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HomeMy WebLinkAboutHERITAGE HILLS BLK 4 LT 3Heritage Hills Block 4 Lot 03 #015-221-25 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211076 PID Number: 015-221-25 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name HEATHER & DEREK BASCOM ABSORPTION FIELD - ADVANTEX ® Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 12300 HERITAGE ROAD, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1 GPD/SF 10 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 7 Ft. Subdivision Block Lot HERITAGE HILLS 4 3 Fill added above original grade VARIES 0.92-1.83 +/- Ft. Gravel length 43 Ft. Township Range Section Gravel width 2 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 602 Ft2 1 Ft. Well 1 50'+ 50'+ 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ® Other ADVANTEX Manufacturer ORENCO / ANCH. TANK Capacity 1500 Gal. Surface Water 50'+ 50'+ Material STEEL Number of compartments 2 Lot Line 10'+ 10'+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer ORENCO Capacity 1500 Gal. Remarks Deck support driven to bottom of tank elev. Alarm location BASEMENT Electrical installed by PLC ELECTRIC Tank PIPE MATERIAL House to tank 3034 dra of elo 3034 Installer NORTHERN EXCAVATION Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 1s` 4/15/2021 4/16/2021 Location and description 2�d 3`d 4/16/2021 4'" 4/19/2021 IBOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL .- Conditional Approval: Date �•••*. 40 TH .... .......... Curtis Huffman �FCaE 1289911 Septic System• Approved - Date .��0'� Note: this approval does not Include well permit requirements. tKev uwuz/iu/ PERMIT: OSP211076 PID: 015-221-25 /STAKED 50' WELL RADIUS & PL PRIOR TO CONST. VACANT 30' LOT 4 WELL ® S89 59'00"E 150.00' TH21-1 100• WELL DECOMMISSIONED RADIUS 15.3' SHED EXISTING TANKS. x GREEN o LB INSTALLED DECK SUPPORT PER LOT 3 HOU MT I CODE & AX -20 BILK 4 (n C 0 1500 -GAL 4 -BR Cf) _ O / SYSTEM O m O r DCO O '0 O < / F MH 22.1' O D WELL p O H DIV 24.0 G POD BM E MH O G')50 O m RADIUS 5. D DCO 41 x I rr1 x O D LOT 6 I X COCMT J o= 0 0 D EXIST. CRIB FCO C Z v Cf) �x m m O O O p EXISTING TRENCH t--2jjO', 24.03 Ox p G VEL O I o CARPORT D x LOCATED WATER LINE 22.0 x APPROX. —X—X—X—X— S89 59'00"E 150.00' 100' WELL LOT 2 RADIUS A -C=21.7' DCO DIV CO MT CO MT B - C = 3 7.5' FCO DCO 96.69 96.73 R PH MH AX20 POD MH 91.96 FINAL GRADE 92.87 TH21-1 A - D = 2 2.7' FILTER FABRIC 9104 RADE ORG/01- 2.5' ORIGINAL GRADE/— B -D=33.5' � A -E=21.00 SM -ML 3.68 a.oa 88.04/GM B - E = 3 0.8' 91.61 1500 -GAL STEEL SEWER ROCK 81.04 81.04 NO GRND. A - F =19.0' ADTANK X 4%15/21 B -F=26,0' 6• A -G=28.7' sw 1s' B -G=212' SEPTIC SECTION 7204 B0H A -H=34.1' SCALE: NTS B -H=21.0' 6 .6 A -I=60,' HERITAGE HILLS BLOCK 4, LOT 3 SUPPORT$SERVICES: \j\\ B -I A -J=86 3' PREPARED FOR: F `"�s1 B -J=54.6' HEATHER & DEREK BASCOM 6�� �� 1� 12300 HERITAGE ROAD ANCHORAGE, AK 99516 � � * 9 TH ` Huffman FIRST WATER CONSULTING DATE: 4/19/2021 rtis wx 13030 Sues Way SURVEY: JLS 1 CE 128991 Anchorage, Alaska 99516 DRAWN: FWCS ��w t 4/19/2021 ear (907)350-9566 SCALE: 1" = 30' \ P'FESSIO��y "w FirstWaterAK®gmail.com\`�� 4661 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 FirstWaterAK@gmail.com SOILS LOG / PERCOLATION TEST LEGAL DESCRIPTION: HERITAGE HILLS B4 L3 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 4/15/2021 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 SM/ML - GM 5 6 7 8 9 10 11 12 13 14 15 16 17 SW 18 19 20 BOH Reading Date Gross Time Net Time Depth to Water Net Drop 4/7/21 30 min 6” 1 11/16” 30 min 6” 1 12/16” 30 min 6” 1 11/16” PERCOLATION RATE 18 (MIN / INCH) TEST RUN BEWTWEEN 6 & 7 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. 1 GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 4/15/2021 TESTHOLE # 21-1 DATE PERFORMED: 4/6/2021 2 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: HEATHER & DEREK BASCOM 4/15/21 S LOT 4 30' I 30' 589'59'00"E 150.00' SHED L- WELLLL y 20.0' U} M CD0 MH 22.1' a 24.0' m LOT 3 MH z o 8LK 4 .� M g SEPTIC ■ n a _ a VENT =M Z _ (typ) d m a n Q 24.0' 1.3' d GRAVEL ^' CARPORT O/W 0 220' m m _ _—x—x,x—x- 589'59' 00"E 150.00' LOT 2 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: HERITAGE HILLS SUBDIVISION LOT 3 BLOCK 4 PLAT 63-411 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a = 0 F AZ ',y physical survey of this property as shown on this drawing and that the / �} improvements situated hereon are within the property lines and no -0 enciuoachmen[s exist other than Hated. Under no circumstance should , * 49T any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. L EXCLUSION NOTES: It is the owners responsibility to detennine ? •70' • : • ' .. • • ............. • .. • .. m the existence of any easements, covenants, Or restrictions which p� OHN L. SCHULLER.: 0�n do not appear on the recorded subdivision plat. #��e, LS -10408 WORT( ORDER NUMBER: DAM SCALE E-MAIL. 21-22-2 APR W wOrHZEaom1e GFW Nume t echullera� nAe�t ,r ro f e s s ionO ;wV'r JLS SW2737 210136B v Q r �1831 Talkeetna Street Anchorage, Alaska 995DB (907) 227-1455 office (907) 274-4992 fax d11U MICIPAUTY OF ANCHORAGE On -Site Water & Wastewater PrN rare PD Box 19685[} 4700 Fimera RCsad AWhewago. AJes#e 9951.9-6650 Phone, (907) 343-7904 Fax• (9oF) 3.43.7997 hrtp:fAvw u.mUni.arg,R tMit$ On -Site Wa stewater Disposal y -stem Permit P&WI NuAili n uSN21 1Vb Werk Ty": .^tiApfin I 1p9hwrin Tax Code hlurnW: 0152PI2 Silo L4mal Ad € ma*: H ER ITAGE HIL LS t3 LK 4 LT 3 G-2737 5ffe Mallimg Address: 12300 HERITAGE RD, Anchorage ORYFw: BASCOM HEATHER A & DEREK Design Englne r: FIRST WATER CONSULTING This permit is for the construction of, E1lective bad: FYrlir#inn 13AM Lot SIze In ! q Ft; Total Etedrooma. Jl�02 1 15500 m Disposal F1iAd 0 Septic Tank ❑ Holding Tank ❑ Prim ❑ P"Vats Well ❑ Waler Storage AIS construclion shall bH in acrordan with; 1. The attached approaed design. 