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OUR MOUNTAIN BLK 1 LT 13
t.'l.ii'llg 11. 43 FA -1 90T259TULU itis 12cecivtd STATE OF ALASKA. DEl; ARTS NT {» ' ,Ei° :t ONME-;-ZTAL CONST RVATIO DOCUNILN'T ATION OF CONSTRUCTION N CENEl AL UNFORMATIM - Le it Dc5crlpiion of the Location = r 5Ubr111L14d ?Jsa y (Ch_cl, an t _ ' 11 UkrFAIA) - C -t Certified lnsuiller Approved HomeoNvllt r ' b A-IZ.1C C!'P-C L E� i C, 14 K 6414 k I; egistered P�gineer in tal€er s latae: Onsite wa:* water System Serves: EN N l LEAF � � � E - ►TER -Fl ISE5 ❑ SingleFamily- NumberofBedro©ms iii it nc Address Duplax- Number of Bedrooms _10 Small Commercial Facility With E5tirnatec Dcsi n Flow of less than 500 CIT. 11. WATE SUPP41* SYS'T`El (SECTION 31 ISOPTJONAL) 5aurtc cf W2tcr ab Conzinme€st (Chcck all that Apply) Type o?*;'t&S09"Ar System . Trcatrnw or Water (Chcrk all that Apply) Well ❑ Surracc(Jdow4ry) 0:privtilt t- ❑ None _ 0 Chlorinatlon . 0 RaufCatchlacnt--. 0 Filtration Cl Mine ", Rc€naYal t"1 ii i2td tn€ s 99) ❑ othtr j1dewif Cj- Pubtic (Junk wart Axi one 0 € Ehh "r: , ls the height orthc well casing mora lbe, 12" x'aaYc the giound7 — Yes ❑ No Is a :antary s—P or well cap Installed an the waI =-; g? ❑ `les Cl No is draittaga dirzctvsy from ar axaund the easing \Yat,Win a ra.'ius or it} %t of +etc urtt casing? D "Y'ts ❑ No is well %r ire rnatoscd its conduit? Q Ysa ❑ No Ctatc. Drilled iicgth Orwell (i`eei) Static 4'Ja:er 7 cvrA (Feet) YiClrl Of availaNd) t urnp Rate (Ifavrrilable) Sepantaon Diru = from t°tc'Vtl1 Csstns` to ach die t Followin Sa srces of Ccsm a nipatianl- x S4:ptic;l•toldinw Tank on Lal Scwc. Lints ori tat Feel. ?bsarpzian Arca an Leet Feet l^ttt Oosest SepticAioldinr-T'onk on Adja;,ent loot Cttrsrvt Scwcr Lincs on Adj=rii Let Closest Edge cif an Absorption Arca oti Fes, fleet Adji-mntLoi: Feet', lndlcalc separation disn-1c.y icOm tar.Ic Materials i mi"ling (Urt a b, pair tut* "=u and othtr On Lot djacent Lot pe,raltu m bwr4 rnz=r; th„ oesq,c::rs; fan.,tcid_ , ar har lcidts to us cll +maxis Fe;t Feet 14' atter Sample T aketi by; (Ns at7w) sampler©Sud^^r ❑ Engineer Address � ❑ :7�na:i^ ❑ t�avrr„mzn€ C�ui'.il —„ a I ._. Ate-ach ("coy l Safisfacto - 1Date Unsatisfacro ' - Date C o [writ en tsfRec{?iTts, I.P..tld at ions ! cprttfr fi� t tF,cati'c it*t a3tltinf7fj tint Iarr}0.rlGt8l tRIV, t5 r4"T ; Da�ttt + b It f F �l i�`i5r;: t. 7'i�isastiiar€stsautd'br�f�rsdbyuC'erre:lJ+�srtrller.J'r��fissia:raid„virtetr.,UECaf�,fJ,'�rLrwnardtJvTlder . lttpr.Gttca€ der zyvmsm€utreerr'veriDEC ptaraplxJr+va!prlca iGcar ttrrTi?om, Sea r8A,4CffDS=rro ,,,'A task DrmAtng ifwor Rrg:+iufiar€sfar sarc�c rrquirernzrrir. Septic Tanis Ltiilln Convert iGn ai Sri, Absorption Sysic t Pac tags T vc.atment l'lartt (rtyuirc* crrSirrecrcd desivnj Holding Tank: Material ttvp;c: Six,: in all+ms; factur�f: cidv.r-- Sptcify Type :,hemate Ogsita {rqtliri es engirnecrcd dcs'sgrn) l rr.sll Cc, mmarcial S -:ctrn (<500 GFID) With 'Estimated Daily WastetyratcrFlow of- Gallon, Pet' Da!r t�'ritcr-ia L.isecl to lstim3tt Taai) r �rrfasta�vatcr �tu�ntity: 'ti`1 4V S` SrEj,'t REPAIR To EXIM,4(; SY-Tri& 1Ccrtiiicd Installernsmtlrttion'Notiiimt onDatt: `fame Of Installer: D l-�j f?) s LEAF � ate l;rwstalled' System nstaticd: CJ By a ReggisteTCd Etngirn,.-tr —.0With lnspec7ti!uu byr a kcS Gtcreii Engin mr B, Approvad l omc!oNvncr (atLcit copy ai"r:pproval [c tet) By a Cer 11fied instzkller Imtgi,�et Numbc: Leptis: Ttsnk.• NfatcGial Nl'anufaexutct: Size nPtl,rt�J,' %ucn'u r 1' of CompErs trit_- Fype of Soil Absorption Syste—,,, Deep miu—bp � � Sh�allcxti+•`i`ranr:h SVe a�cPit Bell -]Vlound 0 Other, Spccif. Sudt Ty y 1 r f r tit S,otl i�atitr / S Dir ntnsionzs $:zt of absorption �rei�: j } T 5r.:dingfSi7r ofD t.rjbucion Roc l : f "t �4�Jl tick css cpu of 1iaributibn bck_ a} 7) Pcroolat'sotn Tcst.RtMsults, t' each Capy ofRcP.rt: PercolatibnT t Peff'ammed bye WUA?4 EEeYtJ—, / t)c 1, tOS Sq. ,Ft. ptr Bcdjvortpct lsr_tart c ,tr:.Llt; mug{ $: sc=lc&si Og.a rcgt tscei t s n=t` 1 I tarn xrat3ttoi Cuvcr ver Septid T;nn ,: _ , 1� absorption area: 5f �r t �7t� " Ver Pipes, Cleanow, + ipes,�Ca,n, Installed: '/ Poursdatiern Cleanout: `( Septic Tank: hlonitotrTubtr : � L.isi fic3rarati�o ? is z tc� 5 From "tMIc Tank sir Ab5orption Area. &�r�ir,ncvcr is { "lcscr., tt1 All iyltae�, , t Public thinking Water 5oures fir' cbinj,f:i3 feet; 20U(4` Private Drioking-Wator Sourci;s Within 100 fiat, lotr� t`:cacYst °4'v mrr bodies (see IS AA- 72.0200b))-, f Olt, � Lut bine;: Fara(ion nk Lancc fmm On I El r twtr U.ne-s wt Public Drinking W41ttr SOaMes: Separation Distanoc From Bottom of Distribution Rock to: Groundwater Tab>e. gip` {= Sedruck: 61,1- zepamtion Distance ftom Absotplion . fea to Slot tr cxcerrdin l� � `�5%, tc� ffl)X�. L12- ,., FM E,;.. T;rpe„lPrir^ cd Name t rttc, ti=�,lr'cfiVo_, Inst, nl +J'rutvrral n inasr l3„ sr F. rrr r� "o�eif f 7x�ty+vn�r If �rz�ias,rrfrr .trcf 6snrx y�rir� d i'ot be e�lerrer°irr�rdr.nrtliols 7/4 A t-IS—BUILT SYSTEM DETAILS/'SITE PLAN Fermit OUR klOUNTAIN SUFI= LOCK LOT 13 PID#051-111-45 CD,� iW WaS3J. 9"ADIUS L 0 7 i '31 LIFT A -c= B -c= CLE Jr 74,E ZLE', VMT i 6 RIE B - 14 STEP, A -F 62-0' TANK Li �81 Ai - f 12 5. 3' B-Gi= A -H= SCALE: NTS emft v'; � KINETN FINAL GRADE: SEWE' POCK 95,4 - MUM, Tuw- FINAL, GRADE 4 ZZ -11y, SEWER RUCK 95,45 Ilk Ids - D r�':EF RE F DDIN LIE 1 4 %,'J aiO8 MARK r,R, A Q 4, ell 7 r927) 6H-61348 :_,E-LnEif'�C)-KS! cr)wpuT-.