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PARADISE VALLEY BLK 2 LT 7
Paradi*se Valley Block 2 Lot 7 #020-424-14 (Rev 05/02/18) Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201233 PID Number: 020-424-14 Dwelling: K Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New E Upgrade Name Treaso McDaniel ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 5921 Greece Drive e: ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 2 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Paradise Valley 2 7 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer I Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz IFt. Well 100'+ aye- TANK A Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1000 Gal. Surface Water 100'+ Material HDPE Number of compartments 2 Lot Line 51+ NA Foundation I 6.8' LIFT STATION Manufacturer Capacity Gal. Remarks Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer Jr's Septic Drainfield CO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 102.1 ft Inspection151 9/9/20 nd 9/10/20 Location and description dates:2 3rd 4,h TOP OF DECK AT POINT A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Al_q� Conditional Approval: Date OF. TH .... ... .. p� Steven Pannone Septic System �� �`�% CE 8149 < Approved Date /�{ Z{J� �f��•� '� %0 ESS10 *' Note: this approval do of include well permit requirements.������� (Rev 05/02/18) U) 0 > ci — — — 81C U) ---I z -0 > 0 ;u C) CC) om z - K Co > F71 CA m 0 r- x ;:u m cl) U) m X C) -000CM-00 < * z > U, > z 0 > F - F1 c/) > 20 -4 0 > (1) 1 co -u 0 m 0 -U --1 0 m 0 c 0 0 0 Z M z m C4 L4 I\) z 7C) c: Co C/) -I� 0 Oo > In 0 -P, a) m Z U) M;o () z > m 0 IQ �u > rri" z > O z Fri 2� r- r- m x m n 0 0 Ci (A M ;u -0 > 0-) CD 10 M FTI ---j 1 0 z- Em Cid O un Co o z FTI to Z7 cf) tto II = r'r? m CD >n 0 0 c1r) m - > F F- F- F- m0 0 Om m ;;0 0 0 — > m m 0 �u r- .0 m o c 0 -Do cf) 0 m U) m i> --j O C/) > Z 0 mQ, 0 0ci F 0 GO M J> _0 U) M c') c 0) ;U C/) n ::,: < ---i 0 > m > U� oz O-<7\- rc, o D m;r\� * 0 m C. 0 0 0 0 1 w 0 r- cl 0 V)- u < 0 >0 -n m z m z i= x m --i M cf) m Cf) ccl - 0 / \ \ m ' � 3 ' m F- 3 m m NOTES: RECORD DRAWING PANNONE ENG SVC, LLC (C.I. 1088) P.O. BOX 1807 PALMER, AK 99645 V_ 0 At REVISIONS DATE 9/10/2020 PHONE (907) 745-8200 FAX (907) 745-8201 = A, SCALE A 1"=40' PARADISE VALLEY B2 L7 h P.I.D. NO DRAWN ACP TREASA MCDANIEL Steven R. Ponnom CE -8149 14 PYO SITE PLAN 1 5921 GREECE DRIVE 4; 1P201233 SHEET ANCHORAGE, AK 99516 7 nF 3 N >m m 'Q m NOTES: PANNONE ENG SVC LLC (C.1. '9088) RECORD DRAWING P.O. 60X 1807 PALIJER, AK 99645 PHONE 907) 745-8200 FAX (907) 745-8201 PARADISE VALLEY 132 L7 DRAWN ACP TREASA MCDANIEL 5921 GREECE DRIVE Steven R. P.—ne CE-8149 REVISIONS -I 9/10/2020 SCALE 1" = 50' P.I.D. NO 020-424-14 PERMIT NO. OSP2O1233 83962 ss$�4 Tract A ss Greenbelt Reserve 140 QQ Lot 6 \ !oQ AlSCALE: 1 "= 40' g Lot 7 c gry �V .. /Chain link fence Well OF • A4 111 a) A -Yo 2 Story c nj 49 '. * � / 7 10% p Frame f.. .. » 00 1Jt`� 4. t%c �enM� ho�� o ouse� Y.ri*z .. �eSeme • �O i M `�' Lot 8beth L. Walatka : �o oo Q en s \ deck 0 sTF • 8036 - LS • Jew® frj Wood ret. wallpF' . 5 ~ �1 encroaches 1.0'± o " » • » • » •,o `J6, (q' aFEssIONP\- U Op `v N° Gravel �. driveway RECERTIFIED 9-10-20 A r - 19 AS -BUILT NO CORNERS SET THIS DATE \� I hereby certify that 1 have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following �© described property: LOT 7, BLOCK 2, PARADISE VALLEY SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 14th day of MAY , 2014. EASEMENTS OF RECORD, OTHER THAN FB 20-4 pg 42 FRED WALATKA & ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED Recert 10-25-16 Engineers and Surveyors PLAT ARE NOT SHOWN HEREON BE 907-248-1666 UNLESS OTHERWISE NOTED. FB 14-6, pg 1 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. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 186650 470UElmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 Permit Number: OSp201233 Work Type: GepticTankUpgrede Tax Code Number: 02042414000 Site Legal Address: PARADISE VALLEY 8LK 2 L 7 G:3538 Site Mailing Address: 5921 GREECE DR, Anchorage ' Owner: k8CDAN|ELTREASAS Design Engineer: PANNDNEENGINEERING SERVICES This permit isfor the construction of: 0 Disposal Field Z Septic Tank Holding Tank F-1 Privy Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: 7/17/2020 7/17/2021 F -I Private Well 0 Water Storage All construction shall beinaccordance 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 (18/V\C80) 3. The wastewater code requires inspections during the installation. The engineer ehaUnotifytheDeve|opment Sbn/ioeuDepartment per AMC 15.65.Provide notification bycalling (0O7)343'7SO4(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received 6 MUNICIPALITY OF ANCHORAGE qY F"�T Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-424-14 Property owner(s) Treasa McDaniel Mailing address 5921 Greece Drive Anchorage, AK 99516 Site address same Day phone Legal description (Sub'd., Block & Lot) Paradise Valley B2 L7 Legal description (Township, Range & Section) Lot Size 28,664 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) ❑X Upgrade (w/wo ADU) FX -1 Duplex (D) ❑ Renewal ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE ! 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 Date of Payment: Receipt Number: Permit No. Permit App_- - ::....c -7/Lo 0085(0G OSP `�01'1�3, Waiver Fees: 610 Date of Payment: Receipt Number: Waiver No. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201233, Deb Wockenfuss, 07/17/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201233, Deb Wockenfuss, 07/17/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201233, Deb Wockenfuss, 07/17/20 I' DEPT. OF ENVIRONMENTAL CONSERVATION DIVISION OF ENVIRONMENTAL HEALTH DRINKING WATER AND WASTEWATER PROGRAM 555 CORDOVA STREET ANCHORAGE, ALASKA 99501 April 24, 2002 Lois Uitde0esch 5921 Greece Drive Anchorage, Alaska 995/(1& r%�tJ•�rhiG?r TONY KNOWLES, GOVERNOR Telephone: (907)269-7519 Fax: (907)269-7650 Re: Lot 7. Block 2,Paradise Valley Subdivision, Class C Public Water System (P WSID # 218659) ADEC Project # 1802 Dear Ms.1Jitdetlesch: _.. This is in response to the submittals that occurred on December 27, 2001, March 4, 2002 and April 17, 2002.1 have reviewed the engineering drawings, the water sample results and the operational recommendations regarding the septic tank and soil absorption system. It is my understood that the class C public water system source well located on Lot 7. Block 2, Paradise Valley Subdivision will not only provide water to the facility on the same lot, but in the near future provide water to other lots within the subdivision. Waivers - Your requests for waivers between the Class C public water system source well and the on -lot wastewater system are as follows: • To lessen the separation distance between fie Class C public water system source well and the two compartment septic tank to a distance of 100 feet • To lessen the separation distance between the Class C public water system source well and the on -lot soil absorption field to a distance of 125 feet. A review of the well logs, soil reports, current water sample results, and the plan drawings has taken place. It appears the waiver requests are reasonable. Therefore, in accordance with the State Drinking Water Regulations (18 AAC 80.020), the following waiver is granted. • The separation distance between the Class C public water system source well located on Lot 7, Block 2, Paradise Valley Subdivision and two compartment wastewater septic tank serving the home on this same lot has been waived from 150 feet to 100 feet. • The separation distance between the Class C public water system source well located on Lot 7, Block 2, Paradise Valley Subdivision and the on -lot soil absorption field serving the home on this same lot has been waived from 150 feet to 125 feet. The distance noted in the waivers are from the March 4, 2002 are from your submittal. It appears that these distances are from the nearest edge of the wastewater disposal system component to the nearest edge of the existing Class C public water system well. If any component of the existing wastewater disposal system faits or contamination can be traced back to the system, the above granted waivers will be invalid. Public Water System It appears that the public water system has been designed in accordance with State Drinking Water Regulations and guidance. 'therefore in accordance with State Drinking Water Regulations (18 AAC $0.200 (h)), approval as a Class C Public Water System is granted. A copy of the signed registration form, constituting the approval is attached. The Public Water Identification Number (PWS1D #) assigned to this public water system is 218659. This number will need to be on all laboratory request forms and test results to allow- the Department to properly credit this public water system. You may contact Ms. Jamie Staul with our Drinking Water Program at 269.7624, if you should need further information regarding samples for your public water system. Wastewater System It appear that the wastewater disposal systems has been designed in accordance with State Wastewater Disposal Regulations and Guidance. The engineerhas.provided a letter of the field investigation which stated the system was placed in use just recently (source well was installed in July 2001) and is in near new condition. Based on the submitted information the existing wastewater disposal system is approved for use by the proposed two bedroom Bed and Breakfast facility. The signed final approval portion of the Construction and Operation Certificate, constituting this final approval, is enclosed. These approvals do not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. Thank you for your cooperation. This number will need to be on all lab request forms and test results to ailow the Department to properly credit this public water system. If you have any question please do not hesitate to contact me at 269-7519. Respectfully, . William R. Rieth, P.E. Environmental Engineer WRR/lb Enclosures: As stated Jeff Gamess, A W W Jamie Stazel, ADEC, DW/WW EMTM ORAINFIEW 04 k EXISTING WELL (ZCAN� 2/14/2002 c Ur, DRON Or. AIASKA ANWITM & NVASTEANW11 SCALE: 4 CONSULTANTS, INC. ....... 1. 30* 1 f ........... ...... PE'.EPj'm FOR:.. PHONE MuMKR; PAGE NUMBER: LOIS UlTnFFIFRCH (907) 345-5050 2 OF 2 ..'Je ir A. Gamess: LEGAL DESCRIPTION:7953 PARADISE VALLEY SUBDIVISION; LDT 7, I8fLOCK:2 64010 ........ 'TYPE OF WORK:Professlol'd\ DRAWING FOR A.M.C. WAIVER FROM PHONE NO. : Oct. 18 2005 11:04AM P2 FROM : DYNrIM, C DLU FFR'r: `.S.U. : c'w,7c V014""iu:2'aeF :l : e:l�Rt+ RS .t» MA yurznarnau .