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HomeMy WebLinkAboutTALUS WEST BLK 3 LT 6Talus West Block 3 Lot 6 #015-201-49 Municipality of Anchorage Development Services Department Building Safety Division ? ty On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page I of 4- www,cl anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW050343 PID Number. 015-20149 wro. John Anderson Wastewater System: ❑ New Q Upgrade Amro.,. 11946 Wilderness Dr. ABSORPTION FIELD F"O"•: Mnear Of ewoo•»: 3 O o••P T,amL ❑ stm .. T.,.h ❑sw ❑LI",m ❑Qpyr LEGAL DESCRIPTION swft "a 0.8 TOW Depen aero wigh" irk: tu'n La soaH.w'. GPO pt W. 9.01E. 9.0 p, 3 6 Talus West S/D D'pm bpp.bmon hm"ph. p.e': cn..'°'°mb" mme: t��a•: S'rm'n: W. 5.0/E. 5.0 Ft. W. 4.01E. 4.0 FL Fill .aa.a.bowo,q•WP.e•: D,."tLMym: W.0.3fE. 0.5 Fi. W. 35.0/E. 38.0 Ft. Well: [3 New [3 Upgrade W.2.5/E.2.5 ta'm'ratrw Daro'ab'a..'aw Cm,"Wim (Pm'". A S. ek TaW D'pm: C. b: Ft. T"fts ptw, 4'.': 2 10 R Pp Wte,W; Ft' FL 584 Fl ASTAND3034/F810 D~ D'" D,Me: sww W.pr L.'": h'"'er. A+ Home Services DOW bW"ee: Ft. r.a. Pump s".L c...p n'ym Aba. Gina: El( 0'r0 104GPM Oct 4, 2005 FI. FL TANK SEPARATION DISTANCES ❑Septic ❑Holding El S.T.E.P. E3 Other. To Septic Absorption LIR Ftom Tank Field Station Holding ubtiHPrivate Tank Saner Lina Anchorage Tank 1250 G.1 wet 113' 104.3' 113' N/A 98' wt.w. Steel z s"r.'•wi,tw 1001+ 100'+ 100'+ N/A LIFT STATION LNLh+• 33' 5.6' 33' N/A 1250S.T.E.P Gat es Anchorage Tank Fowxia'n 13' 10' 13' N/A 'P"'p32r'«.L IN , art'.'t22 HO.W"rm.L h h 36 In. dAun D�N/A N/A N/A N/A ' Pury Lw. a wa't EbNral `.P•aaun pa,p,,,.a q. OSI20 MOA 1' lot line waiver requested for East trench. BENCH MARK Existing tank decomissioned Inlace existing P 9 Lanbon'na pa pm . Top of Manhole lid. drainfield retained. •w" 98.23 FL ' Engine es Stamp Inspections perfonned by: Cindy W. Ellis, P.E. Dates: 9/30/05 49T 1" 2n 9/30/05 Development Services Department Approval fie• Cin - y W, Ellis Reviewed and approved by: Date: CE•tos77 I12M), �2 .EssioHnl•ci�' 10' TELE. & ELEC. ESMT. II o i5 MP 19T4Co\0 Based upon a survey by Shane A Holt, LS -6914; 1016105 N � EXISTING v; I BR HOUSE W t7� O / I H.OECK / I \ / I 1 II 100' Radius I Wea 1 c 113.36 ' A o FCO O W L6d W sV HED / � r WI / J C> C / b� 0 MT1 Z 10.9 MT2 54.3 Based upon a survey by Shane A Holt, LS -6914; 1016105 N � EXISTING v; I BR HOUSE W t7� O / I H.OECK / I \ / I 1 II 100' Radius I Wea 1 c 113.36 ' \\_WILDERNESS___ AS -BUILT i II Talus West Blk 3 Lot 6 �oo���opp Record Drawing of Septic Upgrade o P� OF,q�� p� John Anderson Watkins Engineering, Inc. Permit Number. SW050343 f,0: 49 TTHi `� C Parcel ID No: 015-201-49"'1(� "" "' C �.;........ �l... �.... Q . CIN W. ELLIS Cindy W. Ellis, PE. P.O. Box 110443 OQ�; •., November 7, 2005 Anchors Alaska 99511-0443 Scale 1 Inch - 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 A B FCO 9.5 16.7 STI 24.8 17.4 ST2 30.2 20.4 MH 32.1 21.3 MT1 36.9 10.9 MT2 54.3 37.6 MT3 50.5 24.5 MT4 64.5 44.3 \\_WILDERNESS___ AS -BUILT i II Talus West Blk 3 Lot 6 �oo���opp Record Drawing of Septic Upgrade o P� OF,q�� p� John Anderson Watkins Engineering, Inc. Permit Number. SW050343 f,0: 49 TTHi `� C Parcel ID No: 015-201-49"'1(� "" "' C �.;........ �l... �.... Q . CIN W. ELLIS Cindy W. Ellis, PE. P.O. Box 110443 OQ�; •., November 7, 2005 Anchors Alaska 99511-0443 Scale 1 Inch - 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 Tee FCO 93.28 Final Grade = 98.20 1250 Callon STEP tank Final Grade = 98.02 - 100.11 FILTER FABRIC .25" PIPE w/.25" holes. 24"1 Bottom of Trench 90.80 Sewer Rock Bottom of 61TI 91.06 West Trench Note: Test Hole Relative Depth: 84.80 No Nater. 3`i of Pipe 91.95 NOTE Original Grade = 96.98 - 99.80 91.80 Bottom of lIT2 91.08 Final Grade = 97.70 - 99.84 FILTER FABRIC 1.25" PIPE w/.25" holes. 24"OC Top of Pipe 91.51 NOTE Original Grade = 96.91 - 99.36 Bottom of Trench 90.36 Sewer Rock Bottom of Bottom of East Trench HT4 90.38 umo nn n. Note: Test Hole Relative Depth: 8.1.36 AS -BUILT I- No Water 38' Talus West Blk 3 Lot 6 Septic Upgrade Record Drawing John Anderson Parcel 111015-20149 Permit No. SWO50343 Cindy W. Ellis, P.E. November 7, 2005 Not to Scale Watkins Engineering, Inc P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax (907) 349-1934 SEPTIC SECTION N.T.S. OF A <°A4 o�P�F,............ qS'��U Oj. 49 TH 'u CIN tW. ELLIS p E 10577 JO � ivG O O N W N N O O VA x Y Li J r Y f b S B9°57145"E 76.631 i1 Id TELE. A [LEO. ESMY. \ • s • s LIFT STA. _ OEOK S B9057145"E 25.001 WILDERNESS 1 O S0 A. 0 WELL �-" CP�� QF i trGI' 4 TH IT sw o SHANE A. HOLT. w LS -6914 G AS -BUILT SURVEY (NO CORNERS SET THIS DATE ) 1'•30' 1 HEREBV CERTIFY THAT 1 HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED MOPERTY-. LOT 5. BLOCK 3. TALUS WEST SUB. ANCHORAGE RECOANNG DISTRICT. ALASKA AND THAT THE INFORAUT*N HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANVCONFLICT$BETWEEN THE VISIBLE IMPROVEMENTS SITUATED THEREON ME EXISTING STRUCTURES AND FLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING. ADDITIONAI. WITHIN THE IROPERTY LINES AND NO VISIBLE STRUCTURES OR FENCELINES. ENCROACHMENTS EXIST OTHER THAN NOTED. EASEMENTS OF RECORD, OTHER THAN THOSE SHOW ON THE RECORDED PUT, ME NOT SHOWN HEREON ILMESS INDICATED) I DATED AT ANCHORAGE, ALASKA THIS 5TH_ DAV OC OF TOBER 3005 NOTEANY FENCEUNES SHOWN ME LOCATED APPROMNIATELY AND ME NOT TO BE USED TO DETERLIINE PROPERTYLINES MOLT LAND SURVEYING IT, FB 130.5$ OR LOCATE STRUCTURES. TEL. 345-5513 ANY PAVING SHOWN MAY BE APPROXI WTE DUE TO SHOW CONDITIONS. OCT -6-2305 05:0WA FPOhl: TO:3491934 P:1'1 Fr .19076708507 ►ivd Oct 5 06;29;55 2005 psoo 1 of 1 INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INSPECTION INFORMATION &HELP: 343_7962 INSPECTION. VOICE 343-8300 INSPECTION FAX (907)Z49 -/1I/ www nun�.pyBSU%Irulpeciiene.efm NAME: NCi —�_ PERSlrIM: O5 -nm r' COMPANY: ED•S ELECTRIC INSPECT DATE: 1 0/512 0 03 PHONE 0: X72-4591 PHONE 1: PHONE V: AOOR[SS: I IPa6 Wu DERNF_SS DR • _ LOT 6 BLOCK 3 SUBDNISION: TALUS WEST GRID M: SW7/36 COMMENTS or DIRECTIONS LATE AM CALL R4 FOR ONSI I t M M TYPE OF INSPECTION: ROro F-locuieal COMMENTS: (FOR INSPCCTOR USE ONLY) ,J PRINTED NAME .! U11 `•�_ • . l A•. �•' GATE.:_......_• DCT -5-20M LED DS:S...farl ID: PAGE:l MUNICIPALITY OF ANCHORAGE `` JP Development Services Department 1 On -Site Water 8 Wastewater Program ` `\ 4700 South Bragaw Street 1 P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 12, 2005 Expiration Date: Sep 12, 2006 Permit Number: SWO50343 Parcel ID: 015-201-49 Legal Description: TALUS WEST BLK 3 LT 6 Design Engineer: 0844 Watkins Engineering, Inc Site Address: 011946 WILDERNESS DR Owner Name: JOHN & PATRICIA ANDERSON Lot Size: 18624 SO. FT. Owner Address: 11946 WILDERNESS DR Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-2238 This permit is for the construction of: Q Disposal Field Ej Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: --' Date: Mayor Mark Begich Municipality of Anchorage N). Mm 196W • Anchorage, Alaslm 9[k519,6650 • Telephone (907) 313-ft901 • Pay (907) 3t .