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Home My WebLink AboutROLLING HILLS ESTATES BLK D LT 14Onsite File Rolling Hills Estates Block D Lot 14 #011-072-38 5 V SMITTA, Municipality of Anchorage 0 On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211492 PID Number: 011-072-38 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New *Upgrade Name WATSON ABSORPTION FIELD Site Address Deep Trench [J Wide Trench El ❑Mound 5221 WANDERING, ANCH AK Phone EJ Other Number of Bedrooms Soil Racing Total depth from original grade Number 0.8 GPD/SF 10 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade LGravelepth beneath pipe Subdivision Block Lot 2 ROLLING HILLS EST. BLK D, LOT 14 Ft. Ft. Fill added above original grade Gravel length Township Range Section 1'+ Ft. 50 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 2.0 Ft. To Ft. Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches Tank Field Lift Station 060 From Tank Line Ft2 1 _ Ft. Well 100'+ 1 00'i- rJO�+ TANK ❑p Septic ❑ S.T.E.P. ❑ Holding ❑ other Manufacturer Capacity Surface Water 100'+ 1001+ GREER/ANCH TANK 1500 Gal. Material Number of compartments Lot Line 10'+ 10'+ NA PLASTIC 2 Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 Installer drainfield MIKE N ANDERSON, P.E. Drainfield 3034 CO/MT3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 105 ft Inspection 1" 3/7/22 2 3,M8122 Location and description 3rd 4'h TOP OF TANK MH ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date T Septic System / h1tCNvCL v. � Approved Date 3:3' Z $¢;�rJ•. CE_91A�. Note: this approval does not include well permit requirements. �`r4� r ' • ' (Rev 05/02/18) Permit No. OSP211492 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: ROLLING HILLS ESTATES BLK D, LOT 14 PID No.: 011-072-38 MARK A B C C01 16 8 CO2 17 9 1 TC01 20 13 / TCO2 25 18 \ CO3 30 22 C04 31 23 \ VALVE 32 24 \ 1105 27 13 CH, TOP OF MH MT 67 56 C06 85 70 i VAL �� MTr� ,CO6 __---- TC03, 04 5e _T0 C01 C05 i B 100' WELL RADIUS \ HOUSE \ 1 1 I / ® I — — — — SCALE: 1"=50' OVER TYP 6:01'IL®VI®1® COl CO2 [COI/M. TCO2 CO3 C04 VALVE /` 'hi C05 MT C06 ®'®�P�•p•••O •••• �ea' it C05 All A" -1.0 OR ® 49TH io ii FABRIC••• n NEW 1,500 GALLON ML • ••. •• . . • •. PLASTIC TANK B�', MICHAEL N. ANDERSON AV s®� . No. CE 9469 0'Ar AV 4 �®. ..,3 28-22 • 0 SEM SFCP N.T.S. DRY MAY 1996 � 1 1 / — — — — SCALE: 1"=50' OVER TYP 6:01'IL®VI®1® COl CO2 [COI/M. TCO2 CO3 C04 VALVE /` 'hi C05 MT C06 ®'®�P�•p•••O •••• �ea' it C05 All A" -1.0 OR ® 49TH io ii FABRIC••• n NEW 1,500 GALLON ML • ••. •• . . • •. PLASTIC TANK B�', MICHAEL N. ANDERSON AV s®� . No. CE 9469 0'Ar AV 4 �®. ..,3 28-22 • 0 SEM SFCP N.T.S. DRY MAY 1996 LOT 8 LOT 11 / LOT 7 14 / ( —cr_ Off° °°� �� 06 r7 C6 LOT 6 / w / LOT 14 P LOT 12 / BLK D I o e / ®SEPTIC ® ( O PENT (tYp) O O O (31 cS'9; 2 CPNt DECK 1 0 X__— X_.X___ . �0 -q23.0 s6.0 r Q+, ,si ;p X1.0 cD % 27.0 MH Hp M a g,d I LOT 15 oCPJ,34.6 4 v CANT 24.0 t 9. x 9I LOT 13 '9j Q ( = FND 5/8" REBAR a I x ANCHORAGE RECORDING DISTRICT, ALASKA. I AS-BUILT OF: ROLLING HILLS ESTATES WANDERING x LOT 14 BLOCK D PLAT F-486 LANE SUR V� SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a �, � OF ,(� �1� 1. L •i v,, physical survey of this property as shown on this drawing and that the �� . • ' ' ' ' ' ' �l improvements situated hereon are within the property lines and no c� . ' 9 p �J enchroachments exist other than noted. Under no circumstance should . i ?: 49TH any information on this drawing be used for construction of fences, ® -Vol z structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine ' ' ' ' ' "' ' ' ' ' ' ' ' . • . ' • . . the existence of any easements, covenants, or restrictions which • '• L. SCHULLER: O do not appear on the recorded subdivision plat. LS-10408 WORK ORDER NUMBER: DAZE: scar —MA$:� e � � ��e 1831 Talkeetna Street MAR 22, 2022 1"=40' schuller6oic�at ��op "" � �a Anchorage, Alaska 99508 22-017 %W Br. OECM BY WD eoox aoE ofessiono\ ° (907) 227-1455 office JLS SW2124 220142 (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE 0n-SRe Water & Wastewater Prograrn RC Oax 196660 4 70 Ermore Road =C�13:ar .