HomeMy WebLinkAboutOUR MOUNTAIN BLK 1 LT 15Our Mountain Block 1 Lot 15 #051-111-40 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211121 PID Number: 051-111-40 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name JOSEPH PHILLIPS ABSORPTION FIELD ❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound Site Address 24443 WHALEY AVENUE, CHUGIAK, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1 GPD/SF 2.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot OUR MOUNTAIN 1 15 Fill added above original grade VARIES: 1.66 - 2.36 Ft. Gravel length 120 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 600 Ft2 2 6+ Ft. Well -- 100'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer EXISTING Capacity Gal. Surface water -- 100'+ Material Number of compartments Lot Line -- 10'+ NA Foundation -- 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks SERVICE LINE TO FIELD INSULATED. 1' MOA SAND BELOW ED. EXISTING FIELD DECOMMISSIONED. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Installer JRS Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 1" 5/17/2021 5/17/21 Location and description 2nd 3`d 5/18/21 4" 5/18/2021 ISTAKE DRIVEN — SEE ATTACHED DWG ON-SITE WATER AND WASTEWATER SECTION APPROVAL . ­ Conditional A royal:Date ,� TH.. . - ....... .. " ".."' . .. Septic System Approved - Date 5 a5 r' �•,•• Curtis Huffman .: `��%,'•.CEt92809t.•"��``� � PROFESs\oN�„ ... Note: this approval does not include well permit requirements. (Kev u=2/i 6) PERMIT: OSP211121 PID: 051-111-40 Lot 15 SEPTIC AREA 46,445 s.f. Lot 2 J ,moo MT N CO H TH21-1 O GMT 0 m MT W O F J O SPUTTER N ^ BM* CO CO MT D II IIS POWER A 0 POLE B 2e ADDED INSULATION ' Lot 1 STORAGE o u BUILDING b, DCO DECOMMISSIONED EXISTING CO 2$ A.3 TRENCH IN DRIVEWAY CO EXISTING 1250—GAL DCO Z GRAVEL SEPTIC TANK DRIVE / 35.4 0 p PROTECTIVE p RAILROAD TIES N 16.2' N 39.1' 2 STORY 4/ RESIDENCE A -C=71.3' DFCO CO CO DCO SPLITTER CO MT CO MT B -C=52.2' DRIVE 99'9 FINAL GRADE 99.8 A -D=38.3' ORIGINAL GRADE 97'54 INSULATION � FILTER FABRIC TH21-1 B - D = 7 8.9' oORG/OL A -E=37 7' EXISTING 11 95.54 95.54 3 B -E-80.4' SEPTIC TANK SEWER ROCK A - F - 4 5.4' 95.04 95.04 1' MOA SAND GM/SM BELOW ED B -F-81.1' 99'2 CO MT FINAL GRADE CO MT 99.4 8754 GRND.WTR. 11 ORIGINAL GRADE/ -4/29/21 A-6=45.5 7. SEPTIC SECTION FILTER FABRIC 5&/2/21 B -G=83.2 SCALE: NTS 12 A — H =10 6.2' 5.54 95.5a 85.54/- 5.54 BOH SEWER ROCK B -H=56.9 ' 95.04 95'04 1' MOA SAND RELATIVE ELEV. SUPPORT SERVICES: BELOW ED __\ B -I-46.2' OUR MOUNTAIN BLOCK 1, LOT 15 $ OF \\ PREPARED FOR: ��`��' AZ4� 1 24443HWHAILEY AVENUE LLIPS aC171H*�� 1� CHUGIAK, AK 99567 C * 9 FIRST WATER CONSULTING DATE: 5/20/21I` rtis Huffman 00 13030 Sues Way SURVEY: KGL 1 ifs CE 128991 Anchorage, Alaska 99516 DRAWN: FWCS 1N 5/19/2021 (907)350-9566 SCALE: 1" = 40' FirstWaterAK@gmail.com � WHALEY� AVENUE 0 0 r� PLOT PLAN AS BUILT —2L SCALE 1" = 40' GRID NW 1361 Project No. 21-213/A2 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, in c . (907) 522-6476 Phone 000ppppO (907) 522-4625 Fax o OF. A p�4 Professional Land Surveyors kenolangsurvey.com Y F, ............-9 4 JonathanOlangsurvey.com DOP ..• S �O I hereby certify that I have surveyed the following described property: O�Lj: TH COQ LOT 15, BLOCK 1, OUR MOUNTAIN SUBDIVISION (PLAT NO. 77-17) 0 49— . Q Anchorage Recording District, Alaska, and that the improvements situated thereon are •' • • • • • • •� within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed �' KENN N.G. ..G ... premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. QQ4�••,,rj�2��'L� JOQ� Dated this the 21 51 Day of 2 at Anchorage, Alaska "?o.. No ���L ....op �4pROFesswwA. `po It is the responsibility of the owner to determine the existence of any easements, �OOOoo�a covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE' I On-site Water & Wastewater Program PO Bax 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 3437904 Fax: (907) 3437997 http: lh vww. rn urii.argla nsite 9't'cyn Rnbb On -Site Wastewater Disposal System Permit Permit Number: OSP211121 Effective Date: Work Type: Septic Upgrade Tax Code Number: 05111140000 Site Legal Address: OUR MOUNTAIN SLK 1 LT 15 G:1361 Site Mailing Address: 24443 WHALEY AVE, Chugiak Owner: PHILLIPS JOSEPH D Design Engineer FIRST WATE=R CONSULTING This permit is for the construction of: 0 Disposal Field ❑ Septic Tank ❑ Holding Tank I] Privy Expiration Date: Lot Size in 5q Ft: Total Bedrooms: 513!2021 513!2022 48445 4 ❑ Private Well Q Water Storage All construction shall be in accordance with: 1- The attached approved design. 2- All requirements specified in Anchorage Municipal code Chapters 15.55 and 15-65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3- The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). C From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either.- a. ither:a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued 6y. Dale: 5/3/2021 Dale: L4 0 MUNICIPALITY F ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-111-40 Property owner(s) JOSEPH PHILLIPS Day phone Mailinq address 24443 WHALEY AVENUE, CHUGIAK, AK 99567 Site address 24443 WHALEY AVENUE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) OUR MOUNTAIN 131, L15 Legal description (Township, Range & Section) Lot Size 46,445 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field F Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank ElUpgrade Q (D) F-1 Holding Tank F-1Renewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above infof oration is correct. I further certify that this is in accordance with applicable Municipal Codes. nature or property owner or autnorizea agent) Permit/Rush Fees: *6q Date of Payment: `j -2 q - Z( Receipt Number: -7(Ct 29� Permit No. 05f 2 1 1 (2 1 Waiver Fees: Date of Payment: Receipt Number: 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 April 29, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: OUR MOUNTAIN BLOCK 1, LOT 15 The property owner has requested we obtain a permit to upgrade the failed septic system of the above referenced lot. We propose to install two shallow trenches with sand filter to serve the existing 4-bedroom residence. The design is based on the recent test hole conducted on April 22, 2021. Groundwater was observed at 7.5’ at test hole excavation and at 6.5’ (4/29/21) & 7’ (5/2/21) at monitoring. The existing tank is and has been protected for some time with beams and railroad ties and 1-2’+ of mounded dirt. This has and will protect the tank from being driven over. The slopes are moderate at 0-5% 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 OSP211121, Deb Wockenfuss, 05/03/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211121, Deb Wockenfuss, 05/03/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211121, Deb Wockenfuss, 05/03/21 4661 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL : OUR MOUNTAIN B1, L15 PERFORMED BY: FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 4/29/2021 DEPTH FEET OG SOILS 1 2 ORG/OL 3 4 5 6 GM/SM 7 8 9 10 11 12 13 BOH 14 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 4/29/21 10 min 6” 3 2/16” “ 6” 3 3/16” “ 6” 3 2/16” “ 6” 3 1/16” “ 6” 3 1/16” “ 6” 3 0/16” PERCOLATION RATE 3 (MIN / INCH) TEST RUN BEWTWEEN 3 & 4 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: YES IF YES, AT WHAT DEPTH: 7.5’ DEPTH TO WATER AT MONITORING: 6.5’ DATE: 4/29/2021 TESTHOLE # 21-1 DATE PERFORMED: 4/22/2021 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: JOSEPH PHILLIPS 4/29/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211121, Deb Wockenfuss, 05/03/21 WHALEY\ AVENUE MORTGAGE SURVEY X SCALE 11 —=40' GRID NW 1361 Project No. 21-213/A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates inc. (907) 522-6476 Phone oppOp (907) 522-4625 Fax o0o O Q Professional Land Surveyors kenOlangsurvey.com o QFA,�90p� IonathonOlonasurvey.com O� .