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HERITAGE HILLS BLK 3 LT 12
h f r 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: -Sw 99 00 2 3 PID Number: -Z Z/ — /& Name: weyl? e � r,,I�� Wastewater System: ❑ New ER Y Upgrade Address:l2 3y/ H-ert v6le a 13 d ABSORPTION FIELD Phone: -7.3 /S No. of Bedrooms: 3 9 Deep Trench ❑ Shallow Trench ❑ Bed 11Mound ElOther LEGAL DESCRIPTION Soil Rating: ,see p•erl?;rh 6�q. Total Depth from original grade: Sca Y ct = o'•'/S GPD/S . Ft. 11.0 Lot: Block: Subdivision: 1 23 Depth to pipe bottom from original grade: Gravel depth beneath pipe 104 (14re J4, % 1,( 3. U Ft. Ft. Township: Range: Secti n: Fill added above original grade: Gravel length: U -1 Ft. 6� Ft. WELL: E�ISi El New El Upgrade Gravel width: 2 s Number of lines: Distancebetweenlines: ' Ft. 1 -' Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: F -:51O perF Ft. Ft. ( OS SQ. Ft. D -.?0'3 Ll Nca Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. + 14/n e S e, -r i C < 6' !9 /99 Yield: Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines /4/1 cAc/`ez %en k 1000 Well 130 ' 11 O � — — > ZS' Material: S he e � Number of Compartments: Z Surface >1ao' > 100' - - - LIFT STATION N• �4 Lot '22- 10 ' - - - Size in gallons: Manufacturer: Line Foundation 3 3' 1 S - _ - "Pump on" level at: "Pump off" level at: High water alarm at: Curtain Pump Make & Model Electrical Inspections performed by: Drain - - - - Remarks: Exce Pf werf ena( c,)C tAev--, BENCH MARK Ch 11 D G(Lf CW G r- <CGn 4C, M,17 ci i ec Q Location and Description: SUL l J-- cj r'r /r1 G(/ S I cL/CF,f f 13c Ho t- OJ� ,i/c-III enc�un�l/ere rn co1xr�rck7n/ }-f-ench ;y / l Ocr )n.1 A�(1/r'o �n k; 711e /na/ pI 7ur1�rr k C c�vr� �ra� er f�� et Ii cic�noe( Sl/7 kiC II "r3�t Assumed Elevation: AI II /t'L-ln 1, Ot11-C71Gn !moo/rre a n S7 /g SOC'. O Ft tblo-I r^J lc�f1/ec,� cclloct"/r`lC'0174 eCAro4zV 74A a, /nG/ ENGINEER'S SEAL rPCe S, Ac, e VCUW- 1 yt.s �e 4os oo p�vx 7 5 0 y SS`r� o F/c•f �PclS c Dates:lst6(7(99Inspections performed by: P m b.•. O S �.ji -- ~'�°°e�yy °°°•°e°oomo°P°�= 2nd 6/7199 a� ? Department of Health and Human Services approval - Reviewed and approved by: arLL Date: SRR. 1rT .y A 72-013 (Rev. 9/91) MOA 25 PERMIT NO: SW980023 PID NO: 015-221-18 i PAGE 2OF2 R 100' ------------ WELL �2'1OIL COVER ip \ L_ %.N I \--.— ----------.--.� HUFFMAN ROAD PLAN VIEW SCALE: 1" = 30' !mlii]IweZiPLI 7 JINV. LONG SOIL ABS. TR. 8.0' GVL. BEL. PIPE M TRENCH EXCAVATION ELEV. 84. PROFILE VIEW NOT TO SCALE 2'+ SOIL COVER 2" INSULATION LOT 12, BLK. 3, HERITAGE HILLS S/D SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 SEPTEMBER, 1999 0 a O rvlLu c� a Lu SWING TIES: _ FROM: COR. "A" COR. "B' TO: TR. C.O. "D" 66.5' 48' TR. M.T. "E" 48.5' 33' TR. C.O. "F" 30.5' 18.5' TR. M.T. "G" 40.5' 33.5' TR. C.O. "H" 52.5' L 49' S.T. C.O. "1" 46' 35.5' S.T. C.O. "J" 52' 42' DBL. C.O. "K" 54' 44' VALVE "L" 55' 44.5. SEEP. PIT C.O. 64' 50.5' i PAGE 2OF2 R 100' ------------ WELL �2'1OIL COVER ip \ L_ %.N I \--.— ----------.--.� HUFFMAN ROAD PLAN VIEW SCALE: 1" = 30' !mlii]IweZiPLI 7 JINV. LONG SOIL ABS. TR. 8.0' GVL. BEL. PIPE M TRENCH EXCAVATION ELEV. 84. PROFILE VIEW NOT TO SCALE 2'+ SOIL COVER 2" INSULATION LOT 12, BLK. 3, HERITAGE HILLS S/D SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 SEPTEMBER, 1999 On") MUNICIPALITY OF ANCHORAGE Department of Health and Human Services Lk_3 On -Site Services Program f 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 i (907) 343-4744 COY\, l� P rn ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Mar 