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Home My WebLink AboutRABBIT CREEK VIEW & HEIGHTS BLK 11H LT 10AView iHeight 0 097Lj Elfralmo-114pillm -A' Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241081 PID Number: 020-581-64 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Gerad Smith ABSORPTION FIELD E] Deep Trench 9 Wide Trench El Bed El Mound Site Address 8501 Paine Road ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade Three(3) 1.2 GPD/s 0.0 / 0.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +0.5/+0.5 Ft. Gravel depth beneath pipe 0.5/0.5 Ft. Subdivision Block Lot Rabbit Creek V&H 11H 10A Fill added above original grade 3.0/3.0 Ft. Gravel length 40 / 40 Ft. Township Range Section Gravel width 5.0/5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches 2 Dist. between trenches From Tank Field Tank Line 400 Ft2 >6 Ft. Well >100' >1 00' N/A N/A >25 TANK ❑� Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer(Deep Burial) Capacity 1000 Gal. Surface Water >100' >100' N/A N/A Material Plastic Number of compartments Two(2) Lot Line >5' >10' N/A N/A NA Foundation >1 0, > 10'N/A N/A TATION Manufacturer Capacity Remarks Trenches listed south / north Gal. Alarm location Elec tailed by o D3034 PIPE MATERIAL House to tank D3034 dTank trainfield Installer Northern Excavation Drainfield D3034 CO/MT D3034 Inspector M. Jakubisin BENCH MARK (Assumed elevation) 100 ft Inspection �s 11/4/24 11/4/24 Location and description dates: 2 nd r th Back Door Threshold 34 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date � ;1011 Septic System —�� F��• BenCE 12592i11er Approved / Date �) slF"• . 12/18/24. •��AW ,ll� Not 6s does include ts. PROFESS00- approval not well permit requireme (Kev ubiuz/'I tS) // // // // Benjamin Schiller CE 12592R E GISTEREDPROFE S S I O N A L E N GINEER 1"=30' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND 2CO PERMIT # OSP241081 PID # 020-581-64 RABBIT CREEEK V&H, BLOCK 11H LOT 10A A B MH 41.5 SV 43.7 2CO 44.8 A B FS 54.8 CO1 66.9 MT1 69.4 CO2 66.9 33.7 37.4 39.9 82.7 87.5 90.1 108.9 FEET 0 30 60 PAINE ROAD 3-BDRM HOME PLAN AS-BUILT 12/18/24 10' UTILITY EASEMENT 1470 1480 1490 1500 10 ' U T I L I T Y E A S E M E N T 10' x 20' UTILITY EASEMENT SHED EXISTING ABSORPTION FIELD ABANDONED NEW 1000-GAL SEPTIC TANK W/ 20" MANWAY EXISTING WELL W/ 100' RADIUS (2)NEW 40' LONG x 5' WIDE, 6" EFFECTIVE DEPTH ABSORPTION TRENCHES TH#1FS MT3MT4 MT2 MT1 CO1 CO3 CO4 CO2 SV MH MT2 65.4 CO3 79.6 MT3 81.8 CO4 78.8 MT4 77.6 108.4 100.9 103.7 119.4 118.4 PROFILE AS-BUILT (NO SCALE) 91.7 87.5 92.3 94.8 FC O MH SV PERMIT # OSP241081 PID # 020-581-64 RABBIT CREEEK V&H, BLOCK 11H LOT 10A 83.5 FINISH GRADE 40' DRAINFIELD ROCK MT TH # 1 GROUNDWATER @ 73.5 7/16/24 80.581.0 CO CO 69.0 80.5 81.0 80.5 ORIGINAL GRADE MT 2C O 91.6 Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A L E N GINEER 12/18/24 MOA APPROVED SAND 81.0 FINISH GRADE 40' DRAINFIELD ROCK MT TH # 1 GROUNDWATER @ 71.0 7/16/24 78.078.5 CO CO 66.5 78.0 78.5 MT MOA APPROVED SAND 78.0 ORIGINAL GRADE 78.0 75.5 1000 GAL SEPTIC TANK 2" FOAM INSULATION 2" FOAM INSULATION 2" FOAM INSULATION SOUTH TRENCH NORTH TRENCH LESS THAN 3:1 SIDE SLOPE LESS THAN 3:1 SIDE SLOPE MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241081 Work Type: Septic Upgrade Effective Date: Expiration Date Tax Code Number: 02058164000 Site Legal Address: RABBIT CREEK VIEW & HEIGHTS BLK 11H LT 10A G:3341 Site Mailing Address: 8501 PAINE RD, Anchorage Owner: RUCKEL LORNA D Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy 5/13/2024 5/13/2025 Lot Size in Sq Ft: 19688 Total Bedrooms: ❑ Private Well ❑ 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 (24/7). 