�nCho%% Alaska 996MGSGO Pine! �907j 343:-7904 Fax: (M) M$.7 h�;?jw Fw.muW,oWormihe On -Site Wastewater Disposal System Permit Pormit Murnber; C)SP211492 E ctive Date: 12JIV2021 Work Type. Septlo Upgrade Expiration Date; 1 ZF1712 2 Tax CcdQ N um In wr, 01107238000 SIM, Legal Address: ROLLING HILLS ESTATES 8L D I.T 14 =2124 S ite MOW nq Addres s; 5221 WANDE RING DR, Anchorage Owner, WATSON WAYN E E & PEGGY D Lok $fze In Sq Pt: 30466 Dosig n E ng Ineer: FI RST WATER CONSO LT-ING Total Bedrooms: b This permit is for the construction cf. 9 Disposal Field 0 Seplic Tank 0 Holding TS rrk M Privy CI PfiVale Well 0 Water Storage All constructio n shal I be In iaocorda nee with: 1. The attach&d approved design. . All requirern*nls Spe6ified in Anchorage Muniolpnl code Chapters 15.55 and 15,65 and the State of Alaska Wastewater Disposal RequlM ons ,(l aAAC72) and Drin Wig VVater Regulations (1 MAUD) The wastewater c❑d a mgWros inspeaticna during tho inotallaxlon. 7h c c ngincor shall no y the Development SGTs Depa r1ment per AMC' i 15,65. PmAde natification by calling (907) 343-7904 (24f7). 4. From October 15 to Aprili 15, a suhsufface. soll absorption system under cori6truollJori during freezing weather shall be either_ e„ Opened and Dlo!sed on the Same day, ar b- Covered, sealed, and heated to -prevent zing Ftassived By, Issued Sy- _ s 1211712021 Date - Dale: 0 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 011-072-38 Property owner(s) WAYNE & PEGGY WATSON Day phone _ Mailing address 5221 WANDERING DRIVE, ANCHORAGE, AK 99502 Site address 5221 WANDERING DRIVE, ANCHORAGE, AK 99502 Legal description (Sub'd., Block & Lot) ROLLING HILLS ESTATES BLOCK D, LOT 14 Legal description (Township, Range & Section) Lot Size 39,466 Sq. Ft. Number of Bedrooms )5 APPLICATION IS FOR: (® all that apply) Absorption Field 0 Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade 0 Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) El (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) 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: 5 ct 5 Waiver Fees: Date of Payment: 1211612021 Date of Payment: Receipt Number: J6 %1 Receipt Number: Permit No. 0 S ipa y 9 a Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com December 15, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: ROLLING HILLS ESTATES BLOCK D, LOT 14 The property owner has requested we obtain a permit to upgrade the failed septic system of the above referenced lot. We propose to install one deep trench to serve the existing 4-bedroom residence. MOA tax assessments show the property as 5 bedrooms. It is a 4BR house with a den and the owner will correct the bedroom count to 4BR or a 5BR septic system will be installed as shown on the attached design. The design is based on the existing test hole data found in MOA record docs from 1996. Per these documents, no groundwater was observed at test hole excavation or monitoring. The slopes are flat at the proposed upgrade location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211492, Rebecca Carroll, 12/17/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211492, Rebecca Carroll, 12/17/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211492, Rebecca Carroll, 12/17/21 e" LOT 8 yIVA LOT 11 CP LOT 7 S QP L0 QQ co 0 �- LOT 8 �- LUT 14 � LOT 12 BLK D • SEPTIC O VENT Q (tyP) C� C� O X X VINCAST 0' 'o w F �O N x 0 '�t? 11 �' • • Z'-7 .p raj-��NC' _01, x • � � �X SSE 9.p ® x 4 6 34 p GANG ^ Q 4.p` 1 9' LOT 15 �• cA�� 2 �•'' X 7 o LOT 13 O = FND 5/8" REBAR a o tl.G J X ANCHORAGE RECORDING DISTRICT, ALASKA R 45. CC! x AS -BUILT OF: ROLLING HILLS ESTATES `WANDERINx LOT 14 BLOCK D PLAT P-486 LANE I SURVEY' CERTIFICATE: I John L Schuller,, Have conducted .•� F `� I '� Jo L. Sc e , o acted a �, .A , � ��, LA�� physical survey of this property as shown on this drawing and that the ,M/ . , . * • ..� '► �� P ,�-� improvements situated hereon are within the property lines and noYk enchroachments exist other than noted. Under no circumstance should /.• 4 {T •. ,,,� �' any information on this drawing be used for construction of fences. % '��A � �, ' .,..:..... ........... .. ....... structures, improvements, or for establishing boundary lines.�" V"' r EXCLUSION NOTES: It is the owners responsibility to determine ?A ....... ... . ............. the existence of any easements covenants, or restrictions which , '•HH L. SCHULLER.• O / • , do not appear on the recorded subdivision lat. �' '•. x`1040$ .•` /� �`` •w--�.- NN,�'" pp p � �` � 1 �r . , / 1831 Talkeetna Street WORK ORDER NUMBER: DATE: SCALE. E-MAIL °L� �_ , �y :...'. ,,,,� Anchorage, Alaska 99508 DEC 14, 2021 1 40 sch�ll�ok.net � Ar a{� ,,�, DRAWN BY: OiECKEO BY GMD NUMBER: BOOK/PAM o f e a� L ,,,.. {907) 227--1455 office 21-170 \ ss,an ..,. JC.S Sw2124 220110 ZO��`��4 (907) 274-4992 fax ~ Municipality of Anchorage Page / of~.