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Home My WebLink AboutPROSPECT HEIGHTS #5 BLK 1 LT 3Pfrospact HI h tts #s Lot ,3 0/5 - 13 - 5703 Oevelapm-wi Services Oepartr,2n CD �� 8uilcing ar'et•( Di�!ision W �3 ': a--- s'rlGT?.r'. -INQ Sraaew S re=t p n. Bax !9ba54 "i II r _r< 2_cich ancncraae, ?.I: 997 LO -'c',0 •�� Maycr muni.armmnvre l?OTj 241 -790 - Pump Ins-LaHation Log Drilling Permit umber: SW— Date of Issue: _ :e1 Idendficstion Number— 13 1 Descri 13 erty Owner Name & p ddress: 73� 1 /L-3/oo�o s�.oss r�,bz P7 a+ llntion Late: P Inde Depth SeluwTop of TO Casing:All) feet P IYfsn>d•2cturer's Name: "141 e, L�O�hp�K1 L I, .p Model: is 7 wl •p Size 3/�/ hp ss Adapter Surial.TDeoth: A0 feet --- ':ss �dnpte_* Ylsnufact�*yrs Mame: `'%/j/=J�i2T!/� 50 i�� sns;-Ler jz3eat5: :ario a: The p?�p installer shat p[o*tide a pump inetalladan lag to the DSD witliin 30 days of pump installatroa_ Municipality of Anchorage Page 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: PID Number: Name: "2�3T�scc� �—' ��✓Ii4 �N2S Wastewater System: U New ❑ Upgrade Address: -So,5-dA2c-nc c h vo �i 45 3 ABSORPTION FIELD Phone: 61 -`FT f2 No. of Bedrooms: S' Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: E31 Total Depth from original grade: /or 31 GPD/S .Ft. Lot: Block: t� Subdivision: Depth to pipe bottom from original grade: '3 'tS Gravel depth beneath pipe �"�' J"T20b`P�BoiN`T5 Ft. Ft. Township: Range: Section: Fill added above original grade: f Gravel length: ! Ft. ��^ Ft. WELL: jNew El Upgrade Gravel width: Z � Number of lines: I Distance between lines: Ft. Ft. Classification (Private, A,B,C): Total Depth: _Z5_ Cased To: Total absorption area: Pipe material: f Y"�f V/iiT� 2 Ft. I b 6 Ft. SQ. Ft. P [!7 ! _%�O 3 (f Driller: IQ C-PI"Vg-DQ2t@ a c 2. Dat Drilled: ��lb Static Water Level: Ft. Installer: Date installed: Yield: Pump Set at:CasingHeight Above Ground: TANK GPM 2 Ft. Z r{" Ft. SEPARATION DISTANCES i rSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines M / J~a d Well -Z1 llC' Material: S�c�L Number of ompartments: Surfac Waterl qC7 rr !&o`r LIFT STATION Lot[� Size in gallons: Manufacturer: Line Li,?I /O Foundation �7 '5?3 "Pump on" level at: " P a�Yf" level at: j - High water alarm at: Curtain !v'p Pump e & Model Electrical Inspections performed by: Drain Remarks:,,v l t c, BENCH MARK Location and Description: a C �'� "4& A, 6 glow 1-4 • 2 t� �L Cx7r=�T L 'tom -rt?�,v c+l•I c�Yo —TU 2 �"" rdt Assumed Elevation: O ENGINEER'S SEAL j ,.• ,, iN ,Iv 1-1 -TIO t✓ A J A 0 A v c-r�/o.t/s . Inspections performed by: tAnl.y®N� "�►- Dates: is /0 11 C?8 2nd +01tz/� .«.;. ..anno'e"" h.. �i11AL /(jll`�'�4¢j .. �,1�Sieven R. Pannone C• Department of Health and Human Services a roval p pp CE -'0 roti o FD pal Reviewed and approved by: 1�7 � if-� Date: 11 12 93 72-013 (Rev. 9/91) MOA 25 NO. SW980106 A 3 -BUILT WASTEWATER ABS❑RPTI❑N SYSTEM LOT 3, BLOCK 1 PROSPECT HEIGHTS S/D EXIST'G THERE ARE NO WELLS SEPTIC frP per' WITHIN 100' OF THE PROPOSED SEPTIC `dA SYSTEM. y THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED SEPTIC 10' ELEC: & I ELE 0M. ESMT, SEE NOTE it--�__ RESERVE LOCATION PRIMARY SYSTEM DEEP TRENCH 83.6 LF x 7,3'TE x i i i i i ii i a ii a i EXIST'G SEPTIC i C,\Work\3-lPROS.DWG W vJ.