-D: ICE - 7'l (6 IID -4t' v >1, aL" N A G 1% TE: I olk-1 FUCI- wl 03109-5 DIN "t"; 0306-5 SCALE� NTS 204,41 PTAP,-MIGAN BLVD. ElAGLE R51I2., AK 99577-8736 (lJ07)GQ6-611J/FA-X (907)696-13111 WELL, 9, V/ASTEWA R DTSPOS-AL SY TEM _DETA1LS>1/S1TF PLA .L S I OUR MOUNTAIN SUM 'BLOCK 1, LOT 13 DEST.jC_jN jLETAtL,_ 6 BDRM X 150 GPD = 900 GPD 900 GPD/1,12- (5PD t^ -ER SQ, FT. <2 MIN/IN,)= 750 SQ. FT 750/(2' )) X 1'€D)) (4.0' GRAVEL) = 93.75 FT, TRENCH USE e TRENCHES - 47' & 67' (L) X 3' <10 X 4.0' (D) Vtttzxlk 6?f_'1Ln DT system Is 7,0' from origlna� grade, Totat depth of grc%veL Li low Pbe Is 4.0' 1, RESIDUAL HEAD - 5' 2, HOLE 51ZE = 3/161 = 1,00 CAL. PER HOLE L) 30 Ps'l 3, 30 GALS (PUMP DELiVERY)/1-OG GALS./HOLE: = 30 HIOLES 4, 11-' LF LA-TF.RAL/20 !-ISLES = 3,8' SPACF.MG PGR 'F LE 5, ALL HOLES SHALL HAVE CAPS INSTALLED PFR MANUFACTURES SPECS. ria FUEMC VELLS V17KIN aDg' Cr PREPOV" 5YSTER NOTES. he. PRIVATE- VQ_LS WItH.N '00' 07 PRI]PMED sYSTEN ExC�pr As mirn, I. CONTrZACTOIR & DIGINEEP 1-0 VERIFY IN'rz�GRITY nF SEPTI=C TANK AND kill 77F7-�*, ��TEPS V"THT'l P7PLACE AS Rf_;_'!J1RF,0, !!'1SfJ4TE TANIV E NFIrn.-Er, ';Eu_ FxCEIT i,gA'l TRE IS "�TTH i�' Hu SIJR14�_ ��C A, JIISULATr ENL - 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK, 4. A DI)TTIONAL FILL WILL BE ADDEB DYER SYSTEM TO ACHIEV;r MIN, 3' CEIVEC� IF' RET.4-11RED, Jz a r 41'bA i Al -1- U117HER SETBACKS. ti Aj PREPAREDFORT A c, cl X P J, (907) 688-694-8 PAGE I OF 2 us FIELD BOOKS C.Cwpl;.Ti; GIME-RIN G VR KVQ "gv (Z f) 4 -43 1 PTIA-PumIGAN RLyj) NA, GLE, RIVER, AK 99577-87uc. �_ { btu: 3f N 'rij, 13 &1 \A,,`A-STEWA,TE-R DISPO',S)'AL SYSTEM' DETAILS OUR MIOUNTAIN SLIBD, BLOCK I-, LOT 13 ST TiAM U111�—f-7- S /7 MT �GAL-\ "I-' 0 ox - a PREPARED FDRi 4Fy: SEWAP�' ORA'^. vw; ID /2,3 nn 0: L%l IN I M ACAb RLEr 0 309 5. PONG 'oe " 03095 -nlo, = , " ., -', I ,5 w PAGE 2 OF -2 I I I-uJ E N GTN E, E RINI G 20441 PTAIR-Mit"T'AN BLVD. EAGLE RIVER, AK 99577-8736 OF Al gw �.. T �.I�:tilI ERIN c�, INC. * - Q g - 20441 PTAR1\41GA N, UVD. i-, EAGLE r A77- 99577-87,36 __ F 4 WQ{•. . QpgtaaiimsTi##g {Qi t? to « .=i u. '€ ' P k to 1L-Qa.+F7 V 7 t t .,p,. .. � » Kin �., C_ , x SOMS PERCOLATION TESD P er nrmedfor: Dori Lietzatt DatePerftrxn.w-d: 1{l: Proje,:t- Our Niounta n, Block i [_cit 13 ITST 1, ]OLE # — 03-1 De-th (Feet) �11tG1«t_ SEE ATTACHED SITE PLA FOR ROLE LOCATION GP/G.M ,silt inc reasin- Wt dc -P, s-1 Was (;round water e:wcou tered? NO A° kit depth? NA Depuitowateraffier olliforing? DRY Date? 1.0)10r`'0 `.. Reading- -- Dalte GrL�i4 1 irrne Net elle 1. c --p- 1 o Water,, Net !2r -op 1:10 10 mill E 111"1 f," 5 5 i` 16" - 1.21 a W mhi 13 16 5 J-'-16" 1:32 10 mil 15/16" k 5 1116" t 8 1.1L' 11 Ellin 14,E 1.6" 5 2/16" T I r ::7 T E i x. 6" .. i i l t' 'Tes= I *un Betwro•tTn —5 feet -and 1 KE, 2I2i`ijt i''rl 1 ListL".0 Cir -?.4v l 1zl tElt} lq?si t,; %, 'ti guidelines. G G,71 13 uutV. NAME MAILING ADDRESS LEGAL DESCRIPTION Z, / 3 fl/; Z:::¢' fy c/~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 82-5 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE [] NEW LOCATION ~v¢.' DISTANCE TO: I Well Manufacturer Lq. capacty nga OhS WellF HOMEMADE: DISTANCE TO: ~3: I DISTANCE TO: Wel~ _ / .j _i~ ~ I No. of hnes i g of each line F-~:I ~ _ ~,f' grade ~ F- Top of tile to finish 1 ~"'~7 I~ength Width 4 F- Type of crib Crib diameter Class Depth ~ I DISTANCE TO: PIPE MATERIALS SOIL TEST RATING OTHER INSTALLER RI:MARKS · / I NO. OF BEDROOMS Absorption area Dwelling PERMIT NO. No. of compartments Liquid depth PERMIT NO. Material Liquid capacity in gallons Foundatioq..~ Nearest lot line Total length of Trench width H inches Material 55~ -., Total effective absorption foundation Nearest lot line PERM,T NO.5.3 Distance between lines Total effective absorption..~¢a P~RMIT NO. Driller Distance to lot lina Septic tank PERMIT NO, Absorpt on area(s) DATE DEF'FtF.."T'MEI'.,IT Cfi::' HEFILTH FIND EN',,,'ZRONMENTFII_ F'RCITEC]'ION ',.3;25 -" I... '" I~TREE'F., RNCFIORFIGE., FIK. 264..-472E'~ th,.MEc.~_~.,.-q~ ,2, ~'..41 ...... :.:".E.-; .:E T' E~ ::.--E; EE [.,.~ El FL" II:=" EFZ E.;;:.4'.' E,,'It '.E "IF < E', E: 0':i: 4 9 .':, F:IF'PL t E:Iai",IT t-'IF:IL i-,.11'"1.FREI I'FtG LOC:FIT I ON LEGFIL.. .I=O:F--CJ.'--BLK :1. OIJR kiT. '_:";LIB T"r'F'E (]iF '.SOIL t::tE:'.:'SOI':~:F'T]:Ed"4 S'x'.E;'TE'EI'"I IS: TRF-NCH P. Cl. B O',:'( 5,!5 ± C:I'-I LI G F:I I K il'IF-I::'(:[I*IIJM NI...IME:EE: I]F' E:[.EI]:,RI]Ot'"IE; = ~: GE:E:-.3:O'a5 LOT SIZE 9999~9 SQUI:::ff;.:E F:EET :50:!:L RFITIIqG ,::E;Q FT,.,'E:R)= :LSE~ THE i:,~:E6!LIIREB, 'GIZE OF THE :E';.,OIL FIBSORF'TION %'¢.'.~'TEM IS: THE LENGTH [:,IME:I'.,I:SIOI'.4 IS THE: LEI'.,IGTH ,::]:I'.,I FEET) OF TI4E TF.:E:NCFI OR [:,F~:FtII'.,IFIELI}. THE DEF'TH OF FI TF.:IEiqC:H OR PIT ];ET, THE DIE;TFINC:E 8E]-t.,~EEN THE :E;URI::FIE:E EtF THE C:ilROLIi'.,ID FIND THE: BO"FTOH OF THE E",:.:;CFI',,,'FI]"ION ,:: I i'.,I FEE]"). THERE ]::5 NO :!5lET I,.IIE:,TH FOR TI;.:E]'.4CPI[£S. THE GF.':I::I',,,'EI... E:,EI::'TI.4 IE; THE I'"IINIHI_IM B,E'F'TH OF GRFI',,,'EL BETt.,.IEEN THE OL.ITFF:ILI.._ I:::'IPIE FINI} ]'HE EuDTTOM OF THE EXC:F:I',,,'FITfCIN ,:: :[lq FEET). i::'ERI"I I T RF'F'I... I CI'ai'.,IT FIFIS THE RE:E;F'ONS I B I L. I T"r' "FO I NFOF::H ]"H I S [:,EPIaRTI'"IEI'.4T [:*1..t1:;i: :[ i'.,tl]i 'THE :[N'L"J"I"RLI_RTION IhlSF'ECTION5 OF' Ftl",l"r' I.,.!ELLE; FIDJFICENT TO 'TFIZE; F'F.:OF'ERT"r' RI",IE:' THE NL.ff"IBE:R OF F~:E::E;ZE:'EI",tCE~ TFIRT TFIE ktELL I.,.tILL SER',,,'E. ................ -IF l.....ll C." ":] 2'. ;:" Z Ih'41 ES IF:" E C: 'T J:: El li"-,,~ ~£; FII E.E-'." E: F-E: IE ~:." iLI~ :E F: EE: El: ......................... [3RCKF ILL .1:. I",iG (::iF FIl",l"r' S"¢S.,TIEM I.,-I I 'TH(]liT F .1: NF:IL I NSPEC'F Z O1"4 FII",IB, FIF'PF.'.O',,,'FIL B"r' TH Z % [:'EF'FtF.:TMIENT I.,.I ILL BE '.FJLIBJEC'T TO F'F.:OL:;ECLIT]: 01",1. i"IINIMLJM [:'IBTF:INIZ:E BETI,.IEEI",! FI I.,.IELL FIND Fti",l"r' ON-'E, ITE SEI.4RGE I],ISI::'OSRL. S'-,.'SI"EM :I..EE'I F'EET FOR Ft F'R]:VFITE 14ELL OR :LDC1 TO 2E~E~ FE.E']" F'ROM Ft PLIBL):C NELL DEF'END~NG LIF'AN THE T"r'F'E OF' PLISL~C: 14EL. L. i'I]:I"~]iI'"IUM [:'I'.'.:.;TFINC:E FF.'.OM FI PRIVFITE I.,.IELL TO FI PR~',,,'FITIE.:.' SEklER LINE IE; 25 F'EE'T' FIN[:' TO F~ COHMUI"~tT'¢ E;EI,.IER L. INE :[':.-', Z5 FEET. I.,.!ELL LOGS FIRE REL.-.!UIF.'.E[.' F:IN[:' I"IIjST BE F.'.'ETIJRNE[:' TO "t'HE r.':,EPFiF.:TME'N'F t.,.tITHIN ii!i:E~ DFI"r'S OF ]'HE I.,.IELL COHF'LETION. OTHER E'.E:QU I REHENTS., I"'IFI'¢ FIF'F'[..'¢. E;I::'EC I F I CFf'F I Ot'.,IS I::INE:, CEII'.,I'.E;TRUC:T I Cd'-,I [:, I F:IEif;~:I::tMS I::IRE FI',,,'FIII....FIE:LE TO INE;IJRE PROF'ER tNSTI::ILL. FITION. F" E..] E;;: II '-'f % 'iF lIE ::-=; F" ][ IF%:" E:" .~; El, E C: E tl '-"i E: EZ IFE: ..E~=:: ::L .. ::L :i;~ :E: Z.:._~: I E:E:RTIF'¢ THFiT :L: t laM FFii'IIL.~FtF: I.,IITH "i"l...iE F:'.EQI.JIREHENTE; FOR OI'.4-.SITE :SEP.IERS I:al'.4D I,.IEI_.LS RS GET FORTH B'¢ THE MIJNICtF'i=iLIT'¢ OF RI'.,ICHORFIGE 2.: I WILL IN'.BTFILL THE S"r'STEH IN RCCOR[:'RNCE I.,.IZTFi TFIE CODES. 3: I I.JNE:,ER~;TFII",I[:, ]'HFIT THE ON-SITE SEI.4ER %'¢STEH I'"IFI'¢ REI;!LIIRE I:EI",IL. FtRGEHENT IF' THE RES I[:'ENCE IE; REHO[:,EI...ED TO I I",ICI...U[:,E MORE "FFIFff',I 2~: E~E[:,ROOH'.E;. ISSUE[:, E'r'-- ~;'/ ' ~ ' ~'~ ¢/ "~ ' d G OF RNCHO~FIGE. PERMIT ~PPLICFtNF HFIS TNF. RE~PL]NL-~[8,[L[T'? TO INFORFI-i'Ht~0Ep~RTHENT OUR[NJ] T~ ~N'~EfiI.L~T~ON IN~PECTION~ OF RN;~' L,I~LI.~ t?~.~;]ENT ro THI~ PRCtP~R~;t' ~NO rile ~'~IJHBER OF RE~[O~t, tC~.~ FHRt I'H~; HEU.. HILl. ~ERVE. ' I I THE OEPFH OF I~ TRENCH OR ptr [5 THE OI~FRNCp] 8E/HEEN rH~ [H.. I]~FIVEL DEPT'H ~5 THE I'I[NINUH D~PI'H OF )~NO TFt~ ~:r, rroH OF THE ENCFIVk]TICIN ([N ~Permit ~: 820957 January 3]., 1983 TO: Permit Applicant Subject: Lot 13 Block 1 Our Mounhain Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expJ. red as o[ December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal_ Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentatJ.on of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-buiits for our files and documentation. If there are any further questions, please call this office at 264-4720. S incerel.~I Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 ,% F'ERMIT NO. ~,,:,_,_...~,,' , HFFL[ ..HNF MARIA FREI rna L. nCA T I tin LEGFtL '~B± OUR MT '.=],/E) DEPARTMENT ,. HEALTH AND ENVIRONMENTAL , .OTECTION 825 "'L" STREET, RNCHOF.'.RGE., AK. 9950± 264-4720 F'O BO~'~ ._,~,1 F:HI IG I AK 99557 .-,~,o '::-.;,- ~' LOT S I ZE ~'~'.~ Sf.:'.!LIAR. E FEE'T' -,,-"] '" I S =;TEM TEEN_.H T'¢PE OF SOIL HE,=,~~F. TICN T' IS: "' -' I"IFIXII"IUM NUrlE, ER OF BEr)F.'COM'~ = 4 .... S A I L R A T I N G ¢.' '~ E, F T,/E:R ) = THE REQUIRED SIZE OF THE SOIL RB=ORFTION :Tz, TEft IS: [:.EF"I'"~= 9 LEZt-,I~3T'H= *-% ~--:'~ b~ F.~t -,- EL_ E:~EF'T~4= Fl THE LENGTFI [:,It'IENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. ]'PIE DEPTH OF A TRENCH OR PIT IS THE DISTRNE:E BETWEEN THE SURFACE OF 'THE GROUND FIND THE BOTTOM OF THE EXCAVATION ,::IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OLITFALL PIPE AN[.', THE BOTTOr,1 OF THE E',.,:',CF. IVRTION (IN FEET). F'ERMIT I=IF'PI_IC:FINT HAS THE RE_,PC, N.=,IBILIT¥ TC, INFORM THIS [)EF'FIRTHENT [:,URING THE INSTALLFITION INSPECTIONS OF ANY WELLS R[:,JRCENT TO THIS PROPERT'¢ AND THE NUMBEF.. OF RE.z,I[.EN_.E=, THAT 'THE NELL WII.L CER"E T l.,.l C~ ,:: ;-.~.: ::, ;[ i'-,I S $' E C: T I ,3 I%! .=, R F: E ~;~: E I=-]-. IJ Z E.'. E ,-, ,2' '* '~' '"¢: I ' ' '1- - B'T~ BFICKFILI_ING OF ANY =,¢_,TEM WITHOU'r FINAL IN.:,FE_.TICN FIND RFFF._¢ML THIS DEF'ARTMEI~4T P4ILL BE SLIE:JIECT TO F'ROSECUTION. MINIMUM DIS]"FINCE BETWEEN R NELL AND AN'¢ ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR FI PRIVATE WEU_ OR 150 TO 2£~0 FEET FF.'.OM fl PUBLIC WELL DEPENDING UPON THE T'¢PE OF PUBLIC WELL MINIMUH DISTANCE FROM fl F'RIVATE WELL TO R PRIVATE SEHER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. OTFIER REQUIREMENT'=; MAY RPPL'¢. SPECIFICATIONS AND CIDNSTRUCTION DIFIGF.:AMS ARE AVAIL. ABLE TO INSURE PROPER INSTALLATION. F"EZF-:I'"'I Z ]- E :-"-:: F" ][ F~:E$ [-~EC:E f'IE:EEF-: ]:dL., 1 ..... I C:ERTIF'¢ "rHRT i: I AM FFIMILIRR 14ITH THE REQUIREMENTS FOR ON-SITE SEklERS AND HELLS RS SET F:ORTH B'¢ THE MUNICIPALIT'¢ OF ANCHORAGE. 