& M) aiq 0[ 4700 nrupw Slrcet • Anchorage, Alaska J<1i07 nimmunLorg Building Safely Diii3sion September 12, 2005 Cindy Ellis Watkins Engineering P.O. Box 110443 Anchorage, Alaska 99511 Subject: Waiver Request for Talus West Block 3 Lot 6 Waiver Request WR#: 050071 Parcel ID # 015-20149 PERMIT # SW050343 Dear Cindy Ellis: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot to east property line. And a waiver of 7 foot separation from end of proposed trench to existing septic field is approved. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jo odall vil nginecr On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department • ++ Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907)343-7904 Waiver Review Worksheet WR#: 050071 PID#: 015-201-49 HA/Permit# PERMIT # SW050343 Date Received: September 12, 2005 Legal Description: Talus West Block 3 Lot 6 Engineer. Cindy Ellis Watkins Engineering P.O. Box 110443 Anchorage, Alaska 99511 Applicant: John & Patricia Anderson Waiver Requested: A 1 FOOT LOT LINE WAIVER FROM TRENCH TO EAST PROPERTY LINE. AND A WAIVER OF 7 FOOT SEPARATION FROM END OF PROPOSED TRENCH TO EXISTING SEPTIC FIELD. Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: X Waiver Is not Granted: List Conditions or Reasons for above: Date: 9/12106 By: Joe Goodall Name of Reviewer r.. .... one ..... aa.. ...... one ...... as ..... one ...... an.... aeon.... amass..... Rec#;,.UT11 Amount: $175 Date Paid: 7`187(P to S405— Municipality of Anchorage • -- Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON—SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-20149 Permit Number SW Property owner(s) John & Patricia Anderson Day phone Mailing address (1)11946 Wilderness Dr. Mailing address (2) Anchorage, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Talus West, Block 3, Lot 6 Legal description (Section, Township & Range) Lot Size 18,624 Acre q.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade Q THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. :E. (Signature of property ownyr or authorized agent) Permit Fees: 0 Waiver Fees: Date of Payment: _ qlr, Date of Payment: Receipt Number. I Receipt Number: (Rev. 12/00) Watkins Engineering, Inc. RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis®gci.net September 8, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Talus West S/D, Blk 3, Lot 6 Septic System Upgrade To Whom It May Concern: Attached please find the application and supporting documentation to upgrade the septic system for the referenced 3 bedroom house. The original septic system was installed in 1974 with an upgrade in 1981, and the drainfield is now surcharged. It is proposed to retain the existing crib and trench and to abandon the septic tank in place. The proposed design is based upon a test hole dug on August 31, 2005. The hole was dug to 15 ft with no water encountered. After a 7 day monitoring period, no water was detected. The proposed drainfield will be installed in a silt and gravel layer between 5 ft and 9 ft. A percolation test between 5.5 ft and 6 ft resulted in a rate of 13 minutes per inch. An application rate of 0.8 gpd/ft2 is used in the design. The soil log is attached. Proposed Soil Absorption System: 3 Bedrooms x 150 GPD/BR = System Type: Application rate: 450 GPD / 0.8 gpd/ft2 = Maximum Depth: Effective Depth: Proposed Length: Absorption Area: 450 GPD Deep trench 0.8 gpd/ ft2 563 ft' required 9.0 ft 4.0 ft 2 x 35.2 ft = 70.4 ft 563 ft Sewer Upgrade Permit Application for Talus West Blk 3 Lot B Watkins Engineering, Inc.; September 8, 2005; page 2 A one foot lot line waiver is requested to the east property line. The septic system on the adjacent lot to the east is greater than 10 ft from the common lot line. A waiver of separation distance between the end of the 1981 trench on the subject lot and the proposed trench is requested. The end of the trench is not clearly defined with a cleanout, but according to the measurements, the separation distance will be approximately 7 ft. There are no surface waters or private wells within 100 ft of the proposed septic system. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, W� Cindy 71EIlis, P.E. President 22 �I I 10 26 \ �I Talus t Addition No T Blk 27 I 25 3 —�1�1/ Proposed sep}id s e — — — Existing septicystem — I / �----- -- r'/ 7 Proposed septic system 5� \ 4/ 3 / Talus est Blk3 / \6 / \ I Well Well I I I I Well / T II 5 me 1 2 ' Talu6 est Blk2 4 — — — — — — — ---- 13 I II 7i Talus West Block 3, Lot 6 0 p�C1 i o OF A. t p Proposed Septic Upgrade - Site Plan Watkins Engineering, Inc oo�A'� 9s"a6 John & Patricia Anderson o'0: 49 TH y. u ° ` ••••.. Parcel 11 015-201490 o;. -.41 ......�.........�, Cindy W. Ellis, P.E. P.O. Box 110443 Anchorage, AK 99511-0443 V e C Y W. ELLIS O Com; '., E - 10577 V� - September 8, 2005 Phone: (907) 349-1851 Fax: (907) 349-1934 .............. �UUU��\\�^.. Scale 1' - 100' e.� ory^ Existing crib and drainfield to be retained for future use. Lot Proposed 1250 STET tank w/dual outlets — Existing 1000 gal stack steel tank-;- to ank=to be abandoned In place. 3 BR, 450 GPD 0.8 gpd/tt2 Requires 563 ft2 Deep Trench 4.0 ft effective 70.4 ft long > 2x35.2' Max 9.0 ft deep Proposed drainfield: 2 x 35.2 R long w/MTs. 1 R lot line waiver/ requested 7 At separation distance - waiver requested. / 1981 bench. 5.5' effective 1 MTs (4) / sump- \\ \\ 197 \\ crib \\ \\ THt —' FCO >( 3 BR House W 1 Talus West Blk 3 Lot 6 bl I ell I ` Wildemess Dr Lot 7 E 3 BR House Test Hole #1 Aug 31, 2005 anics 1.0 ML MU GP No Water BOH ts.o Proposed Trenches ts5'PVC pipe w/ 0.25' holes 24.00 I4.0 ft sewer —IL— —rock .0 -4\ &1 �O Talus West Block 3, Lot 6 John & Patricia AndersonWatkins 0000000pp� Engineering, Inc.Proposed �pa Design for Septic Upgrade ef� 49 LH*'*•90 Parcel ID: 015-201.49 ............ pp E Cindy W. Ellis, RE P.O. Box 110443 00; •. CIN :: o0 77 September 7, 2005 Anchorage, Alaska 99511-0443 CDU'.. ' •.. .:1 `,�o�� ���oD00000��oo Scale 1 Inch - 40 ft Phone: (907) 349-1851, Fax (907) 349-1934 Parc 1 Municipality of AnchoragetSN®1NEERVBK8 Development Services Department .V Building Safety Division 4.9 THOrrSite Water and Wastewater Program_4700 Sougt Bragaw SLP.O. Boz 196650 Anchorage, AK 99519-6650 (I., www.muni.org/onsite W. Ellis (907) 343.7904 30 ML E -torn Soils Log - Percolation Test .............. ` Performed For. John Anderson Date Park Legal Description: Talus W Blk 3 Lot 6 Township, Range. Section: .0 COMMENTS 4 hr presoak prior to test. WAS GROUND WATER ENCOUNTERED? No S IF YES. AT WHAT DEPTH? — L Depth to Water After D Monitoring? N E Date: 9--1'05 Reading Depth Gross Time Net Time (Feet) organ jCs 1 8/31/05 12:41-1:11 30 ML KtOc Learn 2 2.0 30 3- m LbDSj, 6P 30 4 225" 4•D 5- N1 at,"Srf a G P WI AT -1h A-1S�rtZa6-!5. .0 COMMENTS 4 hr presoak prior to test. WAS GROUND WATER ENCOUNTERED? No S IF YES. AT WHAT DEPTH? — L Depth to Water After D Monitoring? N E Date: 9--1'05 Reading Date Gross Time Net Time Depth to Water Net Drop 1 8/31/05 12:41-1:11 30 6-3.5 2.5" 2 1:13-1:43 30 6-3.75 2.25" 3 1:46 - 2:16 30 6-3.75 225" PERCOLATION RATE 13 (mYiubrtch) PERC HOLE DIAMETER a- TESTRUN BETWEEN 5.5 FT AND 6 FT PERFORMED BY: Rocky Trainor/ Cindy W. Ellis i ?ICG!' i✓ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELt S IN EFFECT ON THIS DATE. DATE: 47 — g o S Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 fax. 349-1934 March 30, 2006 Jeff Poet Municipality of Anchorage, Onsite Water & Wastewater Program RE: Encroachment Permit Talus West Block 3 Lot 6 Dear Jeff, The septic system installed in 1981 on the subject property encroaches into the telephone and electric easement along the north property line. One end of the drainfield is located approximately 4.5 ft into the easement for a length of about 11 ft. There is no pipe above ground in the easement. The encroachment was noted during a septic system upgrade in September 2005. Encroachment permits and/or letters of non -objection were obtained from the utility companies to allow this encroachment. Copies are attached for your files. If you need further information, please call me at 349-1851. Yours truly, U& Cindy Ellis, P.E. President IV TELE. d ELEC. ESMT. 0 T4Cor0 is MP 19 STI Based upon a survey by Shane A Holt, LS -6914; 1016105 :EXISTING 0 N \ OUSE W 1 I I K I 100' Radius W I i 0 C:) W 0 W J W W a HED r W I / J C> f / b�Z G 32.1 21.3 MT1 36.9 10.9 MT2 54.3 Based upon a survey by Shane A Holt, LS -6914; 1016105 :EXISTING 0 N \ OUSE W 1 I I K I 100' Radius W I i A B FCO 9.5 16.7 STI 24.8 17.4 ST2 30.2 20.4 MH 32.1 21.3 MT1 36.9 10.9 MT2 54.3 37.6 MT3 50.5 24.5 MT4 64.5 44.3 WELL I y I t c 113.36 I it nr_DNESS__--- AS-BUILT Talus West Bik 3 Lot 6 Record Drawing of Septic Upgrade Watkins Engineering Inc John Anderson , Permit Number. SW050343 Parcel ID No: 015-201-49 49 ......... 1! ............. CIN W. K6U j Cindy W. Ellis, P.E. P.O. Box 110443 C�-;.'.• 10577 November 7, 2005 Anchorage, Alaska 99511-0443 Scale 1 inch - 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 11111 Rill 1:11 llill lllil ME 11111111 288705 )006_010295-0 A Recording Dist: 301 -Anchorage s 2/17/2006 3:05 PM Pages: 1 of 4 K A 811J�IIiIIIIIIn�ul�lll!lullllll�III;IIIllll�ll�ull116allllilfllrl�l ENCROACHMENT PERMIT p 1203-22C 61 G-2736 EN06004 015-201-49 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein `.`Chugach"); whose address is P. U. Box 196300, Anchorage, Alaska 99519 and John L. and Patricia L. Anderson, (herein "Permittee'); whose address is 11946 Wilderness Way, Anchorage, AK 99516. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Dedicated by the plat of the subdivision known as Talus West Subdivision, according to Plat Number 71-139, recorded on the Oh day of July 1971, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 29th day of April 1982, in Book 726, Page 189, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, . (herein "Easement") which pertains to the following described real property: The North Ten Feet (N 10') of Lot Six (6), Block Three (3), Talus West Subdivision, according to Plat Number 71-139, recorded on the 6th day of July 1971, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot Six (6), Block Three (3), Talus West Subdivision, according to Plat Number 71-139, recorded on the 6th day of July 1971, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel"). Page 1 of 4 I Iliiit IIIII Illh Illlf IIIII I liii IIII Iltl 288706 1. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to said Easement: A septic system drain field that encroaches approximately 4.5 Feet (4.5') at the furthest point into said Easement for a distance of approximately Eleven Feet (11'), (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. S. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. Encroachment Permit - Page 2 of 4 6ll'llliplll(9 �Inlli�l�lil 2 of 4 2006-010295-0 l il�� 1111 hill 1111 11111 11111 1111 1111 288707 b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. C. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire ALYreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. Edward M. Engineering WA E., Director, Division Date: 2-- / -7 - c PER, I77EE By - John L. Anderson Date: �2- "13 -Oca' Patricia L. Anderson Date:_ i- fo I Encroachment Permit - Page 3 of 4 C![�lI�IIIIIBIIIIGgIINI 30f 4 2006-010295-0 ull, 16111 Int 88708IIIII Illil IIIII IIII IIII 2 STATE OF ALASKA ss: THIRD JUDICIAL DISTRICT The foregoing instrument was acknowle ed before me this 137u day of FE�Q^M7Y 700Cv 100t, by _ N nNo FpRlcin 'ERMITTEES(S) NANI E(S) STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) Notary Public in and for the State of Alaska My commission expires: to I Z1o/p6 1 � LThe foregoing instrument was acknowledged before me this day of r c..r 2005, by E�j wa-v04 1 a 1 Director, Engineering Services Division of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. 1-5i, „ Notary public in and for the State of Alaska My commission expires: 2 %t 8 / o $ AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Encroachment Permit - Page 4 of 4 �Ifq�l�ll illpl911!�Illlil 4 of 4 2006-010295-0 Jan 18 06 10:51a January 18,2006 John and Patricia Anderson I ome Owners 11946 Wilderness Drive Anchorage, Alaska 99516-2238 To John and Patricia Anderson, p.2 Subject to your agreement to indemnn v the cot any as set forth below, GCI Cable Inc. of Alaska has no objection to the ,encro�)tmg 4'-6" into the 10' Utility Easement on : the North property line of Lot 6 in Block'5:?1'alus West Subdivision. Kdown.as (11946 Wilderness Drive.. Anchorage, Alaska 99516-2238), in city grid 92736. This letter of non -objection in no way precludes GCI Cable from full use and enjoyment r.?• of any rights it may have within any portion of the utility easement and onthe right -of- • , way, including unlimited access for servicing its facilities. Also any additiorr l arwJ extraordinary costs incurred during any future required construction, repair or .. • :::.::,:: ..:...