HomeMy WebLinkAboutPRATOR BLK 8 LT 2Onsite File Prator Block 8 Lot 2 #017-091-29 Municipality of Anchorage Page Z--of ~- DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~u..~ ~' ~ E) 'z.~ o PID Number: o( ~ - o ~ ( -- ~ Name: ~C~ ~'9 ~ [ Wastewater System: D New ~ Upgrade Addres~ ~O ~C¢~ ~ ~( ~,'~ ~~ ~ ABSORPTION FIELD No. of Bedrooms: ~Deep Trench ~ Shallow Trench D Bed D Mound D Other Total Depth from original grade: LEGAL DESCRIPTION so~,,~i.~:, ~ ~s~. ~,. ~.~ ' Lot: ~ Block: ~ Su~div~ion:~r~¢ Depth to pipe~bo~om/from original grade: Ft. Gravel depth~/beneath pipe Ft. Township: Range: Section: Fill added above original grade: Gravei~th: WELL: ~e~ ~% ~ Upgrade Gravel width: Number of iines: Oistanc~be~eenlines: ~ ~ ~ Ft. ~ [ ~// ~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Pum~ ~,~,: Casing Height Above Ground: Yield:2, I ~ TANK SEPARATION DISTANCES ~p~ic ~ Ho~di,g g S.T.E.~. To Septic Absorption Lift Holding ~ublic/Private Manufacturer: ~ Capacity in gallons: Wel~ I~ ~( ~ ~/~ JOd~ Material: ~ [ Number°fC°mpaAments:~ Sudace ~ [~r Manufacturer: Water ~00~ too+ too+ LIFT STATION Lot ~,~, /o~ si=e ~. g=,o.~: Line Foundation ~,~1 [O0,~~ /~o+ "~ump on" I~vel at~ovol at: ~ H,~h w~tor alar~ at: Cu~ain Drain ~/~ ~) . ~ ~ P~~ Electrical Inspections performed by: Remarks: BENCH MARK Location and Descri~ion: ~ I Assumed Elevation: EN~EAL : Inspections pedormed by: f~ (A~, ~,~ Dates: 1st ~///~ I ~. ~ICHAEL N, ANDERSON Deparlmenl of Heallh and Human Seffices approval ~,~-, -.//* .',~ Reviewed and approved by: ~. ~ Date: ?-~- ~ ~ 't,'?gOf[SS~?~~ 72-013 (Rev. 9/91) MOA 25 P. ermit. No. SW980280 Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVlOES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 3zF3-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lot 2, BIk 8, Prator Subd. PID No.: 017-091-29 j ~-- '~ ~ '~,~ /^~'" - I- ~ ~ ~ ~ N 89'57'30" W / I1' - / ~_ ~- ~c.0.~ / . / . / - ~ ~ ~k / . / ~ LOT 2 BLOCK 8 ORND PIPE PREPARED FOR: ASBUILT A B ELEV, ELEV. SCALE: TH1 1~4.7' 119.2' 0.0' STACY & LUANN TANIGUCHI TH2 101.0' 8~.~' 0.0' TH2 ,7a.9' m5.7' 0.0' 146~0 FERNHILL CIRCLE C.0.1 ~2.6' ]~.9' 9~' 89.8' ANCH, AK 99516 ~ ~ C.0.2 73.0' 59.3' 93.74 89.9' 345--2481 ~.,' T.C.O.1 74.5' 61.0' 95.6~ I C.0.7 179.5' 167.3' 92.4' 88.16 T.C,O,2 8.3,5' 70.0' 95,64- C.0.5 84-.4' 71.0' 92.84-' 89.87 C.0.4 85.8' 72.6' 92.84= 89.87 D1 86.,3' 75.0' '92.75' 89.87 D2 154.9' 140.8' 92.88' 89.20 C.0.5 1,31.0' 116.0' 93.72' 88.17 C.0.6 1,39.6' 12,3.9' 93.8' 88.21 ~ MT1 154-.2' 14-0.7' 92.88' MT2 165.7' 14-9.2' 92.80' 189.5' 176.1' 92.5' 88.20 ORND PIPE A B ELEV, ELEV. TH1 154-.7' 119.2' 0.0' TH2 101.0' 8?.3' 0.0' TH2 178.9' 165.7' 0.0' C.0.1 52.6' 15.9' 98' 89.8' C.0.2 75.0' 59.5' 95.74- 8g.g' T.C.O.1 74.5' 61.0' 9,3.64 T.C.O.2 85.5' 70.0' 95.6'$ C.0.,3 84.4-' 71.0' 92.84-' 89.87 C.0.4- 85.8' 72.6' 92.84-' 89.87 D1 86.,3' 75.0' 92.75' 89.87 D2 154.9' 140.8' 92.88' 89.20 C.0.5 1,31.0' 116.0' 93.72' 88.17 C.0.6 1,39.6' 12,3.9' 93.8' 88.21 MT1 154-.2' 14-0.7' 92.88' MT2 165.7' 14-9.2' 92.80' C.0.7 179.5' 167.3' 92.4' 88.16 C.0.8 189.5' 176.1' 92.5' 88.20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEe-AL DESCRI.T,ON: ~ Z (~ $ 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 19 20- $OMMENTS DATE PERF( Townsl~ip, Range, Section: SLOPE WASGROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E SITE PLAN A Monitorino~ /No mE' ~ Date: Gross Net Delmth to Net Reading Date Time Time Water Drol~ (~ ~ ~o ?oM ~'~ 5' Y~ / 'fz,'/ 7~'~~ ~. t( z" PERCOLATION RATE '~0 (m~nules/~ncl~) PERC HOLE DIAMETER TEST RUN BETWEEN ~' FT AND ~ FT PERFORMED BY: {V[I,["" [50~ ( /~.[,.,/~ ~.~l'/-~1¢'/ , CERTIFY TH/,~T THIS TEST WAS PERFORMED IN AOOOROANOEW,TH^L'. T^,E^"OMU"C''LGU'OEL'NE$'"EPFEOTO"'H'$OA'E. OA?E: 72-008 (Rev. 4/85J September 1, 1998 Michael Anderson P. E. 14250 Golden View Drive Anchorage, AK 99516 (907) 345-3377 home (907) 345-1391 fax Department of Health and Human Services On-Site Services Section P. O. Box 6650 Anchorage, AK 99519-6650 Re: Lot 2 Block 2 Prator Subd. DHHS Permit # SW 980280 Dear To Whom It May Concern: The above property was installed as permitted but some minor changes were done in the field due to existing conditions. The pipe invert out of the house was deeper than expected allowing only 5.5' of effective depth instead of 6' as stated on the permit. Also the original system was only to have 2' of cover now it has 4', this made the system have a total depth of 9.5' from original grade~ This is still above the 10' maximum depth allowed with water in test hole #1 at 14'. I also moved the system to the west out of the radius of test hole #1 therefore a new test hole was excavated to cover the new area, this perc and log are included with this submittal. I trust this information will be of assistance in reviewing and approving this report. Please feel free to call me if you have additional questions. You may reach me at 345-3377. Sincerely,/ / ,'/ /// //~ /~ ,'I .. ~ l/ PAGE 1 OF 1 MUNICIPALITY OF ANC}IORAGE DEPARTIViENT OF HED_LTH D/VD HUIW3LN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ia_NCHOR~GE , iaJ_Jk S KA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW980280 DATE ISSUED: 8/04/98 DESIGN ENGINEER:ANDERSON CONSTRUCTION & ENGINEERING EXPIRATION DATE: 8/04/99 OWNER NAiVIE:T~NIGUCHI STACY TOORU & LU~qN OWNER ADDRESS:14640 FERNHILL CIR 2kNCHORAGE ALASKA PARCEL ID:01709129 LEGAL DESCRIPTION: PRATOR BLK 8 LT 2 LOT SIZE: 