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HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 2 LT 26or2z :MIC J. H E : o , r ' L 1 (lti'DROfFscnnLtLZ� a� �J4P / y� NOTES J` 1. Bearings and distances are record per referenced plat unless of erwae noted. 2. Sufficient boundary evidence was recovered to establish the subject parcel on the ground. Not all controlling evidence is shown hereon. SURVEYING, MAPPING, LAND PLANNING, 7I5 '�.... 1 13 1 E. 76th Ave.. Suite 101 Anchorage, Alaska 99518 FarpomtAK.com • (907) 522-7770 • Survey@farpointak.com AS13UILT SURVEY OF: SURVEY CERTIFICATION: FARPOINT has conducted a physical Lot 26, Block 2, Prospect Heights survey of the subject property, the improvements situated Subdivision, Add. No. 1, Plat No. 67-23 thereon are within the property lines as shown. Anchorage, Alaska EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which WORK ORDER No DATE: SCALE; 20NING: do not appear on the Plat used for this survey. NOTE: Under no 20afnQp lune 10, 2022 1 "=50' R9 circumstances should any data hereon be used for construction j8 �tAWN:CNECKED.. G uNo: fa 600K/1PAGE: Or for the establishing of r 1tA ME SW2441 160f20 g property lines. rWMW Fnd 5/8" Reabr ® Septic vent 10, Power pole —X —X —X — Existing Fence Otsby E. Tudor Road Drage. AK Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 151023 PID Number 015-091-19 Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑■ Upgrade Name. UDDS ABSORPTION FIELD Address • Deep Trench [' Shallow Trench ❑ Bed ❑ Mound ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 9.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 2.0 Ft.6.0 Ft. PROSPECT HEIGHTS#1 , B2, LOT 26 Fill added above original grade Gravel length Township Range Section 1.0 Ft. 42 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 2.0 Ft. Ft. To Septic 'Absorption ! Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Lift Station Tank Line 500 Ft2 Ft. Well 100'+ 100'+ 50'+ TANK j Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ 100'+ ANCH TANK 1250 Gal. Material Number of compartments Lot Line 10'+ 10'+ STEEL 2.0 Foundation 10'+ 10'+ NA LIFT STATION i Manufacturer Capacity Curtain Drain UN i UN Gal. Remarks n .. Pump on level at Pump off level at High water alarm at t? Q tvrirtio- at t L t r evt 4 e i vvivt1 0 4—V ( 2 V Cii , in. in. in. YIV tv--Z r t► Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 MIKE N ANDERSON, PE. Drainfield 3034 CO/MT3034 Inspector MIKE N ANDERSON, PE. BENCH MARK (Assumed elevation) 102.5 ft Inspection 1s' 1-26-15 , 1-26-15 Location and description dates: 2"` 3rd 4th GARAGE SLAB COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL t.�yp‘e6tamp Conditional Approval: Date ,,;'1�:•' • . 4k;49TH. ;�r/ FA FJ , ' •• / •` .MICHAEL N. ANDERSON ,� -.WM 11 / #1:1:-'-IX1:.9i.‘n,".X•C7.x.Ex.7x.9.4.,.61..-%.9 F:".-- /- , Appr..-. _ • _ Date 72 / 7A pRpjESS1Gwa, = Inspection Report_9-1-12.doc Permit No. 0SP151023 • Page 2 of 2 Municipality of Anchorage 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 Legal Description: PROSPECT HEIGHTS #1, BLK 2, LOT 26 PID No.: 015-091-19 MARK B100' EXI NG WEI,L RADIUS J C01 . 20 41- 1 \ TC01 72 -____40 \ MT 55 CO 7d' 58 ,\ EXIST NG TANKS •LIMPED AND CRUSHED \ i „.../ i .., 7_-- ) 7 — , m _ — C01 /It TCO 104 CO s a BE , G ,/ \` S B MT 1 1 caa I NCH \ / A':UILT oilissa2i- rco co, TCO, rTCO2 cos .., Goo,.CRAM X419, OF '' I tR♦ I-- lit 90e / 902 _CO2 r CO3 UT arc-)).