~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~ U.J % 6 G ~ ~ ~) RID Number: ~ N~:bJA~ ~ ~O~ ~ ~TSO~ - Wastewater System: ~New ~ Upgrade Address: ABSORPTION FIELD Phone: INo.~jBedrooms: ~DeepTrench ~ShallowTrench ~Bed *Mound BOther Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION ~.~ GPD/Sq. Ft. Subdivision: Depth to pipe bottom fr~m original grade: Gravel depth beneath pipe Township: Range: ~ Section: Fill added above original grade: Gravel length: WELL: ~ New ~ Upgrade Gravel width:¢. ) Number of lines: Bistance between lines: Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Date Drilled: Static Water Level: Installer: Date installed: Driller: Yield: Pump Set at: Casing Height Above Ground: SEPARATION DISTANCES ~Septic ~ Holding ~ S,T,E.P. To Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ t4 ~ J5 T ~ ~ ~ Material: Number of Compartments: Surface -- -- -~ -- LIFT STATION Water Lot Size in gallons: Manufacturer: Line %~ ~ ~ '~ ~ " "Pump on' level at: "Pump off" level at: High wate~ ~m at: CurtainDrain ~ ~ ~ ~, ~ Pump Make & Model Electrical Inspections.., performed, by: BENCH MARK Location and Description: Assumed Elevation: EN~~~ nspect ons performed by: ~,~ .~ ~A/~ . Dates: 1st '~/~o./~ Department of He~ Ith an~um~Services approval Reviewed and approved b~:/ "~ Date: f . Pern~if No.-~ bJ ~J(o ~'70) Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744 On-Site Legal Descripfion: Poge ~ of ,~ W.O. 95268 Dale 8-29-96 Wastewater Disposal System/Well Inspection Report Lof 14 BIk"D" Roiling Hills Esfafes PID No. 0//072.3~ EXISTIN? FtE LOT 1 5 ,~ MONITOR · 1250 GAL. 100' WELL ISM - TOP OF CORNER MON. ASSUMED ELEV, 100,0 FT' EXISTING FIELD / LOT FIELD CALGS: (4 8DR X 150)/0.8 GPD/SF = 750 SF REQUIRED 8'X2X51'=816 SF PROVIDED EX/STING FIELD LOT 7 WELL LOT 13 EXISTING FIELD DEEP TRENCH DRAIN FIELD (816 s.f.) 4" PERF PVO (TYP) SOLID PVC (TYP) SEE NOTE 11 ~ \ \ \ I EXISTING \ LOT 8 LOT 1 4 ~ ROLLING HILLS SUB'D ) 10' W~DE UTILITY EASEMENT LOT 1 2 EXISTING FIELD "ASBUILT" LOT 11 EXISTING SCALE: 1"= 50' FIELD Permit No. sw960079 Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 ° Anchorage, AK 99519-6650 ° Tel: 343-4744 On-Site Wastewater Disposal System/Well Legal Description: Lot 14 BIk D Rolling Hills Estates Page ,3 of ~ W.O. 95268 Date 8-29-96 Inspection Report PID No. 001107258 11.6 87.57 1250 GAL. SEPTIC TANK NN_87,41 "ASBUILT" FABRIC. SEE NOTE MIN. COVER (,3'-0" MIN. AFTER SETTLMENT) SEE NOTE 4" CLEANOUT WlTH-"~, JIM CAP (TYP) MONITOR TUBE / /, 86,85 ORIGINAL GROUND NATIVE SOIL BACKFILL (24" MINIMUM - MUST BE -- INSULATED IF LESS THAN 56") ~2~/%,~ 4" PERFORATED PIPE ~ (PERFS DOWN) S£ASONAL HIGH GROUNDWATER ~ ~o BEDROCK/~MPERMEABLE MATERIAL (~TYPICAL END SECTION (NTS) 78.85 (~ TYPICAL HOP: 1" = 10' VERT: 1" = 5' ROCK PER MUNICIPAL SPECS. SEE NOTE 10 4" PERF. PVC (TYP) i INVERT = 86.85 SIDE SECTION Permi¢ No. On-Site Legal Description: Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 ® Anchorage, AK 9951g-6650' Tel: 343-4744 Wastewater Disposal System/Well Inspection Lot 14 Roiling Hills Estates Page z~ of ~ W.O. 95268 Dale 4-17-96 Report PID No. OJlG? NOTES: 7 8 g 10 11 12 14 1 ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. 2 SITE TOPOGRAPHIC SURVEY CONDUCTED ON 11/22/95. EXISTING STRUCTURES SHOWN ON SITE PLAN ALL LOTS IN SUBDIVISION SERVED BY INDIVIDUAL WELLS ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION INTO THE SYSTEM. CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATER WAYS, SURFACE AND SUBSURFACE DRAINAGE FACILiTiES, LAKES, PONDS, AND OTHER FACiLiTiES REQUIRING SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM. NOTIFY THE ENGINEER OF ANY OBSERVED CONFLICTS PRIOR TO CONSTRUCTION. NOTIFY THE ENGINEER 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF THREE INSPECTIONS ARE REQUIRED. THE FIRST INSPECTION SHALL BE OF THE SUBGRADE, PRIOR TO PLACING SAND FILETER. THE SECOND INSPECTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION PIPING, STANDPIPES, TANK, AND OTHER COMPONENTS AS SPECIFIED. THE THIRD INSPECTION SHALL BE AFTER THE WORK IS COMPLETED. CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED-LINED, AS-BUILT DRAWINGS SHOWING ALL DATA AS SPECIFIED IN SEC. 15.65. F.2, 3, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL CODE WITHIN TEN DAYS OF THE FINAL INSPECTION. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT. THESE AS-BUILTS SHALL BE USED TO DOUBLE-CHECK THE ENGINEER'S INFORMATION PRIOR TO SUBMITTAL TO DHHS. STAKE ALIGNMENT OF SYSTEM WITH MARKERS SHOWING THE PROTECTIVE DISTANCES FROM WELLS AND OTHER BODIES OF WATER PRIOR TO BEGINNING INSTALLATION. ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER. EXCAVATE THE ABSORPTION FIELD. BOTTOM OF EXCAVATION SHALL BE FREE OF ORGANICS AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END OF BED BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL. PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE ROCK WITH NATIVE MATERIALS OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO ± 1" PRIOR TO INSTALLING THE PERFORATED PIPE. ALL PIPE SHALL BE PVC ~ONFORMING TO ASTM D3034 OR ENGINEER--APPROVED EQUAL. GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER-APPROVED EQUAL. LAP ALL dOINTS 2' MIN. MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS. SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND 5:1 MAX SLOPE, AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MUNICIPAL SPECS. PERFORMED FOR: · E~A~. O~SCR,PT,ON: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~ O. r~glt.4(= k[P~STownship, Range, Section: 1 2 3 4 5 6 7 8 9 lO 11 12 13 14- 15 16 17 18 19 2O :DEPTH SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ~ DEPTH? p E Depth to Water After MonitorinD? Date: Gross Net Depth to Net Reading Date Time Time Water Drop /o ,.,~ ~'~/}~ ~. 5 ~,.~ ,, PERCOLATION RATE J/ ' ~*' (minutes/Lnch) PERC HOLE DIAMETER TEST RUN BETWEEN '*'] FT AND ~ ' FT COMMENTS PERFORMED BY; .~;~c~. ~ ~,,~:~j.~ 7-.,,4.z ~/(/% I /~- ~.d~~ CERTIFY THAT THIS TEST WAS PERFORMED IN - ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ~'. ~ ~ 72-008 (Rev. 4/85) ALPINE DRILL 907 345 0202 0ct. 31.1996 11:21 PM P01 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF t~IlNING & WATER MGMT WATER WELL RECORD LOCATION OF WELL BOROUGH v'~ ~SUBDIVISlON ..t LOT ~LOOK SECTION QTRS SECTION TOWNSHIP RANGE MERIDIAN LOCATIONISK~CH: WELL O~ER: DE. He M~SURED FROM~casin~ top ~grou~ su~ace WE~ DEPTH: DATE OF COMPL~ION Depth of hole: /;//' ft BOREHOLE DATA: Depth Depth of casing: ./~/ ft ~ / ~/ ~'~:,~ Meterial Type and Color From To ~,¢~ ~ DEPTH TO STATIC WATER L~EL: ' ' ~7' ~ ~2 t7 ft below ,~ top of casing D ground surface .,. // ' /./ M~HOD OF DRILLING: .~ air rotary ~ cable tool ,, CASING STICK-~P: ~'- fi. Diam:,/~/~ to ~ ft . ' . .,~ WELL INTAKE OPTING TYPE: ~open end ~ screened f 1/ Depths of openings: to, SCRE~ TYPE: Diem: in. ..... Slot/Mesh Size: , , ~ngth: ....... ft G~VEL PACK TYPE: Volume used: Depth to top: GROUT TYPE: Volume: . Depth: from ft to ft ' Duration: .~ ~'~ · , ............ PUMPING LWEL AND YIELD: ,,, /~/;['~ ft after '~. hfs pumping ~ ~ gpm PUMP INTAKE DEPTH: ft Horsepower: WELL DISINFECTED UPON COMPL~ION? ~YES CONTRACTOR INFORMATION: REMARKS: · , -. /,? , .,;/£ .- ./~.: ..,-' , ~.x Z.;.~-'"'"-.-</C/,/?~'-.r: A~z~ 5' ' ~"' "" ' RLgi'*~red,~ o,~ Business Name ./ r,,, · ., , -- S~gnature of Authorize0 Respresela~at ve PLEASE MAIL WHITE COPY OF LOG TO: DNR~IVISION OF MINING &WATER MGMT 3601 C St, Suite 800 Anchorage, Ak 99503-5935 Ph(907)762-2538,Fax(907)562-1384 11/01/96 11:50 TX/RX N0.2410 P.001 · MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PoO. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960079 DESIGN ENGINEER:SENTEC, INC. OWNER NAME:ALLEN JAY H & MARGARET OWNER ADDRESS:7801 E 36TH AVE.R ANCHORAGE, ALASKA 99504 PARCEL ID:01107238 LEGAL DESCRIPTION: ROLLING HILLS ESTATES BLK D LT 14 DATE ISSUED: 5/21/96 EXPIRATION DATE: 5/21/97 LOT SIZE: 39466 (SQo FTo) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15o55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ,/ RECEIVED BY:/ .,,,/./'"i'~ /////~//Z~' "' q DATE: SENTEC Inc. MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION 1996 RECEIVED Thursday, April 25, 1996 Department of Health and Human Services Division of Envirenmental Services On-Site Services Section, P.O. Box 196650 Anchorage, Alaska 99519-6650 Ph: Fax: ATTN On-Site Services 7801 E. 36th Ave. Suite A Anchorage Alaska 99504 Phone (907) 333 6881 Fax (907) 333 1085 W.O.