The URL can be used to link to this page

Home My WebLink AboutRABBIT CREEK VIEW & HEIGHTS BLK 5H LT 22A MUNICIPALII-Y OF ANCHORAGE ~"~--) ~/~/Z-~ DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 'L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT %Cc (/ '7"1(1'1/ No of Bedrooms~ TANKS SEPTIC [] HOLDING TYPE OF SYST[:M N,4-. DISTANCES TANK ABSORPTION FIELD WELL WELL 10~' N, 4. LOT LINE ~ ~ ' N,/~. ~ 2. ' FOUNDATION / 7 t N, A. g ~ ~ AS-BUILT DIAGRAM ~Show [dent,on oi womm. seplmc system, property Imnos, IoLmclatmon, 'FRENCH [] BED [~ W. DRAIN [] OTHER WELLS ~X~ PRIVATE ~ OTHER fldentifvl Class,heat,on (A B C~ [~°talDepth F~1 Casedt° FT REMARKS: (-~O(¢(mr¢ ~[~ f~((~o~¢~c~ el, Scale: It' ~ ~¢ t Inspections Performed by. F I~.t-A*? 7-e~A -Cue. I ~J"'-.~' ~'~¢.-~..,Z~ cerlily that this inspection was performed according to all l~lunicil)al and Slate guidelines in effect on this date: ~ ~tS' / c~.~ ~ ~. 72 0]3 t3,'85) ENGINEER'S SEAL % CE.3589 ~0 iFlattop Techn~ca! Services 14530 Echo Street AAqhoraoe, Alaska 99~ ~unicip~l~y o~ Ancnorage' DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Ataska 99502-0650 SOILS LOG ~ PERCOLATION TEST LEGAL DESCRIPTION:AZg 8~ R~66`t ~k, ~ 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 T~f COMMENTS IcA ',,,THEODORE F. MOORE ~* ..' %~,_'%. ..' ~'~ DATE PERFORMED: ~/83 /¢~ Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? Y S L IF YES, AT WHAT ¢1 O DEPTH? I .,,,~ p E Depth to Water Alter.. Monilorino? I? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~,,~. tmlnutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN ~, ~ FT AND ~',~,$'" FT PERFORMED BY: ~/O~ ~edl~C~ 5erv~ i ~~ CER]IFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STA~E AND MUNICIPAL GUIDELINE8 IN EFFECT ON THiS DATE. 72-008 (Rev. 4/85) PERFORMED FOR: ~:'lattop Techn~ca! Services 14530 Echo Street Anchorage, t[laska 99518 Municipality of Anchorage DEPARTMENT OF HEAL-FH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 'F.H. ~e/ ~/~,~' - &/~, D~,~ oF ¢om,~,-c c LEGAL DESCRIPTION: 5 6 7 8 ~2 ~3 14 '17 18 20 COMMENTS C/~, t¢/'~ Township Range, Section: "/-II N~ /~Cr¢,~ Sec .[ 1 2 3 4 6 l~e SLOPE SITE PLAN -r"e_~-¢ ho/¢ WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 17, o" ~ 0 P Depth lo Water Alter ~ ,~ 17, ~,~ Date: Moniloring? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ Imlnutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN __ FTAND FT PERFORMED BY: F//~'~(~ ~'~(--~,~1£"/ .,,~"~,"0"". , ~'"~ *~//~"~"~'-- CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: J¢,i4¢ ~/ /~p 72-008 (Rev. 4/851 Lot 22. Block 5, Rabbit Creek Heights S/l) 16340 Diane Drive, Anchorage Water and Wastewater Upgrade Specifications HOLDING TANK: t. Expose the top of tank at both ends to allow the engineer to verify the size and integrity of the tank, watertight manholes, and calder couplings. Repair or replace as necessary. 2. Install an approved float in the tank set to trigger an audible and visual alarm mounted inside the house when the fluid level reaches the point where 500 gallons of capacity remains. 3. Extend tl~e cleanout pipes as needed and provide 4.5 feet of soil cover over the top of the tank for insulation and to prevent flotation. 4. Expose a portion of the sewer line between 'the foundation cleanout and the holding tank to allow the engineer to verify that the previously existing septic tank is no longer in place, ,J WELL: 1. Develop tile existing well to produce a minimum of 2 gallons pet' minute or drill a new well elsewhere on the lot that is capable of producing 2 gallons per minute. Care shall be taken to ensure that the location is both within the lot lines and greater than 75 feet from the holding tank. 2. If tile existing well is deepened, first remove the existing pitless adapter and weld the hole shut, then install a new pitless adapter and connect to the existing water line leading to the house after the deepening is completed. 