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HomeMy WebLinkAboutASPEN HIGHLANDS #1 BLK 1 LT 3Onsite File Aspen Highlands #1 Block 1 Lot 3 #017-013-27 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201088 PID Number: 017-013-27 Dwelling: Q Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New X Upgrade Name ARLAND ANDERSON ABSORPTION FIELD X Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 12900 TRACY WAY, ANCH AK ❑ Other Phone ]Number of Bedrooms Soil Rating depth from original grade 5 0.8 GPD/SF JTotal 7 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.0 Ft. Gravel depth beneath pipe 5 Ft. Subdivision Block Lot Aspen Highlands #1 BLK 1, LOT 3 Fill added above original grade 1'+ Ft. Gravel length 96 Ft. Township Range Section Gravel width 2 Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 960 Ft2 Ft. Well 1 00'+ 100'+ 50'+ TANK 0 Septic 9 S.T.E.P. ❑ Holding [:]Other Manufacturer GREER TANK Capacity 1000 Gal. Surface Water 100'+11001+ I Material Number of compartments Lot Line 10'+ 10'+ NA PLASTIC 2 Foundation 10'+ 10'+ LIFT STATION 1 Manufacturer Capacity Remarks GREER 1000 Gal. Alarm location Garage wall Electrical installed by Rising Son Elect. Installer PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 MIKE N ANDERSON, P.E. Drainfield 3034 CO/MT3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 100.4 ft Inspeatio 1s' 6/30/21 2� 6/30/20 Location and description 3'd 4'h TOP OF TANK MH ON-SITE WATER AND WASTEWATER SECTION APPROVAL 0 M�lt Ili Conditional Approval: Date �1p;•'' , C, •V 49Th •, �� ��r ....................... C MICHAEL N. ANDERSON ; c Septic System l Approve f� J; 9 ;tip w. Date 7-30 -{t�F� -.�,?�•�`ry~�' OF Note: this approval does not include well permit requirements. %1SS4UON, z`e�.�� rao" nFrn�r� ui Permit 'No. OSP211018 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 3, BLK 1 ASPEN HIGHLANDS #1 S/D PID No.: 017-013-27 MARK / `,A B C _ c01 / 11 16 TC01 / 17 ` 15 TCO2 / 22 16 CO2 / 25 \ TC 3 / 26 2 20 T 04I 30 23 T1 15 25 MT2 i 80 45 WELL i ,I 1 �\ 3� �MT2 \ y \� 1 T1A TCQ \ Nei \ \ H9 SE WELL I 1 / i 1 / I ` I TH1 \ �I I / / cot TCo7 i Tcoz c112TCO2 TCOI MTt 1 7 3 IT 11275 t OG ®®�1 'O , ��w ®�®® ® vJOO• •'•� A"M Ar R fif 49 IH FILTER FABRIC & 2' INSULATION .0 7,500 GALLON �4. 7,000 GALLON 9 y�ygp wocK98 •9 1PLASTIC TANK PLASTIC TANK W \" ='MICHAEL N. ANDERSON.' AV Ar GM 8®�No. CE 9469'Ar ® ' •7-22-21 °m SEPTIC SECTION NO WATER THQ2 ® 80 JUNE 2021 ®®® y 1 y Com, ®®® N.T.S. ® 1I�JL vVAY TR?�Y Cr nl�tiQN o1 'SA4po • wm wm(n >�o ('n�a m \ ¢ rn c 2 cp p 1 =mom c; Z Cr nl�tiQN 001TAI1000 AN o - o1 'SA4po aP5 wm wm(n >�o ('n�a Q: \ ¢ rn c a�aN cp p 1 =mom .,. Not-'. 2I 2 i.11 ti T'` •p V1 � V'} ::3 FI: ,�� f� �O tM c 'i' 001TAI1000 AN o - o1 'SA4po aP5 J Q: \ ¢ rn c N cp p 1 - Municipality Of Anchorage P4,6 � Development Services Department a ,�,•' a�,�$ On -Site Water and Wastewater Section ,.r �,• ' '� - tC 4700 Elmore St. r• ••; P.O. Box 196650 Anchorage, AK 99519-6650 `$ 9 s H WWW. mRUni.01-g10nSite ' • • • • ' • • • - • • • • e s e . • . r+ (907) 343-7904 MICHAEt N. ANDLR50N Soils Log - Percolation Test ,rf,-,%,9fa .�.' Performed For: cl, j �„ R tct},n ^M l� K t�.. V esu r7 Date Performed: Legal Description: �.ey � 1 s, � ({ � ( Township, Range, Section: Sloe Site Plan I--- 2- 3- - 3- 5- 5- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16.- 17- 18- 19- 20- 7- 8- 9- 10- 11-12- 13- 14- 15- 16- 17- 18- 19- 20- 67 x/ i L-0 t9 '7 C- -47 -47/-, 4 60 ff ?", WAS GROUND WATER � t ENCOUNTERED? !� a S IF YES, AT WHAT DEPTH) LL Depth to Water After Monitoring? E Gom a 4! @ ) 4 Reading I Date -t/4la PERCOLATION RATE _ (Mnutesfinch) PERC HOLE CLAMETER -(4,�! TEST RUN BETWEEN 'Z FT AND FT COMMENTS PERFORMED BY: n(I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: +rS z Depth to Water Net Drop , to 3 31/ ET!e 331 ti !t ,3 PERCOLATION RATE _ (Mnutesfinch) PERC HOLE CLAMETER -(4,�! TEST RUN BETWEEN 'Z FT AND FT COMMENTS PERFORMED BY: n(I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: +rS z Cot? - Municipality of Anchorage R;(N -E t I Development Services Department On -Site Water and Wastewater Section.• •'•9��� - 4700 Elmore St. y� 4 9TH J P.O_ Box 196650 Anchorage, AK 99519-6650 P ........ , , , , • , www.muni.orgl0nsite (907) 343-7904 • .. .. , , . , , , , , MICHAEL N. ANDERSON : CE - 9469 Soils Log - Percolation Test t�r��'.[P��•(�<.•����,� Performed For. N Date Performed: Legal Description: I!;/-- pryji Township, Range, Section: 3 �. C'+ TN Z 14--4— " `� 2- 3- 4- 5- 6- /V1 7- - 3- 4- 5-6- 7- v n Ct , 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- t3a COMMENTS WAS GROUND WATER ENCOUNTERED? —LID— S IF YES, AT WHAT DEPTH? L Depth to Water After 0 Monitoring? �} a f� E Date:w_ z Site Plan r Reading Date Gross Time Net Time Depth to Water tr Net Drop /f PERCOLATinN BATF /- TEST RUN BETWEEN _ V -Z, FT AND I� 3 1 i jr ri PERFORMED BY: AA N,,j , i CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality of Anchorage Development Services Department On -Site Water and Wastewater Section } 4700 Elmore St. { ) P.O. Box 196650 Anchorage, AK 99519-6650 (907) 343-7904 d 4, f �j d •,.� 7 .'r 49TH *Y' lIT0• MICHAEL N. ANDERSON•; Soils Log - P' 46 Percolation Fest 4r�r�� -,.? 7 1 t •'� ' ,� • • �,. ,.,. Performed For:vV b &-i pjfS$IOt� Date Performed: Legal Description: '# Township, Range, Section: Z_ 21 Slope rA pian r DI eotn I �-tzl DJ� , 1- 2- 3- 4- 5- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20-L__J f t a a'�Owi COMMENTS WAS GROUND WATER ENCOUNTERED? �� J S IF YES, AT WHAT DEPTH? L Depth to Water After 0 Monitoring?} r Y E Date: 7 f Lr Reading Date Gross Time Net Time Depth to Water Net Drop Ur 3 tr 3% PERCOLATION RATE_ Iminuteslinch) FERC HOLE DIAMETER TEST RUN BETWEEN — 6. f FT AND `s FT PERFORMED BY: (�,( N✓, 1 PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS FY DAITE THAT DATE IS TEST WAS � 2 �c 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: OSP211018 Work Type: Septic Upgrade Tax Code Number: 01701327000 Site Legal Address: ASPEN HIGHLANDS #1 BLK 1 LT 3 G:2840 Site Mailing Address: 12900 TRACY WAY, Anchorage Owner: CASCADE MORTGAGE FUNDING TRUST Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: ircnt Depai- tnient 2/10/2021 2/10/2022 31238 Q 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 W-:� 1 —cow. kQA'_ Special Provisions: A test hole is required prior to construction of the septic system to confirm minimum separations to impermeables and seasonal high groundwater, as well as percolation rate. More than one percolation test may be required in order for the entire field(s) to be within the 30 ft radius of a percolation test. Construction may proceed at your own risk prior to 7 -day groundwater monitoring. 