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HAMPTON HILLS #1 BLK 2 LT 7
,,"~"x 4~" CAPPED 5TAhtDPl pF' PERFORATED PLASTIC. P~PE SOIL 'ABSORPTION SYSTEM DEPTH-I~ FT. LENGTH - / GRAVEL DEPTH- 8 FT. / RF_~'i:)/~EL~ORPTION AR~.,L', = 5.32. FT:z ~UIL~I-/~S¢)gl:~T1OU ARFJN= 57G FTz NOATU~AST COR~tE~. OF ,~ / BEOI~,OOb4 DxA/P--LLIN6.) ,~- ~,// "x~'x / ~'. ,, // /'"~'--'~IZSO GAL STEEL- SBP'TIC -~'/:,NK W/ "q-'CAsT I~ON PIPE ~ "~ C.^ppE. D CLEANOUT. IASBUILT MUNICIPALITY OF ANCHORAGE DEPT. OF }!EALTH & ENVIRONMENTAt. FLOTECTtON ',APR a 9 ,98! RECEIVED ISCALE.1 10- I INSTALLED: 0C F I:J~980_ SEPTIC SYSTEM/ ~ .-,:.g,-,.--:,,,,, o ~ :z:',,"zrzz: HILLS 825 "L" S'TNEET ANCHORAGE, ALASKA 99501 {907} 264-4111 C,£ORG£ M. SULLIVAN, MA YOR DEPARTMENT OF ;t[:A[.¥H ANt) EIJVI ~ONR1EN I At ~ROTECTION December 31, 1980 Douglas E. Swanson 4236 Irene Drive Anchorage, Alaska 99504 Permit ~ 800414 Subject: Lot 7 Block 2 Hampton Hills Subdivision A permit issued by this department for well and/or sewer system has expired as of this date. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, LNB/ljw eric: Copy of Permit SWP/057 Z Z ~ 8 F'EF;:M I ]" NO. [:'EPFIRTMEN'T' ' HEFILTH FIN[:, EI'.,I',,,'I RCINMEi'.'ITflL.. ')TECTI ON ..... :. .... '" L L:;.,TREET., FIhlC:FIORFIGE., FII ..... ::'gLO': ..... f. 264--472E~ ':: 80E 4::1.4 ::' FIF'Fi--:[CFINT [:,OUGLFr:; E. ::,IIHN:,JN 42'}~:6 IF..EI''IE DF.'I',,,'E I,,. El C FI T I ClI"'I LEGi"-iI_ L? B2 HFiI'IF;T~DN, HI:ELS :~l L.C/T E;IZE I~F[:. OF :SOIL. I--~E:'=,CF'PTIOi,.~ S'¢:5TEM IS ' ' F' '- ' FREIq 33 ]: - 24:1. 7' 42'-:.'r76 Sg!I..IFIRE FEET MRXIMUi'"I I",ILIME:ER OF E:E[:,R00MS.; = 3 S.;',OIL F.'.FtTING (:BLT.! FT,."E:R::,= 1'75 "I"I-4E LEI",tGTH [." I MENS.; I ON IS THE LEI',IG'FH (IN FEET) OF THF TF..EI.,I_.H CR [:,RRII'.,IFIEL.[:,. THE [:,EF:'TH CF FI 'f'RENCH OR PIT IS!; THE [:,I'.=-;TRNC:E BETHEEN THE GROLIN[:, FIN[:, THE E, D rI'LM OF THE E,.'.,L.H,NTICN ,'IN FEE:]'.'.,. .:,JF:.FF.IL.E OF THE THERE IS; NI3 S.;ET HI[:,TH FJE TRENL':HES. THE GRR',/EL DEPTH IS THE MINIMUM DEPTH L]F GRFI',/EL BETHEEN THE OIITFFILL F IF'E INSTFtLLFITIOI'.'I INSPECTION:.-]; OF FIN'¢ HELLS.; Ft[:,JFICENT TO THIS F, ROpER"r,¢ IRN[:, THE NUME:ER OF RESIDENCES THFIT THE HELL HILL '= ['E,~ HI,.. rtlEi'., HILL E:E ':..' ."., PF.. J.::,EL.U] I LIN. LB .1..~H TO 200 FEE]" F'RCd','I Ft PUBLIC HELL [."EPEN[:,ING LIP]N THE 'F"r'F'F' OF PUBLIC .HELL. i'"IINIr,IUM [:,ISTFII'..ICE FF..DM R FRi,,I. TE .WELL TO R F'F.:I',,,'FI'FE -,EHER LINE N:P; FEET RI'.,IE:, :' '"' I'_-] - TO R COMI',IUNIT'¢ _,ELJER LINE I':; ,.._ FEET. OF ]"HE HELL. C:OMPLET I C N "" '"-' OTHER F~tEL.':.¢J.IREMENTS I',]FI'¢ FIPF'L'¢. S.;PEC:IFICRTIF~NS RN[:, 'F '- , ~ - P ,I-. ILhELE TO II"'IS.;URE PROF'EF:: INS]"RLL.RTION. It=-:"- E:.-'F_' ~:: ~""1 .E '"IF" IFE.. ,:-:, IF- .:E .1~-. E~ __. -', - ,"~ .- ..::. - .... ., . ..~ .=.... ""'" '='"'"'":' LT.- g ..... F_I' ! E. IE~.I ..... -~:.:::L.. :-]. ....... ~.~ I CERTIF"T' THFIT ::L: I FIF'I FF:Ir'IILIF:IF.: HI'f'H THE REL.-.!UIREMENTS FOR ON-SZTE '-- ~,- _,E[IER.:, RNr:, HELLL-T, i-":15 ': .:,El FOF.:TFI B'T' THE MIJN I C f F'F'IL I 'f'"r' OF RNF:HFIF:tFIGE. 2: I .HZLL. INSTRLL THE S'T'S.;TEM IN FIF:CORDFINCE HITH THE CODES. 3: Z UNE:,ERSTFINC, THFI]" THE FtN~.-.$f'I"E S.;E.t,.IER S.;"r'STEM MR"r' REQLIIRE ENLHP,.~Ei'IENI IF THE FE l[,El',, E,,~ FE~[L.E~L,7 .LLIE.,E HI.JRE r~'lltl'd _. E,E[.,g. UUt"IS. "4-"~c~ L..- ., 'b= // ........ L..":,r',TE .... J .f 2_ C-k ¢ = '/ U n 5. f :i. ,';dC ..... I a .~, '~, GM S M a I 1 owc. d, ,~c ]]:~ of t.ltc * (:las:;(;:; m;:LY })(:; uL'i'l,:i.