HomeMy WebLinkAboutNORTH WOODS UNIT 3 BLK 14 LT 3North Woods #3 Block 14 Lot 3 #051-732-31 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181088 PID Number: 051-732-31 Dwelling: Z Single Family (SF) ❑ Duplex (D) ❑ Multiple(SF and/or D) Project: ❑ New ® Upgrade Name: ABSORPTION FIELD - EXISTING Matthew Widmer & Marsha Tandeske Address ❑ Deep Trench ❑ Shallow Trench ® Bed ❑ Mound 23046 Live Alder Ave., Chugiak, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot Ft. Ft. NORTH WOODS #3 14 3 Fill added above original grade Gravel length Township Range Section Ft. Ft., Gravel width Beds: Number of Lines rDistance between lines SEPARATION DISTANCES Ft. -- -- Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Ft2 -- -- Ft., Well 200+ NA NA NA NA TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ NA NA NA Anchorage Tank 1000 Gal. Material Number of compartments Lot Line 5'+ NA NA NA Steel 2 NA LIFT STATION Foundation 10'+ NA NA NA Manufacturer Capacity Curtain Drain NA NA NA NA Gal. Remarks *None knownPump on level at Pump off level at High water alarm at . New 1000-gal S.T. installed per code. & connected to exist. syst. in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to 3034 Installer Royce Martin drainfield Drainfield co/MT 3034 Inspector ARCTERRA BENCH MARK (Assumed elevation) 100 ft Inspection 1•'7/19/2018 2nd 9/24/2018 Location and description s'° 4th Bottom of Siding COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engin -drConditional Approval: Date or `S�' �� �j�\ 149TI1 *- '57" # ; . .411r4111111141, ev4+S. . -;:,..., KENN-7W ,,e; / I cf>, .6, Approved �, Date 0- �� 6;% Pf vs.s \a-, eer s Stamp Inspection Report_9-1-12.doc if) N _LIVE ALDER AVE _ _ 10 N *OK � S 90'00'00" E 149.90' (150.00' R) O KEYBOX • .\ IPAVED in D/W a c0 4 I- w • m • . • SEPTI VE TC 1.0' CANT [— (typ) DECK CONC 21.4 7`� • JJ x • X l4-1'—} 03. O 64.0' 00 0) dt (Xi° CANTFP O EXISTING b cit 0 0 N HOUSE N ) a wr. w ., 20.0' ._ 21.5' s LU Oa . •• •• •• 44.0' v 10.0'1.0'lio N O Oo CANT DO DECK CC�1C SHED o } O O O ,, O O I > 0 0 Z O x Z O zx—x—x—x— z LOT 3 > `" BLK 14 CONC K -x x x x XL; 1g- x x X x S89'59'46"W 149.95' ( S89'59'03"W 150.00' R) ANCHORAGE RECORDING DISTRICT,ALAS AS-BUILT OF: NORTH WOODS SUBDIVISION UNIT III O =FND 5/8"REBAR LOT 3 BLOCK 14 PLAT 83-68 `�_`"`\ SURVEY CERTIFICATE:I,John L.Schuller,Have conducted a .01*" c� OF 44- % yp' LAD NERIT_k physical survey of this property as shown on this drawing and that the // �`S . •.:`:,s 1' LS- N.O Sr„ ,1f improvements situated hereon are within the property lines and no k' . `) ' w enchroachments exist other than noted.Under no circumstance should %*.' 49Ti i\ t, ~ o e'G� any information on this drawing be used for construction of fences, 0 �t4 .o, `Z. structures,improvements,or for establishing boundary lines. d p 1 / x a, G�r, EXCLUSION NOTES:It is the owners responsibility to determine s •.JOiiN L. SCHULLER;. o/ the existence of any easements,covenants,or restrictions which / p. -,� ,, do not appear on the recorded subdivision plat. ,aw�, • LS-10408 't •„�, ,,,.� WORK ORDER NUMBER: DAIS SCALE: E-MAIL: e^e 4 01 1831 Talkeetna Street OCT 9, 2018 1"=30' 11`ap ' Lf9 / ��' '��it Anchorage, Alaska 99508 18-055 CRAM er.a€affs BY;am r DOCK/PACE ��rofessionot \'�� (907) 227-1455 office JLS NW1459 180218 %AN: e.Vs� (907) 274-4992 fax ,t,,_(:2!-'1:,'"1 0,, MUNICIPALITY OF ANCHORAGE / O & stewater Pro ram S. , , POn-Site Box 196650 4700 Elmore Road \ %. j Anchorage,Alaska 9951Water9-6650 Phone:Wa(907)343-7904 Fax:(907)343-7997 "� / http//www.muni.orglonsite `. / 1)ci,art1— 4'YCN0Np<'� On-Site Wastewater Disposal System Permit Permit Number: OSP181088 Effective Date: 5/16/2018 Work Type: SepticTank Upgrade Expiration Date: 5/16/2019 Tax Code Number: 05173231000 Site Legal Address: NORTH WOODS UNIT 3 BLK 14 LT 3 G:1459 Site Mailing Address: 23046 LIVE ALDER AVE, Chugiak Owner: WIDMER MATTHEW C 50% & Lot Size in Sq Ft: 26698 Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field IZI Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: /43 /fr Issued By: Cf'A eultzcrc-Y Date: 5 /6 /8 