2.]: I WILL INSTALL THE S~¢STEM IN RCCOR[:,ANCE WITH 'Ft4E CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER S'¢STEM MA'¢ REQUIRE ENLARGEMENT IF THE RESI[.',ENCE IS REMODELED TO INCLUDE MORE THAI'4 4 BEDROOMS. Jonathon Houk Zoning Enforcement Susan Oswalt DHEP JBJECT Lot 13, Block 1, Our Mountain S/D DATE 6-8-/'~4 / ~~E Attached is a copy of the letter I have sent to the Freitaqs regarding revocation of their permit #840030. Mr. Robert Shafer of S & S Engineering in Eagle River is the engineer/inspector on the sewer system. Attached also is a copy of the oriqinal application from Mr. Freitaq. The neighbor and the engineer have both confirmed that it is a duplex. ~EPLY With full knowledge that we intended to revoke the permit, you continued the installation and had inspection by S & S Engin- eering. This office will not accept your as-built nor will it grant approval to use the upgraded portion ef the system. I am forwarding this information to the Building Safety Division. Sincerely, Susan Oswalt Eng'g. Tech. III SO/aen Nlunicipality Anchorage pr?UCP~ ~: 650 ANCHOR&GE AL~' ;,':,\ 995(~ .';ff , (907~ 26~t-4 i 1 i DEPARTMENT OF HEALTH riND £NVIRCNMENTAL P~9 T~cTro~'J June 7, 1984 Hr. Hal W. Freitag P. O. Box 561 Chugiak, Alaska 99567 Subject: Lot 13, Block l, Our Mountain S,/D On-site sewer permit #840030 Dear Mr. Freitag: Per my conversation with your wife on June 6, 1984, the above ~ermit has been revoked. As applied for and issue~, the [~errlit ..;as va!i! for an upgrade te an existing ~hree Oedroom stng!e family dwelling. At the time ef issuance, i persenai!y aske2 if the dwelling was multi-family, and you denied it. In addition ! asked your wife during eno ef her recent numerous telephone conversations with us if in fact it was more than single family, and she also denied it. Since we now have good reason to believe it is a duplex, and since we have no authority to issue a permit for greater than a single family dwelling, we are revoking the permit. In addition, you do not have State approval to supply water to a duplex. Your applications for upgrading the well and sewer system must be made through the Department of Environmental Conservation. With full knowledge that we intended to revoke the permit, you continued the installation and had inspection by S & S Engin- eering. This office will not accept your as-built nor will it grant approval to use the upgraded portion of the system. I am forwarding this information to the Building Safety Division. Sincerely, Susan Oswalt Eng'g. Tech. III SO/aen Metes/Bounds TYPE OF PERMIT:' Municipal Inspectors (Included in the Permit Fee) Well Only .~ ~prov~l Engineering Firm Combined (~wer & Well) FOR DEPARTMENTAL USE ONLY ~PE OFSYSTEM: Pit Drainfleld Trench S~page Bed Mound System Handwritten Gravel Depth. Width: / / to length end. add / · gallon tank. Fee Coltecte~~ Receipt Sewer Only ,..'~ Sewer Upgrade Soil Rating Total Depth For upgrade only: Add 72-012 (1 84~ PO, il 6 650 ANCI-tOR/\GE, At/',SKA 995024)650 (907) 264-41 ~ i TON;' I~t¥OkvI k5 MA Y OR DE[~A[tTMENT OF ItEAL.~'H Al.ID ENVIRONMENTAl.. PROTECTION June 7, 1984 Mr. Hal W. Freitag P. O. Box 56! Chugiak, Alaska 9956'7 Subject: Lot 13, Block 1, Our Mountain S/D On-site sewer permit #840030 Dear Mr. Freitag: Per my conversation with your wife on June 6, 1984, the above permit has been revoked. As applied for and issued, the permit was valid for an upgrade to an existing three bedroom single family dwelling. At the time of issuance, I personally asked if the dwelling was multi-family, and you denied it. In addition I asked your wife during one of her recent numerous telephone conversations with us if in fact it was more than single family, and she also denied it. Since we now have good reason to believe it is a duplex, and since we have no authority to issue a permit for greater 'than a single family dwelling, we are revoking the permit. In addition, you do not have State approval to supply water to a duplex. Your applications for upgrading the well and sewer system must be made through the Department of Environmental Conservation. With full knowledge that we intended to revoke the permit, you continued the installation and had inspection by S & S Engin- eering. This office will not accept your as-:built nor wi].:[ it grant approval to use the upgraded portion of the system. I am forwarding this information to the Building Safety Division. Sincerely, Susan Oswalt Eng'g. Tech. III SO/aen FI j:i:, p k ]i (:i: J:::l J~',J T · I- I,, [. I ,J ............. ' Ii/:: 0 J'.,J 'J' I:::J Ii:: i [::' H (31'.iE!!i ' L':,L:.'.Pf:'IWI"I"IE[NT OF::' HIEf::IL. Tf'I FIND JE~;iii:!ii~.i L... STI~RE%'T., FII",IE:HEd~;i:FIGE3 2 E; 4 ~'" d. '7 I...O'T' :E;:[2:E: LOT J..J[]lll;]:~:l'l" ]i ON: HI:::IL. J,.1 I:::l:;Uii; ]: TI::iG 4. SE;Jiir;:' ,:: SQ. F'T. OR !"ll:::lr;;:J.::: C :[ RC':I...E EIFT:' SI'::: :[ :1; E:IERT :[l:::'"r' "I"HFYF ' :ii.. ]i I:::11"! F:'I::II'I ]i L, ii~FI~;i', t,,.I]:"l"l...I 'TH1E I;i:l~ii(; I I~'.IE I"11EI I::'OF;i'.TH B"r' "I"HEi I'IL..II"41[ C 1[ F:'I:::II.... Z l""r' O1:::' FINe ;t; I.,.I ]: L.L ;1: NSTI::IL.L. THE I::lJ",J[) ]:N C:OJ"IPL];F:d",f(3E; I.,.IZTH 'TH! :[ I,.I:[L.L FIDHIZB:IE TO FILl... D :1: S'T'F:INE:I:i::!_'; r::'l:;i:Ohl Fli'.,Ih.' ;:.:; ;[ :.7, T ;[ I'.,l(! SE;I.,JEIq:FI(:iiIE :5'T?TTi;H O1'.,I (::l i'.,I -... :fj; ]: q" l~7 :ii;EI.,.iE:I;;t'E; F::It,IE:, I,.tEL. LS F::iS (l"lOl::t) FII",ID 'THE %TI::tTE OF I:::IL..IFt."E;I':(R. E 14 :[-I"H FII....L. I'¢101:::1 C:(3D[~;'Z'; FIN[.':' i:;.:E(]iULI:;IT Z ON:.:.:;., CR Z TIER Z I::~ (:)? 'T'H Z :ii; PE3;i:I'"I :[ T. TWTE OF RL. FISI'(FI I;;i:E(;;&.I.T.F.".E;t"IE;I",ITL:'i; FOR THE; :E;ET BF:ICI'( EL.I .... I.,.IFi:iiFT'I~:;I.,.IRTE;F~: [)]; '.~:iF:'EE'i;FIL S'T'S'T'EI"I OR I:::'I..tE;L ]; ,t"r' R[)..~FIC:ENT OF.: I",IIEF:;II:;;:E:"r' L. ErT. t",1 t::II:REI'::I CO"/EI;;:E:D E:"r' I'"IEIFI E;LI~[L.D];I'.,I(] :[ ON I"IUL::i;T E:[~: OBTFI:[ I'.,IED.~ (;;;::]:, I:::I%-E,'I...I ]~ I....T'Jii; :[ I'.,ISF'ECT ]: E~l'.,I iq'.EF'Ed;.':T.