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RAMPART #1 LT 2
OP� 0 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page I of ON-SITE WASTEWATER INSPECTION REPORT y,Jaitler Permit Number: C6P 161 9 (96"/)6/063 PID Number: 615 0-7/ 15 Dwelling:%] Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑ Upgrade Namer v Im'^ A'NcQ qp� 57 o� fMIL ABSORPTION FIELD PDeep Trench []Shallow Trench E]Bed E]Mound Address cfq h A *^t� 5-701 Fa5t e_ ❑ Other Phone Number of Bedrooms Soil Rating ffr m original grade Total depth from 3 r 2 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4,2o Ft Graveldepth beneath 1 Ft Subdivision r} Bbd/ Lot KA Fill added above original grade , }k'a�/i�% �Uehy� 1 Gravel length 33 Township Range Section Ft. Ft. Gravel width -3 Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. I — Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 3q6 Fe 1 "— Ft. Well i,r�,nt (}�) — _ TANK ZSeptic ❑ S.T.E.P. ❑ Holding []Other Manufa_ curer nc,r \o1�4 e T�tn Capacity` _/©60 Gal. Surface water i©0} — 100-1- — Material eE' Number of compartments 2 Lot Line (fit ' 0)NA Foundations + _ _ LIFT STATION Manufacturer apacity Gal. Ic Curtain Drain �'� VUZ ._ Remarks See Ulwoers ®n )e o5y 161063/ Lot h+t1l Pump on level at Pump off level in. High water alar at in. is (each 'RM Meas q0' - Yf Row fi0q encroahp,.r per�IT Al 61718,',,(d �eacil 1�(CP Pump make /oriel Electrical Inspections perforedby E04"etJ WI'YI� ender-l' 'Iv 5llkL taAk Installer 1 , L PIPE MATERIAL HOZb kSf'on Tank to vt drainfield 303+ I�y� S� D3p3- Drainfieldj.3¢ CO/MTD'3034 Inspector Se6Irt) I P BENCHMARK (Assumed elevation) ?600 ft Inspection .r I / dates: 1 6124f 16 2n° 6 25 �(� Location and descriptionTp a uea7 e o dVerhu^1 w'1 ea ?*Ar uESF+ h0145e c,v(`Aer, 3r° Z% )fj 4a' Sil( No C o 'Ifs BI h* Pf COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date OF q �,� 1 ... <„. P .r.. .. V GARY SOL7N �y CE - 6585 m Approved Date �q44 Insnedinn Rano-12don.. Old trench typet on field rve in resestatus.. ExacExaGt — — _ perimeter unknown. MOA ROW encroachment permit issued. N 1489 5TWE 120.00 10' Utility Eam rt — — — — Shed \ plic 1000 gallon ptic �tank removes / Waiters issued for Lot 2 and 3 \ y� Gro Unci Q, IQ Ud'i 1aY1 i from 100' well radius requiremerd Lot 2�rTN112y9,4 DISTANCE IN FEET \ p MARK A p ST1 67 45 ST2 63 48 D81.1 62 49 \ DBL2 61 49 A B DVT1 61 50 \ o C01 55 44 CO2 38 66 / \ o MT7 36 6s / Lot ILot 3 po OCO 69 55 / 1 Story Fmnj House Z OMT 56 70 � I � I � I I � I / 1 I / � WNI I / ,sewer � I t / I Dashed circles represent 100' %\ / for each respective lot. ,East 99th\Avenue / i 6 3° 16 DATE Gary Solin, P.E. 6/26/2016 OF 3201 Dickson Drive DRAWN BY w;;Y! . • . ',f. Anchorage, AK 99504 TASCALS AW � • �� *�+ 1 = 30 ' PREPARED FOR PHONE NUMBER PAGE NUMBEoi R• J&C SIMPSON/G RY SOLIN (907) 338-1308 1 of 3 Garyf LEGAL DESCRIPTION 585 w RAMPART SUBDIVISION #1, LOT 2 �ti CE f 585Awr TYPE OF WORK '���,� AS -BUILT OF LEACH FIELD AND SEPTIC TANK UPGRADE ,i\�►�1��� ST1 TOP OF TANK AT INLET 291.00 INVERT OF BUNG AT INLET 290.42 Gary Solin, P.E. 3201 Dickson Drive Anchorage, AK 99504 lRED FOR PHONE NUMBER SIMPSON/GARYSOLIN (907)338-1308 RAMPART SUBDIVISION #1, LOT 2 TYPE OF WORK AS -BUILT OF SEPTIC TANK UPGRADE FINAL GRADE 5 f s N1d 296.5Q El2✓�+V0.1 5 \ sr2 2q5-.3 4o 244.7 AVERAGE ORIGINAL GRADE INSULATION 295.00 NEW 1000 GALLON SEPTIC TANK BOTTOM OF TANK 286.10 TOP OF TANK AT OUTLET 291.00 INVERT OF BUNG AT OUTLET 290.25 3 6/26/2016 OF q��%T( DRAWN BY 'aw A% ,+• +. SL �y TAS ./ 9 T SCALE 1001* 49TU '••* NTS 35 .. PAGE NUMBER �jVr 2 of 3 Gary Solis CE 6585 r �11r AqOFESSO_s AVERAGE ORIGINAL GRADE 294.00 293.7'#o 259. E Gary Solin, P.E. 3201 Dickson Drive Anchorage, AK 99504 BRED FOR SIMPSON/GARY SOLIN RAMPART SUBDIVISION IA PHONE NUMBER (9071338-1308 LOT 2 MT1 C01 3' (TYPE OF WORK CROSS SECTION AS -BUILT OF LEACH FIELD UPGRADE FINAL GRADE /295.00 - 295.70 FILTER FABRIC INVERT OF PIPE 289.80 (AVG) n2 nv�rt Tele -r b15tf,"fl-A r 11 ele%Mf m 209, go End DistrA cf?on Pre- inner F e�elrxtion 284.90 SEWER ROCK BOTTOM OF TRENCH 283.70 (AVG) (6 i/26/2016 T OF q-'kl �WN BY 'aw7TAS Aw9 A LE 49TU NTS iE NUMBER 3of3 -p- Gary Solin07f CE 65$5 A „r I RF .•.... Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www. ci.a n choraoe. ak. us (907) 343-7904 CE -6585.=`• F�. e� 1� �y .... tEu b Soils Log - Percolation Test -7'' Performed For: �/ mvoy Q^ d Gar t4 _ S/ M_ pion Date Performed: Legal Description: R9ft)V4o1' O j 5,4b AjV)$/44 t?rownship, Range, Section:— _ Slope 1 Icsfi nole- Flt'tertian ©fl Ina GrA�le e64ion Depth , q4,`I 'ct 13.q 1 282,4 2go.q 10- 11- 12- 13- 14- 15- 16- 17- 18- -a-15.9 0- 11- 12- 13- 14- 15- 16- 17- 18- 275 1 19 �-0— �g }j WAS GROUND WATER INC) ENCOUNTERED? IN Ft GM j S M IF YES, AT WHAT DEPTH? Dh 6l,ot�b Depth to Water After0 Monitoring? 6 f 13��6 E va 6 2� to 201,6 Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutesrinch) PERC HOLE DIAMETER �J �j'ejT of e * TEST RUN BETWEEN FT AND FT COMMENTS 1 r f 4el1Q4[.j r�j3.5 gt'►r--fo--Fq PERFORMED BY: Ga-Ay®t(A) I G4 ! -CERTIFY THAT THIS TE§iTWAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 20I Performed For: Legal Description: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www cLanchorade.sk.us, (907) 343-7904' =- Soils Log - Percolation Test TmAy arta Cqr(g 5M P5o Date Performed: 6QaVA0Wfi*1 Sa6�tVty®n�o�2 Township, Range, Section: ke"c -ROd QeJ*01 61,`git'-1 fu{C e�e tc}Ito Depth 253.41 0� mIX W)A1/ 24?4 2 GP)Sfi 211.4 s 6W15vj 10- 29'3, 1- 1 1 17 COMMENTS &rAl 61M •aoeasa GAW SOW1e......eQ CE - 6585 3` ar ®r Site Plan WAS GROUND WATER I q ENCOUNTERED? Uf S IF YES, AT WHAT DEPTH? L Depth to Water After p Monitoring? E Dater S� T -O, dnl\, Reading Date 16ross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutesfinch) PERC HOLE DIAMETER {{AA TEST RUNBETWEEN FT AND FT rorvIpTldA4 —S PERFORMED BY: 6-41'� SoII() I OV �6 I In CERTIFY THAT THIS TES WA PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDEL} ES IN EFFECT ON THIS DATE. DATE: 30 GARY SOLIN, P. E. June 27, 2016 Municipality of Anchorage Office of Community Development Development Services Department On -Site Water and Wastewater Program 4700 Elmore Road Anchorage AK 99507 Ref: Septic System Upgrade for Lot 2, Rampart Number 1 Subdivision To whom it may concern: The replacement absorption leach field and replacement septic tank were constructed and installed June 24-25, 2016 for Lot 2, Rampart #1 Subdivision. The existing absorption leach field was connected to the replacement field and tank with a divertor valve after the new septic tank allowing it to