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HomeMy WebLinkAboutPROSPECT HEIGHTS BLK 1 LT 8A Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221092 PID Number: 015-133-26 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name MICHAEL & MICHELLE HOLLAND ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 10101 PROSPECT DRIVE, ANCHORAGE _El Ota er Phone Number of Bedrooms Soil Rating depth from original grade 4 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Fill added above original grade Ft. Gravel length Ft. PROSPECT HEIGHTS 1 8A Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area z Number of trenches Dist. between trenches From Tank Field Tank Line Ft Ft. Well 25'+ TANK ® Septic ❑ S.Ta=.P. l] Holding El Other - Manufacturer GREER Capacity 1250 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 51+ -- NA Foundation 10'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks Existing tank decommissioned. Holt staked. Alarm location Electrical installed by Tank to PIPE MATERIAL House to tank 3034 d 3034 Installer DENALI EXCAVATION a afield Drainfield Co/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection ection 15` 5/25/22 n 5/25/22 Location and description 2 3`d 4'h ITOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF A Conditional Approval: Date i '•:�,�,� 10 . • •:� Curtis Huffman /� F •. CE 128991 c�`v ��d'lF��. Septic System A PProved�- \ 'L... Date 3 2d� .• 5/27/22 5/27/22 OPROFESSIONA�"— Note: this approval does not include well permit requirements. N\��,`11 (Rev ub/u2/1 S) PID: 015-133-26 PERMIT, OSP221092 / - - - - GRAVEL DRIVE / PROSPECT HEIGHTS \ BLOCK 1, LOT SA \ A—C=43,3' B—C=14,9' A—D=48,2' B—D=18,9' A—E=54.8' B—E=24,6' EXISTING LOCATEDZRADI FIELD - CRIB WELL PRIOR TSHANE HOLT STAKED BR HOUSE WEST & SOUTH PL& 100' WELL RADIUS DCO COE D• MH 1OP OF MH DECOMMISSIONED EXISTING S.T. & INSTALLED NEW 1250 -GAL HDPE SEPTIC TANK . WITH NEW FCO & DCO. SEPTIC SECTION SCALES NTS PROSPECT HEIGHTS 131, L8A PREPARED FOR: MICHAEL & MICHELLE HOLLAND 10101 PROSPECT DRIVE ANCHORAGE, AK 99507 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK@gmail.com • WELL SUPPORTlSERVICES:o 'App, OF AZ4 F ow� DATE: 5/27/2022 is Huffmanof SURVEY: HOLT f DRAWN: FWCS 1 CE 128991 4� SCALE: 1" = 30' 1 5/27/22 e,., PAGE: 1 OF 1 p�FESSIO��' M UKICI PALITY OF ANCHORAGE m� n r on t51tD Water e, wva stowator Pro g ra m 0 PO Box 1 966s 4704 Elmore I4Oic� ., Ancharage- A1s91[& 9%19.6650 Phone: X7) 34.U7'9D4 Fax: (007) 3d3-7997 � +. hMP.1`, VW.mun1-0r9t0rMe Gpar[III C11f On_ ite Wastewater Disposal System Permit Permit Number: OSP221092 Effective date,. 5!312022 Work Type: Sep4cTank Upgrade Expiration Date; WU2023 Tax Code Number: 015133260DO Site t_egal Address, PROSPECT H EIGHTS SLK 1 LT $A 0:2541 Site MaMing king Addrcss: 10101 PRWPECT D R, Anchorage Owner: HOLLAND MICHAEL W & MIO HE LLE A Lot SIze in Sq Ft: 45080 Design Engineer: FIRST WATER CON SULTIN0 Total Becirnrim5; 4 This parrn it is for the construc#ie n -of: El DISposal Field Q Septic Tank ❑ Holding Tank ❑ Pnvy © PrIVA Lu ti hl ll D vvaler 8lorage Ail Construction shall bL% In accordanc$ with - 1 - ith:1- The attached approved des ign. 2. All requ-vamenis specified in Anchoraqe Municipal 00de ClhaPters 115-55 and 15,65 and the State of Al&ska UVD!tewater Disposal Regulations 1;13AA 72) and Drinkiriq Water Regulations (I8MC80) 3. The wastewater code requires inspections dorliig the insla.11lation. The engineer shall notify The Developm-ent Servioes Department per AMO 15,65. Provide noiffixation by calling (907) 343-75 4 (249). 