~ FII'.,I[) ,:::2~: ::, 'Thll~i: E',"r' 171 [... ]; E:Ei",I:iSE:D E:M:.i:CTIq: ]; C ;[ FIN. [:,FITE / Permit ~ Applicant MUNICIPALITY OF ANCHORAGE f Health and Environments L Street, Anchorage, AK. Department 825 264-4720 * * * HANDWRITTEN PERMIT * * * WEL=L--~N~R ON-SITE SEWER PERMIT ~ ,~ ~7 Mailing Address: Protection 99501 Location: '-/Z/(/. ? ~:.-',_~:f z3z3/~ ~>i~hone Nunlber: Legal Description: ~ ~ ,-~' - ~: / ~,~ //~'/ .~ LOt Size: z~/~:'~ ,'~ s~.-~l Type of Soil ~sorption System Is: Trench: ~ Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: '~- ~ Soil Rating(sq.ft/br) / k The Required Size of the Soil ~sorption System Is: ~'¢:,~ ~, DEPTH ¢ ' ~/ LENGT~.,~i . GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minim~ depth of gravel between the outfall pipe and the bottom of the excavation(in feet). ~./>~ . /,~/ ~':~/~/(¥>q ~ ~ REQUIRED SEPTIC(HOLDING) TANK SIZE = /(?i~ [ GALLONS Permit applicant has the responsibility to inform %his department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED ~ ~' ~ Backfilling of any system without final inspection and approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee- for a private well or 150 to 200 feet from a public well depending upon the -type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a corm~unity sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include ~ore thaE 3 bedrooms. Signe~: Issued by: Applicant Date: 'f/3 ROH~OOD BRANOH [~] BOX-Ot0t.:~ BOX 140 '99~67 .;'. WASILLA, ALASKA 99687 -.- ,. PHONE376-5194 TERMS.,. "' SA LE~.~AN ' PRICECODE 1.STOCK2. BID 3. SPEC. ORDER LO1 ~ BOX 499 KENAI, ALASKA 99611 DELIVERY TICKET 193633. ~_~--] §OX 6185 ' · ANCHORAGE, ALASKA 99502 PHONE 203-752'~ PHONE 279-9495 SHiP TO:: PROPERTY DESCRIPTION DATE BLOCK SUBDIVISION SHIP VIA .S-t PPED - - ' DATE ! RECEIVED IN GOOD CONDITION X TOTAl_ AMOUNT ALL CHARGES THAT ARE NOT PAIO ACCORDING TO TERMS, WILL BE SUBJECT TO A LATE PAY, MENT PENALTY EQUAL fO THE MAXIMUM ~N M-W DRILL NG NC. P.O. BOX 110378 ANCHORAGE. ALASKA 99511 PHONE 349-8535 iNvo~ct~ N~ 23'15 LEGAL DESCRIPTION WELL NUMBER MODEL ~r T^'rlC LEVEL TOTAL MATERIAL5 prior to dr#ling. The custo'mer shall pay in- terest at the rate o/ I ~ % per month on any amount not paid within tell days. Faik/re to pay may result in a lien against the property. ~ 3o I~. charges shall be pakl m full within ten LABOII OTHER ./ August !4, 1984 Engineering 196X River, Alaska 99577 !)ear Si r: Subject: We have MUNICIPALITY OF ANCHORAGE ~C^Llq OEP[. OF r ' & PR~,TEC r t N ENVI[(ONI,'EN[/~L ' ~ ' ' '~ ' Lot lB, Block .1.~ Our Hountain o,,D Chuqiak , aste,,ater A prova RECE. JVED ~eviewed the plans and specifications For the subject 'F',,.r"~ ~.'-'ans[ are approved, conditioned on adherance tc the followinn, item, s: I. screened rock back fill io deep and wids trenches (3/4" 3'). 2, screened rock back fill in absorption bed (3/~" - I 1/2"). 3. sufficient area plotted on az bui'!t for replacement "~,~o-~ This letter constitutes the perr:ik required 111~r ~., S , 46,03o720(a) for p'lap approval of sewerage systems. It should be remembered that final e, pprovai will necessitate the submission of Engipeer As Built Plans to include photographs as indicated on page ~3 of enclosune. TMs, will consequently mandate that a professional engl~ ,"n.~r ...... conduct basic inspection of this project so as to be able to sign off on a~ built plans. Arrangement for tills inspection work is the responsibiiq.~y of the developer. Sincerely, !7" i:: ...., ,sam~s 1: Ha..'den~ ,}FH/dd L..qcl OSU~ e k&c: P, obbie Robinson (MOA) l'.,s ~uilt Plans submitted by .... ~.,. 4- CZ f-x-~z,_~x_--z.~._..__ ....... J HOBERT A. SHAFER August 8, ]-984 CIVIL ENGINEER 694-2979 SEWER &WATER MAIN EXTENSIONS SYSTEM DESIGN SITE PLANS SOIL TEST PERCOLATION TEST MECHANICAL ON SITE WASTE WATER DISPOSAl SYSTEM DESIGN State of Alaska Department of Environmental Conservab on 437 E Street Anchorage, Alaska 99501 REFERENCE: I,ot 13; Block 1; Our Mountain Subdivision On August 2, 1984 your effice issued an approval to o~orate ~¢Class C well to serve a duplex located on the referenced property. Our letter dated June 17, 198~ also asked for approval of the existing o~-site waste water disposal system as installed and upgraded under Municipality permits. Our letter also provided copies oF these permits and in- spection reports as we]]. as other data in support of this project. It is now requested that a waiver be granted for a distance of ]-&5 feet between the well and septic Yank. I'b is our opinion there is sufficient data to support a waiver to the distances established by 18-AAC-72.021 and that these distances are not necessary to prevent contamination of 'this well. ][f ,..;; ma~/ be of further ,'~ervica, plea .... do not he.~;:i, tate bo co~ ;..a,o t'~ t~s, /'¢ SRB 196X EAGLE RIVER, ALASKA 99577 CONSTF UCTION AND OP RAllON CERTIFICATE PUBLIC WATER SYSTEMS APPROVAL 'FO CONSTRUCT in ~:'-~'~ ~ ~ ~%~' ~: ........ Alaska, submitted in accordance with 10 AAC 80.100 ~ approved. ~ conditionally approve, d~(see attached conditions). ~'O~ ~jq [ ~ jo~.t~ t~ // ' --~-.- . ~-7:7> BY TITLE DATE If construction has not started within two years of the appraval date, this cortificale is void and new plans and specifications must be submitted for review and approval before construction. B. APPROVED CHANGE ORDERS Approved by Date C. APPROVAL TO OPERATE The "APPROVAl_ TO OPERATE" section must be completed and signed by the Department before any water is made available to the public. The construction of the _/~(')-i-'~'.