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 (or change order, if required). 5 I XJ 1 b r o'L&_)'\i g,r re,kd i S e j b c^ i o,-\, � cl -f T H a�� - U Otl� 5; SAV l,'�CQ tura_ �' — C `}I23/a 021 C� z t) ����r��� p'r2 S1,Aan cr- U 514-2 � L e� r� . �.� � �,/ I (o/ 21 Received By: Date: Issued By: )K `6611�4 Date: 1 t t;t Municipality Anchorage- P.O. i¢a Uepurrmunt P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Del2aftment On -Site Water and Wastewater Section IANCE/WAIVER REVIEWV AIX xxx� Waiver#: OSV211023 COSA#: Permit#:OSP211018 PID#: 017-013-27 Legal Description: Aspen Highlands #1 Block 1 Lot 3 Engineer: Mike N. Anderson Applicant: Arland Anderson Your request for a waiver of the required horizontal separation from the proposed absorption field to the existing absorption field has been approved. The approved separation distance is 0.0 feet. Test hole #2 demonstrated that existing field meets separation to impermeables and seasonal high groundwater. The proposed field is being installed on top of existing field, so it is essentially an extension of the existing field. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. vaaaavaaaaaaaamvmaeavvaa0aaavvvaaavaammavaaaaavvaaaeaveaaaaRaaaa0aavaaaavaaaaaI Waiver is Granted: X Waiver is not Granted: Date: 1 (� 1 Approved by: �y�i a7� Name of Reviewer amt 0 a a a m a C a m a m a a a a a a a a a a a a a a m a m a a a a a a i m m a m m a m a 6 a a v a a! a i a a m a C a m m a i a a a i a a m a a a C a a l MUNICIPALITY'OF ANCHORAGE t Dr 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. 017-013-27 Property owner(s) GARY MADDOCK Day phone Mailing address 12900 TRACY WAY, ANCH AK Site address SAME Legal description (Sub'd., Block & Lot) ASPEN HIGHLANDS #1 BLK 1 LT 3 Legal description (Township, Range & Section) Lot Size 31,238 Sq. Ft. Number of Bedrooms_15 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ® Initial ❑ Single Family (SF) IN Septic Tank ® Upgrade © (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: � � a -c ne� J V Y a i r� I, � r\et� -b eXI tir. UP Distance: 0 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: $595 Waiver Fees: 4 a a 5 Date of Payment: ,202 1 Date of Payment: Receipt Number: 0 2 % 9 1 Receipt Number: Q' a to Permit No. OSP211018 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc June 8, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New septic permit change order (OSP201 1018) Legal: ASPEN HIGHLANDS #1 BLK 1 LT 3 To Whom it may concern: This is a request for a change order on the approved septic permit for the above referenced lot. A test hole was completed last month and found silty gravel (GM) for the entire 20 foot depth with no water during the excavation or after the 7 -day monitoring. The perc rate was measured at 6 minutes per inch. A new site plan has been completed showing the locations of the surrounding wells and the new proposed septic field. We are proposing to install the new leach field on top of the existing trench. The old trench bottom is 15 feet below grade therefore we will install a STEP tank to lift the effluent above the old system. Two tanks will be installed (1500 + 1000) with no baffles and a pump basin to meet the 5 bedroom requirements with a lift station. All ofthe encroaching wells have also been staked by a surveyor to verify the location of the field fit into the planned location. The granting of this change order will not impact any of the neighbors or encroach on any wells, septic or open water issues. Sincerely h?;W, Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 DESIGN CRITERIA: 5 BDRM X 150 = 750 GPD SOILS = 750/0.8 = 938 GPD 938 GA/10 = 93.8 (1) TRENCH T DEEP 5EFFECTIVE 2.0' WIDE 94' LONG TRENCH (TH#1) 1.0 (TH#2) MOUND OVER GRADE r� FILTER FABRIC & INSULATION 4"0 PIPE SEWER ROCK 16 20 WATER @ 5.5' MAY 2021 NO WATER MAY 2021 SEPTIC FIELD SECTION uu I \ I I I I \ I > Lu I I I PROPERTY LINE EXISTING SEPTIC \ II �� 1 •r � \` � \ 11 r \ \ I EXISTING HOUSE I EXISTING WELL \ 100' RADIUS I T I I II r I I I II L -----J ---- Septic Design Prepared for ARLAND ANDERSON ASPEN HIGHLANDS #1, BLOCK 1, LOT 3 Anchorage, Alaska Michael N. Anderson,, P.E. DATE: 4601 NATRONA AVE DRAWN: ANCHORAGE, ALASKA 99516 (907) 727-8864 / FAX: (907) 345-1391 SCALE: V AF 49TH 5..?y .....y.....A......I...u...u............ 6/15/2021 !�®f—e\ ::MICHAEL N. ANDERS( DJR �® No. CE 9469 ® 6/15/21 1 "=200' ®®®o® ss�a ORG 10 GM ORG GM -2.0 -7.0 16 20 WATER @ 5.5' MAY 2021 NO WATER MAY 2021 SEPTIC FIELD SECTION uu I \ I I I I \ I > Lu I I I PROPERTY LINE EXISTING SEPTIC \ II �� 1 •r � \` � \ 11 r \ \ I EXISTING HOUSE I EXISTING WELL \ 100' RADIUS I T I I II r I I I II L -----J ---- Septic Design Prepared for ARLAND ANDERSON ASPEN HIGHLANDS #1, BLOCK 1, LOT 3 Anchorage, Alaska Michael N. Anderson,, P.E. DATE: 4601 NATRONA AVE DRAWN: ANCHORAGE, ALASKA 99516 (907) 727-8864 / FAX: (907) 345-1391 SCALE: V AF 49TH 5..?y .....y.....A......I...u...u............ 6/15/2021 !�®f—e\ ::MICHAEL N. ANDERS( DJR �® No. CE 9469 ® 6/15/21 1 "=200' ®®®o® ss�a i / , / / / / r r r r I ASPEN HIGHLANDS #1 I BLOCK 1, LOT 2 0 WELL I I � II ALL WELL RADIUS' TO BE STAKED BY SURVEYOR \ f\\SEPTIC �k\ \ _V \ I ! \ PROPERTY LINE C,04 2 I / \I / r ASPEN HIGHLANDS k r BLOCK 2, LOT 11 r NEW 1500 + 1000 GALLON PLASTIC TANK W/ 20" RISER. BOTH TANKS HAVE BAFFLE REMOVED, 2ND TANK IS STEP. OLD TANK TO BE DECOMMISSIONED PER UPC. l I ASPEN HIGHLANDS #1 BLOCK 1, LOT 12 WELL 0 i/' --moi. I THAI / I NEW TRENCH TO BE BUILT ON TOP OF THE EXISTING TRENCH. \ 7 0 \ I WELL I \ I 1 r 1 I W% \ / / / / 1 \ , ` \� —'-IEXISTING WELL 100' RADIUS \ / I I ASPEN HIGHLANM-#T- SEPTIC \, BLOCK 1, LOT EXISTING WELL \ r r i 100' RADIUS Septic Design Prepared for ARLAND ANDERSON ASPEN HIGHLANDS #1, BLOCK 1, LOT 3 Anchorage, Alaska Michael �cae Anderson, • • DATE: 6/15/2021 4601 NATRONA AVE DRAWN: DJR ANCHORAGE, ALASKA 99516 (907) 727-8864 / FAX: (907) 345-1391 SCALE: 1 "=50' ®®®`� OF a ••/y �• •49TH ..: y.... ...... ........................ MICHAEL N. ANDERSON.', `• No. CE 9469•'• 8/15/21 ®4bP ESS\®®� D O yw#2 \ T ADDITIONAL TEST HOLE REQUIRED E\XJSTING PRIOR TO INSTALLATION H�USE ASPEN HIGHLANDS #1 BLOCK 1, LOT 13 \ WELL I j ASPEN HIGHLANDS #1 \ \ BLOCK 1,LOT 3 I r \ 1 I l I ASPEN HIGHLANDS #1 BLOCK 1, LOT 12 WELL 0 i/' --moi. I THAI / I NEW TRENCH TO BE BUILT ON TOP OF THE EXISTING TRENCH. \ 7 0 \ I WELL I \ I 1 r 1 I W% \ / / / / 1 \ , ` \� —'-IEXISTING WELL 100' RADIUS \ / I I ASPEN HIGHLANM-#T- SEPTIC \, BLOCK 1, LOT EXISTING WELL \ r r i 100' RADIUS Septic Design Prepared for ARLAND ANDERSON ASPEN HIGHLANDS #1, BLOCK 1, LOT 3 Anchorage, Alaska Michael �cae Anderson, • • DATE: 6/15/2021 4601 NATRONA AVE DRAWN: DJR ANCHORAGE, ALASKA 99516 (907) 727-8864 / FAX: (907) 345-1391 SCALE: 1 "=50' ®®®`� OF a ••/y �• •49TH ..: y.... ...... ........................ MICHAEL N. ANDERSON.', `• No. CE 9469•'• 8/15/21 ®4bP ESS\®®� Municipality of Anchorage GIV P4 B� Development Services Department , ri Net Time On -Site Water and Wastewater Section - 4700 Elmore St. ,,. t+j , •' ': Y +� IF YES, AT WHAT DEPTH? L P.O. Box 196650 Anchorage, AK 49TH 99519-6650 www. muni.or„t /onsite (907) 343-7904 ... .... r•e•. s..e•...•r+ � r+ te:�--�T • • ........ 1. 6 .... ; .', �- "� • MICHAEL`+ CE - 9469�c N ' r g+`��� Soils Log - Percolation Test .,%yrs/ai •-'' Performed For: A f LaYI CL V IV V V -7k ��FES$M_1 � Date Performed: � -�-� Legal Description: *--J 16 10,y1 H, A ( vq { (. # ( Township, Range, Section: 2 l ,:5i k-- ( &_ v � 3 2- 3- 4- 5- ,/ c9 4 (n- 6- 7- 8- 9- 10- 11- 12- 13- 42 14- 15- 16- 17- 18- 19- 20- i WAS GROUND WATER Date ENCOUNTERED? , ri Net Time s V r__' Depth to Water S IF YES, AT WHAT DEPTH? L DWh to Water After Monitoring? E te:�--�T Site Plan C C, a Reading Date - Gross Time , ri Net Time s V r__' Depth to Water - - Net Drop G it 3 PGRCr)l ATVMI DA7 [ _.-___. ..._.. .., ..—a—t"i.UWsnnMJ NERC HOLE DIAMETER TEST RUN BETWEEN 1.4g—FT AND, 0 FT COMMENTS ft PERFORMED BY: j I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE E AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1 -t Municipality of Anchorage�c Ncw�E"`§F�— Development Services Department „���'•' On -Site Water and Wastewater Section �'? .' • •�� �, - 4700 Elmore St. , �+z : 9TH > id P.O. Box 196650 Anchorage, AK 99519-6650 t ..... .. ....... www.muni.org/onsite (907) 343-7904 • • • . .. •• MICHAEL N. ANDERSON o, CE - 9469 Soils Log - Percolation Test �tj��9'-�°�r•l�<•���. Performed For: ldyt �. Date Performed: kX pFESSIZ Legal Description: �II }p , y� L 7 1't c, (t FS it/-- t Township, Range, Section: Z �� Depth 1+___4 _ Y_C1 - 2- 3- 4- 5- 6- 7- - 3- 4- 5-6-7- V1 C1 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- �n COMMENTS Site Plan WAS GROUND WATER Date ENCOUNTERED? Net Time Depth to Water]NEetDrop s IF YES, AT WHAT DEPTH? L Depth to Water After Monitoring?7N� 0 P E —��r Date: Z J Reading Date Gross Time Net Time Depth to Water]NEetDrop �� rr tr �} to 'r "y PG[7rni nrinnr Derr r - — f* v11.1-1-1--r-cKU HULL DIAMETER T D TEST RUN BETWEEN r?FT AND 3 l�r PERFORMED BY: AAN,/j, l CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES ANDIOR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT ARE NOT SHOWN HEREON, UNLESS NOTED. NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAYBE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. DECKO.H. 0 N C O N lf� � z N w N'Z 30, E 194.43 0 LITY EASEMEN 10' UTIT • � P�I�� �oUSE 51��LE F OF At 5�.5� 0 0 p" E Z0 445' 65 05 Aaft o� nN SHANE A. HOLT .' OO Z zI J 4 e LS -6914 y�o0 0 z , �a,o oa o GRAVEL DRIVEWAY 0WTI I ArBU/LTSURVEY f" =30' NO CORNERS SET THIS DATE 1 HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 3, BLOCK I, ASPEN HIGHLANDS NO. I ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 28TH DAYOF SEPTEMBER 2020 D HOLT LAND SURVEYING 9309 GROVE, DRIVE ANCHORAGE,AK 99507 345-5513 v 0 0 GRAVEL DRIVEWAY 0WTI I ArBU/LTSURVEY f" =30' NO CORNERS SET THIS DATE 1 HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 3, BLOCK I, ASPEN HIGHLANDS NO. I ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 28TH DAYOF SEPTEMBER 2020 D HOLT LAND SURVEYING 9309 GROVE, DRIVE ANCHORAGE,AK 99507 345-5513 TO: The file: FROM: Susan Oswalt~, ! Subject: Lots 2 and 3, Blk 1, Aspen Highlands #1 Following receipt of the letter from Mr. Congdon, a copy of Mr. Weining's letter, and the explanatory letter from Lee Reid, Dan Bolles and I made a site visit to the subject lot. As a result I have the following comments to make: Our rough field measurements indicate that the system on Lot 3 is either too close to the well on Lot 2, or else too close to the well on Lot 3. I would like to see technical information on the type of metal detector used to locate the lateral sewer line. The Metrotech Company has been out of business for about 10 years; while they were in business, detector models they manufactured were unable to accurately detect to a depth of 8 feet below grade, where the lateral line is located. Dr. Reid states now that the system has a "dog leg" in it. However, three pages of field notes and the official stamped and signed inspection report do not support this position. If the system was in fact installed in this manner, an amended inspection should have been filed with our office. The municipal code requires a separation of 100 feet between the nearest edge of an absorption field and a private well. References in the notes indicate measurements were made to the actual lateral line rather than the edge of the excavation. Naturally we are unable to know exactly where the edge of the excavation is, but normally a lateral line is placed about in the center of a trench excavation. Trenches generally are slightly greater in width than the backhoe bucket used to dig them. That means that the excavation would extend about 18-22 inches on either side of the pipe. If this is the case, by Dr. Reid's own measurements a violation exists. I have discussed this situation with my supervisor, John Smith, and he has directed me to take no further action since a separation waiver to the well on Lot 2 has previously been issued. /331 ALASKA 611UIROIlm6[1TAL COI1TROL SERUICE$, IRC. J~nqineeriuq 8 J~nuironmenlal Studies P. O. Box 240668 Anchorage, AK 99524-0668 (907) 279-5553 *** FAX (907) 276-8706 September 6, 1990 Municipality of Anchorage Department of Health & Human Services 825 L Street, Fifth Floor Anchorage, AK 99501 ATTN: John Smith MUNICIPALITY OF ANCHORAQE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION $EP 6 RE: Lot 3, Block 1, Aspen Highlands RECEIVED Dear John: As we discussed on the phone, I maintain that the distance from the seepage trench on Lot 3 to the well on Lot 2 is not less than 100 feet. Here is my rationale. The old system on this lot was within 100 feet of the well that was located on the lot to -the west. When we moved the septic system we had to consider the wells on Lot 2 and Lot 3. By the NE corner of the house we had a small corridor through which we could pass and maintain tile 100 feet separation distances. At the NE corner of the house the edge of the trench is 10.5 feet from the house. See the copy of the field notes of Alan Wien. The distance from the well's edge on Lot 2 to the corner