* �^ �' , , rJ� rf I 4. _ 9 - c J�' �+ R6uuTnN r nu m r--2' �f�./ FILTER FABRIC s .•' 49 It • 0 • 1,250 CALLON eI ' \-- - - SP/OPSP/OPr STEEL TANK � ':MICHAEL N. ANDERSON:1; �1���,�. No. 9469 �� es.D_/ *** \830 \e, f,`�}�'•.,?rtor�.. SEPTIC SECTION SNI F4 #i N.T.S. 22 _ 1 \1i t>•%?*�*� '* ' ' ' 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 Lt( 7~ <~ [~NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~ I~ {0~ ~ NO. OF BEDIMS Well Absorption are~ ~ I Dwelling .~ PERMIT NO. ~ ~ Manufacturer ~ Material No. of com~ments "' Liq. capacity in gallons Inside length Width L~quid d0pth /'% ~ O iF HOMEMADE; ~ ~ __ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manuf~~ ~ ~ ~ -- ~ . ~ ~ ~Material~ T~c~allons ~ ~ell . Foundation ~earest lot lin~ ~ N°. of lin~s Length of each~e> Total length of I'ne~ Trench w'd~¢ ¢inche~ Distance bet~Tn~ ~ ~ Top of tile to'finish grade ¢ ,( Material beneath tile ~t~n~ Q ~ ~ ~ ~es~' ~ Total effective~bs a Length Width Depth PERMIT NO, ~ DI~TO: Well Buildin~oun~ Nearest lot line ~ G~L ~ . ~~~ Depth Driller Distance to lot line PERMITNO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOl L TEST RATING I APPROVED ~ DATE LEGAL PERHI'¥ NO. RF'PL I C:Ri'.,IT LOCBT I ON LEGRL DOLtGLRS R. RNE:,ERSON LO'F 26 BLK. .-. ~' FRE=,PEL. T' '9- -' HTS 4401 EE. INBE, URL~H [:,R. LOT SIZE T~'F'E ElF SOIL RBSORPT!ON S'SSTEM iS: TRENCH I"tRXIMUM NIJMBER OF BEE.',ROOMS = 3: SOIL ~.HTIN.~ (SI~. FTi.."E:R)= THE REQUIRED SIZE OF THE SOIL RBSORF'TiON SVSTEM !~: 24 Z-.':-~];9 / 'a'a.'~.'a'a,a ,-Q RRE 'FEET 85 ' [:"EPTH= 9 L E ~'-4LS'TH = 26 G F-: t~ %,"F L [:"EF"TH-- THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNE:E BETWEEN THE SURFRCE OF ]"HE GROUND RN[." THE BOTTOM OF THE E;:<CR',,,'RTION (IN FEET.'.". THERE IS NO SET WI[:'TH FOR TRENCHES. THE GRR',,,'EL~ DEPTH I'-q THE MINIMUM DEPTH OF GRR',,,'EL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCR',,,'RTION (IN FEET). PERMIT RPF'LICRNT HRS THE RESF'F~NSIE:ILIT'9 Tn INFORM THIS DEPRRTMENT DURING THE iNSTRLLRTION INSPECTIONS OF RN'9 WELLS R[:,JRCENT TO THIS .... ]~'F ..... r~-_r_~../T FIND THE NIJMBER OF RESIDENCES THRT THE WELL WILL SERVE. BRC:KFILLING OF RNV S'SSTEM NITHOUT FINRL INSPECTION RND RPPR]VRL BV THIS DEPRRTMENT WILL BE SLIBJECT TO PROSECUTION. PltNIMLIM DISTRNCE BETWEEN R NELL RND RNV ON-SITE SEWRGE [."ISPOSRL SYSTEM IS ±00 FEET FOR R PRIVRTE WELL OR ±50 TO 2E~O FEET FROM R PUBLIC WELL [DEPENDING UPON THE TVPE OF PUBLIC NELL. MINIMUM DISTRNCE FROM R PRIVRTE 14ELL TO R PRIVRTE SENER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MR'9 RPPLV. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE B","RILRBLE TO INSURE PROPER INSTRLLFITION. i CERTIFV'THRT i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BV THE MUNICIPRLITV OF RNCHORRGE. 2: I WILL INSTRLL THE SVSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERS]'RND THRT THE ON-SITE SEWER SVSTEM MRV REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEg, RooMs. S I GNED: .......... POL .it 6-650 ANCHORAGE, AI...ASi(A 99502-0650 (907) 2.64-4111 TONY KNOWLE.