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HomeMy WebLinkAboutHILLSIDE NORTH ADDN #9 LT 4Hillsid No th Addn #9 Lo1- 4 #041-032-07 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 4 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: NO PERMIT PID Number: 041-032-07 Dwelling: RE Single Family (SF) El with ADU [I Duplex (D) 1771 Two Single Family Project: X New D Upgrade Name CHARLIE HART ABSORPTION FIELD RE Deep Trench El Wide Trench E] Bed n Mound Site Address 9291 BASHER DRIVE, ANCHORAGE, AK Other Phone of Bedrooms Soil Rating Total depth from original grade 907-830-0168 _ 7Number 1.2 GPD/SFJ *SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade *SEE DWG. Ft. Gravel depth beneath pipe **5 (MEAS. 4+/-) Ft. Subdivision Block Lot HILLSIDE NORTH ADDITION #9 - 4 Fill added above original grade *SEE DWG. Ft. Gravel length **30 Ft. Township Range Section Gravel width **4 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist, between trenches From Tank Field Tank Line 240+ Ftl - Ft. Well 100'+ 100'+ 25'+ TANK 9 Septic E3 S.T,E.P, 171 Holding El Other Manufacturer *ANCHORAGETANK Capacity *1000 Gal. Surface Water 100'+ 100'+ Material Number of compartments Lot Line 5'+ 10'+. NA *STEEL 2 Foundation I *51+ LIFT,491ATION Manufacturer Capacity Remarks *THIS IS DOCUMENTATION OF "BOOTLEGGED" SEPTIC Gal. SYSTEM. SEE ATTACHED LETTER ABOUT DOCUMENTATION. Alarm location Elecr . talled by "PER GLW ENTERPRISES EMAIL (SEE ATTACHED) Installer PIPE MATERIAL House to tank --D3034 d Tank to �.D3034 raintield GLW ENTERPRISES Drainfield **D3034 COIMT **D3034 inspector GARNESS ENGINEERING GROUP, LTD. BENCHMARK (Assumed elevation) 100.00 ft Inspection *N/A dates: is' *N/A Location and description 2nd 3rd 41h TOP OF DECK AT POINT '11311 ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF Conditional Approval: Date . ...... . .. .. ..... . ......... Septic Syste Approved Date f A. rness,' CE-7105 Note: this approval does not include well permit requirements. ofess�00 NA CC884 (Kev ubluz/ 1 B) GROUP,GARNESS ENGINEERING Ltd AeroCell . ENGINEERING -SALES CONSULTING .. , , ..Aska r<crii?crfzf.s; August 20, 2025 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 ti OF C4. �Oli y' • . Je ey Garnes CE-7 I��r li�F� pROfESSK1NA �' �a fit? Ref: Documentation of "Bootleg" Septic System and Waiver Request - Hillside North Addition #9; Lot 4 To whom it may concern: The existing 1-bedroom house is served by a private well and septic system. The septic system was installed in 2016. The MOA did not issue a permit for the installation, and the installation was not inspected/documented by an engineer. Based upon receipts provided by the owner, a statement (attached) from the contractor that installed the system, and a limited investigation by Garness Engineering Group Ltd (GEG), it appears that the system consists of a 1,000-gallon steel tank and a 30-foot long deep trench with at least 4 feet of effective depth. GEG also performed a soil investigation to confirm the soil profile, groundwater depth, and percolation rate. The system appears to be sized adequately for one bedroom and has adequate vertical separation to groundwater and impermeable soils or bedrock. Attached are the record drawings. Based upon our limited investigation, the drainfield monitoring tube is 46-inches (edge to edge) from the closest concrete pile (Sonatube construction) for the deck/porch. The drainfield appears to be 5+ feet from the steel piles for the house foundation. Per the owner, the steel piles are driven to a depth of 20 feet and the concrete piles for the deck/porch are installed to a depth of 8 feet. Given the reported depth of the piles and the depth of the drainfield, it is reasonable to believe that the drainfield will not have any adverse impact on the foundation of the home; therefore, we request a waiver be granted to allow for the existing encroachments (3.5+ from foundation to drainfield). We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Jeff y A.