Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
MANN BLK 3 LT 4B
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: OSP201088 Work Type: Septic Upgrade Tax Code Number: 02004108000 Site Legal Address: MANN BLK 3 LT 4B G:3238 Site Mailing Address: 16336 ELIZABETH ST, Anchorage Owner: BLACK DENNIS & BARBARA ALASKA Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Q Disposal Field it Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: o� Q n v. DeI)artment Lot Size in Sq Ft: Total Bedrooms: 5/26/2020 5/26/2021 44961 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By Date: Date: G 4 MUHMPAUTY OF AHC COR OCE Development Services Department 6-1 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 020-041-08 Property owner(s) DENNIS BLACK Mailing address 16336 ELIZABETH ST Site address SAME Day phone 244-7969 Legal description (Sub'd., Block & Lot) MANN BLK 3 LT 4B Legal description (Township, Range & Section) Lot Size 44,961 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field � Initial ❑ Single Family (SF) Q (w/wo ADU) Septic Tank 0 Upgrade Fx] Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: J`RS / W-Ao,25- Date of Payment: 4//3b/"16a6 Receipt Number: O,3b (al Permit No. Q5P961082 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc COlID4 J 57o DISCOUNT APPL �rD May 17, 2020 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Septic Permit Legal: MANN BLK 3 LT 4B To Whom it may concern: This is a request for a septic permit on the above referenced lot. One test hole was excavated and found poorly graded gravels (GP) for the entire depth with water at 9.5 feet after the 7 day monitoring period. A small stream is located on the south side of the property, see the site plan. A new plastic tank will be installed and a gravity flow shallow 5-wide system is proposed. The perc rate was 2 minutes. All of the lots on the south side are serviced by AWWU. The lot slopes to the west at about 5 to 10 percent. This new system will not impact any of the surrounding neighbors. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201088, Deb Wockenfuss, 05/26/20 Municipalky of Anchorage . �I)c�tarnncnt 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 Division On -Site Water and Wastewater Program x x x x VARIANCE/WAIVED REVIEW x* x x Waiver#: OSV 211051 COSA PID#:020-041-08 Legal Description: Mann BLK 3 lot 4B Engineer: MNA Applicant: Dennis Black Permit#: OSP 201088 Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the lot line has been approved. The approved separation distance is 9 ` This waiver approval applies to the Existing Error! Reference source not found. only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department ❑The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. Adjacent properties are not affected by this waiver. ■ .................. ■ ■ ............................. ■ t e ■ ....................... ■ 1 Waiver is Granted: X Waiver is not Granted: Date: 2 Approved by: Name of Reviewer .............................................................................. 