2. All requirements specllied in Anchorage Monicipal cads Chapters 16,55 and 1E.65 and the Stale -of Alaska Waslewalei Disposal Reg til alions (18AAC72) and DOnking Vater RequlMons (i6AACB0) 3. The wastewater code requims inspections during the installation. The anglneer shall noi4y the Development Services Deperlment per AMC 15-65- Provide noiilir-tion by suing (907) 343-79D4 (2417). 4. From October 15 to April 15, a sutmirface s6i6absoWlon system under ootlatruotiofk during Ireezing w$a#har Shall be ailhar: a. Opened and Closed on the same day. or b. Covered- sealed, .and hea#ed to pravont Ireetting Special Provisions: 4 1. A la$I hole shall be completed prior to oons1ruction 0I 1h$ absorpdon held to verily mperation lo impenYmables and ReacoW)l high groundwater, as wr.11 a3 penzAiIAtiu , idle. If resulih. iequlit! a desgn cnijrlgo, iorls#uirtion shall Shap pend ing Onsite fewiew and approval of a cha nge n rder. Please sii bMe resu Ns with the inspection report (or change Order, if raqulfed�. 2. The water service lino shall be Id led prior to conslllUcfion ire ardor to verity a mi ni rnu m 10 tt sepatation to Septic tank end abscrpiian liekls. S. Supports IN decks or stslrs over 30" high shall 130 5 0 from tho seplle lank or driven doep enough so thal the lank is OuI840 the soil bearing prism of the support. Raceivod By: Issued By:6�1 ry i A &.P&7 312612021 Dale; Dale,/�0.21 x 13021 Montego Circle, Anchorage, AK 99516 907-350-9566 / FirstWaterAK@gmail.com March 19, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: HERITAGE HILLS BLOCK 4, LOT 3 The owner has requested that we upgrade the aged septic system on the above referenced lot. We propose to install one deep trench with and Advantex system to serve the existing 4-bedroom residence. The design is conservatively based on area soils and groundwater found within MOA record documents. A confirming testhole will be completed prior to construction. The slopes are moderate at 3-7% at the proposed upgrade location. The lot and the adjacent 5 lots are served by a water well located on Heritage Hills Block 4, Lot 8. Per the file Heritage Hills Water System file located in the MOA on-site database, this well was approved by ADEC in 1973 to serve 6 lots (Lots 1, 2, 3, 6, 7 and 8 of Block 4). For the most part per the record docs, the well has been classified and treated as a Class C well, but also noted as a Class A on some other occurrences. Although currently Class C wells are considered private shared wells, the most recent designations have been as a Class C per waivers granted by Bill Reith, P.E. of the ADEC in 2009 for a conventional septic upgrade on Lot 1 and for a tank on Lot 8. A 2017 MOA approved and installed septic upgrade on Lot 7 shows this well as a private shared Class C well. In any case and to mitig ate any impact to this well and any other wells of the area, an advanced wastewater system is to be installed. The source water of these wells is further protected by the area;s silty and clay soils. Nitrate levels appear to be low for the area. Water samples have been taken, but are pending final analysis. This design will improve the current condition of the on-site septic that has been in operation for several decades. The proposed 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 OSP211076, Rebecca Carroll, 03/26/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211076, Rebecca Carroll, 03/26/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211076, Rebecca Carroll, 03/26/21 �InwL. GREk, rER ANCHORAGE AREA Nt,-, UGH ti�liILJiI\ I�� Department of Environmental Quality " - 3330 C Streets>,%' alAnchorage, Alaska 99503 INSPECTION REPORT ON-SITE S%EWAGEp�DISPOSAL SY SEM G MAILING ADDRESS! �y - "��' PHONE NAME LOCATIONpLEGAL DESCRIPTION u SEPTIC TANK: DISTANCE (/� �q NUMBER OF FROM WELL 214f'ANUFACTURER/MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY©CGALLONS. TILE DRAIN FIELD: _ TOTAL LENGTH/ DISTANCE FROM WELL�FOUNDATION NEAREST LOT LINE �` OF LINES NUMBER OF LINES- DISTANCE BETWEEN LINES TRENCH WIDTHIXL IN. TOTAL EFFECTIVE ABSORPTION AREA 10995�6 - SQ. FT. LENGTH OF EACH LINE / 4 1V DEPTH OF FILTER / DEPTH: TOP OF TILE TO FINISH GRADE._ MATERIAL BENEATH TILE 'Kt.ABOVE TILE IN. WELL: TYPE- ) �0k CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS --' DIAGRAM OF SYSTEM DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL:-�-` LOT SLOPE: d REMARKS: Form EQ -032 ld. H.H.13. T�P� 8F SOl| �BSORRTT0N SYSTEH IS� TRFNCH MAXJM|/H Ni|HRFR OF BEDRO0M5 � 4 SOIL RHTING (SQ FT/RR)= 250 THF RFQUTRF/! SIZE OF THE S0Ii. R8SORPTiON �YSTE� lS� ����U� ������ �~��� ����� ��� _~_ H PHCKHGE P�HNT MHY RE �NSTHL|'ED HT THE PERMITTEE/S OPTION SURJECT TO THE F0U-0WI1 j C0NDIT70N�� IINSF HPPROVEV PLHNT MH� BE INSTHLLED 1 FITH�R � CLHSS I OR ? 4 CO�TTN||0U� M�INTENHNCF AG�EEMENT I� REQUIRED IF 8 MHTHTENHNCE HG�FFMFNl TS NOT KFPT C||RRFNT YO|i MHY RE REQUIRED TO ENLHRGE THE �OIi �R�U�pTI0� ��........ ........ ����� SYSTFH .... ...... �...... HND/0R YGU MHY ... ��..... ��� RE .... �URJECT ��� .... TO PROSECUT}ON ��... ...... '����������..... .... ������'�����;� ���� it IT 0F rYSTFM WlTHOUT F�NHL INSPECTION HND HPPROVHL BY THlS ��CKF7LLING i:,NY DEPHRTMENT WILL BE SURJECT TO PROSECUTI8N MTN7MUH D EFN H WEL| HND HNY 0N -SITE SEWHGF D7SPOSHL SYSTEM IS 100 FFFT F0R H PR7�HTE WFU. OR ?00 FEET FOR H PUBLIC WELL �THFR RFQ|�IRFMENTS MHY pi 1-:w �PFCIFICHTI0NS HND CO��TRUCTION DI�GRHMS HRE ��H{|ARiE TO IN�|!RF PROPFR lNSTHL|HTlON E:::��������!I� ] CFRT�F; THAT ;� ; H|; FHMTL7HR WTTH THF RFQUIRF�ENTS �U� �N~�ITE SEWERS HND WBJ.S HS SET �RRTH 9� THF M|iNIC7PHLTTY OF HNCHORHGE ?T WIL| IN�THLL THE SY�TFM lN HCCORDRNCE WITH THE CODES :u�c/�c c�u�p�NLHRGEMEFYT IF THE GRE.; `K ANLMVKAUC MIXEM our V11 Department of Environmental Quality 03500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME��,,''�� �7%12/r(' MAILING ADDRESS %�(k % ?X'- 6('I(Y l'l9L�N %�%��'� PHONE GW lr LOCATION �`d�(r�//�/+�`'� �� LEGAL DESCRIPTION !b% 7 L ` SEPTIC TANK: NUMBER OF DISTANCE rr,' I FROM WELL AJ _f MANUFACTURER `� 160K \c fUA 0 , MATE RIAL�S-kU (liar 1% `/ COMPARTMENTS INSIDE LENGTH INSIDE WIDTH — LIQUID DEPTH LIQUID CAPACITY L GALLONS. SEEPAGE PIT: hh/ NUMBER OF PITS �. DIAMETER --OR WIDTH AL , LENGTHS,,, DEPTH LINING MATERIAL - Ca CRIB SIZE: DIAMETERcy'Y1 DEPTH DISTANCE FROM: WELL 1ZO/ TOTAL EFFECTIVE BUILDING FOUNDATION 3� NEAREST LOT LINE f' Via• ABSORPTION AREA (WALL AREA) 6'r SQ. FT. ADDITIONAL ABSORPTION WELL: TYPEc�'Jn' -1) JIL- CONSTRUCTION I /Lli D 6 ��/'�`l DEPTH ?� - DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION ��� J LOT LINE, SEWER LINE S ( TANK �� SYSTEM � '- CESSPOOL 1(/4y16' OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: aLL &egi' /F'A'A' LOT SLOPE: REMARKS: — Form PW -026 DIAGRAM OF SYSTEM YJ P � I C=U1C l'un�iRur_tia,li l naTF &i -d. 716172 APPROVED G.A.A.B. Al 0 1 1 11 1 111; INS MAIN I Development Services Department On -Site Water & Wastewater Section Parcel I.D. 015-221-25 C: ,4 4� Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Expiration Date: Q 0 c2O Q E HILLS BLOCK 4, LOT 3 Location (site address) 12300 HERITAGE ROAD, ANCHORAGE, AK 9951 Current property owner(s) HEATHER & DEREK BASCOM Day phone Mailing address 12300 HERITAGE ROAD, ANCHORAGE, AK 99516 Real estate agent 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: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Waiver Fee $ Date of Payment y o� ,W f Date of Payment Receipt Number �D�1l5 3 Receipt Number COSA # 0 5 C � 1 � � � "I 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 4/17/2021 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 .� well and septic system. Therefore, any estimate of how long a system will function satisfactory ���:' • ` ���� for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWCS ''. TH ....... 6. DSD SIGNATURECurtis Huffman J System #1 Approved for bedrooms ¢c/sT , CE 12$991 .-\§ �dW'� System #2 Approved for bedrooms pROF SS NP��-m,'.� Disapproved Conditional approval for bedrooms, with the following stipulations: OF rr�rrr WATER AND D WAST`L.- o J By:ametQ Original Certificate Date: 0, 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 CZ���al�T�71 Legal Description: HERITAGE HILLS BLOCK 4 LOT 3 If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA —COMMUNITY / PRVT. SHARED ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Comments B. TANK DATA Age of tank(s) NEW years Tank type/material ADVANTEX / STEEL Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping NA D. ABSORPTION FIELD DATA Which system tested (date installed) NEW FIELD ® ALL standpipes present per record drawing Total measured depth from grade 12 ft (max) Measured depth to pipe invert from grade 5 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 015-221-25 Structure served by this system _ Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 2.32 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) FW' Collected by FVE Date of Sample C. LIFT STATION 3/18/2021 ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min ® Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NA date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: Fes: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑ Yes if No ❑ Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft ❑ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No _ Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' ® Yes if No ft *Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft *Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft "Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *ADVANTEX SYSTEM 50'-100'+ TO WELLS. G. ENGINEER'S CERTIFICATION 1 certify that / 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. 'o GJTH .... ........ Curtis Huffman �� �F�•, CE 128991 ,A(17/2j,-- \\� 1 PROFESSIONP ..m ft ft ft ft ft ft ft ft MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this (O Day of S'< < of 209-1 , by and between --fa,Wkak �pp CSC,(n , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) AN ADVANTEX SYSTEM HERITAGE HILLS BLOCK 4, LOT 3 2. Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) if Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. TL It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. ,('-a- Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 �- Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. r� Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. "Y-4 Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. _LZL Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: r By: (si(Inature) Date: (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument «vas acknowledged before me this �v day of AFr4 20 j , by 'iCMu4jl tie / -jbl l'lti EAA:RONPAUL 5. MALIAary Public e of AlaskaN TARY PUBLIC FOR ALASKn Expires Jul 8, 2023 i ,v Commission expires: MUNICIPALITY: BY: (signature) ro C t (print name) (rev. 05/18/2018) Date:y4-9,9 'oo� r' Title: Page 3 of 3 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 995196650 ' www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-221-25 1. GENERAL INFORMATION Complete legal description Location (site address or direct) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address bl b .. LOUIS do PANNA JARUSSI Day phone 348-8707 10661 OUR ROAD • ANCHORAGE. AK 99516 Day phone TINA STEVENMEYER W/ COLDWELL BANKER Day phone 265-9145 2525 C STREET • ANCHORAGE, AK 99503 Unless otherwise requested, NAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Or* 0 Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 samples. (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 Health Authority Approval Guidelines for this application, shows that the on -situ water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage filos 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 GARNESS ENGINEERING CROUP, Ltd. Address 3701 E. TUDOR ROAD, SURE 101 » ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Idontiflable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE _Z Approved for A— bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the flowing Phone 337-6179 Date $ 2 a Manitenance Agreements Supplemental Engineer's Reort Other By: o 1 Q e , la 1 4 O".n oy',� Original Certificate Date: (Rw. 1201) QP�`�YtOFn�Cyo .