`Qbrness, P.E., M.S. Pr ident 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Jody Maus From: CHARLIE Hart <akdrainmaster@hotmail.com> Sent: Monday, August 18, 2025 5:18 PM To: Jody Maus Subject: Fwd: Items needed for documentation and COSA Sent from my Phone Begin forwarded message: From: "GLW Enterprises, LLC" <glwalaska@me.com> Date: August 18, 2025 at 1:16:11 PM AKDT To: CHARLIE Hart <akdrainmaster@hotmail.com> Subject: Re: Items needed for documentation and COSA Charlie, Here are the answers to the questions Garness had: - Length 30' - Width 4' - Effective Depth 5' - MOA approved drain rock was used - Yes there is a 5' separation from tank to drain field - D3034 PVC pipe was used - Filter fabric was installed - No insulation was used Please let me know if there is anything else! Thanks for your patience, Rachel Witt Office Manager GLW Enterprises, LLC PO Box 210053 Anchorage, AK 99521 Office 907.333.6982 Call/Text 907.250.5036 On Aug 14, 2025, at 1:46 PM, CHARLIE Hart <akdrainmaster@hotmail.com> wrote: o Lol PERMIT NUMBER: NO PERMIT041-032-07 RECORD DRAWING I N G PARCEL ID NUMBER: ' � HILLSIDE NORTH, ADDITION 9, LOT 5 (f� IU) <n GEG TH#1 -i i Im go �j � In�Oz z " U 1 C 00 m ~" Bz o °w Q i goo EXISTING 3ar =_ v 1-BEDROOM z I HOUSE z ' ; o w �O isa, ° ! = z It % / EXISTING UNDOCUMENTED ; / SEPTIC SYSTEM. SEE DETAIL DRAWING, PAGE 3 OF 4 ru O GATE ' GEG TH#2 EXISTING WATER LINE W DRIVEWAY/ �-. O Z SPARKING-U� ¢ OZ 2 O FENCED Q GARDEN 3 � O�U Z4,Q GREEN r O 2 HOUSE / / ' \ 50'STREAM \\ % SETBACK N / EXISTING WELL aQ��=��2Wa/ � SCALE: ' 3 UO= VO`~ STREAM LOCATION—\ 1^c69 ! 4 0 1'WELL RADIUSu I 4w i n , ....:....... . ......... . su � w �,�a ENGINEERING ­ SALES CONSULTING .w.: ...� ,. ��us .. �_ r �. , 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, ALASKA - PHONE (907) 337-6179' W£BSITE. www.gatmessengineering.= 0............ • ............. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: /, tom' 1 '• e y A. arss --,Q-mv CHARLIE HART 907-830-0168 2 OF 4 �# J, = CE-7953 ;�•�i PROJECT/LEGAL DESCRIPTION: DRAWN BY: I♦ �f �•: (`� HILLSIDE NORTH ADDITION #9; LOT 4 J.L.M. 1+,FQ•...,�'♦,�� PROF TYPE OF WORK DATE: LICENSE'44ESS 11sw 1 ��� RECORD DRAWING OF SEPTIC SYSTEM DOCUMENTATION 8/11/2025 LICENSE PERMIT NUMBER: RECORD DRAWING I N G PARCEL ID NUMBER: NO PERMIT 041-032-07 WATER LINE LOCATION. PROFESSIONALLY LOCATED BY ONE STOP SERVICES AND LOCATES SHOT INTO HOUSE CORNERS USING LEICA DISTO S910 LASER DISTANCE METER. — A B FCO 14.9 25.2 ST1 19.1 22.9 ST2 24.5 18.0 C01 29.9 12.1 MTt 49.0 9.3 CO2 1 58.9 18.9 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. EXISTING SUPPORT BEAM FOR HOUSE i EXISTING z O i 1000-GALLON O�W STEEL SEPTIC O Q a ST7 TANK wmSZ S:2 O GEG �TH#2 O 2C9 W C� DRAINFIELD I3 1 EXISTING \ �1q DRIVE WAY/ PARKING FENCED GARDEN F z O0 w3- 747777777777 9;...,7177r,.rr..._�-_.-,.�,-r;.� �t,.,..,�.s.�` q-s�._,Fz,� ,.x�...a .,,.__a�..�:",�« ,�'..�.,, �� ,..�.,.�,z"�as;, - ENGINEERING rm SALES -� CONSULTING 10 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, ALASKA - PHONE (907) 337-6179 - WEBSITE. w .garnessengineeting PREPARED FOR: PHONE NUMBER: PAGE NUMBER. II CHARLIE HART 907-830-0168 3 OF 4 ♦�G PROJECT/LEGAL DESCRIPTION: DRAWN BY: HILLSIDE NORTH ADDITION #9; LOT 4 J.L.M. TYPE OF WORK: DATE: RECORD DRAWING OF SEPTIC SYSTEM DOCUMENTATION 8/11/2025 LICENSE #AECC884 Q SCALE: 1»_3. frre.mess, i CE-7 53 V • AVe 6 ,.•' 4wPROF PERMIT NUMBER: ID I NO PERMIT RECORD DRAWING PARCEL 041-032NUMBER: I 2-07 NOTE: ELEVATION SHOTS ARE BASED UPON GEG SHOTS TAKEN ON 7115/2025. TOP OF TANK AT INLET = 92.27— (SEE NOTE) LIQUID LEVEL IN TANK ON 7/15/2025 IN ST1 = 91.63J BOTTOM OF TANK IN ST1 = 87.54 (SEE NOTE) — EXISTING GRADE = 96.94-97.21 (SEE NOTE) ST1 F ST2 u 1000 GALLON ANCHORAGETANK STEEL SEPTIC TANK GRADE = 96.96-97.36 (SEE NOTE) EXISTING 1-BEROOM HOUSE ON PILES C01 CO2 10" DIA. CONCRETE SONOTUBE FOR DECK SUPPORT. PER OWNER, SONOTUBE IS 8-FEET DEE PER OWNER, HOUSE IS ON STEEL PILES THAT EXTEND 20 FEET DEEP. �S�t�AGIN,yRY gcOp$, INVERT OF C01 = 91.32 INVERT OF CO2 = 91.33 (SEE NOTE) —EXISTING DRAINFIELO INSTALLED ON 6/15-1612016 BOTTOM OF MT1 = 87.36 (SEE NOTE) GEG TH#2 fOP OF TANK AT OUTLET = 92.34 (SEE NOTE) LIQUID LEVEL IN TANK ON 7/15/2025 IN ST2 = 91.59 TTOM OF TANK IN ST2 = 87.51 (SEE NOTE) NOTE: ELEVATION SHOTS ARE BASED UPON GEG SHOTS TAKEN ON 7/15/2025. 