04, 1999 Expiration Date: Mar 03, 2000 Permit Number: SW990023 Legal Description: HERITAGE HILLS BLK 3 LT 12 Design Engineer: 0019 Flattop Technical Services Owner Name: Wayne Crayton Owner Address: 12341 HERITAGE RD ANCHORAGE , AK 99516-2345 Parcel ID: 015-221-18 Site Address: 012341 HERITAGE RD Lot Size: 14000 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: 7 Disposal Field ❑✓ Septic Tank ❑ Holding Tank 0 Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5XTe follo ig spe i pro io s.THE EOF ONST CTIO NGINE SHA4AEN RFOROTHER RCOLATI TEST IN OR NCE H THE PAFA INGHE PERTION T T PROCE URE ASSU NG IN TIC L R Tf�A WAT LEVE EADI ARE AT 0 INUTE IX ERVALS. Received By: Issued Issued By: Date - w01 79;�' Date: 3-4— March 9, 1999 Ted Moore, PE Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 12 Block 3 Heritage Hills Waiver Request #WR990013 Parcel ID #015-221-18 SW990023 Dear Mr. Moore: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 0.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# (, ��Gicll^1� t.� PID# 015-221-18 HA# Date Received: Feb 16, 1999 Legal Description: Lot 12 Block 3 Heritage Hills Engineer: Ted Moore, PE, Flattop Technical Services 14530 Echo Street, Anchorage, Alaska 99516 Applicant: Wayne Crayton Permit #cc)L Waiver Requested: Lot line waiver of new trench to the west lot line of 0'. Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: x Waiver is NOT Granted: List Conditions or Reasons for above: SEE' EA161v -kjP"S f¢77-/46HED Z E1-rB/? OF Tu s TtF1A TroN ate: 3 - 4 - 77f By : A/3�U Name of Reviewer Rec #: 04505/0915 Amount: $ 115.00 Date Paid: 2-16-99 CIVIL, & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 February 2, 1999 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 MUNICIPALITY OF ANCHURAGE ENVIRONMENTAL SERVICES DIVISION The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 12, Block 3, Heritage Hills S/D. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. A lot line waiver is also requested to allow the upgrade trench to be constructed within 0 feet of the west lot line. Since this lot line abuts a 60' wide R.O.W., granting the waiver will not impact other septic systems. The purpose of the proposed upgrade is to augment the absorption characteristics of the existing seepage pit, which is now functioning in a surcharged condition. The proposed upgrade will be constructed in the location shown on the site plan. As can be seen from the soil logs the soils in this area are classified as dense gravelly silt. The percolation rates are variable depending on the localized gravel fraction, and range from a measured perc rate of 20 minutes per inch at 7.5 feet in test hole 91 to >60 minutes per inch at 8.5 feet in test hole #2. While the measured perc rates are not consistent with the normally required design parameters set forth in AMC 15.65, the soil tests do demonstrate that the soil is not impermeable. The proposed upgrade will accomplish two goals. It will maximize the soil absorption potential in the vicinity of the existing approved seepage pit. It will also eliminate an existing septic tank that is less than 100 feet from three different wells and replace it with a new one outside the 100 -foot radius of all wells. I discussed this concept with Dan Roth last fall, and he indicated that.DHHS should be able to approve this type of upgrade, provided a HAA certificate is not being requested at the same time. If, after the system has been operating for a couple of years it is able to pass an adequacy test, then it would qualify