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division — Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-732-31 Property owner(s) Matthew Widmer & Marsha Tandeske Day phone 689-6499 Mailing address 23046 LIVE ALDER AVE., CHUGIAK, AK 99567 Site address 23046 LIVE ALDER AVE., CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) NORTH WOODS #3 B14, L3 Legal description (Township, Range & Section) Lot Size 26,698 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: IN all that apply) Absorption Field Initial u Single Family (SF) x (w/wo ADU) Septic Tank �` Upgrade P9 Duplex (D) Holding Tank Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable_MunicipaL odes. - (Signatu of pr erty owner or authorized agent) PermitRush Fees: o?6 I Waiver Fees: Date of Payment: .�/j`f 1�g Date of Payment: Receipt Number: ()a- D Receipt Number: Permit No. (350 y Waiver No. Permit App_9-1-12.doc tsRcTE ARC TLRRA CONSUL'T`ING, INC 0 212 E. 515t Ave,Anchorage,AK.99503 `'�• �` Office(907)868-3791, Fax(907)868-3793 off btJINC•fie� •45.9D5'n' May 11, 2018 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Tank Upgrade Permit—North Woods Unit 3, Block 14, Lot 3 The owner has requested we proceed forward to obtain a septic permit to upgrade the failed septic tank. We propose to decommission the existing 1000- gallon septic tank per code and install a new 1000-gallon tank 10'+ from the foundation and waterline. The lot and adjacent lots are served by public water. 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 868-3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. iLift,01 - Kenneth M. Duf"Mr.E. Attachments: On-Site Sewer Application 20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736 • PH(907)868-3791 • FAX(907)868-3793 WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN N❑RTHW❑❑DS #3 BLOCK 14, LOT 3 •MT -1983 SYST. N E *.9 09,,,.,F DIV DECOMMISSION EXISTING O SEPTIC TANK, o INSTALL NEW 1000-GAL 0 COs COs S.T. & CONNECT TO • C EXISITNG SYSTEMS • CO (� • • • O o ICI \ DECOMMISSION EXISTING FCO SEPTIC TANK. S 0 C 1993 SYSTEM m • • •S• I o III l l l 0 m r. o • j I 0 0 AREA SERVED BY PUBLIC WATER DESIGN DETAILS Scale: 1'= 30' FLAG WATER LINE INSTALL NEW 1000-GALLON SEPTIC TANK & LOT LINES PRIOR & CONNECT TO EXISTING SYSTEMS TEl CONSTRUCTION INSTALL 1250-GALLON STEP TANK IF GRAVITY FLOW CANNOT BE ACHIEVED. MAY CONSIDER REROUTING / ELEVATING PLUMBING &/OR RELOCATING SEWER LINE EXIXT / FCO TO ACCOMODATE GRAVITY FLOW &/❑R SEPERATI❑N TO WATERLINE. NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NOTES: NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. ALL PROPERTIES SERVED BY PUBLIC WATER 1. CONNECT TO SYSTEM AFTER POST TANK CDs / DIVERTER. 2. INSULATE TANK WITH 2' HD BURIAL FOAM WHEN LESS THAN 4' DRAWING BASED ON IMPORTED / SCANNED COVER. HAND-DRAWN ASBUILT BY MARK SEWARD 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INT❑ SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT -"410%.11116,\ WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. �� OF AL4\ . PAGE 1 OF 1 /Ay PREPARED FOR, -1 �'�, MATTHEW WIDMER & MARSHA TANDESKE CTE k * 9 TH /N • * T 23046 LIVE ALDER AVE. ``,q rs / .. . .. . •.• _. . I CHUGIAK, AK 99567 *46t.(4 r ®I 907-689-6499 / • KENNETH M. %�, / FIELD BOOKS COMPUTED: ` 'n CE-711� 44' / BOUNDARY:BOUNDARY DRAW': BMW z 4 'rte �/7`� . .v,9 STAKING: STAKING CHECKED: KMD , 1 A Ati / ASBUILT: DMS DATE: 5/1 1/18 ��� 0,� �FESSIO14 \ DWG. FILE: GRID: N W1459 <F4',t,r°tis ,�c e, '%4LE.R UIT[NG •�6 ACAD FILE: FILE JOB No.: JOB AK.99577' A Municipality of Anchorage Page of 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S �-v 91 C)399 PID Number: O51 -73Z 3 1 Name: De J3 -ah A . g NY-) Wastewater System: ❑ New ❑ Upgrade Address: Po FoX 3y44. Kovl,aK ABSORPTION FIELD Phone: No. of Bedrooms: ❑ Deep Trench ❑ Shallow Trench JET Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: S GPD/Sq. . Ft. S%o Lot: BIQgck: }+bdivision• ^ 3 UVAi. Depth to pipe bottom from original grade: Gravel depth beneath pipe "� O� n�DOociS 41 Ft. os Ft. Township: ISN Range: I W Section: ^ Fill added above original grade: Gravel length: r 7 Ft. 3$ Ft. ❑ New D-Upgrad Gravel depth Number Distance between lines: - FL ¢otlines: 1 6 Ft. Classification (Private, A,B-,C): _ N Total Depth: L� Cased To: Total absorptions area: - Pipe material: N FL Ft. I Z SQ. Ft. PVG AS tt� D 3031 Driller: /_�N ate Drilled: Static Water Level: Installer: Date installed: 'G - Ft. M k AA Nov - Z, 1,9_91 Yield:�Jump Set et: Casing Height Above Ground: - TANK PM Ft. Ft. - SEPARATION DISTANCES 9Septic ❑ Holding ❑ S.T.E.P TO From Septic Absorption Lift Holding Public/Private Manufacturer: C—y IL ST 1 fQ C7 C In gallons: 100 O Tank Field Station Tank Sewer Lines Well +Ico .tZW. N� W.A +zoo, Material: S* EEL Number of Compartments: Z W at ;e aloo' (cam` +loo' LIFT STATION Lot+ Line Size in gallons: Manufacturer: Foundation is I +2Sr "Pump on" level at: "Pu level at: High water alarm at: Curtain +100' t1O0' Pump Maka el Electrical Inspections performed by: Drain Remarks: New bed 1rs-}Z)ted BENCH MARK Nov 1991. VI --D, IN5uLA'TiON Location and Description: N vJ rnev of house (3rade. WI-1-U2F 411 SbLID IPE- I=Ro.N^ 1- rJK YOvY)JI eteV2'VtoY� 01205 SBx) &Yy ST)N(> 1JZ0 L_)uE Assumed Elevation; 1002Ft - L ,. arty Rf� Inspections performed b : Cons61)c i Cm��neea Nopj'2 t991 �` p p y '�—�— Dates: 1st t � �� �.✓� 2nd N0.1732E utter 22, Department of Heal!d H��S iapproval - m Reviewed and approved by: Date: �1 e -v m , vat 7 Mv,v 20 Permit No. S�v91 034.9 Page 2 of Z Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report -egal Description: t--3 514 yor41 LljoojI, Un-) i' ZT PID No.:0Si 7 3Z3! - FND G1T1 r M.T G .O, 'Ib 1F1 1 Ta'tP'IYK 1009 c o _CAsrw�rb� ea g$ s '1-v PAR oV avm FILO x�wt G- - L }pUSO F1 EH -D 7e�T CiHotE li o ». E �'FfaM (sem (.J'Oo l>NE iJ ,rn°, �6$y�i>4D4iy76{s¢� 9f (NO WAtec UrJ rWo D xy �T a 4. a _ ,}u 5' ayiArii8se NO. 17`1312-E Jum 22, 1968 72-013 A (2/91) MOA 25 b TV 1 y of CV/ x � W m > n 4. .. °- Q CoQ a �;0 2 $ LL z V� j u W J v _ ° tl %T V - FND G1T1 r M.T G .O, 'Ib 1F1 1 Ta'tP'IYK 1009 c o _CAsrw�rb� ea g$ s '1-v PAR oV avm FILO x�wt G- - L }pUSO F1 EH -D 7e�T CiHotE li o ». E �'FfaM (sem (.J'Oo l>NE iJ ,rn°, �6$y�i>4D4iy76{s¢� 9f (NO WAtec UrJ rWo D xy �T a 4. a _ ,}u 5' ayiArii8se NO. 17`1312-E Jum 22, 1968 72-013 A (2/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910349 DATE ISSUED:10/28/91 DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC. EXPIRATION DATE:10/28/92 OWNER NAME:BAIN DEBORAH A OWNER ADDRESS:PO BOX 3944 KODIAK, AK 99615 PARCEL ID:05173231 LEGAL DESCRIPTION: NORTH WOODS UNIT III BLK 14 L T 3 LOT SIZE: 26698 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE: /alz�9%9� DATE: R � "- ABSORPTION SYSTEM DESIGN i 4 1.1vrw ALDER AVE MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION 2 5 1991__ RECEIVE I 447A $ta v4C.0 A65A,3Prl6N 7 9 ,) Ca.®Pr2 �r°a4�u5W A�vA FoR lJC�+J A!ttD�T�1ioN )4Yr:A G1Lf_v4fi't'1nnrS F560 oww. As '1ruAvlgmp M,nnyv�urv� }'pRC'Fl za;loo Sf W02K, N& Ap'M4, T'JmP %c1i'VnN YH K Lg$5' Z.) iT lid {�Rt aF''fb C4tNN 6C:rIN�° N&u..) V\UA-D. 'IFzov\CF, cop\j 0;: i M5T,N{g. r'w2tmxn'Ev'� I}truS �.}'pjtrvt? Yeo-rPP;,ur) Cwi>rt,v Cs RI?'GCaIPt' 'rCa G-ivG,Npv2-,000 5;T ToR FSL fiq F1LLwL'v: A"! 3,-7oo s)P SITE PLAN DETAILS --PROPOSED ABSORPTION SYSTEM DETAILS OF BED ABSORPTION SYSTEM LOT 3, BLOCK 144 NORTHWOODS SIIB, PREPARED FOR: MIKE LICHTER PO BOX 3944 KODIAK, AK', 99615 vSALE: 111 = 1001 DRAWN BY CAL R CONSTRUCTING ENGINEERS 346-2000 SEAM9601 BUDDY WERNER DR 694-9098 ANCHORAGE, AK, 99516 DRAWING # 91-$1-10-1 r_' R 0�r" NOS 'PYopw.z;ao N rrr�: Mu:t'T' "Q�p.,�)y.f ' M,ry FtwTr rKr 5 ,) Ca.®Pr2 �r°a4�u5W A�vA FoR lJC�+J A!ttD�T�1ioN )4Yr:A G1Lf_v4fi't'1nnrS F560 oww. As '1ruAvlgmp M,nnyv�urv� }'pRC'Fl za;loo Sf W02K, N& Ap'M4, T'JmP %c1i'VnN YH K Lg$5' Z.) iT lid {�Rt aF''fb C4tNN 6C:rIN�° N&u..) V\UA-D. 'IFzov\CF, cop\j 0;: i M5T,N{g. r'w2tmxn'Ev'� I}truS �.}'pjtrvt? Yeo-rPP;,ur) Cwi>rt,v Cs RI?'GCaIPt' 'rCa G-ivG,Npv2-,000 5;T ToR FSL fiq F1LLwL'v: A"! 