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HYLEN CREST #1 BLK 2 LT 1
Hylen Crest #1 Block 2 Lot 1 #050-472-84 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231192 PID Number: 050-472-84 Dwelling: 9 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New N Upgrade Name OMAR RAMIREZ A ORPTION FIELD Site Address ElD Trench ❑ Wide Trench EJ Bed ound 21007 UPPER LOWLAND AVE. EAGLE RIVER, AK 99577 Other Phone Number of Bedrooms Soil Rating Total depth f original grade 907-947-5434 3 /SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original'NdeV Gravel depth beneath pipe Subdivision Block Lot HYLEN CREST #1 2 1 FillFt. added above original gr !�h Township Range Section _ Ft. Ft. Gravel width Beds: Number of Lines Dis a between lines SEPARATION DISTANCES Ft. - Ft. To Septic Absorption Lift Station Tank Field Holding Sewer Tank Line Ft2 Total orption area Number of trenches Dist. between chis From - _ Well COMM. EXIST. - - 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ EXIST. - _ INFILTRATOR SYSTEMS 1060 Gal. Material Number of compartments Lot Line 5'+ EXIST. - - NA PLASTIC 2 Foundation 71+ EXIST. - _ ATION Manufacturer Capacity Remarks TANK WAS INSTALLED 5'+ TO PIER BLOCK Gal. DECK SUPPORTS FOR DECK THAT IS <30" TALL, Alarm location Elec ailed by EXCEPT FOR ELEVATED PAD AT FRONT DOOR THAT EXCEEDS 30" IN HEIGHT. PIPE MATERIAL House to tank Tank to Installer D3034 drainfield D3034 JR'S EXCAVATION Drainfield EXIST. Co/MTD3034 Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 100.00 ft Inspection ection 1n 8/15/23 2 Location and description nd 3b 4th BOTTOM OF SIDING NEAR POINT "A" ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Q�oop Conditional Approval: Date 9 " 0� 0 \ p Septic Syste .J f e A. Ger-r�ess. Q 9. ' E 7953 Approved Date 2 0� ' --Y 2- �C o _o Note: this approval es not include well permit requirements.e p��D0000(" (Rev 05/02/18) (W PERMIT NUMBER: OSP231192 A B C MH 10.1 16.0 19.1 ST1 10.9 21.3 23.1 D8 L1 13.3 22.5 21.6 DBL2 14.3 23.1 21.1 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. UPLANDS PHASE 3; LOT 7 NOTE: PER THE CONTRACTOR, THE OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC HYLEN CREST#1; BLOCK 2, LOT 6 EXISTING 3BEDROOM HOUSE s.�1 • e /� /jai% 3701 EAST TUDOR ROAD SUITE 101 'ANCHORAGE. ALASKA. PHONE (907) 337.6179 • WEBSITE: w .gamossonginoonngxom STI IF DRIVEWFYY :• v i / / PAGE NUMBER: OMAR RAMIREZ 907-947-5434 LU • YI I•. T•,. PROJECT/LEGAL DESCRIPTION: r % ~ HYLEN CREST #1; BLOCK 2, LOT 1 J.L.M. TYPE OF WORK: r / DATE: co rr 8/16/2023 i •.K 15' ELEC. & TELE. EASM'T C WATER LINE LOCATION PER ARCTIC EFFLUENT FESSIONAL LOCATES (7/18123). SHOWN BASED UPON S TAKEN WITH DISTO S910 LASER DISTANCE METER PARCEL ID NUMBER: 050-472-84 / / / / G DOUBLE CLEANOUTS <30' TALL ?W IM -1060 INFILTRATOR PLASTIC SEPTIC TANK TALL DOUBLE CLEANOUTS 3 DRAINFIELD HYLEN CREST BLOCK 2, LOT °Y BOX LOCATION (APPROXIMATE) UPPER LOWLAND AVENUE _ "ARNINS (GROUP, Ltd ENGINEERING 4 SALES o CONSULTING 3701 EAST TUDOR ROAD SUITE 101 'ANCHORAGE. ALASKA. PHONE (907) 337.6179 • WEBSITE: w .gamossonginoonngxom PREPARED FOR: PHONE NUMBER: PAGE NUMBER: OMAR RAMIREZ 907-947-5434 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: HYLEN CREST #1; BLOCK 2, LOT 1 J.L.M. TYPE OF WORK: DATE: RECORD DRAWING OF SEPTIC TANK UPGRADE 8/16/2023 as �® a® ' i49 P j -!l ; /.}ettwey�iness �r a ®� J'J/�/ CE -7953 4 LICENSE ®® �®® WAECC884 ���®��® LESRMIT NUMBER: RECORD DRAWING 050-472 8 TOP OF MANHOLE LID = 99.34 JAL GRADE = 98.87+ ST1 TOP OF TANK @ INLET = 96.77 4" OF INSULATIONTOP OF TANK @ PER CONTRACTOR) /- OUTLET = 96.77 INVERT OF PIPE @ INLET= 96.24 — 1060 2-COMPARTMENTf `—INVERT OF PIPE @ INFILTRATOR SEPTIC TANK t OUTLET = 96.12 NOTE: THE NEW SEWER LINE FROM THE DOUBLE CLEANOUTS AT THE HOUSE FOUNDATION TO THE NEW TANK WAS INSTALLED AT A 1.2% SLOPE. OBTAINED VERBAL APPROVAL FROM DEB WOCKENFUSS WITH THE MOA ONSITE DEPARTMENT DURING THE INSTALLATION ENGINEERING 1 SALES CONSULTING 3701 EAST TUDOR ROAD SUITE 101 'ANCHORAGE, ALASKA' PHONE (907) 337.6179 • WEBSITE: www.gamessengineering.wm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: OMAR RAMIREZ 907-947-5434 3 OF 3 PROJECTILEGAL DESCRIPTION: DRAWN BY: HYLEN CREST #1; BLOCK 2, LOT 1 J,L.M. TYPE OF WORK: DATE: RECORD DRAWING OF SEPTIC TANK UPGRADE 8/21/2023 ®®'f —MIN Arc AV ,. mr .•• ��(®m .........►......::..... m®® o.�._l. J .............. 1........ ... � 0 c^ y A. 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W QH O x{ Q > H-.tu O ~ > i- ¢ 6 N J .. a s O p N p 2 Z W K N 4 2 0 S O •�J W 1-N WK W JEW F- U N O OC 5 Z F O `+¢00 ♦t7 z U C N Z 6 n.