~/ i-/)lOC (~ ~_j _~)~,~t~: ["~C)~( ,~7~']~/? ~'/J~ ('(.)~=~ '~ '¢' 4' -~( ~/' pnblic water system was completed on &%,~.,~---~2'2,] . _ _ (date). The system is hereby granted interim approval to operate for 90 days following the completion date. SY -- - ' T~TL~' - ' DATE As-built plans submitted during the interim approval period, or an inspection by the Department, has confirmed the s~fstem was constructed according to the approved plans. The system is hereby granted final approval to TITLE DAf5 180407 (Rev. 11/83) DISTRIBUTION: I WHITE- ENGINEER {Complete Seclion G) 2 YELLOW - WATER SYSTEM Ell E (Complete Sechorl CJ 3 PINK · ENGINEER/MUNI.BOROUGH (Complete Seclion C} 4 GOLDENROD - MUNI-BOROUGtt (Complete Section A) R Susan Dswalt Zoning Enforcement O SU83EC? I,o% ].3x Bloak Ir Our Mountain S/D DA?E 6.~,8/8~-- // ME~~ Attache~ is a ~opy of ~,e letter I have sent to the FreiJ~gS reqardinq revocation of their permit ~84~30. ~. Robert Shafer of S & S Enqineerinq in Eaqle River is the enqineer/inspector on ~e sewer system. Attached also is a copy of 'the oriqinal application ~rQ~% ~. F;~taq~ 'J2'he neighbor and tho enqin~er haw~ bo~h conf~rmed tha'~ it is a~!)lex. RE;PLY ~~). 4S 472 SIGNED SEND PARTS 1 AND 3 WITH CARBON INTACT PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FIlE FOE FCJlIC)W-IIP DATE / // CO State of Alaska Department of Environmental Conservation 427 "E" Street Anchorage, Alaska ATTN: RE, Bruce Erickson }la]. Freitag, Class "C" Water System Lot 13, Blk. l, Our Mountain Estates Subdivision Gentlemen: This is intended to supplement the submittal of S & S Engineers on subject project, which was recently rejected by your office. As I mentioned when we discussed this pro- ject recently, I had thought that this water supply system would be approved if we could show 'that t~e well would produce 3/4 g~m after 24 hour~ pumping, per our discussion of 6/5:t/84. Since that time, the wel% has been deepened 6o' which increased its sustained capacity to 1.46 gpm. (See attached log and M-W Pump Service invoice). Also attached is a copy of my computation sheet which shows mathematica].ly what 'the Freitags' and their tennants are experiencing first hand - namely -that a well with 1-~ gpm sustained production and 375± gal. of storage in the well casing can easily supply the requirements of 'two 3-bedroom units. You will note, in fact, that using the recognized design demand of 150 gpd per' bedroom, 'the well pump need operate ].ess than 50% of 'the time to provide the projected demand. I must also point out that, although not required by the computations, (or the real-life conditions), 'they have a 500 ga].. storage tank installed in the house. If required to receive your approval, it can be connected to provide additional storage for the system. Given the increased production and storage as shown 'by the ene]_osed data, we are confident 'that this sys'te~ should be approved without hesitat.'lon. Ii', however, you still have questions in this regard, please call me at once at ~49-8535. Thank you for your consideration. Yours very 'truly, CC: Mr. & Mrs. Hal Freita~ RWK/sk '~ JVJ oW DRILLING, In¢, /Revised Log* P.O, Box 10-378 · 10300 Old Soward Highw% Ou~le 28, 1984 (907) 349-8535 ANCHORAGE. A|J~SKA 99511 DRILLING LOG Well Owner. FREITAG ~ HAl ..... Use of Well _D_pm~e_,~;j~;j[_t-'._ Location (address of: Township, Range, Section, if l~own; or distance main road Lot 13 Block 1 Our Motmtain Subd.-Peters Creek 11 Size of cash~g. Static water level 145-+ ft. (~x~) Screen ( ); Perforated ( Describe screen/or perforationN°ne Well pumping test ~t_1' _gallons per (~¥) of drawdown frCm.static level. Date of completiorLDeepened June 28~__1_9_81u~ .Depth of Hole_ 410' __feet Cased to__l~6'](4 _ feet (below) land surface. Finish of well (check one) ). (minute) for.~l___ ',/hours with open end ( X ); WI~L~ LOG Depth in feet from ground sm-face Give details of formations penetrated, size of material, color and hardness O__TO 2 Casin~ ~t ickup_ 2 _TO_ 2~9 ~19 _TO 121.5 121.5TO- I25 TO_._226 32~ TO 127 127 .TO ~29 52~_TO ~50 ~50 TO ~56 n56 ~6~ 164_ .__TO 4~0~ __?O_~ C ~ _ TO ...... TO Brown silted_gravel & cobbles Boulder: ver35hard Broom silty gravel Boulder Silty gravel Boulder Silt.v~__~ravel & boulders Silt~i_~ravel & boulders - da~l~__ Bedrock"- -i Green bedrocM NWWA Certified Contractor 1 -- CUSTOMER i~-W DRILLING, Inc. P.O. Box 10-378 · 10300 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner_~;:) ,~la'J ~'~:4 .Use of Well T".~ ..... - ~r._ Location (address of: Township, Range, Section, if known; or distance main road ,>lze of casing__4 Depth of Hole Static water level i.d 5 ~,~ft. (B~I~) Screen ( ); Perforated ( Describe screen or perforation -'- Day Well pumping test aJ; ..... ' allons per (~ of drawdown from static level. Date of completion ~eam~e~ 15, 1982 350' __feet Cased to ~J4 ' feet (below) land surface. Finish of well (check one) ). open end ( ' ); for 1 hours with : 00% WELL LOG Depth in fee[ from ground surface Give details of formations penetrated size of material, color and hardness Casing St :lck,q~? Brown Boul. ucr: Very Hard Boulder Sil?2y CrawxJ. Boul der Silt?