4. From C�ctoher 15 to April 15, a sulbsurface soil ahsorptlon system under conCtruCtton during freezing weather Mall be either_ a- Opened and Cloyed on the same day, or h- CoverM sealed, and heated to prevent freaJnq ReceivGd By, Date; 513,2022 rssued Eyr.L.X'Date UH CC .i\ TV 0th A HCH0R1'_A GZ Development Services Department r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICM/ELL PERMIT APPLICATION Parcel I. D. 015-133-26 Property owner(s) MICHAEL & MICHELLE HOLLAND Day phone _ Mailing address 10101 PROSPECT DRVIE, ANCHORAGE, AK 99507 Site address 10101 PROSPECT DRVIE, ANCHORAGE, AK 99507 Legal description (Sub'd., Block & Lot) PROSPECT HEIGHTS 131, LOT 8A Legal description (Township, Range & Section) Lot Size 45,080 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank 0 Upgrade 0 (D) El Holding Tank El Renewal'ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: It-� � 5 Waiver Fees: Date of Payment: yLL51ZZ Receipt Number00522'Z Permit No. 0 S P)Q G 09 Q Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com April 25, 2022 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: PROSPECT HEIGHTS BLOCK 1, LOT 8A The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1250-gallon HDPE tank per the attached design to serve the existing 4-bedroom residence. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221092, Deb Wockenfuss, 05/03/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221092, Deb Wockenfuss, 05/03/22 15400 FB 221-37 �P 0 . 49 TH -9 0 s SHANE A. HOLT �a�t �p LS -6914 fes siona\ foo Y I" = 30' 1A T / HA VE PERFORMED A SURVEY DESCRIBED PROPERTY YOSPECT HEIGHTS SUB. ( PLAT 69-151) SING DISTRICT, ALASKA, AND THAT THE NTS SITUATED THEREON AREWITHIN S AND NO VISIBLE ENCROACHMENTS VOTED. GE,ALASKA THIS 4 TH DAYOF HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 223-8615 GRE'-' ,ER ANCHORAGE AREA BO'- "UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 NAME ~/~//V~9~ //)//~/y_~:/l/ MAILING ADDRESS INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE __ / FROM WELL/~O INSIDE LENGTH MANUFACTURER ~7~<~ ~- INSIDE WIDTH MATERIAL. ~/ NUMBER OF COMPARTMENTS ~ LIQUID DEPTH /- .LIQUlD CAPACITY/A~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / , DIAMETER __ OR WIDTI~¢/¢/~, LINING MATERIAL g/~ CRIB SIZE: DIAMETER BUILDING FOUNDATION/l~'/~'), ' NEAREST LOT LINEAO ADDITIONAL ABSORPTION LENGTI~, DEPTH DEPTH '~ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA(WALLAREA, SQ. FT. WELL: TYPE ~)R///¢~3 CONSTRUCTION BUILDI NG "~._ NEAR EST FOUNDATION , ~ CESSPOOL APPROVED DISTANCES: INSTALLED BY: PIPE MATERIAL: ~'/J-~' -~'~-O~/ LOT SLOPE: REMARKS: r~:~ OTHER SOURCES 'DISAPPROV~ ) O.jt' CDEPTH / ¢g DISTANCE FROM: NEAREST ~ SEPTIC SEEPAGE SEWE R~41~E ~ TANK SYSTEM REMARKS DIAGRAM OF SYSTEM APPROV ED~,~ ~~ G.A.A.B. GreATER ANCHORAGE AREA Borough l=ERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION ,& 7q-/¢ f7 PHONE INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~ ., DRAIN FIELD / OTHER SOIL TEST RESULTS ~~r~ -- /'-"~ ..... 2 ~;;' ':~ ~TC NOTE: THIS PE~IT iS NOT VALID WITHOUT SOIL ~ ~IN~ INSP~GTION: g8 ~OU~ NOTJGN R~Ogl~D. ~GK~ILN1N~ O~ ~NY SYSTem WITHOUT ~IN~L INSP~GTION ~ TH~ DEPA.TMENT OF ENVIRONMENTAL ~ALITY AUTHORITY WILL BE S~T¢~R//ECU~N~. -- /a. ~ / MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PIT . TO NEAREST LOT LINE. '~WELL TO SEPtiC TANK / DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD. TO RIVEr, LAKE. STREAM. , DRAIN FIELD /~C/ /D/ 2-0 / /O / , DRAIN FIELD SEEPAGE PIT. /~ ~/ / ALSO CONSIDER AREA WELLS. · SEEPAGE PIT / ~ /, DRAIN FIELD /O"~ / CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GrEaTER~!~agEtAREa BOROUgh ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~ ~d D ATl~/ ~///~¢X/-~ APPLICANT'S $1 gNATU re X 103 E, 26TN AVE.