1 **** VARIANCE/WAIVER REVIEW **** July 24, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Re: Lot line waiver Legal: MANN BLK 3 LT 4B To Whom it may concern: This is a request for a 9 foot lot line waiver for the above referenced lot. The system was installed with no issues except the existing well located to the south pushed the system slightly more to the north requiring encroachment of the north property line. The granting of the waiver will not impact any of the neighboring lots. Sincerely /�W' Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 SEPTIC FIELD SECTION DESIGN CRITERIA: 3.0' EFFECTIVE 4 BDRM X 150 = 600 GPD SOILS = 600/1.2 = 500 GPD 500 GA/5*0.58 = 58' 5.0' WIDE 58' LONG (1) TRENCH 5.0' DEEP 14 (TH#1) 1.0 GP ORG 1.5'5.0' -5.0 -2.0 MOUND OVER FILTER FABRIC & SEWER ROCK 3,3( GRADE 1"=100' PROPOSED DRAINAGE FIELD EXISTING HOUSE PROPERTY LINE-ELIZABETH STREET-STREAM AREA SERVED BY AWWU WELL WELL SEPTIC SCALE: DJRDRAWN: DATE: MANN, BLOCK 3, LOT 4B Anchorage, Alaska DENNIS & BARBARA BLACK 5/17/2020 WATER @ 9.5' MAY 2020 2" INSULATION SEPTIC Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201088, Deb Wockenfuss, 05/26/20 1"=50' PROPERTY LINE EXISTING HOUSE NOTE: SOME LOTS SERVICED BY A.W.W.U. WATER. DRIVE WAY -10' UTILITY EASEMENT-CO 1250 GALLON PLASTIC TANK W/ 20" RISER, DECOMMISSION OLD TANK PER UPC MT DCO TCO CO TH#1 SEPTIC AREA SMALL STREAM CENTER LINE 100' WELL RADIUS SCALE: DJRDRAWN: DATE: MANN, BLOCK 3, LOT 4B Anchorage, Alaska DENNIS & BARBARA BLACK 5/17/2020 100' WELL RADIUS100.0'10-15% 15-20% 15-20%10.0'SECONDARY SYSTEM TO 5x30X1' EFF W/ APPLICATION RATE OF 4 GPD/SF FCO CREEK OFF-SET DCO Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201088, Deb Wockenfuss, 05/26/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201088, Deb Wockenfuss, 05/26/20 d � d A C m 4 CD ol -r� 4 M CD s CA) Cl) 00 cq�a r----------_- -- --- - - �� L8'6 -VL M„00,M-OON 0c -1 N3 L-- /. �V Y cncnPqd fD�..----------- ------ -----— U�ro' > Camtz, cu� CO �� m r0�• ro CD Ctl C O a V CD � Yi r N 0 O Z tz � O C� Z cis, U} OCT, W• O � Z o O p o Z W O O II O0 m O o K m Ln Fq Cbw ��Yssmer p m aNS O ro b . O E 4.7 0 "°roM-0 ;q may o'er 1 ,404 K o \ El o \ r m q r+ wDr- ro rn CD 0 0.0 ° ei �' f'9Z m�y Kyro Epqo V ;p ro m YI M CC CD 1 ' `C�mp•o�,K E � 1.�Q � ��� m 01.4=o°0o "3 aCD Ic, co O M„00,M-00N 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 TPHONE T-~-~w MAILING A~SS ~ ] Well Absorption area ~ ~w~lli~o PERMIT NO. DISTANCE TO:] _ N Z Manufacturer Material No. of compartments Liq. capacity in gallons IF HOMEMADE; Inside length Width Liquid depth ~ ~ Well Dwelling PERMIT NO. DISTANCE TO: ~ ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation ~e~est lo'line ~ PERMIT NO. --~ ~ ¢'~ Distance bet~7~ , : ~ ~ No. of Hn~ Length ore Total length o~ Tronch wi~ C) inches Total effective ~b~e area ~ ~ Top of tile to finish grad. J Material beneath tile Length Width Depth P~RMIT NO. ~- ~pti o n are ~ ~ Type of crib ~ameter Crib depth T~al-~fe~e ~ DIS TO: ~ C~~ Depth DrHJer Distance to ,ot line PER~,T NO,-~ ~ BuiJdJng fouudation Sewer line Septic tank Absorption area(s} ~ DISTANCE TO: OTHER PiPE MATERIALS SOIL TEST RATING APPROVED ~~ DAT¢~/~ LEGAL 72-013 (Rev/; /78) I'::1!:::'1::'I_ :t: CI:::II",I'i" I. r"H'":.:.:.'l :1: CII'.,I I...li:i:G[:::ll. 'TH[ii: I .I:!:;I'.,tG't'H [::, :!: HE:I'.,I~:i; :!: Cfi-,! ]' :::; "1'1-Il:ii: I..IEl'.,l]:!i"fl I'I.