_ (:ravel '* ara - oz3 i 3 -- CONTRACTOR ddd ,, ~ddodddd , : :9, ~q MunicipahtYof Anchorage June 14, 1984 PUBLIC WORKS DEPARTMENT CERTIFIED NO. P 729 133 535 Building Safety Division Mr. Hal Freitag P.O. Box 561 Chugiak, Alaska 99567 RE: Lot 13, Block I, Our Mountain Subdivision POUU,~ 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 786-8211 TONY KNOWLES MA YOR Mr. Freit~g: I am in receipt of a copy of a letter sent to you by Susan Oswalt of the Municipal Department of Health regarding the revocation of your on-site Sewer Permit No. 840030. Because our Land Use Permit issued to you was for a single family dwelling, this letter is to advise you that you must do one of the following steps: *Apply for and gain approval of, a Land Use Permit for a duplex. (you must have the state approve the permit) *Return your dwelling to the single family use , the original permit was issued for after obtaining the DHEP Single Family Sewer Permit. *Call Zoning Enforcement and a~'range an on-site inspection for con- firmation of the uses. One of the above steps must be resolved within the next ten (10) days or further legal action will be instituted. Contact David Brennen or me if you have questions. ~'nathan F. Houk, ASLA, APA Chief Zoning Officer Buildin9 Safety Division Department of Public Works JFH: cb Enclosure: Susan Oswalt's letter cc: Susan Oswalt, DHEP ~/ David Brennen, Principal EnfOrcement Officer Kathy Johnson, Zoning Plan Review MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-111-45 1. GENERAL INFORMATION Complete legal description OUR MOUNTAIN BLOCK 1, LOT 13 Expiration Date: 7- 2 l - Z Location (site address) 20508 MARK CIRCLE, CHUGIAK, AK 99567 Current property owner(s) LIETZAU REV. TRUST... Day phone Mailing address Real estate agent 20508 MARK CIRCLE, CHUGIAK, AK 99567 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ® Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 6 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 $ Waiver Fee $ Date of Payment 23 ZQ Date of Payment Receipt Number q13 Z( 3 Receipt Number COSA # 6?'S'_� C - z l I q1-7 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 4/20/2022 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 Ct these various and dynamic characteristics and are outside the control of the evaluator of the r l well and septic system. Therefore, any estimate of how long a system will function satisfactory ��P• • • • • t for current or future occupants or guarantee that no unseen encroachments, deficiencies or /fig••• •9 �r discrepancies exist can be given by First Water Consulting & FWH - *' 49 TH ••* 6. DSD SIGNATURE • • '. Curtis Huffman j System #1 Approved forbedrooms %00 F29� •. CE 128991 System #2 Approved for bedrooms 11lF�PROFESS1oNP�� Disapproved Conditional approval for bedrooms, with the following stiY(�OUInt�«�� �QPLITY gJ ON,qrrc o "TER AND m V`ATER r PROGE Ann o Original Certificate Date: V— 3— U 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 Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other G 1kGi %X S t m -y � t -�- e Legal Description: OUR MOUNTAIN BLOCK 1 LOT 13 Parcel ID: 051-111-45 If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 12/15/1982 (6/28/1984 — Deepened) Total depth 410 ft Cased to 157 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/15/2021 Static water level at beginning of test 148 ft. Comments B. TANK DATA Age of tank(s) 22 / 17 years Tank type/material SEPTIC / STEP - STEEL Measured operating fluid level in septic tank 49" ® Standpipes/foundation cleanout per record drawing Date of pumping 7/15/2021 D. ABSORPTION FIELD DATA Which system tested (date installed) 1/9/2004 ® ALL standpipes present per record drawing Total measured depth from grade 7 ft (max) Measured depth to pipe invert from grade _ft (min) ® N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field (INSULATED) ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Structure served by this system Well production at time of test 1.0 gpm Water storage tank volume 500 gallons Well disinfected for coliform test? ❑ Yes ® Nc ® Coliform bacteria is Negative Nitrate 1.83 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by WN Date of Sample 4/6/2022 & 3/28/2022 C. LIFT STATION ® Required maintenance completed Age of lift station 17 years Lift station material STEEL Comments: Adequacy test date 7/15/2021 Results M Pass For 6 bedrooms Fluid depth prior to test 0 / 6 in Water added 900 gal New depth 0 / 7 in Elapsed time 45 min Final fluid depth 0 / 5 in Absorption rate 900 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date FWH 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 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' Water Service Line > 10' ® 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' ® Yes if No 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 CERTIFICATION-a"��'��4� 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance /�� ' •;9' �� with MOA COSA guidelines in effect on this date. , TH .. ' .': .. .... .......... Curtis Huffman r�� �"Frj•,� CE 128991 ���� �R�� ROFEss�o����"� ft ft ft ft ft ft ft ft MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT ca ( 907-343-7904 On -Site Water and Wastewater Section '. Fax: 343-7997 www.muni.org/onsite Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC 211417 Subdivision: Our Mountain 8 1 Lot 13 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $8,000'to $11,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. MUMC�PAU7Y 5 OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-111-45 Expiration Date: 1. GENERAL INFORMATION Complete legal description OUR MOUNTAIN BLOCK 1, LOT 13 Location (site address) 20508 MARK CIRCLE, CHUGIAK, AK 99567 Current property owner(s) LIETZAU REV. TRUST Mailing address Real estate agent 20508 MARK CIRCLE, CHUGIAK, AK 99567 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ® Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone Day phone 3. NUMBER OF BEDROOMS: 6 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 $ :JOU Waiver Fee $ Date of Payment r% ,Z 3 .2021 Date of Payment Receipt Number. 