~ ~CHORAGE 272-89~1 ~Um~UL I~NG ENGINEERS & SURVEYOr{S?' NElL ~IGHT BUILDING, PALME'R 745-44'17 April 16, 1974 Mr. Earl J. Clabo P.O. Box 3-4056 Anchorage, Alaska 99501 Re: Soils Log Lot 8A Block ~ Prospect Heights Subdivision Dear Mr, Clabo: Transmitted.herewith is the soils log for a test hole taken on the above 'referenced p~operty per your request. It should be noted that the gravel thickness in the ho)e widened from three (3') feet on the north side of the hole to six (6') feet on the south side of hole. l'his would indicate that the gravel would increase in thickness in the location you propose to place :the seepage pit. Partner LS/mA Enclosure riORDON D. UNWIN, P.E. LEO SCi-lEBEN, JR.~ P~E. 'CL%~,~T E.O_,_Cl, abo, .. PROJECT. Te~s,~,Bol ?' m ' S'O I E S' L'O G~ TEST HOLE NO. #1 . ' .'. ;.. '..'~.'.'.i'.'~.,'" i DATZ ^pr11' 16, 1974' .... ' ~ .."F~t, EY.. TO2 OF HOLE_Lowest Sec{ion 'of. Lot' :'' W. Oi NO..74106 ' '' 11 ' ' Black"Peat & Over Burden' .... .:.~_ ~ ~:.' ',.} , '": ~ .'?: ; / ~ '.' ..'.~ ,'it ....:'.'' ... '- ' '" ' :, ,.,. '.. . f.j~_,. ' . · . . . :'....~... ~. -..., -.-: ........ :.._.~....:: .... . :. ,, .... :..;._.....'~. .. ~ .~. · . ...... · , .._~ ............... ~,..~. ...... ~...[ .............. , : . O . . ~7 " '." ?-?¢~7'U~'::~~ .... :~ ~ ~--'~ ~.~"~' " -" ......... '~" ..... ~ ......... E'? -- "" ~' ..... "'" · . ~ ~:~Le.~.~.¢~..~.jj~ gray ._,... ./' "~'~"~-7-": ?7 - . .... - '~2. - ':' · '"~"-: - ~.~oCtom :----' . 15 ~k~.~"~', ~ ~ .:.'....::'.." ~.: :.:.:':..'..'~:~....'~.. - ~' : ....... . .................... : ....... -,. .... :.. ~..~ ~ ........ ' 16 · '.:' ." !7 -.:.~... ~~'-~l.~: ..... , ..... 7 · ' ~:-':'' -' -- 13 14' 15 16 17 19 20 21 22 R&M Civil Engfneers ENG,,qEERING & GEOLOGIC,.iL CONSULTANTS 229 EAST 51st. AVE. -- P.O. BOX 6087 - ANCHORAGE, ALASKA ggs03 TELEPHONE 907-279-0483 TELEX 090-35419 Geologists ,. ~ Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZIES. P.E., L.S. JAMES H. WELLMAN, P.E. June 17, 1974 ~ECEIYED 1974 R & M No. 462040 RALPH R. MIGLIACCIO Engineering Geologist. Mr. Earl Clabo Ciabo Construction Co. P.O. Box 3-4056 An~horage, Alaska 99501 Re: Test Hole and Soil Log Report for Sanitary System Lot 8A Block 1 Prospect Heights Subdivision Dear Mr. Clabo: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This in- vestigation was performed in accordance with your request of June 14, 1974, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 8A area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended .to a Total depth of 14..~ ~eet below ground surface. The final log prepared'ofor~he'~t~'~i~ h~s been included in Drawing A-O1. G ound w_aterwasnot~%m the test hole. During ~Xcavation and loOSe--ere was no indicatiom of ground water below the immediate base of the test hole which was terminated at a depth of 14.0 feet. Since the soil was relatively dry, we do not feel that the water table is located within the upper few feet below the test hole base or to a depth of 17.0 feet. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL. CONSULTANTS, INC. JkrR:kd xc: GAAB TH~I 6-14-74 ORGANICS 0.5' ORGANIC SILT 2.OI SILT, TRACE SAND 4.0I SAND, SOME SILT, (SP) 5.5' SANDY GRAVEL W/SOME SILT AND COBBLES (SW-GM) NO WATER TABLE 14.0 T.D. NOTE: Test hole excavated with tractor mounted backhoe. Engineering ~ Geological Consultants Inc. A~C.O.A6~ FA,Ra^NXS ALASKA Ju.~Au PAUL BLOOM PROPERTY LOG OF TEST HOLE ANCHORAGE ALASKA ' I MUNICIPALITY OF ANCHORAGF~ ' 14EA,~2TH AND ENVIRONMENTAL ROTECTION'.: 279-2511, ext. 224, 225 Date Received: March 18, 1977 - Inspector __ Date REQUEST FOR APPROVAL OF TNDIVIDUAL SEWER AND WATER F_~CIL±TI,~S 1. Lehalng tnstitut, ion Request: Mai. ling Address: 907 West Northern Lights Phone: 2. Property Owner: Joseph D. Bloom Phone: 279-0461 Mailing Address.: Star Route A Box 95X Prospect Drive Alaska State Veteran's Administration 3. Legal. Description: Lot 8A Block 1 Prospect Heights Subdivision 4. Single Faraz!y Residence: (x~ Multiple Family Residence: ( ) Number of Bedrooms: Numher of Bedrooms: 5. Well Data: Type Individual Construction Depth 175' Well Log Filed ( ) Bacterial _~nalysis Sewage Disposal System: On-site system Permit ,~ Installed 1974 Public Utility installer ( ) Septic Tank Size \~).