[E I:::,Ei:F"I'H OF:' I:;:1 "I'f;~IE:NCFIO1:;i: F:']:'r' ):::!; '!TIFii: !) :l: :i:T[']:::ff.,!C:l:!:: Eq::!:!'l.,li:i:E:h,] THE: :!:i;I..l[,i:!:::'l:::l(::[i: (:)!:::' 'Fl-fi!!: GI:;;:OI...II'.41) F:iI'.,I[) "f'l.l!Z [i!',Cq-'l'r)r,'i CiF' THI::!: I:!::=-=',C:Fi'v'FiT :1: Cli'.,! ,:: :!: I",! F:IZI::'[' ::,. '~}t'~ iJ.....ll itiii:i:: "'I!' ' li':~i::', liE:i::: i?'..,,!l ~ ::::: II".E !}.,,..1! % E::,, "i!'" IF.i! % :!!::i;; !'.:!!)i .. i(;Eu [:;7.i! !~.!:!:1~ !I::::::" ~ii!iF: iliiE '"~ 't'I.'.IIE GF:i::'i'v'F~::I .. I:::,EI.::'"IT.I :!: :iii; 'I1'111: H :1: r.,! ]: HUH r::,E:F:'"I'H O1::: I::'IN[::, "l't. lf:!i: 131:'Yl"f'Eq,'t CiF' "1'1.-I1!~: [~:::.:',C:F:I',,,'r:I'T]:I:)N, ,::):i'.,I I:iq:::IC:I.:::F: :i: L..I... :[ I'.,!L:!i Ell::: F:ll'.,l'v' ." ......... ..... [:. ..... ' I.,.r T '1"! I(.: I.. "l" I::' :): i'.,ff::ll... ): I'-,l::!i;l:::'[ii'.C:'T 'r ]"i.r.,I I:::ll'.,ll) r:::II':'F't:,;:C ',,,'r::tl. r:,"' ' TH ): :ii; I::'!iii:I:::I:::II:;TI"i'"If:':NT I,.1:!:f..I. I:i!',!E !:i;LIFLTI:!i:CT '1'O F:'l;i'r¥::[:": SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-050, Anchorage, Alaska 99502 276-2221' SOILS LOG- PERCOLATION TEST DATE PERFORMED: [] PERCOLATION TEST 1 2 3 4 5 ~=,..~, 6 7 8 9 SLOPE [-'] SITE PLAN ' -T-- ' 10 11 12 13 14- 15- 16 17 18 19 20 COMMENTS DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT PERFORMED BY: ~.-~/~ ~ /'~/% 72-008 (7/76) CERTIFIED B~--~).~ i - flt1Yml Vol 9111►Ian of tsalpical am physical Svrvsy► (OGGI) `� 7001 hr►wtna Orlu (T{ 'meat l77•66111 ... AntMgRa, Alaska 99701 I t t V A I R YL I.L L !-;.L0.q R O #,I It Ing Covoany mam. It 111 : 1•'i. l I. 1, (It' '• ';1L1 t'i_ _j cion f LOCATION Of WILL Please complete eltbor la, Ib, or Is. Will Of ALASKA RIM1OTNtRT M IMIRRRL RlttVtC({ W.S.R.f. Leval Ne. IrI111nR Permit Na, � �� �• A.D.L. me. It. Mro h Asch SuNlvl►IM t4FLnn tel 41r I Mock 11b. /ractIto If 'actlmt No. ivrnMlp It. Olssaste and Olfaction from Road Intersections ± , Strut Address and Arta of Well Location 7. OWNCA Of WEUI wirrvll strioll MUuat - - - 1. WELL LOO feel Inlo. dace material Type op Ootto,e b. WELL DI►Tllt (sasplaled) 1!Ili It. smrfate flowtlM Rate eI �trRi of SM .77 !. (]Cable tool []Octan ©RfIwN'. ❑Jetted ❑Sorts other1 brown :il).a=171 1 11 , i ry ' to 1311AWRar bntl t (•k jnclt rev-I,rr,t;r�l3 t. Usti ❑Oam►tle ❑Pablts St"if ,olefwtry ❑IrrItaUen ❑avaMt•p Moslem lei Crest Well [jothirl 1,c: 1rr,C4" T'rrr:"rt 1 r'•" p at: 3;�tt t: r:r rtatl .r:i, tit b.l.:, 1- 1• ' ;h burl ••'C' t•:1 i)L;irk T. CASINO; ❑ Thruda/ E-3;Ise/ l) In. to -ft. kottl volght lISO if � 1 In, to ! It. oeflto, t}•; lacm r fr 07, vr; ..,/ - 1 b'• I LE' I r ,rl tt 1 L ''' I+,tl r,y + R. FINISH Of WtLLI typo I"►Itwlilterl Slot/Nash Vast ,,,�,�„�,��LeA►tM Set batmen /t. aM a+wterr1. s .:Ines• Tt.I 1 ."1 �l"'"1 11 -�� .�.._ -^. .�•�. !. STATIC WATER LESELt -,.. ^- It,' f ❑Above E]Rettls, SRN/ tmPfses Type of rwalWromantt- 10. PUtPINO LIYIL baler land surface ft. after brio-, ji.alit►�..e.�.:O.M.rt; It. after �� Ars, pemselntl t 0.01,'. 11. WILL m1A0 1n AOpesbf.1lt , ppltless Adopters IratRoe ebu.1"flRei �_ It. tROWTIN01 Well Ormotedt. _ Q to M ' materials aNpat! Calvet ❑ Other ; , I), ►VN®t (If available). rip --. Length el Drop ►Ipa ,a.„ . for ►apace► Types ❑1vY,nrslble Oftel ❑ Jet Motoarl ---' -- - ,", r` s.� 14. RtNARKS: ba7 .l.vtl dawlt W IL UATIM WILL CONTRACTOR'S C/ATIIICATIONt This well Ma drilled dMv try JWrl1/I4ttoe and this report t1 true to the Nil of mT knowledge sof Rtlltll V•,r•tlI.l .,1.I I r ; : Iltia l at I►Safe •f MN llama Mn�ract License Nwp6tr MdH1/1 .;: is Pit- i lil,li t+ +1'. 