�zz s w¢ w o zEw m z m¢wa .n >a o otn o¢ t - w OC � r-zaw r S W NF ♦ H W U ooS ze-o WJ1-x c>o x0 OJ to dt-p � 060E Wf-�nEaW 3� JXS C.C„ w w H f r z¢ O W 1-pwUC�p.O �Q F U 4 J p 6 H 6 S Q muu..aow C, ze-zw o_omw `2Z omzJy¢¢ ac <p Y¢ R4 w• O > W Y Z ¢ til M.rZJ¢pEtn 0� zmtnm t. .,ow 2� W..00.. ¢enwE O Wwaaoraw> $h ccw x� xzootz we: C'l� zw wxNp3s 2V Msom wo.+ t -w aiWswiww CJ 6m000U.-t J �2 KtnW NtnLLJ?m OC wa > ^O wzr-tn wl-oaJ ¢za xoo¢zoz¢zz o �2 '-uzw❑Q MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231192 Work Type: SepticTank Upgrade Tax Code Number: 05047284000 Site Legal Address: HYLEN CREST #1 BLK 2 LT 1 G:0057 Site Mailing Address: 21007 UPPER LOWLAND AVE, Eagle River Owner: RAMIREZ OMAR D & AMY Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: cnt S j jg �G G O. 6.�. Department Lot Size in Sq Ft: Total Bedrooms: 8/2/2023 8/1/2024 20041 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: f UK0 _P G. I� C Issued By: L 6L=. Date: Date: Zo 13 3 Eft UNICIPAUTY OF ANCHORAGE Development Services Department Phone. 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-472-84 Property owner(s) OMAR AND AMY RAMIREZ Day phone 907-947-5434 Mailing address 21007 UPPER LOWLAND AVE., EAGLE RIVER, AK 99577 Site address 21007 UPPER LOWLAND AVE., EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) ±LY4FN CREST #1; BLOCK 2, LOT 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial Single Family (SF) 0 Septic Tank ❑ Upgrade (w/wo AD U) Holding Tank ❑ Renewal ❑ Duplex (D) El Privy ❑ Multiple Dwellings ❑ (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: 2- 2-- �; Waiver Fees: Date of Payment: 713623 Date of Payment: Receipt Number: n'2I R 7(T Receipt Number: Permit No. b S P z 3 I/ 9 2 Waiver No. GADevelopment Services\Building Safetyl0n Site Water and WastewaterTorms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231192, Curtis Townsend, 08/02/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231192, Curtis Townsend, 08/02/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231192, Curtis Townsend, 08/02/23 v 151,1 591 f !/ J,J�L Ji? UPPER L 0WLAND AVENUE W CORVERS SET TH=S DATE 49 TH� u N p SHANE A. HOLT G �4 P LS -6914 y��4 44a d o QR��fessiDna� Lqo I HERESY CERTIFY THAT I HAVE PERFORIMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LCT 1 BLOCK2 HY.'_EIV CREST UNITY THE 1N F0R!i AT 1 0 N HEREON Is FIri T•E :. E OF IE`4Di?6 �i., Tlcas sPE ,. 1 CAL LY �0 S H 0 U A,4y ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE Y FLICTE BETWEEN F. ISiI'i6 &TnUr 1 Es 1,N PLATiF Lar lEMES nRD 1aR = &Er4Etdr s; AFib ss VI ST IMPROVEMENTS SITUATED THEREON ARE WITHINIOUT To BE USED I POSIT odds uDDI ao�urL ,rRucr ae t�rr¢a�E�,ENrT Ekc I'nrs. THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS f+S EMEITS YF PEL i1 IR, I�d LE L ENTITY, OTHER 11111, Tt,ESE PPEAASW; ON HE RC ORD - , .fE aet So -t s- H R o•vt UNLESS INDICATED) 'EXIST OTHER, THAN NOTED. NPTE: F_a-.ELI€,E., THAT MAY �_PE.A, IN T�41, Dr{.;OING AR.E NOT TO EE L�:.0 „ DE ER N DATED AT ANCHORAGE,ALASKA THIS 1•��1� 6.4Y OF PR OPF.ftI"Y Li H[> rJk 1 11 T1011 ADDIT10NAI IN PR OV': M EN T9, _ ��,�+�/f' „•_1 2023 AMY f'AVIN6 9 'Q HE: SIEOPI B'Y 13E f€'1 R UXi f1„TE DUE TO I JE bl.VE' INOH "ib;Ok COL'Y V15I ElE ThPRq VEMENTS AHE 5ii 0WN HERtD 4 a 1 `P lb IHi J, INAIy I/;I ON 1,0 IW1'!'/,VE� 13 PRv''I rM 00 Wk/ (7k A -IJ;W0My ' i 5 t.R ! ANY (,(P6N1 00?)rl,TA 0M-,; PA hd#VVn 1 A W reel ,NT.V.A,, Municipality of Anchorage Page I of Z 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 5w 97> d 1s ©So-f-�-7.84 Permit Number: PID Number: Name: -Dave. SQ I lol,.)sk", Wastewater System: New Upgrade 11J' Address: 2► oa � V e✓ Le,a1 � �,� E R ABSORPTION FIELD Phone: 76 g No. of 11rooms: El Deep Trench El Shallow Trench KBed ❑Mound 11 Other LEGAL DESCRIPTION Soil Rating 4 Total Depth gfrom original grade: O GPD/Sq. FI. 1,Or1i Lot: Block:Subdiiv�iisi�-on-: Depth to pipe bottom from original grade: Gravel depth beneath pipe Z I irib i0 Z o Ft. Fl. Township: Rangel SSjVr4 b Fill above original grade: Gravel length. s O Kis. Ft. Ft. WELL: ❑ New ❑ Upgrade Gravel width: t ZZ Numberotlines: 4 Distance between lines: — Ft. �o Ft. Classification (Private, A.B,C): Total D Cased To: Total absorption area: Pipe material: Ft. Ft. 1136 SO. Ft. 'PVC-,) Aveyh -p jUu� 4 Driller: Date Drilled: Static Water Level: Installer: (V M ConS-6 Date installed: 1711 9.9 3 Tv Fl. V 114Yield. Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES *5 Septic E) Holding ❑S.T.E.P. To Septic Absorption Lill Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines A1,N c,orra e o Well P � L� w � - s„ Pay Material: z t� Number oIt ompartments: Surface Water 4100• LIFT STATION Lot�O r Sa 7 Size in gallons: Manufacturer: Line Foundation S/ �� 'Pump on" level at: "P off" level at: High water alarm at: Curtain+ C`. }�• t 50, Pump Ma odel Electrical Inspections performed by: Drain J56 Remarks: �,, zbs�, }1�,,, �,ed BENCH MARK 11 ea 5'v✓v� 1993 .