3,-7oo s)P SITE PLAN DETAILS --PROPOSED ABSORPTION SYSTEM DETAILS OF BED ABSORPTION SYSTEM LOT 3, BLOCK 144 NORTHWOODS SIIB, PREPARED FOR: MIKE LICHTER PO BOX 3944 KODIAK, AK', 99615 vSALE: 111 = 1001 DRAWN BY CAL R CONSTRUCTING ENGINEERS 346-2000 SEAM9601 BUDDY WERNER DR 694-9098 ANCHORAGE, AK, 99516 DRAWING # 91-$1-10-1 t ABSORPTION SYSTEM DESIGN r=tta�p c�� ar-F �r�lc� iNy1ti4LL c.o. Ary' i1�NX g' i+aQsc lknTALt. C•m IkT Mce>a a•so.t-pv�. Z�F r �uQ e�I Cs'�P Q eNSUL(1 re OV67K kO 5812\1SCV' L)NLv. Do N --T- 4 A'J1a 4' M 11N1W\vm-CD%P - C.O. Cl'Yr) Art ALL 4"tVRf 9k," O2i61i+A1-f �FSv tR w%pe�FiTifDD�' Y"k® li Z4. ____ _ _ %m ark ABSORPTION AREACALCULATIONS: 3 Bedrooms x 150gpd/bedroom = 450 gpd (soils rating : 0.5 gpd/s:E) 450 gpd / 0.5 gpd/sf = 900 sf area Bed design: use 24' x 37.5' bed (minimum) w/ 4 ea 41' perf pipes @ 6' centers, each 31.5' in length. IMFACT ON ADJACENT LOTS: This lot is served by a public water system. The proposed absorption system is located such that there is no impact to any adjacent lot. SITE PLAN DETAILS --PROPOSED ABSORPTION SYSTEM DETAILS OF BED ABSORPTION SYSTEM LOT 3, BLOCK 14, NORTHWOODS SUB, . Ogg PREPARED FOR: MIKE LICHTER VT ••• PO BOX 3944 �m!K!!♦w.!!�,`. KODIAK, AK', 99615 �s� jEp0 U NOT TO SCALE DRAWN 9Y CAL t�a'0 CONSTRUCTING ENGINEERS 346-2000 EN 9601 BUDDY WERNER DR 694-9098 ANCHORAGE, AK, 99516 DRAWING a 91-52-10-1 1 t a Municipality of Anchorage t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR:r M lac =' L.°�'4DATE PERFORNI'E{b:�t-~ LEGAL. DESCRIPTION: L.3 5 t 4 &bY`YKW00-14 5011 Township, Range, Section: _C�Lj- "r IS-AI t2 f 1d DEPTH SLOPE (FEET) orgQrIN Ic 1 2 {�-own) Sid Sin 3 4 5 6 7 8 9 10 11 12 13 14 15• 16- 17- 18- 19 - 23 6•17- 18- 19- 23 - INAS GROUND WATER N NCOUNTERED? S $i l} I SII; Sa✓Id IF YES, AT WHAT L DEPTH?0 — P i3a{�ornt�� %si-tiole E DIP to Water Atter Monitoring? __ N A Date: iia 1 J r Reading Date Gross Net Time Time Depth to Net Water Drop t ^— rT0 Yvl r 10 m 1„ „ 111 4 <{J Mh 4• iQ M 4 -I" tp 4- r>Y-A II41 s /30 it" Y ani r rn.r^ � �'? ..• I�11 I11 14a1 u INAS GROUND WATER N NCOUNTERED? S $i l} I SII; Sa✓Id IF YES, AT WHAT L DEPTH?0 — P i3a{�ornt�� %si-tiole E DIP to Water Atter Monitoring? __ N A Date: iia 1 J r Reading Date Gross Net Time Time Depth to Net Water Drop t ^— rT0 Yvl r 10 m 1„ „ 111 4 <{J Mh 4• iQ M (®1, 111 .3 4- r>Y-A II41 s /30 it" Y ani r rn.r^ � �'? ..• I�11 I11 14a1 u L_J 1' r e` PERCOLATION RATE tZi (minutes/inch) PERC HOLE DIAMETER "FEST RUN BETWEEN 4 FT AND 5f FT COMMENTS J:IL-S p.S CrF"Di� i•C7t1 Ott? F7L�$1CrN• �UFj?tV1S,bN F-Sfj$ hi-I�TII AZ\G..A-L .. i=ltiTP IN�y-S otr- I;"ALL-c LO 11420 UU N,0 W fiJ'rVYr , PERFORMED BY: �IJS'i'R-U 'y^gw�Cr �.J6idNt��2,L I ` ,+-yyT,y—,_ CERTIFY THAT THIS/TEST) WAS PERFORMED IN ACC'DRDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) v 11 17 �! MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONsifx)eE EW -.Z,) - ❑UPGRADE MAILINGVD ESS LEGAL DESCRIPTION Lo -t - LOCATION NO. OF BEDROOMS DISTANCE TO: We \� Absorption area Dwelling IT PE N0. v _Y F- ZZ Manufacturer Mate ' No. of compartme wF ti Liq. ca aci ons IF HOMEMAD Inside length ^' Width Liquid depth 0 Y C) DISTANCE TO: Well Dwelling PERMIT NO. J = z Manufacturer Material Liquid capacity in gallons w = DISTANCE TO: We Foundation Nearest lot ' P T LL Z w No. of lines Length of each line Total I gt of lines in� width Distance between lines F inches Imo. Top of the to finish grade - Material beneath the Total effective bs rpti n�i 0 inches w Length Width Depth PERMIT NO. t7 CL F- LU Type of crib Crib diameter Crib depth Total effective absorption area LU W DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. J Lu �: I DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER Z PIPE MATERIALS SOI L TFI g=TI , �,] INSTALLccE''Rj'j'S5 REMARKS mo kA ST &3--0 , z e APPROVED r�DATE LK 72-013 (Rev. 3/78) MUI41(olKAL1 1 Y Ut- AVUt1UKAUt Department of Health and Environmental Protection '24,6 825 - Street, Anchorage, AK. -}9501 264-4720 Permit `# — $ 3o��U HANDWRITTEN PERMIT # # W -ELL AND/OR ON-SITE SEWER PERMIT 7`5� , Applicant: %l.ti +_ l� ti /_ "�-�;Y v" Mailing Address: Location: Phone Number: Legal Description: L S12 ) �(1 �, �, ii << , �, -( ;; /_�/ Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: _ Seepage Bed:_ Holding Tank: Maximum Number of