$. MA YOR DEPA~TMEN-£ OF HEALTH AND ENVIRONMEN-FAL PROTECTION <Permit ~: 821075 ~January 31, 1983 TO: Permit Applicant Subject: Lot 26 Block 2 Prospect Heights Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs 'to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them. send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 PERMIT NO. DEPBRTMENT OF HEBLTH BND ENVIRONMENTBL PROTECTION 825 'L' STREET~ BNCHORBGE., BK. 9950± 2~4-4720 ( 821875 ) RPPLICBNT LOCRTION LEGRL DOUGLBS RNDERSON L26 B2 PROSPECT HTS 440± EDIN~LIRGH DR LOT SIZE ~44-4594 99~999 SQUBRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXlMUM NUMBER Of BEDROOMS SOIL. RBTING (SQ FT?BR)= 85 THE REQUIRED SIZE OF THE SOIL BBSORPTION SYSTEM IS: [:.' E F" T t--I = 9 L E I-.i ~.S T H = 2~:'; ~.S F-' R %-' E L [-"EPTH= 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFRCE OF THE GROUND BND THE BOTTOM OF THE EXCBVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFBL. L PIPE BND THE BOTTOM OF THE EXCBVBTION (IN FEET). F-:ELC:-.~L~ Z RE[-", SEF'T l' C: TI=II-.II-=:: S 'f ZE= :2LC-~C"IC~ ~.3RI LC, I-.I:--7. PERMIT RPPLICRNT HBS THE RESPONSIBILITY TO INFORM THIS DEPBRTMENT DURING THE INSTRLLBTION INSPECTIONS OF BNY WELLS RDJBCENT TO THIS PROPERTY BND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. T[---ll]l ,.": ;----- ) 1" t-.ISF'FC:T I CII-.~S RF-:E F-:EL..]LI I F-:ED BBCKFILLING OF FIN"r' SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS [:'EPBRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTBNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSBL SYSTEM IS 100 FEET FOR B PRIVBTE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTBNCE FROM R PRIVRTE WELL TO B PRIVBTE SEWER LINE IS 25 FEET BND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MBY BPPL. Y. SPECIFICRTIONS BND CONSTRUCTION DIBGRBMS BRE BVRILBBLE TO INSURE PROPER INSTBLLBTION. P'EF..:"~'-'I Z T E::-..:F' l' RE-_=. [:.F£:F f-IE:EF-: 3:1.- I CERTIFY THBT l: I BM FRMIL. IRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPBLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN BCCORDBNCE WITH THE CODES. ~: I UNDERSTBND THBT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. V4. 0 I~. ERFORM E D FOR: LEGAL DESCRIPTION: 1 2 3 5 6 7 8 9 10 11 12 13 14 15 17 18 20 COMMENTS SOILS LOG MUNICIPALJ~FY OF ANCHORAGE ~.. [] PERCOLATION DEP~'R~TMENT.OF, HEALTH AND ENVIRONMENTAL PROTECT[ON -.~. TEST -- ~'F'~ 825 L, Street. Anchorage, Alaska 99501 26zb4720 ~ - ~ ' · -. ~_ SOILS LOG.~PERCOLAT ON-'TES~:~-:. % Lot 26, Block 2, P-~ospect:.:Me~ghts~-~,/ .... ~:- TM S LOPE SITE PLAN I I - Readin~ Gross; ~ Net Depth to . Net-' Date.. Ti ._: * _ -- m,~ Time Wam[ ~ · Drop_ PERCOLATION-RATE:-- W ' (minu'tes/inch)~. --, ,:' TEST RUN BE~EEN . 'F~ AND FT PERFORMED BY: CER~TIFIED · . DA~E!. . WATER WELL LOG FOSS DRILLING ASSOCIATED 909 CHUGACH DR. #37 ANCHORAGE, ALASKA 99503 WELL OWNER Chris Rhyerd USE OF WELL WELL LOCATION Lot 26 Blk. 2 Prospect Hts. Subdiv. Domestic SIZE OF CASING 6" STATIC WATER LEVEL REMARKS DEPTH OF HOLE 399 FT. CASED TO 27 FT. 9 FT. G. P. H. 15 WITH 389 FT. OF DRAWDOWN. DATE COMPLETED 8/3/79 PUMP TO BE SET AT 398' 0 tolO _l.Q_tOl5 15 to26 26 to~99 to to Alluvium~ brown color and soft Till; grey color and hard Alluvium; brown color~ medium hardness Bedrock: blue-grey color and hard. Gradual accumulation of water sield to 1~ g.p.h. to _~to to to to to to to to to to to · to.. CJPAL[TY OF DEPT. ©i: i '7:' :CT1CIN ~/J-~V5/ D~ILLING, Inc, P. O. Box 4-1728 * 2811 Dawsoh ANC]IO~tAGE, ALASKA 99509 DRILLING LOG Well O~,'.'i;er .............. ~..'oward Ryherd ..... ~ ............. Use of Well _Dom I.ocati,',n (add:-pis of: Township, Range, Section, if known; or distance main road Size of c:;shq; . ~. .Dcp'th , f lIolm_ ~-'?~_ ....... feet Cased to ....... ).! _._ feet S[alic wnler h. vel ~. _ft. (:~'~) (below) land surface. Finish of well (check one) open end ( X ); Screen ( ); Perforaled ( ). None ])osco'ibc smcen or pt rforaiion ........................................................... . Well pumph~g test at 5..