•. •°.�� 49TH A B Tl 47.7 l S% 57.0 64,0 i 62.4 693 T 87.3 102.2 Ml 87.5 101.8 2 n `\ B r NEW 1500 97.9 94.5 =PTIC TANK w U �ri t t � 1 37W 12zr {{ AVENUE J.D. i N❑, SEPTIC N UNE THERE ARE NO WE WITHIN 100' OF ' PROPOSED SEPTIC SYSTEM. -e/ti NOTE 1) ENCOUNTERED LARGE ROCK DUR TRENCH EXCAVATION, TOP OF ROCKWA. AT -6'. EXTENDED DRAIN FIELD BEYOND ROCK TO GET REQUIRED LENGTH. CO A B Tl 47.7 55.6 T2 57.0 64,0 DC 62.4 693 Cl 87.3 102.2 Ml 87.5 101.8 C2 97.4 93.9 M2 97.9 94.5 •••• = PREPARED FOR; R. Pannone; i CE 8149 •`�= Mr. Bruce Chambers bl� ,.••'• 3305 Arctic Blvd, #206 Anchorage, AK 99503 RccIC�� 563-2171, Ext 129 DESIGN Perc Ratei 8 Mln/Inch Salt Ratingi 0.8 gpd/sf 5 B.R, 938 SF Requlred Deep Trench 7' Effective, 2-3' Wide, 10' Total Depth, 67' Long 938 SF Total 1,500 gatlon SEPTIC TANK PANN❑NE ENG. SVC P. ❑, BOX 142025 ANCHORAGE, ALASKA 99514 272-8218 ATE 10-18-98 AS -BUILT :ALE 1'=100' PERMIT NO, SW980106 AS -BUILT DETAILS P.I.D. NO. 015-13-503 WASTEWATER ABSORPTION SYSTEM 3�4 LOT 3, BLOCK 1 PROSPECT HEIGHTS S/D n a_ v n n � d '>i>'>'•i CL u 0i a tai ::a t > aj NLJ LJ ej 3Hnl aOlINOW CDa rl en fi l3i i.i.f[. u 41 o n v 1noNtl3l3 � w Pz n * n Q a % H n ' ( Z p Cu Cd 7 fyILU w N 3.5'-9 NH^7.3�- c n 1nONtl3i3 .-. 1nONtl313 m � o_ n a fy rn 1- O d 1nONtl313 a 0 -± F C3 ni CD 1nONtl3l3 > o w Z. w tU •. N ♦�Q`.• " MUMMA .....:AV ............ ......................... ..... e CI\Work\3-1PROS.DWG �.............. .......................:..i PREPARED FOR. ;Steven R. Pannonei mir PANN❑NE ENG. SVC, No. CE 8149 .* 2e Mr. Bruce Chambers P. ❑. BOX 142025 499510! 3305 Arctic Blvd, #206 ANCHORAGE, ALASKA 99514 �j `Ji� Anchorage, AK 99503 274--0308, 272-8218 FAX 563-2171, Ext 129 DATEi 10-18-98 N❑T TO SCALE AS—BUILT 10/2,2/98 THli 10:58 FAX 907 502 9200 9 LOCATION OF WELL BOROUGH LOCATION/SKETCH: 15.14@ LOT B1LOCK Jl A 1 -.;. . . 191002 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD SECTION GTAe stcyloN TOWNSPIIV RANGE MENgipN ❑N ❑E I �7s ❑w WELL OWNER: DEPTHS MEASURED FROM casing top ❑ground surface WELL DEPTH: PATE OF COMPLETION 8014EHOLE DATA: Depth of casing _ft 5._ Material Type and Color Depth Depth of casing:/ ( 5.- ft ( 6 �x<g yp From To I r i (a 6 Z, DEP.TI1. TO STATIC WATER LEVEL: ft below °❑ top of casing ❑ ground surface t Date: METHOD OF DRILLING; air rotary ❑ cable tool ❑ other USE OF WELL: '®'domestic ❑ irrigation ❑ monitor ❑ pUbliC supply ❑ Other CASING STICK-UP: ^ft. Diam:':_:_� ':_:_In, tnL011: Casing type:, r'A, .'In. toe ft WELL INTAKE OPENING TYPE: ❑ Open end ❑ screened ❑ perforated %"'Q, open hole Depth$ Of Openings: to � ft SCREEN TYPE: Diam: in. SIoUMesh Size: Length; ft GRAVEL PACK TYPE: Volume used: Depth to top: _ GROUT TYPE:Z> vq9' DEVELOPMENT M ft to ft FLIPAPINU LEVEL AND YIELD: �}t afterhrs pumping / _gpm PUMP INTAKE DEPTH: » ft Horsepower: _ WELL DISINFECTED UPON COMPLE7ION7'T YES ❑ NO CONTRACTOR INFO MATION: REMARKS. Ree stared eusiness Name - PLEASE �f PLEASE MAIL WHITE COPY OF LOG TO: Signature 0'# AuthorizeesprEsenta rveatm'-- DNR/DIVISION. OF MINING & WATER MGMT R I V DCHORA601 GE AK 99503 5935 Phone 1907)269.8639, Fox 1947)562-13841 OCT 26 1HR Municipality Ct Ancllurarge 1p' 11-9ew 3: 'o .0 Rin I0-12.98 12" PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW980106 DESIGN ENGINEER:STEVEN R. PANNONE OWNER NAME:ONEY JOHN ANTHONY & RITA GAE OWNER ADDRESS:3305 ARCTIC BOULEVARD #206 ANCHORAGE, ALASKA 99503 PARCEL ID:01513503 LEGAL DESCRIPTION: PROSPECT HEIGHTS #5 ELK 1 LT 3 LOT SIZE: 79192 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 5/11/98 EXPIRATION DATE: 5/11/99 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE 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 SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY- DATE: 411 crt/ ISSUED BY: DATE: _37- 7p Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska, 99514 (907)272-8218 (907)272-8218 Fax April 29, 1998 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 3 Block 1 Prospect Height Subdivision Well and septic System Permit Gentlemen: My firm was contacted to investigate the possibility of installing a new septic, system on the referenced lot to serve a five bedroom house. A single test hole was excavated on April 22, 1998. The soil report and percolation test results are attached. Ground water was monitored for seven days. No ground water was encountered or monitored. No bedrock was encountered in the test hole. The lot is approximately 1. 82 acres in size. Lot 3 slopes to the northwest at a rate of approximately 2 to 10 percent The proposed installation will be located on the northwestern portion of the lot. The proposed location will be greater than 200 feet away from proposed well serving this property and 25 feet from the water service lines. The surrounding systems are located greater than 100 feet from the proposed installation. The proposed installation shall not impact the future development of the surrounding or existing lots. See attached design. The new system will maintain over six feet vertical separation to the bedrock, over four feet vertically to the ground water and over 100 feet to surface water. If you have any questions about the proposed installation, please contact me at 272-8218 Sincerely, ®1 Steven . Pannone, P.E. Attachments: C:\ WORKl3-1 prospect.001.wpd .• ti 49th e% 1M,'J Steven R. Pannone i 44 E-8149 t'+ �...4....OiH..^ bbl,. F�nnES NO, D SIGN } WASTEWATER ABS❑RPTI❑N SYSTEM LOT 3, BLOCK I1 PROSPECT HEIGHTS S/D THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM. RESERVE L❑CATION PRIMARY SYSTEM DEEP TRENCH 67 LF x 7' EFF. ai i a i i i ii i i i EXIST'G SEPTIC Ci\Work\3-1PROS,DWG 49TH THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM, ZERMATT AVENUE 0 z 500 g S TANK EXIST'G SEPTIC P Jp Jd dd d'`ry 5 • ... Pannone '� CE 8149 ® Mr, Bruce Chambers Z.cl' v� 3305 Arctic Blvd, #206 ,,.