• nN-SITE Municipality of Anchorage Development Services Department Building Safety Division -- Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY AP ROV�L CHECK IST oe/� S Legal Description: HERITAGE HILLS SUBDIVISIONLOT BLOCK 4 Parc% A. WELL DATA CLASS C WELL L TED ON LOTLOCK�IB '-!Well type COMMUNITY If A• B, or C provide PWSID# 216033ell Date completed Sanitary seal (Y/N properly protected (YM) Cased to ! ft. Casing height (above ground) in. FROM WELL LOG i AT INSPECTION Date of test Static water levet ° ft. ft. .Well production F g.p.m. g.p.m. WATER SAMPLE RESULTS: E I ; Coliform _� colonies/100 ml. Nitrate I mg./L. Other bacteria �colonies/100 ml. Arsenic: N/A mg./L. Date of sample: 8/117/2004 Collected by: GEG, Ltd. Y B. SEPTIClHOLDING TANK DATA 02 TANKS WITH 1 COMPARTMENT EACH INSTALLED. ONE 750 GALLON ST INSTALLED IN 1972 AND A 500 GALLON ST INSTALLED IN 1977. Tank Type/Material STEEL I Date installed 8/4/1977 & 9//7/1972 Tank size 01250 gal. Number of Compartments 1 Cleanouts (YM) YES I[ C Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (YM) N/A y Date of pumping 7/28/2004 Pumper A+ HOME SERVICES i C. ABSORPTION FgIELD DATA eETow QVDE ron rs ONLY. TOP Of CRIB 30 eEiow cR�oE Date Installed 7471977 Soil rating (9.p Vf br bdnn 250 System type CRIB/TRENCH Length V/71 ft. Width t 18/3 ft. Gravel below pipe 6/7 ft, •465 Total depth "8.9 ft. Eff. absorption area C 1006ftMonitoring tube YES Depression over field NO Date of adequacy test "08/16/2004 :;'Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 25.5 in. Water added 2387 gal. New depth40 in. t Elapsed Time: 157 min. Final fluid depth 35_25 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 me.) (Y/N & type) NONE KNOWN If yes, give date **TESTED CRIB, CRIB PRESOAKED w/ j1520 GALLONS OF WATER ON 8/13/04. 61.8 INCHES OF EFFECTIVE MEASURED IN CRIB. 4 D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES Size in gallons High water alarm level at in. Cycles tested Meets alarm & circuit requirements? - SEPARATION DISTANCES FROM WELL ON LOTTO: Septic tank/lift station on lot Absorption field on lot Public sewer main line PUBLIC WATER On adjacent On adjacent Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water service line '•10'+ Surface water Water main . ••10'+ Water service line ••10'+ Surface water 100'+ Wells on adjacent lots 100'+/150'+ **PER 1999 SACS ENGINEERING HAA. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 10'+ Water main *•10'+ Water service line '•10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots *85'/l 41' F. COMMENTS WlANER GRANM TO BLOCK 4. BY ON LOT 8. BLOCK 4, BY A.D.E.C. ON 12/18/1998 h 7/8/1990 G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 19lZ'F/04 V711714115a. . . a �I • 1 �i, 1 111 3 • Rjl � I i HAA Fee $ 1 Waiver Fee $ Date of Payment 1) 1)ICA Date of Payment Receipt Numbero�)l -96 Receipt Number (Rev. 12/01) 1�` ar.vfi � 06/102004 12:57 FAX 907 261 2:— PA1tT-TITLE .. `..r !i i. rJ J :TEW TITLE 0002/003 I•d 14D 2616 S92 LOS 0 0 b JaRewuaags eull d21:21 10 OT %nH Y. •e�aa+ 6 - 4 N69• Ss•q��jy /SD.ay ° � W I �'�• ! n I a•. I s ; ;k a � I � � t• :'LR+YrL'• O Q I CR41CR7 • \ NB9• S9r 00"W I �,4•p. aa• L-2 Ywu YD 4Y0lYRU163 4Va.'lD w �f..an,T •r Ow R•¢ U.[i. M aawra TML' YVPYYrUR rw «{ MLl40t®A"VMS AMA p q1>lal 0.tZrY1ML4T 4• V m VM IOGT •r URf➢ bRWRi PMVN b•OI KJIYY IRl1[gVGTW Y/.1 ulli 40100 b i'�IL ' .w Y•rr bLRVEr •'FE naoV.r r..•ar S� SYY!1olS r.... waY•r.rYar • � � i••rl•¢ YrYNI M ItY ...arPYT... Y«>•n4... »asYYr b 1MiY0 MfM �v� JRVC 41Yw >000 rd¢ Eu'i� fa+vtn YRaI rrYv � Pl C' PL.«5 ! lAT Steil VtlS •teV etp Lj ` I! tl M[ w.o«>e Y•T p 1«L WI{OOl On 0Y«q1� ►mD11 w OWS1>UC10V. •O VMW MDP® Yul(OYIO OIUD(.n0.•01i[ OYl{• Pn ...IYMrD Mft "OW ** l a Y�0 M>Ylt MNy or i11�1 �( 1p 11YIYM0) PbC •YD IT11Y 1`YM{CTb•• /,rep {0 a{K>YYK !a {r Ofy1DY1y, yp(tiyai. DPM..K. j}G../1( �r0mw he oD>•41¢ •r •Yr rw4NC«3 DDrouY{S qq11 Pna4cA4na rMCY OD rq• rsP[�n Al T«C nLCOrnXD iU4O1 W10Y P T. ;IYOY Mwa-�R le•�at . M.. Wa.. r. n�Rlen ywe r..o.olara rYDI, aDl+a a[w wY LDc.KD. ll lR • .wI b[e.•CnD AInVEY cam mri ' t .... .. iC et �-••�—•- " ' o�ns, Jr. &Assoc.A ���� , Pr4fe>lfonMa•1 Land Surveyor• �r/E"••' ba C to aK If .. .......- _� r• w �.�-ti ^na.er«.•...t a—wa-1-1 Y •, •• %. X121-5 • 0 tr« Ori 3%1O-ls 99 1'2737 9'9037 ,•^ =�= �-- •• ; LOT 31 (LOCK O. HEA ITAGC HILLS SUdO �µ�,�i I•d 14D 2616 S92 LOS 0 0 b JaRewuaags eull d21:21 10 OT %nH NW -2 -us -27. 2004A 9:33414 Hoi;arness Engineering Group, Ltd w.,w.Y+z eaftw"w:-W.s....+...a......w... w♦Yw wy Y...afya Y..w. A+ HOME SERVICES, INC:. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-I890 CUSTOMER e annaarusst - ' ^661 Ot:t�oad Anch"s, AK 99507 Cloth—_ Lot 70:1383246 110.9315 P. 21,1 .. ,. INVOICE # 26653 DATE DCSCRIPTION AMOUNT e, 08-26- p - of e _ $100.0 11 24.0 dim caps a ,t •• 348-8707 7&103 1200 gagons, 2 staadpipes, 3 hoses2" Gose TOTAL . REMIARKS ^C y L )2000anons Septic Leach Area Holding Tank F Standpipe i Tim ❑ PROBLEM AREA—CALL FOR MORE INFORMATION ❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape C] sludge buildup on bottom ❑ Iloater on top ❑ Jim cap missing or ❑ Cut standpipe to v above ground Cl Needs Septictrine needs replacing n LOrli • IVI r I 5 ; _ l 1, FRANK H. MURKOWSKI, GOVERNOR LJ .0 ll !