__gallons per (~(}~ (minute) for 1 ' ~ . .curs with. 100% ft. .tatm level. D:~ie of -,, =,i .,',i,m ~-7 .q:,p~ 75 .... -_ . _ ))~'p~.'~ m .c:c.t from grou)M surf:~ce Give deinils of format/oqs };eneh'aled, size of material, color and hardness __1~5_._TO__..5_0__ _ .... _5_o_ _TO_D6 .... 5~__.TO_ 67__ .... 67_... TO ......... TO. ...... TO .... TO Surface Or-;-ani c s .... j;~, ! ty Ora;'ol · eatherod Bedrock: brown Bedrockl green lJ. gb_~_~gEey, clayey $~tLtstone ........... ~Ds nk Er e:g ~_~qma 11 ~.~mtc~r__ s.-~.~-~o.a_in~ c_t,~tr~lln,uo_u~_ho~t 1 -- CUSTO.MER Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 015-091-19 1. GENERAL INFORMATION: Expiration Date: IT-;?—) 20 Complete legal description PROSPECT HEIGHTS #1: BLOCK 2 LOT 26 Location (site address) 9751 Slalom Drive *Anchorage 99507 Current Property owner(s) Tasha Powell Day phone 250-4545 Mailing address 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 19 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 $ sS�n / L/ Waiver Fee $ Date of Payment �l 2 Date of Payment Receipt Number 0gG03Cr-, Receipt Number COSA # SC 2 61106 Waiver # �o"Sea- t�A 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 J , Engineer's Printed Name: Jeffrey A. Garness Date:�1 f In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and oQooOp�� industry practices. The reported results describe the condition of the system/s on the datels of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or o `�•. ���s�4 encroachments may exist that were not identified during the evaluation. The operational life of all wells P ! Q and septic systems depend upon a variety of variables, including but not limited to, soil conditions, a T groundwater levels (that may fluctuate during the year), quality of construction (materials and/6) %�' — / 1 yu workmanship), and the water usage of the family utilizing the systemis. These conditions can vary, and � are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of ...... • • • • . • the well or septic system. GEG makes no representation whether an alternative well or septic system �U Jy1e`f�rey A. Gayness: can be installed on the property in the event either of the current systems fail to perform adequately in Q 91,1.j, C€� 79 3 the future. The content of this report is for the sole benefit of the person/party that retained GEG to Q,fPi' ' :!� i 1�j% perform the evaluation. Reliance upon the information provided in this report by any other person orC,1=7 party (including subsequent property purchasers) is not authorized, nor will it confer any legal right proressto° whatsoever. D�O�Ooo� D�IGNATURE System #1 Approved for _q_ bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with th SiQ�rrr�/AECC884 OF« ON-SITE _ WATER AND ;I%wlWn ASTL "AT ER p Y)))))!P)}1J)1)0 By: 1n� Original Certificate Date: u 2 Q 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 Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: PROSPECT HEIGHTS #1; BLOCK 2, LOT 26 Parcel ID: 015-091-19 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA D. ABSORPTION FIELD DATA F12-1 Well log is filed with Onsite (or attached) Well production at time of test 3+ gpm Date drilled 813179 Water storage tank volume N/A gallons Total depth 399 ft Well disinfected for coliform test? ❑ Yes ® No Cased to 27 ft Coliform