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: A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7-day groundwater monitoring. If results require a design change, construction shall stop pending approval of a change order. Please submit results with the inspection report (or change order, if required). iS/"V. 11A, G; r__6 pli- D 6-S ( 6 , Received By: S .3 a) —(� r Date: Issued By: Date: _ S 3 2 ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-581-64 Property owner(s) Lorna Ruckel Mailing address P.O. Box 111871, Anchorage, AK 99511 Site address 8501 Paine Road, Anchorage, AK 99516 Day phone Legal description (Sub'd., Block & Lot) Rabbit Creek V&H Block 11 H Lot 10A Legal description (Township, Range & Section) Lot Size 19,688 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) Holding Tank El Renewal ❑ Duplex (D) ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. i (Signature of property owner or authorized agent) Permit/Rush Fees: _ Waiver Fees: f Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. 0-3p —6- i / 0 Waiver No. Permit App_'- : ,_.,:c UTE E E R I N G August 27, 2024 PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) FORGECIVIL.COM MOA Development Services, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Rabbit Creek V&H Block 11H Lot 10A — Paine Road Septic system design Dear On -Site Services Engineer: The owner of the above lot needs to replace her trench for a home sale, so we are submitting this permit application for the construction of a new septic system. The attached site plan identifies the location of the home and existing well, as well as the new septic location. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes fairly uniformly from the front of the lot toward the back, at between 20-25% slopes. Near the back where the septic system will be located is slightly flatter, under 25%. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 100' from all wells and surface water, and more than 5' away from the septic tank. Due to the nature of the proposed home sale, we have designed the system using the test hole information on this lot and adjacent lots, including across the street. We have then specified that a new test hole will be dug to confirm consistency of the soils and groundwater levels. We have noted the test holes that we found in the following table. The most conservative perk rate that we found was 30 min/in, and the highest groundwater was 5.5' in October. Our design is based on those criteria. Legal description Depth Perk rate, min/in Groundwater depth and date Paine, Lot 2 11' 16.6 None, 8/2/23 Rabbit Creek V&H, B 11 H L 11 A 12' 20.0 None, 6/29/09 Rabbit Creek V&H, B11H L9A 13' 28.0 12', 7/13/84 Rabbit Creek V&H, B 11 H L 15A 10.5' 13.3 Dry, 7/7/99 Rabbit Creek V&H, B 11 H L 15A 10, 2.6 8.3', 7/6/99 Rabbit Creek V&H, B 11 H L 15A 7' 21.8 5.5', 10/5/99 Please refer to the attached plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE RABBIT CREEEKV&H, BLOCK 11H LOT 10A I LOT LOT 15Ai 10' x 20' UTILITY EASEMENT (VAS I 10' UTILITY EASEP,,�ENT CO — MT MT _ • CO_ _ CO _ s.o i MT - _ (2) 40' LONG x 5' WIDE, 6^ TH#1 CO EFFECTIVE DEPTH FS ABSORPTION TRENCHES 16.0 EXISTING SEPTIC SYSTEM TO BE ABANDONED 2C NEW 1000-GAL SEPTIC TANK W/ 20" MANWAY EXISTING FCO • LOT 11A� . LOT SHED 3-BDRM HOME f LOT 10A UJ Co t i r z EXISTING WELL F_ I W/ 100' RADIUS GE PAINS ROAD E N 6I N EENING A.Of a�\\\ti LEGEND „%p•••' t+ CO - CLEANOUT j �49 TM *��j SEPTIC PLAN 2C0 -DOUBLE CLEANOUT N FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE Schiller /� MH - MANHOLE 592 ��0 30 60 MT - MONITORING TUBE o...•.