be potentially used in reserve status. A Right of Way permit R161748 from the Municipality of Anchorage Right of Way Division was issued on June 23, 2016. This permit was needed since the old leach field encroaches into an utility easement along the north lot line. The replacement leach field is being used and will be used, but the old leach field is available for reserve use if needed. The old septic tank was removed. Whitters Enterprises during construction determined the old septic tank needed to be removed for the placement of the new 1000 gallon septic tank and connections to the leach fields. The new replacement septic tank is 101 feet from the well on Rampart #1 Subdivision, Lot 1 eliminating the need for a well to septic tank waiver. I am unaware of any adverse impacts this completed installation or these waivers will have on adjacent wells or septic systems. If you have any questions, please contact me at 338-1308. Thank you for your assistance. Sincerely �'L Gary Solin, P. E. 3201 Dickson Drive * Anchorage AK 99508 Ph 907.338.1308 * Cell 907.440.7809 * Email glsolin@yahoo.com Ment S MUNICIPALITY OF ANCHORAGE Q Development Services Department q Department Right of Way Section v ENCROACHMENT PERMIT R161748 THIS AGREEMENT, made this 231d day of June, 2016, by and between JIMMY M. and CARLA J. SIMPSON and their heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of Anchorage, a municipal corporation organized and existing under its Charter and the laws of the State of Alaska, hereinafter called the "PERMITTER". WHEREAS, PERMITTEE is the owner of the following described real property: RAMPART #1 SUBDIVISION, LOT 2, according to the official records thereof, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTER owns and/or maintains the real property more particularly described as follows: The 10 FOOT UTILITY EASEMENT located on the north portion of PERMITTEES property as shown on Plat No. P-662, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTEE has placed a shed, leach field and fence upon the referenced real property which each encroaches approximately 2.5 feet upon the PERMITTER'S 10 foot Utility Easement. NOW, THEREFORE, it is mutually agreed between the parties hereto that: 1. The PERMITTER, acting through the Director of Development Services Department, hereby grants to the PERMITTEE the privilege of allowing a shed, leach field and fence to each encroach approximately 2.5 feet upon the PERMITTER'S 10 foot Utility Easement, as shown on "Attachment A and Attachment B," included herewith. 2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless, the Municipality, its officers and employees, from any and all lawsuits, claims or actions brought to any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses incident thereto, arising wholly or in part from or in connection with the existence of, alterations, maintenance, repair, renewal, reconstruction, operation, use or removal of the encroaching shed, leach field and fence, as placed upon the PERMITTER'S 10 foot Utility Easement. 3. The PERMITTEE shall not assign or transfer any of the rights granted herein to another individual or company without fust notifying and securing the approval of the Director of Community Development Department. 4. This Agreement and Permit grants PERMITTEE no interest in PERMITTER'S real property whatsoever, except only the encroachment rights described herein. 5. The PERMITTER reserves the right to revoke this permit upon twenty (20) days written notice to the PERMITTEE. The PERMITTEE agrees upon such notice of revocation, to move said encroachment(s) from the 10 foot Utility Easement in which it is placed. Should the PERMITTEE refuse or fail to comply with said written notice, the PERMITTER may, without further notice to the PERMITTEE, remove or cause to be removed the encroachment(s), and the PERMITTEE hereby agrees to reimburse the PERMITTER for all costs incidental to the removal thereof. In addition to the mutual promises heretofore made, the PERMITTEE has paid the PERMITTER a one-time permit application fee of $115.00. The PERMITTER hereby waives the annual fee of $300.00. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seal the day and year first hereinabove written. GRANTEE: GRANTOR: MUNICIPALITY OF ANCHORAGE ack L. Frost, Jr. Right of Way Supervisor STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) Ca THIS IS TO CERTIFY that on this Z-73 "' day of ! - , 2016, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and swom as such, personally appeared Jack L. Frost, Jr., known to me to be the Right of Way Supervisor for the Municipality of Anchorage, Alaska, who executed the foregoing instrument, and he acknowledged to me that he executed said instrument as the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and that he was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above written. %%OTAftP•.1 STATE OF ALASKA THIRD JUDICIAL DISTRICT NOTARY PUBLIC in and for Alaska My Commission Expires: M-11li"1 ) ss. a THIS IS TO CERTIFY that on this Z day of QA -A -V-A- 2016, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and swom as such, personally appeared Jimmy M. Simpson, known to me to be the individual named herein who executed the foregoing instrument, and he acknowledged that he did so freely and voluntarily for the used and purposes therein mentioned, and on oath stated that he was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above written. NOTARY PUBLIC in and for Alaska � My Commission Expires: Ql-1 i l- I awe STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this ZV 4 day of t` -e 2016, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Carla J. Simpson, known to me to be the individual named herein who executed the foregoing instrument, and she acknowledged that she did so freely and voluntarily for the used and purposes therein mentioned, and on oath stated that she was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above written. 