3. If a new well is drilled, install a pitless adapter after the well is developed and connect into the existing waterline leading into the house. In either situation, test the entire water system to be sure that all components are working properly. 4. If a new well is drilled, properly abandon the old well by filling it with bentonite or concrete grout, and cut it oiT below grade with a steel plate // wage ~o. ot Pages ISAACS PUMPING SERVICE (Norm Tibbetts, Owner) 6218 Quinhagak Street ANCHORAGE, ALASKA 99507 (907) 563-3300 PHONE JOB NAME CNY, STATE AND ZIP CODE JOB t. OCATION ARCHITECT DATE OF PLANS ! JOB PHONE We hereby submit specifications ai/d estimates for: ~[1~' ,]'¢[~;1]~JI3~'2 hereby to furnish material and labor -- complete in accordance with above specifications, for the sum of: Payment to be made as follows: dollars ($ ). All nlateriaJ is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All a~ree~lents contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and otber necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance Authorized-~ k. ~//~ ~ /~ ~0----' NC~: This proposal may be withdrawn by us if IlOt accepted within~ _(fays. Art .ptaut .f lmp. al -- he abov pr,c ., s,.ec,hcat,ons and conditions are satisfactory and are hereby accepted. Yoe are attthorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Signature Department of Health and Human Services Torn Fink, 825 "L" Street Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650 March 14, 1989 State of Alaska Department of Revenue 'P~ O .----BDx-~-0~i-0'2 0 Anc h c~r~gew~AdC~---~ 990 ~= 6-6<~8 Subject: Gentlemen: Rabbit Creek Heights, Blk. 5, Lot 22 P.I.D. 02011237 Yesterday I investigated a sewer complaint on the above property. The complaint alleges that last fall a new holding tank was installed on this property. According to records in this department an approved on-site sewer system was installed in 1977. Since that time there have been no permits for any type of alteration to the system. However, information received by this office verifies the holding tank installation. AMC 15.65.120A prohibits any person from installing or modifying an on-site wastewater disposal system without first obtaining a permit. Requirements for a permit are spelled out in section .120B. During the inspection I also noted that although the well wires are disconnected, the well.casing is not sealed as required by Anchorage Municipal Code 15.55.060G and K.1. Since the well is a direct conduit to a potable water aquifer, the lack of a seal may pose a serious health risk to users of this water. Within fourteen days the following must be accomplished: Install an approved sanitary seal on the well casing. -,':., Ken Wardwell Broker Wardwell Realty 1444 Hillcrest Dr, Anchorage, Alaska 99503 Contact a registered civil engineer who will perform necessary soil tests and site evaluation, which will enable this department to decide what type of system will be installed on this property. .,., i Bus. (907) 272-7925 Res. (907) 272-4772 Page 2 State of Alaska 3 o o Obtain an on-site sewer permit from this department. Prior to granting a permit for a holding tank, the engineer's report must show that it is not possible to construct a conventional sewer system. Special conditions for a holding tank installation will be specified on the permit. Provide an inspection report by the engineer on the system allowed by the above permit. This office will not grant a health approval on the dwelling until the above discrepancies have been corrected. In addition, failure to comply with the above will result in lega% action. You