�-p ,r ` Location and Description: GA2A4E SLAG S'F CpRwe1C %4;-* 1r Z1t lad in fV1 ,1 a,w_. C)V rmv zl l 1 s Assumed Elevation: 00 °Ft an "i. 0 l 14- ( s�-�.�c,-�,.,..� GNS)'"Dates: Inspections performed by: 1st-T�re 2nd_ t r4 •: wl, Department of Healt a d Hum ervices approval p pp �a4• rf Reviewed and approved by Date:t - 3,111ge.",_... 72-013 (Rev. 9/91) MOA 25 Permit No. 5w 9.3015 1 Page Z of Z 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: L' l 3Z I i�� G`s4#� PID No.: 050477-84 @V I ng'itd` 3 BED K P' �0 "ff C.U. 4 1)11 Jo i N 1 Cali Moo, U v PC2 low LAN -9 tiv F ZZs a a p a Q z 11 ia.p, rwsur./4,'nc»J V J V v V J 7 0 <-t`rr) q8 5 rv(? ICL - v F v 999 1► � �= -T- rl _4 (coo Gprl A� -i S, TANtc 8S 93 3 5498 = 72-013 A (2/91) MOA 26 ri ®(11X Sewer. Rack EJJa1N €li $ sAL dta { � r ICY � � f tli { n•4 {.Ircl:/Y':Wi:noenck l:.� j, ro' c. 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 WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930151 DATE ISSUED: 6/10/93 DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC. EXPIRATION DATE: 6/10/94 OWNER OWNER ADDRESSDO21007IDAVID JOANNE M UPPERLOWLANDAVE >5� EAGLE RIVER, ALASKA 99577 PARCEL ID:05047284 LEGAL DESCRIPTION: HYLEN CREST #1 BLK 2 LT 1 LOT SIZE: 20041 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 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: '�wd''A DATE: �f ` ISSUED BY: DATE: 4' HENRY WILSON 9601 BUDDY WERNER DR.: ANCHORAGE, AK 99516 (907) 346-2000 June 8, 1993 Constructing Engineers Engineers, Surveyors Municipality of Anchorage On -Site Services Division PO Box 196650 Anchorage, AK, 99519 Attn: John Smith, P.E. CHARLES A. LANDERS HC83 BOX 192-A, MYRTLE DR. EAGLE RIVER, AK 99577 (907) 694-9098 re: Submittal for Septic Permit, L1 B2 Hylen Crest, Unit #2 Gentlemen: Attached are plans for a new wastewater absorption system for the subject lot. The existing septic system has failed. We believe the failure to be due to ground water intrusion into the bottom of the existing trench system. We found ground water in the test hole we monitored to be at 7' below the surface. On Lot 5, Bk 2, we found ground water in two exisitn test holes to be at 2' and 4' below grade. We have consistently seen ground water at high levels in this portion of the subdivision; consequently, we have designed a shallow bed system to be located in the front of this single family house. Although the normal requirements for area around the test hole require 60, diameter coverage, we are requesting approval as shown on Drawing 93-S1-06-1 and 93-S2-06-1. This lot is restricted as to where a system can be placed due to separation requirements for water line and building setbacks. If you have any questions, please contact me at 694-9098. Respectfully submitted, Chuck Landers Constructing Engineers SITE PLAN REPLACEMENT ABSORPTION SYSTEM 1j 0. tV D J N1a4•er Li -we MU54, $a1l7 Mrt)yv"" to' f°Yom y,»-kar lime l o'r Sival Lod 0 4'Z $ L.ESs 1 P7K)Al%VILM, 9RIvo 1�'till.nla(p FcuuTP�>wT F+hLbY'�r�� SYST'Hn. IS,4�Iz J� 7i4r'f'y.�c.F:MewS" S1'S'tL•1'L� � 4,4,�o a•E 1 SITE PLAN -REPLACEMENT ABSORPTION SYSTEM 5, � LOT 11 BLOCK 21 HY]LEN CREST SUBf UNIT #1:2 t y ! r� r• C�e�c EAGLE RIVER, AIC, 99577 �3 ,•.ra3.v ,&rea9Y6eae�d,@�,B WFJ W1r 4e �1 •Ah _ W.' . 173Y.F o a 9 SCALE: 1" = 100' DRAWN BY CAL CONSTRUCTING ENGINEERS 3.46--2000 9601 BUDDY WERNER DR 6944•-•9098 / M" DRAWING N 93-S1-06-1 / X AA y j S^1a-93 C -x, sT)n(, Y'yaU.p TO W6 Aopf"�fpid y L..., ..-. / �WASGN. AT Ir I y,.14��3 S�Rc l"^.. tAiJc- to - s� L- c. L •-.. ?ll'A P@FRr,Y f4B�+AOwiCB " � Nw�+ y craU Cruel t / � '�1j'an� New R14SowtTnd� c=Ltnd� ,7 ! l (ax.S'nrr'AiL t%Q,P) 1 uPP�° "L" land r4vo- i ti � 1 I SITE PLAN -REPLACEMENT ABSORPTION SYSTEM LOT 11 BLOCK 21 HY]LEN CREST SUBf UNIT #1:2 t y > i n PREPARED FOR: DAVE SADLOWaK:C 694-5768 21007 UPPER LOWLAND EAGLE RIVER, AIC, 99577 �3 ,•.ra3.v ,&rea9Y6eae�d,@�,B WFJ W1r 4e �1 •Ah _ W.' . 173Y.F o a 9 SCALE: 1" = 100' DRAWN BY CAL CONSTRUCTING ENGINEERS 3.46--2000 9601 BUDDY WERNER DR 6944•-•9098 ANCHORAGE, AK, 995:1.6 6-4-93 DRAWING N 93-S1-06-1 ABSORPTION SYSTEM DESIGN DETAILS � � u M OF s n MFn • C 1'YJ1 ABSORPTION AREA CALCULATIONS: 3 Bedrooms x 150gpd/bedroom = 450 gpd - (soils rating : 0.4 gpd/sf) 450 gpd -- 0.4 gpd/sf = 1125 s£ area Bad design: use 22.51W x 501L bed (minimum) w/ 4 ea 4" perf pipes @ 6' centers, each 44' in length. YMPACT OV ADJACENT LOTS: This lot is served by a public water system. The proposed absorption system is located such that there is no adverse impact to any adjacent lot. 