0.A utr;, NOTARY PUBLIC in and for Alaska 1NYgT My Commission Expires: OL11111 P1181�G ,�e: N *g . On -Site Wastewater Disposal System Permit Permit Number: OSP161149 Tax Code Number: 01507115000 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: Septic Upgrade Permit Effective Dates: June 20, 2016 to June 20, 2017 Design Engineer: GARY SOLIN Subdivision: RAMPART #1 Site Legal Address: RAMPART #1 LT 2 G:2437 Owner/Address: SIMPSON JIMMY M & CARLA J 5701 E 99TH AVENUE ANCHORAGE AK 995166425 Site Mailing Address: 5701 E 99TH AVE, Anchorage Lot Size In Sq Ft: 16200 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By:, Issued By: jZ4N�Z lil 1 RWrff/ !s MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERNVELL PERMIT APPLICATION ParcelI.D.0t5'-�p'1'_ 15 Property owner(s) J t^t'"� �-CA06 sr m(pfeh Day phone Mailing address 5701 F q th A %gJro-1 Site address 5 Legal description (Sub'd., Block & Lot) Sub kl Legal description (Township, Range & Section) Lot Size 200 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (0 all that apply) ur El Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage APPLICATION IS AN: Initial ❑ Upgrade 9 Renewal ❑ TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR: Dth�nfi.lcr' -b Well on Lt's land 3 I certify that the above information is correct. I further certify that this applicable Municipal Codes. N atJw ' d tl L of iYoperty owner or Permit/Rush Fees: SSG 9 Date of Payment: 06 /031 !6 Receipt Number: 20/K Z 2 Permit No. 05P110 R i 9Z_ qct JUN 0 3 2016 Waiver Fees: 41128. p1 `, Date of Payment: 04/03//4 Receipt Number: 2oI�j2Z Waiver No. DSV I (O Olo3 Rtk5l-� 1 /0 [ g�2.0 201611 60/1 GARY SOLTN, P. E. June 20, 2016 Municipality of Anchorage Office of Community Development Development Services Department On -Site Water and Wastewater Program 4700 Elmore Road Anchorage AK 99507 Ref: Revised Septic System Upgrade and Response to Comments from On -Site Sewer/Well Submittal Comment Sheet Dated June 20, 2016 Proposed Septic System Upgrade for Lot 2, Rampart Number 1 Subdivision To whom it may concern: This is an revised septic system upgrade and response to review comments dated June 20, 2016 from D Wockenfuss. This document adds to information submitted by me dated May 26, 2016 and June 13, 2016. The revised design will be discussed first. Submittal is included with this letter stating that Test Hole ! was monitored for ground water levels from June 10 until June 20 reflecting a dry condition. The existing old absorption field will be decommissioned. The distance for the waiver request from the replacement absorption field to the well on Lot 2 has been adjusted to 92 feet maximum and from the replacement field to the well of Lot 3 has been adjusted to 89 feet maximum. T also request a waiver for the distance from the old absorption field to the new replacment field. This distance between the fields will be planned at 11 feet as measured on previously submitted drawings which is less than the required 12 feet distance. More information related to the wells to field waivers updates and new waiver field to field request follows. This information is in addition to the previous letters on May 26 and June 13, 2016. 1. WELL TO FTELD WAIVER: The waiver is requested as follows. Proposed absorption drain field to the Existing Wells on Rampart #1: Lot 2 and Lot 3: The proposed drain field is approximately 93 feet from the existing well on lot 2, and approximately 90 feet from the existing well on lot 3 on drawings previously submitted. We are requesting that your department issue a waiver from the required separation of 100 feet to 92 feet for the well on Lot 2 and to 89 feet for the well on Lot 3. Justification for granting these waivers are as follows: A. We are requesting around an 11% variance maximum. The well log and soil borings log for Lot 2 are typical of glacial soils, gravel and sand with silt and clay present in varying amounts. Other lots in the area have similar soils, but as typical for glacial soils conditions can vary greatly within the same lot. These soils typically have percolation rates that usually allow for trench type absorption fields. The percolation rate found on Lot 2 was 3.3 minutes/inch. The average groundwater velocities for these type of soils allow for adequate treatment in conjunction with the absorption fields. Tf the requested waiver for field to field is allowed, the distance from the replacment field to the well on lot 3 will probably be about 91 feet as measured in the field. 2. FTELD TO FTELD WAIVER: The waiver is requested as follows. Submitted drawings have the distance between the old to new absorption field measured at 11 feet which is less than the required separation distance of 12 feet. We are requesting a waiver. A. This waiver request is for a distance of 1 foot from the required distance. Justification for this waiver request is related mostly to the percolation rate found of 3.3 minutes/inch. T believe that with soils of the type found and the percolation rate found on Lot 2, the new field will not impact the old field. Similar perocolation rates have been found on nearby lots. Response to On -Site Sewer/Well Submittal Comment Sheet From D. Wockenfuss on June 20, 2016 1. Note added to site plan drawing on old field decommisioning. 2. Waiver request distances for field to lot updated. 3. Waiver requested for field to field for 11 foot distance. T am unaware of any adverse impacts this installation or waiver would have on adjacent wells or septic systems. Tf you have any questions, please contact me at 338-1308. Thank you for your assistance. Sincerely -din �E Gary So in, P. E. 3201 Dickson Drive * Anchorage AK 99508 Ph 907.338.1308 * Cell 907.440.7809 * Email glsolin@yahoo.com GARY SOLIN, P. E. June 13, 2016 Municipality of Anchorage Office of Community Development Development Services Department On -Site Water and Wastewater Program 4700 Elmore Road Anchorage AK 99507 Ref: Revised Septic System Upgrade and Response to Comments from On -Site Sewer/Well Submittal Comment Sheet Dated June 9, 2016 Proposed Septic System Upgrade for Lot 2, Rampart Number 1 Subdivision To whom it may concern: This is an revised septic system upgrade and response to review comments dated June 9, 2016 from D Wockenfuss. T Tpe revised design will be discussed , first. S!e t� nhd e't�Ft� 4ftl 7%"_Apt ` 2v16 wtl\ riew i��•�••,,��•�. On June 10-11, 2016 I visited the 3 bedroom house at Lot 2, Rampart #1 Subdivision to obtain information for this redesign. I performed a septic tank leak test on the existing 39 year old septic tank. The tank was filled with water above the tank invert, and monitored. This existing septic tank seemed to reflect a leak. The present owner also approved a replacement septic tank, even if the tank passed the leak test. The replacement 1000 gallon tank will be placed about 0.5 foot from the existing tank. The replacement tank location will be more than 100 foot from the domestic well on Lot 1, Rampart #1 so a tank to well waiver will not be needed for Lot 1. The existing tank will be pumped and crushed in place. Test hole 1 was deepened to 19 feet. Pipe perforated the entire length was used to monitor groundwater in the deepened bore. The 2 inch diameter PVC pipe installed on May 18 was perforated and slotted over it's entire length. 