for issuance of a HAA certificate. The configuration of the existing log crib seepage pit is plotted on the site plan as accurately as possible, based on field measurements and the original as -built inspection report. I suspect that the area between the outside of the crib and the outer perimeter of the seepage pit excavation was backfilled with some locally available material rather than sewer gravel. If so, the clogging mat causing the system to be presently be operating in a surcharged condition would be at the edge of the crib walls, rather than at the edge of the outer perimeter of the seepage pit. Thus, we do not think the excavator will encounter liquid effluent during installation of the proposed trench and septic tank in the locations shown on the site plan. If effluent is encountered during construction, the design will have to be field modified. The topography of the lot slopes to the west at approximately 5% The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. ' ' ' ' LOT BLOCK ' ' ' . ` . ' . ` .'-'-' '-- ` --� - . ' | LOT 2, BLK O | (VACANT) INSTALL R 100" NEW 1000 GAL-. SEPTIC TANK rL ABANDON N-1- #1 EXISTING DIVERTER VALVE SEPTIC TANK NEW 84'LONG INSTALL SOIL ABS. TRENCH - NEW C.O. WELL W. 8'SEWER GVL. (APPROX. LOCATION) HSE. #3 BLOCK 3 BLOCK 3 #2 WOOD FENCE !�-WELL . � ` ` HUFFMAN ROAD --- _______________ -- � LOT 12, BLK. 3, HERITAGE HILLS S/D ` ` ` ` ` ` ` ` . | � � � �T2 BLK 4 |u � ` . `` | �m ' ' ' ' LOT BLOCK ' ' ' . ` . ' . ` .'-'-' '-- ` --� - . ' | LOT 2, BLK O | (VACANT) INSTALL R 100" NEW 1000 GAL-. SEPTIC TANK rL ABANDON N-1- #1 EXISTING DIVERTER VALVE SEPTIC TANK NEW 84'LONG INSTALL SOIL ABS. TRENCH - NEW C.O. WELL W. 8'SEWER GVL. (APPROX. LOCATION) HSE. #3 BLOCK 3 BLOCK 3 #2 WOOD FENCE !�-WELL . � ` ` HUFFMAN ROAD --- _______________ -- � LOT 12, BLK. 3, HERITAGE HILLS S/D ` ` ` ` ` ` ` ` . I C.O-. CLEANOUT FOR 4" F-810 s. EDGES OF EXISTING PERF. PIPE TRENCH SEEPAGE PIT �� ` EXCAVATION M.T. —� w BLE CLEANOUT NEW 1000 GALLON '' SEPTIC TANK ONITOR TUBE LEANOUT OUND BACKFILL 6" 1r3 CROSS-SECTION "A - A" SCALE: 1" = 5' OF O� v f •000 0©®00®0oo..®by,�/v�/<yy:-7''ro� 0009000®t7 O�m®M1�" eT}iEOi�ORE f. 1dOGRE e° 9e• CE - 3589 Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 12, Block 3, Heritage Hills S/D 12341 Heritage Road Wastewater disposal system installation Specifications 1.0 General: 1. l The scope of the project consists of abandoning an existing septic tank and installing a new 1000 gallon septic tank and constructing 84 feet of soil absorption trench containing 8 feet of sewer gravel. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 After the new septic tank is installed, the existing septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The new 1000 gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. A "Bull Run" diverter valve shall be installed downstream of the double cleanout to allow the effluent to be switched back to the original seepage pit as desired. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating 84 feet of soil absorption trench to a depth of 12.5 feet below ground level in the vicinity of test hole #1. The existing seepage pit shall be thoroughly pumped prior to any excavation. If liquid effluent from the existing seepage pit is encountered during construction the contractor shall consult with the engineer and owner regarding any necessary modification to the configuration shown on the site plan. 3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 8.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 8.