• . S N I hereby certify that I have surveyed the following described property: LOT 15, 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 2 4' Day of ��z L �'L at Anchorage, Alaska If 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. �� .�• 49TH `••�* -A • K Q7 �Q 'J� •. LS -520 . • c3 4 AR Noo 4��� �SSION%a• �o AECC963 Well Drilling Permit Number: SW Date of lame: Parcel Identification Number. & Address: © UV o vh. t6k, In ayW43 WVt'a -) L- 15 eh t a K AK Qq& Pump Installation Date. Q iD aO! S Pump Intake Depth Below Top of Well Casing. 3l' feet Pump Manafaeturer's Name: a., d S PumnModel: ]5i�tAP,1a Pump Size { hp Adapter Burial Depth: i \ feet Pidess Adapter Manufacturer's /Name: Pidess Adapter Installer: lAr'�v1�W Well Disinfected Upon Completion? [gYes ❑ No Method of Disinfection: Comments: Installer Name: G () 1N 3 Y1 7 yC ✓ `� S Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation Development Services Department . Q . Building Safety Division Cin -Site Water do Wastewater Program 4700 Elmore Road P.O. Box 196650 Markeegfch Anchorage, AK 99507 Mayor i i .muni.ora/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of lame: Parcel Identification Number. & Address: © UV o vh. t6k, In ayW43 WVt'a -) L- 15 eh t a K AK Qq& Pump Installation Date. Q iD aO! S Pump Intake Depth Below Top of Well Casing. 3l' feet Pump Manafaeturer's Name: a., d S PumnModel: ]5i�tAP,1a Pump Size { hp Adapter Burial Depth: i \ feet Pidess Adapter Manufacturer's /Name: Pidess Adapter Installer: lAr'�v1�W Well Disinfected Upon Completion? [gYes ❑ No Method of Disinfection: Comments: Installer Name: G () 1N 3 Y1 7 yC ✓ `� S Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121291 PID Number: 051-111-40 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: GERARD MCINTYRE ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other Address 24443 WHALEY AVE. CHUGIAK, AK 99567 Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. I Gravel depth beneath pipe Ft. Subdivision Block Lot OUR MOUNTAIN 1 15 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area FP Number of trenches Dist. between trenches Ft. Well 100'+ 100'+ 100'+ __ 25'+ TANK ❑ Sepfic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1 1250 Gal. Surface Water 100'+ 100'+ 100'+ - Material STEEL Number of compartments 2 Lot Line 5'+ 10'+ 5'+ _ NA Foundation 5'+ 10'+ 5'+ __ LIFT STATION Manufacturer Capacity Curtain Drain NA *50'+ NA -- ----------------- Gal. Remarks Tank insulated. Pump on level at in. Pump off level at in. High water alarm at in. Existing ST decommissioned per code. Pump make and model Electrical Inspections performed by Installer RPCInk o D3034 PIPE MATERIAL House to tank D3034 d a nfietld Drainfield CO/MT D3034 Inspector ARCTERRA BENCHMARK (Assumed elevation) 100 ft Inspection1�' 10/16/12 a dates: 2" Location and description 3r° 4'" GARAGE SLAB COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Conditional Approval: Date -, _ __ !✓ .k. /t yam. eJJ t Approved zv. Date% CE 7116 fy Allf Inspection Report _9-1-12 copy 3.eoc AS -BUILT SYSTEM DETAILS/SITE PLAN PerMitOSP121291 OUR MOUNTAIN BLOCK 1, LOT 15 PID#051-111-40 New 1250 ST A -C=39' y99.41 B -C=46' A -D=45.5' B -D=52' �a Fi O J N 0 A POI SCALE, NTS ������ OF AL�411 * 9 TH� ,r �0 0) KENNETH M. D / CE -71 04 AAr FINAL GRADE SHED Radius - IDD' Note: Information for septic as—built extrapolated from hand drawn survey as—built dated 7/21/89 and re—certified by Mark Seward 6/19/96. Accuracy of this information is unknown and presumed to be �1' but could be more. All dimensions are estimates only. SCALE, NTS PREPARED FOR: GERARD & MARY MCINTYRE 2443 WHALEY AVE CHUGIAK, AK 99567 FIELD BOOKS BOUNDARY: ABC s MNG: ABC A ILT: DMS DM RUE: ACRD niS. DO C Pum: DRAYM. BMW CNECxEO: KMD DAM 10/23/ GRID; NW1361 doe Na: 12-162 R `oNsIJLTING �1VlG FR' AK. 99571 ttae ,, l Z 9K 1130 I R_ Prq%61 MUNICIPALITY OF ANCHORAGE PLATTING AUTHORITY RESOLUTION NO. 97-03 RESOLUTION APPROVING THE VACATION OF A ONE (1) FOOT CIRCLE SURROUNDING AN EXISTING WELL WITHIN A TEN (10) FOOT UTILITY EASEMENT ON THE SOUTH BOUNDARY OF IAT 15, BLOCK 1. OUR MOUNTAIN SUBDIVISION WHERE THE WELL ENCROACHES INTO THE UTILITY EASEMENT, AS SHOWN ON THE ATTACHED AS -BUILT PREPARED BY SEWARD & ASSOCIATES, DATED JULY 21, 1989. ANCHORAGE RECORDING DISTRICT WHEREAS, a petition has been received from Mari Dreves to vacate (eliminate), a one (1) foot circle of the ten (10) foot utility easement on the south boundary of Lot 15, Block 1, Our Mountain Subdivision, where the well encroaches into the utility easement, as shown on the attached as -built prepared Seward & Associates, dated July 21, 1989, and WHEREAS. legal notice was published and the request was heard by the Platting Authority on January 13, 1997, and WHEREAS, the flatting Authority found the utility companies issued letters of non -objection for the encroachment into the utility easement. WHEREAS, the Platting Authority found the area being vacated is minimal, and WHEREAS, the platting Authority found a portion of the easement to be of no substantial value to the Municipality. NOW, THEREFORE, BE IT RESOLVED by the Anchorage Platting Authority that the vacation of the above described easement be approved subject to recording this resolution and a copy of the as -built survey at the State District Recorder's Office. PASSED AND APPROVED by the Anchorage Platting Authority this 13th day of January, 1997. a\z- Je4yT. Weaver, Jr. Platting Authority S-10008 Return to: Municipality of Anchorage Department of Comm. Plan, & Dev. Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519-6650 Margaret O'Brien ��� 003,1 N a AF1CN04iAOE REC. DtSjRICT f' REQUESTED 8' g71�N 1� • � �*+roc s�.9.rip �r,�s� 9 i zsv Ix �' c o • e • e' Zba 39? I, •� co��r .X e.' +"'aaasar` oF At Mr 9TH :' c u 410 av ...... I 4 pu.n. h1rky....rd ::a± �$ LS • 69I a a ye��i•ct��9TiG3/!