'There are no wells, private or public, within 200' of the proposed system. DESIGN DETAILS --PROPOSED ABSORPTION SYSTEM SED ABSORPTION SYSTEM y LOT 11 BLOCK 21 1$%L2M CREST SUB, URIT ##2 ' r t PREPARED FOR: DAVE SADLOWSKI 694-5768 Feu .CAf. n cr;A fr P�6c�rc 21007 UPPER LOWLAND ;>: sem. (pax•; i,`t-t' EAGLE RIVER, AK, 99577 v°z ° NOT 10 SCALE DRAWN BY CAL r� CONSTRUCTING EUGIPEa 346-2OUo ENGINEER'S SEAL 9601 BUDDY WERNER DFS 694-9098 ANCHORAGE, Ali, 995.6 6-4-•93 DRAWING 0 93-52-06-•1 MunIcIpaIlly of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: DATE PERFOBM-ED: LEGAL DESCRIPTION:L1 5Z.1 lowriship, Range, Section: :5 L: -'A f)s -1-14fj - TH SLOPE SITE PLAN (FEET) Ujc"1/yI — -— -- 1- 2 3 4- 6 7 *7!!� —1, 1 � -, 1 5a,. 4 'P'L-Z e- LF X.LA) [ACTXO FJ 10 - WAS GROUND WATER ENCOUNTERED? S It- YES, AT WHAT n L0 DEPTH? P 12 IlDlIth to Water Aller 13 Moartoriiill?ema^ 7— aj I 14- 15- 16 - 17- 18 19 20 7 181920 --] COMMENTS upp*'V "Vjla*y� ` 4 r - Reading Data Gross Time Not Time Depth to Water Net Drop to ILI --- 73 I?ZIK PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN —Z FT AND FT - PERFORMED BY; — — — —_ CERTIFY THATTHIS TEST WAS PERFORMED IN ACCORDANCE WITI I ALL STAI L Al' JUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE 0 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 f ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME NEW CrONE . 6L- CL -('R G Ciz— .. L'C_; I z 0UPGRADE MAILING ADD ESS �x7 Z _ 2ace� LEGAL DES RIPTION —7�7 /,L) L CATION , L �Lj /��sr NO. OF BEDR OMS �j' U Y DISTANCE TO:�i.�, Well a{ ,� Absorption area 6 z Dwelling r PERMIT N0. _ cJ C'--� J F-2 aN F Manufacturer ��,-�_ Material No, of compartments Liq. capacity in gpillons Inside length 4) IF HOMEMADE: g / _ 'y Width Liquid depth `, A p(z DISTANCE TO: Well �� Dwelling - PERMIT NO. SF Manufacturer Material Liquid capacity in gallons 0 w= DISTANCE TO: Well 4-4it"'W(IV (30 m Foundation 2��/ Nearest lot Ike e PERMIT NO. ,Wj LL z No, of lines Length f each Total len th of lines Trench width / / Distance between lines / Q I.- ¢ Top of tile to finish grade f 41.0 Materia a Path the fr /r / j TotalMe rive absor tion area 0 4 R, C) inches. W Length Width Depth A ��, o,o• B a ,j��*j,j �/��j / wa Type of crib Crib diameter Crib depth Total of ctive sorption °o - e Lu DISTANCE T0: Well Building foundation LNearcs� Class Depth Driller Distan W DISTANCE TO: Building foundation Sewer line Septic a ��°•�o�• 1 i[s: ajC°or� ) d-/ /5� b�vt J2 /.S D N i I y gf E R.fig S It,— PIPE MATERIALS - SOIL TEST RATING /� V /Z_ t _ INSTALLER _ JJT 1> UYBUJ �( z REMARKS ��� �k Com,, �k� t�F c•�eLQ - i K t L c,I :7V Fiel fJZ J1 ' S' 2 2 c Id 2L i S n1i7` 1 C 2.5/r` rvt =ctivND nO I C3 O SEP -111C TA7Qr CN'17 �r , E� IlurJ LI Ne 4rfc. 00Iv APPROVED DATE LEGAL (� D'A L-11 IPA I X =1 L. 1: -T- V W FO FR Pol PT fq OR" 1-=,1I C3 FE FIETILTH ."L." !"..",TREETT, Flcc 9-S`_4:1'L. 26d . ..... . :1.720 : FlI'-K-J-lORFiGE 6.9,--T---21.-]'J : E`.AI,'.A-E Rll..'E:R C38hh—Al 1 A -G. No K 1-0 F -R' P' Fit H-1 'l PE: PA F)PPLICANT : RI..,IhI CF.,EEFiiEj,! PFICQ-JE: 6!'9d.--52,-,.:2 F,O EfWA F: Acc i.EGFiL DE:SCRIPTION CRETST B 1. 0 C cc : so LOT: 1 I OT !---'-I;.EE 0 FT. 0 RF'IkII]E:: 0E C -r 10 N : 0 , I, -.JI 111FTF: OF BET)ROOM-S _C;OIL F:F-ITING = 150 150 150 FT. /E;R) Ir-PE-JED BELOW ARE: THE ORTICRA,-=.; We'AILABLE T( --I Y(' -'Il -1 (..:HO(.,!.' -;E THE OPT IOP.,i 'rHA-r E:E!:.,'F F1']'!7:; YOUF�: !.E".)JE. -V Fit EEE F -.q 1: t,..A WIDTH := F -T. F T. TOTAL f.,EPTF-J F."T. G'R A %.1 E I F.:,EPTH (D FT. VC.11-LIME.' 24. -,.: (�".: 1... 1. TANK SIVE h ki)00. -cTWO DF -J-111 rhli i G 0 1 -IPFIRTNE:P-,lT TFI -1 31r. is F- "l FE', 0.-, U:A f E i.. 1 a°- WIDTH 5. i�",i FT. I F-J-16"Fl-I FT. DEPTH F. -T. IME CU -::TWO TAkIcc) I CF-.F'!JJF'l.rl TFIFYf: J- I AM FAITIA 1AF..' WITH THE REi]:!I.IIREl-lEI,..jr- FIND WEJA ... S -C-;ET F'CiRTH BY THE MI-TAICIPF'11-ITIT, OF Al'AD 'THE STATE Cif.. FLA, WILL Ill.-ISI-FILl THL- P-4 14.11 -F -I THE: CODES AI` -,ID HAVE F:E Vy' E: D Fi COPY OF. THE Al,.,![.'- DIFIGRAll TE; PFIF.:T OF ']'HIS I,"*, R P I 11". t .41)FAR'STAP-Jr) THFIT 'FHE.: PALARTIENENT IF' THE .R RESIDE-EPAi.-Z P'.-3, F'!F:1,,lODEA.-U:, TO 11,4CLUDE Pli.:PE -I-HAPA F.",ERMIT AF.,PLICAN)" TFIEI "I'll' I],,,IF'C:iF;:I-,l PERSOP--INFE�L. DI RP. -IG THE: INSTALUTrIm 111SPETTIONS CIF: ANY WELLS ADJACENT TO TF.I.I.S, PR(.-)F,EF.,,,p,.l FIND ,11-IFi: OF RP5'Ir.jEJ'--lCES TFIF'IT THE IAELL WILL. EF A I ITT suATION IS INSITILLAD, APA FLE:i.-.:TRICAL PET. -d-111" I"IND EJE. OFMAINFED, FIS, ... - fr..".: U I t C -4W. -P-401" BE'. APPRF-NIED Flhl ELECTF!ICAL. F,'.,F:Pf'jRT. THE: ELF-ECTRIGAL WORcc BE* E -01' -JE E,Y A El..ECTRJCJ:AI%l. ............ 