×c,d J~: ,';at:ir })c ]:'co la i: j o1~ r a l: ['~,~ lt..-50 c:l~.'i].~L i;.it'i:od tvith so]id .md ho]].ow-.~Jk(m~ itlicj(~u, The bill t:.i o::~, IIRL: pi: ~0 /'4 87 ° 51' 2,~" F_ FRAME HOU~E:/i~. LoT '7 / 3i=_PTIc ;SY~'rF_~ N 89° 07' ;50" W ~--222,8o LOT ~i ,5(~" × ~0" REI~AR '~ET ,~T'ALL- LOT CORNEP~S LOT 8 GERTIFIC~TE OF LAND SURVEYOR ENVIRONMENTAL PJ:OTECTION APR ~ 9 !981 RECEIVED A%BUI LT PLOT PLAN Isa~_~: ,:'-,~o' LOT 7 BLOCK 2 HAMPTON HILLS N0.'II ~'I-~=~To~,,,,,._ J DATE; l-I Z-80 I I / / ~T 17 Development Services DepartmentPhone: 907-343-7904 W On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-134-55 Expiration Date: 1. GENERAL INFORMATION Complete legal description Hampton Hills # 1 Block 2 Lot 7 Location (site address) 10271 Hampton Dr, Anchoage, AK 99507 Current property owner(s) Douglas Swanson & Vicki Saunders Day phone (907) 360-9940 Mailing address 10271 Hampton Dr, Anchorage, AK 99507 Real estate agent 2. TYPE OF DWELLING: ❑E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic ■❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ SEn Date of Payment Receipt Number COSA #0 �G ZZ 11 �3 % Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER -- As -certified -by -my -seal -affixed -hereto -and -as -of -the -validation dateshown below,—I verify that rrmy 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller, P.E. 6. DSD SIGNATURE System #1 Approved for 4 System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms Phone (907) 522-7773 Date 5/4/22 Adw F. •4��`�ll co TMy�i i r% • .. Benja n'LwSchiller 653 • CE 12592 •��� AmPe OFESSIO��f bedrooms, with the following stipulations: 0))))))111 Original Certificate Date: s �Z -z©zZ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet -111 -Ham ton -Hills #1 Block -2 Lot 7 __ __ _ _ ____015- 34=55_ Legal Description: P Parcel ID: If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA M Well log is filed with Onsite (or attached) Date drilled 10/14/1980 Total depth 208 ft Cased to 191 ft M Sanitary seal is functioning correctly Fil Wires are properly protected Casing height (above ground) +16 in Date of flow test for COSA 4/25/22 Static water level at beginning of test 168 ft. Comments B. TANK DATA Age of tank(s) 11 years Tank type/material Septic/Steel Measured operating fluid level in septic tank 49 0 Standpipes/foundation cleanout per record drawing Date of pumping 5/14/21 Isaacs Pumping Service D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 7/20/2010 R ALL standpipes present per record drawing Total measured depth from grade 12.3 ft (max) Measured depth to pipe invert from grade 4.6 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 7.7 Q Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Structure served by this system Well production at time of test 3.3 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ N ❑o Coliform bacteria is Negative Nitrate 7.85 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L M Arsenic less than MRL (ND) Collected by Forge Engineering Date of Sample C. T STATION ❑ Require int. Age of lift station Lift station material Comments: 4/13/22 completed Adequacy test date 4/25/22 Results ® Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 660 gal New depth 0 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate '600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From- Private Well on Lot to "(Please enter -distances if less -than -required or if community well) EJ Yes Septic Tank/Lift Station on