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HomeMy WebLinkAboutDEITZ LT 7A REMbeitz Lot 7A #018-181- 0 Muni ip lity ag c a of Anchor e Page I of 3 Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorege.ak, us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW030305 PID Number: 018-181-20 Hagen Investments, LLC Wastewater System: New P.O. BOX 240186 Anch.~ AK 99524 ABSORPTION FIELD 242-0838 Four {4) Shallow Bed LEGAL DESCRIPTION .8 GPo/Fi' 2 7A Deitz +.5 F,. .5 3-5 ~,. 54 ~. Well: New 15 F~, 3I 5 Ft Private 161 ~. 161 ~. 810 ~e ASTM 3034 PVC Alpine Drilling 2/5/2004 83 ~,. Whitters Excavating 5/3.5/12/2004 SEPARATION DISTANCES STEP T;~'~.o Septic Absorption Lift Holding )ublic/Pdvate Manufacturer: (Japac~;y In ~allons: Tank Field Station Tank Sewer Line Anchorage Tank 1,500 w,,, >100' >100' >100' N/A >25' Steel Two (2) su~w~ >100' >100' >100' N/A ~ / LIFT STATION L~. >5' >10' >10' N/A 250 ~,,. Anchorage TanldOrenco Foundation >5! >10' >5' NIA 42 ,n. 42 in. 44 C~rtai~ Drain None Noted Orenco Municipality of Anchorage R~m~: BENCH MARK 100,0 Ft. Engineer's Stamp Inspections pefformed by: AH Dates: 1't 5/5/2004 · g 4~th Department of Health and Human Services approval o.~¢,... ,o Permit Number: SW030305 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT Page 2 of 3 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposat System or Well Inspection Report No. 018-181-20 5' BUILDINg 20' X 25' DRIVEWAY DEARMOUN ROAD TH2 ® ® M1 Altemote Site -- STATE OF ALASKA, R.O.W. TAKE. (WIDTH VARIES +/-25.64') FENCE ® Four Bedroom Home 10' T. & E, ESMT. PLAN AS-BUILT SCALE 1' = 50' Z S1 15.2 14,8 $2 18,2 21.'~ MH 15,2 23.2 M1 97.8 100.1 M2 114. 108.5 DEITZ SUBDIVISION LOT 7A Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Permit Number: SW030305 Page 3 of 3 PID No. 018-181-20 F /--100,0 1,25' PVC / 1,500 Gcc[Ion / STEP T~lnk 0.9 Origin~l Ground 94.7 I 101.4 ~" Insul. c~tlon & eo'tex'tlte F~bric 1' Drcdn?ie[d Rock 2' Coo. rse Send 94.7 54' (Bed Leng~ch) 86.0 3/16'Dri¢ices ~ 5' BED PROFILE PROFILE AS-BUILT Scale: 1"= 10' Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom http://ww'w.ci anchorage ak,us Mayor Permit Number: #SW 030305 Date of Issue: 8-11-03 Parcel Identification Number: 018-181-20 Date Started: 2-3-04 Date Completed: 2-5-04 Is well located at approved permit location? [] Yes [] No Legal Description: Deitz Lot 7A Propert7 Owner Name & Address: Hagen Investments, LLC 3530 DeArmoun Read Anchora(/e, Alaska 99524 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To stick-up ~ 0 2 silt 2 5 gravelly silt 3 104 silty gravel 104 139 gravelly silt 139 ~/ 49 water sand & gravel 149 Method of Drilling [] air rotary [] cable tool Casing type: steel Wall Thickness:. 250 inches Diameter: _6 inches Depth: 161 feet Liner Type: __ Diameter: __ inches Depth: __ Casing stiekup above ground: _2 feet feet Static water level (from ground level): 83 feet Pumping level: 161 feet after _2 hours pumping 30 gpm Recovery Rate: 30 gpm Method of Testing: air lift Well Intake Opening Type: [] Open End [] Open Hole [] Screened Start __ feet Stopped feet [] Perforations Start__ feet Stopped __ feet Grout Type: bentonite granules Volume: _/ Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size __ hp Brand Name __ Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: chlorine tab/ets Comments: Well Driller: A/pine Drilling & Enterprises PO Box ~10496 Anchorage Alaska 995~ ~ Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Waetewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Aug 11, 2003 Expiration Date: Aug 10, 2004 Permit Number: SW030305 Legal DescriptiOn~ Design Engineer: 0014 Anderson Engineering Owner Name: Hagen Investments, LLC Owner Address: 3530 De Armoun Road Anchorage. AK 99524- Parcel ID: 018-181-20 Site Address: 3530 De Armoun Road Lot Size: 44870 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with; 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P~O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak~us (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING ParcelI.D. O\(~'~/ O&'\-'~-C~ Permit Number SWO Property owner(s) Hagen lnveetmenta_ LLC Mailing address (1) P.O. Dox 240186 Anchorage_ Ar. 99424 Mailing address (2) ~--~ Legal description (Lot, Block & Sub'd.) Lo~, 7A . b~ivieion Legal description (Section, Township & Range) Lot Size 1~/(C-~I ~ Acres/Sq. Ft. Day phone 229-D400 Zip Code Number of Bedrooms Fei Jr' (.4-) THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool [] Well Only [] [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal CodeS. (Signature of property owner or authorized agent) Permit Fees: Waiver Fees: Date of PaYment: ~,-,_~-,- 0.3 , Date of Payment: Receipt Number: .~ ~ 5'-z~ ~ Receipt Number: (Rev. 12/00) ANCHO~GE, August 4, 2003 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 7A, Dietz Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 7A, Dietz Subdivision intends to construct a new four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to serve the new home. The attached Site Plan and backup documentation identify the location and configuration of the proposed Well and septic system. Also identified on the plans are the locations of the alternate site, and the wall and septic system on the adjacent property. Drainage arrows are shown indicating the current patterns. The drainage patterns will be maintained after construction. Test holes placed on the lot in October of 2002 indicate which indicated silty gravel with varying amounts of sand in the area of the new absorption bed and alternate site. Groundwater was found during placement of the test holes at 5' below the surface and stabilized at that elevation during the ensuing monitoring period. We are therefore proposing to place a new 1,500-gallon STEP along with a 50' long by 15' wide absorption bed on the property. The distribution line in the bed will be placed .5' above the existing surface to assure separation from the groundwater table, Organic material will be removed and replaced with coarse sand prior to construction of the absorption bed. Sufficient fill will be placed over the trench tO provide a minimum of 3' of cover. The ground surface on the lot slopes at varying grades from the northeast to the southwest. The new absorption bed will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from the proposed wall on the lot and the existing Lot 7A, Dietz Subdivision August 4, 2003 Page Two wells on the adjacent lots. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments DEARMOUN ROAD 20' X 25' DRIVEWAY N 89'59'41"E 164.76' TH 1 Alternate Site 50' Long x 15' Wide Absorption Bed VACANT Existing Well A,C. 1,500 Gollon STEP Tank Four Bedroom /~ -~ ~ Home 10' T. & E. ESMT. S 8g'55'34"E 165.14' LDT 7A, 9IETZ SUBDIVISION SITE PLAN 49th LOT 7A, DIETZ SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: 4 Bedroom Home Shallow Bed System Pero. Rate: 5 Min./Inch 1,500 Gallon STEP Tank Application Rate: .8 GPD/SF Pressure Distribution System 600 GPD/.8 GPD/SF (Application Rate) = 750 SF Absorption Area 750 SF/15 SF (Bed Width) = 50 LF Trench Length THEREFORE: Construct a 50' Long x 15' Wide Absorption Bed. Bottom of Bed to be 6' at Existing Ground. Remove Organics Under Bed and Place Coarse Sand to Raise the BottOm of the Bed to Ground Level. Place DiStribution Pipe at .5' Above Existing GrOund. Place 2" of Insulation and 2' of Fill over Bed Or Provide 3' of Cover Over Bed. Grade Area to Drain Away From Bed. 4' of Fill Required Over SePtiC Tank. 4 .5' - .5' Existing Ground 1.0' (Grade Area to Drain Away) 3' Natural Backfill Cover Over Distribution Pipe O O O~ Drainfield Rock - · ... :.~ '... :.1' ~i~'~a~id.'(S~i~.Sp~cifmatk~r~)"~ ::'" ..'-'..' 10 Orifices per Lateral 5 ' Spacing 3/16" in Diameter 2.5' 5' 5' 2.5' TYPICAL SHALLOW BED SECTION (NO SCALE) NOTE: Grade Area to Drain Awa From Bed. .M.!n!mum 6' Separation F~m Bedrock. ~,n,mum 4' Separation From Groundwater. ~"~'. ~".'"~*'"~.~"~'~, U!n!mum 10' Separation From Well On Lot Mm,mum 100 Separat on From SUrface W~ter or Streams 2 5 z~ 5 6 7 8 18¸ MUNICIPALITY OF ANCHORAGE DEVELOPHENT SERVICES DEPARTMENT/ON-SITE WATER AND WASTEWATER PROGRAH A700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG -PERCOLATION TEST PROJECT #: PERFORHED FOR: Hagenlnvesfments. LL£ DATE PERFORMED: 10/2/02 LEGAL DESCRIPTION: Lot ?A, Biefz Subdivision PT/0G Silty Grave[ Some Sand GM TEST HOLE ¢~ 1 SLOPE SITE PLAN De Armoun Road TH3 ~ TH1G COMMENTS: Less Silt WAS GROUNDWATER ~M [NCOUNTERED? IF YES, WHAT DEPTH? B0H - 10.5' DEPTH OF WATER AFTER MONITORING: DATE: -,. . ~... -. Yes S L s' O P 5' E 10/15/2002 0 - :]% READING DATE GROSS NET DEPTH OF [WET TIME TIME WATER DROP Start 10/2 10:22 6.?5" 1 10:52 30 .25" 6.5" Recharge 10:53 6.5" 2 11:23 30 .37" 6.13" Recharge 11:2/. 6.75" 3 11;5~, 30 .62" 6.13" PERC RATE: /+.9 MIN./INCH PERC. HOLE DIAMETER:. TEST RUN BETWEEN 3.5 FT. AND /+.5 FT. Test HoLe Pre Soaked Prior fo Test. Groundwafer¢5'. TEST PERFORMED BY: A. HARALA I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND ~UNICIPAL GUIDELINES ON THIS DATE: 813/2003 5 7 8 18 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT/ON-SITE WATER AND WASTEWATER PROGRAM &700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST PROJECT #: PERFORMED FOR: Hagen Investments, LL[ DATE PERFORMED: LEGAL DESCRIPTION: Lot IA, Dietz Subdivision 10/2/02 PT/0G Silty Gravel Some Sand TEST HOLE # 3 SLOPE SITE PLAN De Armoun Road TH3 G TH1G COMMENTS: Less Silt GM WAS GROUNDWATER ENCOUNTERED? IF YES, WHAT DEPTH? DEPTH OF WATER -- BOH -11' AFTER MONITORING: Yes S L 6' O P 6' E 10/15/2002 0 - 3% READrNG DATE GROSS NET DEPTH OF NET TIME TIME WATER DROP Start 10/2 10:/+3 ?25" 1 11:13 30 38" 6.5" Recharge 11:1/, 7.1:)" 2 11:M, 30 25" 638" Recharge 11:/+5 7.5" 3 12:15 30 1.12" 6.38" PERC RATE: /+.7 MIN./INCH PERC. HOLE DIAMETER: 6" TEST RUN BETWEEN 3.5 FT. AND L.5 FT. Test Hote Pre Soaked Prior fo Test. Oroundwater~6'. TEST PERFORMED BY: A. HARALA I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 8/3/2003 PRESSURE DISTRIBUTION CALCULATION Elevation at Highest Discharge Point Pressure at Highest Discharge Point Liquid Level in Tank (Elevation) Diameter of Holes in Distribution Line Diameter of Distribution Line Hole Spacing in Distribution Line Length of Transport Line Diameter of Transport Line 106' 5' Head 95' .1875" (3/16") 1.25" 1.6' 90' 1. $' 12.4d~'~''-'= 12.4(,1875)(.1875) .9748 GPM/Orifice .9748 * 30 29.2 GPM TDH=(111-95) + .0192(29.2)(29.2) + .000995(90)(29,2)~'~ (1.25)~--~ = 16 + 16.4 + 6.8 = 39.2' Therefore 30 Orifices, 10 in Each Lateral @ 5' Spacing With 39.2' TOtal Dynamic Head. Orifice Diameter 3116" .... i~]'i ; ~--i-ii i SINGLE115/230PHASE, 60HZ ~.~ .......... ~ ~5/92 ~ - 1~.~ "~' ~ ~ * ~ 40 OSI 05HH- 2 stage d 0.~ 5.~ 10.~ 15.~ 20.~ ~.~ ~.~ 35.~ ~.~ 45.~ ~.~ NET DISCHARGE, GPM ~ORENCOSYSTEMS, INC~} ~$2~COLONI^LP, OAD ROSIiBUR~,ORg?4?0 ~s03,67a-01aJ ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 7A, DIETZ SUBDIVISION GENERAL: The scope of this project includes the procurement and placement of a new 1,500-gallon STEP tank at the location shown on the site plan and the construction of a new 50' long by 15' wide absorption bed also shown on the Site Plan. The total depth of the bed Will be 1' below the existing ground and the distribution pipe will be placed at .5' above the surface. All components of the new absorption trench and septic tank must be constructed a minimum of 100' from wells in the area and 100' from any surface water, Insulation will be required atop the bed to prevent freezing. In lieu of insulation a minimum of 3' of cover must be placed atop the bed. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verifiCation of the location of all lot lines. o Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless speCifically agreed otherwise. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK/LIFT STATION INSTALLATION 1. The 1,500 gallon STEP tank must be constructed by a certified tank manufacturer. Construction Shall include an 18" manhole to provide access to the lift station. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Lot 7A, Dietz Subdivision August 4, 2003 Page 2 of 3 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drain field. 6. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAIN FIELD CONSTRUCTION: 1. The drain field shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. Distribution piping must be placed level with perforations down atop a level bed of drain field rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drain field rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion bel°w ground mUst be perforated. Contractor shall verify the septic tank and drain field are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. A minimum 2' of accepting soil is required below the drain field rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. The lift station must be constructed by a municipally approved septic tank manufacturer. An Orenco 20 OSI 05 HHF-5 pump is recommended. Lot 7A, Dietz Subdivision August 4, 2003 Page 3 of 3 The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 Or A.B.S. (perforated and solid). Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Cautder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavatiOn of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as-built of the completed system. 1 0 0 ' W E L L R A D I U S E G S EET LOT 7B LOT 6 LOT 27 LOT 26 ℄ DE ARMOUN ROAD 50 ' R. O . W . 20.3 45 . 6 2.0 12 . 1 12.4 7. 3 7.8 4.0 20.9 2.0 19.9 22 . 3 2.6 26 . 2 40.1 4.0 W 1 6 . 3 12.3 5.6 8. 0 SHED SHED 60.6 84 . 0 41.2 SS Lot 7A Deitz Subdivision 48,731 Sq. Ft. 2 Story Wood Frame House With Attached 4 Car Garage CULVERT PAVED DRIVEWAY GR A V E L P A D C O N C R E T E P A T H 5.1 12 . 2 9.0 S0 0 ° 1 5 ' 5 4 " E 2 7 1 . 6 2 S0 0 ° 1 5 ' 5 4 " E 2 7 1 . 6 2 S89° 52' 50"W 164.74 N89° 53' 33"E 164.74 S S S S Frederic W. Wagner NO. L.S.-9946 PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Frederic Wagner, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. June 12th, 2019. Legend: Scale 1" = 50' Gas Meter Electric Meter/Outside Power Deck Sewer C/O Telephone Pole Fence Mailbox Light Pole S T A T E O F ALA S K A 49 TH ROYEVRUSDNALLANOISSEFORP DER E T S I G E R 6/17/2019 S G E Metal Post Lot 7A, Deitz Subdivision General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. Christina Ball 19-210 06/14/2019 83-43 N/A E T MB SS W Elec. PedestalWater Well Septic Man Hole Tel. Pedestal Notes 1. See Document #2002-054772-0 for record bearings and distances per ROW Acquisition & Take - AKDOT Proj.# STP-0510(2)/53987 MB Fuel Tanks MUNICIPALITY OF ANCHORAGE Development Services Department c Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 018-181-20 Certificate of On -Site Systems Approval Expiration Date: 7 Ito '7-0 2- Legal description DEITZ LT 7A REM Site address 3530 DE ARMOUN RD Anchorage AK 99516 Current property owner(s) LEVOY X The On -site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: =I Original Certificate Date: 2/1 /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 Tank Age Advisory Arsenic Advisory Other COSA Approval June 2022 ��I�UHJUPAUTY OF HCHO[ AGE ur a� ., Development Services Department �` cT 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. 018-181-20 Complete legal description Deitz Lot 7A REM Location (site address) 3530 De Armoun Road, Anchorage, AK 99516 Current property owner(s) Laura L2V0�/ Day phone 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: %fl Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: 0 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 19 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench a 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 $ Waiver Fee $ Date of Payment (/z- �� Date of Payment COSA # 05G2 y 1015 Waiver # COSA Application —June 2022 COSA Checklist Legal Description: Deitz Lot 7A REM Parcel ID: 018-181-20 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 215104 Total depth 161 ft Cased to 161 ft ❑ Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) >18 in. Date of flow test for COSA 1 /9/2024 Static water level at beginning of test 61 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 42" Date of pumping 7/10/2023 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 5/3/04 ❑■ ALL standpipes present per record drawing Total measured depth from grade 6•1 ft (max) Measured depth to pipe invert from grade ft (min) 0 N/A — pressurized field. CK Per record drawings, field is insulated. FE-1 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 N/A gallons N/A date Any rejuvenation treatment (past 12 months) N/A If yes, enter date Well production at time of test 4.4+ gpm Water storage tank volume None gallons Well disinfected for coliform test? ❑ Yes ❑■ Nc ❑■ Coliform bacteria is Negative Nitrate mg/L ❑■ Nitrate less than MRL (ND) Arsenic ug/L ❑■ Arsenic less than MRL (ND) Collected by Forge Engineering Date 1 /11 /2024 C. LIFT STATION ❑■ Required maintenance completed Age of lift station 19 years Lift station material Steel Comments: Adequacy test date 1 /9/24 Results Q Pass Fluid depth prior to