4Lke The proposed upgrade absorption field trench is 3 foot wide, 8 foot from the replacement septic tank, and 12 foot from the existing absorption field. The existing absorption field will not be used in reserve. Comments regarding the revised design are summarized as follows: 1. SOILS: See the attached deepened soils log from June 10. See the attached 2016 log from field work on May 18, 2016 which shows groundwater monitoring, soil classifications, and the percolation test results. 2. DRAINFIELD DESIGN: This is a deep trench drain field design as follows. Design drawings attached have same specifications. A. Number of bedrooms: 3 B. Design Flow: 450 gallons per day C. Percolation Rate: 3.33 minutes/inch D. Allowable Application Rate: 1.2 gallons/day/sq foot E. Minimum Absorption Area: 375 sq foot F. Total Depth: 10 foot (maximum) G. Width: 3 foot H. Effective Depth 6 foot I. Minimum Trench Length: 32 foot J. Effective Trench Absorption area: 384 sq foot 3. SURFACE WATERS: There are no surface waters within 200 foot of the proposed upgrade. There are no surface water concerns. 4. TOPOGRAPHY: The attached site plan drawing with spot elevations shows the location of the proposed field upgrade to be mostly flat. There are no slope concerns. The low spot on Lot 2 is near the Northwest lot corner and overland flow will go to that area. 5. WAIVER: The waiver is requested as follows. Proposed absorption drain field to the Existing Wells on Pdiipart #1: Lot 2 and Lot 3: The proposed drain field is approximately So fLret from the existing well on lot 2, and approximately V.Leet from the existing well on lot 3. we are requesting that your departm4nt issue a waiver from the required separation of 100 feet tofeet to the two above mentioned wells. Justification for granting these wa ers are as follows: usd� P,44tr Ii19�1C4S Z`jC,a �0 Well 1A 1e1� 6(0-E41--ter-2(91 2 m I%^ A. are requesting around an 8� varian The well log and soil bora s log for Lot 2 are typical of glace soils, gravel and sand wi silt and clay present in varying am ts. Other lots in the area e similar soils, but as typical for cial soils onditions can v reatly within the same lot. Thes soils S ically have percola rates that usually allow for ench type bsorption fields. The a roundwater velocities or these e of soils allow for ade ua e t^ tment cgngjun�ti���, with the absorption fields. B. The existing home is located between the proposed drain field and Lot 2 well. If the effluent were to overflow, it could not travel directly towards this well head. C. A small topographic divide of around 1.5 foot exists between the proposed drain field and Lot 3 well. This small divide would not allow effluent to flow to this well head. The lowest elevation for Lot 2 is near the lot Northwest corner, near the shed. Overland drainage in that direction is away from nearby wells. D. A vegetated area and fences are between the proposed drain field and the wells. E. A water sample from Lot 2 was collected on April 12, 2016. Arsenic and bacteria were both not detected in this sample, and nitrate was 5.17 milligram/liter. Water samples were collected from wells on lots 7-9, Rampart#1 from mid February to mid March 2016. The results from these samples are in the Onsite services public Document Search Database. The samples were collected as part of a replacement septic system on Lot 8. All bacteria and nitrate samples had no detections. Arsenic ranged from 3.69 to 5.2 milligram/liter. The wells and septic systems on Lots 7-9 all have had a waiver granted for the 100 foot separation distance between wells and septic systems. This potentially illustrates that if this waiver is granted similar well water samples in the future will continue to have results below regulated concentrations. Response to On -Site Sewer/Well Submittal Comment Sheet From D. Wockenfuss on June 9, 2016 1. Drawings are to scale now. 2. Sheet 2 note for mound on absorption field has been revised. 3. Existing absorption field will not be used. 4. New absorption field trench width changed to 3 foot. 5. Separation between trenches is dimensioned to 12 foot. 6. Leak test completed. New Septic tank will be installed. 7. Existing leach field redrawn. 8. Dimensions between leach fields and new leach to tank added. 9. Test hole 1 deepened. 10.Correct reference in SC was for small divide to Lot 3. 11.Installer Whitters Enterprises. 12.Design Changes for consideration on this date. The smaller size of the Lot 2 and location of nearby wells only allow for a small area to place the replacement septic system without the need for a waiver request. For this reason I have spent time physically laying out on the ground the replacement septic system at Lot 2 in relation to the requested waiver. This physical layout which supports the submitted attached drawings together document the replacement septic system proposed location. A request for a separation waiver for the Lot 2 septic tank to the domestic well on Lot 1 was covered in documents submitted to your office by myself in a letter on April 28, 2016. The replacement septic tank location makes this waiver request not needed. This distance of 98 foot is less than the required 100 foot separation distance was noted on a Municipality of Anchorage Certificate of Inspection for Health Authority Approval of On -Site Sewer and Water Facility issued on September 6, 1988 for Lot 2. Please reference that paperwork as needed. I am unaware of any adverse impacts this installation or waiver would have on adjacent wells or septic systems. If you have any questions, please contact me at 338-1308. Thank you for your assistance. Sincerely i Gary Alin, P. E. 3201 Dickson Drive * Anchorage AK 99508 Ph 907.338.1308 * Cell 907.440.7809 * Email glsolin@yahoo.com ,,k r,@Ai5 () SP 16 11 4y oW 16!063 Rampart #1 Lot 2 Parcel ID: 01507115 Waiver from proposed field to wells on Lot 2 and Lot 3 6/21/2016 General See the engineers waiver request for mitigating factors. ADEC Criteria Points Water Table Depth to water bearing layer 45 feet Depth of tank 10 feet 35 feet 4.5 Soil Sorption Soil descriptions DEC PTS Depth From Depth To Thickness Calc. Pts Clay, sand & grvl 2 10 35 25 1.43 Sand and gravel 1.5 35 45 10 0.43 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 35 1.86 1.9 Permeability Soil descriptions (soils log used) DEC PTS Depth From Depth To Thickness Calc. Pts Clay, sand & grvl 1 10 35 25 0.71 Sand and gravel 1 35 45 10 0.29 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 35 1.00 1.0 Water Table Gradient - Not calculated XX Horizontal Separation 89 2.56 Total Points 10.0 As perADEC waiver guidelines, with a minimum point value of 10.0, contamination is unlikely from bacteria but could be possible from chemicals or virus. If the well was redrilled to meet the 100' separation, the points calculation would be withing the same points interval, therefore waiver approved. 