6'-7' TALL CUTBANK (7' TALL CUTBANK SHOWN) A$pVEpt T�t$UTIp/VLtN�' 1ENGINEERING GROUP, Ltd ENGINEERING � SALES CONSULTING , 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, ALASKA' PHONE (907) 337-6179' WEBSITE: www.gamesmnginsering.com SOIL G - PERCOLATION TEST LEGAL DESCRIPTICDN: HILLSIDE NORTH ADDITION 09; LOT 4 PERFCT j5l,0ED FOR: CHARLIE HART DATE: 7/31/2025 (feet)DEP-I VERBURD911 - REMO EDEN TEST HOLE 42 (feet) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER DATE DRY 7/31/2025 M TO S M DRY 8/8/2025 OF �i .... 7..... .................. i I. �lgdffrey A-�Garness. ' w �' C 7 3 Al •��j�F,p''• ��� 2�•''C�G�i LICENSE + Q�ESS� ' sLICENS � , r�\\\IL �e ��Q ��l Pfi C N SCALE: DATE READING NET TIME WATER LEVEL NET DROP READING (INCHES) (INCHES) 7/31/2025 1 _ 6- 0 /16" 2 10 MIN. 3 - 0/16" 3 - 0/16" 3 6- 0 /16" 4 10 MIN. 3 - 6/16" 2 - 10/16" 5 6- 0 /16" - 6 10 MIN. 3 - 10/16" 2 - 6/16" _ 7 6- 0 /16" 8 10 MIN. 3 - 14/16" 9 6- 0 /16" - 10 10 MIN. 3 - 14/16" 2 - 2/16" 11 6- 0 /16" - 12 10 MIN. 3 - 14/16" 2 - 2/16" PERCOLATION RATE 4.7 PERC. HOLE DIA. 6 _(MIN./INCH) (INCHES) TEST RUN BETWEEN 6.5 FT. AND 7.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES , NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS- SOILS WERE VISUALLY CLASSIFIED. &w DOC CO dba BILL a COLE ULLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 68-2758 OWNER OF LAND: Charles Hart ADDRESS: 9291 Basher Drive Anchorage, AK 99507 LEGAL DESCRIPTION Hillside North Addition #9 Lot 4 DATE: 10-31-16 Bore Hole Data Depth From To 0 2 Casing Stickup PERMIT NUMBER: OSP161197 DATE OF ISSUE: 9-24-16 TAX IDENTIFICATION NUMBER 04103207000 Is well located at approved permit location: NYes No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 105' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 104 feet Liner type Static Water Level: 72 feet Recovery Rate 15 ® gpm gph Method of Testing Air Well Intake Opening Type: Zopen end open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 Ibs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: yes no Method of Disinfection: Chlorine 50 PPM Comments: 2 4 Overburden 4 42 Silty Sand & Gravel Tight 42 45 Tight Sand & Gravel 1 GPM 45 87 Hardpan & Cobbles 87 95 Tight Silt Sand & Gravel w/ Clay 95 105 Sand & Gravel Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. Well Drilling Permit Number: SW Parcel Identification Number: ® DOC CO dba 190 BILL & COLE ULLIVAN WATER WELLS G P.O. Box 670269, Chugiak, AK 99567 688-2759 www.suilivanwaterwells.com Pump Installation Log OSP161197 Date of Issue 9-24-16 04103207000 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program poBox 196em 4700 Elmore Road Anchorage, maokaoun100000 p o^ Fax: (anr)n*o'7enr Permit Number: OSP221316 Work Type: Septic Upgrade Tax Code Number: 04103207000 Site Legal Address: HILLSIDE NORTH ADDN#QLT 4 G:2142 Site Mailing Address: S281BASHER DR, Anchorage Owner: HART CHARLES VV&SONJAL Design Engineer: GARNESSENGINEERING GROUP LTD This permit isfor the construction of: 21 Disposal Field 21 Septic Tank [] Holding Tank [] Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 8123/2022 &@3/2O23 298195 []Private Well 13 Water Storage All construction shall heinaccordance 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 (18/AC72)and Drinking Water Regulations (18/AC8O) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65.Provide notification bycalling (007)343'7904(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: o. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: ^ With the Inspection Report, submit the well paperwork to close the 201Opermit: 1.Well Log 2.Pump Install Log 3.Water sample results ^ Per the owner, the cabin shown onthe survey inashed. Received Issued By 3 MUNICIPALITY OF CHORALE Development Services Department =_= p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 041-032-07 Property owner(s) CHARLIE HART Mailing address 9291 BASHER DRIVE *ANCHORAGE, AK Site address 9291 BASHER DRIVE *ANCHORAGE, AK Day phone 907-830-0168 Legal description (Sub'd., Block & Lot) HILLSIDE NORTH #9; LOT 4 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field 0 Initial ❑ Single Family (SF) Q (w/wo AD U) Septic Tank Upgrade 0 (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: 1 certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: k59 5 Waiver Fees: Date of Payment: Date of Payment: Receipt Number: O( 5 G Receipt Number: Permit No. () S p,�,2 13 % ( Waiver No. GADevelopment Services\Building Safety\On Site Water and Was tewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221316, Deb Wockenfuss, 08/23/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221316, Deb Wockenfuss, 08/23/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221316, Deb Wockenfuss, 08/23/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221316, Deb Wockenfuss, 08/23/22 ± s s• t w <. TV13G 3snOH X0018 31360NOO jo 8 Hui 30V801S 13AV8,, � 1----` MUNICIPALITY OF ANCHORAGE r,.J Oo•• �', On-Site Water & Wastewater Program • Sc , • :` ` ;���;\ i PO Box 196650 4700 Elmore Road `N , q l': } Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997c,• 11. http:/hwrw.muni.org/onsite :• i Department N-Zg;oa':•aE On-Site Water & Wastewater System Permit Permit Number: OSP181402 Effective Date: 11/21/2018 Work Type: WellSeptic Renewal Expiration Date: 11/21/2019 Tax Code Number: 04103207000 Site Legal Address: HILLSIDE NORTH ADDN #9 LT 4 G:2142 Site Mailing Address: 9291 BASHER DR, Anchorage Owner: HART CHARLES ,N & SONJA L Lot Size in Sq Ft: 298195 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 1 This permit is for the construction of: • 0 Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: The Record Drawing submittal is to include information for the well drilled under the original permit. Received By: 4111( Date: ///2/4 e Issued By: /per. /� Date: /Vill/ted MUNICIPALITY OF ANCHORAGE Community Development Department ..j) Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water&Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATIONef ,i) Parcel I.D. tjy (-632--67 Property owner(s) C_Yt•eS So„y' \-\-* rt Day phone Mailing address a4 FO . i vim^ (z—t. 4-1 s prn,G/, Ak figsd7 Site address ,S f ' Pi-c(6-14 r Legal description (Sub'd., Block & Lot) t—i(1S,, (� '` H 6-- I L. Legal description (Township, Range & Section) Lot Size a Q� /9'S— Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: {®all that apply) Absorption Field 11 Initial Q Single Family(SF) ❑ (w/wo ADU) Septic Tank [ Upgrade ❑ Duplex(D) ❑ Holding Tank ❑ Renewal 151 Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: uoct(yta-r--- (o5vic0100 Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. tV, (Signature of property owner or authorized agent) Pec✓ e Permit/Rush Fees: X1/0 r /4o Waiver Fees: Date of Payment: ////a08 Date of Payment: Receipt Number: 6s� Receipt Number: Permit No. 0SP Waiver No. Permit App_9-1-12.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181402, Deb Wockenfuss, 11/21/18 On-Site Water & Wastewater System Permit OSP161197 O41032O7OO0 WellSeptic 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 to HILLSIDE NORTH ADDN #9 Permit Number: Tax Code Number: Work Type: Initial Permit Effective Dates: September 24, 2016 Design Engineer: Pannone Subdivision: September 24, 2017 Site Legal Address: HILLSIDE NORTH ADDN #9 LT 4 G:2142 Owner/Address: HART CHARLES W & SONJA L 2440 E TUDOR RD #195 ANCHORAGE AK 995070000 Site Mailing Address: 9291 BASHER DR, Anchorage Lot Size in Sq Ft: 298195 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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 Issued By: Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road Anchorage, A aska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997 http:llwww.muni.orRlOnsite Development Services Division On-Site Water and Wastewater Proqram **** VARIANCE/WAIVER REVIEW **** WaiverS: OSV16t081 COSA#: I Permit#: OSP161197 PID#: 04t-032-07 Legal Description: HILLSIDE NORTH ADDN #9 LT 4 Engineer: Pannone Engineering Services Applicant: Charles and Sonia Hart Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 15.0 feet. 