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Lot 12 Block 3 Heritage Hills S/D DATE PERFORMED: August 25 1998 PERFORMED FOR: Wayne Crayton DEPTHpt SLOPE (feet) SM Reddish sandy loam COMMENTS: ML Gray gravelly silt Dry, dense Somewhat gravellier and many rocks below 6' fewer rocks below 12' B. H. A Date No groundwater 0% t 9/3/98 Depth to Groundwater Date No groundwater 8/25/98 Monitor tube dry 9/3/98 273/8 1 i Start 2:58 w a O J U) ROF 44 . a THEODORE R MOORE o° t ��• °'.® CE - 3589 °® �c Ay ®•0®.0000°° AW ®• !GCAV P ro fessiora` SITE PLAN 5% Date Reading Clock Time Net Time Percometer (minutes) Reading Net Drop (inches) 825 12" Presoak 273/8 1 i Start 2:58 23 U2 #1 3:18 20 225/16 1 1 3/16 Add water 3:18:20 235/8 #2 3:38:20 20 227/16 1 3/16 1 Add water 3:39 239/16 #3 227/16 1 1/8 I I i PERCOLATION RATE 20 (minutes/inch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN 7.25 FT AND 7.75 FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I rye 1. ® CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Z / 2-1912 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 2 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Lot 12, Block 3 Heritage Hills S/D DATE PERFORMED: August 25 1998 PERFORMED FOR: Wayne Crayton DEPTH. SLOPE (feet) =Pt. COMMENT SM Reddish sandy loam ML Gray gravelly silt with some rocks Light gray above 6% darker below Fewer rocks than T.H. #1 Dense, dry Depth to Groundwater 0% v 8/25/98 Depth to Groundwater Date No groundwater 8/25/98 Monitor tubed 9/3/98 271/2 8/26 12:06 1b 3/4 Add water 12:07 w a- 0 J .o.:.::e°o...o. o THEODORE F.MOORE e L �• �•.° CE - 3589 00' `�Z '� ®o•°oos000•°° 'eQ AV AV profess'ona� SITE PLAN T.H. ----------- f - -- \\ N w 12o LOT 12 /BLOCK 3 T. H_/ HUFFMAN ROAD 5% Date Reading Clock Time Net Time Percometer (minutes) Reading Net Drop (inches) 8/25 12" Presoak 4:39 271/2 8/26 12:06 1b 3/4 Add water 12:07 237/16 #1 12:37 30 23 3/16 1 1/4 #2 2:57 140 225/16 7/8 I I PERCOLATION RATE >60 (minutes/inch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN 8.25 FT AND 8.75 FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I f 7:X t �5 21/1&1 f TIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9 ��� '� ��J�W������� ���� ���� / ����,�e m����u�x��n�� �^�n ��m�-��� Department of Environmental Quality 333OCStreet Anchorage, Alaska 095O3 INSPECTIOPIEPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAM -9 SEPTIC TANK: DISTANCE NUMBER OF FnOMvveLL muFacTuncR ------- MxTcn|xL ----- c0MpxnTMENTS___-.��__ |ms/oE LemoT* INSIDE WIDTH-- L/Qu|o DEPTH L|Qu|oCap*C|TY GALLONS. TOTAL LsmGT� o|ST*wcE FROM WELL ______F0uwoAT|nw_______mcxnEsT LOT L/mE_________Op LINES muMosn OF LINES- DISTANCE esTvvsEw L|mss _________rnEmcn vv/oT*___ IN. TOTAL srpccT|vE ABSORPTION AREA 5Q. FT. LENGTH OF EACH L|wc DEPTH OF FILTER ocpTn. TOP nFTILE ToFINISH GRADE ______-mATEn|AL BENEATH T|Lc___-___|w. ABOVE T|LE________|m. WELL: TYPE comSTnucT|om -DEPTH -DISTANCE FROM: eo|Lo|mo msxnsST mcAnssT SEPTIC sssp*ss FOumo*T/Om____-. LOT LINE-, SEWER LINE--, T*mK-__-__. sysrExx . csSSpooL-_______-. OTHER SDunCsS____- . APPROVED -____--__DISAPPROVED nsMxnxs m5T*ncEs. INSTALLED BY: SEWER LINE DEPTH: p|pE MATERIAL: ^ u LOT SLOPE: nExx*nxS: FoonEQm32 DIAGRAM 0FSYSTEM DATaPpn0vE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 7 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE.-2-�-- /;w one PERMIT NO. 15 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT �r �? ✓ /L`/� U\ U MAILING ADDRESS �' I�/�• /`� Y�/� PHONE" INSTALLATION LOCATION _h V / / /� fT GL' ,%c�� Q- / i ✓` 'Y' EXCAVATION 5 FEET INTO UNDISTURBED SOIL. LEGAL DESCRIPTION 0 �' /It /KT- !,C7 /I INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER /C U TYPE AND SIZE OF FACILITY TO BE SERVED v `' ` FINANCED THROUGH TO BE INSTALLED BY solL TEST RESULTS ,� v / NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST t "�T S-P/y5 COMPLETION DATE ANTICIPATED �jv %-- ✓� cic/ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK 1 FOUNDATION TO SEEPAGE PIT DRAIN FIELD �(J SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PIT , DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. i WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM.` ^ V,pFF CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP \\V. EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL i CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE A DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. - --1. r., TYPE Z e-^'- C DIAGRAM OF SYSTEM I�i■1 nnnn n r NEI 8-0, nnnnn®nnnn I�nn/,ntl�� nen/nnnnnnn� nnnnnn��nnnnnn nM . n nnnnn n��nnnnnnnnnn� n�►�T,� ��in�7 na ■nnn��n�ii�n nnnn n ■�nnnnnnnONE nn �nnnnnn BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE (ci I �` D APPLICANT'S SIGNATURE GAAB-HD-I GRA . ER ANCHORAGE AREA BOROV'�- OtrARTMENT OF ENVIRONMENTAL QUALI't 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME'L—�i�yl�i�'S ADDRESS `' —PHONE LOCATION%rC°C' LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL 7> MATERIAL S T L• E. LIQUID CAPACITY % a,O GALLONS. INSIDE LENG SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF COMPARTMENTS LIQUID INSIDE WIDTH DEPTH NUMBER OF PITS I OUTSIDE DIAMETER OR WIDTH �S LENGTH k DEPTH LINING MATERIAL �. �i)c�, 0 1 DISTANCE FROM WELL �f l BUILDING FOUNDATION NEAREST LOT LINE , TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �r 1c� SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LI ABSORPTON AREA DEPTH: TOP OF TILE TO FINISH GRADE , FOUNDATIO DISTANCE BETWEEN LINES SQ. FT\ LENGTH OF EACH -LINE NEAR TRENCH WIDTH TOTAL LENGTH OF LINES IN. TOTAVEFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL:TYPE �'�kDEPTH DISTANCE FROM WATER -- l/ , BBUILDING FOUNDATION. SAMPLE NEAREST LOT LINE �� ' EWERSLINE , TANK— /=, ' SYSTEM SEEPAE /> OTHER CESSPOOL—,SOURCES t `� !! ��( 5l ltiL�'e'\ viHvmmlvw vi aiaiuvI E. •'�.a ala DISTANCES: DATE J �' / APPROVED ^.. i✓ f C ! � 9 �� r Ja. DATE J �' / APPROVED GREATER ANCHORAGE AREA O E EA BORC,vGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO 3500 TUDOR ROAD POUCH 6.650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION Z / 2 -- LEGAL LEGAL DESCRIPTION 2220 Oyu 2' 1 _ MAILING ADDRESS PHONE Y INSTALLATION OF: SEPTIC TANK SEEPAGE PIT. I DRAIN FIELD OTHER , TYPE AND SIZE OF FACILITY TO BE SERVED `�`�*�/1`y "-� ``l�r''L�1 1 1�106/Ll�•-, •� FINANCED THROUGH TO BE INSTALLED SOIL TEST RESULTS '��'��/� NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE L� TYPE SEEPAGE AREA SIZE `-�'"'�� TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK % i FOUNDATION TO SEEPAGE PIT , DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM CEj2Tl Y THAT I A�.FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DE�C`RPED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE Lir% /�//� APPLICANT'S SIGNATURE SEPTIC TANK TO SEEPAGE PIT WALL �v SEPTIC TANKS SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. L SIL^ '• WELL TO SEPTIC TANK •� SEEPAGE PIT / DRAIN FIELD ALSO CONSIDER AREA WELLS. f / �-, (� WATER MAIN TO SEPTIC TANK SEEPAGE PIT % DRAIN FIELD Al� . L SEPTIC TANK, SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM CEj2Tl Y THAT I A�.FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DE�C`RPED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE Lir% /�//� APPLICANT'S SIGNATURE C°F ATER ANCHORAGE AREA BORV II -4 HEALTH DEPARTMENT N? 834 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME ��l//715r✓:��1,%2$ ADDRESS //C� '-ZC"1'� lJ/ PHONE LOCATION c G 'C r%,!