0 -LOT 3, BLOCK SUMMITESTATES SEPRCAREA e AVENUE Ii I it 1 O 1 I 1 LOT 2, BLOCK 3 O / &UMMIT ESTATES M ' LOT 3,f,/�,,'KI 1 ` LOT I, BLOCK RAM/PARTSUB. , RAMPART SUB. F- I/ O 1 EAST 9981 AVENUE/i / �i � T - Gary Solin, P.E. 3201 Dickson Drive Anchorage, AK 99504 \RAMPART SUB. ' 1 1 I PREPARED FOR PHONE NUMBER J&C SIMPSON/GARY SOLIN (907) 338-1308 LEGAL DESCRIPTION RAMPART SUBDIVISION #1, LOT 2 TYPE OF WORK PROPOSED LEACH FIELD REPLACEMENT 1 i /COT 10, BLOCK i RAMPARTSUB. 1 '-r N JI L RE LOT DASHED CIRCLES REPRESENT 1 I WELL RAFOR EACH RESPECTIVE LOT / I / 0 I O K �aQ 2 m I Jam PROPOSED 1000 GALLON SEPTIC TANK PROPOSED ABSORPTION FIELD UPGRADE (SEE DESIGN PAGE 2 OF 3) 1 EXISTING 3 BDRM HOUSE i 6/12/2016 K OF -1k AWN AWN BY G'il,�(�P , • • ••[�� 9 TAS f j ALE AW *;••49m 1" = 100` ... ....... .. . GE NUMBER °�-�w 1 of 3 /�•, nary SCrlin #j&CE 6585 AM A 1-)o#e:4 a6sorpfio� Fiek( to Existing trench ty absorption field not to be used. Exact — _ perimeter unknown. \ \ N89 5T30•E 120.00 o�e(ornm i55io�ec� �' 10' Utility EaWrrK nt Shed � / sR 0 � Existing 1000 gallon cmo septic tank to be pumped and crushed Proposed absorption y fieldVom replacement i tan Lot 2 � / x \ fie Excavate a trench that is 10' deep, maximum, by T wide, by 32' long. o Add 6' of clean, washed / L6 drain rock. / b o / I � Lot 3 0 / I Lot 1 Z1 Story Fret mg House Finish grade owr new absorption field will be mounded I ( ' 1 J Well I / tsvwen reales / NOTE: The contractor shall haw: the 100' well Dashed circles represent t00' Ilwe radiu \ radius and the north lot line flagged prior to / for each respective lot. construction ,l=ast 99th`Avenue / Gary Solin, P.E. 6/12/2016A OF q,1AW ��� 3201 Dickson Drive DRAWN BY AW ;kl' . • ' ' • , d',¢ , Anchorage, AK 99504 TAS AW ( � SCALE }/'�*•*'l '•*�� 1"= 30' t ...., .... PREPARED FOR PHONE NUMBER PAGE NUMBER I •!-v�y� J&C SIMPSON/GARY SOLIN (907) 338-1308 2 of 3 /j. • 'V / LEGAL DESCRIPTION {i• Gary SOiul / CE G585 RAMPART SUBDIVISION #1, LOT 2 �� Ws TYPE OF WORK ' 4V PROPOSED LEACH FIELD REPLACEMENT, SITE PLAN DESIGN 10' Utility Easement \ ---- Shed 292.4 294.0 0 1 292.8 294.2 293.8 .7 293.5 293.2 ® 295.4 .4 293.6 295.7 295.5 TBF1. ELEVATION �OUAU'ASSU TOP OF WEST WINDOW SIU ON OVERHUNG WINDOW o�cx Om 294.9 X 295.0 1 Story Fmme House Well I Lot 2 294.70 East 99th Avenue Gary Solin, P.E. 3201 Dickson Drive 6/12/210 DRAWN BY Anchorage, AK 99504 TAS SCALE 1" = 30' PREPARED FOR PHONE NUMBER PAGE NUMBER J&C SIMPSON/GARY SOLIN (907) 338-1308 3 of 3 LEGAL DESCRIPTION RAMPART SUBDIVISION #1, LOT 2 TYPE OF WORK PROPOSED LEACH FIELD REPLACEMENT, GROUND SPOT ELEVATIONS ;0 js ... q4cRNAW� *. ••4119*� al (; Gary So in CE 6585. 1� flyOFESStC1�'� Municipality of Anchorage Development Services Department Building Safety Division y�. On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci. anchorace.ak.us (907) 343-7904 Soils Log - Percolation Test Performed For: p✓ f j4 QA �t of SIMPS60j Date Perk Legal Description: Rampart *1 6ywj`l �'si�n 4.0f 2 Township, Range, Section: t e5`t No le Slope I I COMMENTS 9R(y MtX W) fill GPI5A Gw1sw :;Ill pVL Zit Ito las¢} WAS GROUND ENCOUNTERED? a IF YES, AT WHAT DEPTH? L Depthilp 0 B Y ��� E OF, 491—H 11� OARY SOLIN ° CIE - 6585 Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop I z , 1504).0 0 2 s t9tot t 10 to 3's 3' 3 (Sta to O 4— 20 10 3 '/,f 3'1 S05 -3c,13 10 -3 3 6 16+0110 10 3 ' 3" S !$ Z016 Is -so bD 10 3" PERCOLATION RATS '%.-6,3 (minuWe.6) PERC HOLE DIAMETERn TESTRUNBETWEEN �ji5 FT AND �p�FT Fa4e6AV- IY,fB� er MK PERFORMED BY: Gel s o It n I 0 S 1 l �CE IFYY—I AT HIS TET WAS/ PERFORMED IN ACCORDANCE fvrrH ALLSTATE AND MUNICIPAL GUID LINES IN EFFECT ON THIS DATE. DATE: O !p Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci. anchoraoe.ak.us (907) 343-7904 Soils Log - Percolation Test Performed For: J 1411My AF1 Ca rlu Simbsonaa Date Perfo II Legal Description: KOMbILIT % jt*,0pjJ U)tSi7 IFI Will"tYnship, Range, Section: _ i' tl I Slope Test 11'4le Ft I-II I I F77 -T-1 Depth oRG M+x woo) 1 2- GP/ 5f> 3- Gw1 -5 vi 10-I I Gm/sm 1 per (Oritttj pj P - WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT D Depth to Water R Monitoring? iv ) 9 Ff P E Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop PERGULATION RATE (minutesbnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT r COMMENTS NOl@,. � ..�n," L44ty Wnm'itlru� Oa (ri 214 TaFt AWrJwy1#4 PERFORMED BY: r �O +� I 1'�0 IA CERTIFY THAT THIS TET WAS PERFORMED IN ACCORDANCe WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 611 b 14 GREA, a:R ANCHORAGE AREA BOR. .,GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME +LA' *- ,_a I = tV ' °-`=— MAILING ADDRESS - _ '� >. F� �"a PHONE NE LOCATION d _{ 1�i)'�,l� _— LEGAL DESCRIPTION SEPTIC TANK DISTANCE �drr { ll1'1 NUMBER OF FROM WELL_/_" MANUFACTURER � "`" —MATERIAL COMPARTMENTS — INSIDE LENGTH INSIDE WIDTH_._ LIQUID DEPTH — LIQUID CAPACITY `' t GALLONS. TILE DRAIN TOTAL LENGTH DISTANCE FROM WELL — FOUNDATION NEAREST LOT LINE— ___ _OF LINES NUMBER OF LINES-- DISTANCE BETWEEN LINES __ TRENCH WIDTH C4 IN. TOTAL EFFECTIVE ABSORPTION AREA } SQ. FT. LENGTH OF EACH LINE — DEPTH OF FILTER re t./ DEPTH TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE__(' .—IN. ABOVE TILE—_ --IN. WELL: y/ � 0 K,<— TYPE A) � '`-� CONSTRUCTION— _- _DEPTH—__ --DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE , TANK _ SYSTEM CESSPOOL t OTHER SOURCES �f�- , E r DISAPPROVED —----- �� APPROVED — jam. ------REMARKS l; 'a�IAGRAM OFSYSTEM DISTANCES. ilk � i 1 INSTALLED BY �..�1 t ipp I f SEWER LINE DEPTH: .1 PIPE MATERIAL:--' r i i IV Y LOT SLOPE. N-� `' •_— _ — REMARKS:. 3 — G.A.A.B. 2516 E. i udor Road Anchoragr., Alaska 99507 27G-2221 tiOILti LO(i t'tilt(>I,,A'1'tON 'I'1:S'I' Performed for Le�_1al Ue;c:ril?tiun:___Lcs�__ This form reports: Soi Is log -- — __.--__-_-_ Percolation test ------ Dep th Feet 2 — GW (100) 3 - Gird (85) 4 - Gid (85) 5-G11(85) 6 - Gid (100 ) 7 - GW (110) d - GW (110) 9 - GW (110) 10 - GW (110) 11 - GHt (110) 12-GIN(110) 13 - SW (125) 14 — S6d (125) Was ground water encountered? Flat hu — - -- If yeS, at what depLh? I(eadtny I)ate Gross Time Net Time Depth to lVitcr Net i)ral) - ----- -- L - -- - - .