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CHALET TERRACE LT 9
Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191144 PID Number: 015-163-32 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: VICTORIA ROBERTS ABSORPTION FIELD Address ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 7515 CHALET COURT, ANCH., AK 99516 El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 10 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 2 Ft. 8 Ft. CHALET TERRACE 9 Fill added above original grade Gravel length Township Range Section VARIES+/- 1 Ft. 38 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 2 Ft. Ft. Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches To Septic Absorption From Tank Field Tank Line 608 Ft2 1 -- Ft. Well 100'+ 100'+ NA NA NA TANK ® Septic ❑ S.T.E.P. ❑ Holding 0 Other Manufacturer Capacity Surface Water 100'+ 100'+ NA NA ANCHORAGE TANK 1250 Gal. Material Number of compartments Lot Line 5'+ 10'+ NA NA STEEL 2 NA Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Curtain Drain NA *NA NA NA Gal. Pump on level at Pump off level at High water alarm at Remarks Existing septic tank decommissioned. 3-BR Crib left in place with diverter for added in. in. in. use. New trench Remove/Replace 4BR Res. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 drainfieldoo 3034 Installer NORTHERN EXCAVATION Drainfield 3034 CO/MT 3034 Inspector FWCS / MNA BENCH MARK (Assumed elevation) 100 ft Inspdection ates: 1' 5/8/19 2nd 5/9/2019 Location and description 3'° 5/9/2019 4' 5/10/2019 BOTTOM OF SIDING COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL ��``Ik� Aw OF AL \ Or ( ,\--).. . 4� 1 Conditional Approval: Date ,�4'.. ..t /*49TH /N 11 .� ICHAEL N. ANDERSON.' fie �, MNo. CE 9469\ ..• G�w t5/.13/1.9 / Appr••ww� .- -ADate S------ -- \ bFE3slO�t'1' i (\ \`_s Inspection Report_9-1-12.doc ALPS AVENUE • o 0 co rv) 8" x N89°55'30"E 135.27'_X — X ° R=20.00'I L=31.39' 10'CEA EASEMENT PER MISC BOOK 224 PAGE 292 ` o �l o IN I 30 LOT 9 0° 44, SHED "-N00°09'30"W 6.91' ° 4► ` / I ; ? o • / LOT 10 K y o O\\`\•,,c� �G 13.5' . CC \ 0 _J Z T1'::::: // / LOT8 _;:: ::::::.:. :::9 :: ::• .. s\\ p* 49TH •.0A "• •: ... 30' Q // 11 00' `5:: . / Q .STEVEN CALLAe AN: t7,ONo, L 12034 ,4,0' N Mr'. p�ooS I /2lJL1ca°i�p� T COURT 0 rO,fessionOO�'o" CNPL ���D00000� NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN LEGAL AS-BUILT WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. 250 H Street DESCRIPTION: ADDRESS: 7515 CHALET CT. PARCEL#: 015163 32-000 Anchorage,Alaska 99501 LOT 9 SURVEY CERTIFICATION:LCG LANTECH,INC HAS CONDUCTED A PHYSICAL SURVEY OF Survey Department CHALET TERRACE THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE Phone 562-5291 IMPROVEMENTS SITUATED THEREON ARE IN THE LOCATIONS SHOWN AT THE TIME OF LEGEND: SURVEY. t€kr.4 - "........s-') �47r�"'� ainline IncIDRAWN DATE: 5113119 WORK ORDER:19032 ::Aaphdt::::::: q��� ����p���, Phone 243-8985 -------- -- -- - - -- - - ---7 -- - -— CLEAN Our O EXCLUSIONARY NOTE:R IS THE OWNERS'RESPONSIBILITY TO DETERMINE THE "-t -�- -€44 7. � AECC 668 DRAWN BY: ADS PLAT: 70-265 ® VIII '- ZIN EXISTENCE OF ANY EASEMENTS.COVENANTS.RESTRICTIONS CR RIGHT-OF-WAY WATER WELL tt[[t ov"m� HIM TAKINGS WHICH CO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT.UNDER NO CHECKED BY: SC GRID: SW2640 FENCE X i 00/ -"IY_f CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION.FOR ORDERED BY: BRENT WESTERN SCALE: 1"=30' FB/PG:814/31 REF:2007L81 � +►�' /2 ESTABLISHING PROPERTY LINES,OR FOR PLOT-PLAN PURPOSES. CHALET TERRACE LOT 9 PID: 015-163-32 PERMIT: OSP191144 G' O 100' WELL RADIUS ► :9 55'30" E 135.27' < �� R.2 10' CEA ESMT. \ �O i9 I o Z GI CO ISTING CRIB 0 /F MT O a) 0 0 Z NEW 1250-GAL CD CO 111 SEPT1C TANK 10' - W = O p FROM FOUNDATION. O — o 0(.,:i / D� Gp r 4. , O E CO �0. p 0 /' 0 •TH19-1 / r? 100' �b• RADIUS \\1P ` /' 0 \ \��• 4" �a�5� D 1)`x m -' soy / \ 0 I— al k,' \'' o LOT 9 A �0� h CD b � `1,0 TQ. 4 �ti� "{ °CG 30' , L�1.g1 LOT 8 I Rio 'o0 LP CHALET COURT SCALE' 1' = 30' A—C=45.6' B—C=15.6' A—D=4 7.7' Foo FCO T�2 A rco4 B—D=22.3' f � 1V' CO2 CO3 MT 98.41 \98.20 93.33 FINAL ,R `95.42 A—E=38,3' -/— ^� l 0.0' /— B—E=6 4 8' 96.12 INSULATION— FILTER FABRIC&INSIA. A—F=60.6' 95/ \B7 -\$7.42 SEWER Roar 92. /".