48798 (SQ. FT.) NI/MBER OF BEDROOMS: 4 THIS PEP, MIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION IvlUST BE IN ACCORDi~NCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREIVIENTS SPECIFIED IN i~NCHORAGE MUNICIPAL CODE CHAPTERS 15.55 ~a_ND 15.65 ~ THE STATE OF i~uLASKA WASTEWATER DISPOSAL REGULATIONS (18D3kC72) D_ND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEMUNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAlVlE DAY B. COVERED, SEALED D2~D HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ISSUED BY: DATE: July 28, 1998 Michael Anderson, P. E. 14250 Golden View Drive Anchorage, AK 99516 (907) 345-3377 home (907) 345-1391 fax Department of Health and Human Services P. O. Box 6650 Anchorage, AK 99519-6650 (907) 343-4744 Office (907) 343-4786 Fax Re: Lot 2 B 8 Prator Subd. To Whom it may concern: This a request for an on-site septic permit. The existing septic system was tested and failed when it was discovered that the bed had 26 inches of head in the system. Therefore two test pits were excavated to a depth of 17 feet. Test hole #1 had a perc greater than 60 minutes but test hole #2 did perc at 20 minutes per inch. The soils consisted of a sitly gravel (GM) to a depth of 17 feet. The perc holes were presoaked for 24 hours each to get consistent results. Ground water was encountered during the excavation at 16 feet in both holes and stabalized after the 7 day monitoring at 14 feet. The original system was installed by Lee Reed in 1984 with a perc of 42 minutes per inch. Due to the tight soils on test hole #2 the new system will be designed to the 30-60 minute range with a maximum depth of 7.5 feet for separation from the water table. The septic design consists of a double trench 56 feet long with 6 feet of effective depth. A divider between the trenches will be used along with a 3~ splitter to the old system as the plan shows. Additional fill will be used to mound over the system to provide the minimum cover. There are no slopes greater than 25 percent from the test holes, and the grades are between 2 and 3 percent near the septic area. There is no surface water on the property or within 100 feet of the property line. Only one on-site system borders this property to the north, all other lots are vacant. The existing system on the surrounding lot appears to be performing adequately and the new on-site septic system will not impact these surrounding lots. The topography of the lot is sloping to the west as the plan shows. Please feel free to call me at any time to discuss this system at 345-3377. Michael lq. Anderson, P.E. 1-2% I "--- ~1 I i i~ ~o ~ ~ ~. /~-3/~ / /,' ~ . I I EXISTING TANK ' "~ I I BLOCK 8 1~ ~ ~ I I LOT 2 ~ ~%~ ,~ ~MOUND OVER *~-- ~ ~GRADE -1' ~ OR ,b~,, % ~2" INSU~TION OVER DESIGN CRITERIA: ' ~ FILTER FABRIC 4 BDRM = 600 GPD SOILS = .45 GPD/SQ. ~. 600/.45 = 1,555 SQ. ~. REQ'B k TRENCH: 7.5' DEEP -14' ~ ~M " 6' EFFECTIVE 2.0' WIDE _ zo'I_DRAIN ROCK 112' - (2) 56' -~7'__ SEPTIC DESION PREPARED FOR ~N~. STACY TANIOUCHI ~ ~...~. LOT2, BLOCK 8 PRATOR SUBDIVISION PREPARED BY 14250 N. OOLDENVIEW DRIVE (907) 345-3577 / FAX (907) 345-/591 SCALE: 1"=60' JULY 21, 1998 ~ ', X x~c.o. ,, / ,, . .... ~ DOUBLE ,~.0. SEPTIC DESIGN PREPARED FOR ~~. PRATOR SUBDIVISION ~H . PREPARED BY ~ ........... MICHAEL N. ANDERSON, P.E. ~ ...... 14250 N. OOLOENVIEW D~IVE (907) 3~5-3377 / FAX (g07)545-1391 SCALE: 1"=20' JULY 21 1998 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: (--O4' Z- ~'~ 4.~ ~)~,-~ kO¢ ~U~ ~, Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 19 20 SLOPE WAS GROUND WATER/'X/Z' ENCOUNTERED? S IF YES, AT WHAT / (.¢1 ~) DEPTH? p E SITE PLAN 0ep~ t0 Waler Alter Monitoring? Gross Net DeDth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~7~) (m~nuteshnchl PERC HOLE DIAMETER TEST RUN BETWEEN ~'~" FTAND ~'~' FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7/[~-/~*~. 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska g9502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~'c~ '~' ~' '~ ~ '~ O~-J-O ~F' Township, Range, Section: 1 2 3 § § 7 8 12 13 14 1§ 20 SLOPE WAS GROUND WA'rER ,,/.~ ENCOUNTERED? DEPTH?IF YES. AT WHAT E Oepth to Wate~ A,er Monitoring? Data: SITEPLAN Gross Net Depth to Net Reading £)ata Time Time Water Drop '~/Ts/,~f)v,,~,~, if)o.... ~1~ ,~ 7 71/~1~ PERCOLATION RATE "~2(~) (m~nutes/,ncl~) PERC HOLE DIAMETER PE. ORM D '": , OERTI.¥THATTH,ST.TWA P . O.MEOiN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE' DATE: 72-008 (Rev. 4/85l ; ..... 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 PHONE E~I~Ew [~UPGRADE NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION DISTANCE TO: .~ell Liq. capacity in gallons IF HOMEMADE: Well DISTANCE TO: Manufacturer DISTANCE TO: Well/~/~ )_ Length of each line NO. of lines ,~ :.~'~ ~r'¢/- z ~/~ Top of tile to finish grade Abs°rpti°n area ¢~ .¢Z~~ Dwellin~ ~r~/~./,/~/ Dwelling I Material Foundation/~f~. /~/ Ne ~, Total length of lines Trench width " .;:~/'~ ~ ~ ~:~<~ ' inches Material beneath tile ~__~ inches NO. OF BEDROOMS PERMIT NO. No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance between lines Total effective absorption area Length Width Depth PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. D~STANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RAT, NG INSTALLER REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3/78) "~iLI~ I C:I ~,~LITN' CDF DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 9950± 264-4720 PERMIT NO: DATE ISSUED~ APPLICANT~ ADDRESS: CONTACT PHONE: 840~6~' 05,z0~784 STACY TBNIGUCHI i4600 FERNHILL CIR ~NCHOR8GE, AK 9D516 ~4~-2469 LEGAL DESCRIP: SUBDIVISION: PRATOR LOT: 2 BLOCK: 8 SECTION: ~5 TOWNSHIP: t2N RANGE: ~W LOT SIZE: /~B..?