~O Manufacture~ Absorption Area Soils Rate \ ~ Ma~eria! DJ_stances: Well to Septic Tank to Absorption Area to Sewer Lines Nearest Lo% Line Absorption Area to Nearest Lot Line .~!: ,. i~i' :~iDe~ar~m~n~of-i H~a:~:th and Environmental Protection~ .... i Request-for. Approval Of;: Individual Sewer and Water Facilities Legal Description: Lot 8A Block 1 Prospect Heiqh~s Subdivision Conm/ents: Affadavit Attached: f y / / Disapproved: Letter Attached: Date: ( ) Department Worksheet: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Qual it~u~q.l?~l~?5~ ANCHORAGE "C" St., Anchorage, Alaska 99503 - ~-EPT.-OF~:rr~L'F~)~', ENVI~ONMEhli'AL PR(')'I'~iCTION REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILIT)ES VA State FHA 1. Type of Inspection: CMRO 2. Property Owner: Joseph D. Bloom Mailing Address: StLA Box 95X Prospect Dr. Day Phone 3. Name of Buyer: Lyle E. Erickson and Nancy A. Erickson ' 5.. JAR 1 8 CONV 279-0461 Mailing Address: Name of Lending Institution: Mailing Address: Name of Realtor or Agent: Clair J. Ramsey 3201 C St. Anchorage Mailing Address: P.O. Box 4cc Anchorage Da~ Phone333-9889 Alaska State VA Phone Jack White Co. Phone 277-1553 6. Legal Description: Lot 8A, Blk 1, Prospect Heights Sub. Location: ~rospect Dr. 7, Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility Individual X If Individual, number of dwellings presently served one If Individual, depth of well 175' 9. Sewage Disposal System Type of System: Public Utility Individual If Individual, date of installation 1974 4 No. Bdrms. (on-site) X REATER ANC,O A E AREA OROU , Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received / 1. A~proval requested by: Mailing Address: Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR /? I ~.z 7 ~ I 16....-*.~,~-- -, 2. Property Owner: :,L~" ...-,,,.~. _/ Phone: Mailing Address: 3. Legal Description: 4. Location: 5. Type of facility to be inspected..:,, , -x::~a,,,,:~,~o. of bedrooms 6 ""Well Dat~ C. Construction ~ D. Bacterial Analysis Sewage Disposal System: : ., :',. /~ B. Installer A. Installed .... / .....~ / ..... ' C. Septic Tank: 1. Size tp,3~o 2. Manufacturer D. Seepage Pit: 1. Absorption Area )z/;~j~×~my,?2. Material E. Disposal Field: Total length of lines 8, Distances: A. Well to: Septic tank {'~o' , Absorption area Nearest lot line ;;to , Other contamination , Sewer Lines __, B. Foundation to septic tank /~ , Absorption area C. Absorption area to nearest lot line ~m / EQ-034 (1/7,43 , , ~ .... ~_ g _~_ l; Pa~e 1 of two Da~es P~ m ,~ two pages - Re~l-~"t for Approval of Individual ?"-~r & Water Facilities Legal ~scription Comments /~ Approved (2~x/~Az~ ~.~z~.~i~ Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (]/74) Certificate of On -Site Systems Approval Parcel I.D. 015.133-26 Expiration Date 1. GENERAL INFORMATION Complete legal description PROSPECT HEIGHTS BLOCK 1, LOT 8A Location (site address) 10101 PROSPECT DRIVE, ANCHORAGE, AK 99507 Current property owner(s) MICHAEL & MICHELLE HOLLAND — Day phone Mailing address Real estate agent 10101 PROSPECT DRIVE, ANCHORAGE, AK 99507 2. TYPE OF DWELLING: [E Single Family (w/wo, ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number COSA # 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY ANCHORAGE. AK 99516 Engineer's Printed Name CURTIS HUFFMAN PE Date 4/11/2023 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the -moi `'L•,Q 11a well and septic system. Therefore, any estimate of how long a system will function satisfactory A -IN ®- • • / !