2 A P F, L I C A P-1 T C P: F:E G E7 i r C-FITE ...... .... M 4 3C SOIL LOG ENGINEERS, INC. SOIL LOG PERCOLATION �J Ie. l� TEST OLD AHIG HIGHWAY AN PERCOLATION TEST BEDROOMS ANCHORAGEGE,, ALASKA 99502 (907) 3496561 JOB NUMBER: PERFORMED FOR: R ctJ l G.P_EE G.(✓R _ _ - _ DATE PERFORMED: _ 1063. 182 LEGAL DESCRIPTION. L -_OT__. JI- .._�.L- C..1-�._� N_I�_i_I /"'/Jt7.___-�.,-KE: SLOPE SITE PLAN z Net Depth to Neter Time Water Drop sl - ^ SANn dJ1-,; 1D SP i Iz -- ?t.L ) SCAl1t✓2t7j t k;l;C-E_ C-�pAV o 3 I„ ci •:T.:'-7 C3ZS. Sr�•ALL APA -i �'112l�Cf _' _,A 5v" D OG VFY'_A) CC"KSC- 5At1 J ;ntc>,j TD Dfmp r ef>1JrU � 6 IL n ..7. 12,o SM Sn�� �jc� l� 8 �[�r�l E� ctC.�- ,-T"KQC:( G)v4veL_) • �QrirX.t�; r�(3L'�t,t✓S � �Q)u», 9 �I 10c;u: erve o� W E 11 r WAS GROUND WATER tt ,, S r ENCOUNTERED? _ NQ_ _ L 12 T 12 0 IF YES, AT WHAT E _ 13 DEPTH? 14 --A I 15- 00 OF A44 ,s /1Vill � 17— Amh 18 R JOHN E. SWANSON 8 s °09 °°°°N° 1834 -E k ' A� 19 °°°°°° 20 4%w4*_' �FESSI�NPj//I (F PERFORMED BY: 1_'_ M 72.008 (9183) Reading Date Gross Time Net Depth to Neter Time Water Drop i e — 2.r o � o J 0 N � IL �I 10c;u: erve o� W E 11 r WAS GROUND WATER tt ,, S r ENCOUNTERED? _ NQ_ _ L 12 T 12 0 IF YES, AT WHAT E _ 13 DEPTH? 14 --A I 15- 00 OF A44 ,s /1Vill � 17— Amh 18 R JOHN E. SWANSON 8 s °09 °°°°N° 1834 -E k ' A� 19 °°°°°° 20 4%w4*_' �FESSI�NPj//I (F PERFORMED BY: 1_'_ M 72.008 (9183) Reading Date Gross Time Net Depth to Neter Time Water Drop e — PERCOLATION RATE_.._________ TEST RUN BETWEEN._ FT AND CERTIFIED BY: (minutes/inch) FT DATE: • Municipality of Anchorage .,f, z4- ri rte= _ -L.-- po On-Site Water&Wastewater Program (2'1 (907)343-7904 Li X45 6 7 8 9 0 7 CERTIFICATE OF ON-SITE SYSTEMS APPROVA �s!s Qr �,� 2018 Parcel I.D. 050-472-84 Expiration Date: 6 c- c /;4111.111W: 0 n,,, 1. GENERAL INFORMATION 6 8 L 9 c. Complete legal description HYLEN CREST S/D#1; BLOCK 2, LOT 1 Location (site address) 21007 UPPER LOWLAND AVE., EAGLE RIVER,AK 99567 Current Property owner(s) JAMES&SHANNON PARKS Day phone 360-790-9035 Mailing address 21007 UPPER LOWLAND AVE., EAGLE RIVER,AK 99567 Real Estate Agent ANGELA JOHNSON W/COLDWELL BANKER Day phone 350-4565 2. TYPE OF DWELLING: I Single Family (w/wo ADU) n Duplex n Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well H Individual On-site Individual Water Storage Individual Holding tank n Community Class Well ❑ Community On-site L Public Water System I Public Sewer n WaiverNariance request for N/A Distance: - Received by: ._ ' ak Date: /',%')V/, COSA to be released to the engineer,u le= otherwise requested by the engineer. COSA Fee $ 5a‘' Waiver Fee$ Date of Payment g/. tila Date of Payment Receipt Number O 0 0 0,/6 Receipt Number COSA# 105 C �d deg Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP,Ltd. Phone 337-6179 Address 3701 E.TUDOR ROAD,SUITE 101 'ANCHORAGE,AK,99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 0)2-31/V Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the .���s111■%11 guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the 4t�_ Q 1, condition of the system/s on the date/s of the evaluation.Separation distances were measured to readily identifiable features. 7 •••• .. Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic =C').••• C') ••• ••• •. systems depend on a variety of variables induding,but not limited to,soil conditions,groundwater levels(that may fluctuate during �A 0 the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the system/s.These - i\ * 0 conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the t g / systems;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. 0 GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the %%, e„r!+ • • current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the J A.G- ess 4r i information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not ♦ G 3.' : 4r " authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. .. �7-7 31 - :�.♦ 4).**•• . C•V/-�♦ 6. DSD SIGNATURE �4*'PROFESSt i•.7 #LAECC884 ICENSE S>t�\• Q i` System#1 Approved for 3 bedrooms. "J 0* c0‘\- ,'C' C System#2 Approved for bedrooms. 5 �1P�- ,' \>,� E 7. G r Disapproved. .� Q�� ,c Conditional approval for bedrooms, with the following stipulations: t cep-6`c. (c i� 25 N ©lit v-vkeit -0--ku� 1ON-e q sty c ,c k 1S ie J (/ By: -- - vcA. �Ekr Original Certificate Date: 0-0—/ 0 The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10/12112) 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: HYLEN CREST S/D#1; BLOCK 2, LOT 1 Parcel ID: 050-472-84 A. WELL DATA PUBLIC WATER Wel ••e If A, B, or C provide PWSID# Well Log (Y/N) Date complete. Sanitary seal (Y/N) Wires properly protecte• '/N) Total depth ft. Cased to ft. Casing hei•• above ground) in. FROM WEL IG SPECTION Date of test Static water level •. ft. Well production g.p.m. g.p.m. WATER SAMPLE RES S: Coliform colonies/100 ml. Nitrate mg./L. Collected by: .