~8 (SQ. FT. OR ACRES) M~,., BEDROOMS: LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOLI IN DESIGNING YOUR'- ' P=.EFTI~ SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE. DEPTH TO PIPE BOTTOM (FT.) GRAVEL DEPTH (FT.) TOTAL DEPTH <FT.) GRAVEL WIDTH (FT.) GRAVEL LENGTH (FT.) GRAVEL VOLUME '(CU. YDS. ) TANK SIZE (GALS) SOIL RATING TRE~-~C:H 4.0 6.0 t0. 0 ~.5 ?~. 8 BE[) .~-l. DR:AI ~-~ 4.0 4.0 0.5 ~.5 4.5 7.5 ~0.0 5.0 58.0 i56.0 ~ 64. 4 ilS. 5 1,~50.0 ~ 1..~50.0 ~ · * GRAVEL LENGTH } 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH> mm TANK MUST HAVE AT LEAST'TWO COMPARTMENTS I CERTIFY THAT: ±. I AM FAMILIAR WITH THE RE~,_IREMENTS FOR ON-SITE SEWERS AND WELLS AS SET. FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STRTE OF ALASKA. 2.. I WILL INSTALL THE SYSTEM IN ~CCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. ~. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE 'SET BACK DISTANCES FROM ANY EMISTING WELL~ WASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THRT THIS PERMIT IS VALID FOR A MAXIMUM OF 4 BEDROOMS AND ANY ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES.. THEN (l) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (~) THE ELECTRICAL WORK MUST BE DONE 8Y A LICENSED ELECTRICIAN. SIGNED DATE: APPLICANT: STACY TANIGUCHI IS'_-]UED BY ~_~_~u~_ ~~ , DATE: PERM!T /.!3: E:,FITE -'- r::'r'-' ' FIPF'L. I C.:FII'..F!': .-:Fd'-.~TF:~ ] T F'H '.: .'.IE: 5;]"FIC ? T FiN !' L-:iL.iC H i :I.,::J.(SJi~i~i F:'EFi:Ni'"! .'.,': L.L. C :i: P. Ft !-4 C H O R Fi G iL::., F::i K 9 S~ !i]; ::L E; [:,EPTF! '1"0 F:' I PE !BOT"T'OM .':.' F:'T. :' GRFF/EL. DEPTF! (F:'T. TO'TFfL DEPTH ,:.'F:'T'. :? GRFWEL. t.,.I'_rDTH ,:.FT. GRFI',,,'EL. !_E?.:K:;iTH ,::F:'T. GRR',,,'IEL VOLUHE ,::E:LL VE:,:E;. ':, 'f'Fll'.,ll.::: S';]:ZIE (GI::P SCi i L RFtT I t'.,iG < SQ. F'T'. ,.."I3F:: ::, id~i:)]::U.!:f;'i']"i]; i'iUL...'T':[F'L.E: ~;'_'-!':Ji ,',",K)T' ,E;:.::CEE[::,iI'.,iG 'FSi F"T'. EFtZH) PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST SITE PLAN 10 11 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: 72-008 (6/79) ENCOUNTERED? O P ; E IF YES, AT WHAT D EPTi~? Gross : Net Depth to Net Reading Date ~ Time ~,~ Drop PER( RATE (~ 3inures/inch} FT AND ~-~ FT CERTIFIED BY: """ WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological ~ Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either Ic~ lb or lc,) A.D.L. No, ~i, ric]l :'~C,~luoc ?~ ! _of_at--of-- sO wE] ~.J DISTANCE AN6'DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL; Feet Below 4. WgLL DEPTB: (~inal) 5. DATE OF COMPLETION ' ' ' lEO ~ Cable tool ~ Rotary ~ Or[yen ~ Dug q;~l.~.}.3r..,~u~O~9:;~[~;{~ L:.(} ~2! ~ Irrigation ~ Recharge ~ Commerical .......... 3 ~):~[A)'O'~. - 8, CASING: ~ Threaded ~:~ Welded ~')~7.~r~'~ ~);.:)~). .C'~ ,~ ~-) ~' ~;~'.~.(2 ;~)~/" I diam. in. to. ft. Depth Stickup ft. ~- .'.3 / . '~ "~3 9. FINISH OF WELL: Backfilling Gravel pack ~U~lC~L/~_,~O~ ~C IO, STATIC WATER LEVEL: (~ fl. / / ~_ TPCTioN Equipment used I,~ ] ' Il, PUMPING LEVEL below Ion~ surfooe and YIELD ~ '. 12.GROUTING Well Grouted: ~ Yes .~.No  Motert~l: ~ Ne~f Cement ~ Other: 15, PUMP: (if ewiloble) HP k 16 WAIER ~CdNTR'ACTOR'S C[RTIFICATION: · . ... ,... [5, Weter Temperature o ~ F ~ C MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On-Site Water and Wastewater Section Fax: 343- 7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Septic Tank Advisory Certificate of On-Site Systems Approval # OSC211081 Subdivision: Prator Block:8, Lot: 2 The septic tank for this property is 22.5 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $7,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On-Site Water and Wastewater Section Fax: 343- 7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Nitrate Advisory Certificate of On-Site Systems Approval # OSC211081 Subdivision: Prator, Block: 8, Lot: 2 A water sample revealed a nitrate concentration of 5.39 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. Since nitrates are known to slowly increase, we recommend you monitor the water quality. 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. Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Nitrate Fact Sheet 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. • r18 9 70 i •`f;� Municipality of Anchorage On-Site Water and Wastewater Program JUL i t i i i (907) 343-7904m s.rE-ry/fr di Certificate of On-Site Systems Approval olio 9 Parcel I.D. 017-091-29 Expiration Date: / 0 - �l 1. GENERAL INFORMATION: Complete legal description Prator: Block 8, Lot 2 Location (site address) 14640 Fernhill Circle*Anchorage,AK 99516 Current Property owner(s) Jim Bates Day phone 242-7925 Mailing address 14640 Fernhill Circle*Anchorage,AK 99516 Real Estate Agent - Day phone - 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 55 Q• QC) Waiver Fee $ Date of Payment 7/51 Di 1 Date of Payment Receipt Number ©(o Receipt Number COSA# 050191R ? Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: -7 / ci In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system �� OF 4�0 in accordance with the guidelines and regulations established by the Municipality of Anchorage and �c•.• .