Bedrooms: , 1_3 Soil Rating(sq.ft/br) /Y6 The Required Size of the Soil Absorption System Is: DEPTH �� LENGTH GRAVEL DEPTH G , 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 minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ 6-Ty0 GALLONS # � Permit applicant has the responsibility to inform this 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 community 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 3 3 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 installthesystem in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 edrooms. Signed: Issued by: Appl i -car to Date: SWP/024(1/81) MUNICIPALITY OF ANCHORAGE • y DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST 0 SOILS LOG ❑ PERCOLATION TEST PERFORMED FOR: � �� � �= S�%72«`s CCA1,STe DATE PERFORMED: �//© LEGAL DESCRIPTION: 4�7- S, f✓O,Zr1-1VV0pDX0".'3 „ Iq `� Pll%asr d DEPTH SLOPE SITE PLAN C&o SCFIGE' (FEET) I 1 z J ML S14 -r 7oP 5©/4_ 3 4 Sl C4E&I 6,64VOLL`% 11ieD, j -D 5 Ga�9l1SC a7� tJp toJ� S/7'/� L L s SAF 7 s 5l1'T 5/�.rY G.��d,�ce.y f=i/�tE �ifvv 9 10 11 12 13 14 - '1 w 9.r"* `... . 16- .0 71.. 17 , �: Fart P. Ellis w t, �,"•• NO. 1745.E J �wi 18 �! ••a_ o 19 WAS GROUND WATERS ENCOUNTERED? /is L u P IF YES, AT WHAT E DEPTH? �✓" ��/O/Bs3 Reading Date Gross Time Net Time Depth to Water Net Drop 20 J_j PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS ..-:/_°®E //T f iT = Ole, , A10 /�'tla,Qcc.rC .L�iVGc>tit/�"G'2E9 s Fgcw& 9T0,ep s � L'a lv"S T;M�- PERFORMED BY: f—/f�L ,�GL tS CERTIFIED BY: W_ DATE: 6 /.� Cil, 72-008 (6/79) • • 4L • Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-732-31 Expiration Date: S C( 1. GENERAL INFORMATION Complete legal description NORTH WOODS UNIT 3 BLOCK 14, LOT 3 Location (site address) 23046 LIVE ALDER AVENUE, CHUGIAK,AK 99567 Current Property owner(s) MATHEW WIDMER &MARSHA TANDESKE Day phone Mailing address 23046 LIVE ALDER AVENUE,CHUGIAK,AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ❑ Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class _Well ❑ Public Sewer ❑ Public Water System WaiverNariance request for: Distance: Received by: /I/;/ /_���i Date: COSA to be released to the engineer,unless otherw)ro .ested by the engineer. COSA Fee $ 52(.0 Waiver Fee $ Date of Payment / 0112112 Date of Payment Receipt Number ()Cod ItoD Receipt Number COSA# 66C, t3(54-16, Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING,INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER,AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 10/5/18 THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineers 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 �-.6...�.\ encroachments,deficiencies or discrepancies exist. oi, ti,�! \ i * -9TiI /\ ,1. 6. DSD SIGNATURE ,iirbwrwri , ) System #1 Approved for J bedrooms. xeNN��tl >1. Dl. � , System #2 Approved for bedrooms. + `l'c ` Y pP Al •c Disapproved. \ `''i•HF-ssie ' Conditional approval for bedrooms, with the following stipulations: �\ �,�;>ri l 1 V r��yC _:, wON-SITE c. G. T vv IA,ER D m' o PROGRAM R o= SERVIC --C) 7-- By: L•--C`-40 Original Certificate Date: l9 -IS ---(. l 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc 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: NORTH WOODS UNIT 3 BLOCK 14, LOT 3 Parcel ID: 051-732.31 A. WELL DATA-PUBLIC WATER Well type If A, B, or C provide PWSID# Well Log (Y/N) Date completed Sanitary seal (Y/N)Y Wires properly protected (YIN) Total depth ft. Cased to ft. Casing height(above ground) in. FROM WELL LOG AT INSPECTION Date of test __— Static water level ft. ft. Well production _ g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic: ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Date installed 7-19.2018 Tank size 1000 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping NA-NEW TANK _Pumper C. ABSORPTION FIELD DATA -ORIGINAL SYSTEM TESTED Date installed 9/29/1983 Soil rating (g.p.d./ft2 or ft2/bdrm) 145 System type BED Length 30 ft. Width 22 ft. Gravel below pipe 0.5 ft. Total depth 3.5 ft. Eff. absorption area 680 ft2 Monitoring tube Y Depression over field N Date of adequacy test 5/1/2018 