may wish to contact me to discuss the problems on this lot. Please call me at 343-4744, or you may speak with Dan Bolles. Sincerely, Susan Oswalt On-Site Services SO/156 -...1 --3 TIMBERLINE HOMES, INC. RECEIVED 7928 King Street ANCHORAGE, ALASKA 99518 (907) 349-9604 Alaska Contractors License #AA3272 PROPOSAL SUBMITTED TO Jack Simmonds - Alaska Statebank 442 West 5th Avenue STATE AND ZIP COOE Anchorage, Alaska 99501 __ No, of P3ges DATE PHONE November 11 , 1987 277--5661. NA~E air and clean foreclosed house. JOB LOCATION 16530 Diane Drive PHONE 018 We hereby submit specilicatJons and estimates tot: 2,640 WELL & SEPTIC: I. Install pitless adaptor and bury water line. $3, 2. Install 1500 gal. holding tank. 5,415 HEATING SYSTEM: 1. Install natural gas forced air heating system. 2. Insulate crawl space~ install vapor barrier and sump pump.888 EXTERNAL: Remove well shed, extend wood stove flue, ground support side deck, cut rear rafter tails & install fascia, install front deck side rails. 1,241 INTERNAL - UPSTAIRS: Remove bath ~loor tile and install vinyl, finish out and install toilet, replace vanity cabinet and top, frame back closet · tsh°wer one egress window, refinish ~loor. 2,281 wall, carpet cloS~te, l:nc% acla~inet and top, repair window, install vinyl.l,059 and INTERNAL - BATH: P 1,058 INTERNAL - DOWN BEDROOM: Remove burlap and trim, move plumbing for washer dryer into bathroom~ build small closet, install carpet. INTERNAL ~- DINING: Remove corner shelves and plywood from ceiling, frame over tumb&ng pipes and furr ceiling, install carpet 4' into kitchen. 606 INTERNAL - KITCHEN: Remove wood lights and furr ceiling, replace cabinets and eot covering and cove base. 3,864 counter tops, install vinyl flshelves and burlap from ceiling, install vinyl ENTERNAL - REAR ENTRY: Remove . 369 on floor, trim door, build step to k~tchen. I ~NAL - LIVING ROOM: Replace stairs to second floor, build step to kitchen move ceiling tile, repair hearth and replace wood stove, trim windows and 3 ~ 877 door, install carpet on floor and"stairs- INTERNAL: I Install drywall; up bedroom back walls and closet, down bedroom, ' 4,680 bathroom and dining room where needed, rear entry, kitchen and living room wails and ceilings. 2,760 221 2. paint all drywall and finish trim. 5 Professional cleaning to include windows. . lumbing and connect dishwasher- 900 '- ...... o~ace water heater, check P - ;-~all liahts. _ ...... R ...... k electrig~r t ..... ~--~ ~ . ..... r th,, sum of: ELECT~tU~L: ~'~""' ~ ~ .... ,4 ~hor complete in accordance w~th above specdmabons ¢. hereb to furnish matenm <,.,, ,-~ -- ' ' tl]~ ~]~L~p~ y ~7,875. oo Thirty seven thousand eight hundred seventy five and no/.ld. Ool~¢rs($ )- Payment In be made as follows: Upon completion- Authorized / , .~l - . -' , S~§nature --,/' ~ , / ,/- ,/ Note: This proposal may be w;thdrawn by us if not accepted within Arr ,pt:ur ,*o e price,, speoficat,ons and conJd or~s are sat,sfactory and are ?araby accepted. You ice aulhonzed ...... I. ~. ~¢¢r~hcd Payment w,lI te made as outhoed abcze. 3O S,gnature ~days. ~]ORE/BATT I. 060839 08/18/88 ~,~.70 ,U. MUNICIPAI. ITY OF ANCHORAGB DEPI', OF ItEALI'H & ENVIRONMENTAL PROI'ECTION MAR 1 6 1989 RECEIVED NE]'' INVOICE TO'FAL> 862 · 70 ...?, ALASKA ..GTAT~ BANK ,C:J',;h mA,~ oFr:c~ ~;f A,:ZHORACE. ALASKA ~513 THREE THOUSAIqD EIGHT HUNDRED SIXTY TWO DOLLARS ~ SEVENTY CENTS 09/6'67 8 8 6 '? 8 3 9 FAY TO TH2 TIMBERLINE HOMES INC. 7928 KING STREET ANCHORAGE, AK 995Z8 DATE CHARGES AND CREDITS BALANCE FORWARD BALANCE Remodel of house at 16550 Diane Dr., (L22, B5, Rabbit Creek Heights) per our proposal dated 11/11/87. Less previous payment. Less pending payment. NOTE: Plumbing connections have not been tested! Need to install new water pump and pressure tank. , , TOTAL DUE $37,875 -18,104 -15,907 $5,862. MUNICIPALITY OF "-NCHORAGE DEPT. OF ~-IEAI.