�' for current or future occupants or guarantee that no unseen encroachments, deficiencies or (b discrepancies exist can be given by First Water Consulting & ' _49 TH US....... ...... - 6. DSD GNATURE "" "'�"^"- • :, • Curtis Huffman System #1 Approved for bedrooms �rt'<`�� -101 TFC CE 128991 .wr•'° { - A/11 /423�ffl + System #2 Approved for bedrooms 1t�OPROF SSO Disapproved Conditional approval for bedrooms, with the following stipulations: By: DFL_:� Original Certificate Date: / /,?o Z 3 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: PROSPECT HEIGHTS 131, L8A Parcel ID: 015-133-26 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled CIRCA 1974 Total depth 175-178 ft Cased to UNKNOWN ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 4//7/22 Static water level at beginning of test 37 ft. Comments B. TANK DATA Age of tank(s) NA – NEW ER TANK years Tank type/material SEPTIC / HDPE - 5/25/22 Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping NA D. ABSORPTION FIELD DATA Which system tested (date installed) 7/2/1974 ® ALL standpipes present per record drawing Structure served by this system Well production at time of test 4+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 2.97 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FW[;S Date of Sample 3/28/2023 C. LIFT STATION ❑ Required maintenance completed Age of lift station — years Lift station material Comments: Adequacy test date 5/20/2022 Results 0 Pass For 4 bedrooms Total measured depth from grade 14.6 ft (max) Fluid depth prior to test 47 in Measured depth to pipe invert from grade 7.1'* ft (min) Water added 600 gal ❑ N/A – pressurized field New depth 84 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective MOA IR 9' ED APPDX 7.5' ED ®Code -required soil cover over field Final fluid depth 45 in ❑ System presoaked Absorption rate 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) Y date of test) Gallons introduced gallons If yes, enter date PEROXIDE – 4/19/22 Comments/Deficiencies: CRIB MT MEASURED AT GRADE. *TOP OF CRIB -0.5' FOR APPROX CRIB INVERT. 48" FLUID DEPTH ON 4/12/2023 – APPROXIMATE FLUID DEPTH ON 5/20/22 Fwcs 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' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes _ if No ft ®Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® 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' ® Yes if No ft Private Wells >' 100 _ ®Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® 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 driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells >' 100 _ ®Yes if No _ ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION / certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. OF ,YAl-,, .... .......... 0¢�• �•. Curtis Huffman }F�'O CE 1 ���.� c,�� � 4/11/202/202 3 • �v ,•� MUNICIPALITY OF ANCHORAGE O Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval "MMOMMIft Elf - 1. GENERAL INFORMATION Complete legal description PROSPECT HEIGHTS BLOCK 1 LOT 8A Location (site address) 10101 PROSPECT DRIVE, ANCHORAGE, AK 99507 Current property owner(s) MICHAEL & MICHELLE HOLLAND Day phone Mailing address 10101 PROSPECT DRIVE, ANCHORAGE AK 99507 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: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Eso Date of Payment 5 2, 1-2 OZ� Receipt Number a 15 Z3 COSA # 0 S C�Z?, 1-) 3 5 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer's Printed Name CURTIS HUFFMAN, PE Date 5/24/2022 Comments: This investigation was completed in compliance with MOA guidelines,regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWCS 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for