_`iLf 1555 Cordova St. DEPT. OF ENVIRONMENTAL CONSERVATION Anchorage, 99501 / Phone: (907)2626 9-3076 Fax: (907) 269-7650 DIVISION OF ENVIRONMENTAL HEALTH Sarah Ryghw�dec.state ak us DRINKING NVATER PROGRAM http://www.state.ak.us/dee/deh/ CF,RTIFIF,D MAIL 7002 2410 0005 3104 7042 September 12, 2005 File: Heritage Hills S/D Block 4 Lot 8 Carolyn Favorite PWSID: 216033 5201 Huffman Road Anchorage, AK 99516 Re: Public Water System Reclassification from Class C to Class A Heritage Hills S/D Lot 8 Block 4 Dear Ms. Favorite: Our files indicate you own a well on Lot 8 Block 4 of Heritage Hills Subdivision. Our files indicate this well serves lots 1, 2, 3, 6, 7, and 8 of Block 4 Heritage Hills and that Lot 1 of Block 5 may also be connected to this system. According to the Municipality of Anchorage records, the total number of bedrooms on the lots 1, 2, 3, 6, 7, and 8 of Block 4 is 16. The ADEC Drinking Water Program uses maximum design capacity for assessing water system classification. Residential homes have a maximum design capacity of 2 people per bedroom. Based on this, the system is designed to serve 32 people (16 bedrooms x2 people). Drinking Water Regulations define a Class C water system as serving less than 25 people. Class A systems are defined as serving more than 25 residents. Based on these definitions, your public water system is a Class A public water system. Your water system will be required to meet the minimum construction standards of a Class A public water system. You will need to hire an Alaska -registered Professional Engineer to submit a request for approval to operate a Class A public water system. This request will need to address the construction standards as well as separation distance requirements of a Class A well. The checklist for Drinking Water Engineering Plans should be used for this submittal. It can be found on our website at http://www.dec.state.ak.us/eh/dw/dwma i n/en gineerinp htm1. This request for operational approval will need to be submitted to our office by December 15, 2005. In addition to this, routine sampling will now be required of the well. Jamie Stazel of our office will be in contact to help you with these requirements. _f ,'r Separation Distance Waiver, heritage Hills block 4 Lot 8 Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division Director, 555 Cordova St., Anchorage, Alaska 99501, within 15 days of the permit decision. Adjudicatory hearing requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Willoughby Avenue, Suite 303, Juneau, Alaska 99801, within 30 days of the permit decision. If a hearing is not requested within 30 days, the right to appeal is waived. If you have any questions regarding this reclassification, please contact me at 269-3076. Thank you, Sarah Rygh, EIT Environmental Engineer Assistant cc: Jamie Stazel, ADEC/EH/DW Program Joe Goodall, Municipality of Anchorage On-site Program MUNICIPALITY OF ANCHORAGE R----- rve Al r ,lJm • DEPARTMENT OF HEALTH & HUMAN SERVICES 7 Division of Environmental Services 44 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.# 015'— aal -.05 HAA# 1. GENERAL INFORMATION Complete legal description Lot 3, Block 4, Heritage Hills Location (site address or directions) 12300 Heritage Road Property owner Ed Butts Day phone 345-1636 Mailing address PO Box 110369, Anchorage, AK 99511 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 2y v 3. TYPE OF WATER SUPPLY: Individual well Community well xxx Public water 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: Individual on-site xxx 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.1191) Front MOAN21 - - - 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 y - a'`7 -7 % 17034 Eagle River Loop Road No. 204 Address Engineer's signature 6. DHHS SIGNATURE Approved for Disapproved. By: X02 bedrooms. Conditional approval for Date 3 /a ;)./ i 9 7; RCBBRT C. COWAN �� J Cc -8801 bedrooms, with the following stipulations: Additional Comments �Oa\ler -*wZ-9900\9 =11Th,, Date 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. "I) Beck MOA M21 Municipality of Anchorage MAR 1999 DEPARTMENT OF HEALTH & HUMAN SERVjALITYOFANCHORAG Environmental Services Division ENVIRONMENTAL SERVICES DIVISI —� s 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: Lo 3 J3 H it k,' 4444 H f c( -J Parcel I.D.: O I ( e S A. WELL DATA Well type C Lg S S G If A, B, or C, attach ADEC letter. ADEC water system number a) b 3 3 Log present (Y/N) Date completed Total depth Cased to C eight (above ground) Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL L AT INSPECTION Date of test Static water level Well producti g.p.m. g.p.m. WAT SAMPLE RESULTS: Coliform O Nitrate / 3 7 Other bacteria Q Date of sample: / / 9 9 Collected by: S & S ENGINEERING age wertooplloadNo.204 B. SEPTIC/HOLDING TANK DATA Eagle River, Alaska 99577 /,11-77 Soo Date installed `t 1 '7 17 L Tank size -7 s-() Number of Compartments I Cleanouts &N) V -1 -S Foundation cleanout o/N) Y rL f Depression (Y/N) N d High water alarm (Yd Date of Pumping c X X /1 Pumper # .4 14 ° M"t y /cR. V' c e - f C. ABSORPTION FIELD DATA 77 2/bdrm 1-Ak.�cN Date installed cf / .7 �/ 7 Z Soil rating (g.p.d./ft2 or S-� System type i1' 3' 7 Length ;I I Width 1 S Gravel thickness below pipe Total depth 11 )00 4) Effective absorption area Y 6,5' x7 L Monitoring Tube present O/N) 'Ylf Depression over field (Y/I �' U Date of adequacy test 3� �o `1 �% Results ( as Fail) 1 For / bedrooms Fluid depth in absorption field before test (in.); �a Immediately after b o b gal. water added (in.): s S Fluid depth S'/ �� " (ins) Minutes later: a Absorption rate = Goo -� g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date * 'T- a4-- C- N --r/Z' $ r FL n 72-026 (Rev. 3/96)` D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles E. SEPARATION DISTANCES Size in "Puma " vel at* *Datum C stir+ i ry L,,&U(- SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main line "Pump off" level at* _ On a ' centTots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: 