~ & ENVIRONMENTAL PROTEC£1ON beelir e qomes. . 7928 KING ST. / ANCHORAGE, ALASKA 99502 (907) 349-9604 MAR f[ 6 1989 RECEIVED June 24, 1988 Alaska Statebank P.O. Box 100240 Anchorage, Alaska 99510 Attention: Gloria J. Habbas Subject: Home at L22, B5, Rabbit Creek Heights (16530 Diane Drive) Dear .Gloria: This letter ~onstitutes our submission for a progress payment on the remodel of the above referenced property. The following list of items have been completed to date. This list will correspond with the highlighted items on the attached copy of our proposal. A natural gas forced air heating system and hot water heater have been installed.. ]'he well shed has been removed, .wood~stove flue has been extended, side railings have been added to the front deck and the rear fa-fret tails have been cut back and a fascia installed. Tile and vanity cabinet have been removed from the upper bedroom and 1/2 bath, the back of the ~loset has been framed in and one window has been replaced with an egress size unit. The lower 'bath vanity and floor covering have been removed. The burlap and trim have been removed from the lower bedroo~m a~d the f'~ue add a closet framed in. The plywood on the ceiling and the corner shelves have been removed from the dining room, the plumbing pipes in the corner have been framed over and the ceiling furred for sheetrock. The wood lights, cabinets, shelves and wall trim have been removed from the kitchen and the ceiling has been furred for sheetrock. The burlap has been removed from the rear entry and a step %~ the kitchen installed- The ceiling tile and wo~d trim have been removed from the living room, the stairs to the second floor has bemn replaced and a step to the kitchen installed- The electrical system has been reworked and corrected and thm mlectric heat removed. The sheetrock has been installed, taped and textured. We are asking ~or a payment of $18,104.32 to cover this work. Painting is in progress and the remainder of the work should be completed within a month. Sincerely ~ __ Reber( L. August 8, 1988 ' beflir e Iomes. ,¢. 7928.KING ST. I ANCHORAGE, ALASKA 99502 (907) 34t)-9604 Alaska Statebank P.O. Box 100240 Anchorage, Alaska 99510 MUNICIPALffY OF ANCHORAGE i]EPT OF HEALTH & ~ NV',,~O;J,/,L N f AL PROI'ECI'ION MAR RECEIVED Attention: Gloria J. Habbas .,./ Subject: Home'at L22, B5, Rabbit Creek Heights (16550 Diane Drive) Dear Gloria: This letter constitutes our ~ubmission for a Progress payment an the remodel of the above r~Cerenced property. The following list of items have been completed.to date~ .This iis~ Will correspond ~ith the highlighted items on ~he attached-copy o~ ~ur pr~posal. The pitless adapter has been installed on the ~,11 and the water' · : line has been buried. A 2000 gal. sewer holding tank has been installed, the crawl space has been insulated and vapor barrier and sump pump installed. The side porch has been ground supported. Interior painting is finished, all underiay~ent, vilw1 and cove base, plumbing fixtures, existing appiianFps, cabine~ and counter tops have been installed. Ali trim work has been C~mpll~ed including the new stair railing, all doors are installed as are th~ new light ~ixtures. We are asking for a payment of $15,907.98 to co¥or this work. Only a few items remain to finish this job, mainly til,? in the shower, replacing the wood stove, carpet installation and t'leanup. Sincerely, Robert L.~Lutje President MUNICIPALITY OF ANCHORAQF: OEPT. OF MEALTH 8, :N v h':ONMENTAL PROTECTION MAR 1989 RECEIVED A"FTN: CLJSTOi'"IER SERVI.