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. [] The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. [] Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. [] Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: ' i~me of R~viewer~/' **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department ~ Phone: 907-343-7904 Development Services Division Fax: 907-3,4~ On-Site Water& Wastewater Program ON~SITE SEWER/WELL PERMIT APPLICATION /~ / ~ ''~ Parcel I.D. 041-032-07 Day phone Proper~y owner(s) Charles & Sonja Hart Mailing address 2440 E Tudor Rd #195, Anchorage, AK 99507 Site address NSN Basher Drive Legal description (Sub'd., Block & Lot) Hillside North #9, Lot 4 Legal description (Township, Range & Section) Lot Size 298,195 .Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: ([~ all that apply) . Absorption Field [] Initial [] Single Family (SF) [] (w/wo ADU) Septic Tank [] Upgrade [] Duplex (D) [] Holding Tank [] Renewal [] Multiple Dwellings [] Privy [] (SF and/or D) Private Well [] Water Storage [] THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance to steep slope Distance: 1 5' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) PermifJRush Fees: ¢ (J~) -' Date of Payment: Receipt Number: Permit No. ~S~I~II~ Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_J- :. :'-.Cc .' Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve~panenAak.com Subject: Hillside North Addn. 9, Lot4 Septic System Upgrad~ Permit Request Design Narrative 8 September 2016 This is a design narrative for a permit to install a well and septic system to be issued for this property. The proposed system will serve a proposed four-bedroom (4BR) house with a one-bedroom (1BR) ADU, for a total of five bedrooms (5BR). Currently the lot is undeveloped. This lot and the surrounding lots are served by private wells. There are no wells within 100' of this system. Soils. One test hole was performed on this lot by PES in June of 2016, and groundwater was monitored for at least seven days: Ground water was not observed to a depth of 18' below the surface in the test hole monitor tube after the 7-day monitoring period. Bedrock was not encountered in the test hole. Based on the results of the percolation tests and overall soils appearance; an application rate of 0.g gallons/day/square feet was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design, a. See Sheet I of the design package. 3. Surface Water: There is ne surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4, Topography:The proposed system sits at the top of a small knoll near the proposed house. To one side the slope is approximately 45% and to the other the slope is approximately 12%. See slope waiver request. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve(o~panengak.com July 12, 2016 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Hillside North Addition 9, Lot 4 Septic System to Steep Slope Waiver Request Ladies and Gentlemen: I am writing to request a separation distance waiver between the proposed septic system and a slope of greater than 25% to fifteen feet (15'). The soils in this area are typically Hydrologic Soils Group A which contains organics underlain by gravel and sand. PES conducted a percolation test on the proposed lot and foumd a percolation rate of three point five minutes per inch (3.5 mpi). The soil composition and percolation fate confirms the soil classification of HSG A. Due to the nature of and drainage capacity of the soils found in the