• reconstruction of GC['s facilities to accommodate any or all of the encroachments shall be paid by the p;,)petty owner. By si:;ning below, you a -fee to indemnify and hold GCI Cable harmless, now one!., forever, for any damage. costs. expense (including reasonable attorney's fees). liabilities, and injury to any person or property occurring as a result of the encroachment.. Please indicate your acceptance by signing and retuming this letter to myself at the address below. If not signed and returned to GCI within 30 -days of issuance, this letter of. non-ubLection becomes void for all intents and purpose§1 Sincerely, Rob Hansen CAD Operater Level I E -Mail- RHANSFNInGCI.COM Office ig (907) 868-6769 Fax # (907) 868-8580 Acceptance 2—`1—Ofo Date 5151 Fairbanks Street • Anchorage, Alaska 99503 • 907 / 868-5600 ACSIN Alaska Communications Systems February 6, 2006 John & Patricia Anderson C/O: Watkins Engineering, Inc. Ms. Cindy W. Ellis, P.E. P.O. Box 110443 Anchorage, Alaska 99511-0443 ACS has no objection to the encroachment of the of the septic system as described into a platted easement located on Lot 6, Talus West Subdivision, as depicted on the as -built drawing submitted. Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: 1. ACS will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 2. Any ACS facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ACS. 3. Any costs incurred by ACS for special construction necessitated by this encroachment will be bome by the property owner. 4. All applicable safety code regulations will be observed and maintained. 5. This letter of non -objection will in no way preclude ACS from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, Greg Mid, Foreman Outside Plant Engineering A:!!! CDATE: Grid # 2736 600 Telephone Avenue Anchorage, Alaska 99503-6091 tel907.564.1000 www.acsalaska.com j MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑/NEW '-(/� 1-t� TAMES S R-�R-9YgB I�UPGRADE MAILINGADDRESS (, 7C) W1/{ / J 4,P,- 7/ /V"� ,J�03 LEGAL DESCRIPTION LOCATION / ' O P1 e_5 S Pia w -e_ NO. OF BEDROOMS 3 Well Absorption area Dwelling PERMIT NO. Uy DISTANCE TO: P- Z Manufacturer Material No. of compartments aQ w F. rn Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 6 y DISTANCE TO: Well Dwelling PERMIT NO. JU'Z = z FQ- Manufacturer Material Liquid capacity in gallons J= DISTANCE TO: Well+ I UO Foundation Nearest loj I PERMIT NO. Q' Q 2 3 w oL O J LL z No. of Length of each line Total len9,th of lines Trench width Distance between lines Z F w lines o 7 D 3 inches I FTop of tile to finish grade 71 Material beneath tile 41 t47 Total effective absorption area •550 O inches Length Width Depth PERMIT NO. W Q6 F Type of crib Crib diameter Crib depth Total effective absorption area w° w N Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J w Building foundation Sewer line Septic tank Absorption areas) DISTANCE TO: OTHER PIPE MATERIALS - SOIL TEST RATING t / t .�l.1f 1 ROt '�' • G ' Ip t INSTALLER / S�✓1 a r-0' �X � REMARKS I • k y rc OF A( e �'• No 2225-E `,aB LILAPPROVED DATE LEGAL 41old, r 4.-16/ OAK 3 Tago 72-013 (Rev. 3/78) 1 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION _ 'L' STREET, i NC::HI_IRM_E: AK. 99501 264-4720 CAE" -•9--':=.. T:: -'T—EO il EEP lEEF_ 9.._eF"R:3FFYC" EE R °E_.F-'jrl x 1_ PERMIT NO. < 8109 `` t MO¢�a APPLICANT PATRICK RICE FOR _IAME::SS I -;,•'i- 640 W- 36TH, SUITE ONE, 995/7`3279_948E LOCATION WILDERNESS LEGA!_ L6 B_ TALUS WEST S/D LOT SIZE 19000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOM_ — _ '=OIL RATING (SO FIr'PI=.).= 245 THE REQUIRED :IEE: OF THE _SOIL ABSORPTION SYSTEM IS: �_-e C•:= T_° E_..� -- e__ S 4.._ _�_YI PA C11 1. C-6 r-Y'v. D yI _FT 11 1: NZ E Ii._.. n', 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TREKS OR DRAINF'IEI_D. THE DEPTH OF A TRENCH OR PIT .IIS THE lDISTANC:E BETWEEN THE SURFACE OF THE: 13ROUPJD AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL. DEPTH I_v THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OI_ITFF=IL.L. PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET?. �( 15n N6 - in! n! E= Qf 01 .I_ En' E E> o_ E_ F -""7' T. C:"- .-6'- 8=$ 04 0C ^T 14 c= E =- _l - ED ED :ED Ca FA & L_ CA 40 PERMIT APPLICANT" HAS THE RESPONSIBILITY T1_I INFOF£M THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WIL_L,.. SERVE. -----171,0CA x_ _F a E E _ g_ S._ :F H=aEhl"E= €0F E_ FREV NTH—a I iw EEEE N --- — BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPE:CT.ICIN AND APPROVAL BY THIS DEPARTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON --SITE SEWAGE DISPOSAL SYSTEM I= 100 FEET FOR A PRIVATE WEL.L.. OR 150 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY _.EWER LINE IS 7.5 FEET. OTHER REQUIRE'MENT'S MAY APPLY. SPEC:IF'ICATICIN':S, AND CaiNSTRUC:TION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=0 010 1' P.1 I `9- E- a_^ ..R' E4° E _ il I CERTIFY THAT.. is I AM FAMILIAR WITH THE RE'i!UIREMENT_. FOR ON—SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL. THE SYSTEM IN ACCORDANCE WITH THE CODES. I UNDERSTAND THAT THE ON—:SITE SEWER :SYSTEM MAY REQUIRE RESIDENCE I_= REMODELED .T.:_I INCLUDE MORE THAN `__' BEDRCu_MS,, WTI, \SIGNED:.__. APPLICANT PATRICK RICE FOR JAMES 'SANDERS &D lidL AND WELLS AS SET ENLARGEMENT" IF THE :U� .5,0', \S arQear, a VeT d , ' ST 1.0 1 %2 "t o', r-, ','4. 0 GKt\ :K ANLMUKAUt AKCA DV JVn Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 144 �CnY'ct'[.�-�.i'V' MAI ING ADDRESS ROb>:5 PHONE -3-1 "6 S'3o:2 LOCATION �I/�- �1A-t-/nn '/ LEGAL DESCRIPTION /07- 6 Ble 3 Gatto !/dept SEPTIC TANK: DISTANCE Pr6P' ,_ NUMBER OF FROM WELL )0'7 MANUFACTURER ��A' �S fY_-'�l`J -MATERIAL /'P5 /1ST COMPARTMENTS INSIDE LENGTH �-INSIDE WIDTH LIQUID DEPTH !LIQUID CAPACITY 1,D06 GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WIDTH-!&, LENGTH / , DEPTH LINING MATERIALCRIB SIZE: DIAMETER —DEPTH i DISTANCE FROM: / TOTAL EFFECTIVE BUILDING FOUNDATION � , NEAREST LOT LINE 20 . ABSORPTION AREA (WALL AREA) ADDITIONAL ABSORPTION WELL:/� TYPE ) CONSTRUCTION_ BUILDING FOUNDATION CESSPOOL APPROVED NEAREST LOT LINE OTHER DISAPPROVED DISTANCES: QS �MIO(-O INSTALLED BY: d� '�AL PIPE MATERIAL: 10 C R.OL ///20Y1 Ax a/'Aods LOT SLOPE: REMARKS: 0' CLQ N Form No. EQ -031 DEPTH WELL 400 /'f cPV1G' SQ. FT. DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE—,TANK—,SYSTEM- REMARKS YSTEM_REMARKS DIAGRAM OF SYSTEM DATE APPROVED G.A.A.B. Z GREATER ANCHORAGE AREA BOROUGH /Y �� O•� DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. — F�������,,\\j)\\)) 3330 "C" STREET ANCHORAGE, ALASKA 99503 T TELEPHONE 274-4561 �,[(/ &,qI Sj , SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT - 6 3 2, NAME OF APPLICANT L /SC lv2el£oE2 MAILING ADDRESS FOS vE�EL PHONE INSTALLATION LOCATION LEGAL DESCRIPTION �� / �LO�LG 3 ��2G(,.i GUST �j�✓ INSTALLATION OF: SEPTIC TANK ✓ SEEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS -3ao Q / A/nJie�19 72iT 11� �a/ ' NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED l-! 7q "� /VaTEi /I'lus7- IRIS *x}LL A/o DEEr��n FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. celg SEPTIC TANK SIZE / TYPE SEEPAGE AREA SIZE / /a-� X' / TYPE 29X. 3dX h/e2/'o MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM L / FOUNDATION TO SEPTIC TANK rl FOUNDATION TO SEEPAGE PIT Ze, / DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL o SEPTIC TANK / SEEPAGE PIT Zo / DRAIN FIELD /* / TO NEAREST LOT LINE.