~= RL-] ~" ACCOLIIXIT 11: 1,~, i ],240035 NO!JLD "YOU PLEASE CORREP-,'F YOUR SERVICE[ ADDRESS REFE!q'.EIHC, E Oiq THIS ACCOUNT? THE CORRECT ADDRESS (ACCORDING TO THE MUNiCiPALITY ADD- RESSII'qG .DEF'ARTHEN]') IS 16430 DIANE,~ NOT L6530 DIANE. IF YOU HAVE ANY C]LIESTZQi'qS CQI'4CERNING "I'IH:[S ADDRESS, F:'LEASE CONTACT THE HUN ]: C THANi< YOU FOR Y(]UR AT]'EhlTIOI'q TO TH]:S I¥1AT-I'EFi,, LARRY N HUFFI"iAN gLAS!<A .=T~ I E~_~ANr... Tom Fink, Mayor /Viunicipality of Anchorage Department of Health and Human Services 825 %" Street P.O. Box 198650 Anchorage, Alaska 99519-8650 March 16, 1989 Mr. Robert Lutje, President Timberline Homes, Inc. 7928 King Street Anchorage, Alaska 99518 Subject: Rabbit Creek Heights, Blk 5, Lot 22 P.I.D. 02011237 Dear Mr. Lutje: The department has recently investigated a complaint of an illegal on-site sewer installation on the above lot. We have also been given copies of documents, signed by you, which verify the allegation. I am aware that over the past several years you have obtained various on-site permits, so I am confident that you recognize the need for a permit prior to installation. .Installation without benefit of a permit is in violation of AMC15.65.120A. Since you were responsible for this installation, I am notifying you of the violation. At this time the department is considering what legal action to pursue. I believe that we may be able to amicably resblve this complaint if you will contact my office as soon as possible. Should you fail to do this, I will continue to process this complaint to completion. You may reach me at 343-4744, or you may contact Dan Bolles at the same number. Sincerely, Susan Oswalt On-Site Services SO/158 WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geologicol 8~ Geophysicol Surveys Drilling Permit Ne. LOCATION OF WELL (Please complete either la, lb er lc.} A.D,L. No. /;~'.,/~;' ~of--of--of ~ S[] wr~ Ic.]IDISTANCE AN~)DIRECTION FROM ROAD INTERSECTIONS $, OWNER OF WELL: ..( ; . ? ' [ ,.~{..! f. ..x'; .. , Address; /?"' ~";'~'' '" WELL LOG Feet Be&ow 4. WELL DEPTH: (final) ' 5. DAT~ 0¢ COMPLETION ' ' ' J OCobie ,oo' ~Rolory ~Driven m : ' ':~r :T . I :? '/i ~ Irrigollon ~ Rechor~e ~ CommeHcol ".~. {? 4:' ;:;~ :, diem. ~':' in. fo ::; ' ~ ft. Oeplh Weioh~ Slot/M~sh Size: Length: Set between fl. and BackfilHng Gravel pock 12.GROUTING Well Grouted: ~ Yes ~ No MUNICIPALI'~ OF DEPT. OF HEALTH & Moterial: ~ Neet Cemenl ~ Other: ~w~INI~UINI~L P~OTEC'flON I~.PUMP: (if ewiloble) HP 15. Woler Temperolure ~o ~ F ~ C ": " ; '" o,t,: ,']'~' ', , ,' GRE ER ANCHORAGE AREA BO I GH \' j Department of Environmental Quality *..C.,~'¢ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAILING ADDRESS .,':'~ /z , · , .' __ LEGAL DESCRIPTION:,' ¢ ~ /"~'~" ' '" PHONE 7: '"/~' ''F': '"' ',' ''~':' SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH / \ -:'- /, NUMBER OF MATERIAL M~..-"--'" COMPARTMENTS ~:: MANUFACTURER~?' :.;4. --- INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY-/'~'/}~'~/"~; GALLONS, TILE DRAIN FIELD: ,, / ,,~, ,' TOTAL LENGTH .. DISTANCE FROM WELL ,/J)'""'~ FOUNDATION /'c''-} /' NEAREST LOT LINE.?/'~'' OF LINES NUMBER OF LINES / DISTANCE BETWEEN LINES //~-/.-/77 TRENCN WIDTH- '-"¢ IN. TOTAL EFFECTIVE (),/.') ,~' · rs, , ABSORPTION AREA ,'~ ",': SQ. FT. LENGTH OF' EACH LINE __ :L;v DEPTH OF FILTER ,,? / DEPTH: ToP OF TILE TO FINISH GRADE ',/ MATERIAL BENEATH TILE ,;' .'I,N. ABOVE TILE IN. WELL: , TYPE~ _:_, BUILDING //' ~ LOT LINE / / SEWER LINE FOUNDATION ? SEPTIC TANK DEPTH ":: "; DISTANCE FROM: SEEPAGE SYSTEM_~ CESSPOOL -- OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: d (.' -t/ ':;,/" ": '~ ~'~t' SEWER LINE DEPTH: PIPE MATERIAL: ...... :': ' ' REMARKS: --~ DIAGRAM OF SYSTEM "~ ' DATE,~ ' · / ? : "' APPROVED" "' "' G.A.A.B. ~ ..?' July 7, 1976 R & M No. 656261 Mr. Frank Tadda SI~ Box 440 Anchorage, Alaska 99507 RE: Test Hole and Soil Log Report for Sanitary System