0 Foundation S 4- Property line (�1 o -) Absorption field Water main/service line / Surface water/drainage A 0 � � Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /o "t Building foundation /0 ../- Water main/service line Surface water / 0 0 Curtain drain N o r /2- /c Ai 0 v✓,✓ F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area VS u f'R/vgTet 5�lc ry — Wells on adjacent lots -X' A/3A1t�y6 J /t Y "14ItC. izfig�49y 1 certify that 1 have determined thru field inspections and review of Municipal reco`dkt tl}¢!obS�etems are in conformance wrt M HAA guide!; es in effect on this date. ,." \ Signature�� � �JJ r b � � .2 j � C . C 0 cv a v' Engineer's Name /C �+ 09 by ROBERT .C. COWAN Date 3/ dg �is'•� CE -$SDI HAA Fee $ 5 r O-DWaiver Fee $ at> 6 ' c Date of Payment 3 ' �� j Date of Payment Receipt Number 4-7 �3 7 (l o J/ Receipt Number /a 72-026 (Rev. 3/96)* M1,1111e1pality Of Anehorage Department of Health and Human Services 825 "L" Street Rick Nlystrom. P.O. Box 196650 Anchorage. Alaska 99519-6650 Mavor http:!lwww.ci.anchorage.ak.us April 15, 1999 Robert.C. Cowan, PE S&S Engineering 17034 N. Eagle River Loop Rd. Suite 204 Eagle River, AK 99577 Subject: Waiver Request for Heritage Hills Block 4, Lot 3 Waiver Request #WR990019 Parcel ID #015-221-25 Health Authority #HA9900106 Dear Mr. Cowan: Your request for a waiver of the required 100 feet horizontal separation from the absorption field to private well has been approved. The approved separation distance is 85.0 feet. The well is located on Block 4, Lot 5 Heritage Hills Subdivision. This waiver approval applies to the existing absorption field to private well 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, Donna C. Mears, E.I.T. Civil Engineer On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#L_ )QCnQDIC� PID# 015-221-25 HA# RA990106 Permit # Date Received: April 2, 1999 Legal Description: Lot 3 Block 4 Heritage Hills Engineer: Robert C Cowan, PE, S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River Alaska 99577 Applicant: Ed Butts Waiver Requested: Private seepage pit on Lot 3 Block'4 to the private well on Lot 5 Block 4. Criteria: 1. Geology: Points: A. Water Table 17 �9 B. Soil Sorption % C. Permeability Z 3 D. Water Table Gradient E. Horizontal Separation 2 TOTAL: ��•� 2. Special Conditions: tJo.R- 3 . Other: Waiver is Granted: W List Conditions or Reasons for above: •QiVI WtO_P�f" S C' a•(� Date: (S` !� B Rec #: 04753/2208 Amounts $_920.1 Lot 3, Block 4 Heritage Hills Subdivision Waiver for 85 feet from existing absorption field to existing well. Issued April 15, 1999 General 1. Due to the topography between the absorption field and well, any surfacing effluent would initially flow towards the well, but would turn and not run towards the well. 2. The nitrate sample taken from the subject well (Lot 5, Block 4) is 1.99 mg/I. This is consistent with the nitrate level in the class C well serving the house, it's level is 1.37 mg/L. 3. This situation has existed for over 25 years. Well The subject well was likely drilled in 1970 when the wastewater disposal system was installed. It was deepened to 228 feet in 1978. The static water level is 203 below grade. Absorption Field The absorption field, a crib, was installed in 1972. An additional trench was constructed in 1977. The standpipe of the crib is >100' to the well on Lot 5. Any possible overflow of effluent would likely surface at this standpipe. ADEC Point Calculations Points Property Values Water Table 7.6 L5, B4 203 ft. L3, B3 198 ft. * nearest wells L6, B3 202 ft. * nearest wells L2, B1 220 ft. L5, B1 203 ft. L7, B1 210 ft. L8, B1 210 ft. Average Water Table 207 ft. below surface Soil Sorption 4.7 clay, sand & gravel L3, 83 L6, B3 sand & gravel L3, B3 L6, B3 Permeability 2.3 clay, sand & gravel L3, B3 L6, B3 sand & gravel L3, B3 L6, B3 Water Table Gradient 2 5% as per engineers report Horizontal Separation 2.4 Total Points 18.9 198 ft. 170 16 ft. 54 points for % of strata points for strata type total strata 5.25 84% 4.41 1.5 85 As per ADEC waiver guidelines a point value of 18.9 is almost sure to be free of any form of contamination from household sewage. 16% 0.24 % of strata points for total strata 84% 2.10 16% 0.16 points for strata type 198 ft. 2.5 170 16 ft. 1 54 85 As per ADEC waiver guidelines a point value of 18.9 is almost sure to be free of any form of contamination from household sewage. 16% 0.24 % of strata points for total strata 84% 2.10 16% 0.16 s&S� ,ineening April 1, 1999 ROBERT C. COWAN, P. E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 ,.FAX (907) 694-1211 Municipality of Anchorage Department of Health and Human Services HEALTHAUTHORITY APPROVALS P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 3, Block 4, Heritage Hills Subdivision SEWER & WATER MFJN EXTENSIONS Request you issue a Health Authority Approval on the referenced property and grant a waiver for the horizontal separation distance between the crib serving the referenced property and the private well serving Lot 5, Block 4, Heritage Hills at 85 feet. The mitigation factors involved which support the issuance of the waivers are as follows: SEWER & WATER INSPECTION 1. The horizontal separation distance from the crib to the well is 85 feet. 15% of the required separation distance is requested to be waived. 2. The samples taken from the well located on the referenced property indicated 1.37 mg/L of ENGINEERING STUDIES nitrate and 0 colonies per 100 ml. of bacteria. The results from the well on Lot 5 Block 4 are AND REPORTS mg/L of nitrate and colonies per 100 ml. of bacteria. 