/ a�plYa� AS-BUILT'No cornere set this date EASLMEtiTS OF RECORD, OTHER TIM TIiOSE S1iM ON THE I hereby certlly that I have pcaorxned a Mortasce's in- RIXORDED PLAT ARE NOT SHOWN HEREON, spection of the following described properly: Our Mountain Subd.,Lot 15,B1k. 1 The infcrmation hereon is for the use of lending institutions showing the relationship of existing structures and platted easements and lot lines. It is not to be used for positioning additional structures or fencelines. i I RR SS.rT1 nATt: Anchorage Recording Precinct. Almka, and that the improve- srents situated thereon are within the property linea and do noroverlap or encroach on the property lying adjacent there- to, that no tm rovements on property lying adjacent thereto encroach on the premi•+es in Question and that theft art no roadwaya, triasmemson lines or other risible easemeau or, amid property except as indicated hvicurt, ]Dated at Anchorage, Alaska this 21 day 10 89 November 2, 2012 Gerald & Mary McIntyre 24443 Whaley Avenue Chugiak, AK 99567 Grid: NW1361 Re: Letter of Non -Objection To whom it may concern: ENSTAR Natural Gas Company A DIVISION OF SEMCO ENERGY Engineering Department Right of Way Section 401 E. International Airport Road P. O. Box 190288 Anchorage, Alaska 99519-0288 (907) 334-7743 FAX (907) 334-7798 ENSTAR Natural -Gas Company has no objection to the existing well encroachment into the 10' Utility Easement situated adjacent to and coincident with the south boundary line of Lot 15, Block 1, Our Mountain Subdivision, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: • LandownerlContractor working near ENSTAR gas facilities shall contact the Alaska Digline, Inc., (907) 278-3121 or 811 for line locating two (2) business days prior to any related excavation. • ENSTAR will be held harmless, now and forever for any damages or injury to any person or property as a result of this encroachment. • Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no cost to ENSTAR. • Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the land owner. • All applicable safety code regulations will be observed and maintained. • This letter of non -objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, err 1 Tom Atminski Manager, Right of Way & Permitting ENSTAR Natural Gas Company cc: File Matanuska Electric Association, Inc. P.O. Box 2929 Palmer, Alaska 99645-2929 Telephone; (907) 745-3231 Fax: (907) 745-9328 November 14, 1996 To Whom It May Concern: Subject: Letter of Nonobjection Water Well in Utility Easement Lot 15, Block 1, Our Mountain Subdivision Matanuska Electric Association, Inc. (MEA) has no objection to the vacation of a 12` diameter portion of the platted Utility Easement around, and centered on, a water well within the 10' Utility Easement that runs along the south boundary of Lot 15, Block 1, Our Mountain Subdivision, according to Plat No. 77-17, Anchorage Recording District. Situated in Section 10, Township 15 North, Range 1 West, Seward Meridian. Sincerely, Robert G. Ylvisaker Right of Way Administrator =ATAWNW0R01A.0NVAC.WC TISIU . �Se�1O J' BK020,92PG316 Matanuska Telephone Association, Inc. Fp PALMS. ALASKA 98645 PHONE (907) ]45.3211 ...Y.:..O.:. Eo; 3550.... :Awe cion ew aw:.............................size........................ Thoma R. AHArdth PreddenllG.E.O. NON-DHJECTION TO EASEMENT SNCROaCNMENT DDCUMENT This is to inform you that Matanuska Telephone Association, inc., has no objection to the placement Of a "11 d ubdai within the indicated utility easement on property ...cribad as Let 115 Black One .Oo t` i Bubdiyision or Aliquot Parts Section _10_, Township ISN , Range le , Sn...rd Meridian. Thiel Judicial District. A h Racording District. Please be advised that should Matanuska Telephone Association. Inc., need to upgrade. maintain, replace buried or aerial cable. conduits, or manholes. within the utility easement it will be allowed to do SO. Any repairs that may be required to the above . due to utility needs will be borne by the property owner of record, Spacial condition.. If arty, are described as Follows: ,Ti ..... _.. MCROACIDIF.Ur nNIV THE PENCE EXCROACHNENT ON THIS IAT AR RRFI RfTR hF T, T nr,+ fAA) F 'M'orA 14TAREMMS THAT THE PENCE ALONG NARK MARK CIRCLS RE MOVED TO ONE O ,r E n0� TNR RARI.RKI._. 'IDE PRESENT LUCATION LIHll- OR POSSIBLY PRECLENESnUTLTLTY USE, ANO NEEDS CORRECTION. This document must be recorded. The brigtneI document is retained And recorded by Matanuska Tmlephone Association, Inc. Upon recording, the Grantee will be sent a copy of the document. An A5 -Built copy is on file at Matanuska Telephone Association, Inc.'. Plant Services Building in Palmer, Alaska. �.LbbLGt ddA;lt3 MATAMUS14A ONE ASSOCIATION, LNC. Bernatl. tce .mar man Real Estate and Properties Supervisor NOTE: IF PENCE EHCROACHIINT IS CORRECTED A SEPARATE EM CAN RE ISSUED FOR THB SAME, Page 1 of B UPON RECEPTION OF AS -BUILT BY MTA. REFLECTING RELOCATION OF ERROR AS DESCRIBED ABOVE. r r� F 9K02052PG371 Easement Encroachment Document Page E CERT [FY, that this day of .p TO P blit 1n antl for the THse .d NotarYl 199Q before me the undersignaedea..d SERNADETTE ZIMMERMAN, to me ar m State of Alaska, Persanal3Y PP to he the Intl iv idual described personally known and to me known foregoing end aclandwledged to me that ses uses in antl he executetl the in oil free LY and voluntarily for the and sea I'd the same mentioned- antl ... p ... a therein ereunto sat my hand and IN WITNESS WHEREOF, S have Haffixetl tnls certificate firatove my official Seal the day and yea written.r. In d N TARY PU9LiC for Alaska _ . y J' Gr:•"S• C��. " MY Commission Expires: 77 *� rRANTEE ADDRESS '•• �ftRIJTgR ADZ) 3 Inc gear Hoy. ln�,Fipance Carpo=acSmi_ /'a' Natanueko Telephone A ----i---- -__ �O OfESce Box lgt0_29______ 1QZ Q �Qp( S�ESSS'.%—�IOY 35JQ' Ch L a AL66IW 9951Q __________ ______________________________ --___ __ X110• ANCHOR .'%E DISTWLi REOUESTEDBYill=l"""c,Tk r:n� 4i>I'Cklie!\ BZ/bs /FDRMS/L MONDDs • DZE •90 JUL 12 PM 12 39 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121291 Tax Code Number: 05111140000 Work Type: Septic Upgrade Permit Effective Dates: September 19, 2012 to September 19, 2013 Design Engineer: ARC TERRA CONSULTING INC Subdivision: OUR MOUNTAIN Site Legal Address: OUR MOUNTAIN BILK 1 LT 15 G:1361 Owner/Address: MCINTYRE GERARD T & MARYANN 24443 WHALEY AVENUE CHUGIAK AK 995676261 Site Mailing Address: 24443 WHALEY AVE, Chugiak Lot Size in Sq Ft: 46445 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: � fVyZ //VLv�_� Date: / �/ N MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 051-111-40 Property owner(s) GERARD & MARY MCINTYRE Day phone Mailing address 24443 WHALEY AVE., CHUGIAK, AK 99567 Site address 24443 WHALEY AVE., CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) OUR MOUNTAIN BLOCK 1, LOT 15 Legal description (Township, Range & Section) Lot Size 46445 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank In Upgrade Duplex (D) ElHolding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. owner or Permit/Rush Fees: 000' -lr* . k &^ __Waiver Fees: _ Date of Payment: Ot 11th (I'D. JY;� Date of Payment: Receipt Number: 5155116 Receipt Number: Permit No. Waiver No. Permit App_9-1-12.doc Septmeber 6, 2012 ARC 1 ERRA CONSULTING, INC 212 E. 51"Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Tank Upgrade Permit — Our Mountain Block 1, Lot 15 The owner has requested we proceed forward to obtain a septic permit to upgrade the failed septic tank on the subject lot. The proposed upgrade will serve the existing 4 -bedroom house. Adjacent lots are served by private wells. There is no surface water within 100' of the proposed tank. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 868-3792/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, .E. Attachments: On -Site Sewer Application Wastewater Absorption System Details/ Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA ` OUR MOUNTAIN BLOCK 1, LOT 15 NO PUBLIC WELLS WITHIN 2OD' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. Aw�� OF ALS �1 � *. TH KENNE . D `1 L CE-7118Atf W� �?N "WOFESSIot1N' JLUICi 1 — 1V PAGE 1 OF 2 NOTES; 1. INSTALL 1250 GAL SEPTIC TANK & INSULATE TANK IF <4' COVER. 2. DECOMMISSION EXISTING SEPTIC TANK PER CODE. 3. CONTRACTOR WILL ENSURE MAXIMUM 2X SLOPE INTO SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... PREPARED FOR: GERARD & MARY MCINTYRE 2443 WHALEY AVE CHUGIAK, AK 99567 FIELD BOOKS COMPUTED: BOUNDARY: BOUNDARY DRAWN' BMW STAKING: STAKING CHECKED: KMD ASBUILT. DMS DATE. 9/5/12 DWG. FILE: GRID: NW1361 ACAD FILE: FILE JOB No.: 12-1 S2 % / A 1 A TI -1 TT�f"l M- A 1 C \IC" [-KA TrT A TI OFAL461'11 * 9TH *�� KENNETH M. DU CE -7116 4' of d P�FESSID'A AV RLS TO FLAG WELL RADII PRI❑R TO C❑NSTRUCTI❑N PREPARED FOR: GERARD & MARY MCINTYRE 2443 WHALEY AVE CHUGIAK, AK 99567 FIELD BOOKS BOUNDARY: BOUNL STAKING STAKIf ASBUILT: DMS DWG. RLE. ACAD RLE' FILE COMPUTED: DRAWN: BMW CHECKED: KMD DATE. 9/5/12 GRID: NW1361 JOB H- 12-182 Sale: 1'= 30' PAGE 2 OF 2 .'r, () ,f ( ( o A MUNICIPALITY OF ANCHORAGE L DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME V_ PHONE- NEW ❑UPGRADE {ACL( 1�O l QL+ [ ----- �p�(� `��iS MAI LINGADD1 ES LEGAL DESCRIPTION LOCATION Y (JL�✓ ` / �Q NO. OF BEDROQM LL t� Y DISTANCE TO: Well ( Absorption ares %, I Dwelling 0 PERMIT NO.. fi i3 (� LW Manufacturer Material - n K -Y No, of comparti gntsto rl. -- Liq. capacity in gallons -)© Inside length IF HOMEMADE: �- Width r--- Liquid depth DISTANCE TO: elling PERMIT NO, :C F - Manufacturer / __--�-Material 'c Hd-ra acit Fk 6l y in gallons OWell w a DISTANCE TO: _1- \ ��p Foundation - 4-L� (, Nearest lot li e -�- 1 0� PERMIT NO. q CC J CL z Z W CC No, of lines CU � Length of eac.line Total length of lin ,s C� Trench wjdth _ _Inches _ Distance betwe .n line n Top of tile to finish grade Material beneath tileTotal inches effectiv r� on area i_ Length Width Depth PIT NO.�� LU (7 Q I- Type of crib Crib diameter Crib depth Total effective absorption a a A �.s w DISTANCE TO: Well „-.Bull" ing foundation Nearest lot line J w Clas DISTANCE TO: DepthG r G Building foundati _'y Dril r/ Sewer line Distance to ( CJ jo�lir�.,e PERMIT NO• -7 � - Septic tank Absorption area (s) OTHER PIPE MATERIALS ( �o L' "1, I�L—ci SOILTES�RATING �T I NSSTTAk,LEyR R E f4AR K -- -- n - ��il�@J�I�V.O�I C.3✓lW 01 APPV D DATE LEGAL /"C-, a - k 6 DOC Co. dba - - SULLMN WATER, WELLS P.O. BOX 272, CHUGIAK, ALASKA 99567 • TELEPHONE 688-2759 ER OF LAND 10099K "tVII4 A ADDRESS i DEPTH OF WELL '✓ oZ STATIC LEVEL OF WATER FT. / ` LEGAL, DESCRIPTION L /5� Z?4C-' DRAW DOWN FT. DATE . Started —Ended T ` GALS. PER HR 6REDS O PERMIT NUMBER 7 7 01.34 KIND OF CASING OF FORMATION: d Ft. R�c+X49S U44 C�/ 9 From Ft. to From Ft. to Ft. _ From_ _Ft. to / �—Ft. / 4600 1 4�^C rW From From_ Ft. to Ft. �tfi wer4e J/,coo 04-40456 From From-�Ft. to i ft -. Ft. 6 <ANAr4 F/ From ,. r From - —Ft. to Ft. cu -10 From 'rom.�Ft. to_A_Ft._ 5440 'rom-_�__Ft. tojfl�-,_Ft. iC/�' C44644t- f I From - Ft, to Ft. 47 if AE Brom_ _Ft. to. jfj Ft 5fO9,V-0 C<eOg G. It From_ Ft. to Ft. OV FLq--Ft. to--�Ft.—��f From/ -4 a Ft.to /"Q Ft. 6& 7b ^-1 From-,? kO Ft. to .?Y-rFt. — 434 0 A ear'. J oe0c From Ft: to Ft. a✓� �! From J1 _Ft. to ,3d v Ft. u D From_ Ft. to Ft._ From Ft. to Ft MISCL. INFORMATION: t^'09s/.v� �°iCro� �T4 �6 T'a 8q _Ft. to, -_Ft. - Ft. to Ft. _ —_Ft. to --Ftp —Ft: to-- Ft– From Ft, to___Ft. _ From Ft, to—;Ft. From_ Ft. to— _Ft. From Ft: to__Ft, From_ o__Ft. Ft. to--Ft.— r'k From From Ft. to FL From— Ft• to—_Ft.. From Ft. to --Ft.— From Ft. to --Ft. From Ft. to;_Ft. S,t r� ... From - Ft. to__ Ft. From Ft. to Ft {' i IL Iwo Td r�tJ jF4L xT N, r-'� . DRILLER'S NAME 0EPHRll1EN1 0F `'EHLTH HNE) ENVIRONM[NVIA PR'`lrECTI3N /| 825 'L' .REET, HNCHURHGE/ RK ,11 -9 V� I R-- ���A 11' il.: J, T 1! iL ���EY., PERMIT NO ( It ,< HPPLICHNT MHRK WHHLEY SRH DOX 20S2ray- ILI LOCHTlON WHHLEY ST L-,~/ .~�-^-^~--~ TYPE OF SOI!RBSORBTION SYSTEM IS: DRHINFIELD MAXIMUM NUMBER UF BEDROOMS 4 S0IL ROTING (SQ FT/BR)�95 THE REQUIRED SlZE OF THE SOIL MAMA lON SYSTEM IS T ������� �D?) 4:.� 1 TO lot Wy 17 A UWAO"A"UPw� Y!.Ii THE LENGTH DIMENSION lS THE LENGTH (IN FEET) UF THE TRENCH OR 0RH/NFIELD, THE DEPTH OF H TRENCH OR PIT IS THE DlSTRNCE BETWEEN THE SORFHCE OF THE GROUND HND THE BUTTOM OF THE EXCHVHTION (�I,N FEET) 11 8- 11 R�� :I ~9- TY H IM V2 P.1 A p 1 f3w A I - 0 X ST YJ ka US ST K 117 Q� THE GRHVEL DEPTH )(S THE MINlMUM DEPTH OF QRHVEL BETWEEN THE UUTF9LL PIPE AND THE BOTTOM OF THE EXCHVHTIUN (IN FEET). ���II-A X ORPRID, ���-11 - 1: v 7; - V- fon 14P v< ����� A nv To! kill g: � � i; T... T, . 1, Ill 'f", 1! �, PERMIT T HRS THE BlLITY TO INFORM TH[:EPHRTMENT [AURING THE INSTHLLHTION INSPECTIONS OF ANY WELLS HDJHCENT [O THIS PROPERTY OND THE NUMBER OF RESIDENCES THHT THE WELL WILL SERVE 11'U-1 Kim W2 0 N 140 A 3 W KR 17 7lI - X C ) P41 5K 121 OR TH TV! TH Gy U X PQ W Q —�~~ GOCKFlLLTNG OF 8NY SYSTEM WITHUif, FINHL INSPECTION FIND HPPROVRL BY THIS DEPHRTMENT WILL GE SUBJECT TO PROSECUTION. MINIMUM DISTHNCE GETWEEN H WELL OND HNY UN -SITE SEWHGE DISPUSHL SYSlEM IS ���R IV 0 T - V U X oil IV RR TH Sy �p �� C; Is! 0-1 K -1 KTI IT: THE TYPE OF PUBLIC NELL. DEPHRTMENT W]THIN ]0 DHYS f 1'1C�tL)Z ♦[n''._�r At`i;:n ; t'inClY-).: acC Y I df:1='.11U :7UU110I_.L'C:' S, >)E'CL: :`O %,1J t.'v��. L;il: iDn o-�( ,-r>1 ati.e-_t(s:'..i - r"LL_ "b'_Si tc.ln Sl'.cK: 1. "7 S1C)n, _ iv i�.'_SUCT�IVIS LC'1 OL '-Y.or-.*- ;J1 ,l 'l �' _pct ? .: ;'e;?�'"_'L?'J SI, CII_vkion 3K dd'n. C1C.__t1.',❑ and �T=I'c.� S .� , - , '! r - r ` he following : nfo7r tion We "sn l s conditions for the Droposf_dl C/1.Ir ytny-?1..^ jaQvision WC red near -War's Ci.'Q-1S1 C}r1-- c'.t:, 1s sub - Pitted --M HMO S'II f, tE'd i:D Sc -i5 : _� .. .. _,1. L t.. .Jt .. ... _ c ,Ol_l.