� _.. i1Eial: [7•F El\'vi&oNMT oiTA L C:ONSER AXION gas CC)At>OVA ANCHOPAM, AY. 52502 i Phogo: (907)249•'/519 DrMION OF ENVXRONMMTAL BEALTH Faaa (507) 259.7630 ORWKING WATER AND WAb"t'EWAITIR PROGRAM � �dl..ww,stase nk tw/da cl C1CtOW 21, 20113 lvliolaai Andetsoh p$, Anderson $ugh eedno P,O, box 240779 AntaborW Alaalcd 995244M .gym; Lot 8, Block Z Pamdiso Valley Subdivision- Separ gM E)Ut hoc Waiver Betwedn an 1Rdeans Qus C Well lawsm t5 218659 and epfoposed Chi-Iot Alfuwyarsx Snit Absorption System, ADfiCFrgeety3156 Deer Mr. Anderson: 1116 Department hes 4ain mvitawad the eogloftrws &w "I sepporting doownwitation, svbetttved for a $spam ion diatattee waiv®r batwewt an exiatelnx elaaa C aaw a sal! em Loco, Biotic 2, Paradise 5 alley S¢bdivlatoa the a propoSod Advghtait ireatatgtt sylum and sof, abaoMdon system an Lot s of darn mm 'block and anEwiivisloa. on S67-41mber E, 2003, the davaiopitaetst issued a tatdaa apprevpa 8 a. gedaeed aepscat%n dienatca for this deveinpmoL however, when that dear tam snt�gttantly suhminmd td rhe Mwt+cipe,7icy of Aoehotayro, dta Pmpaced nitethate f�1d ase trquirod iaa ws4ved. .Any future modWIendaw to the onsite wastewater ayatm2ac" on IQ, 8 Wag be � this dopanmm pnlor ra mawas the mmulcations, a'pr"� by Your reTteus for waivots between the darn C t+ttWk wazx system and the on4lat w"ICewater system along wit n a review of the well logs, sett mpestta, ftma.wmw sample mutts, snit rw plant drawings has talm glace, $used on the infaratat,aa mAnditvtl, it appears the waiver requests are XOt%cave of public health, ft)dote, is amordanea with the State ZebAsmg *ethr R611WAtiotts (18 AAC 80.029), the Loilowing waiveaa ere a rated, • The 38172uafim disgtnes Lwwaen rhe alas$ C public water well lac zpd an Locl, Block 2, Pwadlea Valley 5abdiviidau and the two tow -passu®. supdo tank and the proposed Advantex treatment sysa:tn serving the home as !Oe S, this lama 6txk anti anbeiviaioa has laaen waived (ro a 1 feet m IGO fact The sapatadoa diCU & i etwaoa the ulnas C public wow well lo"W vn L oe7, )Slack 2. Pacadim Valley SmbftvWos and tba deep trench type soli absorption t;ysrem Ont lot S. this sates block sad ahbdivialm has heed sawed ftosa 199 foot W 114 Seel. The dia gams need in $Eta waivare are from your auswtw- ik appedcs short these mace's are frees she haataet edge of chs wYatar+atar diaposat aYstem roanponattr ro dta neaxrax bd4a q dw axiaring Class C pwbYie aster gysrem surf. if aey wasteararer dispecai xy:rnyta}sc w FROM : PHONE NO. Oct. 18 2005 11:05AM P3 FROM D)tgRmiC D•c:y,: lam. �+ei - - __.... ir- pq� rc; --------,._•-__.._..�.._.._ ...._._ �� _._.. uc_... „"Ann €Q; UC3/Oaa" i contamination can b4 =ej back to the sysmm, the walvers will hJ5 invalid and anew teview at Ws dovolapntent will be ngtdM. This approval is eatniugent upon your%ge.Wpt of may ether fai�al tip iacsl �yie which are aagtritad for your project. Yate are requlmd ro 6btaia all atlte+i zmeustry P m b0f0m proceeding with your pr4ect. You me 341 411 a that if this dcvaimpnmne witi rei pig fill In woUnnds or vvat in & Stream, aver 0r 1si&, peanits from tho VS. Ar Of EZAwA rs $nd the Alaska Di Pknm`k dM and Crams may be tegttited. A Cvas QoeStionngdm wit) help You ide nify Other pennW and approvals char racy be zoeWrrA prgwt• AnypWaon W110d 9-1 with 18 AAC 15,JPS- 18 AAC 13-540 infermti MV6W by the DiviaM ilcr�t fpg� i I e aeeordaaeo WA 15 AAC 15,18S.'JasRestautl anvlt+W reguosts roast be davowd to the Division MeCsor, SSS Cardova St., Anebotsgs, Alaska 99501, wdtWa 18 days cf the penuit dedd6m' Adjudkatosq headxW requests we= be &livered to the cammisiaria 0f rho DgWm0oat of ErivIMIlmental Commsryadon, 410 VVtioughby Avenue, Suiw- Sol, Juneau, Abxlca 99801, Whhin 30 d yds of the parmit d"miOn. If a hems is not requested within 10 daye, flee right to sp�eal is Wdv 9V7'1h'ant Ji: R9erb, pm r ' >?uvirw'.�ta1 BlAgiseer LOIS tftlaOetuh, wail nvvper David Johnson, DWAVW s I FROM PHONE NO. : Oct. 18 2005 11:06AN P5 _ FROM DY J. LJUIIC LUIJ ._ .._. P'P.iS ND. 9V 24e 703b Au• 2 G'3PM P3 v4b +J�LJ'JJ li�ifv�+,. .. j. 23 iae� ��:� �...•...•. �r .1T \. qw 74 r$9 I i Aj i op �erC 4o f 77w�� • well �8 4,000�6allpn � � TTIp��KK `� � Longg k Ida 't4 ' 11 1 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.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 Z 0 - Ll '�, Ll - I r'/ Permit Number SW Property owner(s) L,, , s cA' LA < P e s,,�, Mailing address (1) 5 12j 01_- A Day phone 3 `f - 5 C',s-c% Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) rN—, a Legal description (Section, Township & Range) Lot SizeAcres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Sewer Only ❑ Well Only ❑ Sewer and Well X Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I 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. (Signature of property owner or authorized agent) Permit Fees: 100' JU Waiver Fees: Date of Payment: s / 012 j Z Date of Payment Receipt Number: 02-000_��/ Receipt Number: (Rev. 12/00) 0% t, \ Iaf, ® Awt Municipality of Anchorage AL AW Department of Health and Human Services 825 °L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom ru^_ /n,^—.ct—h Mayor Permit Number: #SW 010182 Date of Issue: 6-12-01 Parcel Identification Number: 020-424-14 Date Started: 7-15-01 Date Completed: 7-20-01 Is well located at approved permit location? ® Yes ❑ No Legal Description: Paradise Vallev Blk 2 Lt 7 Property Owner Name & Address: Lois Uitdflesch 5921 Greece Drive Anchorage, Ak 99516 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .025 inches Organic & silt 2 14 Diameter: 6 inches Depth: 185 feet gravelly silt siltygravel 14 35 35 71 Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet gravelly silt silt 1 71 140 140 171 Static water level (from ground level): 113 feet Pumping level: 185 feet after silty gravel 171 182 2 hours pumping 100+ gpm water sand & gravel 182 185 Recovery