-rC ELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD XEPTIC TANK, /yy / SEEPAGE PIT _L DRAIN FIELD 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. 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 ANCHORA E YAA ROUGH RDINANCE NO. 26-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS II{N/- ACCORDANCE WITH SAID CODE. DATE 17_ APPLICANT'S SIGNATURE FORM NO. EQ -016 uuua CLIIiN'1' TNkH �f�\ PROJEC')' Talus West Subd. 'SHEET 2 OF DATE_7 October 1971 _ W.O. NO. 12134 z T. H. # 2 ELEV.Existing. Ground 0. w rf 3. a fM 31 5, 0 F-4 F-4, Brown PeatDamp,PT Reddish -Brown, Silt, Damp, ML Grab Sample F-4, Brown, Very Fine Sandy Silt, Dry, Trace Of Fine Gravel, SM F-3, Brown, Slightly Sandy Silty Gravel, Dry, Few Cobbles, GP c Grab Sample�� F-3, Brown, Sandy Silty Gravel, Dry, Cobbles, GM .. G Grab Sample �� � Bottom Of Hole 13.01 t i r 2 2 2: 2; 24 0 1 2 3 4 5 6 7 B 0 t 2 3 4 s O TESTING O EXPLORATION O CHEMICAL O MATERIALS • INSPECTION 803 E. STH AVE. PHONE 272-3428 ANCHORAGE. ALASKA® 90501 October 13, 1971 W. o. 12134 Tryck, Nyman & Hayes 740 "I" Street Anchorage, Alaska 99501 ATTENTION: Mr. Dan Chapman Gentlemen: In response to your recent request, ten (10) test pits have been excavated at Talus West Subdivision, per the attached location sketch, see Figure A. Test pits were excavated by backhoe to approximately 12 to 14 feet. We have reviewed the field data; and test pit logs, sheets 1 through 10, are attached, together with explanatory sheet, in- dicating our drilling and classification procedures. Soil grab samples have been visually classified and in addition, given frost susceptibility and unified soil classifications. Soils consist generally of an upper layer of approximately five - tenths of a foot of peat, and underlying that, a layer of reddish brown silt averaging about two feet in depth. Soils beneath this consist mainly of silty materials ---silty gravel, silty sand ---with numerous cobbles and boulders encountered. In general, most of the soil at depth, except a few specific instances, could be classi- fied as very silty sand and gravels, or gravelly or sandy silt. Water was encountered during drilling in Test Pit 7 at approx- mately six feet. No other water was noted on the test -hole logs. An additional enclosure for your use is the Borough Health Depart- ment seepage pit requirements for soils of various classification. If we can be of further help with respect to this subdivision, please call. Sincerely, ames L. scnet taff Engineer JLS:ld Encs. Municipality of Anchorage -- Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 015-201-49 Y FOR A SINGLE FAMILY DWELLING Rg SS VF COSA# 67 -64q;1 - Expiration Date: 6 — /O - O $ 1. GENERAL INFORMATION Complete legal description TALUS WEST BLK 3 LOT 6 Location (site address) 11946 WILDERNESS DR., ANCHORAGE, AK 99516 Current Property owner(s) JOHN & PATRICIA ANDERSON Mailing address Lending agency Day phone 11946 WILDERNESS DR., ANCHORAGE, AK 99516 Day phone Mailing address Real Estate Agent Teresa Bell / Prudential Day phone Mailing Address 3801 Centerpoint Dr., Suite 200, Anchorage, AK 99503 Unless otherwise requested, COSA will be held by DSD /or pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well r❑ Individual On-site ❑r Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn Watkins Engineering, Inc. Phone 907-349.1851 Address P.O. Box 110443, Anchorage, AK 99511.0443 Engineer's Printed Name Cindy W. Ellis, P.E. b. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for Date 3-1-D$ bedrooms, with the following Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: l i/ v Original Certificate Date: (R" 11)051 Municipality of Anchorage C Development Services Department Building Safety Division On -Site Water & Wastewater Program • •' • . 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onshe (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: TALUS WEST BLK 3 LOT6 Parcel ID: 015-201-49 A. WELL DATA Well type PRI If A, B. or C provide PWSID # _ Well Log (YM) NO Date completed 1974 Sanitary seat (YM) IES Wires properly protected (YM) YES Total depth 114 ft. Cased to 40+ R. Casing height (above ground) 12 in. FROM WELL LOG AT INSPECTION Date of test NA 4252007 Static water level ' ft. 80 ft Well production g.p.m. 6.0 g.p.m. WATER SAMPLE RESULTS: Coliform 0 coloniesf100 mL Nitrate 0.687 mg1L Other bacteria 0 colonies/100 mL Arsenic: <0.005 mgfl Date of sample: 4252007 Collected by: Rocky Trainor B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL STEP TANK Date installed 10/42005 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YM) YES Foundation cleanout (YIN) YES Depression over tank (YM) NO High water alarm (YM) YES Date of pumping 09262006 Pumper ISAAC'S PUMPING SERVICES C. ABSORPTION FIELD DATA Date installed 10/42005 Soil rating (g.p.d./e cr ft2/bdrm)0.8 System type DEEP TRENCH Length 35 + 38=73 ft, Width 2.5 ft. Gravel below pipe 4.0 ft. Total depth 9.4 ft. Eff. absorption area 584 f Monitoring tube YES Depression over field NO Date of adequacy test NA - new Results (Pass/Fail) new For 3 bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) If yes, give date D. LIFT STATION Date installed 10/42005 Size in gallons 1250 STEP Manhole/Access (YM) YES 'Pump on' level at 32 in. 'Pump off' level at 22 in. High water alarm level at 36 in. Datum bottom of tank Cycles tested NA - new Meets alarm & circuit requirements? Yes E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 113' On adjacent lots 100'+ Absorption field on lot 104.3' Public sewer main 100+ Sewer /septic service line 97' Animal containment areas 100+ On adjacent lots 1 DO'+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 13' Property line 33_ Absorption field 12' Water main 100+ Wells on adjacent lots 100'+ Water service line 60'+ Surface water 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 5.6" Building foundation 10' Water main 100'+ Water Service line 501+ Surface water 100'+ Curtain drain N/A Wells on adjacent lots 100'+ F. COMMENTS: 'Lot line waiver to 1 ft. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Cindy W. Ellis, P.E. Date % - 2s -y-7 Driveway, parkinglvehicle storage 60' COSA Fee S -1 Waiver Fee E Date of Payment � a Date of Payment Receipt Number L% �ArS' Receipt Number (Rev. 11/05) ndy W. Ellis � CE.105rr SCS Reta 1080767001 Client Name Watkins Engineering Project Name/N Talus W Dlk 3 Lot 6 Client Sample ID Talus W Dik 3 Lot 6 Matrix Drinking Water P%VSID 0 Sample Remarks: All Datts?Imes are Alaska Standard Time Printed DateMme 03/062008 8:42 Collected Datefrime 02282008 11:40 Received Date/rime 02282008 12:10 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results POL Units Method ContamerlD Limits Date Date Init Waters Department Total Nitmte/Nitritc-N Microbiology Laboratory Colony Count Total Coliform Fecal Coliform 0.604 0.100 mg/L SM204500NO3-F D (<10) 03/03/08 LCP 0 cot/l00mL SM209222B A (Q00) 0228/08 SDP 0 col/I00mL SM209222B A I< 1) 0228/08 SDP 0 coUl00mL SM209222B A (<I) 0228/08 SDP Municipality of Anchorage -- Development Services Department Building Safety Division On -Site Water and Wastewater Program ` 4700 Bragaw, Street P.O. Box 196650 Anchorage, AK 9951946650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-201-49 1. GENERAL INFORMATION Complete legal description TALUS WEST BLK 3 LOT 6 COSA #- op'A5 : Expiration Date: 10 -.3 Q - 07 Location (site address) 11946 WILDERNESS DR., ANCHORAGE, AK 99516 Current Property owner(s) JOHN & PATRICIA ANDERSON Day phone Mailing address 11946 WILDERNESS DR., ANCHORAGE, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSH will be held by DSD for pickup 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual On-site r❑ Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Weil ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Onsite Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Phone 907-349-1851 Address P.O. Box 110443, Anchorage, AK 99511.0443 Engineer's Printed Name Cindy W. Ellis, P.E. Date 49TH 5. DSD SIGNATURE c,`:, Ciddy W. Ellis _z Approved for bedrooms. CE -10577 Disapproved. ssiowic Condifional approval for bedrooms, with the following stipulation Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By; !N. Original Certificate Date: 7 r 3 0 � 07 M". 11m) ..� Municipality of Anchorage e Development Services Department Building Safety OnWater Wastewater program • • • , . 4700 Bragaw Street P.O. Box 198650 Anchorage. AK 99519 850 www.munLorglonab (907)349-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: TAWS WEST BLK S LOTS Parcel ID: 015,201-49 A. WELL DATA Well type PRI It A, B, or C provide PWSID 0 _ Wed Log (YIN) NO Date completed 1974 Sanitary seal (YIN) nS Wires Properly Protected (YIN) YES Total depth 114 R. Cased to 40+ R. Casing height (above ground) 12 in. FROM WELL LOO AT INSPECTION Date of test NA 425/2007 Static water level fl. 80 fl. WON production g.p.m. 8.0 9 - p.m -WATER SAMPLE RESULTS: Coliform 0 eoloniey100 mL Nitrate 0.687 mgjL Other bacteria 0 colonies/100 mL Arsenic: X0_005 mgA Date of sample: 485/2007 Collected by: Rocky Trainor S. SEPTICIHOLDING TANK DATA Tank TypalMateriel STEEL STEP TANK Date installed 10/42005 Tank size 1250 gal Number of Compartments 2 Cleanouts (YM) YES Foundation cleanout (YIN) YES Depression over tank (Y" NO High water alarm (YIIo YES Date of pumping 0928/2008 Pumper ISAAC'S PUMPING SERVICES C. ABSORPTION FIELD DATA Date installed 10/4/2005 Soil rating (g.p.dJlt' or ft=Ibdnn)0.8 System type DEEP TRENCH Length 35 + 38■73 R. Width 2.5 ft Gravel below pipe 4.0 fl, Total depth 9.4 fl. Eft. absorption area 684 f1' Monttorhg tube YES Depression over field NO Date of adequacy last NA - new Results (Pass/Fan) new For 3 bedrooms Fluid depth In absorption field before teat in. Water added gal. New depth in. Elapsed Tkne: min. Final fluid depth in. Absorption rate >= g.p.d. Any n1Juven8fl0n treatment (past 12 mo.) (YIN &type) If yes, give date D. LIFT STATION Data installed 10/412005 Size in gatlona 1250 STEP ManholwAoeess (Y/N) YES 'Pump on' level at 32 in. 'Pump or level at 22 in. High water alarm level at 38 In. Datum boGorn of tank Cycles tested NA - new Meet alarm & ciraut requirement? Yes E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankiliR station on let 1 IN Absorption field on lot 104.3' Public sewer main 100+ Sewer /septic service line .E Animal containment areas 100+ On adjacent lets 100'+ On adjacent Iota 100'' Public sewer manhole/clesnoul 100. Holding tank 100+ Manure/animal excrete storage areas 100+ SEPARATION DISTANCES FROM SEPTICIHOLDINO TANK ON LOT TO: Building foundation IT Property line 33_ Absorption field 12' Water main 100+ Water service line 8a+ Surface water 100'+ Wella on adjacent lots IW+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 5.8" Building foundation 10' Water main 100'+ Water Service line 50'+ Surface water 100'+ Driveway. pa*nWNshicle srurage 80' Curtain drain WA Wella on adjacent lots 100'+ F. COMMENTS: 'Lot line waiver to 1 R G. ENGINEER'S CERTIFICATION I cerRfy that I have detemrined through Rea inspections and CinBy W. Ellis review of Munkoal rem -ds that Me above Systema are in =ftmence with MOA COSA guidelines in effect on Mis date. CE - ioery Engineer's Printed Name Cindy W- Ellla, P.E. Data .7- 2s-v- COSA Fee S Waiver Fee $ Date of Payment _ o� Data of Payment Receipt Number �% 7 -7 RA Receipt Number (Rev. 1 VM SCS Ref.N 1071696001 Client Name Watkins Engineering Project Name/N Talus West Block 3 Lot 6 Client Sample ID Talus West Block 3 Lot 6 Matrix Drinking Water PWSID 0 Samolc Remarks: All Dates?imes are Alaska Standard Time Printed Dsterlme 05/082007 15:21 Collected Date/rime 04252007 14:40 Reeelved Date rime 04252007 15:15 Technical Director Stephen C. Ede Parameter Results POL Units Allowable Method Container lD Limits Prep Analysis Date Date Init Metals by ICP/M3 Arsenic ND 5.00 ug/L EP200.8 C (<10) 05/03/07 05/08/07 TK Waters Department Total Nitratc/Nitritc-N 0.687 0.100 mg/L SM204500NO3-F B (<10) 05/05/07 JDS Microbiology Laboratory Total Coliform 0 coV100mL SM209222B A (<I) 0425/07 DLC MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES M Division of Environmental Services w}t On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # HAA# t:1Q01-�iit-\ $�S 1. GENERAL INFORMATION Complete legal description Loi 6 • 8.2ock 3 • Tat" wet Subdivision; Location (site address or directions) 11946 W.i,2dennUL Road Property owner Dake E. 9 Bernice M. Loup. Day pho e 345-6200 Daze w2: 26�- G9 Mailing address 11946 Witdennesh Road Anchoaag2 A?ctska 99516 Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XX Community well — Public water — Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX — Holding tank — Community on-site — Public sewer — NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1191) Front MOA 421 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. 17034 Eagle River Loop Road No. 204 Address 1 ,__ Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for 0 Additional Comments Date -7 -I4-`92 bedrooms, with the following stipulations: 111Th,, The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA 921 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 7 b &K 3.,7i4}L6tS Wr!:ST/,rceLl.D. A. WELL DATAJ� Well type R 1 IOA-7ff If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y16) NO Date completed &7N _Nf Sf Driller Total depth I l y ( Cased to y6 f Casing height P rr Sanitary seal &Y ) iIE�s Wires properly protected (9/N) r6S Date of test Static water level Well flow Pump level FROM WELL LOG g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/hg tank on lot /on 'f Absorption field on lot loo �- ; On adjacent lots 166"r Public sewer main I%UT Public sewer manhole/cleanout N/A Sewer service line 80"t- IIIoa Petroleum tank K li,bWN WATER SAMPLE RESULTS: Coliformy Nitrate �r �6 � Other bacteria U Date of sample: ��—q2 Collected by: S ANG In)�SAu vo B. SEPTIC/HG TANK DATA Date installed I--31 �?'q Tank size 1000 &At' Compartments 12 Cleanouts ON) 0 NF Foundation cleanout (@/N) YF --S Depression (Y/elf 06 High water alarm (Y)A /Uc> Alarm tested NO t"JIA Date of pumping (1 /� - Pumper I SAACS RAMP r✓G SEPARATION DISTANCES FROM SEPTIC/Ff91G TANK TO: Well(s) on lot (a() I� On adjacent lots f DO I.F Foundation S r� To property line qo r 4- Absorptionfield 10 Water main/service line 50 I Surface water/drainage 72-026 (Rev. 7191) Front - - - CONTINUED ON BACK PAGE AT INSPECTION c 3 o Z -8-92 17711 Sri �.