-- . - - -L- - - -- ---- - ----L----- ------- �------------ ] -- -- --___-__ Pe -- rcolation rate minute. Proposed installation: Seepage Pit Urain I-ield DepLh of I n I e L Depth to Bottom of pit or trunci COHidLNIS: is .ax j rah �.Is._ -Cert i f i e 1 L Pr�rformed � rry y_� Richard A. DrahnP.E. a WATER WELL LOG FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 WELL OWNER S ✓ �n USE OF WELL- " o�r?-) P LOCATI .,r>�, n v SIDE OF CASING DEPTH OF HOLE, PT. CASED To--_ FT. STATIC WATER LEVELFT. YIELDGAL.PER.MIN. WITH I,ii a A :::�r • k REMARKS L DATE COMPLE2'ED,19,�,A7®PUMP TO BE SET AT e.0�7 ® t O— 0 t 0— 0® �t 0 0� ®t O ®®t 0- 0- 0_ ®0-®_ 0- 0- 0- 0- 0 - 0-0-0 Certificate of On -Site Systems Approval Parcel I.D. 015-071-15 Legal description RAMPART #1 LT 2 Site address 5701 E 99TH AVE Anchorage AK Current property owner(s) JEDLICKA Expiration Date: 8/30/2025 X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: 2 Original Certificate Date: 9/25/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services 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 work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory X Tank Age Advisory Arsenic Advisory Other COSA ApprovAjune 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 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. 015-071-15 Complete legal description RAMPART #1 LOT 2 Location (site address) 5701 E 99" AVENUE, ANCHORAGE, ALASKA 99507 Current property owner(s) JEDLICKA. DEREK & KIERSTEN Day phone 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: Z Private Well R Private Well serving 2 dwelling units 0 Private Well serving 3+ dwelling units El Community Well or Public F] Water Storage 4. TYPE OF WASTEWATER DISPOSAL: Z Private Septic F-1 Private Septic serving 2 dwelling units F1 Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: Z Steel F] Plastic Fj Concrete F-1 Fiberglass Age 8 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: F-1 AWWTS E] Bed Z Deep Trench F-1 Wide Trench El Seepage Pit Waiver request for: Expedited review requested: F-1 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 $ -5,5-0 Date of Payment COSA# 6) Waiver Fee $ Date of Payment Waiver # COSA Application.doc MUNICIPALITY -OF DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On -Site Water and Wastewater Section f1 Fax: 343-7997 www.rnuni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC241342 Subdivision: RAMPART #1, Block: , Lot: 2 A water sample revealed a nitrate concentration of 6.85 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address: P. O Box,196650 *Anchorage, Alaska 99519 fiti50 *.www muni,arg Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. COSA Checklist.docx COSA Checklist Legal Description: RAMPART #1 LOT 2 Parcel ID: 015-071-15 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 5/12/77 Total depth 55 ft Cased to 55 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 8/30/24 Static water level at beginning of test 32 ft. Well production at time of test 6 gpm Water storage tank volume None gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 6.85 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 8/30/24 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 49” Date of pumping 8/21/2024 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 6/27/16 ALL standpipes present per record drawing Total measured depth from existing grade 8.5 ft (max) Measured depth to pipe invert from grade 5.8 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective 3 ft 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 8/30/24 Results Pass Fluid depth prior to test 14 in Water added 750 gal New fluid depth 22 in Elapsed time 1400 min Final fluid depth 13 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 73 in (MOA 6.1’ ED) Effective depth used 50 in (Missing ED + Final Fluid Depth) Effective depth (ED) remaining 23 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximate with 3.1’ or 37” ED missing. COSA Checklist.docx 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’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No *92 ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/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 Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No **8 ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No *89 ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *Previous issued waivers – See OSV161063 & **WR88-051 for 1977 field. 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 9/5/2024 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 & 9/5/24 is pl'4'l' 94 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 I Certificate of On -Site Systems Approval Parcel l.D.Uf57-o7l-1S Expiration Date: 1. GENERAL INFORMATION r Complete legal description /`aM�r+ ( s4b41,V)5;yn Location Nte address) 5_701 �Qs1 ���n�Pe— / o(A)rage / Current Property owner(s, mmy a e( C_ a(,� 5-1,mp5dn Day phone 3 �7 17w Mailing address 570 has) `r�f�n/tve ,�}ncGto(Kge �t� g`15�b i. Real Estate Agent Jfr) 5f-41 -C 't Day phone TU7 q52-0160 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual M Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Le,tGh 4ftld -io L.reljLot Z 92 Leah drew +o cell r1-dt 3 FR Waive WarianGe request for:uld leach 004 to V'en_Ia�Pne t le,,ch field r]isfanco/ / Received by: �efetn.� c /� Date: 3 6 _ COSA to be released to the engin er, unless otherwise requestetl by the engineer. COSA Fee $ ��2cc � Waiver Fee $ py Date of Payment L� ! / � Date of Payment Receipt Number CZ &(96o ! /�Receipt Number COSA# c/ClJC i ��I q Waiver# S. 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 GQ"y SSB Il t) PhonC,g07) 33r° —(3©U0 Address 3201 picksoo Dr;ve AAcXoru,e ,q-J,:� 913-r ceci C7o t T10— Engineer's Pr(nted Name Gary S-0 11,Y) Jq )e 2- Date 206 T}�i5 evaiNation aceurAte y pdrtray5 rhe +ran5 fs not en c(ahe ey b✓Pr2 iesT �o� a 4y anS �o-r docaMenX ecQ -f�i5 insppectSdn does nay conslr Fw1i a gua(',W-eC_ o f- i�r w( OF Citi eyph`crt en imptl'ed 4s fo fte lr,4,NtQ P¢r' d1\"1gocC�. c� or was- water v.a 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for _ bedrooms Disapproved { a `- �TN A Conditional approval for bedrooms, with the following stipulations: "GARY SOUK o I CE - 6583 `' n By Original Certificate Date: G 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other GGSAbluesheeL f c 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: LJ t Z &jmjoer �' s%rsyi 5101) Parcel ID: (31 5— 071' 15 A. WELL DATA Well typep��PAV4*' If A, B, or C provide PW�SIID # Well Log (YIN) / Date completed .1 Z /Y yy Sanitary seal (Y/N) 1 Wires properly protected (Y/N) . Total depth Jrs ft. Cased to 55 ft. Casing he2glY44v,, gr* 7I2o n. FROM WELL LOG AT INSPECTION / Datee of test S i2 ! q 71 (2 2006 Static water level 35 ft.