1+�'' �•_. I It- � ++�rw.oir..rr..rrr�r Slgnadl i �1JIJ .a a.r. ;r� o.�, /,r Data? T-...�s.....r..,r 11WtMf ae tO/Hanlal '/e tgrr. �t•VVa peep.. -, .._.. to Y 011trlbvllnnt WNITI Slat* MA, PINK • Driller, CAMOV . CW11olver, Division of Beologlcel 6n(' ' aphyslcal Surveys (DGGS} ]OOI Porcupine Orlve (T~ one: 277-6615) Anchorage, Alaska ~50l ~ WATER WELL R .C OR D Street Address and Are8 o~ Veil Location WELL LOG Haterlal Type TOp Bottom U,S,G,S. Local Uo. Dr II11ncj Permit Township N/S E/~ Mcr Jd lan 4. WELL DEPTH: (completed) Surface ElevaLlonJ Date of Completion 5. [~]Cable tc~l [~RoCary ~]Oriven [~Dug [~ Augmr ~] Jot :ed ~ Bored L~other: 7. CASING: [] Threaded ~weided 8, FINISH OF WELL: Slot/Mesh SIzo: Length: STATIC VATER LEVEL: ] '; ft, []Above J~]Oelow land surface lO. PUMPING LEVEL below I~nd surface -- fL, after -- hfs, pumping . g.p.m. Il. WELL HEAD COMPLETION: [~]Pltless Adapter ] In Approved P{~ (nch~s above grac~ 12, GROUTING: Well Grouted: [] Yes ~ Material: []Neat Cement ~'~ O:her: PUMP: (If available) NP Length of Drop Pipe ---- ft, capacity g.p,~ Type: J~]$ubmerslbJe r_~fleciprocaLing [~Jet ~]Othcr: REMARKS: D,'J'J. ] L~ 'l~j; C:l .1V i ) l,..,, ," 15, WATER WELL CONTRACTOR'S CERTIFICATIOfl: This well was drilled under my Jurisdiction and this report [! true co the best of my knowledge and beJlef: UMCC PAUTY (OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-041-08 1. GENERAL INFORMATION Complete legal description MANN BLOCK 3, LOT 4B Expiration Date: /0— 73-2/ Location (site address) 16336 ELIZABETH STREET, ANCHORAGE, AK 99516 Current property owner(s) DENNIS & BARBARA BLACK TRUST.... Day phone Mailing address Real estate agent 16336 ELIZABETH STREET, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2 go Date of Payment Z�/A[ Receipt Number 21 10y -Z- COSA COSA # OS C -2-11-2) 6 _�;? Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 6/29/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & fWCS DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved 9 TM �9*fir �jj. • ' .. •• • Curtis Huffman' � rT� ��"q : CE 128991 .•���� �rl `�TF-' • .Q/29/21 •'F��'� ll1F�PROFESSIONA� Conditional approval for bedrooms, with the following stipulati .`V . �NPPLTYrO,c %11 ZnAl ti o wq T m 141 F/- �,� rn %9TE m; A4 _�3 B cam.. Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other 59101OX i Legal Description: MANN BLOCK 3 LOT 4B If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 7/27/1979 Total depth 105 ft Cased to 20 ft (INTO BEDROCK) ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 6/28/2021 Static water level at beginning of test 16 ft. Well production at time of test 4.7 gpm Comments B. TANK DATA Age of tank(s) 1 years Tank type/material HDPE Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping NEW TANK D. ABSORPTION FIELD DATA Which system tested (date installed) NEW SYSTEM ® ALL standpipes present per record drawing Total measured depth from grade 6 ft (max) Measured depth to pipe invert from grade 3 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 020-041-08 Structure served by this system Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® Nc ® Coliform bacteria is Negative Nitrate 2.05 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) FWD; Collected by NE Date of Sample 6/28/2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date NEW SYSTEM Results ❑ Pass For bedrooms Fluid depth prior to test _ in Water added gal New depth in Elapsed time min ® Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: F� ter:. 