� A/16C1704). •/ 66�;f�yc�- LEGAL DESCRIPTION U3lk 3 ) 7, J'2 TANK: DISTANCE FROM WELL 'r�' MATERIAL S L NUMBER OF CO ,PARTMENTS LIQUID LIQUID CAPACITY IZ- GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: NUMBER OF PI LINING MATERIA SEEPAGE PIT: OUTSIDE DIAMETER OR WIDTH LEND DEPTH DISTANCE FROM WELL , BUILDING FOUNDATION , NEAREST LOT LINE . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) TILE DRAIN FIELD: .S DISTANCE FROM WELL // NUMBER OF LINES DISTANCE BETWEEN LINES ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE SQ. FT. TOTAL LENGTH NEAREST LOT LINE OF LINES TRENCH WIDTH AL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL:DISTANCE FROM WATER — TYPE ;:" -'.t ill,: , BUILDING FOUNDATION. SAMPLE NEAREST NEAREST / SEEPAGE — OTHER LOT LINE SEWER LINE , TANK SYSTEM CESSPOOL , SOURCES DIAGRAM OF SYSTEM j� DISTANCES: TT • J, { - S�- t3S �� cry 'cl0�c� DATE / /� / 7 APPROVED— EALTH AUTHORITY P LI(� NT FILLS OUT i OONLY Time Property Ower f 1 f T t 7z, ill A110C,4' y� Phone Mailing Address ' ?3 to Doff;:,; P%i� C.{" t, Zip Code � U� UC f, �E"`� Buyer �jsf,Jr'�'i'httW. fi Y r �t r'-fr4rv'jor-r -Celi`i"TUA1 Address 7 c RE KA ._ J' A&iC! t A€'i Zip Code 99.501-1 e r Lending Institution ILIA 7-/Z21`/,1} � ���yl�r (j �, ���.f�r �r� Phone Address O/C !G✓.i 'ti +ClF' Zip Code Realty Co. & Agent Phone _ Address Zip Code Inspector Legal Description o[ p, -3 LOT ' t/ 2 ��. !7✓" JEI�Is. f Street LocationiiJE Type of Residence ''Single family El Multiple Family No. of Bedroomsi ❑ Other Water Supply AE'Individual 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 ( L„) -APPROVED BEDROOMS `CONDITIONS OF APPROVAL Sewer Disposal -Individual Year Individual Installed: _ ❑ 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 e r Inspector Inspector Inspector Inspector Field Notes: e rr -" ( L„) -APPROVED BEDROOMS `CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE :7�� Soils Rating Date Sewer Installed Well To Absorption Area ,' E - Well Log Received Well to Tank Rt Septic Tank Size 7M23 (3/82) 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR C) gd—, INSPECTOR � ❑ Two ❑ Five ❑ MULTIPLE FAMILY 1n� UNICIPALITY OF ANC ORAGE 7. WATER SUPPLY DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PF.OTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION since June 1975. For wells drilled prior to that date, give well 825 L Street - Anchorage, Alaska 99501 • OCT 17 '980 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C IV E REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER C NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PHONE Z • ' j L7 MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER �' / CW/,iAII�� /,i PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE Ioc.4firlit z 7 Q-7�S MAILING ADDRESS 4. REALTOR/AGENT PHONE 7 72-8 7 MAI LING ADDRESS 7 Z y xt/_- e///j %4m'-4GX 9 9sz) "Ld / 5. LEGAL DESCRIPTION Z07-12— STREET LOCATION C U�-"' iJ 0/d Tja£E xml-3 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ 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 to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 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) �/I 0 .! " %i'T.[� V-.