•- (\ p industry practices. The reported results describe the condition of the system/s on the date/s of the Q� P.•• \) _ U evaluation. Separation distances were measured to readily identifiable features. Hidden defects or a T �� ...:37{,°0 ��1^ encroachments may exist that were not identified during the evaluation. The operational life of all wells * *V0 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, Q groundwater levels (that may fluctuate during the year). quality of construction (materials and VA 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 ;4, f y • „ar ess. system/s;therefore, GEG makes no warranty(express or implied)regarding the future performance of • 0 O g CE 7• O0 the well or septic system. GEG makes no representation whether an alternative well or septic system O 9: •• .(PO can be installed on the property in the event either of the current systems fail to perform adequately in 1t e •113 If.• c°o the future. The content of this report is for the sole benefit of the person/party that retained GEG to 4ieaProfesslo^cam perform the evaluation. Reliance upon the information provided in this report by any other person or ��OpO�oo party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE lul(((l((( System#1 Approved for t ( bedrooms \ \G\QplITYo�((r,i,� System#2 Approved for bedrooms `� ‘,,\,C) r� Disapproved 4. 0N, -5- ,-- oWq T S/TF i Conditional approval for bedrooms, with the folio J f!stii �Nr m, r 444 1 ��'ii 1S�RV iCEs,-,e� By: �.- -- Com/ Original Certificate Date: 7- 0-19 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory I Septic System Advisory Arsenic__„____Advisory Well Flow Advisory Other , ( °'f COSA blue sheet 10-10-12 doc COSA Checklist Legal Description: PRATOR; BLOCK 8, LOT 2 Parcel ID: 017-091-29 If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1 A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Well production at time of test 4.7+ gpm Date drilled 7/84 Water storage tank volume N/A gallons Total depth 136 ft Well disinfected for coliform test? ❑ Yes ❑■ No Cased to 131 ft Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate y -;(1fng/L ❑ Nitrate less than MRL (ND) ❑■ Wires are properly protected Arsenic ug/L [Arsenic less than MRL (ND) Casing height (above ground) 12+ in. Collected by () (7-C2 Date of flow test for COSA 3/26/19 Date of Sample (-2 c`� /9 Static water level at beginning of test 79.4 ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) 20 years ❑ Required maintenance completed Tank type/material STEEL Age of lift station N/A years ❑� Standpipes/foundation cleanout per record drawing Lift station material N/A Date of pumping 6/13/18 Comments: NO LIFT STATION 50"in tank on 3/26/19 D. ABSORPTION FIELD DATA Which system tested (date installed) 8/15/98 Adequacy test date 3/26/19 X ALL standpipes present per record drawing Results ['Pass For 4 bedrooms Total measured depth from grade "12.1+ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 4.4+ ft(min) Water added 869 gal ❑ N/A—pressurized field New depth 0 in ❑■ Monitor tubes go to bottom of drainfield. If not, state Ela sed time 0 min depth into effective 6 33' p ■❑ Code-required soil cover over field Final fluid depth 0 in Absorption rate 600+ gpd ❑ System presoaked N/A (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) N/A Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies:TESTED SOUTH TRECH ONLY. AT SOUTH TRENCH MT.CONDITION OF 1984 BED IS UNKNOWN. BED MT REMAINED DRY THROUGHOUT TEST. CONDITION OF NORTH TRENCH UNKNOWN. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100' Q Yes if No ft ['Yes if No ft * Neighboring Tank > 100' EYes if No ft Private Sewer/Septic Line >25' Ill Yes if No ft J Absorption Field on Lot> 100' ✓❑Yes if No ft Holding Tank> 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' * Q✓ Yes if No ft Animal Containment> 50' ['Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ✓❑Yes if No ft ✓❑Yes if No ft 0 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' ['Yes if No ft Driveway/Parking > 0' ['Yes if No, comment Absorption Field > 5' ['Yes if No ft Wells on Adjacent Lots: J Water Main > 10' 0 Yes if No ft Private Wells > 100' ✓Q Yes if No ft Water Service Line > 10' ✓l Yes if No ft Community Wells>200' ❑✓ Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Ei Yes if No ft Driveway/Parking >0' El Yes if No, comment t-- Property Line > 10' ElYes if No ** ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' ✓Q Yes if No ft Water Service Line > 10' z Yes if No ft Community Wells > 200' z Yes if No ft Surface Water> 100' z Yes if No ft F. ENGINEER'S COMMENTS *WITH CAVEAT - DID NOT PHYSICALLY FIND ANY SEPTIC PIPES FOR BLOCK 8 LOT 1 WITHIN 100' RADIUS OF WELL FOR BLOCK 8, LOT 2, SO 100' SEPARATION IS ASSUMED. **10' FROM C/O TO NORTH LOT LINE PER AS-BUILT SURVEY. oo�oo,p�4 Q OF G. ENGINEER'S CERTIFICATION o ••.k ,9 I certify that I have determined through field inspections and review ;'` ' „. of Municipal records that the above systems are in conformance with *' -i��T Q�� MOA COSA guidelines in effect on this date. I -w 0 0, '' L • D r � •-�j V. p CE-7 53 �p s/ �e4 �o c4,. 113 11i•-god COSA Checklist yellow sheet ��s.,,,,..,„.„.„. f essa ttAECC884 4 MUNICIPALITY OF ANCHORAGE /•1� DEVELOPMENT SERVICES DEPARTMENT (• i 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org(onsite Septic Tank Advisory Certificate of On-Site Systems Approval #0SC191287 Subdivision: Prator Block 8 Lot 2 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 20 years old. Typical replacement costs range from $6,000 to $9,000. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. • l Sµj • ;., Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org POST IN A CONSPICUOUS PLACE e n t , ALL WORK MUST BE INSPECTEDc° Sc` i x it. Field Inspection Request required 2 working days in advance of starting work and 2 working as days in advance for final inspeciton. Call(907)343-8206(voice recorder)for scheduling. / r �r ' Permit is not valid without the call-in and also must include the one-call ticket(utility locate) number �] LIE' • • MUNICIPALITY OF ANCHORAGE-RIGHT OF WAY DIVISION Department 4700 ELMORE ROAD TELEPHONE(907)343-8240 FAX(907)343-8250 RIGHT OF WAY PERMIT R191943 Type: Encrchmnt Status:4 "0,s'' I'ssued.':" Grid: SW3039 Date Applied: 07/15/2019 Date Issued:. - 07/15/2019 Issued By: PWMER Construction Start Date: ;Last Updated: 07/15/2019 -Last Updated By: PWMER Permittee: BATES-JAMES•C&MICHELE L Work Order Utility: 'ROW LeQol Q07-343-824 Contact Person: James Bates,907-242-7925 Primary Inspector's Address/Loc:.14640 FERNHILL CIR,Anchorage-@ Prator Street '``, Legal Description: PRATOR BLK 8 LT 2 G:3039 `:.;` ' • Original Work Decro scription: En 'achntent two.of septic.pipes•and a shed 5'and 15';respectively,into.a 30':Right of Way Reservation& Y . UtilityEaserrtentalong the west property line Al zro tell 0 f} rtYiafiM' s t Summarized_ Financial Transactions ss�� M. { ( Fee Descr,ptiort( 'i r � �t ��;'�;7� �:�� ,i Quantity Amount,' q pil $120.00P 10 i0. '. r Sr,^Ei=.4A :. zS,m 1� t}1.. $12u.00iii Ni , } Total Fees: * ,t. F PJ p�� r- wt ,,,.t%-?.. ..:4 Rtr'�a+a k,`I L▪ ts. tyres..�''a . [:} 1.?; ... � y, v •EAS;S a. ?" S ,w•,i,' -:.';•'47,1,:2 i,t 1� 7 tV.-.. ,44.0::`A:. , • ,. . -....: '''" irg'::.•`" ' '••• .-,''s' . *. 1 CA t t `f� (q ✓ .�� `3tD.urJ•�'+� ,SYb:°tYr IiI f.voi, +` yr " 5ftii,b Y :.-tco %., v. .5� ,.23�f�y�+}, y5y •� FS.'nt 41, j i}a � �S•. C� YrV'Z' ',,�'. 1 ▪t .r'+k:. 4a a4 jty f� k i + , ,�Yj�l + -, cfK s•Z,+fry ....✓'� ,�yk , v r / j+ ,f t/�' ?, (`t% }z ,,,z T a s,tr''y-x ,4.r., f .- :~� 7 a• �r • v ,MY !SrrUr' . � rY4�I ✓ v y,� , r +£ Fl� . ...:•,:4,,r40...:::43..,,- j ., 2 2_ • See reverse for requIrements/remarks. I have read and understand both sides of this permit. I agree to the terms and conditions;and I certify that all work will comply with federal,state, and municipal codes and regulations and the provisions of this permit. Signature: Date: 1 I i S I ) cA July 15,2019 Rniti Jim Bates 14640 Fernhill Circle Anchorage, AK 99516 Re: Letter of Non-objection Dear Jim Bates, Subject to your agreement to indemnify the company as set forth below,GCI Communication Corp has no objection to the well, septic, and shed encroaching into the Right of Way and Utility easement of Prator B8 L2, also known as 14640 Fernhill Circle, city grid 3039,GCI WO#19-0001-32. This letter of non-objection in no way precludes GCI Communication Corp from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of-way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCl Communication Corp harmless, now and forever,for any damage, costs, expense(including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to me at the address below. r29.6.‘t Sincerely, Ceptanc � Date s Kofoid Manager Outside Plant Design&Data Management GCI Communication Corp 5151 Fairbanks St. Anchorage, AK 99503 907-868-6168 Office 907-868-8580 Fax • A 2019-024637-0 • A Recording Dist: 301 - Anchorage s 7/16/2019 02:53 PM Pages: 1 of 4 A ti It 1111 It III I IIID lilti lilt U II III I U II II 1 1203-35A Grid 3039 EN 19022 017-091-29-000 ENCROACHMENT PERMIT This permit is between Chugach Electric Association,Inc.,an Alaska non-profit electric cooperative, (herein"Chugach"), whose address is P. 0. Box 196300, Anchorage, Alaska 99519 and James C. Bates and Michele L.Bates(herein"Permittee"),whose address is 14640 Fernhill Circle,Anchorage, Alaska 99516. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities,as follows: Described in that certain written instrument recorded on the 12t"day of December 1953,at Volume 97, Page 205, on file in the office of the District Recorder,Anchorage Recording District, Third Judicial District, Seward Meridian,Alaska, Dedicated by the plat of the subdivision known as Prator Subdivision, according to Plat Number 68-40, recorded on the 18`"day of April 1968,on file in the office of the District Recorder,Anchorage Recording District,Third Judicial District,Seward Meridian,Alaska, (herein"Easement") which pertains to the following described real property: The West Thirty Feet (W 30') of Lot Two (2), Block Eight (8), Prator Subdivision, according to Plat Number 68-40, recorded on the 18th day of April 1968, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska. Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot Two (2), Block Eight (8), Prator Subdivision, according to Plat Number 68-40, recorded on the 18`h day of April 1968, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska, (herein "Parcel"). Encroachment Permit- Page 1 of 4 eRecorded Document • • • 2. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to said Easement: Two septic pipes that encroach into the east side of said Easement along the west property line, the most northern pipe encroaches approximately One Foot (1'), for a distance of approximately One Foot(1'),and the second pipe encroaches approximately Four Feet(4')for a distance of approximately One Foot(1'),and a shed that encroaches approximately Nineteen Feet(19')into the east side of said Easement for a distance of approximately Fourteen Feet(14'), (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury,property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto,even if in violation of this permit,has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty(30)days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty(30)days written notice of such termination if: Encroachment Permit - Page 2 of 4 II III 1I1111IVIII 2of4 eRecorded Document 2019-024637-0 a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. c. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach,expire forty(40)years from the date hereof. 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements,oral or written,between the parties. No modifications,amendments,deletions,additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. PERMITTEE By: \Sl1 t., Q � By: 3 r,,.ck..c ,2-).7 Shelly Schmitt, Senior Manager Michele L. Bat-s for James C. Bates Distribution Engineering POA Book 755, Page 719, ARD Date: .71 (o)1 ?O I/ Date: l eo By:3/'1--A-e-k-za-e Michele L. Bates Date: 1cl Encroachment Permit - Page 3 of 4 111111111 1111 111H 3 of 4 eRecorded Document 2019-024637-0 STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this !6 klay of , 2019, by Michelle L. Bates �' \� \\1i11111111////!!! .---, gv:NOTA Notary Publio i and for the State of Alaska 5 pJBLIC c*5 My commission expires: of-O/-Zz �44:.o .•A\-''� ////III(I111111\\ • STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this itirday of JW-4 ,2019,by 6146coi &Ain1rT Senior Manager,Distribution Engineering of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. A,* 0. KE6-6, (?imvL.5-7'<eca..ta-----, cJ " %% Notary Public in and for the State of Alaska 2 ; NOTARY 1 '' My commission expires: OA-I z z_. 41A;PUBLIC y��'Nlll,II11N\��` AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage,Alaska 99519-6300 Encroachment Permit- Page 4 of 4 II11111 IHIIIIIIIIIHIII 4 of 4 eRecorded Document 2019-024637-0 July 12'1,2019 Jim Bates 14640 Fernhill Circle Anchorage,Alaska 99516 Alaska Communications has no objections to the existing shed and well and septic system encroaching Into the 10' Utility Easement and 30'ROW located along the western boundary of block 8,lot 2,Prator Subdivision,otherwise known as 14640 Fernhill Circle,Anchorage,Alaska as depicted on the drawing provided by Jeffrey Gamess, Gamess Engineering Group. Alaska Communications currently utilizes this easement and has no objections to the encroachment. Alaska Communications hereby issues this letter with stipulations to al ow the encroachments of the above mentioned into the easement Acceptance,(your signature below),and use of this letter of non-objection by yourself,your heirs,your assigns,or your successors,will constitute agreement to the following stipulations: 1. Alaska Communications will be held harmless,now and forever,for any damages or injury to any person or property as a result of this encroachment 2. Any Alaska Communications facility damaged or destroyed as a result of this encroachment will be repaired at no cost to Alaska Communications. 3. Any costs incurred by Alaska Communications for special construction necessitated by this encroachment wilt be borne by the property owner. 4. All applicable safety code regulations will be observed and maintained. 5. This letter of non-objection will in no way preclude Alaska Communications from full use and enjoyment of ks rights within any portion of this easement 6. Alaska Communications is under no obligation to restore any structure damaged as a result of Alaska Communications full use and enjoyment of its rights within any portion of easements or right-of-ways. Please sign both copies,retain one copy for your use and return the other to Alaska Communications. Sincerely ,40.---Li; Auytirt King, .) Network Engineer.Outside Plant Alaska Communications Outside Plant Engineering,MS#14 600 Telephone Ave. Anchorage,AK 99503 ACCEPTnE_ DATE: Grid SW3039 RCWC Li!.W ENSTAR Natural Gas Company • A DIVISION OF SEMCO ENERGY Engineering Department Right of Way Section 401 E.International Airport Road P. O.Box 190288 Anchorage, Alaska 99519-0288 (907)277-5551 FAX (907)334-7798 July 11, 2019 James and Michele Bates 14640 Fernhill Circle Anchorage, AK 99516-4411 Re: Right of Way and Utility Easement Encroachment To whom it may concern: ENSTAR Natural Gas Company has no objection to the existing standpipes and shed within the 30 foot (30FT) Right of Way and Utility Easement adjacent to the West property line of Lot 2, Block 8, Prator Subdivision, according to Plat No. 68-25, Records of the Anchorage Recording District,Third Judicial District, State of Alaska. Acceptance and use of this letter of non-objection by yourself, your heirs, your assigns; or your successors, will constitute agreement to the following stipulations: • Landowner/Contractor working near ENSTAR gas facilities shall contact the Alaska Digline, Inc., (907) 278-3121 or 811 for line locating two (2) business days prior to any related excavation. This service is free of charge. • ENSTAR will be held harmless, now and forever for any damages or injury to any person or property as a result of this encroachment. • Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no