Lot 22, Block 5, Rabbit Creek l]eights Dear Mr. Tadda: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the sL~ject site. This investigation was performed in accordance with your request of June 27, 1976 and those procedures outlined in a letter dated July 15, ].975, by Mr. Rolf Strickland of the Municipality of Anchorage Department of Environmental Quality. A single test hole was put down within Lot 22 Block 5 for the purpose of defining genera] subsurface soil conditions for the proposed sani- tary syste. Excavation was accomplished with an auger' type dri] ling rig and the test hole was extended to a total depth of ]9 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered Jn the test ho].e while drilling. However, water was found in the test hole at the surface level approx-- imately 4 days after drilling. It is felt this wa~er seeped into the test hole from the wet organic surficial mat. ff~!/ We appreciate being given this opportunity to be of service to you. Should you have any questions wit]] regard to the above, please do not hesitate to contact us. Very truly yours R & M CONSULTANTS, INC. ~ames W. Rooney .? Vice President JWR/DWM/pe xc: Municipality of Anchorage Cla~k'~ Rd.~ Creek Lot 22 Block 5 Rabbit Creek Heights SAND SA_U DY SILT Fine Poorly Graded Sand 12.5' SANDY SILT TRACE SIze\VEL Grey S[i,T W/TRAC?i SAN[) No Water Table While Drilling ]9.0' TD Municipality of Anchorage ° r55, G �G On -Site Water and Wastewater Program (907) 343-7904 s E T Y Certificate of On -Site Systems Approval Parcel I.D. 020-561-29 Expiration Date: 4-2 0 2 1. GENERAL INFORMATION: Complete legal description RABBIT CREEK VIEW & HEIGHTS; BLOCK 5H LOT 22A Location (site address) 16430 Diane Drive *Anchorage Current Property owner(s) Lindsay Simmons Day phone 513-807-8073 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 2 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: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ _155 0 Date of Payment 5:- .�-2 Q ZZ Receipt Number Cly i I S (2 COSA# 0.--2C'.2 J 1 Date: Waiver Fee $ _ Date of Payment Receipt Number Waiver # (A 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: Gamess 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: Zu ZZ 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 systems 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 l% 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 ....... ... .... . ..... ........ ; j 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 ss:' can be installed on the property in the event either of the current systems fail to perform adequately in '•,. '• CE the future. The content of this report is for the sole benefit of the person/party that retained GEG to 0i��° _ '•. �12�Z:°—� perform the evaluation. Reliance upon the information provided in this report by any other person or a (including subsequentproperty party (• is 9 9 purchasers) not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DS¢SIGNATURE. System #1 Approved for 0 bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the fo ON-SITE R;Wing st��i J i�ND m Jrg WAST'_=v''ATER J0% r-mvtirwAlvi JJ 1, By: Original Certificate Date: 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 engineers work. 7. ATTACHMENTS: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other 0%, Legal Description: RABBIT CREEK VIEW & HEIGHTS; BLOCK 5H, LOT 22A If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1216/89 Total depth 120 ft Cased to 40'+ ft WE Sanitary seal is functioning correctly FL/TWires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 4/14/22 Static water level at beginning of test *0 ft. Comments *ARTESIAN WELL B. TANK DATA Age of tank(s) 9 years Tank type/material HOLDING/STEEL Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping SEE ATTACHED PUMPING HISTORY D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, st depth into effective ❑ Code -required soil cover over fie ❑ System presoaked (Required if vacant reater than 30 days prior to date of test) _ gallons COSA Checklist yellow sheet Parcel ID: 020-561-29 Structure served by this system _ Well production at time of test 1.3+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes Mm No ❑ Coliform bacteria is Negative Nitrate 0.842 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 4/18/22 C. LIFT STATION ❑ Required maintenance Age of lift station Lift station materia Adequacy test date Results ❑Pass F bedrooms Fluid depth p ' o test in Wat ded ga! New depth in Elapsed time min Final fluid depth in Absorption rate 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) Yes if No ft Septic Tank/Lift Station on Lot > 100' N%A Community Sewer Manhole/Cleanout > 100' Well raFt-f�Sjacent Lots: D Yes if No ft Q Yes if No ft Neighboring Tank >-100' C] Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NSA ft Holding Tank > 100' R Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft Yes if No ft _ Community Sewer Main > 75' (Q Yes if No ft Manure/Animal Excreta Storage > 100' P1 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' D Yes if No * ft Surface Water > 100' Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Absorption Field >-5' _ ,• D ;'es : if No N/A ft Private Wells > 100' --- Q Yes -if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' ry 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' Yes if No ft If absorption field is under civeway comment below Property Line > 10' ❑Yes if No ft Well raFt-f�Sjacent Lots: Water Main > 10' El Yes if N Private Wells > 100' Yes if No ft Water Service Line > 1 Yes if No ft Community Wells > 200' D Yes if No ft S ater > 100' D Yes if No ft F. ENGINEER'S COMMENTS ON-DIMNCE-FRONMDGe-orrAt K'FO •FvrfNCr TtONwS-tJNKMW STRUCTURE IS ON "PIER BLOCKS" - SEE ATTACHED PHOTOS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review �� 0F, of Municipal records that the above systems are in conformance with ® P• •' ' ` Pit � MOA COSA guidelines in effect on this date. * • 4 ' .* .. .... r tt a .6arnes ' tri '• CE 7 COSA Checklist yellow sheet 4-1'2- 7- MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Io/ o (b) Property owner ~'/~/'d' o~,/z)-/~d'/'c~ Telephone: (home) MailingAddress '~.0. ¢0× ~)~-T- .; J"'-~,¢,.~,'~,, /afN', ¢98// (c) Lending Institution ~,,4-. Telephone Business Mailing Address (d) Real Estate Company and Agent bt./'~ r¢4 t.z¢¢([ ~ ~,~{ /?, - Address IUqZ/ /-)b, lfcr'e~/ ~.., ~n~or~ ~ Telephone ~7~ - ~ (e) Mail the HAA to the following address: (or check here [Z, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms 3. WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site [] Public [] Community [] Holding Tank g} Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025(Rev 7/88) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of th is Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, Iunctional 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm ~'[~/.'/~-,,p T~ch/~/'c~f .~¢r~,~'c,¢ Telephone Date ..7'-~' ~ ~ ~ Engineer's Seal 6, DHHS APPROVAL Approved for ~ _bedrooms by Approved J/"~x. Disapproved Terms of Conditional Approval Conditional The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHSdonotconduct inspections or analyze data before a certificate is issued, The MunicipalityofAnchorageis not responsible for errors or omissions in the professional engineer's work. 72~125 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) MUNIC~I~I~¢ ~AI'4CHOI~^~- ~alth Authority Approval (HAA) ENVIBONt~VICI:S DIVI~i~CKLiST . FEBRUARY 1984 343-4744 J U N 1990 RECEIVED A. WELL DATA Well Classification Well Log