`��/ FEET � ROfESS10N��' 1 "=30' SV - SEPTIC VENT TH - TEST HOLE RABBIT CREEEK V&H, BLOCK 11H LOT 10A DESIGN FACTORS: SYSTEM REQUIREMENTS: 450 GPD PEAK FLOW 5' WIDE TRENCH SYSTEM PERK RATE: 1.8 MIN/IN 1000-GAL SEPTIC TANK W/ 20" MANWAY APPLICATION RATE: 1.2 GPD/SF 450 GPD / 1.2 GPD/SF / 5' WIDE * 1.0 RED FACTOR [6" DEEP] = 75 LF TRENCH REQUIRED (80 LF SPECIFIED) BOTTOM OF TRENCH: 0.0' FROM GRADE FLOW LINE ELEVATION: 0.5' ABOVE GRADE BOTTOM OF SAND LAYER: 2.5' BELOW GRADE PROVIDE ADDITIONAL FILL TO ACCOUNT FOR SETTLEMENT GEOTEXTILE FABRIC 2' �- _ _;;.__ &FOAM INSULATION 3:1 SIDE SLOPES 4" PERFORATED PVC (HOLES DOWN) 2'-6" 1 1 --- DRAINFIELD ROCK MOA-APPROVED SAND TO GM LAYER 5' E E N G �-- E 0. 1 N G TYPICAL TRENCH SECTION A�� (NO SCALE)"'� l�1 NOTES: *� 7H •* / 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' • •ja •"' Schiller WITH 2" OF INSULATION ,,f 9F•• BenCE 12592j 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER �`,iF�5/13124 FppROFESSIONP��Aw THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY SOILS LOG AND PERCOLATION TEST E N G I NEE R I �-- LEGAL DESCRIPTION: RABBIT CREEK V&H BIIH LIOA PERFORMED FOR: MARK MASLEY DATE: 7/9/24 PARCEL ID#: 020-581-64 DEPTH TEST HOLE 1 (feet) 12 13 14 15 16 17 18 19 NO WAS WATER ENCOUNTERED? IF YES @ WHAT DEPTH? 7. 0' DEPTH TO WATER AFTER MONITORING 7/16/24 DATE OF MONITORING DATE READING START TIME NET TIME (MINUTES) DEPTH To WATER NET DROP INCHES) (INCHES) 7/9/24 1 11:05 6:15 1 0 7 0 6 0 2 11:12 7:48 1 6 7 0 6 -s 3 11:21 8:24 1160 7 0 6 - 4 11:31 9:44 116 7 16 6 16 5 11:41 10:00 1 10 611 516 6 11:52 10:00 1 10 610 510 PERCOLATION RATE: 1.8 (MIN/INCH) COMMENTS: USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED SITE PLAN TECHNICIAN: M. JAKUBISIN 8510X L0t l5A I Lot 7A 10' x 20' Utility Easement Lot llA N89°29`49"E 92.14 PAINE ROAD 8036 - LS SCALE: 1"= 40' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. ''AC®Li;,ngisitif;-g FB 24-1, pg 24 BE iiiE ____I Note: Surface features may be omitted due to snow and ice at the time of this survey. AS-BUILT NO CORNERS SET THIS DATE I hereby certfty that I have performed a Mortgagee`s inspection inaccordancewthASPLLBTstatnod£,rd3:8thckfo##g described property: RABBIT CREEK VIEW & HEIGHTS SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or enoroach on the property lying adjacent thereto, that ro improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 25th dayof APRIL ,2024. 907-248-1666 FRED WALATRA & ASSOCIATES, L.L.C. Engineers and Surveyors This drawing is a representation Of conditions found at the time the mortgage location survey was performed. This document does not constltuto a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The infomation contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law, Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNO WLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES e September 27, 1985 Mr. Neil Wagner Box 10-1144 Anchorage, AK 99511 Re: L10 B11 Rabbit Creek Heights Dear Mr. Wagner, It has recently come to our attention that your single family dwelling has been remodeled into a duplex. Your on -site septic and well permit, #810130, from the Municipality is approved for only a single family, 3-bedroom dwelling. You need to contact Steven Eng at the State Department of Environmental Conservation within five working days of receipt of this letter and apply for a permit to operate a Class C well and septic system. You also are required to cease and desist furnishing water to the adjacent pro- perty of Richard Wiley Dickins at L13 B11 Rabbit Creek Heights Subdivision imme- diately. The Dickins has no proper sewage disposal system for the water. If you have any questions, call me at 264-4721. Sincerely, Stacy Thompson ST1/dEH5 cc: Steve Eng MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON -SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME K1 1\1,4L 30A&N1FQ_ PHON PQ7-5 MAILING ADDRESS A Fil? Pi cA LEGAL DESCRIPTION ko-F 104 2AF,6,7- cktFel< Y�14 ff 7— LOCATION On NO. OF BEDROOMS DISTANCE TO: Well T I / C) Absorption area Dwellin ga.