test 6 0/10 in Water added 01 gal New fluid depth 8 / 12 in Elapsed time 1440 min Final fluid depth 0 / 10 in Absorption rate >600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 Effective depth used 0 in Effective depth remaining 6 in in Comments/Deficiencies: *Monitoring tubes extend —10" into the sand liner. Verified with laser measurements (See also 2019 COSA) MONITORING TUBES LISTED EAST/WEST COSA Checklist June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' Yes if No ft M Yes if No Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' RM Yes if No Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No R Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft ❑ Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water ft ft ft ft ft 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' FEI Yes if No ft Tank to Property Line > 5' Fw� Yes if No ft Field to Property Line > 10' ❑® Yes if No ft Water Main > 10' no Yes if No ft Water Service Line > 10' ❑® Yes if No ft F. ENGINEER'S COMMENTS *Met code at time of installation. Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' Yes if No ft n Yes if No ft If tank or field is under driveway comment below 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 Forge Engineering Engineer's Printed Name COSA Checklist June 2022 Benjamin Schiller, P.E. Phone (907) 522-7773 Date 1 /23/2024 1-1 . . } ..... . •'k. .... .. Benjarrr�nchiller •:4 �� ``�i�,,. • . CE 12592 • ,.����,.� �k�F©p�4FESStON X8 ' 70 . 77 1: 4010 Municipality of Anchorage a. s, On-Site Water and Wastewater Program > . 'R i (907) 343-7904 SA ETV _Cu 1j ✓; Certificate of On-Site Systems Approval Q' Parcel I.D. 018-181-20 Expiration Date: �(c7 [ 1. GENERAL INFORMATION: Complete legal description Dcatz; Lot 7A Location (site address) 3530 DeArmoun Rd *Anchorage,AK 99516 Current Property owner(s) Mark&Kimberly Bessler Day phone 229-8521 Mailing address 3530 DeArmoun Rd*Anchorage,AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 55 0.0 b Waiver Fee $ 3 if e' Date of Payment 6121 /2 )9 Date of Payment 6,-.V, `/ 7 Receipt Number 0 4 LQ11 CI Receipt Number 07 3 C; P COSA# ©3&la 125 Waiver# "I 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road,Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: (01 tob.9 �Q0000�\\\ In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system o OF •. in accordance with the guidelines and regulations established by the Municipality of Anchorage and �P ,.••""''• '-'7 industry practices. The reported results describe the condition of the system/s on the date/s of the O O evaluation. Separation distances were measured to readily identifiable features. Hidden defects or O� T encroachments may exist that were not identified during the evaluation. The operational life of all wells f¢ • 4�! %�*�0 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, """' '• • groundwater levels (that may fluctuate during the year), quality of construction (materials and I Q workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and � 0 are outside the control of GEG. Satisfactory test results do not guarantee future performance of the l • ` Car. -ss! g system/s; therefore, GEG makes no warranty(express or implied)regarding the future performance of Gu CF 79 cQ the well or septic system. GEG makes no representation whether an alternative well or septic system s TO . ' c°O can be installed on the property in the event either of the current systems fail to perform adequately in �t ,. '6. cap the future. The content of this report is for the sole benefit of the person/party that retained GEG to 4• �ah'r0fess�o�o�o perform the evaluation. Reliance upon the information provided in this report by any other person or ��04000�6 party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for It/ bedrooms ,1lltlt(((f((((( � (/ System #2 Approved for bedrooms `� \�y �Fh'Q,�;ii���i Disapproved of S\TE G«, Conditional approval for bedrooms, with the folg �1 Z O'ER o^ W A nNc pR�G ))1)»)»)W � SES11\\��. 7 —t By: vv.:- f Original Certificate Date: �9 —2. l The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12 dec. • COSA Checklist Legal Description: Dcitz; Lot 7A Parcel ID: 018-181-20 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA ❑� Well log is filed with Onsite (or attached) Well production at time of test 5+ gpm Date drilled 2/5/04 Water storage tank volume n/a gallons Total depth 161 ft Well disinfected for coliform test? ❑Yes ❑■ No Cased to 161 ft ❑■ Coliform bacteria is Negative ❑l Sanitary seal is functioning correctly Nitrate 0.211 mg/L [' Nitrate less than MRL(ND) ❑� Wires are properly protected Arsenic ug/L j54 Arsenic less than MRL(ND) Casing height (above ground) 18+ in. Collected by GEG, LTD. Date of flow test for COSA 6/11119 Date of Sample "4&13"9 Static water level at beginning of test 42.6 ft. Comments (F* bio S PcE -r $ B. TANK DATA C. LIFT STATION Age of tank(s) 15 years ❑■ Required maintenance completed Tank type/material 51ep's1ae1 Age of lift station 15 years Measured operating fluid level in septic tank s, (ST„ Lift station material steel j] Standpipes/foundation cleanot per record drawing Comments: Date of pumping 11 R 1 1 9 D. ABSORPTION FIELD DATA Which system tested (date installed) 2004 Adequacy test date 6/13/19 EI ALL standpipes present per record drawing Results ['Pass For 4 bedrooms Total measured depth from grade 6.0 ft(max) Fluid depth prior to test 10 in Measured depth to pipe invert from grade ft(min) Water added 604 gal CI N/A—pressurized field New depth 12 in 0 Monitor tubes go to bottom of effective. If not, state Elapsed time 120 min depth into effective j] Code-required soil cover over field Final fluid depth 10 in Absorption rate 600+ gpd (= System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) no date of test) - Gallons introduced n/a gallons If yes, enter date Comments/Deficiencies:•IT APEARS THAT THE MONITORING TUBES EXTEND APPROXIMATELY10 INCHES BELOW BOTTOM OF DRAINROCK(TOP OF SAND) COSA Checklist yellow sheet rr • <' ei,610 :\�' ,.