3. The referenced lot is on a 5% to 10% slope. Surfacing effluent would initially flow towards the well but would turn to the North and pass the well about 25 feet away. WELL INSPECTION & FLOW TEST 4. From the well logs in the area (attached) we can see that the well depths run about 220 to 260 feet. The static water levels are around 210 to 220 feet deep. The distance between the crib and the water table exceeds 200 feet. SITE PLANS 5. The soils on the well logs in the area indicate predominately sand and gravel layers with clay layers between the ground surface and the aquifer. The confining layers would prevent any effluent from contaminating the aquifer. ROAD DESIGN 6. The hydraulic gradient is about 5 % towards the well (see attached surrounding well logs). The granting of this separation distance waiver would not have an adverse impact on the surrounding properties. SOILTEST If you require additional information, please contact us. Sincerely, PERCOLATION TEST vo// Robert C. Cowan, P.E. STRUCTURAL& RCC/skh MECHANICAL INSPECTIONS Attachments ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services y DIVISION OF ENVIRONMENTAL SERVICES}� 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # t%�`7 ZZ�- z� HAA # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Hertitaqe Hills, Lot 3, Block 4 Location (address or directions) 12300 Heritage Road (b) Property owner Alan & L Kingsbury Telephone: (home) 733-1090 Business Mailing Address HC 89 Box 8100 Talkeetna, AK 99676 (c) Lending Institution Commonwealth Mortgage Telephone 278-5229 Mailing Address 3333 Denali Anchorage, AK 99503 (d) Real Estate Company and Agent None Address None Telephone None (e) Mail the HAA to the following address: (or check here t, if hold for pick up.) List contact person and day phone number below: Please contact Mark Pearson at 696-1700 or Leilani & Alan Kinqsbury at 733-1090 2. TYPE OF RESIDENCE / Single -Family 8 Number of bedrooms 4 3. WATER SUPPLY v Individual Well ❑ Community C Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DrI POSAL On-site ff / Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 Mountain Engineering Address 10251 Crestview East Date 12/29/89 Telephone Eagle River, AK ,v�S� C7F fji'0o h 696-1700 99577 Engineer's Seal MARK W. PEARSON t` M1 fj CE - 7760 6. DHHS APPROVAL Z-;i� Approved for bedrooms by -CJ ate Approved Disapproved Conditional Terms of Conditional Approval /L,ekt CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections oranalyze 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. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health -Authority Approval (HAA) r ., Al v'(C}IECKLIST - FEBRUARY 1984 343-4744 r•= y e n -a A. WELL DATA Legal Description: Heritage Hills, Lot 3, Block 4 Well Classification Class C - Community If A, B, C, D.E.C. Approved (Y/N) Y Well Log Present (Y/N) N/A Date Completed N/A Yield Total Depth N/A Cased to — Static Water Level N/A Casing Height Above Ground — Electrical Wiring in Conduit (Y/N) Depth of Grouting SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 185 FT Pump Set At Sanitary Seal on Casing (Y/N) / Depression Around Wellhead (Y/N) _ ; On Adjoining Lots N/A To Nearest Edge of Absorption Field on Lot 141 FT ; On Adjoining Lots N/A To Nearest Public Sewer Line None To Nearest Public Sewer Cleanout/Manhole None To Nearest Sewer Service Line on Lot None Water Sample Collected by Mountain Engineering ; Date 11/09/89 Water Sample Test Results Passed ( see attached) -Sampling was for DEC's records Comments Well is part of the Hertitage Hills water system (PWS# 216033 ) See 12/18/89 compliance letter from DEC B. SEPTIC/HOLDING TANK DATA Date Installed 9/7/72*Size 1250* No. of Compartments 2 Tanks w/1 Compart. each Standpipes (Y/N) Y Air -tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Y Foundation Cleanout (Y/N) N r% Date Last Pumped 8/31/89 (attached) ;for Holding Tank High -Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 185 To Building Foundation To Property Line 45 15 To Disposal Field Field bectins immediately To Water Main/Service Line Location of water service line is unknown To Stream, Pond, Lake or Major Drainage Course None Comments * One 750 gallon ST installed 9/7/72 and an additional 500 gal - ion tank was installed 8/4/77 (per muni records) 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 250 SO FT/BR Type of System Design Crib & Trench Date Installed 9/7/72 & 8/4/77 Length of Field _ 76 FT trench Width of Field Est. 3 FT Depth of Field _ 4 FT per records Gravel Bed Thickness _ 7 FT per records Square Feet of Absortion Area unknown Statndpipes Present (Y/N) Y Depression over Field (Y/N) N Date of Last Adequacy Test 12/05/89 Results of Last Adequacy Test passed - 4 bedroom ( see attached) SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 141 FT To Property Line 28 FT To Building Foundation 45 FT To Existing or Abandoned System on Lot none ; On Adjoining Lots _80 FT To Water Main/Service Line unknown To Cutback (if present) none To Stream, Pond, Lake, or Major Drainage Course none To Driveway, Parking Area, or Vehicle Storage Area 85 FT Comments Original crib was installed 9/7/72, and additional drainfield trench was added 8/4/77. The addition has a length of 76 FT, with un- known width and depth D. LIFT STATION Date Installed none Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA and HAA c 41 to i effect on the date of this inspection. y (�r Signed Mark Pearson f� V 2 yJ�••••• ,. `B�� Mountain Engineering Company, 12/29/89 �•••••a) Engineer's Seal % (5 Date CE89-007 ...... MOA No. Vd vo ; MARK W. PEARSON CE - 7760 N n Ilnn J Receipt No. lC� �/� Receipt Date of Payment Waiver Fee: $ Amount: $ 4;;W ail- Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 o OF o �SK& DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE WESTERN DISTRICT OFFICE / 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 January 8, 1990 Mr. Robbie Robinson Municipality of Anchorage Department of Health Human Services PO Box 196650 Anchorage, AK 196650 Subject: Lot 3, Block 4, Heritage Hills Subdivision Dear Mr. Robinson: STEVE COWPER, GOVERNOR 563-6775 