$ Well production AV, tV4 1� g,p.m. X10.0[_ g.p.m. . WATER SAMPLE RESULTS: ColiformYnt_V a colonies/100 mL Nitrate 5 11 mg/L Arsenic ug/L Date of sample: /2 2016 Collected by: S0 n i B. SEPTIC/HOLDING TAN�Kt DATA .ad Tank Type/Material /iCu9e Date installed6` Tank size' gal. Number of Compartments 2 Cleanouts (Y/N) Foundation cleanout (YIN) �L _ Depression over tank (Y/N) �� High water alarm (Y/N) G � Date of pumping iTilrl Pumper. 8 e W C. ABSORPTION FIELD DATA � Dgte.instejled 6 2 5 2o1b Soil rating (g.p.d./ft2 or fe/bdrm) 2 System type lII��el' f 7 (mei ;efigth 3 ft. Width 3 ft. Gravel below pipe ft. ,. Total depth i�, ,ft: Eff. absorption area 96 ftZ Monitoring tube Depression over field A Date of adequacy test Results (Pass/Fall) I Tei For 3 bedrooms Fluid depth in absorption field before test in. Water added I`t Pu gal • Newndepth l eO in. ' Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed n Size in gal "Pump on" level at in. "Pump off' Datum Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot ���_ -et AM h I JAccess (YIN) ater alarm level at in. Meets alarm & circuit requirements? On adjacent lots -7 10 0t Apsorptlon field on lot f ft walVeP On adjacent lots _% /06 **t Public sewer main IN M Public sewer manhole/cleanout NI—t / 1 ILW Sewer /septic service line L� T� Holding tank f Animal containment areasMIA F too' + Manure/animal excrete storage areas SEPTIC/HOLDING TANK OVN.LOT TOto Noah L.t" Ii�e J Fast 40t t lin Building foundation ( r Property line 3� Absorption field Water main N +� Dvr Water service line ami p5 ft Surfacewa ern©� Wells on adjacent lots 101 fi _4 1 WC if AB$$ORPTION,FIELD 9p LOT TO- -to O: -to.AONlI% ett,nL 23 ,feE�jrtrtl,re, i Property line 14 Nesr tNt li.f-¢3 Building foundation rt Water main: t WatVr Servide lin . 35 1^h Surface water 7204 F1 DriveWayi parking/vehicle storag r Curls n dra n'N' f tt Wells onadjacgnt lots q0 -w W01 Lit 3i 6ve.- log110 0,thr )AS F. COMMENTS a lMvlltiple PJt;vrs &A 1=,1e 05\06'166 3 G. EN INEER'S CERTIFICATION /,certify that l have determined through field inspections and Aw,Q� s*�® review of Municipal records 'that the above systems -are .in pop � •� � �� A conformance with MOA COSA guidetines.in elffect on this date. �� • f N 1 :A Engineer's Ptintedr�Npame ra/� ®�d n •••. .. 400#" &too Date 7N')e; G V 2 ©! 6 �1 •'�. CE - 6585 ���. xf$ i COSA yellow sheet 2-6-15.doc Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # OSC161146 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 2 of Ram;art 41 subdivision. This inspection revealed a nitrate concentration of 5.17 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical' methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Municipality ®f Anchorage Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV161063 COSA#: PID#: 015-071-15 Legal Description: Rampart #1 Lot 2 Engineer: Gary Solin Applicant: Jimmy and Carla Simpson Permit#: OSP161149 Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the private wells on Lot 2 and Lot 3 has been approved. The approved separation distance to the well on Lot 3 is 89 feet and to the well on Lot 2 is 92.0 feet. In addition, the proposed field may be located 11 feet from the existing field. This waiver approval applies to the proposed absorption 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: 6 = A6 Approved by: 1v�O Name of Reviev� **** VARIANCE/WAIVER REVIEW **** Lot 3 Lot 2 N89057'30"E 120.00 10' Utility Easement shedo — — —— etic vents 12.0 ° o 0 0 0 Lot 2 0o wood fence (typ) V7 co clean out Lot 3 1.3 OH deck 1 028.o h� 28.o 1 ih 0 0 chimney 0 Z1 Story Frame House SCALE: 1"= 30' well 0 M N89057'30"E 120.00 East 99th Avenue _ .%:%, *4NNNXI OF q4gS�,I 49th APO 00nn��'flfl�� I.... /,AC .Fred Wclatka.-ffAw 3255 - S eo FESSIONP& EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 16-3 pg. 6-9 Lot 1 0 O u7 M r oLot 1 0 ih 0 0 O R 8434Y RECERTIFIED 6-27-16�.V, AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: Lot 2. RAMPART NO. 1 SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent tnereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 31st day of March , 2016 FRED WALATKA & ASSOCIATES CHEngineers and Surveyors (907-248-1666) nlr o-) i- j, ) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES (, DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date AUC;1IST 30, 192R 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 7(11 FASTg9th AVT ANMORAC P AT.A4KA 9951A (b) Property Owner Steve Frazier Telephone: Home 346-3811 Business Mailing Address 5701 Fact 99th ANC'HORACF AT ASKA 99516 (c) I -ending Institution Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the followina address: or: Check hereXX if hold for pick up. List contact person and day phone number below. BRUCE D. PATTERSON 274-7611 Steve Frazier 346-3811 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms thrPP 3. WATER SUPPLY Individual Well EX Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 81861 Front HOtF3 M/8 A0H) SaO-aL Z 10 d abed �aom s,Aaauibuo Ieuo!ssa}o,id aql ui suo!ssiwo ao saoaaa aol alq!suodsaa lou si abeaogouy to (l!ledp!unlry agl 'ponssi s1 aleo!}!},iao e aaolaq elep az(Ieue ao suoiloodsui lonpuoo lou op SHH(] to saaAoldw3 sluawaa!nbai alels pue leaapal uielaao /}sites of Aep.io ui suo!lnlllsu! buipual a!ayl pue sawoq 10 siasegoand of (salanoo e se s!ql saop SHHQ aql e>Isely to ale1S aql u! paaals!baa aaawbua 1euolssaload luapuadapuw ue (q anoge g ydeAwed ui uan!b suo!leluasaadaa agl uodn Rluo paseq saleo!1!laao lenoaddy Al!aoglny glleaH sonssi (SHHQ) sao!AaaS uewnH Pue 41100H to luawpeda(] abeaogouy }o (l!Ied!o!un" aql NOI1f1V0 leuo11!puo(] leno)ddy leuo!i!puo(] }o swaal Panoiddes!❑ panoaddy ale(] Aq swooapaq ao} panoaddy �riJJ 87 IVAOHddV SHHO '9 f t - 1eaS s,aaau!bu3 f ro 40 '?:l m�JtK4,p caisaabaa QP3If3[gIv`cIQ OZ mrT J,OrI 30 2t3[ rvm ale(] CM66 VXSVIV HOWO W L9Z X09 gg17c TSa9 DOT—ssaappy — TT9L-17LZ auogdalal S2L' =DM ONTJ:MSNOD SI�wa!3loaweN uo!loodsul sigl }o alep a41 uo loalla ui suo!leln6aa pue'saoueu!pao'sapoo alelS pue led!o!unyy pe ql!M aouelldwoo ui si walsAs Iesodslp aalemalsem ao/pus Alddns Aall2m ol!s-uo ag1 'uo!loadsui pue uo!1e61i60nu! Aw woa} pue sal!