�� PERMIT NO. 10 R !� V - �_ 2 CL < Manufacturer (9 P, Material No. of compartmen'�_' 7., Uj �_ je ;c_ IF Liq. capacity in gallons IF HOMEMADE- -1 Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. OZ< r Manufacturer Material Liquid capacity in gallons C) i DISTANCE T: SO Well I Ll Foundation Nearest loxli PERMIT-N7.,, 113 = -S _j L 2 No. of lines Length of eac in Total length pflines Trench width Distance between lines z Uj inches Top the to finish Material beneath the Total of grade 7_ P effective absorption area Ile _///c 43 Length Width Depth PERMIT NO. Uj a < l'- Type of crib Crib diameter Crib depth Total effective absorption area 0- a: Uj UJI w DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. ul 3: DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS C-1 F_ SOIL TEST RATING I go INSTALLER A 12-T F_ x C_ REMARKS I%lk- I CJ0, 4 9 LH w e see N . 222 ; 7 JUNE 25, 197L era rA I APPROVED DATE LEGAL 72-013 (Rev. 3/78f DEPARTMENT ` wr HEALTH !-li'.(D ENVIRONMENTAL YROTECTION _=c "L� STREET, ANCHORAGE, AK. 99501 264-.9 20 L"l r" 1L. I.. 5=! 04 9=1 f-) 9°-4 -- ' =° 1 -T IE Fe Lam° Lam- - ' r °I T -F PERMIT NO. < 810130 APPLICANT NE I L S WAGNER PO BOX 10-1144 24-4:2e= 9 LOCATION PA I NE RD LEGAL L:i O E•`? i RABBIT CREEK HEIGHTS LOT SIZE 20000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MA:-, I M1_ N NUMBER + iF BEC:'ROOMS, - _ SOIL RATING SO FT/BR = 240 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I S, : THE LENGTH DIMENSION IS THE LENGTH (IN FEET OF THE TRENCH OR DRA I NF i ELD. THE DEPTH OF A TRENCH OR P i T IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND Ih• D AND THE BOTTOM OF THE EXCAVATION 0 N FEET) . THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE � �UTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET) . PERMIT APPLICANT HAS THE RESPONSIBILITY T� � INFORM THIS, DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ri!'•dY WELL_, ADJACENT CENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. — _.._ — -F P-41 q::a < 2 - T 01 ° 1=1 THE 12 -T- L n_o k9 AN i g FQ En Lam° ERE 9_ u q_g I F_' =- E> — — — BAC KF I LL I p• G OF ANY SYSTEM WITHOUT FINAL INSPECTION -AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT Ti i PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON -SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC C: WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE _.EWER LINE IS 25 FEET AND T� � A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS. ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT 1: I AN FAMILIAR WITH THE REQUIREMENTS FOR ON -SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. _ . I WILL INSTALL STALL THE SYSTEM IN ACCORDANCE IRC:'HL' CE WITH THE CODES. DES. _ : I UNDERSTAND STt=1P' D THAT THE CAN -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN _ BEDROOMS. SIGNED APPLICANT NE I L SWAGNER vo ISSUEBY ��=✓' �f, :eP.�, - YC:�f1TE_ ` _ _ _ _ V4. 0 ` p�nCO��IDw �s�I nobrr� n�:d^ll na�o cer[ocwrl 7/ 110, u] i� Creek (sec backfor test )�oL, io'u�ion> � O 2 ------ ------- ------ ----- ------ 8;owu^ �*ilty gravel vich.snmc swo 2 U � ! ecc r p ��e = 225 ^~ pebbLes increase l iocb robbles fin("- fr�r -ln �.