area (HSG A) the designed infiltration line of 45% for septic system installation on steep slopes should be used instead of the assumed/worst case soil classification infiltration line of 25%. The slopes and soil types enable installation of any conventional system without the system effluent 'daylighting' further down the slope of the hill provided bury depth requirements are met. Granting this waiver will not pose a threat to the safety of this lot or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 Please contact me if you have an Sincerely, ?. ...... ,....j Steven R. Pannone, Owner/Civil Engineer ^ttachments: -Site Plan comments or concerns, Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 ~ PANNONE ENG SVC, LLC ~.?~,~ ~°~ ~OhAL ~. ~ ~ PHONE (gO7) 272-8218 FAX (go7) 272 8211 ~.. ~'-.~ i Scoe DRM CHARLES ~ SONJA HART PLAN ANCHORAGE, AK 99507 ~.?~p~X~(~$~ Sheet Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181402, Deb Wockenfuss, 11/21/18 DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO BEDROOM: 5 (ThO gpd) TAN'4 SIZE: /5009 PERC RATE: 5.b MPl SOIL RATING: 0 8 GPD/SF AREA ROD: 9375 SF SYS TYPE: DEEP TRENCH 80'E0 MIN LENGTH: 586 LF USE: 6OLFx2 5'WxS.O' ED, /2.0' TD TOTAL AREA: 960 SF ABBREVIATIONS TH TEST HOLE EA EACH FCO FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO C# CLEAN OUT NO M# MONITOR TUBE NO RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER (E) EXISTING (P) PROPOSED TYP TYPICAL LEGEND WATER LINE/ WELL RADIUS -- 88 -- NEW SEPTIC NOTES: FOR CONSTRUCTION DRAWN BY: DRM DESIGN DETAILS PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, ~K 99510 PHONE (907) 272-8218 FAX (907) 272-8211 HILLSIDE NORTH fig, Lot ~ CHARLES & SONJA HART DASHER DRIVE ANCHORAGE, AX 99507 $teven R P CE 8149 9/12/2016 Scale 1"-10' PID NO ~ERkIIT OSP161197 Sheet 3OF 5 S E~IAL PROVISIONS TO SPE~IFIsa, TIONS 1. ALL CONSTRUCTIOXl SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON SITE WASTEWATBR DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 156b AND lob5 2. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM AND SLPTIC TANK INSTALL WELL 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 18 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 18 FEE1 BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEbl CONTRACTORS) HAD THE WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 50 PEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK THF CONTRACfOR IS RESPONSIBLE FOR ALL R.OW AND OTHER REQDIRED PERMITS OTHER THAN THE A/TACHED. THE CONTRACTOR SHALL CALl FOR LOCATING OF ALL BURIED UTILITIES 7. THE CONTRACTOR SHALL PROVIDE 2& HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK ALL SURVEYING AND LOCATES WERE iN PLACE PRIOR TO NOTIFYING THE ENGINEER 8. THE CONIRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND S!TE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO blODIFY THE DESIGN AT THB COMPLETION OF THE WORK, THE CONTRAC/OR SHALL SUBMIT RED-LINE AS-BUILT DRAWINGS TO THE ENGINEER THE RED-LINES SHALL hNCLUDE PIPE LENGTHS, ORIG,N,~L GROUND ~LE~ATIONb, PIPE ELEVATIONS, AND TANK ELEVATIONS /0 IRE CONTRACTOR SHALL PROV!DE PHOTOGRAPHS OF /HE SYSTEM INSTALLATION TO INCLDDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN OUIS AND MONITOR TUBES INSTALLED, INSTALLEB TANK AND FINAL GRADING 11. THE CONTRACTOR SHALL PROVIDE DATA ,{UPON WHICH THE RECORD DRAWING WILL BE BASED) THAT REPRESENTS THE PROJECT AS CONSTRUCTED THIS DAA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIDNEE) AS REQUIRED BY AMC 15 65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRAC/OR 12 THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CER/IFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT /HE AS-BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED CONTRACTOR BY: TITLE: DATE: NOTES: FOR CONSTRUCTION DRAvVN BY: DRM DESIGN DE/AILS PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, ~K 99510 PHONE (907) 272-8218 FAX (907) 272-8211 HILLSIDE NORTH ~9, Lot 4 CHARLES & SONJA HART BASHER DRIVE ANCHORAGE, AK 99507 S[even R Ponn~' CE 8149 Bate 9//2/2016 NTS PlO NO PERMIT NO OSP/61/97 Sheet 5OF5 %EST HOLE 1 OR GM/ SILTY GRAVEL/ SM SILTY SAND BOH DATE PERFORMED: 06/20/2016 SLOPE SOILS LOG - PERCOLATION TEST X TH WAS GROUNDWATER ENCOUNTERED? N IFYES, AT WHAT DEPTH? ...... DEPTH TO WATER AFTER MONITORING? -DRY- DATE: 07/11/2016 ~ BR HOUSE © ,,/ SLOPE l/ TH X J I WATER READING DATE CLOCK TIME NET TIME LEVEL NET DROP I READING ~ 6/20/2016 9:00 I --- 6.67 ___ 2 9:10 10 MIN 9.54 2.87 3 9:10 _. 