-- SPAIP-om B—F=55,1' ' TLLON ANK A—G=65.1' B—G=56.3' 84A2/ 5/9/19 SEPTIC SECTION DRY-BONn1�9-i 19-1 SCALE; NTS 8. 78.42 PREPARED FOR: SUPPORT SERVICES: Ailb:46\\ VICTORIA ROBERTS i�<S� OF AL S CHALET TERRACE LOT 9 i�A �, �� 1 7515 CHALET COURT, ANCH., AK 99516 r* 49TH '\ *#/ Michael N. Anderson P.E. MICHAEL N. ANDERSON DATE: 5/13/2019 ` No. CE 9489 4i , 4601 Natrone Ave. DRAWN: FWCS 1 5/13/19 Anchorage, Alaska 99516 , i SSip,o, i (907)727 8864/FAX: (907)345 1391 SCALE: 1" = 30' �� \\011 Michael N. Anderson, P.E. ' lr r. ,, OF Az . � Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 / * 4 TH �� * Phone 345-3377 Fax 345-1391 / 4 SOILS LOG- PERCOLATION TEST MICHAELNo N. A9NDE489 .�RSON CE LEGAL DESCRIPTION: CHALET TERRACE LOT 9 5/9/.19....•• A DEPTH F'Essi _ FEET OG SOILS 11664` 41 ORG/OL PERFORMED FOR: VICTORIA ROBERTS 2 TESTHOLE# 19-1 DATE PERFORMED: 5/2/2019 3 GROUND WATER ENCOUNTERED: NO IF YES,AT WHAT DEPTH: NA 4 DEPTH TO WATER AT MONITORING: DRY DATE: 5/9/19 6 SEE SITE PLAN FOR SLOPE&LOCATION COMMENTS: 7 SP/sm-gp 8 VERIFY GROUNDWATER MT 9 AT TIME OF CONSTRUCTION- DRY 10 11 Reading Date Gross Net Time Depth to Net Drop 12 Time Water 5/2/19 10 min _ 6" 6" 13 _ 6" 6" " 6" 5 15/16" 14 6" 5 14/16" Silt increasing " 6" 5 15/16" 15 6" 5 14/16" 16 BOH PERCOLATION RATE 2 (MIN/INCH) 17 TEST RUN BEWTWEEN 3 & 4 FT 18 19 PERC HOLE DIAMETER 6" FIBS PRE-SOAKED PRIOR TO TEST& ALL READINGS TO 20 THE 1/16TH PERFORMED BY: FWCS/MNA- I MIKE N.ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE&MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/9/19 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:/Awww.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191144 Work Type: Septic Upgrade Tax Code Number: 01516332000 Site Legal Address: CHALET TERRACE LT 9 G:2640 Site Mailing Address: 7515 CHALET CT, Anchorage Owner: ROBERTS VICTORIA Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Q Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: 5/7/2019 5/6/2020 Lot Size in Sq Ft: 13160 Total Bedrooms: 4 ❑ 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 Special Provisions: A 7 -day groundwater reading shall be taken prior to construction of the proposed drainf eld. If results require a design change, construction shall stop pending Onsite review and approval of a change order. Please submit results with the inspection report. z; Received B :: Date: 5 7 h-/ Issued By: Date: 5 % / rf mumus C__ --� HUMUFAUri y ©iF QmcHo F „ eC Development Services Department f' _. ` '� Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-163-32 Property owner(s) VICTORIA ROBERTS Day phone 907-764-7922 Mailing address 301 W NORTHERN LIGHTS STE. #303, ANCH., AK 99503 Site address 7515 CHALET COURT, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) CHALET TERRACE LOT 9 Legal description (Township, Range & Section) Lot Size 13160 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ® Initial ❑ Single Family (SF) (w/wo AD U) Septic Tank ® Upgrade ® Duplex (D) EJHolding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 07b t22,J Waiver Fees: Date of Payment: C( 1ZCr Date of Payment: Receipt Number: 0 ZOy q t> Receipt Number: Permit No. 051019 `(( Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 May 6, 2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: CHALET TERRACE LOT 9 The septic crib has failed and we request a septic permit to upgrade the system on the above referenced lot. A testhole was performed on May 2, 2019 and the results are attached for your review. Additional groundwater monitoring will occur prior to construction. ADEC provided documentation that the subject well serving this property is not a public well. Given these site conditions, the testhole performed and available data, it is proposed that a 38 long deep trench with 8 effective depth be installed. The tank that appears to be undocumented and encroaching the foundation will be removed per code. The slopes are generally 5-13% at the proposed trench location. The proposed design will not impact any of the neighboring properties. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191144, Rebecca Carroll, 05/07/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191144, Rebecca Carroll, 05/07/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191144, Rebecca Carroll, 05/07/19 Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 Fax 345 -1391 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: CHALET TERRACE LOT 9 PERFORMED BY: FWCS / MNA - I MIKE N. ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/4/19 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 SP/sm-gp 9 10 11 12 13 14 15 Silt increasing 16 17 BOH 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 5/2/19 10 min 6 6 6 6 6 5 15/16 6 5 14/16 6 5 15/16 6 5 14/16 PERCOLATION RATE 2 (MIN / INCH) TEST RUN BEWTWEEN 3 & 4 FT PERC HOLE DIAMETER 6 PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 5/4/19 ADDL. PENDING TESTHOLE # 19-1 DATE PERFORMED: 5/2/2019 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: VICTORIA ROBERTS 5/4/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191144, Rebecca Carroll, 05/07/19 DIVISION OF ENVIRONMENTAL. HEALTH DRINKING WATER PROGRAM 555 CORDOVA STREET ANCHORAGE, AK 99501 http://www.state.ak.us/dee/homelhtm April 24, 1997 Mr. Tom Nelson Secretary, Chalet Terrace Court HOA 7440 Chalet Court Anchorage, AK 99516 RE: Chalet Terrace HOA Water System; PWSID: 2111.06 Dear Mr. Nelson: TONY KCNOWLES, GOVERNOR Telephone: (907)269-7625 Fax: (907) 269-7655 Thank you for providing this department with the number of population served by the above - referenced public water system. Based on the submitted information, we are able to reclassify the Chalet Terrace HOA Water System, from Class A to Class C Public Water System. This reclassification is valid as long as the total number of people being served by the existing public water system remains below 25. Although, monthly sampling is not required for Class C Public Water Systems. we recommend that you take quarterly samples for total coliform bacteria and yearly nitrates (as nitrogen). In addition, if significant water quality changes are noted, you should conduct additional sampling to protect the health of the users. Again, thank you for your cooperation with this Department. If you have any questions, please call me at 269-7625. Sincerely, Marla idgw, Envir ental pecialist cc: Michael Lu, ADEC/Anchorage-PSO n i 18r i � �! # {� d.I S t � i ` Y 'M1✓� � 5 � �Y i 4 t i $-'�. i Y i' t `i U x y a^ M t DIVISION OF ENVIRONMENTAL. HEALTH DRINKING WATER PROGRAM 555 CORDOVA STREET ANCHORAGE, AK 99501 http://www.state.ak.us/dee/homelhtm April 24, 1997 Mr. Tom Nelson Secretary, Chalet Terrace Court HOA 7440 Chalet Court Anchorage, AK 99516 RE: Chalet Terrace HOA Water System; PWSID: 2111.06 Dear Mr. Nelson: TONY KCNOWLES, GOVERNOR Telephone: (907)269-7625 Fax: (907) 269-7655 Thank you for providing this department with the number of population served by the above - referenced public water system. Based on the submitted information, we are able to reclassify the Chalet Terrace HOA Water System, from Class A to Class C Public Water System. This reclassification is valid as long as the total number of people being served by the existing public water system remains below 25. Although, monthly sampling is not required for Class C Public Water Systems. we recommend that you take quarterly samples for total coliform bacteria and yearly nitrates (as nitrogen). In addition, if significant water quality changes are noted, you should conduct additional sampling to protect the health of the users. Again, thank you for your cooperation with this Department. If you have any questions, please call me at 269-7625. Sincerely, Marla idgw, Envir ental pecialist cc: Michael Lu, ADEC/Anchorage-PSO GRE-"ER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~//~ R/C/v/,~,~,~o~'/ MAILING ADDRESS ~/.~-' ~ .~/~7~/ LOCATION t~ .//AJ ~7- ./:::2,/_/)C'Z: LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL /~,~ ~"/.e MANUFACTURER .'~ ~'~C ~ .'5'~,~E'/--MATERIAL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY ,/ O <~ O GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION ~07~, ADDITIONAL ABSORPTION DIAMETER /~ WIDTh ~ CRIB SIZE: DIAMETER NEAREST LOT LINE ~ ~ LENGTH_L~, DEPTH ~LO DEPTH ~' ~' DISTANCE FROM: WELL // ~-~ ~ TOTAL EFFECTIVE c'~ ~ ABSORPTION AREA (WALL AREA)~ SQ. FT. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST __ , LOT LINE ~ ¢,-.?L , OTHER SOURCES DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE ~:~ ~ "'/-- TANK , , SYSTEM REMARKS. DISTANCES: INSTALLED BY: PIPE MATERIAL: ~"~1,~"7'" _.