} a6eaogouy 10 Apled!olunlry aql woal poulelgo uo!lewaolui aq1 uo paseq legl Aj!J0A aaglanl I -u!aaaq poleo!pu1 ainlonils to adf\l pue swooapaq }o Aagwnu aql ao1 alenbape pue leuo!lounl'ales s! wags (s lesods!p aalennalsenn ao7Pue (Iddns aalenn ails-uo o41 legl SMOgS lenoaddV (l!aoglny gl!eaH S1141 JO u01le611Sanu! Aw 1e41 A1Pan I 'Molaq unnogS alep uo!lepllen ag110 se pue olaaag paxllle leas Aw Aq pa!l!laao sy N0IIVWH0dN1 (INV V1VO `H3HV3S 3l1d `S1S31 `SN01103dSN1 9NIOIAOHd WH13 9NIH33NI9N3 9 vUNICti'A_Fy OF ANCriOrnee V.Wli,(_)NMENTAL SLRVICES DIVISION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1954 264-4744 Legal Description: LOT 2 RAMPART A. WELL DATA 'ff , .'," 19°8 A'it.,n ...� Well Classification PRTITATF If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Y Date Completed —5112/77 %y Yield 15Wm per well log see cotrmlents Total Depth 55 % Cased to 59 Depth of Grouting — Static Water Level 35 * Pump Set At Casing Height Above Ground 9 Electrical Wiring in Conduit (Y/N) 53 * Sanitary Seal on Casing (Y/N) — Depression Around Wellhead (Y/N) Y R Separation Distances from Well: To Septic/Holding Tank on Lot about 110 ; On Adjoining Lots over 100' To Nearest Edge of Absorption Field on Lot 110 On Adjoining Lots over 100' To Nearest Public Sewer Line n/a To Nearest Public Sewer Cleanout/Manhole n/a To Nearest Sewer Service Line on Lot Water Sample Collected by B.D. PATTERSON Date AUGUS Water Sample Test Results��(� Comments WL-lLih ru>c imeiuv rlx�,�u rnv�� — 1142 gallons over a period of 8 hours B. SEPTIC/HOLDING TANK DATA over 50' 26.1988 Date Installed ?�/� 9/77 % Size 7000* No. of Compartments �" Standpipes (Y/N) Y (one) Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) — N Date Last Pumped 8/26/88 Pumping/Maintenance Contract on File (Y/N) Holding Tank High -Water Alarm (Y/N) N� Separation Distances from Septic/Holding Tank: ;for Temporary Holding Tank Permit (Y/N) To Water -Supply Well 98' to well on 1 nt 1 To Building Foundation To Property Line(,ast25' North 17' To Disposal Field S' To Water Main/Service Line N/Q To Stream, Pond, Lake, or Major Drainage Course NONE WITHIN 200' Comments WELL ON LOT 1 TO STAND PIPE MEASURES 100' but dimensions of tank would reduce the distance to about 98' INDICATES INFORMATION FROM MUNI FILES THAT WAS NOT INDEPENDENTLY VERIFIED Page 1 of 2 72-026 (Rev. 8861 Front C. ABSORPTION FIELD DATA D. Soils Rating in Absorption Strata ___-110* Type of System Design - - L'rench'', Date Installed _-7/19/ZZ-�'— --__ -_ -- -_ Length of Field . _ --2$' Width of Field - 4' ` _- -__ Depth of Field _-about- 4feet__ Gravel fled Thickness ' Square Feet of AbsorptionArea -- 336_ _ - - _Standpipes Present (Y/N) _Y Depression over Field (Y/N) -- - N - _--_ . _ Date of Last Adequacy lest _ 807/$8 -- — Results of Last Adequacy Test - ADEQUATE !R_A_THREE BEDROONL-- Separation Distance from Absorption Field: To Water -Supply Well _.. 105 to wellon_lot _3 -ro Property Line . _-8 ieet__ -- _ To Building Foundation _--over-_401 To Existing or Abandoned System on Lot -__- --none --- -_ --- - --- -. ; On Adjoining Lots _ Over 2_5' - --_-_ To Water Main/Service Line _ ___ _ over 50'___ --- To Cutbank (if present)To Stream/Pond/Lake/or Major Drainage Course None wit-h-irl-2-00' Io Driveway, Parking Area, or Vehicle Storage Area over _ 75'_ ___ Comments ._ - PROPERTY LINE TO TBE CENTER OT THE_ DRAINTIELD_STANDPIPE MEASURES 10' THE DRAINTILE_TEES INTO THE_STANDPIPE._ VaTFLLIELdL4_-wide distance to property line would be 8 feet. waiver being requested. LIFT STATION Date Installed —N/A -- --_ Size in Gallons "Pump On" Level at High Water Alarm Level at rested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) _ "Purnp Off' Level at Vent (Y/N) — Pumping Cycles during Adequacy l est. Meets MOA Check Permitted Bedroom Hating Against I IAA Request ** I certify t i I have d ec ed, verified, or conformed to all MOA and HAA guidelines in et Signed . _ C ?_ I ___ Date Date ._ 8--/30/88- --- - - - CompanyEEIS Consulting Eng. MOA No. (" Receipt No. _ 1 ?() 0,®1r ? Date of Payment 4; �� 1. Amount: $ _���lZ!'%I ���t%r✓f c�ZGf _ _ /,�t]1C� WAIVER BEING REQUESTED FOR DRAINFIELD TO LOT LINE DISTANCE. Page 2 of 2 72-096 Ml v RIM) Back Fite t: r,�rledmeeP's Sdd! „ 5 �t}�+•11 1 ��.1 iw Muni( i ality of Anct gage Department of Health and Human Services CihS 825 "L" Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 6, 1988 Bruce D. Patterson, P.E. EEIS Consulting Engineers 200 West 34 Box 267 Anchorage, Alaska 99503 Subject: Waiver Request for Lot 2 Rampart Subdivision #1 Waiver Request #WR88-051, H88-0363 Dear Mr. Patterson: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 8 feet. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, ? Daniel J. oth Civil Engineer On-site Services DJR/ljw#7 Nonobjection to a wavier of lot line setback for the drainfield on Lot 2, Rampart No. 1 Subdivision. I, Robert Schaeffer, the owner of Lot 2, Block 3, Summit Estates Subdivision, do not object to the granting of a waiver permitting the existing drainfield of Lot 2, Rampart No. 1 to remain partially within the required 10 foot property line setback. Approximately 1/2 of the 4 foot wide gravel trench lies within the 10 foot setback for the entire length of the drainfield. If in the future the drainfield needs to be replaced or extended, we request that new construction be at least 10 feet from the lot line. i %45� ----------- Robert ------------ SchaeffGerr — Date: ��----------- Document No. 8159PC3.001/PC-9 200 West 34th, Box 267 • Anchorage, Alaska 99503 • (907) 274-7611 ISAACS PUMPING SERVICE (Norm Tibbetts, Owner) 6218 Quinhagak Street ANCHORAGE, ALASKA 99507 Phone 563.3300 accompanied by this bill. ` honk`You 3966 PRODUCT 609/tie if orlon 'lass pldll 200 West 34th, Box 267 • Anchorage, Alaska 99503 . (907) 274-7611 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ® FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order B 88.15 Date Report Printed: AUG 30 88 @ 15:08 Client Sample ID:5701 E 99th IST AVE. PtVSID :OA Collected AUG 25 88 @ 20:00 hrs. Received AUG 26 88 @ 09:30 hrs. Preserved ;with :4 DEG, C Analysis Completed :AUG 26 88 Laboratory Supervisor :STEPIIEN C. EDE Released By Special Instruct: Client: Name EFIS CONSULTING ENGINEERS Client Acct EEISCOTB P.O.#t NONE RLC D Req B Ordered By :BDP Send Reports to: 1)EEIS CONSULTING ENGINEERS 2) Chomlab Rei it: 2376 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result/Units Method Limits --------- — -------------------- ------- - -- 2.0 m -NITRATE-N - - 9/ 1 EPA 353.2 10 Sample ROU -TINE SAMPLE Remarks: SAMPLE COLLECTED BY BDP. I Tests Pedlormed See Special Instructions Above UA=Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Loss Than. GT=Greater Than