bacteria is Negative © Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L Wrsenic less than MRL (ND) Casing height (above ground) 12+ in. Collected by GEG, LTD. Date of flour test for COSA 5/5/20 Date of Sample 5/5/20 Static water level at beginning of test 12.8 ft. Comments MOA RECORDS INDICATE THERE ARE TWO WELLS. HOMEOWNER SAYS THERE IS ONLY ONE WELL B. TANK DATA C. ZSTATION Age of tank(s) 5 years ❑ Required intenance comple Tank type/material s"T"�T" Age of lift station rg'� Measured operating fluid level in septic tank 51 Lift station materia 2 A Standpipes/foundation cl anout per record drawing Commen N/A Date of pumping i �l COSA Checklist yellow sheet D. ABSORPTION FIELD DATA Which system tested (date installed) 1/26/15 Adequacy test date 5/5/20 d Fill ALL standpipes present per record drawing Results 17 Pass For 4 bedrooms Total measured depth from grade 11.3 ft (max) Fluid depth prior to test 56 in Measured depth to pipe invert from grade 3.25 ft (min) Water added 667 gal I ❑ N/A —pressurized field 65 New depth in © Monitor tubes go to bottom of effective. If not, state Elapsed time 1040 min depth into effective F-1Code-requiredsoil cover over field Final fluid depth 59 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced N/A gallons If yes, enter date N/A Comments/Deficiencies: 'MONITORING TUBE EXTENDS APROXIMATLEY 8.33 FEET BELOW INVERT 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' F-/� Yes Community Sewer Manhole/Cleanout > 100' Q✓ Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' E✓ 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' Yes if No ft Water Main > 10' Animal Containment > 50' Yes if No ft ✓� Yes if No ft Yes if No ft Water Service Line > 10'✓� Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' F/ Yes if No ft 2] Yes if No ft Frorn Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F-/� Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: 0 Absorption Field > 5' Q Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' 0 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' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' F71 Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS - PER OWNER, THERE IS NO WATER SERVICE TO THE SHOP. ¢.- SEE ATTACHED EMAIL FROM OWNER REGARDING NO FREEZING. G. ENGINEER'S CERTIFICATION o ..;...... 45,4 l certify that l have determined through field inspections and review � .• 1 .l._. of Municipal records that the above systems are in conformance with J MOA COSAguidelines in effect on this date. * .:.. }4.7- COSA Checklist yellow sheet QO J,, f,le . a ness; aD C�E�79�3 i 4p�f�^e •.,��,� �v•�cQo 4� �o`essio #AECC884 � slo www.muni.org/onsite Nitrate advisory Certificate of On -Site Systems Approval # OSC 201198 Subdivision: Prospect Heights #1, Block: 2, Lot: 26 A water sample revealed a nitrate concentration of 10 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address P D Box 196650'' Anchorage, Alaska 99519 6650 *www muni org r 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. MaiUng Address P O Bax 196650 *Anchorage, Alaska 995196650 *www muni org fi I' Erik Widger From: Ian's <ian@espressodoctors.com> Sent: Wednesday, May 06, 2020 3:35 PM To: Erik Widger Subject: 9751 Slalom Dr I haven't received your email yet so I hope this is the correct Erik In regards to our septic system. Over the past three years that we have owned and lived in the house, we have never experienced any freeze ups or issues with the