-nic: ug./L. Date of sample: NOTE:25 YEAR OLD SEPTIC TANK IS NEARING THE END OF ITS USEFUL LIFE.TANK WAS FOUND B. SEPTIC/HOLDING TANK DATA TO ONLY HAVE 15 TO 18 INCHES OF COVER.TANK IS INSULATED WITH 2"OF H.D.INSULATION PER RECORD DRAWINGS.NO FREEZING ISSUES PER OWNER (SEE ATTACHED EMAIL) Tank Type/Material SEPTIC/STEEL Date installed 6/14-17/1993 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) NO Date of pumping 8/9/2018 Pumper ONE STOP PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE AT MONITORING TUBE Date installed 6/14-17/1993 Soil rating r p.d.// or ft2/bdrm) 0.4 System type BED Length 50.5 ft. Width 22.5 ft. Gravel below pipe 0.5 ft. Total depth *3.4 ft. Eff. absorption area 1136 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 8/16/2018 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 740 gal. New depth 1.75 in. Elapsed Time: 895 min. Final fluid depth 0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.)(Y/N &type) **NO If yes, give date - **SEE HOMEOWNER QUESTIONAIRE D. LIFT STATION Date insta e. Size in gallons Manhole/Access ► "Pump on" level at in. "Pump off' lev- -i High water alarm level at in. Datum Cycles tested Meets alarm & circuit requ - • - _7 E. SEPARATION DISTANCES •TION DISTANCES FROM WELL ON LOT TO: PUBLIC WATER Septic tank/lift sta I. :• of On adjacent lots Absorption field on lot On ad'. .- ots Public sewer main Pu. - •er manhole/cleanout Sewer/septic service '•= Holding tank A .••. ontainment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation `5' Property line 5'+ Absorption field 5'+ (ASSUMED) Water main 10'+ Water service line *`10'+ Surface water 100'+ Wells on adjacent lots 100'+ PVT./200'COMM. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line "10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ PVT./200'COMM. F. COMMENTS 'APPROXIMATELY 7.5 FEET FROM ST1 TO FOUNDATION WALL. MET SEPARATION DISTANCE AT TIME OF INSTALLATION. **BASED UPON 1993'CONSTRUCTING ENGINEERS'DESIGN DRAWING,AS-BUILT PACKAGE,AND H.A.A. (ON FILE AT MOA) G. ENGINEER'S CERTIFICATION : MUNICIPALITY O_ F ANCHORAGE ,- DEVELOPMENT SERVICES DEPARTMENT 1,• 0.1 4.r) 907-343-7904 On-Site Water and Wastewater Section ` Fax: 343-7997 www.muni.org/onsite ___..-1 Septic Tank Advisory Certificate of On-Site Systems Approval # OSC181432 Subdivision: Hylen Crest #1 Block:2, Lot: 1 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 25 years old. Typical replacement costs range from $6,000 to $9,000. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. yyA .b » ,Ijaik W V. ... ` 4os....1-4r--`� " ,,:x4-. �dPa� �� A .a ? 4 P' t. x };'tea" `X4 4tr - g �A'fi _ 1:::',4.- 46) 0 y .� �t r -r.. -< ��a -3- S� -ate - 11, tfir-' '+qz >. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-472-84 Expiration Date: 1. GENERAL INFORMATION Complete legal description HYLEN CREST S/D #1; BLOCK 2, LOT 1 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: � • •' �]rirl�l�l�7_�9�yCel��■:�19��J.�sT'�"fI'I DARIN & ERIC NEWTON Day phone 230-4302 21007 UPPER LOWLAND AVE, EAGLE RIVER, AK, 99577 BETHANY MEHNER—WEISER W/ PRUDENTIAL Day phone Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: 762-3111 TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System N Public Sewer ❑ Received by: Date: dA; COSA to be released to the engineer, unless othemise requested by the engineer, COSA Fee $ qqo Date of Payment Ot l I q ttt ) J^ Receipt Number 6314t'I (� COSA # OST `4�'� 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, UD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or parry is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE _Z System #1 Approved for 3 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Phone 337-6179 bedrooms, with the following stipulations: OF ArVQ����// ON-SITE WATER AND .,r,,-rGwATER n= %t2 PROGRAM Original Certificate Date: I - -2 -S - L3 TheicipaI r nchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineerregistered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist v Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 11105) 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: A. WELL DATA Well type Date completed Total depth ft. Date of test Static water level Well production WATER SAMPLE HYLEN CREST S/D #1; BLOCK 2, LOT 1 PUBLIC WATER If A, B, or C provide PWSID# Sanitary seal (Y/N)— Cased to ft. FROM WELL LOG NMI Coliform _--� colonies/100 ml. Nitrate mg./L. Argie-nic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Parcel ID: 050-472-84 Well Log (Y/N)- Wires properly protected