#: 95268 RE: Watson Septic Design Lot 14 Rolling Hills Subd. Dear Sir Design Narrative: This lot is one of the last lots to be developed in the general vacinity of Sand lake. All of the surounding lots are served with private well and septic system. The lot is gently sloping and covered with native vegitation, mostly birch trees with some alders and a few evergreen trees. The preposed new design field will be located appreximately 68 ft from and parallel to the back preperty line of Lot 14 Rolling Hills Estates. Adjacent septic systems are greater than 45 ft from the proposed field. Lots in this subdivision renge from 1/2 to 1 acre plus in size. The proposed field has no negative affects on surrounding wells or septic systems. There wil be no affect to drainage in the area, all water bodies and streams are greater than 200 ft away. There is adequate space on the lot to allow for an alternate drain field. If you have any questions, please give me a call. ,Since~ '~M. F~tnam Enclosure cc: ,Permii No. On-Site Wastewater Disposal System/Well Legal Description: 14 BIk"D" Rolling Hills Estates Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650' Anchorage, AK 99519-6650' Tel: 343-4744 Inspection PID No. Page of W.O. 95268 Dale 4-16-96 Report LOT 15 1250 GAL SEPTIC .% 1 oo ' x~t L RAD ~BM- TOP OF ASSUMED ELE~, 4 BOR LOT 1 5 FIELD EXISTING~LD LOT 6 RESERVE AREA PRC T~?ENCH DRAIN FIELD ~/ (800SF) FIELD CALCS: (4 BDR X 150)/0.8 GPD/SF = 750 SF REQUIRED. 8'X2XSO'=800 SF PROVIDED EXISTING FIELD LOT ~ LOT 7 PERF PVC (TYP) S¢'~ESNOLoITDE P1V~ (TYP) )'t~~ X'~ ~'- FIELD LOT 14 ROLLIN~ HILLS 10 FT U~LI~ EASEMENT LOT 11 LOT 1 2 EXISTING FIELD EXISTING FIELD ,P~rmi,f, No. On-Site Legal Description: Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 ° Anchorage, AK 99519-6650 · Tel: 343-4744 Wastewater Disposal System/Well Inspection Lot 14 Rolling Hills Estates PID No. Page__of __ W.O. 95268 Dale 4-17-96 Report EXIST. GRADE AFTER CONSTRUCTION FABRIC. SEE NOTE MIN, COVER. (5'-0" MIN. AFTER SETTLMENT) SEE NOTE 15 4-" CLEANOUT JIM CAP (TYP) 4" MONITOR TUB I ,~0,9 GAL. SEPTIC TANK 8.5* .~ORIGINAL GROUND NATIVE SOIL BACKFILL (24" MINIMUM - MUST INSULATED IF LESS THAN 56") 4" PERFORATED PIPE (PERFS DOWN) SEASONAL HIGH GROUNDWATER BEDROCK/IMPERMEABLE MATERIAL TYPICAL END SECTION (NTS) 72-m3 A (2/m) MOA ~ (~ TYPICAL SIDE HOR: ]" = VERT: 1" = 5' SEWER ROCK PER MUNICIPAL SPECS. SEE NOTE 10 4" PERF. PVC (TYP) INVERT = ~ ..,~', f~ SECTION Permff'No. On-Site Wastewater Disposal System/Well Legal Description: Lot 14 Rolling Hills Estates Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, AK 99519-6650 ® Tel: 343-4744 Inspection PID No. Page of__ W.O. 95268 Date 4-17-96 Report NOTES: 7 8 g lO 11 12 13 ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. 2 SITE TOPOGRAPHIC SURVEY CONDUCTED ON 11/22/95. EXISTING STRUCTURES SHOWN ON SITE PLAN ALL LOTS IN SUBDIVISION SERVED BY INDIVIDUAL WELLS ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION INTO THE SYSTEM. CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATER WAYS, SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM. NOTIFY THE ENGINEER OF ANY OBSERVED CONFLICTS PRIOR TO CONSTRUCTION. NOTIFY THE ENGINEER 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF THREE INSPECTIONS ARE REQUIRED. THE FIRST INSPECTION SHALL BE OF THE SUBGRADE, PRIOR TO PLACING SAND FILETER. THE SECOND INSPECTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION PIPING, STANDPIPES, TANK, AND OTHER COMPONENTS AS SPECIFIED. THE THIRD INSPECTION SHALL BE AFTER THE WORK IS COMPLETED. CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED-LINED, AS-BUILT DRAWINGS SHOWING ALL DATA AS SPECIFIED IN SEC. 15.65. F. 2, 5, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL CODE WITHIN TEN DAYS OF THE FINAL INSPECTION. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT. THESE AS--BUILTS SHALL BE USED TO DOUBLE-CHECK THE ENGINEER'S INFORMATION PRIOR TO SUBMITTAL TO DHHS. STAKE ALIGNMENT OF SYSTEM WITH MARKERS SHOWING THE PROTECTIVE DISTANCES FROM WELLS AND OTHER BODIES OF WATER PRIOR TO BEGINNING INSTALLATION. ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER. EXCAVATE THE ABSORPTION FIELD. BOTTOM OF EXCAVATION SHALL BE FREE OF ORGANICS AND SCARIFIED/ RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END OF BED BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL. PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE ROCK WITH NATIVE MATERIALS OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO + 1" PRIOR TO INSTALLING THE PERFORATED PIPE. ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER-APPROVED EQUAL. GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER-APPROVED EQUAL. LAP ALL JOINTS 2' MIN. MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS. SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN, SLOPE, AND 5:1 MAX SLOPE, AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MUNICIPAL SPECS. PERFORMED FOR: LEGAL DESCRIPTION: 2 3 4 6 6 7 8 ~0 ~2 13 14 16 17 18- 19- 20- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~ "~" r~LblJq(~ !