of the house on Lot 3 is 113.5 feet. The difference between 113.5 and 10.5 leaves 3 feet. The trench width is 2.5 feet. At the NW corner of the house -the distance is about 12 feet. See attached. In reality, the system runs parallel to slightly toward the house. Just past the NE corner it starts to turn slightly northward to the end standpipe. If you visit the lot you can see where the earth has settled over the trench. It verifies the position as 100 feet from the well. Mr. Ned Newton and I used an electronic locator and a metal snake to verify the pipe locations. The location falls right in the sunken area. In hind sight, it would have been better to exaggerate our site plan to show this dog leg. We did note on our inspection report that the distance is 10.5 feet to the foundation from the system. Neither Susan Oswalt nor S&S Engineers contacted me 'to ask for a clarification or a verification of the distances, A simple phone call instead of Susan's 'threatening letter to Mrs. Maddock would have been all that was necessary to clarify the problem. The confrontational approach without all of the facts is usually counterproductive. Everything I have on my file and what I have measured in the field indicates that the trench is at least 100 feet from the well edge. I do not think a waiver is necessary as the system is 100 feet from the closest edge of tile well. LCR/sr Sincerely yours, PhD, PE, DEE MAILING ADDRESS LOCATION O~S'rANCE TO: L,G O! h~teS ~ 3o~f · Pez~t Ac~ ul! Length /'/.~ //~- Gz~el. 7 DOBEDT E. COnGDOD A'n'oRNEY AT LAW HUFFMAN PLAZA, SUITE P. O. BOX 110043 .RI'ICHOI~.RGE, RL. RSKR ~9511-0043 TELEPHONE AREA CODE 907 3~6-6803 September 5, 1990 Susan Oswalt On-Site Services Municipality of Anchorage Dept. of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 Re: Sewer System on Lot 3, Block 1, Aspen Highlands #1 PID 017-013-27 Dear Ms. Oswalt: Enclosed please find a copy of an August 29, 1990, letter from Richard Weinig, attorney for Lee Reid, inspector of the sewer system installation on the above-referenced property. The letter is self-explanatory. I trust by now you have discussed with Mr. Reid his measurements. If you do not find Mr. Reid's explanation satisfactory, would you please let me know. In the meantime, I will assume that the Maddocks need not make any further reply to your letter of July 27, 1990. Thank you for your attention to this matter. Sincerely, REC/kmj Enclosure cc: Mr. and Mrs. Maddock JOHN W. PLETCHER, III RICHARD A. WEINIG ATTORNEY AT LAW DOUGLAS D. LOTTRIDGE ATTORNEY AT LAW LARRY Z. MOSER ATTORNEY AT LAW PLETCHER, WEINIG, LOTTRIDGE & MOSER ASSOCIATED IN THE PRACTICE OF LAW 2S50 DENALI STREET, SUITE 700 ANCHORAGE, ALASKA 99503 T ELEPHO NE FACS I M I LE ['9o?] 277-1E~86 E90?-I 274'6814 August 29, 1990 AUG a o KELLY C. FISHER ATTORNEY AT LAW CHARLES M. MERRINER ATTORNEY AT LAW ELLIOTT m. DENNIS ATTORNEY AT LAW TASHA ~'1. PORCELLO ATTORNEY AT LAW Robert E. Congdon Huffman Plaza, Suite 206 P.O. Box 110043 Anchorage, AK 99511-0043 Re: Maddock v. Reid Alaska Environmental Control Services, Inc. Dear Bob: I have good news for you. On Tuesday, August 21, 1990, Lee Reid and Ned Newton made a precise measurement of the separation distances between the Maddock septic system and the well radius curves. The Metrotech locator was used to measure the length of the septic line. The li~ falls one foot outside both hundred foot well radius curves. The Susan Oswalt letter of July 27, 1990 appears to be based upon an erroneous survey by Robert Shaefer of S & S Engineering. That survey assumed that the Maddock septic system was installed in a straight line. It was not. As the attached field drawing prepared by Lee Reid indicates, the line was built with a slight dogleg in it which skirted the outside of 'the 100' well radius circles. It seems to me as if our main task is to persuade Susan Oswalt or her superiors at the Municipal Department of Health and Human Services that Reid's measurements are correct and Shaefer's are wrong. Lee will contact Susan in an attempt to determine what proof she needs. If she does not accept the Metrotech locator's results, Lee suggests that a trench be excavated and the line Robert E. Congdon August 29, 1990 Page 2 measured by hand. We should talk and work out details before you take further action. My Best Regards, PLETCHER, WEINIG, LOTTRIDGE & MOSER Richard A. Weinig RAw/jr ?:~L.4 ~'~LITY OF ANCHORAGE DEPARTMENT O "_H & ENVIRONMENTAL PROTECTION ~.NVIRO ~.,L ENGINEERING DIVISION 825 L Street- Anchot,~.¢, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL'~YSTEM AND/OR WELL INSPECTION REPORT NAME /_,.,..,.~:f ~.. Z,,2 /~.' MAILING ADDRESS LEGAL DESCRIPTION LOCATION D,STANCE TO: VlWe" ? Manufacturer ,~ Liq. capacitv iRgallon~ ............. , ~ l DISTANCETO: Welt DISTANCE TO: INo. of lines ~ Length of e~c~ j~e Top of tile to hn]sh grade Length Width ~ -- Crib diameter DISTANCE TO: Well DISTANCE TO: Building foundation IAbsorption area /¥' Inside length IPHONE [] NEW Dwelling) ~ Material~_.L/~ IW dth NO. OF BEDROOMS PERMIT NO. No. of compartments Liquid depth Dwelling PERMIT NO. Material Liquid capacity in gallons Nearest lot line F°undati°~o , ~ ' Total length of lines Trench width '~ O ~--inches PERMIT NO, Material beneath Distance between lines ir~l',a~ Depth PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Total effecti,v.e absorption area PERMIT NO, Driller Distance to lot line Sewer line Septic tank Absorption area(s) OTH F~? PiPE MATERIALS SOIL TEST RATING INSTALLER APPROVED DATE LEGAL /_o~ $ 72-013 (Rev. 3/78) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological 8~ Geophysical Surveys Drilling Permit NO. LOCATION OF WELL (Please complete either la, lb or lc.) A.D.L. No. Aspen Anch_ ' R"J ohl and; '~ 1 --of__of__o~ -- s [] wr-j I~.JDIST,~NCI[ AND D~'~ECTION FROM ROAD INTERSECTIONS S. OWNER OF WELL: Addr,,,: Larry Ingle , (drilled for Geo. Doerr) Street Addrees and Area of Well Location 2. WELL LOG F.etsurfac.B.iow 4.. WEL2LEf[~EPTH: (final) 5. I~TE OF C,iO~PLE_TI,~., · .- Mete'rial Type Top Bottom fl. -- .,, bm. till w/ boulders 0 42 '6, 7~._~Cobl. tool []Rolar¥ [~]Drlven []--"]Dug dry brn. till 42 57 []Aug,r []U,tt,d []Bo~,d []O,h,r: dry brn. till 61 88 [] ~rrigotlan [] R,cho,~. [] Comm,r~co~ sandy clay 88 91 . [] z,,, w,u [] Otb, r: gravelly till, silty water 107 120 d~am. § ~,. ,a 190-. D,pm W,~gh, 17 ~b,./ft. hard pan ~/ silty va~er 172 *' 188 'Tv,.: open bottom mom.,.. lO. STATIC WATER LEVEL: uccc. OF HEALIH ~ ~ lbow or ~ Below I~nd lurfoce Dote · 12.GROUTING Well Grouted: ~ Yes ~ No M~teri,l; ~ Neet Cement ~ Other: I~,PUMP: (If available) HP .. Length of Drop Ptpo ft. c,poclly 14. REMARKS: 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Wofer Temperofure o ~ F ~ C This wall wes drilled under my Jurisdiction end this report is true to the best of my knowledge end belief; Registered Busi~ss Nome Confroct License Number ~,.,,: 8~37 HarCzeil Rd. Anch., Ak. 99507 ' ~ ~ - - ~t~rlzed Representative Form 02'WWR (11/81) Copy Distribution: WHITE-State DGGS, PINK-Driller, CANARY-Customer !3?'4'T'f.'