`iSite _, t_ � .: •..;L: JCC . :Y�;SL lYi r_%o �. Ji I r n any ri i i -)n : L.r� rTl opnr t in ��_v�.T't: ;_-•4T ii t f-il S:Tr.'-1.L D1La.. .,'t Or arias :L"-2` lr ujl y clearow .. r !7r:'F'mP .. t_:i`'. mid larwor L l.rch , '.YNR LLC -_,--s ymd 111�- other +r a,s variri(", ..i].'. t2 cl._. .al RITC. 11.4 RL" C i�S.i.LS, l .,.,-:, -i l•./ slonim SIR t1'- MO.,,.0°:4-' i.. a' 1_!ZI_C'{,.. 3,_J.:' c-tI-e no bu d'.}_'r=1 i_' Q:. �s ^R LrIC' reads. t K�'. to c, r., Iih cn'l O` t-�'.F' _..{drd l iLtl3 C�'11-(YI-SM: are SUM C:IDIt Ivl.1L 1. l;J',15t L`IQ iie _�1S �Q1c1 Ci 'carLdCE: i�ri'_l.^• i' -(-'�-Com.:;. _11P_ locatioO i of e cistinu, 71 S!. '.:S i Y'r aCt (_: - `3tX>S al r, .-r aS nc -! r l`, l.L i m rcc L a -re shrlwn or, t}le project location Poo. i,:mle water has ief'_.rl lCCatcd in Ciis area, with Wells fr[-m �O to 1-10 S_ ni Xll_ J7_s ions (not shcr,47l on 'the '.Tap) have wells of sufficient ca_k.ci_iv m sut=;Jiy c_ s al.l cch.n,lnliti, s Inc, C-'_l'1.`_'it.-mc e of a reliable water source in this geological i_Irna 11as bacen proven sufficiently to sanitation g1ficia.'_S In tl-,e ire.TT_'.H.ate past, Prreviott; r?'iL?Cdf and bacteriologiCall t:eStinq f)1 aXist=J_nC; water soUcces has indicated that drinhina water !`.li<'Rtty st.a'_i?C:arQ <.xe satisfieX All of don subsurf,:ce dislxl-J- fields in the _'tml :cdiate 0000 ,_v haze funC,,-Aon d :ia i. fa^.torily in the PLO of Soil tyWcal to thi1- `he sl1'XlivisioI.. a-Freellnlit wl_l.l contahn Drovisl.on `or eadl o-aner to `-1 Jllil_t`- a log of any planed, wells <cS they axe d ill2d, tr, t"hC' munl.cipall.'t=2i 1.'a_eld E\-,)Ioraticn: I�:cnn uly 20th to July 2;r! , 1976, 33 test holes P,z'ri'. C'XCal',/�. t=CKl 10 PI-dn. .�his subdivision at; )_OC Hxn.s 'sE't.L'Ct.Cd by the geologist and anq.ineer. All holes '.,ore duct with a. 3/4 yd Drott bac-''1-hoo c7mied and C�_e'=c1tL'�:� by it ondike Const=i-ucltion Co. A,CJrdC11 =S 1-f' Cr:J10Ct>_S':. logged c'acit n{ the te=st holes an," (a 1lec-Lca saq:)1l 2s tt!T fnri; er aUla.'ly` is, Each of the 'cost holes "'kE!r'_ located, a'_'_> clo s(' a: -i fes. >1 1.2 t:0 di-sJosa1 .`Il_LC':1, n(An:(l :)rrq�ecty and {=CPXX11'i.til1C11 C 1L',ILT_' is ur,re i :fan sinificiP_nt rim on the `pub jcc' ra'(--L-,-; S,icl ;_oc,� tC wabej: aLrl':l waste later `a ilittem anc! SIT)l/1.C,fl LTJ;_' re-plac.--,Ii-ent dis;yJsa.l sites. Mainicipality of Ancherac Vase 2_ Aujust 7th, 1976 Geolc�,-,,: '11 -ie Chuniak area is located wit -in the 1111atanuLska Lacland, a part of the Cook Inlet Iowland physio-,_a_-,-:ic su✓orovince that borders Cook Inlet. Five major Pleistocine glacial advances along the consequent or subsevDant lacustocine and alluvial deposits greatly influenced the present topography of the area. The surficial geologic unit of the site appears to be part of the Peter's Creek Fan as it worked through the late Pleistocine lateral moraine deposits. The till of this deposit is commonly sandy and stoney with dales and boulders cam -on. Pebbles and sand predominate but silt and rock dust are present to provide a binder for some soils. Cobbles and boulders are generally rounded rather than ancn-dar. Subsurface Conditions: The ground cover over the site generally consists <a Trvriinc7e to a foot of orernic silt filled with roots. Course sands mid gravels underlay the surface to a depth of 10 to 12 feet. This layer is interspersed with cobbles and some boulders. A thin organic layer (3 La.) was found at a depth of 4 or 5 feet in many test holes. The entire cu -ea is underlain with well grade: gravel occationally laced with silt and sand layers. No ground water was encountered in any of the holes except a damp seepage from one of these sand layers. Below 1.2 feet, more densly packed sand and gravel deposits were encountered but still. prodom-nately well graded and occationaly silty. one test hole that had higher silt -sand content was checked with a percolation test to obtain an actual vaiue for the soil in que-sticsn. The results of all investigations showed that even the 130ore3t soils will support undergrouund waste water disposal facilities. All .Lots having pcorer soils were m� d_e larger than an acre and a quarter in order to have sufficient room for future replacement systema should such ever be required. The soil profiles show that the entire subdivision area, is sited on good gravel, optimum for seepage pits. The soils were rated according to the Unified Soils Classification System, and here tempered by the results of the mechanical analysis, the experience of the geologist and his observations. Where dual soils classifications are shown, it is due to the instructions listed in the Unified Soils classification System but: in all case, a soils rating is given, based on the analyses conducted and the observations made. 'these ratings should be used for the design of the subsurface disposal facilities by future property cxners. Conclusion: The soils underlying this proposed subdivision will support suMurface disposal systems which are properly designed and sized. 'There is sufficient mom on each of the proposed lots for alternate disposal areas. The soils ac citable with respect to foundation bearing capacity for residential structures. The soils are generally NF5 with layers of F-1, F-2, and l'_.3 Soils. Soils tests were run in the right-of-way for the proposed roads and all road.. will be designed and constructed to meet current m unicipal road construction rerlutremments for the soils encounterplo-. Please contact the undersigned i£~aiv m��Ons or elari i i cations of these data i3 neoessamy. ,..•°. •, �`� Fe$[c:tfully, YNN F. YIM(Aca ; f ��-��y " NO. M, fG� yj �� Reasr , C I lam. P,E, i I C� `y"y�,� l_� �L� -'�•C 1�1. e_ n ._�_ `-.t `; C� . Wf}= 6�-G `�.n4 F�f<<<.e. I I f fiL-irlC.:iiN� T�,r�f �,. I.1, /':r�ICNRIC�L= `�� �C I a � i I ' I s i V V I IVUMCOFAU-rV OF AHC COO RAOCE 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. 