Present (Y/N) ~' _Date Completed TotalDepth 18¢ Casedto 1~O Depth of Grouting Static Water Level /4r-~-e~' Casing Height Above Ground ~" Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 1 ~o"' ' To Nearest Edge of Absorption Field on Lot Legal Description: If A, B, C, D.E.C. Approved (Y/N) hf,~. Yield 8¢~;¢~¢"* Pump Set At (/(~/-r Sanitary Seal on Casing (Y/N) Y' Depression Around Wellhead (Y/N) To Nearest Public Sewer Line ¢,hA-, To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot ';> '&,~" Water Sample Collected by Water Sample Test Results Comments ~r'~¢.,¢ic~,~ ¢./¢~,'~1(~,~ O~/-~r/~'~ ,~o~ c~,~// ; On Adjoining Lots ':> too ' ; On Adjoining Lots ~> (oo¢ ;Date ~ .¢-/a¥/90 B. SEPTIC/HOLDING ~,DA'rA Date Installed I?,¢~ Size Standpipes (Y/N) ~' Depression over Tank (Y/N) ~0¢~0~,1 No. of Compartments Air-tight Caps (Y/N) _ N Pumping/Maintenance Contact on File (Y/N) ~' Holding Tank High-Water Alarm (Y/N) ~" SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: Foundation Cleanout (Y/N) Date Last Pumped ~,,¢,/~, (o/ 2..d ; for ~'~',~ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field (-7/ To Water-Supply Well I O~ ' To Property Line '~-~' To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments 72-026 (Rev 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line Type of System Design Length of Field Depth of Field Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Cutback (if present) D. LIFT STATION N,/J-. Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HA...,.,.,.,~I.~n.. effect on the date of this inspection. ~-'~" ~)~" /~ q~ Signed ~~~ ~ ~, -~.'%% ......... /~/¢-,e. Company F[~ ~ec~n/c.f ~(~ ~"). ~'i'H'.':'~ %5;~ ¢~ , unglneer s baa, MOA No. q 0 -0/~~/0,.~--,~ c '~ ", TU~O~O~ ~:. '.'.oo~ .: ~ .ec i.t . Date of Payment ~ '-~-- ~3 Waiver Fee: $ Amount: $ ~ (;r~p Date of Payment 72-028 (Rev. 7/88) Back Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 MUNICIPALITY OF ANCltORAGE DEPAWFMENF OF liEALTH AND ENVIRONMENTAL PROTECTION 825 L SL~-eet, Anchorage, Alaska 9950]_ 279-2511, ext. 224, 225 REQUEST FOR APPROVAl- OF iNDIViDUAL SEWER and WATER FACILITIES March 11., 1977 Type of Inspection: MUNIcIPALITy 01: AN,-', 'ORAG DEPT. OF ~ ~r~ ENVIRo ,,~,. H~ALTH & N'*~IWTAL PROTECTioN !!: I977 RECEIVED VA .......... FHA .......... CONV___×x_ Property Owner: Frank J. Tadda Mailing Address: ...... .S_~_.pg-x_-4_-49~ ................ Day Phone:_34--4---826~-l/33~TZ!5--1-1---- same 3. Name of Buyer: .............................................. Mailing Address: ............................. Day Phone: ................ Alaska Statebank Name of Lending Institution: ........ Box 240, Anchorage 279-7637 Mailing Address: ............................ Phone: ...................... 5, Name of Realtor or Agent: ......... na ........................................ Mailing Address: ................................................. P ~one: .......... · e cr l on Lot 22, Block 5, Rabbit Creek Hghts 6. [_eqal D s p: : .................................................................... Location: ....... _N..~N_ R~ah~b±_tt C~re_e_k__~}_o~a~d ........................................... Single family Type of Facility to be Inspected: ............................ No. Bdrms .... Water Supply Type of Supply: Public Utility. If Individual, number of dwellings presendy served _ Individual 1 well If Individual, depth of well Sewage Disposal System Type of Systern: Public Utility Individual (on-site)_ septic .... If Individual, date of installation .......... !_9_7-6 ...................................... 72003(3/76) Alaska M. ortgage Loan S~ction ~.o~b office Box 240 spacificail7 with no The suDd. ivisiOn in question is withilt the 5htuicipatity ami subject to appli.cable i~ea!th code&. Well construction Santta×'ia4~