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' ® Yes if No ft Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft ft ft ft ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No —ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *9 ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 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. — 'k Aw T 2i Z -L .. ...� Curtis Huffman CE 128991 p OFESSO--ft ® 8495Q rn 0 LOT 4A LOT 3A EAST 300.00 — —' 30 Chain link fence Wood fence I � oa Carport I ti 00 oq� Septic deck vent(typ) �� W iz i Manhole 10 a�< E 2i N ° PSer O cn O w I LOT 4B o °p LOT 3B ° Boardwalk Shed co �' I=— t,� oco I o W Z O I f n .1 O H Z b rI oo�T o J W .04`0 ��' 26.4 I �gP I 4.0 OH ag0� ep O 30 EAST 300.00 0 co E. 162nd Avenue 0 co AS -BUILT NO CORNERS SET THIS DATE �� iF . �� • • I hereby certify that I have performed a Mortgagee's inspection in ASPLS P, � ('?'4 accordance with Standards of the following described property: LOT 413, BLOCK 3, 49tH p® •gy MANN SUBDIVISION j • �• ®- R •,� �� ® Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines r �^ %'izaL. . ® • 'b • 'eth Walatka ,o s and do not overlap or encroach on the property lying ®� .0 �s�F adjacent thereto, that no improvements on the property lying • • 8036 — LS• - 1§7 Aff adjacent thereto encroach on the premises in question and �� 4'Fo • . • • o e .® pR011ESSI0N1L•�� that there are no roadways, transmission lines or other visible easements on said property except as indicated SCALE: 1"= 50' hereon %®�®0� Dated at Anchorage, Alaska 15 , C �_ —this _07 3rd day of MAY 2021. EASEMENTS RECORD, OTHER THAN THOSE SHOWNN ON THE RECORDED FRED WALATKA & ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREONEngineers FB 21-3, pg 5,-7 BE and Surveyors 907-248-1666 UNLESS OTHERWISE NOTED. This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. I '-'.'-:.: ~]'' ' 'P!:~t~'9,(~e'~:, '2'~. ~-~:f~' ¢__.0~,"~' .' "'~" -' .... ' Day ph~ne]. 3 ~ 5- ~qT?'=:~,-;:"-. ].. - , ~4 ,~'~-~'.~ X'~ ~:'~ · ' ~ , - ' - ' ' . ?,. ' :'. ' : ". ' Ledd no agency ~'~ ~ ~o~, ~ Day phone (-8oo~ ~q~-*gzl. , ' .... --. , : ,,.. ' : - . , - , ". - , . ' · '... ~:.~"-' ,~ -. ~ r ' '.: . . '" ,.~Unl~ss otherwise, requested, HAA will be hel¢ for pmkup. _ ..: .....:,_~ ~...'~'.,, , ~, :' . : ' : :' '-'..' '" - Individual well; "- --- ........ ,-...-..:~ :-. :~ :. _:~. ,./ -' Communit "?' ' - ' -~;'?'"':" '"::i .' NOTE:, If communit' · ', ,~ ~;, :.:?. ,-lng to the legality and statusof s 4, ·TYPE OF WASTEWATER DISP State ¢ WELE 0AT J Well type ~-~, ~-..% Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Lo'j- q,~, ~[<.~ J'~/~'t'q/~ Parcel I.D. o.t, oo~.t o8 Log present (Y/N) Total depth I Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed J c[<~O Driller ~/' ~ r2.~ Cased to ,~O Casing height ~/¢ ri Wires properly protected (Y/N) ¥' Date of test Static water level Well flow Pump level FROM WELL LOG AT INSPECTION /~ g.p.m. ~ g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot I OO Absorption field on lot Public sewer main N/,~ Public sewer service line ; On adjacent lots ; On adjacent lots. Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ,¢¢~) Date of sample: ~/._~'¢/ Nitrate ~;~ , ~'~, l,~-,~/J. Other bacteria Collected by: '~' ]~Y'f B. SEPTIC/I,tOLD!~ TANK DATA Date installed '7/~/7 ~ Cleanouts (Y/N) O~,m_ High water alarm (Y/N) Date of pumping'. Tank size 1~.5Ch Compartments Foundation cleanout (Y/N) ~" Depression (Y/N) I'-//,~ Alarm tested (Y/N) T'//A SEPARATION DISTANCES FROM SEPTIC/HG'~ ....... '~r-, TO: Well(s) on lot I o o To property line Surface water/drainage On adjacent lots Absorption field Foundation ~ Water main/service line 72-026 (Rev, 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed 7/-~//7 ~' Length ~o Width Total absorption area Depression over field (Y/N) Soil rating ~ 5 Gravel thickness Results (pass/fail) "~,..%~ '~--?.~" =/',~c.~ ..,, Peroxide treatment (past 12 months) (Y/N) ~ System type Cleanouts present (Y/N) Date of adequacy test for .Z.// Total depth G bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot I[~ On adjacent lots >~ I~ Propertyline [t.~ ~ To building foundation ~ ~ To existing or abandoned system on lot h/',/'/~, On adjacent lots ~ ~oo Cutbank ~/A Water main/service line Surface water h//'A Driveway, parking/vehicle storage area --~ - Curtain drain ~/'/~, E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Date HAA Fee $ / Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number 875t ~, DI~O~D (907) 248-50~5 LEGAL: I_OCATION: OWNER: :(:) az '~ :i. e 1 C a v :i. r', RESIDENCE: WELL: SEPTIC SYSTEM: I:::' R £:) PI I'"1 [..J N ]: C I F' A I ,. R E C [} R D ,c.!;: 4- B <.:s:, d r" o o m S y s t e m TANI-:::: (3;'~(~er S'[:,~+~i?i 125() Ga:l,,, Two Comparts. ADS[)RF:'T :I: [)N SYSTEH: Ni{::h'.~ TrE, rich ABSORF'TION AREA: ::~?;:f;8 Sq,, I::"{:,, IIxlST'ALLAT'I()N DATE: 1979 DA'T'E OF LAST PUMPING: Apr":i.l [!l,~..17'71-..- I)A'FE OF ]'EST: Apr':i. 1 q~. ,~ 1991 TEST PRGCEDURE: E;ystelil ~a~ :i,r~.%pel::'~::ed and rnE.~,aslir~z~d,, lank .found w:i. tl"l 3.5 feet of cover and with a :L:i. quid :l. evel o'f: 10 :i. nch ~rl') ~ . lq C::I 'LI'-E'I'I(:::h (::::l. EhEd"i Ot..FL5 c.~6:,rE, fl::)k.ll",(::l,~ r'lEit- &l'i'y rllorl:i.'~'.(:31'",, A steP1 i:):i, pe? [:](:):[ntec:l an(::[ s].(D'~:te(:l wer'(.::~ :~r'ls'{:',a]. 1(2cl as a fii(z)r'ii'E(::)r,, Top ~::).[: 'Lr(:?l]Ch wa~; ~oLu'i[I ~'yL'. a c:h.~.:,ptl'~ I:.).~ .four" fe~rL,. Poly boar'd had 7',:'J() ~]a]. :[ (::)r'fs o'[: (:::1 <;:.:.~xl'/ ~,*~ai'~:(..:~,r' w~':~ added '['.(:) the 'l:r'~.?nch ~l'~:i. 1 (~,~ 'l-.l"~:.:~ 'kl'm, mon:it(:)r" t'"c)s(.:, 4 :i.i~c:h(.:~,s. ~)t.u":i,I]~.} tills' nc~xt three hours 't:.hc, ]. evE,] (::h-oppc:,d 3 :i. ri(::l"l(,~s to i nd:i. cate 'l:.ha'~: most (3f U]e watrz~r' had NDTE Thc, op(~:~r,'i'l'.::i.c:)r~al t:i..f:¢ c,f a].l sep'l:.:i.c syt~fl:ems :L (::x::: ,':i 1 so:i. 1 c o n (:1 :i. t :i. o r'd~F, ,, (:] I'- C'l t 11] CJ V.3 f~Y/:: (~:!1" ]. 6yv'~:.? ]. S that dLu':~.r".;f thF¢ y(~.~,'::'~v",, arid '1:1"~(;~ wa'l::(::,r t.,tsago o./: 'l:h(.:~ .family I::)~:.:.xirlq 13¥ thee syst~f'l'~. "l"h(2~e'a c:('31]cJJ, t~.(::ff]s al"'(.i~ ot.ttside 'l.:he (:::orfl:r'ol es't:J.m.~::d:e (:::,.[: hc)~.x~ ].c)r~(.:l I:.h:i,s s',/st(am (.~xi. ll fur~cl:'.ic:)~ .i:,~a-t:J~-[:actory .for {::: t.I I" I'" [;.:'1] t (:) I"' '[: LL'~: t.