Results(Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 490 gal. New depth 6 in. Elapsed Time: 1200 min. Final fluid depth 0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) N If yes, give date D. LIFT STATION Date installed Size in gallons _ Manhole/Access (Y/N) "Pump on" level at_in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES -PUBLIC WATER WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots _ Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas _ 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 200'+ 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 10'+ Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 200'+ F. COMMENTS Diverter is/was split and open between both of the two absorption beds. The 1991 bed is saturated as it was in 2012. 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. \16, oF ft1 Engineer's Printed Name KENNETH M.DUFFUS 41",'�� )4 Date 1015/2018__. :4A 01 COSA canary sheet_2-6-15.doc , , fi1:� f%, :ss oar. _+t AS-BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP181088 NORTH WOODS #3 BLOCK 14, LOT 3 PID# 051-732-31 S 90'00'00" E 149.90' (150.00' R) KEYBOX •MT - ORIG.1983 BED ■ NM u �� i? of PAVED N , DIV D/W a CO COs co SENEWPTI1000-Air. 3 La w re D CO ^ • • CI:2 eCC DECK CONC B_ 1.4 '0 A 1991 BED FCO . ' X J IIx_ • 0 BM 64.0' CO O FP s— N(xi CANT EXISTING csi SST N 3-BR HOUSE ' ww (typ) 20.0' _ 21.5' LLI 0 720(1 I • • • .• 44.0' 1.0' CANT a 10.0' N O — O Ox DECK CQ�C SHED o O OO O I x *0 0 Z o" x Z O Z L—X—X—X—X Z x LOT 3 * `J I x B LK 14 CONC x SCALE! 1' = 30' x x A-C=13.7' (inn 101.0• B-C=61.9' A-D=17.1 B-D=66.7' FINAL GRADE I -- - I _ _ I tx L 1 VARIES A -J1000 T GAL ' - . SEPTIC 'v TANK EXISTING FIELDS 95.74 (95.5 4``� SCALE' NTS 41P.1i' T _, > O �� 1 PREPARED FOR: gCTTERR ,rrA,. _ 1~ 1 MATHEW WIDMER & MARSHA TANDESKE ti A `� vl y TH i� v7 + 23046 LIVE ALDER AVE. ** . # * CHUGIAK, AK 99567# .. 4sr./40r/ . f ; ,', # 4I FIELD BOOKS COMPw ( t'\ ` ,r �ww� BOUNDARY:N/A DRA1M1: BMW z '�` 1 ,D 0/ B / TAX N/A CHECKED: KMD 149:440; / \'ti;�1 / N� ASBUILT: SLS DATE: 09/24/2018 ''. \ 0�.PlioF'E$$10 DWG.FILEcrz�o: �� G• 11�`_'� NW1459R,y�NSULTING , „4c.,1,..7 6190 ACAD FILE FILE ''OB N 18125 i eR• AK.99577- X9fE �_ Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-732-31 COSA# Expiration Date: 1. GENERAL INFORMATION Complete legal description NORTH WOODS UNIT 3 BLOCK 14 LOT 3 Location (site address) 23046 LIVE ALDER AVE. CHUGIAK AK 99567 Current Property owner(s) ROBERT & LINDA MCCARTER Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 23046 LIVE ALDER AVE. CHUGIAK AK 99567 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class _ Well ❑ Public Water System El Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer El The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 868-3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 5118/2012 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 .oriy system will function satisfactory for current or futureVX occupants or can ArcTerra guarantee that no unseen"` encroachments, deficiencies or discrepancies exist. �. 5. DSD/SIGNATURE V Approved for 13 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ON-SITE By: ��' �~� ' ` Original Certificate Date: (R&,A1N5)_ / �- Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: NORTH WOODS UNIT 3, BLOCK 14, LOT 3 Parcel ID: 051-732-31 A. WELL DATA Well type PUBLIC If A, B, or C provide PWSID # Well Log (Y/N) Date completed Sanitary seal (Y" Wires properly protected (Y/N) Total depth ft. Cased to ft. FROM WELL LOG Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform _colonies/100ml- Nitrate mg/L Arsenic: mg/I Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material otic/Steel Date installed 929 983 Casing height (above ground) in. AT INSPECTION Tank size 1000 gal. ft. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YM) N Date of pumping 2012 Pumper ,Rts C. ABSORPTION FIELD DATA Date installed 9/29/1983 (original System Tested) Soil rating (g.p.d./ftz or ftz/bdrm)145 System type Bed Length 30 ft. Width 22 ft. Gravel below pipe 0_5 ft. Total depth 3.5 ft. (Measured 4/24/12) Ell. absorption area 660 ftp Monitoring tube Y Depression over field N Date of adequacy test 4/24/2012 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 3.6 in. Water added 450 gal. New depth 6 in. Elapsed Time: 1400 min. Final fluid depth 3.6 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at _in. "Pump off' level at _in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 51+ Properly line 51+ Absorption field 51+ Water main 30'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 301+ Surface water 100'+ Driveway, parkingNehicle storage 10'+ Curtain drain 50'+ (None Known) Wells on adjacent lots 200'+ F. 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. Engineer's Printed Name KENNETH M. DUFFUS Date 05/18/2012 COSA Fee $490.00 Date of Payment co(ta(l� Receipt Number QS�r`i b (Rev. 11ro5) Waiver Fee $ _ Date of Payment Receipt Number May 29, 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 System Repair — North Woods Unit 3, Block 14, Lot 3 Per previous discussion with your office, a diverter and two cleanouts were installed at the above subject property to direct effluent to the original absorption bed that was installed in 1983 due to the 1991 absorption system being saturated. Attached is a sketch and final grade photos that show this recent repair and the components of both systems. We do not expect there to be any adverse effect on adjacent lots by the operation of these systems. If you have any questions, please contact me at 868-3792 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. r / Kenneth M. Duffus, P. Attachments: COSA Photos & Sketch 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868.3793 FE1 i%i'i 252 [IL J :4[ F,4); tdo, P, O Ali 001 ASBUILT S94ARD & I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: J�> FOLLOWING DESCRIBED PROPERTY: Rf-:� _ DATE: AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE TK EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI— -- — VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: ANY DATA HEREON BE USED FOR CONSTRUCTION i OF FENCE LINES, OR FOR ESTABLtSH1NG BOUND— ARY LINES. NN SURVEYING OF Al � Pvena Merk'Sewa�d s LS -s a S FRI/MA'fi25/2012 00:40 FAX No, F. 001%001 LA { PM , ST Y F `s q � ;. _ 3 y, � � �_ .mf' MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # OS f 32 HAA# V1{l�j\ C)2a,(n 1. GENERAL INFORMATION Complete legal description L 3 3k 14 N o✓441NuJpoJS V )� Location (site address or directions) L10et, A 1 c,er Property owner 7e_'00 Day phone Mailing address Po 8c�,c 3944 li 5. 6. 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 furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigati6n 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. Cors�c.�,;, Phone Name of Firm n�zrs 694 9098 Address_ I t3vc:ld�, Wevnev 7Dv �tib���e AK 99S 16 Engineer's signature Date "/ 4 / 91 DHHS SIGNATURE Approved for % bedrooms. Disapproved. Conditional approval for Additional Comments E `1 AW 1 h'22, ns 24.1•96rs1�� bedrooms, with the following stipulations: Date 4i 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 821 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST 44 Legal Description: L3 B(¢ ?.�or4hwoodsSJb Uh;}-T� Parcel I.D. OS (-73Z 31 A. WELL DATA Well type A If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N)_ Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Date completed Driller Cased to Casing height FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot +�, Absorption field on lot ,.. Wires properly AT INSPECTION Z13aol MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION NOV 0 5 1991 g.p.m. g.p.m. RECEIVED ; On adjacent lots N A ; On adjacent lots Public sewer main *Z,001 Public sewer manhole/cleanout Public sewer service line N F4 I) 1 Petroleum tank _ WATER SAMPLE RESULTS: Coliform Date S. SEPTIC/HOLDING TANK DATA Nitrate N '' Collected by: Nf�r ti 5T .2 9 Compartments Date installed F $3 I��o Z Tank size p Cleanouts, (Y/N) :'Foundation cleanout (Y/N) y Depression (Y/N) � High water alarm (Y/N) til Alarm tested (Y/N) N /�J, Date of pumping SEPARATION MISTANCES,FROM SEPTIC/HOLDING TANK TO: Wells) on lot �� �? � On adjacent lots 4"7Zjoo Foundation IS' To property line i ZS Absorption field Water main/service line Z. Surface water/drainage 41 co r 72-026(Rw. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at 11 Manufacturer _ Manhole/Access (Y/N) m off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION E FROM DI LIFT STATION TO: On adjacent lots D. ABSORPTION FIELD DATA Surface water Date installed Noel Z) � 991 a.r J Soil rating Gp �s� System type den Length ''$ Width z4 Gravel thickness os I Total depth Total absorption, area 91 Z S Cleanouts present (Y/N) Y Depression over field (Y/N) t`J Date of adequacy test Results (pass/fail) ri n for Peroxide treatment (past 12 months) (Y/N) N ( If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: NEW SYSTEM Well on lot On adjacent lots t- zoo Property line */d To building foundation -I--2Zf To existing or abandoned system on lot On adjacent lots +30' Cutbank � Water main/service Ilse_ Surface water -`bpi Driveway, parking/vehicle storage area Curtain drain tom. +t6eY E. ENGINEER'S CERTIFICATION l certify that.I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the f 36' +ip, +S70 1 .. Signature to Engineer's Name n4s1l. L. v) t Y5 a R '"A Date NO.) 4, I99i �•••� ••� • -o`• No. 1732.1 p hm.2% 11"1 lk IAA Fee $ /%D o Waiver Fee: $ late of Payment //-3- Date of Payment eceipt Number a ` 1I (-7� q-1733) Receipt Number -028 (pev. 3/91) Back MOA 21 bedrooms of this inspection. O n WALTER J. HICKEL, GOVERNOR �uu,Uj DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 563-6775 3601 "C" STREET, SUITE 322 ANCHORAGE, ALASKA 99503 October 22, 1991 FOR: Chuck Landers PWSID #213001 My review of the records on file in this office reveals that the Northwood Subdivision Class "A" Public Water System, is in compliance with the routine coliform bacteria samples requirements listed in Table C, and with the inorganic sampling listed in Table B of 18 AAC 80.200. Sincerely, Byron Roys Environmental Engineer Time APPLI�' %NT FILLS OUT UPPtR HA' 4i ONLY Property gwnerBaltic Builders.� I Phone Mailing Address P. O. Box 4-2412 Anchorage-, AK 99509 688-2831 Date Zip Code Buyer Address Zip Code Lending Institution Phone Inspector Alaska Mutual Bank Inspector Address Zip Code Realty Co. & Agent i Phone Address Zip Code Legal Description DEPT. OF t iOi,' Pi C, Lot 3, Black 14, Northwoods Subd., Phase III Street Location Labrador Street Type of Residence ENV]RON:yi= Jt AL Fk3fECTION 9 Single Family ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply ❑ Individual _J) APPROVED BEDROOMS ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. j Community `CONDITIONS OF APPROVAL For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal ( ) CONDITIONAL APPROVAL' X Individual Year Individual Installed: 1983. ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE DEPT. OF t iOi,' Pi C, ENV]RON:yi= Jt AL Fk3fECTION WIN 4, "8J RECEIVED _J) APPROVED BEDROOMS `CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE 1/—)— tom'.— 3 Soils Rating Date SewerIns66talled Well To Absorption Area Well Log Received 5 r Z f Well to Tank I Septic Tank Size -- 023 (Nae) ALASKA 6WIROW11TAL CONROL KUM, Inc. 6ngineerinq & 6nuironmental Studies November 4, 1983 Municipality of Anchorage Department of Health & Environmental Protection 825 L. Street Anchorage, Ak. 99501 Re: Health Authority On October 31, 1983 our company inspected the sewer system located on Northwoods Phase III Block 14, Lot 3. All the standpipes are capped and protrude above ground level. The finished grade looks good and surface drainage is away from the septic system. The well is a community well and did not require our inspection. According to Mr. Bruce Erickson of Alaska Department of Environmental Conservation, the community well is up to standards at this date and no water sample is required. 060444%, 1 e •w° Q �a...°.o.• .eao a c.s.o••°•ae� •' .• e • .�tTda'/ ea e• Lero C. Reid, J , w 2251-E �y`z �......... .. dim PROFESSIO���m MUNICIPALITY OF ANCHORAGE DEPT. OF h`i�Pl ENVIRO \;J=N AL PROT�-CFION 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 • (907) 276-1361 RECEIVED