Casing height (aboye-rr( AT ft. Collected by: Date installed 6/14-16/1993 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 9/8/2012 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA 14BELOW EXISTING GRADE Date installed 6/14-16/93 Soil rating .p.d./ rft/bdrm) 0_4 System type BED Length 50.5 ft. Width 22.5 ft. Gravel below pipe 0.5 ft. Total depth + ft. Eff. absorption area 1136 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 8/16/2013 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test DRY in. Water added 600 gal. New depth DRY in. Elapsed Time: = min. Final fluid depth DRY in. Absorption rate >= X g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date NOTE: BED WAS INSULATED WITH 2" HD INSULATION. 24" SOIL COVER SATISFIED. n. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at wa er alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service On adjacent On adjacent lots Holding tank PUBLIC WATER manhole/cleanout Animat —containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation *5, Property line 5'+ Absorption field Water main 10'+ Water service line 10'+ Surface water_ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 5'+ 100'+ Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line **10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS *APPROXIMATELY. **BASED UPON 1993 'CONSTRUCTING ENGINEERS' DESIGN DRAWING, AS—BUILT PACKAGE AND H.A.A. (ON FILE AT M.0 G. ENGINEER'S CERTIFICATION I certify that t 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 JEFFREY A. GARNESS Date AbIA 010 (Rev. 11105) :. f ................. Gar ess. m CE 795 a��1r�o�0•'' fI���Ao� �uOQopr o f e s sion000 Aug 14 2013 3:56PM MEHNER & ASSOCIATES 907-762-1858 J . i _ p.2 DMCI (�IWDI® RDaR comm 100.42' S89.59' 00"E it�Iuo zawa oawace n TtuaMo SlBaat SIOf BIHtDINa SEBAtlf V¢ IE/.v 6Yea1N0 ¢retia F- W J EXISTING o HOUSE N g N q 0 2 . I .. 28,D, e N.. .... .. .. .... I O RADIUSESMY ... L1RN-AROUND ND ESMT / 15' T8E ESMT \ N89° 59'00'W 100.00' UPPER LOWLAND AVENUE --------------------- UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE UNES. THE SURVEYOR TAKES RESPONSIBWTY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCAUNG. REPRODUCTION MAY CAUSE ERRORS W SCALE. LOT SIRVEY SURVEY TYPE SYMBOLS ❑ FOMDSTWd1 As UILT SET REBAR LD ASPHALT DRAINAGE ❑ FINAL S1 UMURE AS -BUILT ❑ PLAN s RNr o FOUND REBAR g_g WOOD FENCE' CONCRETE PLOT ... O Cgbffr ... Lor EQ ... r0N Ar AS-BULT ... NO C Fl A A II T ... NO CORNERS 4T 00 ASSUMED ELEV. .H{---*—* METAL FENCE ® WOOD DECK PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SH° FENCES, WENS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION ♦.•OF"',q�!11 '(� �, Prepared b Robert E. Johns Jr. & Assoc. f PLOT PLAN n-e,amwalna.w ...m N. lot GVM Iway e«t 1 . •• ....... � `P,.• Professional Land Surveyors d o w 10 nw kune « gtapleMe a a M mt ewn' a. •^�^ m e.. qa �`^ a. tie« el ar AV •: ��. 7700 eHnk Drlva ANCHORAGE. ALASKA 99504 aar.ap. R.e amu... a aam. nw e... �' ' �}I •, Scala; 111 = ,t OI Rec. Lot S.F. Rea Plat File No. 49th FOUNDATION AS-RUILr !A `t Date Sur ''ed` 08/02/13 Drown by. REJ Checkod b,MK '. ^^^^+ a ++,.. +• ,..,ry a•em e" 1 i.„e,ea'n'�"., °a4 H�q•"' 0 „' ....■ an.n.tm e>a t,A.wxr. o +w.,i nann •• ROBERT . air JR Date Drown: 08/05/13 Of":NW057 W° 13-370 9 o� FINAL STRUCTURE AS -BUILT . Ramat E t. nar49 Ua 1 C •# •'• S ' Aber .. �a ••••.,.•• Legal Deeviptlan: ina aatY w. A ea vwF.IN. bnlwmallarem` a„� ...•.••.yJt.` ��edp ,........ .� Lot 1 BLOCK tl. ma 1 I,•,sn i,�:e•�•«::��” w" �"— , ro Tt. ����eiw�•.•• HYLEN CREST #1 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # Z�,�S HAA # 1 1 f)S S0 12, 1. GENERAL INFORMATION Complete legal description LI g Z Iy fie^` Cres v Location (site address or directions) _11 002 Upper - Cdq iQ �1 V PFJ Property owner a �2a �bw ck: Day phone 694S -i-613 Mailing address Lending agency Day phone Mailing address Agent _ Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: _72 3. 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. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site x 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 (Prov. 1/91) Front MOA N21 l•.p JOW H�Uti (l8/:'AQU) 4CL'ZL ,worn s, eouibuo Ieuolssa;oad ay; ui suoisslwc ao saoaaa ao; ajglsuodsaa IOU si 96eaoyouy ;o AlqedloiunlN ayl •panssi si aleoigpeo a aaolaq elep ozAIeue ao suoiloedsui lonpuoo IOU op SHHa;o s@oAoldw3 •sluawaalnbei alels pue jeaapa; uielaao i4siles olaapio ui suoilnll;sui bulpual aiayl pue sawoy;o waseyoand of Asolinoo a seSM saop SHHd ayl'e�seIy;o alelS ayl ui paaalsluaa Mui6ua 1euo1ss8;oad luepuadepui ue Aq anoge g yduibund uI uanlb suoilelueseidaa ayl uodn /quo paseq saleol;IUao Ienoaddy Allaoylny yl1eaH sonssi (SHHQ) sooituoS uewnH pue ylleaH to luawlaedaa a6eaoyouy;o Aj!jedioiunN ayl N0antlo suollelndils 6ulnnollol aul yl!M 'swooapaq sluewwoo Jeuolllppy aol Isnoidde Ieuoil1puo0 •panoaddesi(] •swooapaq � ao; panoaddy �'• ,�,^,���.