~'"".,,,le~,.~ LOT SLOPE: [~7~,~*~ REMARKS: ~/~' i-'~', // ^/£~ / ~ Form No. EQ-O31 DIAGRAM OF SYSTEM INSTALLATION OF: SEPTIC TANK SEEPAGE piT DRAIN FIELD TYPE AND SIZE OF FACILITY TO BE SERVED PHONE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. . 3500 TL.'L'~O~ ROAD POUCH 6-65'0 SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT WATER MAIN TO SEPTIC TANK ~U .It,, ,,. SEEPAGE PIT SEPTIC TANK. 25 ft., SEEPAGE PIT 100 ft..,., DRAm F.ELD . 50 TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVI'L BACKFILL ULATIONS REGARDING INSTALLATION. · HEALTH AUTHORITY OR LICENSED DESIGNER MINIMUM DI~I'ANCES, REQUIREMENTS 5 ft. FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT 20 ftc DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPT,C TANK 5 TO NRA.EST LOT L'NE. WELL TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT 20 ft. . DRAIN FIELD lC) ALSO CONSIDER AREA WELLS. 10 ft. COMPLETION DATE ANTICIPATED PFRMTT VAI fD 0NF YFAE FINAL INSPECTIONz ~'4 HOUR NOTIC]E: REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL II%i~,I"'m;CTION BY THc HEALTH DEPARTMENT AUTHORI~ WILL BE SUBJECT TO PROSECUTION. ~EPTIC TANK SIZE TypEStRe] O~ C~~5EEPAGE AREA SIZE TYPE DIAGRAM OF IYI~M 4' CA~T IROX SIPUON 5[PTIC PiPE k'lTtl AIRTIGHT CRiB · la:H; _/' CAPS I "~ ~'" ~ % /' I::::'":1- .... 15::-:':1 cas~ ~.o. I.".~; ';¢:E .... J.:~:(J . U.O~ST~.BEO SO]t I.:.~4V.:~L: ...... I.~;:l bl ) N I f.:U r.~ ' Il ] fi ] MUM C J r~qutred whenever line crosses (CRIB 4' RINIRUM AB0)'[ WATER undcr drive~'ay. 1ABLE) C~t;Sl[:! R AI~[~, WELLS. SERf, k(;[ Pi1 EXCAVATION BASED 0~ ~:LL~e SOH. T[~T. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREA~H ORDINANCE NO. 2"-CB AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, ~' J . Grade: 2'.per IC3' I er I/4' p r except 10' precft, dir tank & the. should lt0US E not exceed CAST l~N~ ..~ JSEPTIC · ~alns. mSTU~CE~ ~ [.CASt IrON SIPIIO~ ripe SOIL . / "x~ / / ~sEIPAGt pIT ~ CRIB ' I t/E~PE~T LOT LlflE OTHER To .E ,.STALLED "Y r NOTE= THIS PERMIT IS NOT VALID WITHOUT ~,OIL TEST / 7..T, Performed For Beliable Builders Date Performed Oct,. ~,'197~ Leoal ~escrintion' Lotto Block~Subdivisinn' (:h~.~et ~rr~ce 'This Korm Renorts Soils Lon ),es Percolation Test_ 'i nenth Feet Soil Characteristics Cc e, rse Sandy [~( Was Ground Water Enc~unterea? ::, *? I· Yes, At what I ~ R~adinQ Date i Grnss Time Net Time Denth to H20 Percolation Rate ~Ii nu te " Net Dron Prorosea Installation: Seenaoe Pit ~em Drain Field Den. th of Inlet Den~h To Bottom Of Pit Or Trench :L~ Cm""ENTS' ~5 sq. ft. drainage ares re~ui~ed ~er bedroo~ .No bedrock or water table ~ ft. belo'~ seepage pi% Test Performed By Data Certi fi ed By: CONS'lq~Je'~m ~[07! ~r7~'i'i~2....1 Da te: 10'l~'72 ~: 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 Parcel I.D. 015-163-32 Legal description CHALET TERRACE LT 9 Site address 7515 CHALET CT Expiration Date: Current property owner(s) STEWART SHERRI R & ALAIN G X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for Comments or advisories: By: 4/25/24 bedrooms, with the following stipulations: Original Certificate Date: 4/25/23 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 Absorption Field Advisory Tank Age Advisory Other X Well Flow Advisory Nitrate Advisory Arsenic Advisory COSA Approval_June 2022 MUMUPALITY OF ANCH RAGE Development Services Department r=l' 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. 015-163-32 Complete legal description CHALET TERRACE; LOT 9 Location (site address) 7515 CHALET COURT *ANCHORAGE, AK Current property owner(s) ALAIN STEWART 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 907-268-8272 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units 0 Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: 0 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 3 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed n 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 $ 9-50 -v 3 Waiver Fee $ — Date of Payment ��Z1( 123 Date of Payment COSA # 0GJ C_23 1 O 6 Waiver # COSA Application—June 2022 001 COSA Checklist Legal Description: CHALET TERRACE; LOT 9 Parcel ID: 015-163-32 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA I SERVED BY SHARED WELL ❑ Well log is filed with Onsite (or attached) Well production at time of tes Date drilled Total depth W an c volume gallons Cased to ft ❑ Sanitary s>functioniZngc ctly ❑ Wires areCasing heighd) in. Date of flow t Static level at beginning of test ft. ents B. TANK DATA Measured operating fluid level in septic tank 49.5 Date of pumping !