system. Ian C ® Municipality of AnchorageAk On -Site Water and Wastewater Program 2 (907) 343-7904 s A r E r y CERTIFICATE OF ON-SITE SYSTEMS APPROVobA % Parcel I.D. 015-091-19 Expiration 1. GENERAL INFORMATION Complete legal description PROSPECT HEIGHTS #1 S/D BLK 2 LOT 26 Location (site address) 9751 SLALOM DR, ANCHORAGE AK Current Property owner(s) UDDS Day phone Mailing address _SAME Real Estate Agent Day phone 2. TYPE OF DWELLING: ti3 1,5 6 78 9.7 ® Single Family (w/wo ADU) �>> . ❑ Duplex JUS � ' M - ❑ Multiple Dwellings (Single Family and/or Duplex) N �'py, S 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WA EWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: A `1� Date: 7 ? COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1 /41 �� Date of Payment -7-/z � Receipt Number 09A I d �� COSA # 65C/713615 - 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, 4,,i �. based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, r 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 obt ned from the Muriicipali y ofk6nchorage files and from my investigation and inspection, the on-site water ,tR, "Isupply i1and/or was'ewater dispos* system is(are) in compliance with all applicable Municipal and State codes, ordinances,,,.and"regulations 'im,effgg t at the time of installation. Name of Firm MIKE N ANDERSON, P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON PE Date 7/19/17 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Ilk �•O?°ASJ°L �Jaap Oft°° ao 1J °• hI HAEL N. A\DERSGe,',j �0 bedrooms, with the following stipulations: .-„,\;11i 0,-`/i . WATER V14ATER Pr -n\ 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 Septic System Advisory Well Flow Advisory COSA blue sheet 10-10-12.doc Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: PROSPECT HEIGHTS #1 S/D BLK 2, LOT 26 Parcel ID: 015-091-19 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 8-3-79 Sanitary seal (Y/N) Y Total depth 399 ft. Cased to 27 ft. FROM WELL LOG Date of test 8.3-79 Static water level 9.0. ft. Well production 15 g.p.m. WATER SAMPLE RESULTS: Well Log (Y/N) Wires properly protected (Y/N) Y Casing height (above ground) 12"+ AT INSPECTION 71712017 12 ft. 4.5+ g. p.m. Coliform NEG colonies/100 mL Nitrate 7.02 mg/L Arsenic: ND ug/L Date of sample: 7/1112017 Collected by: MNA B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date installed 1.26-15 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) NA Date of pumping 71712017 Pumper AROUND THE CLOCK C. ABSORPTION FIELD DATA — Date installed 1-26-15 Soil rating (GPD/SF) 1.2 System type TRENCH Length 42 ft. Width 2 ft. Gravel below pipe 6.0 ft. Total depth 10.0 ft. Eff. absorption area 760 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7-7-17 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600+ gal. New depth 0 in. Elapsed Time: 30 min. Final fluid depth 0 in. Absorption rate >= _600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) UNKNOWN If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons Manhole/Access (Y/N) in. "Pump off' level at in.High water alarm level at in. E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 100'+ Sewer /septic service line 50'+ Animal containment areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: eets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 100'+ Building foundation 5'+ Property line 10' + Absorption field 5' Water main 100'+ Water service line 50'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 