413.263 Receipt Number COSA # OSG2 1 9 / 7 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 711912021 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 " OF A • . these various and dynamic characteristics and are outside the control of the evaluator of the �y 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 J discrepancies exist can be given by First Water Consulting & FWGS / . Pit 49 ••* r / ... DSD SIGNATURE rr Curtis Huffman / System #1 Approved for bedrooms ����Fc�s•. CE 128991 System #2 Approved for bedrooms TF9FOPROF 5S NP\,\\\`�`-�.� Disapproved Conditional approval for bedrooms, with the following stipulations: \`\\k<<l`1TYf or(1--6- _ J p o WAR A E m ST•_-��;ATER z� SERVICES����`�, 1 L� Original Certificate Date: -T- Z -2— 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 Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other Sf-e2� `�x.N,� , vloy� �A+� Legal Description: OUR MOUNTAIN BLOCK 1 LOT 13 Parcel ID: 051-111-45 If, more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 12/15/1982 (6/28/1984 — Deepened) Total depth 410 ft Cased to 157 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/15/2021 Static water level at beginning of test 148 ft. Well production at time of test 1.0 gpm Comments B. TANK DATA Age of tank(s) 22 / 17 years Tank type/material SEPTIC / STEP - STEEL Measured operating fluid level in septic tank 49" ® Standpipes/foundation cleanout per record drawing Date of pumping 7/15/2021 D. ABSORPTION FIELD DATA Which system tested (date installed) 1/9/2004 ® ALL standpipes present per record drawing Total measured depth from grade 7 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 Structure served by this system Water storage tank volume 500 gallons Well disinfected for coliform test? ❑ Yes ® Nc ® Coliform bacteria is Negative Nitrate 3.65 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FWIS Date of Sample 7/15/2021 C. LIFT STATION ® Required maintenance completed Age of lift station 17 years Lift station material STEEL Comments: Adequacy test date 7/15/2021 Results R Pass For 6 bedrooms Fluid depth prior to test 0 / 6 in Water added 900 gal New depth 0 17 in Elapsed time 45 min ® Code -required soil cover over field (INSULATED) Final fluid depth 0 / 5 in ❑ System presoaked Absorption rate 900 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 FK Comments/Deficiencies: 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 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' Surface Water > 100' ® Yes 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 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 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. -wallAft, Awl -49 .... ....t...... �� • Curtis Huffman �j �'c�`•• CE 128991 r����s,F�. • 7/27/21 . •���� PROFEWCO , ft M Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 211417 Subdivision: Our Mountain B 1 Lot 13 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $8,000 to $11,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. Ma�hng Address P Oso Box x.96650 *Anchorage, Alaska 9959 6650 *www inun� orp b� ----- -------- . ... .. ------- MUNICIPALITY OF ANCHORAGE 1A 07-343-7904 r �J' n c: Dt7,�.vc,lopment Sc�vice� De�partn,,--I '4�-;_71")97 orsi site 0,.,, 1 � t--- - S ep I i r, T,;ink: -Sludge 21evell —0/ inches Lift station: ,P:.mp basket CjeP_n�d 621!i - no -C o n 41, c, floats c', a r c. d rc -Ouierailon sadsf'WtOno' 'mss n Atarm System; U1 S+atioi�,'Pump Vault requIred Purer, -,ng competed vp-.s no. •E ffl` I n t 'Ti It rf r r-!, a a r, e d , D_ —ro -Proper floc settings confirmcd A"eA no C, jedi-aLed electr`cal larm btCUil, T10 -AudlUe and vistial alai'm inside, dvvelling ('Y—es"no A '�Iar!1-systni,i opera"o satisfa Manhole Riser -Ground vviat--r intrusion at riser to tank, connection ves (n -Ground wa or intrusion around pipe penetrations ve -Whole furcflonal Cvc-s%\ neoeep ,Misi-,hole lid. 4FUt-fictional (vesj no Insulated yrs i,a Properly Securedno N.� -All manuf2cturer re:ClUired inspelctions and mainteriance cornpletcd k�no Cort-m-ient5: Qualified Maintenanice Provider: i Technician U 33 Co n-, Da ny F.t Signature D, to Of maiItEManceiil.,� Date Lot 1C 8.0'x12.0' SHEC 9.8' LEAN-TO'� BOTH S 9.2' LEAH I 12.3'x 16.2' MORTGAGE SURVEY _X_ SCALE _ 1__= 60'_ GRID NW_1361Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone `' (907) 522-4625 Fax aoao ����� Professional Land Surveyors ken®langsurvey.com v jonathon®longsurvey.com I hereby certify that I have surveyed the following described property: LOT 13, BLOCK 1, OUR MOUNTAIN SUBDIVISION (PLAT No. 77-17) Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained hereon shall not be used to establish any fence, structure, or other improvements. Dated this the �G> � =_ Day of ___ r_"�-'�`=i t__ ` �' L' � at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. T -H �Vl KENNETH . LAN o G 4p �F s-5202. 40���FfSSi0NA1- �� AECC963