.~,r.'.N'' t F~L..h'qL::. :: F:;:¢:VIEI .... DE!;F:'TH (F::'T,, EYI'~::~! .... t::)E:F'TH (F'"f',,) F?. .,q V liE I .... M ]: DTH (F'"r',, F.;hqVE;L. L.E!',.If.'.H"H (I:::'T) I::;:¢¢,/'E;L :,,,'[;;ii. Ijl:'t..::.:; (C;[J,, 'Y' .,'{) !:':?, ,, ) (3.1; I .... l::;'. ~.'-'~ 'T' ]; N (3 ( S .r.;'., ,, F::"I" ,, / I..~: F:;'. ) I l,::.l',i ( :ql"-..t iiii;I....E:E;'T'F;'. ]7 (::;r.'::ll .... I:::'¢EF;:M T ":" r."-:':l"-,!)~:) 'r !',ISF'ELC'T' ]: ON ML~!::., J ?'ill'' ""::'::'T~" ~'': :::'¥';" ,""'; ::': !::b....~:'~ ~"l "1"? ~ :','"'"q::'.'rcr:'?d, ,. .... .... NOF;,'K t','lf..J~!i;"l" ;({.)1::' ,..,...,;"~¢"1~',, ..... :::' ECv' & L..T,~"'i:'~', ...................... ':: ~'?';. ~:::" ::'r'"r'~:::'"F'T::?,if,,1 ........ ~'( ~ B¢~TIE~ [.3 D r" r"'L .~. L~..d,l ] :: l....~'-Sr'd"~~GL.c:. SOILS LOG LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 925 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 / ~)~--7~//~' //J,~IL~" DATE PEREORMED: COMMENTS PERCOLATION TEST SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop I 6 -~ /040 /o ~,./ /. o /. o /o~zo d . o lo3'o ~.o .3 tlo'o /o ,o,,,} o,~' . ~' IIO~ o. o ItlO 0,0 5" ~i, /1~ ~° ~''a q' ? .7 o.'tf PERCOLATION RATE if.~O ~A.~v (minutes/inch) TEST RUN BETWEEN '-~ FT AND ""~'~' FT //PERFORMED. BY: ~ ~/~"~// L~,~){I,~.;,,~ /~a,.~ ~ CERTIFIED BY: 72-008 (6/79) DATE: -- .., ',~. ,ty of Anchora~ } ~ "* "~EALTH & HUMAN SERVICES ~' 81. ; AD~horage, Alaska 99502-0650 , ~: SOILS LOG -- PERCEPTION TES' ) LEGAL DESCRIPTION: L ~ ~' [, ~. ~q~ Township, Range, Section: T/~ P~ ~c.~ / / ' I J SLOPE ~ITE PLA~ AUG 0 9 ~D RECEIVED WAS OeOU~O W,TEa EaCOUaTE~ EO~ S L 1 1 IF YES, AT WHAT O DEPTH? P 12 E Depth to Water Alter 13 Menitoring? Oate: Gross Net Depth to Net Reading Date Time Time Water Drop !.+/~.~° ?. ~ f ~ :~ ,,~ m. ~-o t~ :.~ ;~ It~ ~ , y / ~ , ~ 7 14 15 16 17 18 19 20 ~ ~ PERCOLATION RATE ~,' ~> (minutes/inch) PERC HOLE DIAMETER :;)-I TEST RUN BETWEEN 7,-(~ FT AND ~ ~ FT PERFORMED BY: ~ ~ t 3 O~ I 22 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7--~~ ~ ~ ' 72-008 (Rev. 4/85) GREA ANCHORAGE AREA BOR' Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME Ge-o ¢'~' c-- LOCATION MAILING ADDRESS ~"~O~ ~_c~ ~, /~r~J~ . Ci[C'J~'IO PHONE SEPTIC TANK: DISTANCE FROM WELL ~ INSIDE LENGTH MANUFACTURER _~ ~ ~-5~ 1 INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF ~. )i~ e~, 1~'5~' COMPARTMENTS / LIQUID CAPACITY/'~ GALLONS. DISTANCE FROM WELL FOUNDATION '"-' NEAREST LOT LINE TOTAL LENGTH OF LINES NUMBER OF LINES I DISTANCE BETWEEN LINES ~ TRENCH WIDTH~(4 IN. TOTAL EFFECTIVE ABSORPTION AREA f ~_._~:~O SQ. FT. I DEPTH: TOP OF TILE TO FINISH GRADE '~ LENGTH OF EACH LINE ~'2~- [ DEPTH OF FILTER MATERIAL BENEATH TILE_~O ~ .q~. ABOVE TILE WELL: TYPE_ BUILDING FOUNDATION__ CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE__, SEWER LINE__ , OTHER SOURCES DISAPPROVED DEPTH SEPTIC SEEPAGE TANK__, SYSTEM REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 DIAGRAM OF SYSTEM DATE~APPROVED G.A.A.B. ~ GReA ANCHORAGE AREa Bor ~ PERMIT NO. DEPARTMENT OF' ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 I ~ ~ ': :'*~' TELEPHONE 274-456 ! /~./~.~,,) ') SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT AME OF APPLICANT STALLATION LOCATION GAL DESCRIPTION STALLATION OF: SEPTIC TANK (PE AND SIZE OF FACILITY TO BE SERVED 'INANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED SEEPAGE ~P---~/C-/~/ ~ DRAIN FIELD iGi OTHER TO BE INSTALLED BY NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST ~-~Jjt-~__~ /,Z'O m~--~--/~-_~_._ .7-:,~,R-,v/ /~- / FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ,~/~ ~ / ~ / FOUNDATION TO SEEPAGE ~ / / SEPTIC TANK ~ , SEEPAGE ~ TO NEAREST LOT LINE. / WELL TO SEPTIC TANK {0"~ DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD , SEPTIC TANK, / ~1~) ~: , SEEPAGE PIT TO RIVER, LAKE, STREAM. DRAIN FIELD DRAIN FIELD SEEPAG~~/,"'0 / ALSO CONS,DER AREA WELLS. , SEEPAGE PIT /'o.-~ / / o~ / , DRAIN FIELD SEEPAGE AREA SIZE TYPE DIAGRAM OF SYSTEM 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~t/~, "~· CAPS. I/2 ~ / GRAVEL BACKFILL ~ ~ CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G ,A .A .B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. . . .-.. ~ ...' . . -~=-~['[~m'~ qREATER ANCHORAGE AREA BOROU' 3330 "C" Street Anchorage Alaska 99503 Performd for ~~ i/~c~ _ _ Date Perfomed ~/~'~ Legal DescriptiOn: This form reports :---~oil~' log / .... ~ percolatio~-test Depth Feet ~..-' ~] 5- 6- 7- 8- lO ll - 12 - 13 - 14 - Was ground water encountered? If yes, at what depth? Reading Date Gross Time Percolation rate minute. Net Time Depth to Water Net Drop ,Proposed installat-i-~-n': Seepage Pit Drain Field ;]epth of Inlet . .Depth to bottom of [)it or trench ed By: EQ- 040 (6/74) MUNICIPALITY OF ANCHOR.AG Development Services Department On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Parcel I.D. 017-013-27 9. GENERAL INFORMATION Expiration Date: Complete legal description ASPEN HIGHLANDS #1 B L K 1 LT 3 Location (site address) 12900 TRACY WAY, ANCH AK Current property owners) GARY HADDOCK Mailing address SAME Real estate agent 2. TYPE OF DWELLING: Exj Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone Day phone 7'3`9 .V hone: 907-343-7904 Fax: 907-343-7997 arm 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Q Private Septic E Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distan Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 280 + $290 (Conditional) Date of Payment Receipt Number 00279 COSA # OSC211032 Waiver Fee $ Date of Payment Receipt Number Waiver # S. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify i on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this on-site water supply and/or wastewater disposal system is (are) safe, functional and a bedrooms and type of structure indicated herein. I further verify that based on the infc Municipality of Anchorage files and from my investigation and inspection, the on-site wale disposal system is (are) in compliance with all applicable Municipal and State codes, orc effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify Name of Firm MIKE N ANDERSON, P.E. Address 4661 NATRONA AVE ANCH AK Engineer's Printed Name MIKE N ANDERSON, P.E. t my investigation, based )plication, shows that the quate for the number of cation obtained from the supply and/or wastewater inces, and regulations in information submitted. Phone 72-8864 Date 1'6' fr t"s. DSD SIGNATURE � • e•��•�/Jjjf System #1 Approved for bedrooms System #2 Approved for bedrooms / '�.