`.c �o -lZ �`�fin("- 'rarcl cicanwr (less to t xu� )ubbL,!s lar(jer ------'------------------- �tal Depth = l8 fu'`t � vm,cr �abla e 'uun�ece� \ Z RC RATE FROM SOILS lIxG Net rime minu�o 2 240 [t. /bdrm. mnrr`ns17, r,,r�,�,rc�_��u�Z"=__°~----i CHUGIAK, ALASKA �, �� KODIAK, ALASKA 688-3199 ,4 MUNICIPALI T4W ftfgORAGE P DENT. OF HEALTH & SDRILLING COi' ENVIRONMENTAL Pi:OTECTION WE SERVE ALL ALASKA AUG 4 1981 POST OFFICE BOX 42 - CHUGIAK, ALASKA 99567 R E C E I `/ E h OWNEROF LAND....................................................................................... ADDRESS......................................................................}................................. WELL — SITE ............................................... iRxr�� .. ...!!..� R.�c... :' DATE— STARTED...................................................................................... DATE— ENDED........................................................................................... KIND OF FORMATION: FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT..................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... MISCL. INFORMATION: DEPTHOF WELL....................................................................................... STATIC LEVEL OF WATER FT................................................................. DRAWDOWN FT........................................................................................ GALS. PER HR........................................................................................... KINDOF CASING...................................................................................... FROM....................... FT. TO ....................... FT.................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ....................... FT.................................. FROM....................... FT. TO ........................ FT................................. DRILLER'S NAME................................................................................................................... cs�Y L \CQ- V {E, (�,+�-� •'" INSPECTION APPOINTMENTS, DATE RECEIVi D Ifi�rf)r,[p,�� r � �' a. 'K k r �+ 1 �r TIME TIME a,r �, '' TIME 1 DATE C1 DATE' �r �A DATE J' '-� �( �� - ( I ) - - n-, INSPECTO(� IIN T INSPECTOR f MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC'lf(IM NICIPALITY OF CH 'na&A 825 L Street - Anchorage, Alaska 99501 DEPT. OF H' . • i • ENVIRONMENTA j' .OTECTIOI� ENVIRONMENTAL SANITATION DIVISION _ Telephone 264-4720 OCT J 0 1 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND TFfCHVEED DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OB ' � 6VaC m� PHONE ,1777Z6 MAILING DRESS Z*!;61 9 PROPERTY RESIDENT (If different f om above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING A DRESSr jl 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DES RIP`a1 I STREET LOCCAGTIO 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATE PPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all -wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available:) 8. SEWAGE DISPOSAL SYSTEM XINDIVIDUAL/ON-SITE** �� YEAR ON -SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) !%• C M Suite #3 a 99503 February 12, 1982 Neil Wagner P.O. Box 10-1044 Anchorage, Alaska 99511 RE: Well and septic inspection. Lot 10 Block 11 Rabbit Creek Heights Dear Mr. Wagner: As per your request, I have inspected the well and the septic system on the above referenced property, and find the well to be installed in accordance with Municipal Standards, at least 100' from the septic system. The septic system has a total of 5-4" standpipe cleanouts installed and capped with air tight caps. If I can be of any further assistance, please do not hesitate to call. Respectfully, Wayne