OF Aw . Curtis Huffman CE 128991 Nk������4'Y bedrooms, with the following stipulations: 4�^t L tnk +rea. "'Re rtl x iG(e By: w- 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 engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: PROSPECT HEIGHTS 61, L8A Parcel ID: 015-133-26 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 4+ gpm Date drilled CIRCA 1974 Water storage tank volume NA gallons Tota- ep-78- - - - - — - - - 110 Cased to UNKNOWN ft ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate 3.9 mg/L ❑ Nitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height (above ground) 18+ in. FW'[S Date of flow test for COSA 4//7/22 Collected by Static water level at beginning of test 37 ft. Date of Sample 4/1/2022 Comments B. TANK DATA Age of tank(s) NA — NEW TANK years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping NA D. ABSORPTION FIELD DATA C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Which system tested (date installed) 7/2/1974 Adequacy test date 5/20/2022 ® ALL standpipes present per record drawing Results El Pass For 4 bedrooms Total measured depth from grade 14.6 ft (max) Fluid depth prior to test 47 in Measured depth to pipe invert from grade 7.1'* ft (min) Water added 600 gal ❑ N/A —pressurized field New depth 84 in ❑ Monitor tubes go to bottom of effective. If not, state depth into effective MOA IR 9' ED APPDX 7.5' ED Elapsed time 1440 min ® Code -required soil cover over field Final fluid depth 45 in ❑ System presoaked Absorption rate 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) Y date of test) Gallons introduced gallons If yes, enter date PEROXIDE —4/19/22 Comments/Deficiencies: CRIB MT MEASURED AT GRADE. *TOP OF CRIB -0.5' FOR APPROX CRIB INVERT. NS ,� E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) ® Yes if No Septic Tank/Lift Station on Lot > 100' If absorption field is under driveway comment below Property Line > 10' Community Sewer Manhole/Cleanout > 100' if No ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' lug Vpe if Aln Animal Containment > 50' ® Yes if No ft ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® 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' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No . ft Community Wells > 200' ® 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 driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No _ ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. law Ire �r *'' TM ....�:* • . '. Curtis Huffman • • .: �. CE128991 1.������/ S 27/7/2 . � lQWROfESS10N i WELL -- GRAVEL DRIVEWAY s U.H. C1,NT.�_'L 3 � F.F P V • M. H. • e "3' 9�5 o0 THESURVEYDATA AND MEASUREMENTS HEREONAREPREPARED FOR THE OWNER OF RECORD AS OF THE DATE OF THIS SURVEY. ANY USE OF THIS DRAWING BY THIRD PARTIES ISPROH/B/TED UNLESS WR/TTEN PERMISS/ON IS PROV/OED. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHON ANY CONFLICTS BETNEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOUN HEREON ( UNLESS INDICATED) NOTE = FENCELINES THAT MAY APPEAR ON THIS PRAYING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANYPAVING SHOW HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOIJ AND/OR ICE. OF 4 oo,`Q cSp� -CP`49 TH o° oroti 0 �O s SHANE A. HOLT G too Q4 e LS -6914 �` O �p`O fes siona�oa� AS-BU/LTSURVEY 1 " = 30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THA TI HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 8A BLOCK1 PROSPECT HEIGHTS SUB. (PLAT 69-151) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLEIMPROVEMENTSSITUATED THEREON AREWITHIN THE PROPER TYLINESAND NO VISIBL E ENCROA CHMEN TS EXIST OTHER THAN NOTED. DATED ATANCHORAGE,ALASKA THIS 27TH DAYOF MAY —2022 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 15400 FB221-37 222-61 123-8615