„\• MUNICIPALITY OF ANCHORAGE r' 3 Phone: 90 A•3-7904 as ANIIIMINIP Development Services Department __ Fax: 907 3�=3 7997 On-Site Water & Wastewater Section Lift Station/Pump Vault Maintenance Log Owner or -.:,`S-r Street Address .35al ' ` .f. '- •'`� Legal Desc. _ _ P10 - Phone ._ -" ki -Pumping: required yes643) -Pumping completed yam- o -Sludge (evcl �!,�'lnches P n9: Lifts-tat= _ -Pump basket cleaned _ _ns2 -Effluent filter cleaned C Control floats cleaned _/-Proper float settings confirmed 32 -Operation satisfactory �e' no Alarm System: --1 -Dedicated electrical alarm circuit y( 9 -Audible and visual alarm inside dwelling ._na -Alarm system operation (i isfador]C -)( iN`'fri:/'� Male Bier - -Ground water intrusion at riser to tank connection -Ground water intrusion around gee penetrations -Weep how functional ( nn -Manhole lick' Functional ("--e insulated Property Secured .` - QUIla -AU manufacturer required inspections and maintenance completed y- no. W. Ni.NAZ- .Cr.f:Vt paiyvii ‘wr sick?...ckwe. .,:p.ifi . . biajnten3nce Provider: Technician C t`) <' Date of maintenance /9 E Al Company R p L4 } f!?2 S/ _ .._, ___;-_-_--„,-----------. ,,....,- ,...----- `{- - - Signature d�J- (e ) a 1._ ka 99519-6650 • ww.v.muni_orq ( COSA Checklist Legal Description: Dietz; Lot 7A Parcel ID: 018-181-20 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA 0 Well log is filed with Onsite (or attached) Well production at time of test 5+ gpm Date drilled 2/5/04 Water storage tank volume n/a gallons Total depth 161 ft Well disinfected for coliform test? ❑ Yes 0 No Cased to 161 ft 0 Coliform bacteria is Negative 0 Sanitary seal is functioning correctly Nitrate 0.211 mg/L ❑ Nitrate less than MRL (ND) 0 Wires are properly protected Arsenic ug/L 4g Arsenic less than MRL(ND) Casing height(above ground) 18+ in. Collected by GEG, LTD. 6,4 Date of flow test for COSA 6/11/19 Date of Sample 873179 Static water level at beginning of test 42.6 ft. Comments 0 S iciE, "c- CtA TbLdEVED -a) RE NoN- *c r B. TANK DATA C. LIFT STATION Age of tank(s) 15 years • Required maintenance completed Tank type/material step/steel Age of lift station 15 years Measured operating fluid level in septic tank 51-(s1-1) Lift station material steel 0 Standpipes/foundation cleanot per record drawing Comments: Date of pumping (o I R i i 1 I D. ABSORPTION FIELD DATA Which system tested (date installed) 2004 Adequacy test date 6/13/19 0 ALL standpipes present per record drawing Results ['Pass For 4 bedrooms Total measured depth from grade 6.0 ft(max) Fluid depth prior to test 10 in Measured depth to pipe invert from grade ft(min) Water added 604 gal 0 N/A—pressurized field New depth 12 in 0 Monitor tubes go to bottom of effective. If not, state Elapsed time 120 min depth into effective • Final fluid depth 10 in 0 Code-required soil cover over field 600+ ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) no date of test) gallons Gallons introduced n/a If yes, enter date - Comments/Deficiencies:•IT APEARS THAT THE MONITORING TUBES EXTEND APPROXIMATELY10 INCHES BELOW BOTTOM OF DRAINROCK(TOP OF SAND) COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100' ✓❑Yes if No ft p Yes if No ft Neighboring Tank> 100' ✓❑Yes if No ft Private Sewer/Septic Line>25' ✓❑Yes if No ft Absorption Field on Lot> 100' ✓❑Yes if No ft Holding Tank> 100' ❑✓ Yes if No ft Neighboring Absorption Fields> 100' Animal Containment> 50' ✓❑Yes if No ft ✓❑Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ✓❑Yes if No ft ElYes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations> 10' ❑Yes if No *5+ ft Surface Water> 100' ❑✓ Yes if No ft Property Line > 5' ✓❑ Yes if No ft Wells on Adjacent Lots: ** Absorption Field > 5' ✓❑ Yes if No ft Private Wells > 100' ✓❑ Yes if No ft Water Main > 10' ✓❑ Yes if No ft Community Wells> 200' ✓❑ Yes if No ft Water Service Line> 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑Q Yes if No ft If absorption field is under driveway comment below Property Line> 10' ✓❑ Yes if No ft Wells on Adjacent Lots: ** Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Service Line > 10' ✓❑ Yes if No ft Community Wells>200' ❑✓ Yes if No ft Surface Water> 100' ✓❑ Yes if No ft F. ENGINEER'S COMMENTS *Met code at time of installation **With caveat - no well was found on the lot to the East (T12N, R3W, SEC 33; LOT 6); therefore it is possible that an encroachment may exist, but was not identified. G. ENGINEER'S CERTIFICATION o`ler OF A 0'N I certify that I have determined through field inspections and review O' .•. `L. S/r�tiQ of Municipal records that the above systems are in conformance with Qi C/)..* ,1 • 7�/ 1O MOA COSA guidelines in effect on this date. VA di V A VA /, '•.J f 7E A. Garn:ss.: • 0no4 sf�° II.1D 1770,,‘ '' (-aO V r •�7 COSA Checklist yellow sheet 44�Pr 0 f e s slo�°a� #AECC884 ��,O�� .--" N Frontier Surveys, LLC Project No: 19-210 Date:06/14/2019 f414Ordered By: Christina Ball Plat:83-43 Grid: N/A Scale 1"=50' - — — — — — C DE ARMOUN ROAD --—1- - - -- //CULVERT to O 1 S89°52'50"W 164.74 `� 0 0 O O O O O tc , 1_____:--5-:,..;:j a �, � �' -- to i \ itr Lot 7A 9` w LOT 78 �' Deitz Subdivision mo . �/, 48,731 Sq. Ft. �% `� o / 2 Story Wood Frame House �-v \ Q o / With Attached 4 Car Garage `\ w vr / / \ a .