�,� _��, xro�n_ 3anitlNrJIS SHHQ '9 "� 9%6f '7,9" Dune y7J•p 3•EEEt 'Otd r+Qp QQQ 60 Q�Q Woua as an: 1i?61 'LOS ��b�t'I ainleu6ls s,aaaul6u3 ssaappy $his -t,69 auoyd Z,�-r walk to aweN QQcrz -�?K •uolloedsul slul to alsp aul uo loelle ui suoileln6w pus 'seoueulpao 'sopoo alelS pus IedlolunW Ile yl!M aouelldwoo ui sI welsAs lesodslp aalennalsem ao/pue AIddns aalsnn ells-uo ayl'uoiloadsui pus uoge6lls9nul Aw woe; pus sail ebeaoyoud to Aj!IsdlolunW ayl woe; paulslgo uollewio;ul aul uo paseq leyl Aluana9L4pnl I •ulaaaq paleolpui aanlonals to edr4 pus swooapaq to aagwnu eqj aol alenbape pus leuoilounl'alias si walsAs lesodslp aalennalsern ao/pue Alddns aalern ails-uo ayl leul smogs uolleolldde Ienoaddy Al!aoulnd ullsaH SM to uoile6llsanul Aw leUl Al!aan I 'molaq urnoys alsp uoilepilen aUl to ss pus olaaay paxll;e Inas Aw Aq p9!1!laao sy a33NION3 AS N01103dSNl d0 1N3W31tl1S 'S Municipality of Anchorage Department of Health & Human Services Mt HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L I f5 Z `-,)(S'" G`�l 6'-' Parcel I.D. oS0 4_7 Z`a4 A. WELL DATA Well type Log present(Y/N). Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller— Cased to Casing height Wires properly protected (Y/ FROM WELL LOG n g•p•m - SEPARATION DISTANCES FROM Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPL Coliform Date of sample: ULTS: B. SEPTIC/HOLDING TANK DATA Nitrate AT IWPECTION On adjacent lots On adjacent lots Public sewer manhole/cleanout Petroleum tank Collected by: Other bacteria Date installed Tv ti 1993 Tank size toxo Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y/N) y Depression (Y/N) (t1 High water alarm (Y/N) N (-)- Alarm tested (Y/N) Date of pumping NJ &__J .5 \1 SI'r_ ti Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot N P, On adjacent lots To property line 46 Absorption field Surface water/drainage -x-100, Foundation_ Wat rmain/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at K/ Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y. SEPARATION DISTANCE F_BW LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested MUNICIPALITY OF ANCHORAGE tNVIKUNMtAL SERVICES DIVISION N 2 1 1993 Surface-w�t'eP' E" VE D Date installed 0", 19g3 Soil rating 0.Zr GI?D 15F System type R01�1 Length 5o s Width 2-2.5 Gravel thickness n 5 Total depth 2 '$ Total absorption area 113G Cleanouts present (Y/N) X Depression over field (Y/N) N Date of adequacy test NRLO &2SLR1'T�b� F>>r�➢ NP Results (pass/fail) for bedrooms Peroxide treatment (past 12 months) (Y/N) N n If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot N On adjacent lots k Z_Co Property line 1 17 To building foundation l To existing or abandoned system on lot +So' On adjacent lots 4- Cutbank +100 Water main/service line 1 S Surface water ICy.? Driveway, parking/vehicle storage area IS' -4-5o/ Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in_-6ffec/ on bite date. of this inspection. Signature `. Engineer's-,.? ; 9bs)Z t11 r , 11A"-;eJ,, Dates HAA Fee $ 170 s Waiver Fee: $ Date of Payment '//�� ' ) Date of Payment Receipt Number Q>2q�Z6? ��� 9/ Receipt Number 72-026 (Rev. 3/91) Back MOA 21 APPL1( NT FILLS OUT UPPER MA[ ONLY Property Owner iV V•k_..r. Time - MailingAddress l? r� ��„ % Zi Code Buyer Date Address Zip Code Date �lr Lending Institution ,��C, .,- CLQ,.._ 1,,� l,1 'i'" -f__i� \ tit-�.'.:,.� Phone �� .'i Address (o (I ( A ls� c -� % Z- �% ( �lT4'l"7 Zip Code Inspector Realty Co. & Agent \ �1 `V � Phone Address Zip Code /� n 1 Legal Description -•O 1 �..�� Oc„ ,'` �.�.. i 1 ...1 \ (� c� �_..; Street Location Type of Residence ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL X Single Family -� ( ) DISAPPROVED ❑ Multiple Family No. of Bedrooms ( ) CONDITIONAL APPROVAL' ❑ Other DATE _I Water Supply ❑ �- WELL LOG. A log is for drilled June 1975. Individual �qq--^ C, dJ-- 0 Community lr: /�-� �. V 1 ATTACH well required all wells For wells drilled prior to that date, give well depth (attach log since if available). ❑ Public Utility Well To Absorption Area Well Log Received yf' Sewer Disposal X Individual Year Individual Installed: 1 .., �� ��� ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time - Date Date Date Date �lr Inspector Inspector Inspector Inspector /� n Field Notes: ��( G ,�-(� (�.-. - 0-0, L, 0, �A b ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE _I i Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received yf' Septic Tank Size Q Q O Well to Tank (, w� 72023 (3182)