��c+— l%rLOtc�✓ `w"�.� —.�Y�' �.�'Uf'``K,1 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 ED PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 1000 If Tank is homemade give dimensions: SOILS RATING S -Ty TYPE OF TANK MANUFACTURER < TOTAL ABSORPTION AREA MATERIAL �Q 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS M APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED n I f DATE BY M 72-010 (Rev. 6/79) MUHMPAUTYOF AHCHOF�,OE Development Services Department T Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-221-18-000 Expiration Date: 10/10/2023 Legal description HERITAGE HILLS BLK 3 LT 12 Site address 12341 HERITAGE RD Anchorage AK 99516 Current property owner(s) CRAYTON WAYNE M &LILLEY MARIAN C REV TRUSTS X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 7/10/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory X Arsenic Advisory Other COSA ApprovaLJune 2022 MUNUPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-221-18 Complete legal description HERITAGE HILLS; B LOCK 3, LOT 12 Location (site address) 12341 HERITAGE ROAD ANCHORAGE, AK Current property owner(s) WAYNE CRAYTON 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 907-229-1272 3. TYPE OF WATER SUPPLY: 001 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: FE -1 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 24 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee Waiver Fee $ Date of Payment (�% / 2- ,Y/ -z 2� Date of Payment COSA # s �-� 2- Waiver # COSA AppllcaGon June 2022 COSA Checklist Legal Description: HERITAGE HILLS; BLOCK 3, LOT 12 Parcel ID: 015-221-18 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth 211+ ft Cased to LINK ft ❑■ Sanitary seal is functioning correctly X Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/26/2023 Static water level at beginning of test 207 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 51 Date of pumping (6/-1 / 23 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 1999 0 ALL standpipes present per record drawing Total measured depth from grade 12.9 ft (max) Measured depth to pipe invert from grade 3.0 ft (min) ❑ N/A — pressurized field. X Per record drawings, field is insulated. Q Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced - gallons date Any rejuvenation treatment (past 12 months) NO If yes, enter date - Well production at time of test 4.3+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes N No M/Coliform bacteria is Negative Nitrateq mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 2 -Arsenic less than MRL (ND) Collected by u cu Date 5/26/2023 C. LIFT STATION ❑ Required maintenance c Age of lift station years Lift statin erial Adequacy test date 5/26/2023 Results Q Pass Fluid depth prior to test 35.5 in Water added 830 gal New fluid depth 54.5 in Elapsed time 229 min Final fluid depth 50.5 in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 96 in Effective depth used 50.5 in Effective depth remaining 45.5 in Comments/Deficiencies: LIQUID LEVEL READINGS SHOWN WERE TAKEN FROM MT "G"; DURING THE INTRODUCTION OF WATER INTO THE DRAINFIELD, THE LIQUID LEVEL IN MT "E' ONLY ROSE 8.5 INCHES AND SUBSIDED TO 5 INCHES DESPITE HAVING THE SAME BOTTOM ELEVATION AS MT -G- LIQUID WAS INTRODUCED THROUGH CLEANOUT F ON THE NORTH/SOUTH TRENCH SEGMENT. COSA Checklist June 2022 8 Ec SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft 0 Yes if No ft Neighboring Tank > 100' Qo Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' [E Yes if No ft Holding Tank > 100' FE -1 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft R Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' DYes if No ft 0 Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Fields) on Lot to: (Please enter distances if less than required) Building Foundations > 10' M Yes if No ft Surface Water > 100' n Yes if No ft Tank to Property Line > 5' g Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' FEI Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS CO FOR SEEPAGE PIT PIPE IN 1972 LOG CRIB WAS DRY THROUGHOUT ADEQUACY TEST G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Garness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systemis on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 OFA oX&.... ....1 . -(70 l/ ff y A.`-Gorraessq•• P E 7953 em Q LICENSEQQa°ro ess0f'Oa #AECC884 A I 10' UTILITY - 30'0' EASEMENTS LIJ Q H W POST & RAIL FENCE GRAVEL DRIVEWAY Lot 11 5.89'59'E 150.00" /—WOODEN FENCE , 8.2'x10.2' SHED j .'p I COVERED DECK I i 1 STORY RESIDENCE w/ DAYLIGHT BSMT. CANT r Lot 12 a 10.4'x8.2' DECK % 14,914 S.F. rn IN 2.0'x16.2' CANT W�I a °D ,D F 1� WOODEN o LIJ Q H W POST & RAIL FENCE GRAVEL DRIVEWAY Lot 11 5.89'59'E 150.00" /—WOODEN FENCE , 8.2'x10.2' SHED j .'p I COVERED DECK I i 1 STORY RESIDENCE w/ DAYLIGHT BSMT. CANT r Lot 12 a 10.4'x8.2' DECK % 14,914 S.F. rn IN 2.0'x16.2' CANT W�I N 89'59 W 130.00" WELL --"0 WOODEN FENCE Q d HUFFMAN ROAD --rte— — — 10' UTILITY EASEMENTS MORTGAGE SURVEY X SCALE1i t 30•_ GRID SW 2737 Project No. 23-2171R1 11500 Daryl Avenue, Anchorage, Alaska 99515--3049 Lang & Associates, inc. (907) 522-6476 Phone kenOlangsurvey.com �,"�► Professional Land Surveyors jonathonOlangsurvey.com ..'" QF q j,,1 trovisOlongsurvey.com ���� • • ' ' ' ' ' , I hereby certify that I have surveyed the following described property: �r�"'r�.' + • 9� LOT 12, BLOCK 3, HERITAGE HILLS (PLAT No. 63-41) �/ *: 49TH 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. %J 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 4 > ' • • • . • • " / not be used to establish any fence, structure, or other improvements. e:• KENNETH tNo. 202 0 LANG _ct W Dated this the 2 Day of u _.. �' at Anchorage, Alaska �4 `piv *u - ��X� FESS�lIIAI .,o. It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 Lot 2 L___ F WOODEN FENCE o (pQ C} 3 r I Lot 1 N 89'59 W 130.00" WELL --"0 WOODEN FENCE Q d HUFFMAN ROAD --rte— — — 10' UTILITY EASEMENTS MORTGAGE SURVEY X SCALE1i t 30•_ GRID SW 2737 Project No. 23-2171R1 11500 Daryl Avenue, Anchorage, Alaska 99515--3049 Lang & Associates, inc. (907) 522-6476 Phone kenOlangsurvey.com �,"�► Professional Land Surveyors jonathonOlangsurvey.com ..'" QF q j,,1 trovisOlongsurvey.com ���� • • ' ' ' ' ' , I hereby certify that I have surveyed the following described property: �r�"'r�.' + • 9� LOT 12, BLOCK 3, HERITAGE HILLS (PLAT No. 63-41) �/ *: 49TH 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. %J 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 4 > ' • • • . • • " / not be used to establish any fence, structure, or other improvements. e:• KENNETH tNo. 202 0 LANG _ct W Dated this the 2 Day of u _.. �' at Anchorage, Alaska �4 `piv *u - ��X� FESS�lIIAI .,o. It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 MUN C PILI YOGSANCHO OE DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC231218 Subdivision: Heritage Hills Block:3, Lot: 12 907-343-7904 Fax: 343-7997 The septic tank for this property is 24 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more, not including engineering, surveying or MOA permitting fees. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like.