{ F' E) C) (:: C: LIp 5h t~ '~: % · 67,51 14. DII~0~D BLVD. fifll~ttORfiGE, ~LfiSK£~, 99502-3904 (907) 248-5095 LEGAL_: LOCATION: OWNER: TYPE OF WELl_: WELl_. LOG AVAILABLE: I NSTALLAT I ON REQU I REMENTS MET: 'f{;:,s WELl_ YIELD FROM WELL LOEi: I~UMF' YIELD FROi'4 TEST: DATE OF INSF'ECTION: ,,,,° Gal, ;I. (:)ns I::,E,r M:i. hurt:.:,:, Apr:i. 1 c:,,~ TEST PROCEDURE: Well was pumped a'l: a e::on',~d:,ant rate pr'ol::)c,,. At th(E, I::)~2Q:[I'H"~:[I'i(_/ C:)ff: thE:, tcz. S'[: wa'('.[z,r :l+;.~vel was 1::ce't: I:)el(:)w 'L'.Ol:) (:r~: casing,, At a pumping r"ate~ o.~'. 8 pt,.tmp:i.r~g,, A total (::).¢ 'Z~5(} ga].lcJrls w(:i+r,::.,~ "J"J)6., ~)(:.?:l,:J. r"(3:,(:ov6¢r"y r"~tu[.:E~ Ni:':~!~i3 iiiC)l']:['(;C)l,'~:,c:J ,¢c:,1" 2(;) ff~J.l']t,.u[L621:;~ p(::,ri (:%:1 '~7. h(.~:, w6)]. 1 r~(:::(:)vered t.c~ 44 ~:eet ,, Thi s I"eproser'~t: TEST FOR E.COLI AND TOTAl_ NITROGEN: Na'['.~:,l,' was and 'l:ota! n:i. tr(:~c, fer~ c:~n Apr:i. 1 /I,~ :1,991 [ii;. C(:)l :i. 0,, 'Tc,'i".a] I'q:i.'l::rc)g[~,r~ 0. ','.:igmg/1 . Max,. allowabl(:.? 'l"(~ta:l. N:i, trogen :1.0 mo/1 . TEST RESUI_TS: Th:i. s ~.,el t m+;:~s~'L~s the r"li~,qt.t:i, rl.?mer'd':s t::rl: the:i, Mur'lJ. c::i. I::,a]. :i. ty (:)..¢: THIS WELL WILL I':'REIDUCE MORE THAN 3., SALLOI~S..P_E_R_ f.~.Lh.J.LI'f'I'E (:_'~.~. ~4_0.f3__E per bedroom per day. 'Till s v~(.:0:[ ]. (.:.2>((:26:~(:.'~(:J tl'~:[ !33 r(.?c~t.l:i, rf.:.~ff~(~l']'('. ,, 'The (::cir](:J:i.t:i.c)/'is as c)'F tho day 'l:'.r:)sted,, "l"lm:, ,~:],(:)¥¢ rat~:,:, ri];:':ty (:;l"l,0~f'"~(::~} ;,':v'~(:'l c:l'h:ki'li:.,JE¢~i~ :i. r'i '(.the ], ar'id t.u~3f:? .:cd"v:] (:)tl'lc~r' '¢ ac't:.c)rs that may impact CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING Client Sample ID:POTABLE WATER LOT 4B BLK 3 MANN PWSID :UA Collected APR 9 91 @ 11:15 hrs. ReceiYed APR 9 91 ~ 12:50 hrs. Preserved with :AS REQUIRED 5633 B STREET ANCHORAGE, ALASKA99518 TELEPHONE (907)552-2343 ANALYSIS REPORT BY SAMPLE for WORKordor~ 33158 Date Report Prlnted: APR 10 91 @ 16:57 Client Name Client Acer BPO ~ Req ~ Ordered By FAX: (907) 561-5301 :TOBBEN SPURKLAND, P.E. :TOBBENS PO ~ NONE RECEIVED Analysis Completed :APR 10 91 Send Reports to: Laboratory Superviior ,:ST~P~EN C. EDE 1)TOBBEN SPURKI, AND, P.E. Chemlab Ref $: 911328 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result Units Method Limits NITRATE-N 0%5 mR/]. EPA 353.2 10 Sample SAMPLE COLLECTED BY: T. S. Remaxks: Tests Performed * See Special Instructions Above UA=Unavailable None Detocted "See Sample Remarks Above Not Analyzed LT=Less Than, GT=Greater Than CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESllNG & ENGINEERING 5633 B STREET ANCHORAGE, ALASKA99518 TELEPHONE (907) 562-2343 FAX:(907) 561-5301 ANALYSIS RgPoRT gI ~ANPLI;: for WORKo=der% 3'3015 Date Repo~t Printed: APR $ 91 t 16~51 PWSID :UA Collectsd APR 4 91 @ 09:15 hrs. Resolved APR 4 91 t 10:40 Analysis Completed ;APR 5 91 Laboxatory Supexvlsor :STEPI£EN C. EDE Client Mot BPO t PO ! HONE ~[CZIV~D O~dexed By :TED MOORE Send Reports to: IJFLATTOP TECHNICAL SRV Chemlab Ret i: 911241 Lab S~,pl ID: 3 }lat~ix: Allowable ?a~am~tez Tek, ted Result Or~t~ ~sthod NITtATE-I{ 0.59 col/lO0 nR gPA 353.2 RECEIVED APR 72 19 I Municipali -" '-,ran Services S~,rr, p!* 3ANi"LE .