-12.4•... \ c5 20.9 t N . •r, to 2.0 g1.2 LOT 6 I ••• ^ 7.8 4.0 19.9 !T rile 0 9.0 I I 2.0 civ , I(S.). w6 SHED w 2.6 `�' ' I• 5.6 ro :1 v ii , ' • c 1 i 1 1 40.1 ';t \ gym4.0 t \ 60.6 .;:;5:;:;:�:;• `.1 n 4fffi.:.:. : :..: Zo \ . nm 1m �z' / �\ t. / :-. -•/ \` W V- J00 a / . Y 1 Notes h o o // .; ? C. ' • 4 bearings and distances per ROW Acquisition&Take - :Ci: \ i SHED ' -AKDOT Proj.#STP-0510(2)/53987 CO 1_ �- cn ---- .....:76. 0-- 5.1 123 LT N89°53'33"E 164.74 } N N ,- LOT 26 LOT 27 Legend: XElectric Meter/Outside Power `D., Telephone Pole 0 Metal Post Xy Gas Meter i Deck -0- Fence -E- Light Pole (5; Sewer C/O (W; Water Well Mfr Mailbox EA Elec. Pedestal —�SS Septic Man Hole K: Fuel Tanks A Tel.Pedestal General Notes: 2500 1.This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 1... 1.11 2.Excepting for gross negligence,the liability for this survey shall not exceed the cost of preparing this survey. Scale in Feet 3.All measurements/setbacks are to the visual/apparent building footprint. 4.All dimensions to property lines are plus/minus 0.1ft. ``.0•%••""1‘1111 J This survey complies with the ASPLS Mortgage Location Standards.The survey represents visible improvements and conditions at the time of the survey. s document not nstitute a boundary survey and es '��• O F A••,:14' 1 i� inaccuracies that a subsequent boundary survey mayoreveal.co is the responsibility of the Owers to determine he .SV''.••• subject to any • • `r� �/1 existence of any easements,covenants,or restriction which do no appear on the record plat.Under no circumstances Lj .' I '• 9 / should this document be used for construction or for establishing a boundary or fence line. *: 49TH " .-*'/, As-Built Survey of: ,- '''7,_...a.... .../ • Lot 7A, Deitz Subdivision e • 73 • Frederic W. nor . / NO.L.S:9946 I, Frederic Wagner,hereby certify that this Mortgage Inspection Survey was performed by me,or '/jc1, • 6/17/2019 under my direct supervision on June 12th,2019. • • 1tt1r'� '''''''`�• �'°,J` Frontier Surveys, LLC . FRONTIER t IT°Ft 111;"ON;``�. 650 W.58th Ave.Suite E Anchorage,Alaska 99518 4 Surve s•. 907.460.1686-info@frontiersurveys.com i► PROFESSIONAL SEAL www.frontiersurveys.com Munici,pality .of Anchorage Development Services Department CERTIFICATE Legal Description: WELL DATA Well type PRIVATE Date completed 2/5/2004- Tota! depth 161 ft. OF Date of test Static water level Well production WATER SAMPLE RESULTS: Cotiform 0 colonies/100 mi. Arsenic: ND ug./L. SEPTIC/HOLDING TANK DATA Building Safety Division On-Site.Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni,org/onsite (907) 343-7904 ON-SITE SYSTEMS APPROVAL DEITZ S/D; LOT 7A If A, B, or C provide PWSID# N/A Sanitary seal (Y/N~ Cased to 161 .ft. FROM WELL LOG 2/5/2004 83 ff. 30 g.p.m. Nitrate 0.163 mg./L. Date of sample: 8/2/2010 CHECKLIST Parcel ID:O! ~ Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) 'AT INSPECTION 8/3/2010 43 ff. 4.84 g:p.m. YES YES 18+ in. NONE KNOWN If yes, give date DRAINFIELD. SEE ATTACHED LETTER. NO For 4 bedrooms New depth **4 in. 6OO+ g.p.d. Depression over field Tank Type/Material S.T.E.P./STEEL Tank.s'ize tSO0 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping ~ J II J I 0 Pumper. ~ I ABSORPTIO:N FI.ELD DATA [*BELOW EX,STONe CRADEI Date installed 5/,3-12/20.~4 Soil rating ~or ft2/bdrm) 0.8 Length 54 .ft. Width 15 ft. Total depth*4.8-4.'4 ft. Eft. absorption area 810 fi2 Monitoring tube YES Date of adequacy test 8/5/2010 Results (Pass/Fail) PASS Fluid depth in absorption field before test *'1 in. Water added 640 gal. Elapsed Time: 120 min. Final fluid depth *'1 in. Absorption rate >= Any rejUvenation treatment (past 12 mo.)(Y/N &,type) **MT'S EXTEND TO BOTTOM OF SAND FILTER BELOW System type BED Gravel below pipe 0.5 Date installed 5/3-12/20.04 Cleanouts (Y/N) YES High water alarm (Y/N) YES A+ HOME SERVICES ft. Other bacteda 0 colonies/100 mi. Collected by: GEG Ltd, D. LIFT STATION Date installed "Pump on" level at in. Datum ~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ Size in gallons Manhole/Access (Y/_.~ ~ "Pump off"~ High water alarm level at in. Cycles tested Meets alarm & circuit requirements~ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main N//A Water service line 10'+ Surface water Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation. 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 5'4- 100'+ 5'4- G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date ~llZ'l'° COSA Fee $ Date of Payment Recei pt Number (Rev. 11/05) Waiver Fee $ Date of Payment Recei pt Number SGS Ref.# 1103805001 Client Name Garness Engineering Group, Ltd Printed Date/Time 08/09/2010 16:38 Project Name/# Dietz L7A Rem Collected Date/Time 08/02/2010 13:54 Client Sample ID Dietz L7A Rem Received Date/Time 08/02/2010 15:55 Matrix Drinking Water Technical Director Stel~hen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Hardness as CaCO3 99.2 5.00 mg/L SM20 2340B C 08/03/10 08/05/10 KDC Waters Department Total Nitrate/Nitrite-N 0.163 0.100 mg/L SM20 4500NO3-F B 08/02/10 AYC Microbiolo~u~ Laboratory Colony Count 0 Fecal Coliform 0 Total Coliform 0 col/100mL SM20 9222B A (<200) 08/02/10 DLC col/100mL SM20 9222B A (<1) 08/02/10 DLC col/100mL SM20 9222B A (<1) 08/02/10 DLC Private Individual Analysis Alkalinity Aluminum Antimony Arsenic Barium Cadmium Calcium Chloride Chromium CO3 Alkalinity Conductivity Copper Fluoride HCO3 Alkalinity 102 21.7 ND ND ND ND 28400 1.53 ND ND 223 43.7 0.163 102 10.0 20.0 1.00 5.00 3.00 0.500 5OO 0.100 2.00 10.0 1.00 1.00 0.100 10.0 mg/L SM20 2320B D 08/03/10 LP ug/L EP200.8 C 08/03/10 08/05/10 KDC ug/L EP200.8 C (<6) 08/03/10 08/05/10 KDC ug/L EP200.8 C (<10) 08/03/10 08/05/10 KDC ug/L EP200.8 C (<2000) 08/03/10 08/05/10 KDC ug/L EP200.8 C (<5) 08/03/10 08/05/10 KDC ug/L EP200.8 C 08/03/10 08/05/10 KDC mg/L EPA 300.0 D (<250) 08/04/10 08/04/10 SDP ug/L EP200.8 C (<100) 08/03/10 08/05/10 KDC mg/L SM20 2320B D 08/03/10 LP umhos/cm SM20 2510B D 08/03/10 LP ug/L EP200.8 C (<1300) 08/03/10 08/05/10 KDC mg/L EPA 300.0 D (<2) 08/04/10 08/04/10 SDP mg/L SM20 2320B D 08/03/10 LP SGS Ref.# 1103805001 Client Name Garness Engineering Group, Ltd Printed Date/Time 08/09/2010 16:38 Project Name/# Dietz L7A Rem Collected Date/Time 08/02/2010 13:54 Client Sample ID Dietz L7A Rem Received Date/Time 08/02/2010 15:55 Matrix Drinking Water Technical Director Stephen C. Erie Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Private Individual Analysis Iron ND 250 ug~ EP200.8 C (<300) 08/03/10 08/05/10 KDC Lead 0.914 0.200 ug~ EP200.8 C (<15) 08/03/10 08/05/10 KDC Magnesium 6850 50.0 ug/L EP200.8 C 08/03/10 08/05/10 KDC Manganese 61.3 * 1.00 ug/L EP200.8 C (<50) 08/03/10 08/05/10 KDC Nickel ND 2.00 ug/L EP200.8 C (<100) 08/03/10 08/05/10 KDC OH Alkalinity ND 10.0 mg/L SM20 2320B D 08/03/10 LP pH 8.00 0.100 pH units SM20 4500-H B D (6.5-8.5) 08/03/10 LP Selenium ND 5.00 ug/L EP200.8 C (<50) 08/03/10 08/05/10 KDC Silver ND 1.00 ug/L EP200.8 C (<100) 08/03/10 08/05/10 KDC Sodium 7700 500 ug/L EP200.8 C (<250000) 08/03/10 08/05/10 KDC Sulfate 9.00 0.100 mg/L EPA 300.0 D (<250) 08/04/10 08/04/10 SDP Thallium ND 1.00 ug/L EP200.8 C (<2) 08/03/10 08/05/10 KDC Total Dissolved Solids 145 10.0 mg/L SM20 2540C D (<500) 08/02/10 J JR Zinc 13.1 5.00 ug/L EP200.8 C (<5000) 08/03/10 08/05/10 KDC GARNESS ENGINEERING, GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS August 10, 2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Ak 99519-6650 (907) 343-7904 Subject: Adequacy Test Results; Deitz Subdivision; 3530 DeArmoun Road, Anchorage, AK, 99516, To whom it may concern: The subject lot has a 4 bedroom house which is served by a private well and septic system. We performed an adequacy test on the subject lot on 8/5/2010. During the course of this inspection, it was noted that the monitoring tubes extended to the bottom of the sand below the drainrock, rather than extending to the bottom of the drainrock. This was noted on the 2004 septic system inspection report. Elevations were taken from the original benchmark to confirm this. We conferred with your department at this point to determine if the monitoring tubes were adequate for adequacy test purposes. With your department's concurrence, the adequacy test was performed using the existing monitoring tubes. If you have any qu¢~ions, please ¥ contact us at 337-6179. 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com RANDALL, HAYES & HENDERSON Uniform Residential Appraisal Report 5040179839 10678657 s~ AK Z:i~ C~ 99516-3588 ~%~s...3, .5.30 DeArmoun Road c~ Anchoracje_ David Zumbro o,~ ~ ~ul~ Rec~d Monfrey[Vincent-Monfrey c¢~.....M..u.~i~...o.f.~chor. __.~g~ .............. ~ri~r~' Eot 7A REM ~  ~__ ~ ~Grid #SW3035 c,~s 'rrac~ 0028.22 Le~r~[ Ke~ank National As~ciation ~dre~e~ MoMnt Laurek NJ ~ ~e~m~c~) u~,o~fi~s}~s), tnsp~ion, Ass~sor and MLS, Sub~t wa~ ~t~ May 22. 201~at $1~100~seH ng aft~ ~2 da~s ma~ time ~thout ~dce adjustme~ ~ MLS. T~e 8 Page ~mract p~gVid~ by ~ listi~ agent ~s revi~ a~ this app~ to ~ an arm's length transactio~ with no conc~sions ~. ~ buy~ si~n~ the ~ntra~ 07/0~2010 ap~ the s~i~s a~t~/Sign~ the ~ntract 07/03/2010, C~a~e$ !,000,0~ ~ofCo~a~07/0~010 ~p[~ Y~ - Ne P~ur~s ~s~sor ff Y~,r~t~l~al~ a~nt a.d ~scr~ ~e ~e~ = ~ ~, ~A Seller paid closi~ ~ts aP~ prepaids up to 3% are common for subi~t*s pdce m~e. Sublet ap~am to quali~ for all !~els ¢ s~nda~ f~a~g,,, I~t~t rates am curr~tly a~um~ r~ain s~e or ~ar the pre~ rate after t~ r~nt F~eml R~e~e d~ision ~ to i~ ~me ~d ng rat~ at this time. , Ne~h~ B~nd~ ~ ~U~ ~'of ~oun R~d, ~h of Pott~ C~ ~st of the 4,~ H~h 70 ~pmagpin A~, and ~t of Chuga~ State Pa~, within MLS ~rict 25~ 650 P~ ~ Ne~h~r~ ~ri~n S~s ~m~l. ~id~i~ ~h~ ~ t~ in ~e 1~ hj!lside ~ ~ s~st A~h~ ~ a mix ~ ~d~ ~d n~ c~t~ ~ ~s~, ~ ~ ~Unifi~. ~t SFR sit~ ~ 7,0~ to ~,0~ sf a~ df~ pd~e. full. ~ a m~ ~ ~e s~ in ~e up~ ~ce ~e f~ n~ ~ in ~ m~ C~diti~, The ~1 f~t f~ 2010 is ~ficip~ to be simil~ lo 2~9. ~,Hrr ular ~ s~ enclo~_~ plat. ~ea ~,870 sf ~ ~U~picai for subdiv. V~ Moun~indLo~l ~[ ~s~_of subi~t S tes as i~pBV~ ~B a sidle family r~id~e. ~_~ .~YeS [~.JN0 ~M~R~z~X ~ 02~51155D ~A~spUate09/25/~09 appmi~r halo kn~l~ge of curr~t or histod~l ~vironm~! ~nditions ~ sublet prope~. No adverse on i~p~on of sublet pro~. No as-built ~~ for r~i~ ~h the pr~umpti~n of no inad~ci~. Sub,j~t site fronts ~oun ' ~s~t a~edal for t~ ~ ~ck ~ the site with mi~mal r~d noi~ not~. in 4 c~r garage end fin~sh~ bas~t, bu~!t of v~ g~ gga~i~¢ !9 Y~ ccmditiqn. No ,~o~y ~s indud~ in ~his ~ apPra~L Subj~t's ~N~ ~[[&~ess tha~j~ actual a~ ~9 g~eml maint~n~ si~e ~ns~t~. No ~me ins~.z~°rt ~ for r~i~, with no inad~i~ ~. functional or e~l ~nad~uaci~ w~e not~ at ~e ~me of ins~tion, D~esthepr~peWger~eml¥:~n~mt~he~ei~L~h~d(fLu~c~i~~aI~i~y~e~u~cea~mc~i~e~:~? ~J~J"Y~.~o ~¢~o, des~;ibe. Subject is typica?___f.o..r. .... similar size homes in the nei.qhborhood, and is not considered an over or under-improvement for the subdivision~ with other similar ~rice and size homes bordering and/or one street off DeArmoun Road. No adverse neighborhood factors were noted. Municipality of Anchorage Development Services Department Bui~ing Safe~y D~sion On-Site Water and Westewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 www. muni.org/onsite (907) 343-79o4 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 018--181-20 t. GENERAL INFORMATION Complete legal description L~ Location (site address) 3s3o De.NTnoun R~ad COSA# ff'4CC R Expiration Date: Current Property owners) Mailing address ~0 De~,~n Road Day phone 242-0828 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless othenvise requested, CO,SA w#l be held by DSD for pickup. NUMBER OF BEDROOMS: Four (4) 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTE'WATER DISPOSAL: Individual On-site ~ Individual Holding Tank ~D Community On-site Public Sewer D The Municipality of Anchorage Development Se~ces Deparlraent (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer regiatemd in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of ~Je (except between spouses) for properties ~.b.y ?. $ingle-fami~__o _r_~-~_s___'__ite_w_a___st_.ewat~r di__,~o~:~_ I an~' war_er _. ~ ........ ~l~l~'~-Si~-'~:DSD'~lso~--Ees--COSAs.upori-~c~u~t'~ ~~ C~:Ftif'~t-es--0t'On~rie Syster~ ~pro~l are valid for 90 days from the date of issue for proper'des served by a private or Class C well and may be reissued . with new water sample msuits. (Certificates may be reissued for a'period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not respons~le for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As cerfif'~l by my seal affixed here{o and as of the validation date shm~n below, I verify that my investigation, based on procedures outlined in ~e Certificate of On-Site Systems Approval Guidelines for this applk:afion, shows that the on-site water supply and/or waslewater disposal system is (am) safe, functional and adequate for the number of bedrooms and type of slructure 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(am) in compliance with all applicable Municipar and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE t-'/' Disapproved. Conditional approval for bedrooms. Phone 522-7773 Date 4ff~2o07 bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's R~port Other By:. ~~~~~=~riginal Certificate Date:. Municipality of Anchorage Development Sewices Depa h,,ent Building Saf~y Division On-Site Water & Wastewater program 4700 Brngaw Street P.O. Boo; 196650 ~w. muni.org/onslie CERTIFICATE OF ON-~ITE SYSTEMS APPROVAL CHECKLIST A. WELL DATA We~ type ~me Date completed ~sto4 TotaJ deplh ~m lt. ffA~ B, = C provide PWSID # Sanllaw ~al Om) ¥ Cased to. ~6~ lt. FROM ~$n:tl LOG g.p.m. Depl~a~Jofl over tlink (Y~q) N 018-t81-20 We, Lc, g ~'~) Wtm~ pmm~, pnm~ted (~) Casing height (abo~ ground) AT INSPECTION ft. g.p.~L Y Y >24 O~er bac~ o colonies/100 mL Date insmaed sr~2oo~ C~anou~ (Y~I) Y High water aJan~ (Y/N) y D. UFT STATION Date ~ sr,.r~oo~ Size in gallons ~so Manh~e/__accel___ (Y~I) Y 'Pump on' level et 42 in. 'Pump~t"levldat 42 in. Hlghwaterelarmle~ela~ 44 in. D~-~ 8~m ef Tara Cycles t~ted >t0 Meet~ alarm & ~ ~t mqukaments9 Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Sel~c ta~Jlitt ~'tation on k~ >1oo' On adjacent ~ >too' ~ ~ld on lot Public ~ main N/A Public ~ewer manlx~e/deanout Manure/animal ex=r~e ~m'age areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >~ I:~ line >S' A~ field. Water main N/A Water m~'tce line >t0' Surface water >1oo' N/A >10' Pm~e~'7 line >to' Water Seh, tce line >1~' Curtain drain Nme ~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Bulking foundalf~n >~; Smfac:e water, >t0o' G. ENGINEER'S CERTIFICATION confomtatx~ ~ MOA COSA gu~ in effect on thl~ date. Engineers Printed Name Michael E. Andemmt, P.E. Waiver Fee $ Date of Payment Rece~ Number Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Was~tewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak, us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. ~8-181-20 t. GENERAL INFORMATION Complete legal description Lot 7A, Deitz Subdivision Expiration Date: ./~ - '~ o ,- O ~ Location (site address or directions) 3530 DeArmoun Road Current Property owner(s) Ha.qen Investments, LLC Day phone 242-0830 Mailing address P.O. Box 240t86 Anchorage, AK 99524 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four{4) 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding tank [] [] Community On-site [] ~] Public Sewer '~--~ The Municipality of Anchorage Develo~)ment Services Department (DSD) issues Certificates of Health Authority Approval (HAA) based only upon the representations g~ven in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days'from the date of issue for properties served by a private or Class C well and may be 'reissued with new water sampte results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions ~n the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines forthis 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 i~erein. 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 Anderson En.qineerincl Address P.O. Box 244)773 Anchora.qe, AK 99524 Engineer's PrinteC Name Michael E. Anderson, P.E. bedrooms. DSD SIGNATURE J Approved for Disapproved. Conditional approval for Phone 522-7773 Date 912312004 bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Bate: sewer mawr Manhole/Access (Y/N Y "PU~np off" level at 42 in, High water a~arm ~evel au in. cycles tested NewConst. Meets al~rm 8, c~rcu~t reou~rements. Y On a~acent 16ts ............... Pubhc sewer manhole/cteanout TANK Water ~erv ce kine >10 water ~ above systems are in guidelines in effect on this date, 49~h Waiver Fee $ Date of Paymem Receipt Number Sap.30. 2004 10:23AM 9075226779 No.7896 P. 1/1 ANDERSON ENGINEERING P,O. BOX 240773 ANCHORAGE, AK 99S24 ...... 522-7773 522-6779 (FAX) MEMORANDUM DATE: September 30, 2004 TO: Jeff Poet FROM: Mike Anderson, P.E. SUBJECT: Lot 7A, Diet= Subdivision Certificate of Health Authority ApProval The pipe shown on the surveyor's as-built in the easement at the north end of the property is one of the test holes placed on the lot, A total of 6 test holes were placed during the initial phase of the project. The pipe has recently been removed and is no longer in place on the project, Please let me know if you have additional questions,