-HbL 5Township, Range, Section: DATE PERFORMEi SITE PLA SLOPE WAS GROUND WATER ENCOUNTERED? '%. S L IF YES, AT WHAT 0 DEPTH? p E Depth to Water After Monitoring? /'~/Och)-.~~ Date: Gross Net Depth to Net Reading Date Time Time Water Drop ?:/5 ,, t'¢~/ ~ ,/~ PERCOLATION RATE 2/ . ~ (minutes/tach) PERC HOLE DIAMETER TEST RUN BETWEEN '7 FT AND ~'~ ' FT COMMENTS PERFORMED BY: ,~;~'~;>C ~' ~'~2'*7".&~'~;:~//% , .//~.~~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL ,STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4185) MUNICIPALITY 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. 011-072-38 Expiration Date 1. GENERAL INFORMATION Complete legal description ROLLING HILLS ESTATES, BLOCK D LOT 14 Location (site address) 5221 WANDERING DRIVE, ANCHORAGE AK 99502 �{-ZI -zozz Current property owner(s) WAYNE & PEGGY WATSON Day phone Mailing address Real estate agent 5221 WANDERING DRIVE, ANCHORAGE AK 99502 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 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.?0 '+ 2 C/o Date of Payment S Z Receipt Number J 0 �'C7 COSA# 0SC 2Z-) 063 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 3/30/2022 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 `1�\\\\\ system and maintenance. The operational life of all well and septic systems are subject to y or - these various and dynamic characteristics and are outside the control of the evaluator of the L` well and septic system. Therefore, any estimate of how long a system will function satisfactory �.�g�Q: • • • . !19 �� for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWfS * .49 7H •'* �� .. ....... 6. DSD SIGNATURE Curtis Huffman System #1 Approved for S bedrooms ��'`c��;•,.•CE128991 •.�A&W.'� lF� �/30/�2•'F�,.r System #2 Approved for bedrooms ik)k �, PROFESS10 Disapproved Conditional approval for bedrooms, with the following stipulations: 11111((((((((( J ON-SITE WATER AND m FV, S T AT -ER Jm PROGRAM zz ))))1 v'llih` -.31-Z-027 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 Legal Description: ROLLING HILLS ESTATES BLOCK D, LOT 14 Parcel ID: 011-072-38 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 6/7/1996 Total depth 141 ft Cased to 141 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 12/10/2021 Static water level at beginning of test 78 ft. Comments B. TANK DATA Age of tank(s) NEW TANK* years Tank type/material SEPTIC / HDPE — 1500 GAL Measured operating fluid level in septic tank NA* ® Standpipes/foundation cleanout per record drawing Date of pumping NEW TANK* D. ABSORPTION FIELD DATA — NEW FIELD Which system tested (date installed) 03/2022 ® ALL standpipes present per record drawing Total measured depth from grade 12 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Structure served by this system Well production at time of test 5.3 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ® Nc ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FW �a Date of Sample 12/10/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date NEW FIELD 3/8/2022 Results 0 Pass For 5 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) If yes, enter date Gallons introduced gallons NES Comments/Deficiencies: PER NEW MNA IR .,,. 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 Wells on Adjacent Lots: 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 From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® 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 Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No 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 _ 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 CERTIFICATIONAaw ,�•a'�~'~`��`j►�� Aw �1 � l certify that / have determined through field inspections and review �,�Q`•: •' of Municipal records that the above systems are in conformance fig.• •;� �¢ with MOA COSA guidelines in effect on this date..' •.•.. ....•.......... •.! Curtis Huffman •; 4 F •. CE 1289914-413012012-0�Cmw W01- WoiBil0t�� `� ft ft MUNICIPALITY OF ANCHORAGE Development Services Department -7 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 011-072-38 1. GENERAL INFORMATION Expiration Date: q— Z, —Z� z Complete legal description ROLLING HILLS ESTATES, BLOCK D LOT 14 Location (site address) 5221 WANDERING DRIVE, ANCHORAGE AK 99502 Current property owner(s) WAYNE & PEGGY WATSON Day phone Mailing address Real estate agent 5221 WANDERING DRIVE, ANCHORAGE, AK 99502 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 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: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Qg-O + A-2,90 Waiver Fee $ Date of Payment 115 1.Z0 2 2 Receipt Number (p 15 0 &-0 COSA # o SC a Q 1 00 3 Date of Payment Receipt Number Waiver # Distance: 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 1/5/2022 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 & 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for -� Llnc u OD - 4L, cl._ bedrooms bedrooms 1 49 7H •.