� 4�1m O g.p.m. ,'� < z F) rri FloG) y () On adjacent lots /00'f Absorption field on lot loo �- ; On adjacent lots 166"r Public sewer main I%UT Public sewer manhole/cleanout N/A Sewer service line 80"t- IIIoa Petroleum tank K li,bWN WATER SAMPLE RESULTS: Coliformy Nitrate �r �6 � Other bacteria U Date of sample: ��—q2 Collected by: S ANG In)�SAu vo B. SEPTIC/HG TANK DATA Date installed I--31 �?'q Tank size 1000 &At' Compartments 12 Cleanouts ON) 0 NF Foundation cleanout (@/N) YF --S Depression (Y/elf 06 High water alarm (Y)A /Uc> Alarm tested NO t"JIA Date of pumping (1 /� - Pumper I SAACS RAMP r✓G SEPARATION DISTANCES FROM SEPTIC/Ff91G TANK TO: Well(s) on lot (a() I� On adjacent lots f DO I.F Foundation S r� To property line qo r 4- Absorptionfield 10 Water main/service line 50 I Surface water/drainage 72-026 (Rev. 7191) Front - - - CONTINUED ON BACK PAGE LIFT STATION n m Date ins N% Manufacturer Size in gallons Vent(Y/N) High water alarm level "Pump-o<-Ievel at Meets MOA electrical codes (Y/N) Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: \\ Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed 16-`a I Soil rating SKS SF�&2 System type CRIr3 ,-/T7zarlyaf 7� m le Length �0 Width 30 Gravel thickness 2. 66 Total depth �� 5 Total absorption area X50 C(= Cleanouts present &N) 011F 6 C(LrA, oiva 6- 72cn.c,,1 Depression p over field (Y49) Date of adequacy test —��� Z _ Results (bas's/fail) 1 s for 7J bedrooms Peroxide treatment (past 12 months) (Y&Y y� CI Owol If yes, give date _ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: OF NFw TREr--w (1/81) Well on lot !00 `4' On adjacent lots /06 /f 1 Property line_ 1 To building foundation a 0 1 To existing or abandoned system on lot / U On adjacent lots a 5 f" Cutbank N A Water main/service line SO 4 - Surface water (0(3 Curtain drain Nr)Nr KNdwr, E. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Ll(), ,4 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S i?. S ENGINEERING Signature 17034 Eagle River Loon Road No 204 Eagle River, Alaska 99577 Engineer's Name Date -1 L- -191-- HAA 1 Iv HAA Fee $ V� / y Date of Payment Receipt Number a,.2�i��( J61/6 72-026 mev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number A i1'I J. r`Hnpr:Fl No. 8215 CHEMICAL & GEOLOGICAL LABORATORY A DIVISIM OF COMMERCIAL 16STING & LNGI' EMIPlG CO. 5633 B S T REET ANCH0"Av3E, A;.ASK,A 89018 TFLEFHCNE (907) 662.2$43 FAX: (007) 501.5301 Client Sample ID L6 53 TALUS KEST MID : UA Collected : JUL 10 92 ! 15:55 hrs. Received : JUL 10 92 ! 17:27 hrs Preserved with AS REQUIRED Analyele Completed : JUL 19 92 Laboratory Suparvisor • STEPHEN C. IDE Released Ey ANA.LSSIS RESULTS for INVOICE t 55?27 Chahlat. Ref,3 92.940E Sareple E 7. matrix: VATER Client Name :3 & 5 ENOINEERINO 01snt Rost SNSENGP EPG7 RagE Ordered Ey :R. SNAPER Sand Reperta to. i)3 & 3 ENGINEERING 2) Lep••evtLPaaaneterctt6969v^„•.6`µ F4'-.,,.....®..➢ ••Rssaltxnv Unita Mothed A1lowabl4 f•Ifaits ------,-..-..,.........-....,,........--.__ '------TOTAL COLIFORM O r.ol/M rel Sample ROUTINE SAMPLE COLLECTED BT: J,W, Rarearka : .......IpSee L •L TWA Performed ..».�.._.,,. ' . e Special dra tsucti urs AboveUA-Unavailable ND- Nano Detected pp Sae 9nr+ple "+�merks Above NAL Net Analyzed LT•Laes Than. G1.0reater Than (SONS Me' -fiber ui thn SGS G•oup (Sod&6 Gbrikalt; d0 Surv0;an0e) P01 :NONE RECEIVED CHEMICAL & GEOLOGICAL 1ABORATORY A DIVIS ON OF COMMERCIAL TESTING & MPINEEWNG CU. St13s @ 51"F1EE:i ANCH"'RAC3E, ALASKA 0951$ TELEPHONE (5107) 562.2343 rAX: (407) 501.0101 ANALYSIS RESOLTR for INVOICE 1 $5724 Charalab Ref .1 92.3906 SAnpie 1 1 Itetria: WATER Client Sample ID DRINKING WATER L6 B3 TALUS WEST PNSID 0A Collected : JUL 10 92 4 15:55 hrs. Received : JUL 10 92 1 17.20 hre. Preserved with AS REQUIRED Analysis Completed : JUL 13 92 Laboratory Supervisor : S MEN C. EM Releeesd Ey client Nam^ :S & S ENOINEERING Client Acct :BNSMP EP01 Rog1 Oxdored 67 :k, $HATER Send Reports to: 1)3 4 S ENGINEER?NO 2) .......»<...._.•.........e=e....e•................... Parameter Reenite d;itts Method All weble Limits NITRATE -N --^---- ---+.. _ -------- 0.16 �!1 EPA 353.7. 10 PO4 ,NONE RECEIVED Semple ROUTINE SANPLE COLLECTED R': O.W. RomArke:............................................. ••• •• i Teete•PerformedP ' Soe 3 noio.l Ins txur.ti orm Above UA-UmveilAblo ND- Nona Detected Sac Semple Remtrke Above HA- Not Analyzed LT -Lees Than, GT•GreAter Than ,qw% Momher CI the SGS group (SociM6 Gdndrale de SutVdiila^Ce) r/.x.r- 5. LGAL DESCRI TION !� 3 - f D/` ./RECEI VED INSPECTION APPOINTMENTS ` 6. TYPE OF RESIDENCE TIME TIME TIME/ DATE ❑ MULTIPLE FAMILY DATE 7. WATER SUPPLY X INDIVIDUAL- INSPECTOR ❑ COMMUNITY INSPECTOR INSPECTOR depth (attach log if available.) MUNICIPALITY OF ANCHORAGE ' MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT ECTI OPNVIRONMENTAL Pr:OTECTION ON-SITE SYSTEM WAS INSTALLED. 825 L Street - Anchorage, Alaska 99501 AUG I NOTE: THE ENVIRONMENTAL SANITATION DIVISION - Telephone 264-4720 ATf REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWEMI DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE M ILIN ADDRESS PHONEPR PERTY RESIDENT (if different from above) Qldvl / PHONE 2. BUYER 3s�i - 8a r MAILING AD ESS 1 3. ENDING IN TITU ION ' PHONE MAIL NG ADDRESS 4, ALTO5'/AGENT PHONE J MAILING ADDRESS h51� /.�J 36[(p 5. LGAL DESCRI TION !