Rate: 100+ gpm Method of Testing: airlift Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: Bentonite # 8 Volume: I bg Depth: Start 0 feet Stopped ± feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Clorine Tablets Comments: Well Driller: Alpine Drilling & Enterprises P O Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property nwnn nr tha man drilla, chall nrnvida o wall Jna to }ha Tlant of T-Taalth .0 T -Tasman SarviaPe mith:n C,rl nave of ommAatinn MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Upgrade Date Issued: Jun 12, 2001 Expiration Date: Jun 12, 2002 Permit Number: SWO10182 Parcel ID: 020-424-14 ., ,'ittlr - E°Y.a4;t:EY 131K. 21LT'.:7 1 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 005921 GREECE DR Owner Name: LOIS UITDEFLESCH Lot Size: 28664 SQ. FT. Owner Address: 5921 GREECE DRIVE Total Bedrooms: 2 Permit Bedrooms: 2 ANCHORAGE , AK 99516 - This permit is for the construction of: ii Disposal Field F 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: Issued By: Date: 6 \ Date: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. 020-424-14 Permit Number 5W0/0/8Z Property owner(s) LOIS UITDEFLESCH Day phone 345-5050 Mailing address (1) 5921 GREECE DRIVE ANCHORAGE, AK 99516 Mailing address (2) Zip Code 99516 Legal description (Lot, Block & Sub'd.) PARADISE VALLEY SUBDIVISION LOT 7 BLOCK 2 Legal description (Section, Township & Range) 664 Lot Size -28.58§ Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 2 Sewer Only ❑ Well Only ❑ Sewer and Well 0 Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I 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. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: 1 00 Waiver Fees_ Date of Payment: 3 — 3-8 -O Date of Payment: Receipt Number:a I'3 !7 Receipt Number:. ALASKA WATER & WASTEWATER CONSULTANTS, INC. March 20, 2001 t "`sed on 6/1-1/01. Municipality of Anchorage Department of Development Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 1, C� i S ' 'p ct'=' � Ref: Well and Septic System Design for Paradise Valley Subdivision; Lot 7, Block 2 RECIRCULATING TRICKLING FILTER (Advantex m) SYSTEM To whom it may concern: 1. GENERAL: The existing two bedroom house is currently served by a private septic system and a water haul system. We are proposing to drill a well on the property and replace the existing septic tank with a 2000 gallon Advantexrm tank and tricking filter. 2. ORENCO PACKAGE SYSTEM: The S.T.E.P. tank with the trickling filters will be manufactured in accordance with the latest criteria established by Orenco Systems, Inc. It may need to be a deep burial tank in order to obtain gravity flow. 3. SURFACE WATER: There is no surface water within 100 feet of the proposed septic system upgrade. 4. CLOSING: The proposed well location will encroach somewhat into Lot 8, Block 2 (Paradise Valley), however, most of the area encroached upon is unusable as a septic system site because of a steep (almost vertical) cutbank (sloping down from Lot 8 to Lot 7) that parallels the property line between Lot 7 & Lot 8, and the steep drop off to the north down to Rabbit Creek The septic system for Lot 8 should be at least 50 feet from the vertical cutbank that parallels the shared lot line, and at least 35 feet back from the ridge line that drops off to the north. In short, the septic system for Lot 8 will need to be somewhere in the southeast portion of the property. am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If yRu have any questions, please call us at 337-6179. .E., M.S. 6901 Debars Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 ALASKA WATER & WASTEWATER CONSULTANTS, INC. March 20, 2001 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Rei Well and Septic System Design for Paradise Valley Subdivision; Lot 7, Block 2 RECIRCULATING TRICKLING FILTER (AdvantexT) SYSTEM To whom it may concern: 1. GENERAL: The existing two bedroom house is currently served by a private septic system and a water haul system. We are proposing to drill a well on the property and replace the existing septic tank with a 2000 gallon AdvantexTM tank and tricking filter. 2. ORENCO PACKAGE SYSTEM: The S.T.E.P. tank with the trickling filters will be manufactured in accordance with the latest criteria established by Orenco Systems, Inc. It may need to be a deep burial tank in order to obtain gravity flow. 3. SURFACE WATER: There is no surface water within 100 feet of the proposed septic system upgrade. 4. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on a(D,pent wells, or septic systems. If you have any questions, please call us at 337-6179.. / �/� P.E., M.S. 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 PARADISE VALLEY S/D / LOT 5, BLOCK 10, � p o�.FR cREEk PARADISE VALLEY S/D Rq��NF LOT 4, BLOCK 2, PARADISE VALLEY S/D f LOT 5A, BLOCK 2, \ / pROPOSEb f Y WELL\ II 10 W � \ \ PROPOSED f \ I SEPTIC \ ADVANIEX TANK \ I \\ ARS \\ I EXISTING 11Y0 BEDROOM HOU; PARADISE VALLEY S/D LOT 6, BLOCK 10, -- * PARADISE VALLE(( S/D LOT 8, B K 2, EXISTING SEPTICACANT� \ i\ SYSTEM \ PARADISE VALLEY S/D LOT 7, BLOCK 1. ACA D \ \ I 1 \ \ PARADISE VALLEY , 1 \ \ \ LOT 8, BLOCK 1, \ \WACANTT \ PARADISE VALLEY \\ \\LOT 9, BLOCK 1, PARADISE VALLEY S/D \\ \ LOT 18, BLOCK 1, \\ \ DATE: 6/7/01 DRAWN BY: ALASKA WATER & WASTEWATER K.D,W./B.S.I -- CONSULTANTS, INC.SCALE` coni —Am nnen eiuTC ou • eWWWAr.F 6K 00.