±(21 (-,, 3 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 2019 ❑ ALL standpipes present per record drawing Total measured depth from grade 10.2 ft (max) Measured depth to pipe invert from grade 2.5 ft (min) ❑ N/A — pressurized field. N Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 7.5 ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced - gallons - date Any rejuvenation treatment (past 12 months) - If yes, enter date - Well disinfected for coliform test? ❑ Yes Q No ❑ Coliform bacteria is Negative Nitrate • Oma/l- ❑ Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by 6�— CY Date L} 1-7 JZ 3 C. LIFT STATION ❑ Required maintenance co Age of lift station years Lift station erial Adequacy test date 4/14/2023 Results ❑■ Pass Fluid depth prior to test Water added 752 gal DRY in New fluid depth 5 in Elapsed time 22 min Final fluid depth DRY in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 96 in Effective depth used *0 in Effective depth remaining 96 in Comments/Deficiencies: PIPE FOR 1973 SEEPAGE PIT COULD NOT BE LOCATED. CONDITION OF SEEPAGE PIT IS UNKNOWN *MT EXTENDS 7.5' INTO THE EFFECTIVE FIELD MAY HAVE HAD 6" OF STANDING LIQUID IN IT. COSA Checklist June 2022 nrC 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' R Yes Community Sewer Manhole/ out > 100' ❑ Yes if No ft ❑ Yes if No Neighboring Tank > 100' ❑ Yes if No ft Priva er/Septic Line > 25' [:]Yes if No Absorption Field on Lot > 100' ❑ Yes if No Holding Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' F. ENGINEER'S COMMENTS Animal Containment > 50' ❑Yes if No s if No ft Manure/Animal Excreta Storage > 100' Community Sew In > 75' ❑ Yes if No ft ❑ Yes if No ❑ 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 Surface Water > 100' ❑■ Yes if No Tank to Property Line > 5' R Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑E Yes if No ft Private Wells > 100' Yes if No _ Water Main > 10' ❑■ Yes if No ft Community Wells > 200' ❑■ Yes if No _ Water Service Line > 10' R Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS SEPERATION BETWEEN SEPTIC TANK AND SEEPAGE PIT IS UNKNOWN ft ft ft ft ft ft ft ft 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 Gayness Engineering Group LTD. (GEG) Phone Engineer's Printed Name Jeffrey A. Garness Date _ 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 industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the 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 can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 907-337-6179 G F ' `P 4 S�00oo effr2 .A. or SS vp�9./-•.• ISE-7s� �� ��fP •4��-7�-.Z�cAo LICENSEL feSS'10 0 #AECC884 MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section - Parcel I.D. 015-163-32 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description CHALET TERRACE LOT 9 Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: x — I I Location (site address) 7515 CHALET COURT, ANCHORAGE, AK 995$ o Current property owner(s) VICTORIA ROBERTS Day phone Mailing address Real estate agent 301 W NORTHERN LIGHTS STE. #303, ANCHORAGE, AK 99503 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well — CLASS C ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ also Waiver Fee $ Date of Payment 511LP) Pg Date of Payment Receipt Number 43g o l b Receipt Number COSA # ()50q 11557 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On-Site staff may visit the site to verify the information submitted. Name of Firm ANDERSON CONSTRUCTION&ENGINEERING Phone 345-3377 Address 4640 SHOSHONI DRIVE,ANCHORAGE,AK 99516 Engineer's Printed Name MICHAEL N. ANDERSON,PE Date 5/10/2019 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 < ' OF �� 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 �� i construction(workmanship&materials),the water usage of the family being served by the 1 system and maintenance. The operational life of all well and septic systems are subject to / * 49 * / these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore,no estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments,deficiencies or .1aCHAEL N. ANDERSON. Ate discrepancies exist can be given by FUCS and Anderson Construction&Engineering. No. CE 8489 4 11 ••. 