`' �• Disapproved j��___n�aa bedrooms, with the following stipulatic ,J Awad l Det, 0") vk �T}{ �: aiAEl N_�AN�ACN C 9 59 ;.• 0 jt�ffSd1;.'YP�.r w Original Certificate Date; „V, `rrte ID Z_ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approv (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. T e 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 Checktis: blue sheet Legal Description, ASPEN HIGHLANDS #1 BLK 1 LT 3 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 12/34!85 Total depth 247 ft Cased to 191 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 2011+ in. Date of flow test for COSA 1126121 Static water level at beginning of test 190 ft. Comments B. TANK DATA Age of tank(s) new years Tank typelmaterial Measured operating fluid level in septic tank NEW ❑ Standpipes/foundation cleanout per record drawing Date of pumping *new, (2) plastic tanks D. ABSORPTION FIELD DATA Which system tested (date installed) new ❑ ALL standpipes present per record drawing Total measured depth from grade 8.5 ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 0 gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 017-013-27 Structure served by this system Well production at time of test 1.8+ qpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by MNA Date of Sample 1126121 C. LIFT STATION ❑ Required maintenance completed Age of lift station new years Lift station material plastic Comments: new plastic STEP Adequacy test date new Results ❑✓ Pass For 5 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Q Yes Community Sewer Manhole/Cleanout > 100' Q Yes if No ft 0 Yes if No ft Neighboring Tank > 100'[]✓ Yes if No ft Private Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' Q✓ Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10' Animal Containment i 50' Q Yes if No ft El Yes if No ft ❑✓ Yes if No ft Water Service Line > 10' Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' []✓ Yes if No ft [✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5' Yes Yes if No ft Wells on Adjacent Lots: 0 Absorption Field > 5' if No Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' E✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' [✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that J 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. COSA Checklist yellow sheet ' Aq TH s r { rte„ • MICHAEL N. ANDERSCN CE- 94 C,0 W,\ �T� lil J�AL MUNICIPALITY OF A--NCHORAG Development Services Department On -Site Water & Wastewater Section Parcel I.D. 017-013-27 Certificate of On -Site Systems Approval Expiration Date: I. GENERAL INFORMATION Complete legal description ASPEN HIGHLANDS #1 BLK 1 LT 3 Location (site address) 12900 TRACY WAY, ANCH AK Current property owner(s) GARY MADDOCK Day phone Mailing address SAME Real estate agent Day phone 2. TYPE OF DWELLING: ,❑ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 'hone: 907-343-7904 Fax: 907-343-7997 .� 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distan : Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 280 + $290 (Conditional) Waiver Fee $ Date of Payment c2/2 —9dl Date of Payment Receipt Number (10 2 7 i Receipt Number COSA # OSC211032 Waiver # 6. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify th t my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this pplication, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and ad quate for the number of bedrooms and type of structure indicated herein. I further verify that based on the info ation 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, ord4 ances, and regulations in effect at the time of installation. I acknowledge that On-Site staff may visit the site to verify tt e information submitted. Name of Firm MIKE N ANDERSON, P.E. Phone 727-8864 Address 4661 NATRONA AVE ANCH AK Engineers Printed Name MIKE N ANDERSON, P.E. Date 1-5-21 moo,. • ` ., . .. • r 1W ti' / S •` 6. DSD SIGNATURE {'" TH ec' r•e e•e•e System #1 Approved for bedrooms F' ��- •moo•.•••. • ..�� •HAEI -�• AA System #2 A t ' ' Y Approved for bedrooms •, N. AN-MRSCN C 9 69 ,• Disapproved 4 s �^; ,•:, .j z Z1 .•' ,�. Conditional for approval bedrooms, with the following stipulati nN�'t►�-'�"�"'`� 1 TY lt DF r�,�ii 4 WA ER PR Original Certificate Date; The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approv (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the Slate of Alaska. T e Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. i. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: ASPEN HIGHLANDS #1 BLK 1 LT 3 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled '2""85 Total depth 247 ft Cased to 191 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 20"+ in. Date of flow test for COSA 1126/21 Static water level at beginning of test 190 ft. Comments B. TANK DATA Age of tank(s) new years Tank type/material Measured operating fluid level in septic tank NEW ON Standpipes/foundation cleanout per record drawing Date of pumping "new D. ABSORPTION FIELD DATA new conditional cosy Which system tested (date installed) new ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 0 gallons Comments/Deficiencies: COSA Checklist yellow sheet Pa Structure served by this Well production at time of test Water storage tank volume 0 Well disinfected for coliform to ❑ Coliform bacteria is Negati, Nitrate mg/L ❑ Nitr Arsenic ug/L ❑ Ars Collected by MNA Date of Sample 1/26121 C. LIFT STATION ❑ Required maintenance co Age of lift station yea Lift station material Comments: ID: 017-013-27 M gallons ❑ Yes ❑ No less than MRL (ND) less than MRL (ND) i i I i i Adequacy test date Results ❑Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min I Final fluid depth in I Absorption rate gpd Any rejuvenation treatment (pal[ t 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/CI' anout > 100' ✓Q Yes ❑✓ Yes if No ft Neighboring Tank > 100' ED Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Manure/Animal Excreta Storag > 100' 7 Yes if No ft Community Sewer Main > 75' E✓ Yes if No ft ✓Q Yes if No ft Private Sewer/Septic Line > 251 1 ✓[] Yes if No ft Holding Tank >100' _ i [] Yes if No ft Animal Containment > 50' Yes if No ft Manure/Animal Excreta Storag > 100' Ai1.DLi,3CN Yes M Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Property Line? 5' ✓V Yes if No ft Wells on Adjacent Lots: Absorption Field > 5'C]✓ Ai1.DLi,3CN Yes if No ft Private Wells > 100' Water Main > 10'✓0 Yes if No ft Community Wells > 200' Water Service Line > 10' �✓ Yes if No ft If septic tank is under drivewav From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under dri Property Line > 10' ❑✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Ai1.DLi,3CN Yes if No ft Private Wells > 100' Water Service Line > 10' Yes if No ft Community Wells > 200' Surface Water > 100'✓0 Yes if No ft F. ENGINEER'S COMMENTS conditional Cosa w/ new tank and field for 5 bedrooms. 