% . • WWF (907)337-6179 - FAX (907)3364246 1" — 1 ODl LOIS UITDEFLESCH (907) 345-5050 1 1 OF 3 PARADISE VALLEY S/D; LOT 7, BLOCK REVISED SITE PLAN FOR SEPTIC TANK UPGRADE & NEW WELL PARADISE VALLEY S/D LOT 9, BLOCK 2, WACAITD PARADISE VALLEY S/D LOT 10, BLOCK 2, (2�—=visE-P �\ EXISTING 1000 \� \ GALLON SEPTIC TANK " + TO BE ABANDONED. "+ / ALASKA WATER & WASTEWATER K.D.W/B.S.G. Cl)SCALE: •.. CONSULTANTS, INC. 1" = 30' '••••" ". . •• ..••. •�'" 6901 DEBARR ROAD. 5UITE 2B • ANCHORAGE AK 99504 • PHONE (907)337-6179 • FAX 907)33"Z46 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••. •.••........ LOIS UITDEFLESCH (907) 345-5050 2 OF 3 f e Garnessr LEGAL DESCRIPTION:m C 7953 `�o� PARADISE VALLEY SUBDIVISION; LOT 7, BLOCK 2 O „ •• TrP DESIGN FOR SEPTIC TANK UPGRADE & NEW WELL 444���4pp000a`�� PROPOSED 2000 GALLON / I RECIRCULATING SEPTIC TANK WITH FILTERS (ADVANTEX). THE TRICKLING CONTRACTOR SHALL INSURE THAT TANK / THE BURIAL RATING OF THE IS ADEQUATE FOR THE ACTUAL / BURIAL DEPTH ENCOUNTERED. / 100' WELL RADIUS / PROPOSED WELL /rte 1 pAri � EXISTING GRAINFIELD 70' \ [/ o > (APPROXIMATE LOCATION) < INSTALL FOO �\ EXISTING 1000 \� \ GALLON SEPTIC TANK " + TO BE ABANDONED. "+ / ALASKA WATER & WASTEWATER K.D.W/B.S.G. Cl)SCALE: •.. CONSULTANTS, INC. 1" = 30' '••••" ". . •• ..••. •�'" 6901 DEBARR ROAD. 5UITE 2B • ANCHORAGE AK 99504 • PHONE (907)337-6179 • FAX 907)33"Z46 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••. •.••........ LOIS UITDEFLESCH (907) 345-5050 2 OF 3 f e Garnessr LEGAL DESCRIPTION:m C 7953 `�o� PARADISE VALLEY SUBDIVISION; LOT 7, BLOCK 2 O „ •• TrP DESIGN FOR SEPTIC TANK UPGRADE & NEW WELL 444���4pp000a`�� AdvanTex Treatment Systems PNOTE-- JIM .E. HAS THEOSS, AX Series - Mode 1 a ,,;DVANTEX MANUAL Pods 2- K r i i,r i i O Y Y Y Y YII Y Y Y x Y Y Y Y Y K THE HOMEOWNER SHALL DECIDE THE NUMBER OF PODS TO BE INSTALLED AT THIS TIME. AS A MINIMUM, 1 POD SHOULD BE INSTALLED FOR A 2 BEDROOM RESIDENCE. PA w /.N VENT N69 m -.1 2000 CALON (MIN � �S�T,EP, TANK 4, ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARK ROAD. SUITE 213 • ANCHORAGE, AK 99504' PHONE (907)337-6179_' FAX (90TM47 2 PREPARED FOR: PHONE NUMBER: LOIS UITDEFLESCH (907) 345-5050 LEGAL DESCRIPTION: PARADISE VALLEY SUBDIVISION; LOT 7, BLOCK 2 TYPE OF WORK: PROFILE VIEW OF PROPOSED ADVANTEX SEPTIC TANK NOTE: THE BOARD INSULATION TO BE INSTALLED OVER THE SEPTIC TANK & 4" BEYOND ON ALL SIDES EXCEPT UNDER THE ADVANTEX FILTER. THIS WILL ALLOW FOR HEAT TO ESCAPE FROM TANK & RISE TO THE FILTER ABOVE IT. FROM TANK TO FILTER n TO DRAINFIELD SCREENED VAULT ' ORENCO EFFLUENT PUMP 10/17/2000 0 4WN BY: K.D.W. O MF: N.T.S. ;E NUMBER: 3OF3 , :] THE AX -10 PODS SHALL BE PLUMBED SO THAT THEY CAN EACH BE ISOLATED. A. G�O t1es,•' -7953 \�: 'NSM IT KNEW I&M, 01 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name LOIS UITDEFLESCH DISTANCES FROM TO SEPTIC TANK ABSORPTION FIELD WELL Address 5921 GREECE DRIVE ANCH. 99516 WELL N/A N/A t <, Phones 345-5050 Permit No. No. of Bedrooms 2 LOT LINE over 20 1.1 N/A LEGAL DESCRIPTION Lot 7 Block 2 Subdivision PARADISE VALLEY FOUNDATION N/A N/A N/A Township, Range, Section - AS-BUILT DIAGRAM (Show location of well. septic system, property Ines, foundation, driveway, water bodies, etc, TANKS SEPTIC ❑HOLDING 6 Manulactur r CA1 Capacity in gallons 1000 gal Material STEEL No. of Compartments 2 TYPE OF SYSTEM ❑ TRENCH ®%BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from ongmal rade Varies 1A, - 3 FT Total depth from original grade Varies 2 - 3k FT t a VTut Fill added above original grade VARIES 2 to 4 FT Gravel depth beneath pipe 0.5 FT Gravelh� lith 50' 0t 1 end long endT Gravel width 16 FT Total absorption area SQ FT Distance between lines 5.5 FT , tA law B Number of lines Soil rating /65 SO FT Pipe material pvc .Installer Lois ( Owner ) Date Installed Oct 10, 1988 WELLS . ❑ PRIVATE ❑ OTHER (Identify) r Classification fA, B,Ct NO WELL ON THIS OR Total Depth ADJACENTFT Cased to LOTS. FT y � SW CO . Installer Date Installed: REMARKS:V11Vt DISTANCES TO STANDPIPES AC=56.9 AF= AD=59 — BF= Scale: � � G . o n ectionsPer�ry�d-y mOn lJft�tce E Eyai� S car °°•;°;%yS� r = R 7H A I AE=102.8 BC 11.9 AG= Ic-0 Date: CE- BE=55 (-� -���� I certify that this inspection was performed according to all.'P Municipal and State guidelines in elfect on this tl Health Department Approval: Date: aut °. Bruce D. Patterson .°• CE 5034 .;> �, `•,••• °°" ��`• w 72-013 (3/85) MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343 `'/, ON-SITE SEWER & SEPTIC TANK & WELL PERMIT Permit Numbers 880166 Date Issued: 08/22/68 Engineer Designed ' Owner Name: LOIS UTTDEFLESCH Owner Address: PO BOX 232222 ANCHORAGE, AK 99523 Parcel Id: 020-424-14 Lot Legal: Subdivision: PARADISE -VALLEY Lot: Section: 11 Township: 11N Range: Lot Rize 28000 (sq"[t. or acres) Max Bedrooms: This Permit: 2 Total Capacity: No /� ��rL�. I � Day Phone: 268~9975.x �,, c� 7 BlockxvQ A 3W 2 /Lj- /�.J'6D SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons" Each septic tank must have at least 2 compartments. Depth to top of septic tank(s) < 4"0 feet requires insulation over tank(s). WELL: Log must be submitted to Municipality of Anchorage Department of Health and Human Services within 30 days of well completion, PER ENGINEERS DESIGN, INSTALL A BED TYPE SYSTEM, 32' X 16/: DEPTH 3/" CONFIRM PERC RATE AT TIME OF INSTALLATION" NOTIFY DHHS PRIOR TO EACH INSPECTION. DISTANCE TO BLUFF LINE WAIVED TO 301. THIS PERMIT IS ISSUED FOR A SINGLE FAMILY RESIDENCE ONLY AND EXPIRES 12/31/88" I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska" 2" I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3" I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well� wastewater disposal system o, public sewerage system on this or any adjacent or nearby lot. 4^ I understand that this permit is valid for a maximum of 2 bedrooms. I also understand that the capacity of the total system is 2 bedrooms and any enlargement will require an additional permit, Signed: ' DATEx ��������----��-- (Owner) LOIS FLE v ,�r— Issued By: DATE: (D U5e. )-Ir-c, lie. o /b m/nJcS pe -r- I,zc� -Sof ( Pa e- /&S -sq cx.ck-f-o- i P?, -r J)ecf rooms e Ph R ) oA-e� o-eraA c4 1 e Pa- co - S r /' � terse-i-l� � S �e �xcec�s ff o P CRS.) 68 P K, to ° = 3 500 5 7Pe e ,)� %Y< <n 107 u0)7 1(l St F2. P,'F- ck, f Cel [)QC( rroc.1&s)( = 33 0 � Rei &►n OX00Q:5 33v n l,5 = 4? -5-4z: f 4q5 - /G7 3 q5/Gz3 = wrc(4k �.