051-111-40 1. GENERAL INFORMATION Expiration Date: ac5 o 0 a/2, Complete legal description OUR MOUNTAIN BLOCK 1, LOT 15 Location (site address) 24443 WHALEY AVENUE, CHUGIAK, AK 99567 Current property owner(s) JOSEPH PHILLIPS Mailing address Real estate agent Day phone 24443 WHALEY AVENUE, 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: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment��z�) Date of Payment Receipt Number 1( x3).50 Receipt Number COSA # 0 S C a 112 y 7/ o 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 5/17/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to ,��� these various and dynamic characteristics and are outside the control of the evaluator of the ,� At well and septic system. Therefore, any estimate of how long a system will function satisfactory ���g�Q: • • • • •-, for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FW(;5 . �� TH •• ��/ 6. DSD SIGNATURE Curtis Huffman System #1 Approved for 1 bedrooms ���'Fcs•. CE 128991 System #2 Approved for bedrooms klk�F9F�PROF SS NA�� Disapproved Conditional approval for bedrooms, with the following stipulations: ` OF Hp (tri Z)�R SFR o 05 �Z' ENT SEFlll�`� By: Original Certificate Date: 5 Jr o20� 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 COSA Checklist Legal Description: OUR MOUNTAIN BLOCK 1, LOT 15 Parcel ID: 051-111-40 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 9/1983 Total depth 320 ft Cased to 89 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA *4/8/2021 Static water level at beginning of test 180 ft. Well production at time of test 3.65 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 0.517 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 4/7/2021 Comments *WELL FLOW & INSPECTION PERFORMED BY PANNONE ENGINEERING – SEE ATTACHED LETTER. B. TANK DATA Age of tank(s) 9 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49” Standpipes/foundation cleanout per record drawing Date of pumping 4/9/2021 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: SEPTIC TANK IN DRIVEWAY, BUT ADEQUATELY PROTECTED BY RAISED BARRIER. D. ABSORPTION FIELD DATA Which system tested (date installed) NEW SYSTEM ALL standpipes present per record drawing Total measured depth from grade 4.9 ft (max) Measured depth to pipe invert from grade 4.4 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 System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date NEW SYSTEM Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) N If yes, enter date 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 Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ 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 Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ 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 Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 5/19/2021 Pannone Engineering Services, LLC Consulting EngineersPalmer, AK 99645 Ph (907) 745-8200 Fax (907) 745-8201 www.panengak.com Legal: Address: Owner: Number of Bedrooms: Septic System Well WELL & SEPTIC SYSTEM ADEQUACY INVESTIGATION Our Mountain B 1 L 15 24443 Whaley Joe Phillips 4 Private Private Tank Size: 1250 ga Steel tank Absorption System Type: 5 wide x 69'LF x 7.55' effective depth Soil Rating: 85 Installation Date: 6/79 Field and 10/12 Tank (All info found from MOA records) Date of Investigation: 4/08/21 Septic System: The Septic System was inspected visually and measured. The septic tank was found to have recommended ground cover. Effluent levels in the tank were measured and found to be within normal range of a 1250 gallon steel septic tank. 120 gallons of clean water was added directly to the drain field. The monitor tubes backed up prior to the end of the adequacy test. The field is in failure. Well: This property is served by a private well. The static water level was measured at 180' below the top of the well casing. Well production throughout the duration of the adequacy test was calculated to be 4 gpm. The well was pumped for over 30 minutes with minimal draw drown (3ft). The test was stopped when the field failed. The well recovered within 10 minutes of turning off the water. Conclusion: Based on observations and measurements, the tank operates within MOA requirements for a 4 - bedroom house, however the field is in failure and will need to be replaced. SPECIAL NOTE: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail, and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore, we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner -listed above. Inspector's Qualifications Mr. Pannone is a registered Civil & Environmental Engineer specializing in the planning, design and construction of sanitation facilities. He is a lifelong Alaskan with more than 24 years of engineering and construction experience. Mr. Pannones background includes experience in survey, design, construction, testing, and monitoring of engineered projects. He has worked all over the state of Alaska, including extensive time in the arctic and remote regions. He takes a practical approach to design, taking into account how and who is going to be doing the construction. He has hands on experience in the construction of water and wastewater systems, buildings and large earth works projects. Mr. Pannone is a certified MOA water/wastewater designer and sanitaiy surveyor. Mr. Pannone is the founder of Pannone Engineering Ser>>ices, LLC., this privately -owned company was founded in. February of 1991. The company has specialized in the design, testing and installation of on-site water and wastewater systems. Pannone Engineering Services, LLC have performed engineering designs, analysis and evaluations of water and wastewater systems throughout Alaska. The types of systems have ranged from small single-family wells and septic systems to large commercial systems serving greater than 250 people daily. 907-745-8200 T,almer Mailing: 'i Box 1807,Palmer,9964 Project: Joe Phillips 24443 Whaley Date of Test: 4/08/21 Location of Well (Legal Description): Our Mountain B1 L15 Well Depth: 320' Amount of Casing: 18+" Screen: Open Date Drilled: 5-21-79 Static Level: 180.4' GPM: 3.65 Driller: Sullivan's Water Wells Clock Time Elapsed Time Since Pumping Started Static Water Level Pumping Rate GPM Remarks 13:23 0 180.4 0 Start of test 13:33 10 183.3 4.3 13:43 20 184.8 2.9 Bypassed filter to pit/ connected directly 13:53 30 187.8 5.0 14:02 39 184.6 5.0 Field in failure. Stopped water test Clock Time Elapsed Time Since Drawdown / Recovery Remarks Pumping Stopped 14:02 .0 184.6' 14:25 23 180.4' Well recovered at 3.65 GPM Comments: P: COSA Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-111.40 Expiration Date: 1. GENERAL INFORMATION Complete legal description OUR MOUNTAIN BLOCK 1 LOT 15 Location (site address) 24443 WHALEY AVENUE, CHUG IAK, AK 99567 Current Property owner(s) GERARD & MARYANN KINTYRE Day phone Mailing address Real Estate Agent 24443 WHALEY AVENUE CHUGIAK, AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone -a -13 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: , Date: COSA to be released to the engineer, unless othe iso' equested by the engineer. COSA Fee $ `-1"CO— Date of Payment 10 1 a-(,* ha Receipt Number C'"b5(e-O a Waiver Fee $ Date of Payment Receipt Number COSA# 05CWaiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 10/23/201 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations.. 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 inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. 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, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future ++$" occupants or can ArcTerra guarantee that no unseen .