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. COSA Checklist yellow sheet �✓ Yes if No ft Q✓ Yes if No ft ❑✓ Yes if No ft ment below comment below Yes if No ft Yes if No ft ... .. . . 1�`-�. MICHAEL � Ai1.DLi,3CN 1-.9469 f � •�����.� '• Proposal Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 727-8864 Fax 345-1391 Jan. 30, 2021 Arland Anderson 12900 TRACY WAY ANCHORAGE, AK Re: Septic Testing & Repair Legal: ASPEN HIGHLANDS 41 BLK I LT 3 Description of Engineering & Excavation Services Provided: 1. New 5 bedroom septic design and MOA permit. 2. Excavation for new 5 bedroom gravity flow septic system 3. COSA for the septic and well. 4. Excavation to fix Pitless adapter. 5. New survey asbuilt for the COSA. 6. Total Proposal $ 22,800.00 Jan. 13, 2021 Municipalities of Anchorage Departments of Health and Hunan Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New septic permit and Conditional COSA Legal: ASPEN HIGHLANDS #1 BLK I LT 3 To Whom it may concern: This is a request for a septic permit and conditional COSA on the above referenced lot. The current system is a 4 bedroom and we are requesting a 5 bedroom. From the site plan we are proposing a new system in the SW corner of the property due to all of the existing well radius' in the area. The old system will be decommissioned due to the encroachment on the well located on lot 2. From the MOA files the surrounding soils appear to be around 1.2 to 0.8 gpd/sf therefore the lower application rate has been used for the design. A new test hole will be done prior to construction with water monitoring. The slope at the site are 10 percent or less. This septic replacement will not impact any of the neighbors or encroach on any wells, septic or open water issues. A note has been added to the site plan requiring all of the well radius' to be staked prior to placement. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 RESIDENTIAL MORTGAGE. LLC NMLS #167729 100 Calais Drive Anchorage, Alaska 99503-4049 (907) 222-8800 phone (907) 222-8801 fax 1-888-357-2.707 toll free www.residentialmtg.com February 9, 2021 Municipality of Anchorage On -Site Water & Wastewater Section 4700 Elmore Road Anchorage, AK 99519 Re: COSA for Lot Three (3), Block One (1) Aspen Highland Subdivision, Unit No, 1 To Whom It May Concern: Residential Mortgage will be holding an escrow for septic and well excavation on the above reference property in the amount of $37,200.00 This is an escrow of 1.5 X the amount of the bid from Michael N. Anderson, P.E of $18,600.00. No additional funds will be released without MOA approval. Required completion date of the work is 7/27/2021. Sincerely, '1 Denise J. Long Sr. Vice President (907)222-8812 longd@residentialmtg.com Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-S,TE SEWER AND WATER FAC UTY 264-4744 Legal 'Descripti°n' ~clud,~~subdiv'isiOr}' s'ectiOn' tOwnship~ rl~e)~ ~/,~ /~ ~/~~, ' ,~2~' ~3 ~, ~~ ~ L oca~~ or di re cfions) Mailing Address ~~ 7~C~ ~~ - ~~ (c) Lending Institution ~~ --~' ~;'- T~eDhone' ~ ~-//~ ~ Mailing Address ~~/~ ~~ ~'- (d) Real Estate Company and ~nt ~~~~ ~~~ Address ~~ ~~ '' (e) Mail the HAA to the followina address: or: Check here old for pick up. List c~~. and day pl~o/~/e n u mb~r bzel°w. TYPE OF RESIDENCE~ Single_Famil~..''''''~' Number of Bedrooms WATER SUPPLY f Individual Well ~ Community r-I Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWA G E D.~,J~SAL Onsitelcfl Public'[] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 ('Rev 8/86~ Front leUO!SS@joJd eq~ u! suo!ss!uJo Jo sJoJJ~) JOj elq!suodseJ ~ou s! eb~Joqauv ,~o ~,!led!o!unl/~ eq.L 'penss! s! m, eo!j!~Jea ~ ~)Joj~)q e~ep ez~leue Jo suop,3edsu! ~,3npuoa ~ou op SHHQ ,to sae~old~U:l 's~ueuJeJ!nbeJ e),m,s pue I~Jep~J u!~ea ~js!les o~, Jap Jo u! suo!,tm,!~su! bu!puel J!eq~, pue se~uoq jo sJeseqaJnd m, ~sa~noa e se s!q), saop SHHQ eqj. 'e)lSel¥ jo e~,m,S eq~ u! peJm, s!6aJ Jaau!bue leuo!ssejoJd ),uepuedepu! ue ~q a^oqe S qde~§e~ed u! ua^!§ suop, m, uesaJdeJ eq), uodn XlUO paseq I~AoJdd¥/g,!Joq~nv q~,leeH sanss! (SHHO) sao!^JaS U~LUnH pu~ q~leeH ,(o luauJp~deo a§~Joqou¥ jo ~!led!o!unlAI ~)qJ. NOI~.nvo le^oJdd¥ leuo!l!puoo jo SLUJe/ leUO!l!puoo panoJddes!Q ~(. pe^oJdd¥ '9 uo loaj~e u! suo!ieln6eJ pue 'seoueu!pJo 's9poo ele]S pue led!o!unlAI lie ql!M aoue!ldUJoo u! s! waists lesods!p Jo/pue /~lddns JeiEM e1!S-UO aql 'uo!loadsu! pue UO!le6!lS~AU! ~UJ LUOJJ puc SaI!I a6eJOqOU¥ tO /~l!led!o!unlAI aql uJoJj p~u!elqo uo!leuJJo,tu! aql uo paseq ieql/~I!JeA JeqlJnJ I 'u!aJaq pe~,eo!pu! eJnlonJis jo ad~i pue SLUOOJpaq ~O JeqLunu eql ejenbepe pue leUO!lounj 'ejes s! ,,,elsXs lesods!p JeleMelSeM JOlpUe Xlddns JeZeM el!s-uo chi 1eH1 SMOqS le^oJddv ~lpoqlnV qlleeN s!ql jo uo!j~§!lse^u! tLU 1~1 ~J!JeA I 'JOleq UMOq~ elep uo!]eP!leA eql lo se pue oJ~J~ pex!jj~ IBeS tuJ ~q pe!j!pao s¥ NOIlV~O~NI aNY viva 'Ho~$ :~11~ 'sis:ii '$NOIIO:~$NI ~NlalAO~,~ ~1~ ~NI~:~NI~N:~ .g MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) ' ' · . ~-'F.~,~ (b) Property Owner '~ ~-'/'(~ -~,,~',/~-. Telephone' Home 3 y.F',,.~..7o 2. Business Mailing Address '/,c~'/r~f ~'/"aCq ~ - q~757 ~ (c) LenOinglnstitution' ' ~/~. /~~.._-.~--~.Telephone M;iling Address /~-~///-,~ ~' ~ ~' ' . _ ~ - ~ - ' (d) Real Estate CompadY and Agent ~"~ ~~--'~~ (e) Mail the HAA to the followina address: or: Check here ~, if hold for pick up. List contact person and day phone numbe[ be~w. TYPE OF RESIDENCE Single'-Family.~] Number of Bedrooms WATER SUPPLY Individual Well,~ Community [] Public [] Note: If'community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL OnsiteJ~' Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/86'~ Front '~OM S,~eeu!§ue leUO!SSejoJd eq~, u! SUO!SS!LUO ~0 S JOUle JOJ elq!suodseJ ~,ou s! elSe~oq3u¥ ~o ~!led!3!unlhl eq.L 'penss! s! m,~!j!pe~ E eJojeq e~ep @Z~l~Ue ~o suo!~oedsu! 33npuo3 ~,ou op SHHQ jo see~oldU~:~ 's~ue~ue~!nbe~ m,m,s puc le~epeJ u!e~e3 ~,s!~es ol ~epJo u! suo!~m,!~su! 5u!puel J!eLl~ pub seuJoq jo s~eseqo~nd o~/~sm, J noo ~eeu!Sue ii~uo!s$@~oJd ~,uepuedepu! u~ ~q eAoql~ le^o~ddv ~poq~nv q~leaH se^ss! (SHHQ) sao!