H. derson, P.E. WH:zc-p PENINSULA ENGINEERING December 17, 1981 Neil Wagner P.O. box 10-1044 Anchorage, Alaska 99511 RE: Water Analysis Lot 10, Block 11, Rabbit Creek Heights Dear Mr. Wagner: As per your request, I have taken a sample of the drinking water from the above property well supply and had it tested to Municipality standards. A copy of the analysis is attached and the water appears satisfactory. Sincerely, �rK Wayne Hnde son, P.E. �3 WH:sa Attachment m 00 49 ®00000000 000000 O �0 000 0000 OCi _O 00 00000` o B. W JNE hIE?;0.RSON C'� vp P.Q. BOX 2800 0 SOLDOTNA, ALASKA 99669 0 262-9637 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On-Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC241522 Parcel ID 020 -581-64 Expiration Date: 5/1/2025 Legal description RABBIT CREEK VIEW HEIGHTS BLK 11H LT 10A Site address 8501 PAINE RD Current property owner(s) SMITH GERAD M X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments By: / Original Certificate Date 1/10/2025 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, De`ielopment Service Department (DSD) issues COSAs based upon representations provided by an �dependent 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 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-581-64 Complete legal description Rabbit Creek V&H Block 11 H Lot 10A Location (site address) 8501 Paine Road, Anchorage, AK 99516 Current property owner(s) Gerad Smith 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ■❑ Plastic ❑ Concrete ❑ Fiberglass Age NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench X Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 2 tM Waiver Fee $ Date of Payment Z 2- Date of Payment COSA # 0 c `l Z 2 Waiver # COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test?Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 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. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 E. SEPARATION DISTANCES From Private Well on Lot to:(Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’Yes if No ft Absorption Field on Lot > 100’Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’Yes if No ft Holding Tank > 100’Yes if No ft Animal Containment > 50’Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to:(Please enter distances if less than required) Building Foundations > 10’Yes if No ft Tank to Property Line > 5’Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’Yes if No ft Water Service Line > 10’Yes if No ft Surface Water > 100’Yes if No ft Wells on Adjacent Lots: Private Wells > 100’Yes if No ft Community Wells > 200’Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS 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 Phone Engineer’s Printed Name Date Benjamin Schiller, P.E. 8510X Lot l5A I Lot 7A 10' x 20' Utility Easement Lot llA a N89°29'49"E 92.14cO PAINE ROADiiifi SCALE: 1"= 40' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. izabeth L. Walatka 8036 -LS . ',`:i;\i:sioiAi=t r2; 'rrf * an EB 2#', 83 %2 9,pi-~- BE iiifi ____I Note: Surface features may be omitted due to snow and ice at the time of this survey. RECERTIFIED 12-16-24 a5#4r) AS-BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following describedproperty: LOT 10A] BLOCK llH, RABBIT CREEK VIEW & HEIGHTS SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overiap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 25th day of APRIL_____, 2024. FRED WALATKA & ASSOCIATES, L.L.C. Engineers and Surveyors 907-2481666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation Of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount Of fees collected for services in preparation Of this product