number of Compartments __ Foundation cleanout (Y/N) YES Date of pumping NEW C. ABSORPTION FIELD DATA Date installed 6/21,/2003 Length 63 .ft. 2 Depression over tank (Y/N) NO Pumper. ~BELOW FINAL GEADEI Soil rating Or ft~/bdrm) 1.2 Widih 5 ft. Total depth *6.98 ft. Eft. absorption area 650 ft2 Monitoring tube YES Date of adequacy test NEW Results (Pass/Fail) PASS Fluid depth in absorption field beforetest - in. Elapsed Time: - min. Final fluid depth - Any rejuvenation treatment (past 12 mo.) (Y/N & type) 020-113-50 YES YES 24 in. 0 colonieS100 mi. AKWWC, INC. Date installed 6/21/2003 Cleanouts (Y/N) YES High water alarm (Y/N) YES System type SHALLOW TRENCH Gravel below pipe 4.1 ft. Depression over field NO For 5 bedrooms Water added - gal. New depth - in. in. Absorption rate >= - g.p.d. - If yes, give date - D. LIFT STATION Date installed 6/21/2003 "Pump on" level at 59 in. Datum BOTTOM OF TANK Size in gallons 2000 "Pump off" level at 39 in. Cycles tested NEW Manhole/Access (Y/N) YES High water alarm level at 45 in. Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main N/A Water service line. 10% Surface water Wells on adjacent lots 100'+ 100% SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN Building foundation 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed ~lame Date JEFFREY A. GARNESS Waiver Fee $ Date of Payment Receipt Number ALASKA WATER & WASTEWATER CONSULTANTS, INC. January 13, 2004 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Driveway location for Lot 25, Block 10; Rabbit Creek Heights Subdivision. To whom it may concern: It was noted by your department that the as-built drawing by Robert T. Kean showed the well in the driveway. A site visit by our firm shows the well approximately 4-5 feet from the driveway. The well is also 2-3 feet higher in elevation then the ch'iveway. It is our assumption that the driveway locatio~3~on Robert T. Kean's as-built is not accurate. If you have m~y questions, please contact us at 337-~179. Thank you for yonr assistance. J 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com