• Anchorage, AK 99503 tr- %ll 40 563-2171, Ext 129 ,I,D. ! NO. THERE ARE NO WE WITHIN 100' OF ' PROPOSED SEPTIC SYSTEM. DESIGN, Perc Rate, 8 Min/inch Soli Rating, 0,8 gpd/sf 5 B,R, 938 SF Required Deep Trench 7' Effective, 2-3' Wide, 10' Total Depth, 67' Long 938 SF Total 1,500 gallon SEPTIC TANK PANN❑NE ENG, SVC P. ❑, BOX 142025 ANCHORAGE, ALASKA 99514 272-8218 DESIGN PERMIT NO. DESIGN DETAILS P,I,D, No, WASTEWATER ABSORPTION SYSTEM LOT 3, BLOCK 1 PROSPECT HEIGHTS S/D oh CU + 1 1 49TH ren R. Pannc No. CE 8149 Lq C,\Work\391PROS,DWG Mr. Bruce Chambers 3305 Arctic Blvd, #206 Anchorage, AK 99503 563-2171, Ext 129 lnoi 3Hn1 801INOW lnon 1nONV313 inONV3l3 1nONV310 1nONd313 1nONV313 NOI VaNn0d N. koM PANN❑NE ENG, SVC, P. ❑, BOX 142025 ANCHORAGE, ALASKA 99514 274-0308 272-8218 FAX aTEI 4-27-9B DESIGN ❑T TO SCALE Municipality of Anchorage t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: `r`y t &, C �AwVTL-'� EY2,� DATE P LEGAL DESCRIPTION: I �l IP2�SP�DTIT?�S Township, Range, Section: DEPTH SLOPE SITE PLAN (FEET) F---f--i--�—I 1 Csft I oYtkAN�cS 2 3 4- 5 �CciacY („,2✓A0� SAA)r)S 6 C-RrAVE-L. ,� r cr LlyN.4�S 7 �.gt -rl tck.- �p 3"�vtsla-r��Y�•titi�.� 8 s� 9 10 WAS GROUND WATER /V fi ENCOUNTERED? 11 S L IF YES, AT WHAT O DEPTH? P 12 E 13 Depth to Water Atter r I Q Q Q Pj Monitoring? Date: 14 15 16 17 18 19 I 20 G r PERCOLATION RATE � (minuses/inch) PERC HOLE DIAMETER 11 TEST RUN BETWEEN FT AND FT COMMENTS _FM WAc DOSOAV-dDt &� crAmA=3.0 'R r 61 - PERFORMED BY: S 1?-'��AaNri O'n1 8 I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: e �` ZZ P 4 72-008 (Rev. 4/85) Page: 1 Document Name: ENTERPRISE SERVER PARCEL: 015-135-03-000-99 CARD: 01 OF 01 RESIDENTIAL VACANT LAND STATUS: RENUMBERED TO/FROM: - - - - 1 ONEY JOHN ANTHONY & RITA GAE PROSPECT HEIGHTS #5 REVOCABLE TRUST BLK 1 LT 3 ONEY J A & R &TRUSTEES 2631 W 100TH AVE 0 ANCHORAGE AK 99515 2215 SITE LOT SIZE: 79,192 ---DATE CHANGED--- ----DEED CHANGED ---- ZONE : R9 OWNER :05/24/96 BOOK: 1008 PAGE: 0434 TAX DIST: 019 ADDRESS: / / DATE: 11/29/83 GRID HRA # : 000000 PLAT: 820135 NOTES ----------------------------------ASSESSMENT HISTORY -------------------------- --- LAND-- --BUILDING- ---TOTAL--- FINAL VALUE 1996: 78,700 0 78,700 FINAL VALUE 1997: 78,700 0 78,700 --EXEMPTION--- FINAL VALUE 1998: 78,700 0 78,700 -----TYPE----- EXEMPT VALUE 1998: 0 0 0 STATE EXEMPT 1998: 0 -COMM COUNCIL - FINAL VALUE 1998: 78,700 HILLSIDE EAST Date: 4/30/98 Time: 09:45:22 AM MUNICIPALITY OF ANCHORAGE Development Services Department p p �.=� ' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-135-03-000 Expiration Date: 1/12/2024 Legal description PROSPECT HEIGHTS #5 BLK 1 LT 3 Site address 10040 SCHUSS DR Anchorage AK 99507 Current property owner(s) CHAMBERS BRUCE A & LISA M X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: Original Certificate Date: 10/12/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory x Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-135-03 Complete legal description PROSPECT HEIGHTS #5 BLOCK 1, LOT 3 Location (site address) 10040 SCHUSS DRIVE, ANCHORAGE, AK 99507 Current property owner(s) BRUCE & LISA CHAMBERS Day phone 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 25 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ® Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment 2/23 Date of Payment COSA # �S �- �- )0 Waiver # COSA Application.doc COSA Checklist.docx COSA Checklist Legal Description: PROSPECT HEIGHTS #5 BLOCK 1, LOT 3 Parcel ID: 015-135-03 