6.67 ._ 4 I 9:20 10 MIN 9.52 2.85 -- 5 9:20 --. 6.67 --: 6 I 9:30 ~ 10 MIN 9.51 I 2.84 SOIL TEST RESULTS/ANALYSIS · PERCOLATION RATE 3.5 (rain/inch) · PERC HOLE DIAMETER 6" · TEST RUN BETWEEN 4 FT AND 5 FT. · TEST RUN FOR OVER AN HOUR, LAST THREE READINGS PROVIDED, COMMENTS: Test hole excavated by WHITTERS EXCAVATING. Test Hole was presoaked before Perc test. PERFORMED BY: DAN MORAN. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATF AND MUNICIPAL GUIDI_INES IN EFFECT ON THE DATE OF THIS TEST, NOTES: FOR CONSTRUCTION DRAWN BY: OPM SOILS LOG PANNONE ENG SVC, LLC P.0. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 HILLSIDE NORTH #9, Lot 4 CHARLES & SONJA HART BASHER DRIVE ANCHORAGE AK 99507 N TS PI D NO 40F5 PLOT PLAN AS BUILT -2�- SCALE 1" = 100' GRID SW 2142 _ Project No. 16-188/131 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fox Professional Land SurveyorS ken0longsurvey.com .OF A ......... jonothan0langsurvey.com I hereby certify that I have surveyed the following described property: LOT 4, HILLSIDE NORTH SUBDIVISION, ADDITION No. 9 (Plot No. 2001-176) Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the Day of v = of Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plot. HOUSE DETAIL SCALE: 1' = 20' 11.4-1 24.2. 1 STORY V, *1� HOUSE FLOOR EL. 890.0 ?4,2' 35.6, b 9 49TH ................ KENNETH G. LA ca LS -5202..** W,�� Sl 0 NA- AECC963 rn 15' T&E EASEMENT - n N C1 n S 89*35'32W 658.21 J LOT 5 N 86-54'18"E 362.72' GRAVEL DRIVEWAY 129.1 76.81 SEE "HOUSE DETAIL" ca ci C LOT 4 6.846 Acres �o WELL 25' WIDE STREAM PROTECTION SETBACK ON EACH SIDE OF THE THREAD OF THE UNNAMED CREEK (PER AMC 21.45.21 Q) - - - ___z 'X 1z LOT 1 N Cq LOT 3 JI) TRACT D -2B MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Section Phone: (907)343-7904 Fax: (907)343-7997 Certificate of On-Site Systems Approval OSC251381 Parcel ID 041 -032-07 Expiration Date: '}: / 3 I / J () d--b Legal description HILLSIDE NORTH ADON #9 LT 4 Site address 9291 BASHER DR current property owner(s) HART CHARLES W & SONJA L L_ The On-site system(s) is/are approved for _1_ bedrooms __ Conditional approval for __ bedrooms, with the following stipulations: Comments or conditions: No comments By: <~ Original Certificate Date: 9/3/2025 ...;;:;-- 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 Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory ____ _ Absorption Field Advisory ____ _ Nitrate Advisory Tank Age Advisory Arsenic Advisory Other ;_,~~ Development Services Department On-Site Water & Waste\,vatei-Section ' '~> 1/ ~-... _,, .,· Phone: 907--343-7904 Fax: 907-:343-7997 Certificate of On-Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 04 i-032-07 complete legal description HILLSIDE NORTH ADDITION #9; LOT 4 Location (site address) 9291 BASHER DRIVE, ANCHORAGE, AK Current property owner(s) CHARLIE HART Day phone 907-830-0i 68 2. ON-SITE SYSTEMS SIZED FOR _i_BEDROOMS 3. TYPE OF WATER SUPPLY: Ii] Private Well serving #_i_ dwelling units D Other Non-public well as regulated by MOA O Water Storage D Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: [j] Private Septic □ Private Septic serving 2 dwelling units D Holding Tank D Community Septic or Public Sewer 5. SEPTIC TANK: Ii] Steel O Plastic O Concrete O Fiberglass Age _9_ -See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: 0 AWWTS O Bed [j] Deep Trench O Wide Trench O Seepage Pit Waiverrequest for: DRAINFIELD TO FOUNDATION Distance: 5'+/ 3 r5 ft Expedited review requested: D By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. GOSA Fee $ f (J ~ --------------Waiver Fee$ ---------- 0 ate of Payment _a-o~Z~l_vf _____ _ Date of Payment ________ _ COSA# O<f Z~l?rl Waiver# __________ _ O>VL<i/0¼ COSA Applicalion_Apr2025.doc COSA Checklist Legal Description: HILLSIDE NORTH ADDTITION 9; LOT 4 Parcel ID: 041-032-07 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA R Well log is filed with Onsite (or attached) Date drilled 1013112016 Total depth 105 ft Cased to 104 ft 0 Sanitary seal is functioning correctly R Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/31/2025 Static water level at beginning of test 68.7 ft. Comments B. TANK DATA Measured operating fluid level in septic tank Date of pumping 8/18/2025 ❑ Required maintenance completed, if AWWTS Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) `6/15-16/2016 0 ALL standpipes present per record drawing Total measured depth from grade 10.0 ft (max) Measured depth to pipe invert from grade 5.6 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective *4'+/- ❑ 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/A If yes, enter date Well production at time of test 7.6+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes No FOR Coliform bacteria is Negative Nitrate 2.34 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑Q Arsenic less than MRL (ND) Collected by GARNESS ENGINEERING Date 7/31 /2025 T STATION ❑ Require ' tenance Age of lift station Lift station lal ents: Adequacy test date 7/31/2025 Results 0 Pass Fluid depth prior to test 34 in Water added 460 gal New fluid depth 52 in Elapsed time 150 min Final fluid depth 36.5 in Absorption rate 150+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) *60 in Effective depth used *48.5 in Effective depth remaining *11.5 in Comments/Deficiencies: *PER GLW ENTEPRISES, DRAINFIELD HAS 5' (60 INCHES) OF EFFECTIVE. PER GEG ELEVATION SHOTS (INVERT OF DISTRIBUTION LINE AND BOTTOM OF MONITORING TUBE) THERE IS APPROXIMATELY 48" OF EFFECTIVE. COSA Checklist—May2025.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100' Z Yes if No ft Neighboring Tank > 100' FV Yes if No ft Disposal Field on Lot > 100' Q✓ Yes if No ft Neighboring Disposal Fields > 100' Q Yes if No ft Sewer Line/Main > 100' ❑✓ Yes if No ft Sewer Manhole/Cleanout > 100' [�✓ Yes if No Sewer Service/Septic Line > 2547 Yes if No Holding Tank > 100' Yes if No Animal Containment > 50' 0✓ Yes if No Manure/Animal Excreta Storage > 100' Q Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) ft ft ft ft ft Tank to Foundation > 10' ❑ Yes if No *5 ft Surface Water > 100' Q✓ Yes if No ft Field to Foundation > 10' ❑ Yes if No *3.5+ ft Wells on Adjacent Lots: Tank to Property Line > 5' ✓� Yes if No ft Wells > 100' ✓0 Yes if No ft Field to Property Line > 10' [Z]Yes if No ft Community Wells > 200' p✓ Yes if No ft Water Main/Service Line > 10' ❑✓ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL. **SEE ATTACHED WAIVER REQUEST LETTER. 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 Garness Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gayness, P.E. Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist_May2025.docx A, 9 H......... 7-. ,,V try P GornessA #AECC884 d i��� �r_rflfess}o al�o ality P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On-Site Water and Wastewater Program **** V ARIANCE/W AIYER REVIEW **** Waiver#: OSV251036 COSA#: OSC251381 Permit#: ___ _ PIO#: Legal Description: HILLSIDE NORTH ADON #9 LT 4 Engineer: Garness Engineering Group Your request for a waiver of the required 10 feet horizontal separation from the disposal field to the foundation has been approved. The approved separation distance is 3.5 feet. This waiver approval applies to the existing disposal 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: 4 / 3 /g_ Od-k? Approved by: -...,,,=2...-.(-.,_ ......... _~====· =-=--·· _____ _ Name of Reviewer ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• **** VARIANCE/WAIVER REVIEW****