£OLLf~CI5D BY: I.E. MOO~,E. lest! ?erlo::aod S~s Special Ins~zuctlon~ kbo~e UA-Unavailable None Detected '' See Set, plo ~smarks Above APPLI(' NT FILLS OUT UPPER HAl '- ONLY Property Owner ~.~ .~'~, ::: :?: ...., .. Phone Mailing Address '~; ' I · " i; : Zip Code r I' Address '~(,:.) :;~ ~., 3. ~,[. ,.,. ; ~ . :¢ : ! . : ~ ZipCode Lending Institution Phone Address '~ ! / i!'' Zip Code _ Realty Co. & Agent i 'i 'k: , ' .... !-/,~-\~ ;",, ?' ~. ~ ,. i i.: ;::~ z~p Code Address ~'; ~ . Legal Description !, : i L~ L'~ :" --~ i"~ \~ ~''';~'' '~ ~-<~(3','~ ~.., ~ Street Locatic~ ! I ', )~, ': i { ~ : Type of Residence ~] Single Family [] Multiple Family No. of Bedrooms - ~ L~ Other Water Supply ~ Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. [] Community For wells drilled prior to that date, give well depth (attach Icg il available), D Public Utility Sewer Disposal [] individual Year Individual Installed:_ ~ ~-' i ' [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: /"/''~ ~) MUNICIPALITY OF ANCHORAGE DEPT. OF H~/,LHI ,, ,, ;, ENVIRONM2N-fAL PP, OTECTION MAR ( ) APPROVED BEDROOMS "CONDITIONS OF APPROVAL ( (--~UDISAPPROVE D ( ) CONDITIONAL APPROVAL* BY: , Soils Ratin~nj;~ Date Sewer Installed Well To Absorplion Area Well Log Received ~ '-'% 7-- 3 ~ ?¢ We, to Tank Septic T,~k Si~e / I~,:,~ r. 1.')/ COZ ~4()4 !iargzell Road Ai~chol:-age~ Ak 99507 [{ubject: Lot 48, Olk3, i,'iann ;~',ub :iI~1 Apl~:¢:,w~,l for the individual se',~er ,u~d water ~[~cil:[ti~s ca~utoh be grant:~.~i u;'~til tho foilo,~in~l J. hem~.~ have boun comp].e~cd~ ° The uater analy:sin rc])ort needs to be r. tubmltto(~ 'to l.'.hi~ of:[fic:e f~.%na the Chore I,:-:d:~, 5633 ):, f~.t~?~..'c'h, fo'r our tank pumped 5.Iith a receipt ~.~ubmJ. ttt.:d to thJ.,~5 Please notify this bopartment for ~.~ rcinspcction when thc noted di. sc'cepn~'~cies have ~ ,~ further questions, please call this of'i[ice at 264-4720, Sinc~3rely, J1<192/o j/E1 Associato Envi~fonmontal ~i})ccJ. f~[[i:; ~; · ; INSPFCTION APPOINTMENTS TIME ~': TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MU~IcI~ALi~ OF ANCHORAcs BUNICl PA LITY OF ANCHO~AG E ~NViDEPT,_ OF HT,%Tif DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ONMENTAL ~:,;.~ ~ ECTION & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION JUL 8 1980 Telephone 264-4720 ' RECEiVeD REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACIDTIE~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER ~ PHONE MAILING ADDRESS ." PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION j PHONE %Al LINg ADD,ESS 4. REALTOR/AGeNT I PHONE MAILING ADDRESs 5. LEGAL DESCRIPTION STREET LOCATION MI+x/ 6. TYPE OF RESIDENCE X SINGLE FAMILY I--1 MULTIPLE FAMILY NUMBER OF~BEDROOMS E~] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY I NDIVIDUAL~ COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~f INDIVIDUAL/ON-SITE~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS . [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Cohnection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~ .~'-'"l ~'~ Connection Verified iNSTALLER [~Septic Tank or [] Holding Tank ('-~o ~'~ Size: la ~ If Tank is homemade SO~LS RATING give dimensions: ~_~"~ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line I 1 WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [~APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate} E~ DISAPPROVED DATE BY 72-010 (Rev. 6/79)