�(�- 1e�4 PERFORMED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST LOIS UITDEFLESCH DATE PERK LEGAL DESCRIPTION: T.nT 7 RTK 7 PARATIT4F AATTF+oWnship, Range, Section: DEPTH SLOPE SITE PLAN 1 4 1 ORGANIC LAYER 2 3 SANDY GRAVEL. WITH SOME SILT GRADING DM SANDY SILTY 4 GRAVEL TO SILTY GRAVEL AT 5 AT THE BOTTOM OF THE HOLE. 6 THE MATERIAL IS OVERCONSOL- 7 IDATED AND IT VERY DENSE AND HARD BELOW THE ACTIVE 8 LAYER. PERCABILITY DECREASES g RAPIDLY WITH DEPTH. 10 11 12 13 14 1--- BOTTOM OF HOLE 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? IF YES, ATWHAT DEPTH? Depth to Water Ager Monitering7 Date: q e% 20 I II_ JI PERCOLATION RATE minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND 3Z Z FT COMMENTS LAYERS OF SILTY MATERIAL THROUGHOUT THE DEPTH OF THE HOLE. SOIL IS POORLY STRATIFIED LAYERS ARE DISCONTINUOUS. ONLY THE TOP FOUR FEET APPEARS ACCEPTABLE FOR DRAINFIELDS. PERFORMED BY: BRUCE D. PATTERSON P. E. I BRUCE D. PATTERSONOERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: JULY 971999 72-008 (Rev. 4/85) .p g ��.! � P �yA O ... rf ?•'.�a.� . .fnyr t +T^� � ._r � 4'rt�' '�- r.3 � E Y � 1 S[. �j�- C Original �, 7 Field 108 ep {c GRE 6� C / 360 ag5 0 P�IV p f FIELD DIMIlVSIONS 30 too. MINDRM WIDTH 16' MINMM LENGTH 32' \ € 3 DRAIN PIPES 5' 4" on center 2' 8" from outside pipe to edge of field. Minimm size of septic tank 1,000 gallons. �, *6 Ida ��aK♦-^.+.r4r. �6'� ^`10JP•1J949 �Y�vC'd �(cavlt �C toss S�e�. Robert P. Drayer/ { is tl v a•`, eaa,oem o ®�� t;FFSS16'md AL LA�� EXCHIti MI VOTE: It le the mrnxn' r:ia Pnnslblilty to dotermina tfle exletmoe of any anermlente, rovenants, or aeatrlollone which do not appanr on Nle recorded stibdivlslon plat. tlndlir ne clrcurnstanros should any dnto Herron be Bled for construotlon or for estabffshfnp boundary of fence IIN& -- SURVEY CERTIFICATION: I hereby certify that I have surveyed the property shown and de � h . scribed hereon and that the Improvements situated thereon are within the property lines and n encroachments exist other then noted. Original �, 7 Field 108 ep {c GRE 6� C / 360 ag5 0 P�IV p f FIELD DIMIlVSIONS 30 too. MINDRM WIDTH 16' MINMM LENGTH 32' \ € 3 DRAIN PIPES 5' 4" on center 2' 8" from outside pipe to edge of field. Minimm size of septic tank 1,000 gallons. �, *6 Ida ��aK♦-^.+.r4r. �6'� ^`10JP•1J949 �Y�vC'd �(cavlt �C toss S�e�. Robert P. Drayer/ { is tl v a•`, eaa,oem o ®�� t;FFSS16'md AL LA�� EXCHIti MI VOTE: It le the mrnxn' r:ia Pnnslblilty to dotermina tfle exletmoe of any anermlente, rovenants, or aeatrlollone which do not appanr on Nle recorded stibdivlslon plat. tlndlir ne clrcurnstanros should any dnto Herron be Bled for construotlon or for estabffshfnp boundary of fence IIN& -- SURVEY CERTIFICATION: I hereby certify that I have surveyed the property shown and de scribed hereon and that the Improvements situated thereon are within the property lines and n encroachments exist other then noted. _ PLEASE NOTE: It is the contract LEGEND: SET FOUND wo •' ANEERS • PLANNERS • SURVEYORS -or's responsibility to check top 5/8" REBAR • 0 of foundation In relation to HUB &TACK O to oau. By: K� i ST BENSON BLVD, finish grade and building set- MONUMENT Gil () )RAGE, ALASKA 99503 5626291 backs In relation to lot lines AL -CAP and sasemnnts• PK NAIL IRON PIPE X (d) anio: DESCRIPTION: =ELEVS.-DATUM �1 L_OT STA K E ASSUMED Fe. •: 4Z ZOZ Sf/LF; III l YARh��SE VAu EV a"tB' 0523- 8A :NGINEERING EVALUATION and SHEET NO. OF INVESTIGATION SERVICES CALCULATED ByDA 200 West 34th, #267 ANCHORAGE, ALASKA 99503 CHECKED BY DA PGOMUMI0.1 Inc, GfM . Mm 01671. MUNICIPALITY OFANCHORAGE Roe.)" 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. 020-424-14 1. GENERAL INFORMATION Complete legal description Paradise Valley B2 L7 Location (site address) 5921 Greece Drive Current property owner(s) Mailing address Treasa McDaniel same Expiration Date: Day phone Real estate agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 2 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic El Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 0 Coy I Date of Payment o Receipt Number 7 %� 5G COSA# 05C201_g01 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE System #1 Approved for 2 bedrooms System #2 Approved for bedrooms Disapproved Date 49 TIc �1c, Sever i?. Pein,iome '. CE 0140 , �reslF'•. •'�Vt�� Conditional approval for bedrooms, with the following stipulations: QQ�I`OFAACN �/i w_% VQ) J � ATER ANS Z J kAM _ JJ/ h, By: Original Certificate Date: (? y 20 The Municipality of Anchorage; evelopment Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory _ _ Other COSA Checklist blue sheet Legal Description: Paradise Valley B2 L7 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA ❑ Well log is. filed with Onsite (or attached) Date drilled 7/20101 Total depth 185 ft Cased to 185 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 41 in. Date of flow test for COSA 7/672020 Static water level at beginning of test 84.7 ft. Comments B. TANK DATA Age of tank(s) 1 72020 years Tank type/material S�P:k,"= Measured operating fluid level in septic tank n/a ❑ Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Bed Which system tested (date installed) /0/10/6 ❑ ALL standpipes present per record drawing Total measured depth from grade 8.1 ft (max) Measured depth to pipe invert from grade 77 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 0.4' ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Drain field is approximately 60-70% used COSA Checklist yellow sheet Parcel ID: 020-424-14 Structure served by this system 1 Well production at time of test 2.74 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes UNo ❑ Coliform bacteria is Negative Nitrate 1.13 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Pannone Engineering Date of Sample 776/2020 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 7/6/20 Results QPass For 2 bedrooms Fluid depth prior to test 3 in Water added 300 gal New depth 6 in Elapsed time 30 min Final fluid depth 3 in Absorption rate 1450 gpd Any rejuvenation treatment (past 12 months) no If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Building Foundation > 10' Yes Community Sewer Manhole/Cleanout > 100' ®Yes if No ft / Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25'✓M Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' El Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' El Yes if No ft F✓ Yes if No ft Yes if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft M Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 6.8 ft Surface Water > 100' Q Yes if No ft Property Line > 5'✓� Building Foundation > 10' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' 0 Yes if No. Water Main > 10' Water Main > 10' Yes if No ft Community Wells > 200' Q Yes if No. Water Service Line > 10' Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10'✓❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' ®✓ Yes if No Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION ,C 4F A4., S low A� I l certify that l have determined through field inspections and review co _ 9 of Municipal records that the above systems are in conformance with I MOA COSA guidelines in effect on this date. Steven R. Pannone CE 5149 i COSA Checklist yellow sheet ft ft ft ft PGE„ s4� • Municipality of Anchorage On -Site Water and Wastewater Program 4 (907) 343-7904 s A r E T Certificate of On -Site Systems Approval Parcel I.D. 020-424-14 Expiration Date: S^ 1. GENERAL INFORMATION Complete legal description Paradise Valley, Block 2, Lot 7 Location (site address) 5921 Greece Drive Anchorage, AK 99516 Current Property owner(s) Tina Martin Day phone Mailing address 11722 Lugene Lane Eagle River, AK 99557 Real Estate Agent Day phone 2. TYPE OF DWELLING El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: TWO 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well (] Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by;Date: jI S COSA to be released to the engineer, unlessrotherwise requested by the engineer. COSA Fee - ee` be)a W Waiver Fee $ Date of aepmerit- It 19511-5 Date of Payment Receipt NumberG 1 Receipt Number COSA # �JC� ✓ 1 ( r (P Waiver # 1 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 11/2/2015 ^S 6. DSD SIGNATURE _ 1 L/ System #1 Approved for C� bedrooms % V k MICHAEL E ANDERSON •i i�'y No. CE -6361 �_� System #2 Approved for _ bedrooms �� f K- %gid Disapproved ♦+441�iiiS' ! �4 Conditional approval for bedrooms, with the following stipulations: B - f Original Certificate Date: Municipality of.Anc�ic egerOevelbpm t 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 Septic System Advisory Well Flow Advisory COSAhWesheeLE ., c Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist #of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Paradise Valley, Block 2, Lot 7 Parcel ID: 020424-14 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (YM) Y Date completed 7/15�Q1 Sanitary seal (YIN) Y vires properly protected (YM) Y Total depth 185 ft Cased to 185 ft Casing height (above ground) >18 in. FROM WELL LOG AT INSPECTION Data of test . 7/15/01 612/14 Static water ieve1 g 91.3 "ff Well production 100 g.p.m. 3.8 g.p.m. WATER SAMPLE RESULTS: 638 Coliform 0 colonies/100 mL Nitrate mg/L Arsenic ND ug/L Date of sample: 10/19/15 collected by: Anderson Engrg. B. SEPTIC44OLDINGs TANK DATA Tank rype/Meteriar SepticStei Data installed. 10/88 Tank size 1,000 gal. Number of Compartments __i :; Cleanouts (Y N) Y Foundation cleanout (YM) Y Depression over tank (YIN) N High water alarm (YIN) N Date of pumping 6/6/14 Pumper Around the Clods Pumping C. ABSORPTION FIELD DATA Date installed 10/88 Sot rating (g.p.d.fle or ftzlbdrm) 165 SFIBDRM System type Bed Length 50'& 35' ft. Width 16 ft. Gravel' below pipe .5 ft. Total depth 11-14ft. Eff. _absorption area 680 ftp Monitoring tutee,.. Depression over field N Date oto adequacy t 6/2h 4 Results (Pas'alFail) Pass For Y bedrooms •,, , ,, ,` Fluid depth in absorpdon'field before test 1 in. Water added 1,030 gal. New depth 4`5 in. Elapsed Time: - 1 min. Final fluid depth 1. 