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 6/16/1998 Total depth 225 ft Cased to 105 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 9/19/2023 Static water level at beginning of test 103 ft. Well production at time of test 3 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 0.994 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 9/14/2023 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 48” Date of pumping 7/10/2023 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 10/17/1998 ALL standpipes present per record drawing Total measured depth from grade 12.4 ft (max) Measured depth to pipe invert from grade 3.8 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective 6.9’ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 2000 gallons 9/18/23 date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 9/19/23 Results Pass Fluid depth prior to test 33 in Water added 1000 gal New fluid depth 55 in Elapsed time 1320 min Final fluid depth 32 in Absorption rate 750+ gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 88 in (MOA 7.3’ ED) Effective depth used 38 in (Missing ED + Final Fluid Depth) Effective depth (ED) remaining 50 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximately 0.4’ ED is missing. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 10/10/2023 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 well and septic system. Therefore, any or NO 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 & 10/10/23 in !\ 00 N C �0 R=25.00, ca\ \ 4 0 a. a r- EE P Q 3SooH _ 33S 0 \O V \ .S h � rQv ♦ E� Z 30.0' Li I Li z Li a cv o 0 8i.Z J 0 M _i LLJ m Lf) O L) V) O c Ni 0 >n L7 y W QI zLn C I ° 1 I rn LL. • _ w CL �. ° w zao� 12 9t D Z _ CA m p p t r CL C C EO ti p Q Q o I mm m EIOD o mo > r, z p E a 7 Lol C,41 LO � c ° g V)I oN00 N �0 zsvpo °C° M 'AC -i,.r: �p Or°t® m N p �Vf O°t2arc Q I mn o a m m p I p� m M Q Z CL I.- 0 IL �z E ao m O C C 'I I r L. a 3 U Uyap Za ? U . Q � L m Ego 13 - m H m 0 a. a r- EE P Q 3SooH _ 33S 0 \O V \ .S h � rQv ♦ E� Z 30.0' Li I Li z Li a cv o 0 8i.Z J 0 M _i LLJ m Lf) O L) V) O c Ni 0 >n L7 y W QI zLn C I ° 1 I rn LL. • _ w CL �. ° w zao� 12 9t D Z _ CA m p p t r CL C C EO ti p Q Q o I mm m EIOD o mo > r, z p E a 7 Lol C,41 LO � c ° g V)I oN00 N �0 zsvpo °C° M 'AC -i,.r: �p Or°t® m N p �Vf O°t2arc Q I mn o a m m p I p� m M Q Z CL I.- 0 IL �z E ao m O C C 'I I r L. C? > U Uyap . X� m L m Ego 13 - m H m I I m mt 0 0• O m m C C� Et �I m p ff'l� OC� C av �� m 'm �I ma V) m rn ; OI 0- 0 •i V k N C— O d I m p U y=° p Y m m x r p 3pZ7 1••S 7 H Q C m t ° v (n v J 0. N yU,J "°mr t3 maUC�L'' _ ° m t�.pmrmo I .r H 0 o -,2 0 - Y m ° I yr ,O° a V) mmaaEa0 mo N p m > ° w m am me OL moo Elm L_ m �m L1 m Yl C .— 0 � ! V M UHMP UTY OF ANCHORAGE E DEVELOPMENT SERVICES DEPARTMENT o ;( On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC231365 Subdivision: Prospect Heights #5 Block:1, Lot: 3 907-343-7904 Fax: 343-7997 The septic tank for this property is 25 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more, not including engineering, surveying or MOA permitting fees. 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.