* Curtis Huffman •C1/5 291• •��=r PROFESS100 bedrooms, with the following stipulations: J� PROGRAM 1 \\ tr\ By: V`- 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 Legal Description: ROLLING HILLS ESTATES BLOCK D, LOT 14 Parcel ID: 011-072-38 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 6/7/1996 Total depth 141 ft Cased to 141 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 12/10/2021 Static water level at beginning of test 78 ft. Comments B. TANK DATA, Age of tank(s) NEW TANK PENDING* years Tank type/material SEPTIC / HDPE* Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping 12/09/2021 D. ABSORPTION FIELD DATA — NEW FIELD PENDING Which system tested (date installed) NA ® ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Well production at time of test 5.3 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FW['S Date of Sample 12/10/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date NEW FIELD PENDING 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: EWES E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) ® Yes if No Septic Tank/Lift Station on Lot > 100' If absorption field is under driveway comment below Property Line > 10' Community Sewer Manhole/Cleanout > 100' if No ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® 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. of 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 _ 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 l 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. Ak ref .. • �.• Curtis Huffman �¢ F •. CE 128991 �• o t��slF,�•. 1/5/2022 . •��,! �kkFOPROFESSION� ..� }Waler oDNSULTING ... 1 ; 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com January 5, 2022 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: CONDITIONAL COSA LEGAL: ROLLING HILLS ESTATES BLOCK D, LOT 14 Due to winter conditions and other factors, we are requesting a Conditional, COSA for the above referenced property. The pending permitted 5 -bedroom septic system upgrade has been impeded due to these conditions and will be installed once conditions improve. The system has been working for the occupants and granting of this Conditional COSA will not impact any of the neighboring properties or pose a public health risk. Attached are the installation bids and escrow letter for the pending installation. Please contact us if you have any questions. Sincerely, 4 Curtis Huffman, P.E. ,._ one U L� � .,EIS. €f'cs o Or P^HiRsi lANl Nei DocuSign Envelope ID: 269DBFOA-83E7-453E-BDAA-CA15106C7F45 To: Municipality of Anchorage Agreement between: Stewart Title Property Address: 5221 Wandering Drive File No. #1321255939 Amount withheld: The undersigned parties authorize Stewart Title to escrow funds in the amount of $30,201 from the seller, with $1,400 of those funds being contributed from the buyers. For the purpose of: Installation of new septic system on 4/15/2022 It is the sole responsibility of the undersigned parties to provide invoices to Stewart Title for payment. Upon receipt and with Municipality approval, Stewart Title shall pay invoices for the above-mentioned work. In the event parties are requesting to be reimbursed for invoices they paid out of pocket, Stewart Title will require evidence of paid invoices before any reimbursement is paid. Once work is complete and invoices paid; any excess funds will be refunded to the seller. The undersigned parties hereby jointly and severally indemnify and hold Stewart Title harmless from and against all costs, damages, judgments, attorneys' fees, expenses or obligations of every kind and descriptions which, in good faith, it may incur or suffer in connection with this escrow holdback. Dated: Bu by: P DocuSigned by: it — --c _ZZ) 67A47558FDA9439... AE4DF56B643C4FB... SeIIDna-gned by: DocuSigned by: L M6V, U t. �A�SbU 86B38C68F7D8455... B074C52AFE7D46C... Municipality of Anc rage irdigpw a win wid ill P.O. Box 773415 Eagle River, AK 99577 Office: (907)694-6454 Fax: (907)688-1506 Email: jrsseptic@gmail.com PROPOSAL Submitted To: Brent Western Phone: 907-440-4601 Email: FirstWaterAK@gmail.com Project Location: 5221 Wandering Dr. Project Description: Install new leach field and septic tank. PRICE INCLUDES:. 