'in. Absoirption rate >= _450---g.p.d. Any rejuvenation treatment'(past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump air level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Manhole/Access (Y/N) High water alarm level at in. Cycles tested Meets alar & circuit requirements? Septic tankllift station on lot >100' Absorption field on lot >100' Public sewer main N/A Sewerlseptic service line >25' Animal containment areas >501 SEPTIC/HOLDING TANK ON LOT TO: On adjacent tots >100' On adjacent lots >100' Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal exciste storage areas >100, Building foundation >5Property line >5I Absorption field >5! Water main >10' Water service line -, >1 01 Surface water >100 Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >19 Building foundation >10' Water main N/A Water service line >10 Surfacewater >100 Driveway; paWrigNe",storaige >10 Curtain drain None Noted WeiN on adjacent krts >100' F. COMMENTS House has been unoccupied since issuance of COSA in 2014. 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 COSH guidelines In elfeton this date. Engineer's Printed Name Michael E. Anderson, P.E. D 11/2/2015 COSA brom sheet_7610-12.doo • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 020-424-14 Expiration Date: 1 GENERAL INFORMATION Complete legal description Paradise Valley, Block 2, Lot 7 Location (Site address) 5921 Greece Drive Anchorage, AK 99516 Current Property owners) Megan L. O'Connor Day phone Mailing address Real Estate Agent 829 East 46th Court Anchorage, AK 99503 2. TYPE OF DWELLING: E] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: TWO 4. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request for:. Received by: Day phone JUN 18 2014 TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ COSA to be release tot engineer, unless otherwise requested by the engineer. Daterv n c J COSA Fee $ �Juyr Waiver Fee $ Date of Payment (of t fl iq t", Date of Payment Receipt NumberO�J'�r(S N Receipt Number COSA# 05c4q Lus� Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SIGNATURE System #1 Approved for -�), bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the followii Phone 522-7773 By; qA Original Certificate Date: 6 The unic{pa IIty Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Wue sheet S ', c If more than 1 septic system is on the lot: COSA Checklist # _of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Paradise Valley, Block 2, Lot 7 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Date completed 7/15/01 Sanitary seal (YIN) Y Total depth 185 ft. Cased to 185 ft. FROM WELL LOG Date of test 7/15/01 Static water level 113 ft Well production 100 9-P m WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 5/20/14 B. SEPTICIHOLDING TANK DATA Parcel ID: 020-424-14 Well Log (YIN) Y Wires properly protected (Y/N) Y Casing height (above ground) >18 in. AT INSPECTION 6/2/14 91.3 ft. 3.8 9 -P.M. Collected by: Anderson Engrg. Tank Type/Material Septic/Steel Date installed 10/88 Tank size 1,000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 6/6/14 Pumper Around the Clock Pumping C. ABSORPTION FIELD DATA 10/88 d./ft2 or ft2/bdrm) 165 SF/BDRM System type Bed Date installed Soil rating (g.p. Length 50' & 35' ft. Width 16 ft. Gravel below pipe .5 ft. Total depth 11-14 ft. Eff. absorption area 680 ft Monitoring tube Y Depression over field N Date of adequacy test 6/2/14 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 1 in. Water added 1,030 gal. New depth 4.5 in. Elapsed Time: 11440 min. Final fluid depth 1 in. Absorption rate >= 450 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot >1 00' On adjacent lots >100' Absorption field on lot >1 00' On adjacent lots >1 00' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line >25' Holding tank N/A Animal containment areas >50 Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: � r � Building foundation >5 Property line >5 Absorption field Water main >10 Water service line >10 Surface water >100 Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10, Building foundation >10, Water Service line >10' Surface water >100' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P. E. Date 6/11/14 COSA brown sheet 10-10-12.doc Water main N/A Driveway, parking/vehicle storage >I 0, [7 +s a AMMWN E��d381 � PRBFfSS10- �'►� iaaa���s ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX LL�CG\� 11 DATE: June 30, 2014 TO: Jeff Poet FROM: Mike Anderson, P.E. -a4 j -a-- SUBJECT: Lot 7, Block, Paradise Valley Subdivision Certificate of On Site System Approval (COSA) We inspected the septic system on the subject lot and found that nearly 5' of fill material had been placed over both the septic tank and the absorption bed. No vents were above ground. We located the tank and raised the vents above ground. We then followed the septic tank outfall line to the bed and replaced the pipe. A new clean out and a new monitor tube was placed in the bed. It was determined that to find and replace all of the vents would have been expensive and impractical. All of the new vents are shown on the surveyor as built submitted with the COSA. Lot 6 1 rn N Al Lot 7 aseme�\t Pyr E 2 Story Frame \ Sligo Tract A 69, Greenbelt Reserve F �4Q 00 \ c woo - ; 6ravei \ R\CF 4.08 -,drive \ O\F • rs Wood ret. wall A4,1 �I or 49th 'Y 10 00Fred Walatka �� ^�� • 3255 - S_4LVAV Rio , Jho ` EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 146, pg 1 Lot 8 SCALE: 1 "= 40' 83962 REVISED 624-14r,/ AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 7, BLOCK 2 PARADISE VALLEY SUBDIVISION Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 14111day of May ,2014. FRED WALATKA & ASSOCIATES BEEngineers and Surveyors (907-248-1668)