-. '+�'I�, encroachments, deficiencies or discrepancies exist. !t"+''y,,- �"� `'t�4 9 * f49Jli OVA 6. DSD SIGNATURE t� 7-- i System #1 Approved for _bedrooms. ��- �W A System #2 Approved for, bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 9-1-12ft, If more than 1 septic system is on the lot: COSA Checklist # of _ Structure served by this system , Certificate of On -Site Systems Approval Checklist Legal Description: OUR MCUNTAIN BLOCK 1 LOT 15 Parcel ID: 051-111-40 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # Date completed 911983 Sanitary seal (Y/N) Y Total depth 320 ft. Cased to 89 ft. FROM WELL LOG Date of test 5.21.79 Static water level 180 ft. Well production 25 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 0.276 mg/L Arsenic: ND ug/L Date of sample: 8131112 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC 1 STEEL Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping NA -NEW TANK Pumper -- C. ABSORPTION FIELD DATA Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 813012012 ft. 9 - p.m - Collected by: ARCTERRA Date installed 10116/2012 Cleanouts (Y/N) Y High water alarm (Y/N) N Date installed 6-12-1979 Soil rating (g.p.d./ft2 or ft2/bdrm) 85 System type SHALLOW TRENCH Length 69 ft. Width 5 ft. Gravel below pipe 1 ft. Total depth 7.55 ft. (Measured 8/30112) Eff. absorption area 397 ft2 Monitoring tube Y Depression over field N Date of adequacy test 813012012 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 630 gal. New depth 12 in. Elapsed Time: 1230 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum Size in gallons "Pump off' level at in. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 25'+ Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 0' Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 10123/2012 COSA brown sheet 9-1-12.doc 4) ! �? 4cfit in. SGS Re£# 1124086001 Client Name AreTerra Engineering and Surveying Printed Date/Time 09/06/2012 16:00 Project Name/# Our Mountain Bl, L15 Collected Date/Time 08/31/2012 14:20 Client Sample ID Spigot Received Date/Time 08/31/2012 15:25 Matrix Drinking Water Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP2%8 C (<10) 09/05/12 09/05/12 NRB Waters Department Total Nitrate/Nitrite-N 0.276 0.100 mg/L SM21 450ONO3-F B (<10) 09/04/12 CMA Microbiology Laboratory E. Coli Negative I 100mL SM21 9223B A 08/31/12 DLC Total Coliform Negative 1 100mL SM21 9223B A 08/31/12 DLC dill is � 3 �f OF A4� , }I Duane Mark S ward LS -6 S •� lo EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE I hereby certify that I have performed a Mortagee's in - .p spection of the following described property: Our Mountain Subd.,Lot 15,B1k. 1 The information hereon is for the use of lending Anchorage Recording Precinct, Alaska, and that the improve• institutions showing the relationshi of existing g P g `• a to, that no improvements on property lying adjacent thereto encroach on the premise in question and that there are It is not to be used for positioning additional no roadways, transmission lines or other visible eaaementa on structures or fencelines. said property except as indicated hereon Dated at Anchorage, Alaska thio Z,day or July it -U- DRAWN: DATE: DMS V 688=4566 688=4566 SCALE: 111=40' FB: 8-58 GRID: NW 1361 SEWARD.& ASSOCIATES LAND SURVEYING o ,•e, z3_ _� ,�...... =1 dill is � 3 �f OF A4� , }I Duane Mark S ward LS -6 S •� A9_BUIL,T'No corners set this date EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE I hereby certify that I have performed a Mortagee's in - RECORDED PLAT ARE NOT SHOWN HEREON. spection of the following described property: Our Mountain Subd.,Lot 15,B1k. 1 The information hereon is for the use of lending Anchorage Recording Precinct, Alaska, and that the improve• institutions showing the relationshi of existing g P g menu situated thereon are within the property lines and do not -overlap or encroach on the property lying adjacent there: structures and platted easements and lot lines. to, that no improvements on property lying adjacent thereto encroach on the premise in question and that there are It is not to be used for positioning additional no roadways, transmission lines or other visible eaaementa on structures or fencelines. said property except as indicated hereon Dated at Anchorage, Alaska thio Z,day or July it -U- DRAWN: DATE: DMS 7_21 89 688=4566 688=4566 SCALE: 111=40' FB: 8-58 GRID: NW 1361 SEWARD.& ASSOCIATES LAND SURVEYING MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES.ALITr OF ANCHORAGE Division of Environmental Services C ENTAL SERVICES DIVISION On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 NOV 14' 1996 343-4744 CERTIFICATE OF HEALTH AUTHORITY RECEIVED APPROVAL FOR A SINGLE FAMILY DWELLING n Parcel I.D. # ©s i — j i / _ y0 = HAA # _C)�? 1. GENERAL INFORMATION Complete legal description Lot 15; Block 1; Our Mountain Subdivision Location (site address or directions) 24443 Whaley Avenue iak, AK Property owner _ Mari Dreves Day phone _ Mailing address C/O Aurora Properties/ Nancy Stahly P.O. Box 671923 Chugiak, AK Lending agency Mailing address. Agent _ Address Nancy Stahly/ Aurora Properties Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: XXX Individual on-site_ Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Phone 6 cl cf 7 cl Eagle River Loop Road No. 204 Address Eagle Rivef, Alaska 99577 Engineer's signature 6. DHHS SIGNATURE X Approved for 4 bedrooms. Disapproved. Conditional approval for Additional Comments By: Date �� 5' /c/ - S •ROBERT C. COWAN �2 CE -8801 .�...,�����.. bedrooms, with the following stipulations: Date/ Z - ZZ- 2� The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA N21 MUNIGpgL, Municipality of Anchorage INV/RONMRNr� SER • � R DEPARTMENT OF HEALTH & HUMAN SERVICES oN Environmental Services Division NOV �` 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-A744 11, 1V :1 f, Health Authority Approval Checklist'!., L) Legal Description: La -1' 1'?L- -- � C X Oo�_A1-1t4'el I.D.: Cluj 1 I l'jV _ A. WELL DATA Well type Qpt-QkIf A, B, or C, attach ADEC letter. ADEC water system number Log present((A) Date completed p �3 ytssa t ' Total depth ?2yU Cased to l, sig Casing height (above ground) I J Sanitary seal Y/ ) _ L ` —Wires properly protected�,N) FROM WELL LOG AT INSPECTION Date of test S -d L - -7 Static water level Well production _ g.p.m. g.p.m. kdsraIc7-6 A Y Pv "/' T P�_ 6 - WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria l3 �_ S & S ENGINEERING Date of sample: 1 / % Collected by: 17 034 Engle River 1,ogRoad No. 204 B. SEPTIC/HOLDING TANK DATA Eagle River, Alazka 99577 Date installed Tank size U Number of Compartments P' Cleanouts &N) _5 Foundation cleanout (Ya ^J Depression (Y�)) i� High water alarm (Y/N) Date of Pumping `I V] `Z1, Pumper � (Z: �S'J m P i `- L-1 C. ABSORPTION FIELD DATA Date installed Soil rating mer ft2/bdrm) `� ��' System type iLI I i')! ff' -/-j % Length / _Width _ c� Gravel thickness below pipe Total depth 5 v_ Effective absorption area 3C- % / Monitoring Tube present q V Depression over field (Y/6P _ Date of adequacy test -`� �' ) �� `l Result ass/Fail) r45J