� 3 - f STREET LUU'AI ION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY P< Three ❑ Six 7. WATER SUPPLY X INDIVIDUAL- *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE`*_YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ - PUBLIC UTILITY INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. NOTE: THE 72-010 (Rev. 6/79) r` �L I4;, 6a(Zt V_*,� THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED C INSTALLER -- ❑SepticTankor ❑Holding Tank Size: IDOCD If Tani, ishomemade give dimensions: _ SOILSRATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL G 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Lino. Nearest Lot Lino Absorption Area to nearest Lot Line B. COMMENTS �PPROVEDFOR ,3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE 1 /x1YI-� BY — ALASKA DEVELOPMENT CONSULTANTS, INC. Engineers Surveyors Planners 624W. INT'L. AIRPORT ROAD, SUITE 103 ANCHORAGE, ALASKA 99502 August 24, 1981 office: (907) 276-2437 ADC No. Wi`1C31ALITY OFF ANCHORAGE D PT. OF HEALTH & ENVIRONMENTAL PROTECTION Mr. James Sanders AUG 3 1 9981 C/0 Associated Brokers, Inc. 640 W. 36th Avenue, Suite I R E C EI V E D Anchorage, AK 99503 Attn: Mr. Lou Campbell Re: Adequacy Test for Existing Septic System on Lot 6, Block 3, Talus West Subdivision Dear Sir: At you request our office conducted a percolation adequacy test on your existing septic system at the above -referenced location during the period August 21 through 24, 1981. The Municipality's Department of Health and Environmental Protection reported that your septic system consists of a 1000 -gallon septic tank and a seepage pit with greer ring. The septic tank had not been pumped prior to the percolation test. Since the 3 -bedroom house had been occupied up to the time of the test, a normal degree of saturation within the leach field is assumed. In accordance with the Anchorage Municipal Code, Chapter 15.65, Waste Water Disposal Regulations, any on-site sewage disposal system "shall have adequate capacity to properly dispose of the maximum daily sewage flow." The maximum daily flow is computed at 75 gallons per capita -day (gcpd). Since "the population of dwellings shall be estimated at two persons per sleeping room," the maximum daily sewage flow for your 3 -bedroom house is 450 gallons per day (gpd). To test the soil absorption capacity as well as the surge capability of your system, 110 percent of the maximum daily flow or 500 gallons of clear water was added in 50 -gallon increments to the seepage pit. The water was obtained from your on-site private well at its maximum sustained rate of about 4 gallons per minute (gpm). The liquid levels were monitored closely to detect any backup in the septic system. The attached Table of Test Data represents the depths of liquid in the septic tank and seepage pit, and the quantities of water added. The septic tank was determined to be 6.9 feet deep (bottom of tank to ground surface) with an initial depth of 3.7 feet in the tank. The seepage pit was measured to be 12.3 feet deep with an initial depth of 5.2 feet. Ground elevation at the septic tank standpipe is approximately 2 feet above the seepage pit standpipe. Mr. James Sanders August 24, 1981 Page 2 The attached Summary of Test Results indicates that the liquid level in the seepage pit at the beginning of testing on Day 2 fell to 0.5 feet above its initial static level on Day 1, during a recovery period of 24 hours. On Day 3, the level had fallen to 1.0 feet above its static level on Day 2, during a recovery period of 26 hours. The level in the seepage pit at its highest level during the test (8.4 feet) was approximately 2.7 feet below the liquid level in the septic tank. Based on two days of testing, an average percolation rate for your existing septic system of approximately 315 gpd is indicated. An on-site sewage disposal system for a 3 -bedroom dwelling must be capable of disposing of 450 gallons of sewage per day. Many factors affect the operation of a soil absorption type of sewage dis- posal system. Soil type, groundwater depth, age and history of maintenance of the system, and types of waste are a few. This test has been performed in an attempt to determine actual soil absorption capabilities of your septic system under normal usage by considering the degree of saturation of the leach field and surge loads that might be imposed on the system. This test can only evaluate apparent performance at a given point in time, and cannot determine either the condition of the leach field, seepage pit or other components of the septic system, or the depth of the water table. We appreciate the opportunity given to perform this adequacy test. If you have any questions regarding this test, please contact this office. Very truly yours, ALASKA DEVELOPMENT CONSULTANTS, INC. Stephen D. Shrader, P.E. Project Manager SDS/ps .p .....1l6,ru Vt� '•< . . �.� .•��Ip.�en ..66.11dx. Stephen D Shrade, • No. 4148 - E •: �t�� o •••0• ' PROFESS10Nm® J Mr. James Sanders ` JADC No. 81134 August 24, 1981 Page 3 SUMMARY OF TEST RESULTS Day 1 Day 2 Day 3 Rise in Seepage Pit 2.2' 2.7' ---- Rise in Septic Tank —0— -4— ---- Water Added to Seepage Pit 500 gal 500 gal 8 Recovery Time between Test (Hours) 24 hr 26 hr Drop in Pit during Recovery 1.7' 1.7' Average Absorption Rate (gal/day) 390 gpd 315 gpd Owner: James Sanders Project No. 01174 Legal Description: Lot 6, Block 3, Talus West TEST DATA (Cont'd) Time 9:40 Liqu- UT Dep t Water Added, gal Meter Reading, gal 35977 Remarks 2} 81 check uve eve s; rEsses Septic Tank * 3.65 Seepage Pit— 5.7 9:59 6.25' 50 36027 10:10 3.65' 6.60' 50. 36077 10:20 7.0' 50 36127 10:29 3.65' 7.2' 50 36177 10:37 7.5' 50 36227 10:46 3.65 7.7' 50 36277 10:57 7.9' 50 36327 11:06 3.65 8.1 50 36377 11:16 8.15' 50 36427 11:25 3.60' 8.40' 50 36477 Stop test 500 gal 500 gal 12:10 6 7 --9— -&- Ieve181 eh * measureu irum uup ul —nllup t— ---- --r_ 1 Adequa cy Test for misting Septic Sys em Owner: James Sanders Project No. 81134 Address: C/0 Associated Brokers, Inc. 640 W. 36th Avenue, Suite 1 Legal Description: Lot 6, Block 3, Talus Plest Components of Septic System: 1000 gal septic tank; 31' x 16' x 9' seepage pit 3 Occupied prior to test: Yes x No Number of Bedrooms: - How long vacant: ------------ Last pumped: Spring 1981 Test performed by: Paul E. Shoenberger Eater meter/S.N. 22812186 Initial Static Levels: Septic Tank 3'7 ; Seepage Pit 5.2 TEST DATA -Liquid Time Depth, ft' Water Added, gal Meter Reading, gal Remarks eptic Tanks Seepage Pit** 9:42 3.6 5.2 —Li- 35097 8/20/81 check 9:55 3.65` 5.6 60 35157 10:03 3.65' 6.1` 40 35197 10:17 6.6' 50 35247 10:26 3.65` 6.8` 50 35297 10:37 6.8` 50 35347 10:50 3.60` 6.95` 50 35397 11:01 7.10` 50 35447 11:12 3.60` 7.15` 50 35497 11:24 7.30` 50 35547 11:37 3.65' 7.40' 50 35597 Stop test 500 gal 500 gal measu ed from * top of standpipe -- eCLual — v evel: est ALASKA REVELOPMENT CONSULTANTS, INC. Engineers Surveyors Planners 624W. INT'L. AIRPORT ROAD, Sid ITE 103 ANCHORAGE, ALASKA 99502 August 24, 1981 Office: (907) 276-2437 ADC No. 81134 Mr. James Sanders C/O Associated Brokers, Inc. 640 W. 36th Avenue, Suite 1 Anchorage, AK 99503 Attn: Mr. Lou Campbell Re: Adequacy Test for Existing Septic System on Lot 6, Block 3, Talus West Subdivision. Dear Sir: Please accept this letter as our invoice for the above referenced project. INVOICE NO. 81134 PROFESSIONAL SERVICES Fee for Adequacy Test $ 400.00 Total Due Invoice No. 81134 $ 400.00 Please note our invoice number on your remittance. If you have any questions, please contact this office. Very truly yours, ALASKA DEVELOPMENT CONSULTANTS, INC. Step en D. Shrader, P.E. Project Manager SDS/ps