5/10/19 '�� 6. DSD SIGNATURE \\`ssioloa.i System #1 Approved for Lr bedrooms System #2 Approved for ` bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: SOF rq<<�<<,���i�� Pr `• ON-SITE %v� WATER AND WASTEWATER 0 ^ 1 O\\�\ FM'SERv\C.) By: (M I`—I Original Certificate Date: 5—= , 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory _ Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: CHALET TERRACE LOT 9 Parcel ID: 015-163-32 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA—PRIVATE CLASS C ❑ Well log is filed with Onsite (or attached) Water storage tank volume gallons Date drilled Well disinfected for coliform test? ❑ Yes ® No Total depth ft ® Coliform bacteria is Negative Cased to ft Nitrate 4.41 mg/L Z Nitrate less than MRL (ND) ❑ Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND) ❑ Wires are properly protected Furs Casing height (above ground) in. Collected by Date of flow test for COSA Date of Sample 5/1/2019 Static water level at beginning of test ft. Well production at time of test gpm Comments B. TANK DATA—5/8/2019 - 1250-gal C. LIFT STATION - NA Age of tank(s) NEW years ❑ Required maintenance completed Tank type/material STEEL Age of lift station years Measured operating fluid level in septic tank Lift station material ® Standpipes/foundation cleanout per record drawing Comments: Date of pumping NEW D. ABSORPTION FIELD DATA—38'L x 2'W x 8'ED— 1.2 GPD/SF = 608 SF Which system tested (date installed) NEW Adequacy test date NA—NEW SYSTEM ® ALL standpipes present per record drawing Results L1 Pass For bedrooms Total measured depth from grade 11 ft (max) Fluid depth prior to test in Measured depth to pipe invert from grade 3 ft(min) Water added gal ❑ N/A—pressurized field New depth in • Monitor tubes go to bottom of effective. If not, state Elapsed time min depth into effective ® Code-required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: RCS COSA Checklist copy 2.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well)CLASS C WELL Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> !: ® Yes if No ft I es if No ft Neighboring Tank> 100' ® Yes if No ft Private S- - eptic Line > 25' ® Yes if No_ ft Absorption Field on Lot> 100' ® Yes if No Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > III' Animal Containment> 50' ® Yes if No ft Yes if No ft Manure/Animal Excreta Storage > 100' Co .' ' y Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Wells on Adjacent Lots: Property Line> 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Absorption Field > 5' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells >200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below Surface Water> 100' ® Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No _ft Water Service Line> 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water> 100' ® Yes if No ft F. ENGINEER'S COMMENTS .) OF A X G. ENGINEER'S CERTIFICATION 1 ice ' ,_ ••r IA I certify that/have determined through field inspections and review 1 �. j\ ."� of Municipal records that the above systems are in conformance *' TH * I with MOA COSA guidelines in effect on this date. I .4 MICHAEL Na. ANDERSON. a / No. 9469 COSA Checklist copy 2.docx ...:„.4-, w 1 ' 5, 13.19• PESSZOt4D 6" Air �``41111:11111.. • • E9s]c� • ( Municipality of Anchorage 4` • '6 °`' ' `�_ On-Site Water and Wastewater Program ti .;ulID (907) 343-7904 s A 1. AUG 'hi G Certificate of On-Site Systems Approval 4 -% Parcel I,D. 015-163-32 Expiration Date: IN 0 V (2 011 1. GENERAL INFORMATION Complete legal description Chalet Terrace Lot 9 Location (site address) 7515 Chalet Court Current Property owner(s) Steven & Helen Bush Day phone Mailing address 7515 Chalet Court Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 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 • . . E . Individual'. Individual Water Storage ❑ Holding Tank ❑ • Community Class A Well 111 Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: / Distance: Received b Ii L/ Date: ___V2.57/12_ -i COSA to be released to the engineer,unless otherwise requestedb+ the engineer. COSA Fee $ 5a.C, Waiver Fee $ Date of Payment &A//7 Date of Payment Receipt Number 0A7 g Ct6 Receipt Number COSA# Ot C/71,3 oil 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations.The reported results describe 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 soil condition,ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system.The content of this report is for the sole benefit of the owner listed . above, Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 8/1812017 °F ALlt1s /fit: i • d: /1 •* / 6. DSD SIGNATURE di •- r10 fSystem #1 Approved for bedrooms .S even . lannone . , System #2 Approved for bedrooms # .o.',.. C. .. i� 1,`'n,,.•• -• Disapproved k1 P+'OFESSI4N -4 Conditional approval for bedrooms, with the following stipulations: St, -is `►s on1 s\X€.d 4 w 3 bedror,rrw 1 Soak wa.o Y e t 0 u5 L v� rov e c -�rov Li bec -o o w.s r Cos A te, Q 007 gel d�/ Passel add uAt 571 f)r LI ,JPce<roo Irn E• - T4h1� it-, 7 Pars bl� f tier e. I1•� e.?C ec-Mn C " i ,• iii' -,yG o-F s-teI -farJk5 1 S 20 yszars . / 0 �G • . : ONU-SVT. Cc WATER ANS V11Ac reit1,0,TER C tjRnGRAM _.-_- By: laitte,CA CaRij Original Certificate Date: 8/2 5/.?D/ 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. • 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet J - .. If more than 9 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system ' Certificate of On-Site Systems Approval Checklist Legal Description: Chalet Terrace Lot 9 Parcel ID: 015-163-32 A. WELL DATA Well type Community If A, B, or C provide PWSID# 211106 Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (YIN) Total depth ft. Cased to ft. Casing height (above ground) in FROM WELL LOG AT INSPECTION Date of test Static water level ft ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 9/19/1973 Tank size 1000gal. Number of Compartments 1 Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (Y/N) N/A Date of pumping 8/17/201 7Pumper One Stop Pumping C. ABSORPTION FIELD DATA Date installed 9/1911973 Soil rating (g.p.d./ft2 or ft2/bdrm) 85 SF/BORN System type CRIB Length 12 ft Width 12 ft. Gravel below pipe 6 ft. Total depth 9'3 ft Eff. absorption area 288 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8118/2017 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 36 in Water added 605 gal New depth 38 in Elapsed Time 1440 min. Final fluid depth 36 in. Absorption rate >= 600+ g.p.d N Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm& circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer/septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ 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 50+ Wells on adjacent lots 100+ F. COMMENTS Survey on file. G. ENGINEER'S CERTIFICATION �T~� I certify that l have determined through field inspections and _�'<P'• 4� .: �� review of Municipal records that the above systems are in *' . • + *r,k conformance with MOA COSA guidelines in effect on this date. -••• ���; 1 Steven Pannone ... •En --- Engineer's Printed Name ••eleven . onnone Date 8/21/2017 ��#':,y• CE-8149 . 5 COSA canary sheet_2-6-15.doc t "P""'`� Municipality of Anchorage n.ent I � ( • ,. On-Site Water and Wastewater Program I P.O. Box 196550 4700 Elmore Road et 1 A. j Anchorage, Alaska 99519-6650 Phone: (907)343-7904 Fax: (907)343-7997 ra \ / http://www.muni.org/onsite ' 44cH0R'°t I)t'p.ii't incnt Review Comments Engineer: PANNONE ENGINEERING SERVICES 8/23/2017 Legal Description: CHALET TERRACE LT 9 Parcel ID: 01516332000 Permit: OSC171369 WellSeptic Report Type: COSA Completed By: T.Ecklund The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: 1. After reviewing scan documents and given the fact the tank and crib would be over 44 years old when compared to the 07 Survey this appears to be an undocumented upgrade. Please verify 0 Tl -E --'12..- -TI4-AIt1 --1149. —C»c5-8 ( a 0 Lo./4,0r40-r- Ar-rea4 t 5 5 �—c. A.1 LAPP 6.4 2s C,-Q.t ci, , Ac. iii v'1Ac (Pas we:4 L . 4,0&n9 ir-rNz___ LA 1)C sc (AJ G, . Pannone Customer Service From: Steve Pannone Sent: Thursday, August 24, 2017 12:16 PM To: Pannone Customer Service Subject: Fwd: Chalet Terrace Lot 9 Steven R. Pannone Begin forwarded message: From: "Carroll, Rebecca M." <CarrollRM@ci.anchorage.ak.us> Date:August 24, 2017 at 10:50:19 AM AKDT To: 'Steve Pannone'<Steve@panengak.com> Cc: "Noffsinger, Ross D." <NoffsingerRD@ci.anchorage.ak-us>, "Wockenfuss, Deborah M." <WockenfussDM@ci.anchorage.ak.us>, "Ecklund, Timothy J"<EcklundTJ@ci.anchorage.ak.us> Subject: RE: Chalet Terrace ' ' - Co ' - -31.9 S i-TVA-- A ecru,v^ov'T . Lt/l9 49" 5 ^ao ►Nb Gi a4s`t err ° Steve, GtL($ . -z'pca oT iGN o t..) L.2 'T-r WAS xit'a 4 riti? sC , From our earlier co ersation,you stated that the home owners have installed a double cleanout between the tank and , ib. So in light of that, I am still noting the following: 1) The septic vent t .t is shown furthest north in the 2007 as-built survey appears to have been added, as well, but . is not clear what it's serving. The 1973 inspection report notes that the distance between the ► ib and the nearest property line is 20 feet. The vent in question is only about 10 feet from the p •perty line. The 20 feet distance matches up more with the first vent shown downstream the di.uble cleanouts. The two vents downstream the double cleanouts are about 18 feet apart, so toa far apart to both be in the 12'x12' crib. Please clarify the function of this additional vent. 2) MOA has this house assessed as a 4 bedroom and that is what is being requested in the COSA. However,the tank and field are sized for three bedrooms(1000 gallon tank and field effective area of 288 ft2 (with soil rating of 85 ft2/bedroom). The 1973 inspection report was approved for 3 bedrooms. Please address. - t - mac SYS'co.r„l tJvAS ppepWr T �s A 14 E,‘es t o rt 3 N 114,C057-- Z t9 s 42-'g Becca Carroll ict—t 20v �p CASA © 7. ©Z Onsite Water and Wastewater Municipality of Anchorage 343-7908 From: Steve Pannone [mailto:Steve@panengak.com] Sent: Wednesday, August 23, 2017 4:51 PM To: Ecklund, Timothy J <EcklundTJ@ci.anchorage.ak.us> Cc: Noffsinger, Ross D. <NoffsingerRD@ci.anchorage.ak.us>; Wockenfuss, Deborah M. <WockenfussDM@ci.anchorage.ak.us>; Carroll, Rebecca M. <CarrollRM@ci.anchorage.ak.us> Subject: RE: Tim,et al, 1 --GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ' 0-~330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by:'~ ail'ng ddress: ~>_~ 2. Property Owner:~~~~ ~. Phone:~_~~ Mailin~ Address' ~ 3. Legal Description: '~ ~, ~. lype B. ~epth C. Construction ~-~"~~ D. Bacterial ~nalys~s 7. Se~a~e ~sposal System: ~. Installed ~~-, B. Installer C. Septic Tank: 1.~S~ze /~"~¢~/ 2. ~anufacturer ~. Seepage P~t: 1. gbsorpt~on E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area ?mo /~L, Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages 1. Type 3330 of Inspection: 'GREATER ANCHORAGE ARb. F', BOROUGH ,/~..~~.~'"'~'~j'~,,,~'~'~ c,D, epartment of Environmental Qualit~ " St., Anchorage Alaska 99503 - 74-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES CMRO VA FHA CONV ~ Property Owner: Mailing Address: ~/~ ~o,~j~--r' ......... Daj/ Phone Na~~ -f Buyer: Mailing Address: ---%~/J~ ~/w O,'~cj~ Day Phone 4. Name of Lending Institution: Jo.T~O~T~ J~n~ Ha~ling Address: ~0,~ ~-~o90 Phone Name of Realtor or Mailing Address: Legal Description: Location: Type of Facility to be inspected: ~..~,'~,:zl~ /~;o,,.,;/,., No. Bdrms. I Water Supply Type of S~pply: Public Utility ~ Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal' System Type .of S~stem: Public Utility Individual (on-site) If' Individual, date of installation ~_--..~ou ]J /b~ ! ~?~Z /C) · C., · ~ hereby ' described ',las ~ada ~ situated that no encroach certify 2hat asv, rv,ey of the fol~.lo,,/in9 prope, rt7 [__o ~- c~,. ~ l.,.,,,e,, {e._ ~' ~-'/v'~_c~,..__~ on -/~-- lO--~ __and-~a~: '~e improvements thereon are ~.~i-thin the prop or encroach on the property improvem, en~s on property lyi on ~n~ premises in euestion road'..:ays, transmission lines or other visible sa~a ,pro~er~7 e×ce~ as indicated hereon. ~,~ at Alaska This lO, .-.- day - ~ncnorage, . , . erty line:; and do not lying adjacent thereto, ng adjacent there,.o and that there ,are no ea.% er~e~'~s on g scale: l" = ~ ~',Pag~ 2 of two pages - R~ ~st for Approval of Individual ler & Water Facilities Comments Approved~~.~. ~. ~ Disapproved Date Approval ,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)