104 Building foundation 10 Water main 1004 Water Service line 50'+ Surface water 100'+ Driveway, parking/vehicle storage 5'+ Curtain drain 50'+ (None Known) Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that / 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. Engineer's Printed Name MIKE N. ANDERSON, PE Date 7/18/2017 COSA canary sheet_2-6-15.doc Municipality of Anchorage „c.....0 ® Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # OSP 151023 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 2, Lot 26 of Prospect Heights #1 subdivision. This inspection revealed a nitrate concentration of 7.02 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Frontier Surveys, LLC Project No: 17-`110 I Date: June 21st, 2017 NORTH Stale 1" = 80' 1 y' g Ordered B Connie Giddings PIat:67-23 Grid: N/A Lot 3 Lot 2 Lot 25 Jp,k zylJp / / t o \ Qo 0 2 ~ qc / 8.2x25.1 Shed t /L'7/7ti. --"- P" / !� Prospect Heights Su6dfvslon Addn. No.1 b Lot 26 of block 2 \ \ 2,42 Acres DETAIL A Lot 27 Prospect Heights Subdivsion Addn. No.4 „p Plat No. 83-296 Legend: Electric Meter/Outside Power c7a� Telephone Pole ':- Gas Meter Deck -0- Fence -: Light Pole 0 80 160 40 {S) Septic Water Well ne Mailbox — Over Hanging Power Feet General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Law. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. Dimensions to property lines are plus/minus 0.1ft. ,�•A'b�'i t� This survey complies with ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine /r, r�^`,� q • ` •, 't • • • •�, the existence of any easements, covenants, or restrictions which do not appear on the record plat. Under no X '^•e' ,•• i 1 'e•/r A circumstances should this document be used for construction or for establishing a boundary or fence line. [$ 9 T tf y T g, ^ �r As -Built Survey of: • , v ................ Lot 26, Block 2 of Prospect Heights Subdivision Addn. No. 1 c • FREDERIC W. WAGNER: 1� 1, Frederic Wagner, hereby certify that I have performed a Mortgage Inspection Survey on the 4 �a4 LS - 9946 • I9 •••.; subject property as described above on June 19th, 2017. . �. )2I I Ar Frontier Surveys, LLC 4 FRONTIER 650 W. 58th Ave, Suite E Anchorage, Alaska 99518 907.460.1686 - info@frontiersurveys.com N�* PROFESSIONAL SEAL www.frontiersurveys.com 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 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Address Day phone Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: z~/ ,~ 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 STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, ~ verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system Js safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verifythat based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm~A~)~d¢~)=. 4~..~. ~'V ~ ! Phone ~-~=~_---~_t ~ Address ~.~ /~~ ~ Engineers signature_ ~~ Date ~//o /~ DHHS SIGNATURE -- Approved for /X' Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: By: Additional Comments Date 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 n the State of Alaska. The DHHS does this as a courtesyto 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. 72-025 (Rev. 1/91) Back MOA fl21 Municipality of Anchorage p~ F, C ~ i V DEPARTMENT OF HEALTH & HUMAN SERVICES · Environmental Services Division 3M/~Y1=4744 1 825 L StFeet, Room 502 · Anchorage, Alaska 99501 · (907) 34 Municipa ty of Anchorage Oept. Health & Human Serv ces Health Authority Approval Checklist Legal Description: b 'Z_~, t'-~'~"-P~Td~'~_ ~ ~"-t-,.