cost to ENSTAR. • Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the Iand owner. • All applicable safety code regulations will be observed and maintained. • This letter of non-objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, (LC/IAA_ Cassie Acres Right of Way&Compliance Technician ENSTAR Natural Gas Company • Anchorage Water & Wastewater Utility 4),1u` $ Engineering Division 1 ;> Mayor Board Chair Ethan Berkowitz Aaron D. Dotson July 11, 2019 James C. & Michelle L. Bates 14640 Fernhill Circle Anchorage, AK 99516 Re: PRATOR BLK 8 LT 2, Grid (SW3039) Request for Letter of Non-objection to Encroachment (Tax ID# 017-091-29) The Anchorage Water and Wastewater Utility received a request from your Representative Garness Engineering on July 11, 2019 in regards to an existing septic standpipes encroaching within the Right-of-Way Reservation & Utility Easement along the west property line of PRATOR BLK 8 LT 2. AWWU is currently not using this Right-of-Way Reservation & Utility Easement and has no objection to the encroachment. AWWU hereby issues this letter with stipulations to allow the encroachment of the existing septic standpipes within the easement, property owner(s) agrees to the following: 1. AWWU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachment; 2. The property owner(s) shall call for utility locates before excavation in the easement; 3. All applicable codes and regulations will be observed and maintained within the ROW reservation & easement; 4. This letter will in no way preclude AWWU from full use and enjoyment of its rights within any portion of the ROW reservation & easement; 5. The property owner(s) shall pay any additional and/or extraordinary costs incurred to accommodate the encroachment during any future required construction or reconstruction of AWWU facilities; 6. AWWU's non-objection does not imply other approvals that may be required for this encroachment; and, 7. AWWU does not provide a position for any other parcel or utility impacted by the encroachment. Should you have any questions, please call the AWWU Planning Section at 564-2739. Dely, > Paul H.tcher Engineering Technician III Anchorage Water & Wastewater Utility Clearly 3000 Arctic Boulevard•Ancho rage.Alaska 99503 Phone 907-564-2774 • Fax 907-562-0824 •ww1v.awcvubiz Unsubdivided - - - - - - - - - — N 00'00'00"E 165.05' LUPINE STREET ?--,1 7— —7? cn CO v--____ ---- _____ _ I S p x z. 1 I o m• ^' o� = ft -max �D �-0 OZ f' I I r� C z /xi E / cn m z mw C J / Km ., / m<x. r /�—+ Z DiND " J 0 -� W0 0 /// / I = Z m D I z \ m a, % Z -� n r o."'..k. Zo m 'CO CO �m m o c1-11 0D V m 0 (n C) Ir I- C) •A -uN I c.,; m O ui -D-iO ,0 •ill O° � % — W o•0 _W N 9 co co 8f coco f Ilfita'-- Nuo co p 48.9' o ,Vg''' N L • \ O�_ / 1 3°‘\133\ WI m o / 13,01_\ 1 • \ ^? N W / O p4Z c, N 59.1' / �.N 7 4Z �-.._ r. D ��' Z I 1� \ O q -.. O O • �� a x < C� I V m �GF 0 O' ` D / 1390/C ��F co NmI�, Kr Oco mI co t, ir 4CC N m 40 \ / O O S 00'03.00"W 69.20' — 1 __ \\ FERNHILL CIRCLE / / - - — - - - - - - o \N � I , N i o II i , I a I PLOT PLAN AS BUILT X_ SCALE 1" = 40' GRIDS_W 3039 Pro ect No. 19-156 Al Lang & Associates , 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 n c . (907) 522-6476 Phone Professional Land Surveyors ke°OI ngsurvey com 522-4625 Fax X40 F��``°Op jonathanOlangsurvey.com ,;'57.' <••• —.L4,5 I hereby certify that I have surveyed the following described property; O,'�P • `) QO LOT 2, BLOCK 8, PRATOR SUBDIVISION (PLAT No. 68-40) O Anchorage Recording District, Alaska, and that the improvements situated thereon are Q 49TH /\ 0 within the property lines and do not encroach onto the property no improvements on the property lying adjacent thereto encroach oadnathe tsurveyed that Q 0 premises and that there are no roadways, transmission lines or other visible 0 easements on said roe �,�'. KENNETH �,q►��1 0 property rty except as indicated hereon. 0 !2"� S Dated this the Day of o40F �-5 0 .� � _, at Anchorage, Alaska Q �A •.._..- 5 0 It is the responsibility of the owner to �AN� `� determine the existence of 0 R�\.. . oNA� a nnvannn4e fir rae$rin4inns Whinh dr, nn4 nnnanr nn 4ha rannrrisd O1h4Y i easements,nInnts, °�Oppo� A crroa: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING - 7'5' NAA# 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well ~ Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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 in~/estigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverifythatbasedontheinformationobtained 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 /'d~ r'kae{ /~, .,//~J,~.,,~ Phone ~ffq'- Engineer's sig,ature ~¢~ Date DHHS SIGNATURE ~ Approved for /c-'O ~rZ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates 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 DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-O25 (Rev. 1/91) 8ack MOA #21 14ECEIVI:b Municipality of Anchorage SEP 03 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MUNICIPALITY OF A, NC 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907)"~¢4'~-~2f- *F~V!CFS Health Authority Approval Checklist Parcel I.D.: /LP/'7 ~ D~.;,-,-7 _ ~.~' A. WELL DATA Well type ._.~-~ d Log present (Y/N) Total depth SanitarY seal (Y/N) / Date completed 5 (¢ / Cased to / ~ / / IfA, B, or C, attach ADEC letter. ADEC water system number Casing height (above ground) ?' Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: '~'/"/-?