1. Install new 1500g HDPE tank. 2. Install new 47'x3''x8'ED leach field per engineered design. 3. Install diverter valve between new and old field. 4. Install double cleanouts after the tank. Estimated price for the above work: $20,134.00 PRICE DOES NOT INCLUDE: SURVEY PROJECT LAY OUT ENGINEERING FEES ELECTRICAL (NONE EXPECTED) TOPSOIL AND SEEDING . UTILITIES NOT LOCATED BY LOCATE CENTER (NONE EXPECTED) REMOVAL OF ANY MATERIALS FROM SITE UNLESS OTHERWISE STATED IN BID PURCHASE AND INSTALLATION OF INSULATION IF NEEDED. PAYMENT: 50% DOWN PAYMENT PRIOR TO WORK COMMENCING UNLESS OTHER ARRANGEMENTS ARE MADE. BALANCE DUE 30 DAY AFTER THE INVOICE DATE. Limitations Project layout will be the responsibility of the engineering firm or a licensed surveyor if needed. A. Bid amount includes installation, materials, and labor and equipment to install the septic system as designed. Unless stated otherwise, the bid amount does not include engineering services. B. Unless stated otherwise, the bid amount does not include export of overburden, trees, stumps, etc. They will be disposed of on-site unless otherwise stated. C. Final grading will consist of backfilling the construction area with onsite native soils to create a rough construction grade that meets the minimum M.O.A. soil cover requirements and provides drainage away from, or around, the septic system. Prior to landscaping, most excavation sites will require hand raking and shoveling to remove larger rocks, sticks and debris. This work is not included in the bid and unless stated otherwise landscaping is not included in the bid. D. There are limitations regarding the quality of final grading. Typically, there is settlement that may occur. JR's Septic Pumping and Excavation LLC will not be responsible for any ground settlement. E. Unless stated otherwise, the bid does not include reconstruction or restoration of decks, fences, driveways, and asphalt, trees, grass that must be removed or disturbed as part of the construction. F. If this is an engineered project, iayout will be the responsibility of the engineer. All work will be in accordance with M.O.A. and State Guidelines All work will be performed as per Engineering Plans and Specifications Any alterations or deviations from the above specifications involving extra costs will be executed only upon written orders or verbal and will become an extra charge over and above the estimate. All work will be done in « workmanlike manner in accordance with standard construction practices. This is a legally binding contract between the client and JR's Septic Pumping and Excavation. All collection fees, attorney's fees, and late fees plus a 15% rate of interest will be applied to all accounts 30 days past due. Both parties acknowledge the right to lien the work site df the balance of this contract is not paid within 30 days of invoicing the work performed This proposal will be void df not accepted within 14 days of the proposal date. constructionr rrr r r l r r r r r �-r r. r,r r I Accept of Proposal / Contract Date: Wayne or Peggy Watson JR's Septic Pumping and Excavation LLC Date: Michael R Wehr Proposal Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 727-8864 Fax 345-1391 Jan. 3,2022 WAYNE & PEGGY WATSON 5221 WANDERING DRIVE ANCHORAGE, AK 99502 Re: New Septic System Legal: ROLLING HILLS ESTATES BLK D LT 14 Description of Excavation Services Proposed: 1. Excavation for a new 4 bedroom system, $ 14,800 2. Excavation for a new 5 bedroom system, $ 16,200 Please add $2500 for winter construction... issues. ■E in -_.Wo, f1 LOT 8 / I / / I LOT 7 rx��1OP� M / I M / I Do LOT 6 / W� / LOT 14 / BLK D I o LOT 15 o SEPTIC I O VENT (tyP) P �9 • 2x12 OECK 0 0 23.0' 00,, n F msG 17 V IQ OO = FND 5/8" REBAR ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: ROLLING HILLS ESTATES LOT 14 BLOCK D PLAT P-486 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE; E_MAJL DEC 14, 2021 1"=40' schullwMk.net 21-170 IXUYM BY: CKOI ED BY ORD NiIMMb 8"/PACE JAS SW2124 220110 LOT 11 LOT 12 '-x--x—x— ? x o, M � X �Py LOT 13 X �3 a� SIJ x R 5.pp, x WANDERIN ...49TH , *I f s. .JOHN L. SCHULLER! �+� LS -10408 1® ke 10 i%� f ession6 Loi` LAND RUpl� Q1 �? 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax