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HomeMy WebLinkAboutSAND LAKE #2 BLK 1 LTS 20 & 21Block 1 Lot 20 & 21 #011- 132-52 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: PID Number: 011-132-52 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name CLAIRE LEWIS ABSORPTION FIELD X Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 8046 ENDICOTT ST ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 1.0 GPD/SF JTotal 14 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 0 Ft. Gravel depth beneath pipe 10 Ft. Subdivision Block Lot SAND LAKE #2 BLK 1 LTS 20 & 21 Fill added above original grade 2.5 Ft. Gravel length 32 Ft. Township Range Section Gravel width 2.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 640 Ftz 1 •0 Ft. Well *93'+ 50'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Gal. Surface Water 100'+ Materia! Numberof compartments NA Lot Line 101+ Foundation 101+ LIFT STATION Manufacturer Capacity Gal. Remarks * WAIVER REQ. FOR NEIGHBORS WELL (LOT 22) Alarm location Electrical installed by PIPE MATERIAL House to tank Tank to 3034 Installer MIKE N ANDERSON PE drainfield Drainfield 3034 co/MT3034 Inspector MIKE N ANDERSON PE BENCH MARK (Assumed elevation) 102.2 ft Inspection tri LIN UN Location and description dates: TOP OF WOOD DECK 3b 4'h 4 ON-SITE WATER AND WASTEWATER SECTION APPROVAL EngineJees Stamp Conditional Approval: Date�Jv;�. OF Ai` f �� • ' Septic Syste T7* AUCHAU N. At,FJtk c;4 °:Af=;-, E 4 '�' Approved Date / Z iv Z �� ,•'v' i? Z4,.4..�y a, Note: this appro does not include well permit requirements., iY•,�"�44L1i!k���`F,a (Rev 05/02118) * * * * VARIANCE/WAIVER REVIEW * * * Waiver#: OSV241062 COSA#: Permit#:OSP241392 PID#: 011-132-52 Legal Description: Sand Lake #2 Bilk 1 Us 20 & 21 Engineer: Mike N. Anderson Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 70.0 feet. In addition, the absorption field is approved to be 93 feet from the well on Lot 22. This waiver approval applies to the existing septic tank and field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: % Z Approved by:Name of of Revieyve **** VARIAN C E/WAIVER REVIEW **** Dec. 9, 2024 Municipalities of Anchorage On-Site Water and Waste Water Section 4700 Elmore Rd Anchorage, Alaska Phone 343-7904 Re: 70’ Septic tank waiver & 93’ leach field waiver Legal: SAND LAKE #2 BLK 1 LTS 20 & 21 To whom it may concern: This is a request for a waiver of 70 feet for the tank to the well (lot 20) and 93 feet for the neighbors well (lot 22) to the field, see the site plan. The old leach field was replaced and not permitted. We have documented the field and tank as per the attached design. A new test hole was drilled and found silty sand for the entire 30-foot depth. No perc was done but the soils were excellent silty sand SM, the same as lot 22. It appears the system has existed for over 20 plus years with no violations. The area is very tight with existing wells surrounding this lot. The existing tank is fiberglass and was excavated and found to be in good condition. The leach field was also excavated and found to have the correct pipe with fabric as required. The field was dry at the time of excavation. Justification for these waivers is the system has been working for a long time with no issues, water test attached, see more justification below. We have no water table issues and the tank is in good condition due to it being fiberglass, therefore no leaks. Comments from Deb. Provide water samples for Lot 22…. ATTACHED, LOT 22 WATER TEST Provide additional justification: ie: Lot 22 well is newer and built under the new code with bentonite requirements… around the casing, are there confining layers?, etc. YES THE WELL ON LOT 22 IS NEW AND HAS THE BENTONITE SEALING AND THE WATER TESTS FOR BOTH LOTS HAVE VERY LOW NITRITE LEVELS, SEE ATTACHED. ALSO THE WELL LOG ON LOT 22 IS 210’ WITH A GOOD CONFINING LAYERS OF CLAY AT THE 160’LEVEL, SEE ATTACHED LOG. WE HAVE NO WELL LOG FOR LOT 20 BUT ITS DEPTH IS ABOUT THE SAME SO WE CAN ASSUME THE SAME CONFINING LAYER AT APPROX. 160’ Submit a soils log with 7-day groundwater monitoring. ATTACHED Without a perc rate, justify the application rate. SOIL LOG FROM LOT 22 SHOWS GOOD SANDY SOILS SM FOR THE DESIGN TEST HOLE AND IS VERY CLOSE TO OUR SEPTIC SITE. IR: Change the bedroom count to 4. REVISED IR: Not documenting the tank at this time, remove the tank information. IR REVISED The granting of these two waivers will not impact any of the surrounding neighbors. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Permit No. OSP Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: SAND LAKE #2 BILK 1 LT 20 & 21 PID No.: 011-132-52 MARK A B TCO 27 33 C01 22 33 CO2 13 40 CO3 41 20 MT 40 20 � I � I ® WELL \\ \ I \ I 1/ WELL / ® / I / I i I / / / I I I WELL I 1 LOT 22 / CO3 / x � I M��� x EIJ/� EXISTING 1 50 GALLO FIBERGLA� E!T/ TANK x / C01 / TC x ®WELL \ I / I\ BENCH, TOP OF DECK I \ / I \ WELL ® // \ I ASBUILT`\ SCALE: 1"=50"\"- DF "=50\"DF 11t1 �.�P�••,•........... ♦i AV All 0 i 49TH �� ♦♦ 0— SEPTIC SECTION DRY ® Nov 2024 N.T.S. MICHAEL N. ANDERSON: W= No. CE 9469 '11,11414411 '••......... •.• �� �� Performed For: Legal Description: T t4 46 i Depth 4-I Municipality of Anchorage Development Services Department Onsite Water and Wastewater Section 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 34379D4 *:'49TH ..... ........r...' PO AMCHAa PC AKDLRMN E. U-9469 Soils Log - Percolation Test I 8lleff'....... I riC �j t r ew Date Performed: �`\hh���► <,- La Township, Range, Section: 22J 2- \ I) �' t l Slope Site Plan 1�1 5- L Do 6 sf ►�y s�>7d . 7- h WAS GROUND WATER 9- ENCOUNTERED? 5 10- IF YES, AT WHAT DEPTH? L I••1-��j }� r� l r Depth to Water After p 11- Monitoring? Vf r� E 12- W/ I T it, IbLv 13- tA0..,4-e' 14- 15- 16- 17- 18-1 4-15-16-17- 18- �fllltn`) COMMENTS Date:��zL� PERCOLATION RATE (minuteYixh) rcnu "u. uwme i en TEST RUN BETWEEN Fr AND FT PERFORMED BY: Ni k I CERTIFY THAT', THIS TEST YVAq PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality of Anchorage Community Development Department On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://wvvw.muni.org/onsite • (907) 343-7904 Well Decommissioning Log Legal Address: Subdivision 5jt4V L.Alitr SyT3 �Z-Block`IV Lot 3,0 T R Section Lot On-site Water & Wastewater Program certified contractor performing the well decommissioning: Name: ,,n / i, $ 0"Aark Ar Signature: Company: cr Well decommissioning date .1 r��% �S Method of decommissioning: AMC 15.55.06OL1 e. ❑ b. ❑ C. M Location: Use the space below to provide a drawing of the property showing the following • North arrow items; • Decommissioned well, • Other water wells on the property, Two separate swing-tie distances for each well shown on the drawing, Note: The swing-tie distances shall be measured from either permanent structures or the property corners. p. �y iQ V G:1Community, Development\Development ServiceslBuilding SafehnOn Site Water and Wastewatefforms\Client Forms\Well Decommisioning form.doc Y-. a w GREA _'R ANCHORAGE AREA BOR( JGH �uVVuf Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM i NAME f% MAILING ADDRESS f� PHONE �212_`6�/ LOCATION " � F�4 ��a LEGAL DESCRIPTION_ � e�,2 V% d6h� t �/ { SEPTIC TANK: DISTANCE �� ,�j" NUMBER OF I FROM WELL MANUFACTURER' -0 MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITYI�41GALLONS. TILE DRAIN FIELD: / / DISTANCE FROM WELL FOUNDATION L/ NEAREST LOT LINE IAOf TOTAL LENGTH 33 LINES Ir `d NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH -m 1 IN. TOTAL EFFECTIVE ABSORPTION AREA bl 19?) SQ. FT. LENGTH OF EACH LINE V 1 DEPTH OF FILTER �� ��, / � DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILELIN. ABOVE TILE IN. WELL: n!� TYPE Y fid' CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: l -� SEWER LINE DEPTH: I su t fl PIPE MATERIAL: C'y ` �� , �{9 S3R/n642i*(�-2� O' LOT SLOPE: 7�� REMARKS: DATE b �SAPPROVED- A.A.B. F rm Q-032 U GREA. ER ANCHORAGE AREA BORJUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. Y 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 S�t WAGE DISPOSAL SYSTEM'- APPLICATION AND J�PERMIT NAME OF APPLICANT K AILING ADDRESS pHON'��" / INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK.SEEPAGE PIT EEPAGEPITT DRAIN 5fELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED //w' //'' FINANCED THROUGH // TO BE INSTALLED BY �(�© SOIL TEST RESULTS S fD-// 7Z NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. Z� GL/ jp SEPTIC TANK SIZE �-p TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS / DIAGRAM OF SYSTEM - FOUNDATION TO SEPTIC TANK S FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ,fJ ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, �— SEEPAGE PIT `— DRAIN FIELD , TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. C+ G.A,A.B. OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACC RDANCE WITH SAID CODE.- ///n/ DATE / APPLICANT'S SIGNATURE - LI& FORM NO. EO -016 ■ ■a ■ ■■ I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACC RDANCE WITH SAID CODE.- ///n/ DATE / APPLICANT'S SIGNATURE - LI& FORM NO. EO -016 �\ LA I PAU, WILLIAM A. EGAN, GOVERNOR C � �,� >�v� DEPT. OF E-XVINIONNIENTAL. -CONSERIVATION SOUTHCENTRAL REGIONAL OFFICE MACKAY BLDG. March 9, 1973. 338 DENALI STREET ANCHORAGE 99501 p Ralph Tittle 6952 Weimer Street Anchorage, Alaska SUBJECT: Lot 20 & 21, Block I, Sand Lake Subdivision No. 2 Dear Mr. Tittle:- We have reviewed your situation in light of the interpretation of -he 40,C00 Sq. Ft -2010 - DO Sq Ft: requirement ccntained in Section 18 A,r'.0 I2. C30 e' t--DarTrr'en't Of Env 1 rcr.r.:enta l Conservation r,aste 'aTer ?e uiaticns. It is our finaina that since you had cs;nership Of -fie Ic- 3r Cr t-�-�cre i c:, -%Dr`. 5, 1973 and teat ycl. n'end to c-nstruct a privare res'cence =cry cur personal use, that this particular Section of the 'rias -e Yater Regulationsis net apDlicable in your case. We would however advise you that of course all existing•Boroudh Regulations are in effect and are applicable in all cases except where State requirements are more stringent. Yours truly, KybJ. rry Regional Environment Engineer cc: GAAB-DEQ RECEIVED ' [',JAR I ' 1973. AM GREATER ANCHORAGEAR DEPT. OF ENYINONM BOROUGH €AREq EA QUALITY F R.&M ENG" 'EKING & GEOLOGICj CONSULTANTS 229 EAST 51st. AVE. — P.O. BOX 6087 — ANCHORAGE, ALASKA 99503 L'1 TELEPHONE 907-279-0483 TELEX 090-35419 Civil Engineers Geologists LanV Surveyors JAMES W. ROONEY, P. E. CIO RALPH R. MIGLIAC MALCOLM A. MENZIES, P.E., L.S. Engineering GLIAL st JAMES H. WELLMAN, P.E. October 11, 1972 R & M No. 26540-38 Mr. Ralph Tittle 6952 Weimer Anchorage, Alaska 99501 Re: Test Hole and Soil Log Report for Sanitary System, Lots 20 & 21, Block 1, Sandlake Subdivision #2 Dear Mr. Tittle: We are submitting herewith the test boring results and our comments regard- ing soil conditions encountered at the subject site. This investigation was performed in accordance with your request of October 2, 1972 and those pro- cedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 20 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 8.5 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. Material encountered from 3. 5 feet to 8.5 feet classified as G. P. due to gradation results. However, we feel the material falls in the category of 85 square feet per bedroom classification. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly your/ss,,, James W. Rooney JWR:wb Enclosure xc: GAAB ANCHORAGE - FAIRBANKS JUNEAU 3.5 SANDY GRAVEL WITH SOME COBBLES (G. P.) 0 0.. a.:o• 8.5' Note After careful) examination of road cuts in the near area , it was determined that the sandy gravel material is continous down to a depth of at least 20'. Hole drilled with Haynes Hand Auger. f Ralph Tittle Property Engineering 5 Geological Consultants LOG OF TEST BORING ( ANCHORAGE PAFR9ANKs ALASKA JUNEAU Anchorage Alaska DATE 10-5-72 SCALE 1" = 2' OWN BY G.A.W. CHKD BY W.E.D. PROJ. No. 26540-38 DWG No. A-01 T. H.- 10-3-72 I 0.0' ORGANICS (PEAT) ' N 0.5 • .o /. o/ SILTY SAND WITH SOME fl•_ ° GRAVEL GRADING INTO GRAVELLY SAND WITH oo, off. SOME SILT ( G.M.) o doo 9�4 I 3.5 SANDY GRAVEL WITH SOME COBBLES (G. P.) 0 0.. a.:o• 8.5' Note After careful) examination of road cuts in the near area , it was determined that the sandy gravel material is continous down to a depth of at least 20'. Hole drilled with Haynes Hand Auger. f Ralph Tittle Property Engineering 5 Geological Consultants LOG OF TEST BORING ( ANCHORAGE PAFR9ANKs ALASKA JUNEAU Anchorage Alaska DATE 10-5-72 SCALE 1" = 2' OWN BY G.A.W. CHKD BY W.E.D. PROJ. No. 26540-38 DWG No. A-01 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On-Site Water & Wastewater Section Fax: (907)343-7997 ot Certificate of On -Site Systems Approval OSC241153 Parcel ID 011 -132-52 Expiration Date: Legal description SAND LAKE #2 BLK 1 LTS 20 21 Site address 8046 ENDICOTT ST Current property owner(s) LEWIS DANIEL L & CLAIRE A X The On-site system(s) is/are approved for 4 bedrooms By: Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date 5/6/2025 12/13/2024 Thi ertificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject stems) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other IIIIIIIIIq III III IIII 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. 011-132-52 Complete legal description Location (site address) SAND LAKE #2 BLK 1 LTS 20 & 21 8046 ENDICOTT ST Current property owner(s) LEWIS 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: Private Well ❑ Private Well serving 2 dwelling units emu/ ❑ Private Well serving 3+ dwelling unitsmmunity Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: FEI Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete FE -1 Fiberglass Age 49 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 6' 6 Date of Payment 4 Z' T Z'o Z' y COSA # 0,11 G 24 91,E Waiver Fee $ 11 go Date of Payment 12/V-/ y Waiver# 051%2y1062 COSA Application_June 2022 COSA Checklist Legal Description: SAND LAKE #2 BILK 1 LTS 20 & 21 Parcel ID: 011-132-52 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 *1975 Total depth ft Cased to 216 ft Fol Sanitary seal is functioning correctly X Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 7/9/24 Static water level at beginning of test 88 ft. Comments * FROM MOA DATA B. TANK DATA Measured operating fluid level in septic tank 48 Date of pumping 5-6-24 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 5/6/24 N ALL standpipes present per record drawing Total measured depth from grade 14.5 ft (max) Measured depth to pipe invert from grade 4.5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective _ ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced _gallons date Any rejuvenation treatment (past 12 months) _ If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 3+ gpm Water storage tank volume 0 gallons Weil disinfected for coliform test? ❑ Yes X No X Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic 64.6 ug/L ❑ Arsenic less than MRL (ND) Collected by MNA Date 7/9/24 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 5/6/24 Results g Pass Fluid depth prior to test 35 in Water added 600+ gal New fluid depth 60 in Elapsed time 1140 min Final fluid depth 35 in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 120 in Effective depth used 35 in Effective depth remaining 85 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' * Community Sewer Manhole/Cleanout > 100' [—]Yes if No %0 ft 9 Yes if No _ ft Neighboring Tank > 100' g Yes if No _ ft Private Sewer/Septic Line > 25' QYes if No _ ft Absorption Field on Lot > 100' ❑ Yes if No *93 ft Holding Tank > 100' ❑� Yes if No _ ft Neighboring Absorption Fields > 100' Animal Containment > 50' QYps if No _ ft R Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No _ ft R Yes if No _ ft X N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No **5 ft Surface Water > 100' 9 Yes if No _ ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' E Yes if No _ ft ❑E Yes if No _ ft Yes if No _ ft ❑� Yes if No _ ft Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' DYes ifNo_ft ❑ Yes if No _ ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS * WAIVER OF 70' FROM TANK WELL AND 93' FROM NEIGHBORS WELL TO FIELD ** 5' UNDER OLD CODE 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 MI k_�— g /tinAers oyl Pt • Phone 727 Engineer's Printed Name C7 vwe•, Date —L2 QF A ��Aa !y�•''•� .. .t2 .C •t••......da ✓: ............... 9ztt WatAB ra pni}[SS04 COSA Checklist June 2022 30, 7.8' co - SHED -c CD X rl- .1 HE 7.0' Ln X SHED 3: 16,0' 0 X vo �- CO 0x 0 0 z X LOT 22 BLK 1 N89059100"W 135.00' A -A -A- X X LOT 21 2 1 BLK 1 8.0' PAVED D //W 0 SEPTIC • VENT (typ) LOT 20 BLK 1 CD X ) el DECK 24.0' A N89*59'00 I$ W 135.00'1 LOT 19 BLK 1 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: 34.6' WELL ovi 63.8' a OR • 30' I 30 SAND LAKE SUBDIVISION Add NO Q = FIND 5/8" REBAR LOT 20 & LOT 21 BLOCK 1 PLAT P=1761 sti)? AQW SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a AW OF L A. AW physical survey of this property as shown on this drawing and that the A W_ <1 0 t�,,�' ' �t4, improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should 49rH any information on this drawing be used for construction of fences, ............... structures, improvements, or for establishing boundary lines. ?A . ............. EXCLUSION NOTES: It is the owners responsibility to determine V 10 . ?'d 0 -J HN L. SCHU=R.- the existence of any easements, covenants, or restrictions which *..- LS -10408 do not appear on the recorded subdivision plat. ell 0 1831 Talkeetna. Street WORK ORDER NUMBER: SCAU; ►E-MAh.; 0Q. •5VI©,,. Zk.Anchorage, Alaska 99508 MAY 8, 2024 1 =30' schulierakOgmail.com Of (907) 227-1455 office 24-039 DRAWN BY, CHECKED BY. GRID NUMaER: OW/TAWE: essionc -AMW Lx.qw —4992 fax JAS SW2224 240155 (907) 274 0 Uj 4. 0-j Z :D X 5 Ld i, CY re Li I— DECK >Z (D uj DECK 24.0' A N89*59'00 I$ W 135.00'1 LOT 19 BLK 1 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: 34.6' WELL ovi 63.8' a OR • 30' I 30 SAND LAKE SUBDIVISION Add NO Q = FIND 5/8" REBAR LOT 20 & LOT 21 BLOCK 1 PLAT P=1761 sti)? AQW SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a AW OF L A. AW physical survey of this property as shown on this drawing and that the A W_ <1 0 t�,,�' ' �t4, improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should 49rH any information on this drawing be used for construction of fences, ............... structures, improvements, or for establishing boundary lines. ?A . ............. EXCLUSION NOTES: It is the owners responsibility to determine V 10 . ?'d 0 -J HN L. SCHU=R.- the existence of any easements, covenants, or restrictions which *..- LS -10408 do not appear on the recorded subdivision plat. ell 0 1831 Talkeetna. Street WORK ORDER NUMBER: SCAU; ►E-MAh.; 0Q. •5VI©,,. Zk.Anchorage, Alaska 99508 MAY 8, 2024 1 =30' schulierakOgmail.com Of (907) 227-1455 office 24-039 DRAWN BY, CHECKED BY. GRID NUMaER: OW/TAWE: essionc -AMW Lx.qw —4992 fax JAS SW2224 240155 (907) 274 5. LEGAL DESCRIPTION pe�)Y'a ak I 'Sd aj�- s/, 7 DATE RECEIVED INSPECTION APPOINTMENTS I TIME - TIME TIME DATE ❑ Three ❑ Six DATE DATE Y�J INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY Lt— — V ldl INSPECTOR depth (attach log if available.) INSPECTOR INSPECTO MUNICIPALITY OF ANCHORAGE MUNICIPALITY Op ANCHORAGE DEPT. OF F//_ACTH DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTkOWIRCNMENT, ALTH 8,TIO ❑ PUBLIC UTILITY 825 L Street - Anchorage, Alaska 99501 N NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ENVIRONMENTAL SANITATION DIVISION APR 2. 2 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWEFA�F�f� DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPS TYOWNER Na+ * - - r,l Relll PHONE MAILING ADDRESS 9011 (0 £Melon PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAI LING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT t'e�r,a 1 Ser'v/c l Rem I PHONE MAILING ADDRESS :2&01 13114 Ja" 1qd R(A , 4C'?50 3 5. LEGAL DESCRIPTION pe�)Y'a ak I 'Sd aj�- s/, 7 STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOOMSS . Vl_�SINGLE FAMILY ❑ One � Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUP Y -' Y�J INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ,O�INDIVIDUAL/ON-SITE** �I �. YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 11 � '�' V S I el GREATER ANCHORAGE AREA BOROUGH_. Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES I. Type of Inspection: CMRO 3 4. 5 A Property Owner: VA FHA CONV Mailing Address: '? !g Ci�YYt�l,7�� Day Phone 2/9 31.44-9OOCf Name of Buyer: Mailing Address: Day Phone Name of Lending Institution: Mailing Address: b)'j If) (C1I1-1 Y .�j � �')4ii Phone Name of Realtor or Agent: �Y1� Mailing Address: Phone Legal Description: k \,ScJ)-ff.J s Location: EI. E..Ylf_..it� 7. Type of Facility to be inspected: rIse 41Vrf No. Bdrms . 8. Water Supply Type of Supply: Public Utility Individual )( If Individual, number of dwellings presently served .n)7e If Individual, depth of well 2-1Lo 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation % �7s EQ -037 (1/74) ,l THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ TWO ❑ FOUR ❑ FIVE ❑ OTHER ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank^ �or ❑Holding Tank Size: I If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK - MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Qe�._ 9 s� �♦ 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS lt?�' APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter mu accompany certificate) DISAPPROVED DATE P •� (`� BY _ 72-010 (Rev. 6/79) 1AY'lI I:�Fi'iit 1 li-: . F+�F�LiH 's -.D F^\, \ 11 ri j 7'.'.'i; i! A?Dril 28, 1981, Pat/April Reilly 8046 Endicott Anchorage, Alaska 99507 Subject: Lots 20 and 21 Block i Sand Lake Subdivision 42 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be delivered to this office from the Chem .Lab, 5633 B Street, for our review, (2) The septic tank pumped with a. receipt submitted to this office. (3) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National- Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this officeat 264-4720_ Sincerely, Robert C. %'raft; R.S. Associate Spec-iali_st 1:CP/ljw cc: Persona -1 Service Realty 2601 Blueberry F2oecl 99503 Tobben Spurkland P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 Patrick Reilley 3046 Endicott t�hchorage,4:laska 99502 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL Pi:OTECTION LA121981 RECEIVED June 12, 1981 Tank was pumped on May 29. On i•Iay 30 an attemiat was made to charge the drainfield. l.'atell w. s entering the tank and the char: ink; discontinued On June 10th. water was added to the system at a rate of 7.5 gal. per min. T nk was full and the water level in the sump was monotored. The following readings were taken. Deference level was 4 feet below the top of the stand pipe. SEWER ! D . -,U..0 Y T EL -T Legal Lot 20 & 21 Block 11 Sand Lake S/D Location 8046 Endicott Owner Patrick Reilley Residence Two Storey, Four Bedrooms, Single Family Water On Site :-Jell Sevier From Municipal Pecords: Tank Sunset Fiberglass, 1250 gal, One Comp/ i-,bsorption System Drainfield t'.dsorption ttrea 660 so ft. Soil Rkting 125 Installation Date Aue. 1975 Date Of Test June 10, 1981 Test Procedure System was inspected on Play 25. The 4 -inch sump is 16'-6" deep with a licuid depth of 11'--411. Tank was v feet below grounf with a liquid depth of 52" Tank was pumped on May 29. On i•Iay 30 an attemiat was made to charge the drainfield. l.'atell w. s entering the tank and the char: ink; discontinued On June 10th. water was added to the system at a rate of 7.5 gal. per min. T nk was full and the water level in the sump was monotored. The following readings were taken. Deference level was 4 feet below the top of the stand pipe. Tobben Spurkland P.E. Reilley June 12, 1981 Time Mater Volume Depth 0 0 9.75 37.5 18,25 10 75 18,25 20 150 18.50 30 225 19.00 300 19.50 50 80 375 19.75 boa 20.00 Stop adding hater at 02:10 prn. Check water level at 04:15 9.75 Test Result The system accepted and absorbed 600 gal of water in a three hour period. The system meets the Municipal requirements for a four bedroom house. GREATER ANCHORAGE AREA BOROUGH Department of,Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 9-9-7-r Time of Inspection Date of Inspection —22�-.n-- 9, REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES pp FOR 1-14il x 1 Approval requested by: Mailing Address: 4 121aPhone: a 7 V 2. Property Owner: Phone: Mailing Address: 3. Legal Description: .2,0 2"4, 4. Location: wo 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type B. Depth --2/6 C. Construction D. Bacterial Analysis 7. Sewage Disposal System: 1974� A. Installed B. Installer C. Septic Tank. 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Areae 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank �60 Absorption area (0<)r Sewer Lines Nearest lot line . Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages 1 - Page 2 o two pages - Rer'st for Approval of Individual ' -^'2r & Water Facilities Legal. Description Approved Disapproved e ( Date It G, lr Approval;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality - DIAGRAM OF SYSTEM i certity that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) Department of Health and vir amant i Protection 3M C street Anclirag e , Alaska 99103 274-4561.1 ft�vomber 17, 1975 First Rational Bunk of Anchorage otcetr Sranth vast Office Box -1090 Ancharaget Alas 9*509 Att o ti€n: Ann goiSvler subject: of 20 and 21 alock i Und Lake Subdivision Door pss oisviera A loan request form Was sent to this office for sever and Water 4 prova . By *r3istako it was sent back unapproved. This letter will confirm out telephone Conversation on november 13, 1175. The sewer and water facilities serving the su JeCt prop rtY are approveC Any further questions COnCerAi"9 thO Above P104SO contact us at 274-a 1s extension 134. Sincerely, Robert C. Pratt Environmental Control Officer RCP/Iih