For _ V bedrooms Fluid depth in absorption field before test (in.); / Immediately after ` � gal. water added (in.): Q _ V' _tFluid depth 0 (ins) Minutes later: Absorption rate = �'UG g.p.d. Peroxide treatment (past 12 months) ()UN LIJE /� dWaAf yes, give date 72-026 (Rev. 3/96)" D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES Size in gallons "Pump on" level *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic///olding tank on lot lob � Absorption field on lot C) t Public sewer main 4k Sewer /septic service line off' level at* _ On adjacent lots k On adjacent"lots Public sewer manhole/cleanout Lift station C, (A - SEPARATION DISTANCES FROMCSEPTI�OLDINGTANK ON LOTTO: c Foundation Property line 1 Absorption field J Water main/service line _o� I Surface water/drainage /UD 4- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line I u 1 Building foundation t U Water main/service line t o Surface water 100 �' Driveway, parking/vehicle storage area Curtain drain �,A w` t�- l4—j nWells on adjacent lots 1 C)i� F. ENGINEER'S CERTIFICATION l certify that l have determined thru field inspections and review of Municipal in conformance with MOA, AA guig'elines in effect on this date. Signature �j=G✓"�� F _ i Engineer's Name��ti-'1.r C _ �o crAi✓ Date t t r fd �� % HAA Fee $ �v Date of Payment Receipt Number 4?� 17 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number jz kl ROBERT C. COWAN '�r �1�r CE • 2801 -:A., are 11/18/96 09:52 CT&E ESI RNCHURRUE 4 JU7by41211 CT&E Environmental Services Inc CTr&F Ref.N Client Name Project Name/N Client Sample ID Matrix Ordered By PWS1D 966094001 S & S Engizieering L1,5 131 OUR IY1TN L15 ll.l Our Mtn D.riakirig Witter NU.Ue�) Wee Client PON Printed Date/Time 11./15/96 16:43 Collected Date/Time 11/13/96 10:50 Received Date/Time 11/13/96 17:15 Technical Director: Stephen C. Ede Released By � Allowable Prop Analysie Parameter R®sutts PDL Units Method Limits Date Date _ Mit Nitrate -N 0.100 U 0.100 ng/L SM1D 4500-03F 10 max 11/11,/96 WEP Total Coliform 0 0 col/100ML SM10 9ZUB 11/13/96 TAv Time APPLIC NT FILLS OUT UPPER HAI ONLY Property Owner Phone Mailing Address 1 0 X 1 �t . r r _ Zip Code �i Buyer i _j/� Inspector Inspector Inspector Address �, i' r:�1</3�r� ( ir, rr lr / ! Zip Coded— Lending Institution LID \� Phone Address.. �. , 4 Ll Zip Code "Munlcfpalfty of Anchor Realty Co. & Agent - ago" "Dalit. of Health & f�nviroiu�t�tat ( ) APPROVED BEDROOMS_ Phone ( ) DISAPPROVED /- ( ) CONNDDI�TTIIO("-N�(A/L APPROVAL' DATE Address Zip Code , Legal Description Well Log Received Well to Tank Septic Tank Size r+^� Street Location l i �„ ; /r L I Type of Residence _ �rngle Family ., ❑ Multiple Family No. of Bedrooms_ ❑ Other Water Supply ©%ffidividual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility - Sewer Disposal GLtndividual Year Individual Installed: ',r ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time / Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: I E o LID \� MAY 0 6 1993 �C 4✓ "Munlcfpalfty of Anchor ago" "Dalit. of Health & f�nviroiu�t�tat ( ) APPROVED BEDROOMS_ 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONNDDI�TTIIO("-N�(A/L APPROVAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size r+^� 72029 (9182) 5. LEGAL DESCRIPTION STREET LOCATION / 6. TYPE OF RE/SIDENCE NUMBER OF,BEDRLO_OMMSS , LS SINGLE FAMILY Cl One � Four ❑-Otheres Cl Two ❑ Five Cl MULTIPLE FAMILY ❑ Three ❑ Six 7. WATE,R�SUP�Y --- -��-�� - INDIVIDUAL* ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM l`! INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) �_� DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME ' .. Ln. DATE DATE DATE - INSPECTOR INSPECTOR INSPECTOR( 1 MUNICIPALITY OF ANCHORAGE MICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT DEPT. Of HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION ENVIRONMENTAL SANITATION DIVISION 0 C 2 ? 781 Telephone 264.4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWftF6 l�I 1S� DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPETTY OWNTR PH NE hE d 6~ Y MAI LI. ADDRESS C'V_(A PROPERTY ESI D T (If differen ffrromjabbo�vee)) PHONE . , Y (f1 C17 11&11'4 2. YER /�/ -% PHONE - Q � (4 l /O i s U MA �ING{kpaDRESv 5 C' V �y 7 3. LE .I/���<<JJG IJNSSTZUUTIO� PHONE MAILI GA DRESS ^ %j- 43v 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION / 6. TYPE OF RE/SIDENCE NUMBER OF,BEDRLO_OMMSS , LS SINGLE FAMILY Cl One � Four ❑-Otheres Cl Two ❑ Five Cl MULTIPLE FAMILY ❑ Three ❑ Six 7. WATE,R�SUP�Y --- -��-�� - INDIVIDUAL* ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM l`! INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) �_� THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line - 5. COMMENTS Z-�- APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY e 1A ,¢ 5. LEGAL):)ES �IPTION �tr � `> / DATE RECEIVED INSPECTION APPOINTMENTS 6. TYPE OF RESIDENCE TIME TIME TIME DATE DATE DATE * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior tot tt ate, give well INSPECTOR INSPECTOR I NSF'ECTJdR���G�c�Ca ��MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONEIyVIRONMENTAL K:01ECTION 825 L Street - Anchorage, Alaska 99501 • ENVIRONMENTAL SANITATION DIVISION OCT 1981 Telephone 2644720 �� REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER C L I S DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNERr r 1— ( .L PHONE 6�� ,_�' tf�� MAI ING ADDRESS s5(� a .l ox ���� � �V ;ma k, 9h ; PROPERTY RESIDENT (If different from abo e) PHONE 2, BU R � / - -- PHONE JA MAILG ADDRE I r DX__3 //!7(Ia, 3. LE DING INS ITUTION " PHONE �,/ l �- J + Gl //'' _S V '4 V� / -� MAILIN ADD ESS '" / /r /yC_ �p _ 4. REALTOR/AGENT l PHONE MAILING ADDRESS -- 5. LEGAL):)ES �IPTION �tr � `> / o V f � �CJ STRLJ E- T LOC TTIN IO//J / / 6. TYPE OF RESIDENCE T NUMBER OF,BEDROOMS ❑ One ❑ Other__ SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY [" INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior tot tt ate, give well ❑ PUBLIC UTILITY depth (attach log if available.) jjYI L !J 8. SEWAGE DISPOSAL SYSTEM Lam'"" INDIVIDUAL/ON-SITE** � / 9YEAR ON-SITE SYSTEM WAS INSTALLED. /779 ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER of BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Ta�°r ❑ Holding Tank Size: / , J - If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank �Yu Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY i I - /i � 3 if }1��1. October 28, 1981 I i u+ !' i_-ASKA 90501 Mark Whaley Star Route 2 Box 4482 Chugiak, Alaska 99567 Subject: Lot 15 Block 1 Our Mountain Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report- needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. (2) A cleanout to the sump at the end of the t al� eec-',6,�- to be installed and reinspected by this o cue_.,__., r t r�. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/:Ljw cc: Alaska USA Federal Credit Union 2600 De Barr Road 99504