Lot > 100' ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' 0 M✓ Yes if No ft fYes if No ft Neighboring Tank > 100' M✓ Yes if No ft Private Sewer/Septic Line > 25' M Yes if No ft Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' M✓ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' M✓ Yes if No ft M Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' MYes if No ft P1 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q✓ Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5'✓LJ EJ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' r✓ Yes if No ft Water Main > 10' [✓1 Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' M 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' EJ Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓M Yes if No ft Private Wells > 100' E✓ Yes if No ft Water Service Line > 10' M Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS WAIVER# OSP111027. Separation distance to slope greater than 25% approved to be 35 feet. G. ENGINEER'S CERTIFICATION l certify that l 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. COSA Checklist yellow sheet A001- 4,9 •'"� J TM �WA r�� �..• Benjar>lySchiller .•.:� CE 125925/4/22 PROFESS14NP�FA r DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On -Site water and wastewater Section Fax: 343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC 221187 Subdivision: Hampton Hills #1 B2 Lot 7 A vvatersample revealed a nitrate concentration of 7.85 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can.therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Ma�l�ng Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical' methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. s� Mailing Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org _ MCLURE — CIRCLE 11=270)0' L=39.27'\ N87° 51'23"E 99.24' L-61.21' A� I7 . i '' •.:N r:. a.' '.I " r K�'• . .. '. 38.4' � 6. '�., ^.,. I u 4y Y r. 3B.6 EXISTING 12.8 N %%1. �, ,• �- - HOUSE _ t� �'� -'61.'8: .� N020 08' 38"W a '32.7 26.35' ; a h i� �1.8' '-�- CO o CM CO (2) / Co (41 w l k C �/i i M LOT 8 30' 11 `c c`L 33Y �- / r CO (2) 3: ) } N o� M1 S LOT 7, LU rn I Q n t` In It ° 0 CD Z I 10' UTILITY EASEMENT I I30' r1 jI I N890 07'30"W 222.80' 1 LOT 6 LOT 1 � 1 OOF V O � a�TH NOTES: 0 .............................. 1. THIS DRAWING SHALL NOT BE MODIFIED WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. a c STEVEN CALLA 2. FENCES APPEAR TO CROSS LOT LINES. /� 0 3. RETAINING WALLS APPEAR TO CROSS LOT LINES. P�nr . LS -12034 AS -BUILT ORDERED BY: DOUG S4VANSON PARCEL#: 015-134-55-000 LEGAL DESCRIPTION: ADDRESS: 10271 HAMPTON DRIVE LOT 7, BLOCK 2, HAMPTON HILLS UNIT NO. 1 250 H Street Anchorage. Alaska 99501 Survey Department Phone 562-5291 'j j IIIC Malnllne �' ¢ngeneetp'J ' duA+�PsJin4 Phone 243.8985 - AECC 668 SURVEY CERTIHCATION: LOG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPER IY AS SHOWN ON M15 DRAWING ANU CERTIFIES I HAT [HE IMPHOVEMEN IS SITUATED THEREON ARE WITHIN THE PROPERTY UNES AND NO ENCROACHMENTS EXIST OTHERTHAN NOTED OR SHOWN. EXCLUSIONARY NOTE: IT IS THE OWNERS RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EASEMENTS. COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON RE USED FOR CONSTRUCTION. FOR ESTABLISHING PROPERTY LINES. OR FOR PLOT -PLAN PURPOSES. LEGEND: CLEANOUT CO(#)O ' Grtfei • WELL l+y� - :7onA OeL4, ! Cornet? . SATELLITE DISH FENCE - DRAWN DATE: 05/12/2022 WORK ORDER: 22013 DRAWN BY: ALIS PLAT: 76.141 CHECKED BY: SC r5ID: SW2540 SCALE: 1" = 40' 1 FB/PG: 823/26 REF: 201 OL92