/~'~ Date installed ~'~ Foundation cleanout (Y/N) Date of Pumping ~///'- Nitrate ~z~, ~, Other bacteria Collected by: '~J~ ~ ~,,, 0 ~-~. (~' Tank size I "L 5'-0 Number of Compartments '~' Depression (Y/N) I',f/ High water alarm (Y/N) /V~'~ Pumper ~/,/'~ C. ABSORPTION FIELD DATA Date installed 5r/t~/q~> Length ! "~-[ Width Soil rating (g.p.d./fF or fF/bdrm) , ~' System type Jr ~/~/~ rr Gravel thickness below pipe 5', ~ Total depth Effective absorption area. \'-~7\ Monitoring Tube present (Y/N) '7/ Depression over field (Y/N) Date of adequacy test ,A,/~/,L) Results (Pass/Fail) 7~1 -c~,.D For Fluid depth in absorption field before test (in.); .~"~' Immediately afte,r/-""~gal, water added (in.): Fluid depth ~ (ins) Minutes later: ~ Absorption rate = ~ g.p.d. Peroxide treatment (past 12 months) (Y/N) /~ If yes, give date bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycl~ t~~~'~ Size in gallons *Datum E. SEPARATION DISTANCES "Pump off" level at* Absorption field on lot Public sewer main SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot / '-'/~'" Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: t /' ," Foundation ~ ~ ~/ Property line ('2~, ~" Absorption field "¥- '7, 5- Water main/service line /Po -F' Surfacewater/drainage /~o f Wellson adjacent lots /oo ~- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Propedy line Surface water I oo '(-- Curtain drain Building foundation /¢ ~, ~'" Water main/service line / dc~ -/- Driveway, parking/vehicle storage area /r.~ f- Wells on adjacent lots / o~ ¢ ENGINEER'S CERTIFICATION /certify that/have determined thru field inspections and review of Municipal recorde.~,t¢ ~t~.~},,~¥~ns are in conformance with MOA HAA nuidelines in effect on this date. ,~.,%~.~. ;'* A" , Engineer's Name hfl r~,~( ~'-(,,- -'~"n ~"*r~'¢'~ ~'~.;:~: j: : ..... nnt~ ~/~/~ fn i~ ~2~'. CD- 9.469 . HAA Fee $ Date of Payment d'~/"~ / ?~ Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number 1. General Information FPJNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEP~dlI~NT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE Application Date (a) Legal Description(include lot, block, subdivision, section, township, range) Location (address or_directipns) (h) Applicants Buyer ~. ! o~h~r,~',(explain); __ (d) Lending Institution Telephone Address~ ' (e) Real Estate Co. & Agent' Address Telephone (f) Mail the HAA to the following address: T~e o___f Residence Single-Family~ Number of Bedrooms Multi-Family Other (describe) Water Suppl~. Individual Well~ Communtty~ Public~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. ~osal ~ote: If eommunity well System~ must have written confirmation from the State Department of Environmental Conservation aetesting to the legality and status, [Page 1 of 2] 5o E_n~ineering 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 this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regula- DHEP Approval Approved for~.~' Approved ~ tions in effect on the date of this inspection. Name of Firm~' I~-./~.~Z~'_'~ Address / ~2~3 ~) _~J '(ENGINEER SEAL) ~ bedrooms Disapproved Terms of Conditional Approval CAb~fION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON T}~ REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/Di8 [Page 2 of 2] 7-19-84 Well Classification ~[*t Well Log P~esent '~N) Total Depth / ~. / Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit. ) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: ENVIRONMENTAL PROTECTION OCT ! RECEIVED Date Completed · 151 Pump Set At If A, B, or C, D.E.C. Approved(Y/N) 7/~7z9/~Z/ Yield Depth of Grouting /U/~/- Sanitary Seal Qn Casing ~/N) Depression Around 'Wellhead ( Y~ ; On Adjoining Lots /~)/~F-; On Adjoining Lots To Nearest Publi,c Sewe~ Cleancut/Manhole ~,A-.-~ Nearest Sewer Service/Line on Lot /, Water sample Collected By ; Date ID 0 / Water Sample Test Results Be SEPTIC/HOLDING TANK DATA Date Installed [_~ [~. Size I ~k,_c~-~) No. of Compartrrgnts Standpipes ~) Air-tight Caps ~) Foundation Cleanout Depression over Tank (Y~ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ^)Id ; for Holding Tank High-Water Alarm (Y/N) /~l~'~ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well //~ / ~-- To Building Foundation To P~operty Line ~ .q(% '" To Disposal Field ..~--~)/,4~' TO Water Main/Service Line + /~z~¢- To Stream, Pond, Lake, or Major D~ainage Course [Page 1 of 2] Receipt # Date Paid: Amount: 2-15-84 Ce ABSORPTION FIELD DATA Soils Rating in Absorotion Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field .{~ Results of Last Adequacy Test Date of Last Ac~quacy Test Type of System Design _~.~_~7~ Length of Field ~O · Depth of Field ~F~ ~,~ Gravel Bed Thickness Standpipes Present Separation Distance from Absorption Field: To Water-Supply Well /~-6) / ~ To Property Line To Building Foundation ~ / '~ To Existing or ~ando~d System Lot ,~//.~ ; ~ Adjoining Lots ._ ,~00 / To Wate~ Main/~rvi~ Line ~/~ To Cutba~( if pre~nt) To Stre~ond~ke/or Majo~ ~ainage Co, se -~6' To ~iveway, Parking ~ea, or Vehicle Storage ~ea //~ Con. nas ~ ~~ ~ ~~z~ D. LIFT STATION Date Installed Size in Gallons "Pump Or," I~vel at High Water Alarm Level at Tested for / Electrical~) Comments '~nsions ; v /~p Off" ~vel at ./ Vent (Y~) ~ing Cycles d~ing Adequa~ ~st. ~ets ~DA Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, or conformed to all ~OA on the date of this inspection. [Page 2 of 2] Date No. 2-15-84