& '~7-1 Parcel I.D.: O [-~"---~:~ c~l -- t(~ A. WELL DATA Well ty p e'--"~k/A'-r'-&~ Log present (Y/N) ' ( Total depth '~ ~ ~ Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~[~ ] ~ Cased to ~--~- ~ Casing height (above ground) Wires properly Protected (Y/N) Date of test Static water level FROM WELL LOG AT INSPECTION Well production WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: ~.~_.~:> /~_/'Z F g.p.m. B. SEPTIC/HOLDING TANK DATA Date installed (' [~ l (~-~ Tank size Foundation cleanout (Y/N) Date of PumPing -~/i l ~ C. ABSORPTION, FIELD DATA Effective= absorption area. Date of adequacy test''~ ~ [~[ Depression (Y/N) Pumper Number of Compartments '7__ Cleanouts (Y/N) High water alarm (Y/N) ~,~- System type '-~"'~' ~ ' Total depth ~ __ Depression over field (Y/N) For ~ Immediately after ~ gal. water added (in.): Absorption rate = ~,~.'t'7 ~o g.p.d. Soil rating (g.p.d./fF or fF/bdrm) Gravel thickness below pipe Monitoring Tube present (Y/N) ~' Results (Pass/Fail) ~,~ ~ bedrooms Fluid depth in absorption field before test (in.); .-'~ ~'~ Fluid depth /.~ (ins) Minutes later: '-~ If yes, give date Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) ~ "~um_ p on" level at* High water alar~~ / ~*Datum ~ tested "Pump off" level at* E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout _ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDiNG TANK ON LOT TO: Foundation ~ ( Property line ~;~,(~t Absorption field / O ! Water main/service line -~c~t .Surface water/drainage _g o ~ '~- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line l ¢'<3:~ ' Building foundation ~_c:>'~P Water main/service line ~t Surface water ~/~(~ Curtain drain tC~ '+ ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots /¢ ~ ~ I certify that I have determined thru field inspections and review of Municipal records in conformance with MOA HAA guidelines in effect on this date. Signature~ Engineer's Name Date HAA Fee $_ Date of Payment_ Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Re, ceipt Number t~~stems are [/ APPLI¢:"NT FILLS OUT UPPER HA"' ONLY Property Owner ~U6~ ~ ~C~-/~./~--- ,.~,/[/~f.C~,p~/ Phone Address Zip ~e Lending Insti~tion /~ ~--~~ ~/~ Phone Realty ~. & A~nt ~ ~ ~ Phone Address Zip ~e St reel L~ati~ ~ q ~/ ~Z ~ ~ ~ ~X ~ Typ~of Resi~nce ~Multiple Family No. of Bedr~ ~ ~ Other Water Supply ~lndivid~l A~ACH ~LL LOG. A wal log is required for all wells drilled since June 1975. ~ Community For wells ~illed prior to that date, give well depth (attach log If available). ~ Public Utility ~wer Disposal /~ ~lndivid~l Year Indiv~ual Installed: ~ Public ~ility When ~ected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmental Sanitation Division 825 L Street · Anchorage, Alaska 99501 · Telephone 264.4720 CERTIFICATE OF INSPECTION ON-SITE SEWER AND WATER FACILITY 1. Property Owner Douglas and Cherie Anderson Mailing Address Sl:~A. BOX 2122 Anchorage, AK 99516 2. LegalDescription Lot 26, Block 2, Prospect Heights Subdivision 3~T~ype of Dwelling 4. Sewage Disposal J~l~ Single Family ~ Individual [] Multiple Family [] Public Utility [] Other [] Holding Tank '" APPROVAL FOR '¢~'~'%Tf%Fc~PP~^Lnot rece~~ell loq for review and t~ on the we,lq heac BEDROOMS needs to be~ in conduit and re- -? C~DmON^L inspe y this this office, office 5. Water Supply ~ Individual [] Public E] Community (shared) 'h~S APPROVAL NOT VALID WITHOUT DEPARTMENT SEAL