^~as ueuJnH pue q~,leeH jo ~ueLu,u~deo eSe~oqouv jo ~!led!o!unl/~ eqj. NoIInVo leUO!l!puoo pe^oJddes!o lenoJdd¥ leUO!llpuoo jo suuJe.L peAoJddV Jot peAoJddv 'lVAOIdddV SHHO '9 NOIIYINI:IOJNI aNY ~'lVO 'HOlly=IS 3'11-1 'SIS=11 'SNOI10=IdSNI ONlalAObld IRI:IIJ ONIId=I=INION=1 'g MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION tVlAY 2 6 1988 REEEIVED WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 Legal Description: To Nearest Public Sewer Line Cleanout/Man hole Water Sample Collected by Water Sample Test Results Comments Well Classification ~£/u~_-/'~. If A, B, C, D.E.C. Approved (Y/N) "' Well Log Present ~N) Date Completed /&- $0 ~ ¢~-- Yield Total Depth ~2 '7' 7 Cased to / '~'/ Depth of Grouting Static Water Level / ~'~ / Pump Set At '~?-,Sz~' Casing Height Above Ground /, ~'/ Sanitary Seal on Casing Electrical Wiring in Conduit (Yin. Depression Around Wellhead (Y~) Separation Distances from Well: To Septic/Holding Tank on Lot /,~'--~ ; On Adjoining Lots ~ /~ To Nearest Edge of Absorption Field on Lot /~ / ; On Adjoining Lots ~ /~ o / /~/'/'f- To Nearest Public Sewer '"J/,'~ To Nearest Sewer Service Line on Lot "~,/'""Y ~/- (~ ~¢// ; Date Y/~- 7,/~ B. SEPTIC/HOLDING TANK DATA Date Installed ~ ~//'5"- Size /,~db No. of Compartments Standpipes (~'~N) Air-tight Caps (~"~N) Foundation Cleanout (~/N) Depression over Tank (Y~ Date Last Pumped -'<-/'~'~-~,'~ Pumping/Maintenance Contract on File (Y/N) ,,,4~/~ ; for Holding Tank High-Water Alarm (Y/N) /'t///~ Separation Distances from Septic/Holding Tank: To Water-Supply Well ~',.~ / To ProPerty Line .~ I To Water Main/Service Line ~ ~ r CourSe ,.~ ~ o ~ / Temporary Holding Tank Permit (Y/N) / To Building Foundation /;7 To Disposal Field /~' f To Stream. Pond, Lake, or Major Drainage comments Page I of 2 72-026 (Rev 8/86~ Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field ,~.,~ ~'' Square Feet of Absorption Area /'~ / ~'~ Depression over Field (Y~-~ Results of Last Adequacy Test ./~-~-/v~ Separation Distance from Absorption Field: To Water-Supply Well //~// To Building Foundation /"~ t j- ! Lot ~-POY ~ Type of System Design Length of Field ///,~'-' / Depth of Field /~;~ / Gravel Bed Thickness ? / Standpipes Present (~N) Date of Last Adequacy Test To Water Main/Service Line 70// To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /4.".'~A ~ ~, To Driveway, Parking Area, or Vehicle Storage Area Comments / To Property Line ~' / '~' To Existing or Abandoned System on ; On Adjoining Lots ~ ~'~:~ / D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access "Pump On" Level at "Pump~vel at High Water Alarm Level at ~'~'/'4~-'~ ~ Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I hav. e-c~ecked, verified, or conformed to all MOA and HAA gu defines in effect on the date of this inspection Signed <~,~-"-~'..~ -~/ Date ~ ~<--/~f~' .~ CO pay MOA NO..__ .~.......l Date of Payment ~ ~ ~ ~ ~ Amount: $ / ~ ~ ~- ~e~ ~ //L '~ CE-225~ Page 2 of 2 ~ ~u~8s~)o~ Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 12, 1988 Alaska Environmental Control Services Inc. 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Attention: Leroy C. Reid, P.E. Subject: Waiver Request for Lot 3 Block 1 Aspen Highlands S/D Waiver Request 9WR88-024 Dear Mr. Reid: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. waived distance is 4 feet. The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Daniel J Roth Civil Engineer On-site Serivces DJR/ljw97 ALASKA llUlRO lm tlTAL CO[1TROL $ RUIC S, IFIC. ~nqinceri.q G ~nuironmcnlal Sludics ~a¥ 26, 1988 Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, AK. 99501 Re: Lot 3, Block 1, Aspen Itigh]ands Subdivision Ill 1985 this lot had to have tile sewer system moved because it was too close to a neighbor's well. When the system was installed the lot line by Tracy Way was thought to be 12 feet to the east. While doing the Health Authority measurements I obtained a copy of the survey "as-built" to verify locations. When I plotted the sewer standpipes it appears that the system is only 4-5 feet from the road boundary. There is ilo system across Tracy Way with which this system would interfere. Tracy Way is 60 feet wide. The waiver of the distance from the lot line from 10 feet to 4 feet will not create a health hazard. 1200 LUest 33rd Auenue, Suile B * Anchoraq¢. Alaska 99503 *(907) 561-5040 / LEGEND: ~ Brass ~p Mongol .=' - · · Steel Pin Lot ~ , Block ~ a Survey Hub ~ T~k 3-D PU~ & WELL gO7 ~ 344-0732 ~te: Job Site: /, ~ ~'~ce. ' TIME DRAWDOWN G.P.M. II Ii. il '.',3 3330 "C" Street, Anchorage, Alaska ~REATER ANC,ORAaE AREA BOROUGH b~(y_b ~~ Department'of Environmental Quality 99503 274-4561 Date Received October 7, 1976 Time of Inspection Date of Inspection //f)-?/-~)~o /~~_~_/ / REQUEST FOR APPROVAL OF '~. 'j'/~'' INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. l. Approval requested by: First National Bank of Anchorage % MARY ANN Mailing Address: Post Office Box 720 Phone: 279-4481 x 572 2. Property Owner: George P. & Marilyn M. Dooros Phone: 272 5751/344-4513 Mailing Address: Post Office Box 242, 99501 3. Legal Description: Lot 3 Block 1 Aspen Highlands 4. Location: NHN Tracy Way 5. Type of facility to be inspected Single Family No. of bedrooms 6o Well Data: Individual A. Type B. Depth C. Construction D. Bacterial Analysis 0 Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: On-site system ~//~--/70-- B. Installer .. 1. Size /~5-DO 2. Manufacturer 1. Absorption Area ~ 2. Material Total length of lines ~-~,' / 8. Distances: A. Well to: Septic tank , Absorption area ., Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line LQ-034 (1/74) Page I of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION OCT - 1976 RECEIVED 1. Type of Inspection: CMRO VA 2. Property Owner: DOOROS~ George P. and Marilyn M. Mailing Address: P. 0. Bo× 242 Anchorage, Ak. 99501 3. Name Of Buyer: None FHA CONY × Day Phone 272-5751 344-4513 Mailing Address: 4. Name of Lending Institution: Mailing Address: P.O. Box 720 5. Name of Realtor or Agent: Mailing Address: Day Phone The First National Bank of Anchorage Anchorage, Ak. 99510 Phone 279-4481 x572 Phone Legal Description: Lot 3, Blk 1 Aspen Highlands Location: NHN Tracy Way Anchorage~ Ak. Off of Hillside Drive 7. Type of Facility to be inspected: SFR 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms. 5 Individual Well Individual (on-site) Septic EQ-037 (1/74) Mary Ann Dodge lo/5/ 6 Page 2 of two pages Re~ st for Approval of Individual F ~.r & Water Facilities Legal Description Lot 3 Block 1 Aspen Hiqhlands Comments Approved ~ '~...~ ~isapproved 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) 176 182 188 DeArmoun Road Area Reference Map-P14