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION r; SCO I�u RECEIVED In recent conversation with Mark Pearson on the subject property, we were informed that an upgrade on the septic system might violate separation requirements. According to Mr. Pearson, an extension made on the drainfield line in 1977 placed it within 141 ft, from the community well between lots 1 & 8. This work apparently occurred two months after a regulation change was made where the required separation went from 120 ft, to 150 ft. In consideration of this type situation where a recent regulation change has occurred, the Department generally allows a grace period in which projects are allowed to conform to the older regulation. In this case, we have found the work to have been completed within an acceptable time period. No waiver will be required. If you have any questions, please contact me at our Anchorage Western District Office at 563-6775. Sincerely, Michael P. Lewis, PE Environmental Engineer MPL: bas/gd cc Mark Pearson, Cindy Thomas, AWDO HEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID # 92.0040440 ANALYSIS P,EPORT BY SAMPLE for Work Order 3 18186 Date Report Printed: NOV 13 89 0 19:05 Client Sample 10:HERITAGE HILLS WELL PISID :Uh Colleetea NOV 9 89 a 17:00 hr.s. Receivod NOV 10 89 @ 09:30 his. Preserved pith :AS REQUIRED Client Name MOUNTAIN ENG13ERING Client Acct MTHENGN P.OJ NONE RECEIVED Req r Oxderel By : MOUNTAIN ENGINEERING Anai.ysis Completed :NOV 10 89 Send Reports to: Laboratory Suporvisoi _3TEPNEN C. EDE 1)MOUNTAIN ENGINEERING Reloased By 1j�' j F7 .......... .,nn..a. Ao. a �v �a.:Ae. _ene�nmanayma� a a Special HOLD UPON COMPLETION FOR. P/U. Instruct: Cheralab Ref 4: 8983 Lab Sr,)pl ID: 1 tfatrix: WATER Allowable Parameter Tested Ro-ult Units Method Lim is --- -... - .---------- - 1IITRAiE-N 0.41 :y/1 EPA 353.2 10 Sample ROUTINE SAMPLE, SAtPLE COLLECTED BY 11P. Bemarks: 1 Tests Performed Sec Special Instxuctions Ailove UA,-Unavui).ahla ND- Nona Detected Sea Sample Renarke Above fIA- Not Analyzed LT -Less Than, GT.-Gxeatei: Than MOUNTAIN ENGINEERING ;ii 10251 Crestview East • Eagle River, Alaska 99577 Anchorage 907-696-1700 Outside Anchorage 800-478-0101 SEPTIC SYSTEM ADEQUACY TEST LEGAL : Lot 3 ; Block 4 ; Heritage Hills Subdivision ADDRESS : 12300 Heritage Road, Anchorage OWNER : Alan & Leilani Kingsbury TYPE : Single Family, 4 Bedroom WATER SYSTEM : Community - Class C SEPTIC SYSTEM (According to Municipal Records) Tank Size : 1,250 gallon Absorption Type : Crib & Trench Absorption Area : 468 FT2 (Crib) 994 FT2 (Trench) Soils Rating : 250 FT2/Bedroom Installation Date : 9/7/72 (Crib) 8/4/77 (Trench) DATE OF TEST December 5, 1989 TESTING PROCEDURE Residence has been continuously occupied, and presoaking was considered unnecessary. Standpipes used: One over the crib, one on far end of trenched drainfield, two on each septic tank, and a cleanout after the septic tanks. The drainfield monitoring tube was installed in August, 1989 by Carl's Excavating, and at that time it was not clear if the drainfield contained piping in all areas. Although Carl found the gravel prism, he was unable to find the actual piping at the end of the trench. Dan Roth and Dan Bowles visited the site and it was concluded that rather than excavating the yard in search of the pipe, an adequacy test should be performed. Water was added to the cleanout below the septic tanks at an average rate of 7.9 gallons per minute until over 600 gallons had entered the system. Depth to fluid level measurements were taken at the crib, drainfield, and septic tank. The level in the septic tank did not vary. Septic Adequacy Test Lot 3, Block 4, Heritage Hills Page 2 The crib and drainfield fluid levels rose at the same rate (approximately .3 FT per 20 minutes), and after filling had stopped, the levels receded at the same rate (approximately .1 FT per 10 minutes). TEST RESULTS THIS SYSTEM MEETS OR EXCEEDS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. This analysis was conducted to quantitatively measure the performance of the above referenced absorption system. While the system performed more than adequately, a prediction of the overall operational life expectancy of the wastewater absorption field is not herein implied. Operational life expectancy is affected by many variables such as homeowner maintenance, soils conditions, and fluctuation of groundwater levels. ,pCH04AGE AY f%� �; ,- C � i 1 .-•� a. � �— ,. - �__ 4 [ p P x yA iii% REATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 C Street, Anchorage, Alaska 99503 274-4561 Date Received November 22, 1976 Time of Inspection 3:00 p.m. Date of Inspection 11-23-76 Tuesday J Kennedv �"Yu��[ JR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR V.A. 1. Approval requested by: State of Alaska, Veterans Administration Mailing Address: 907 West Northern Lights Phone: 274-7555 2. Property Owner: Neal Hansen Phone: 344-7957 Mailing Address: Star Route 1597—H 3. Legal Description: Lot 3 Block 4 Heritage /h 4. Location: Huffman Rd. turn onto Heritage, 3rd house on the left 5. Type of facility to be inspected Single Family No. of bedrooms 4 6. Well Data: `1 ti A. Type Individual B. Depth 235' C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed 1972 B. Installer C. Septic Tank: 1 D. Seepage Pit: 1. E. Disposal Field 8. Distances: Size 2. Manufacturer © 0 Absorption Area, 2. Material Total length of lines A. Well to: Septic tank , Absorption area �, Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages 1. 2. 3. 4. 5. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 — &1 a76 .7 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES Type of Inspectioh: ZMR(;-VA_ FHA CONY Property Owner: MOCIA W12nsen Mailing Address: SR 12l`0 X. I S41-7 14 151 Day Phone .34 q 5 Name of Buyer: NO Ilia L C&A www rA Donn z L41a n Mailing Address:Day Phone '3 Name of Lending Institution: 4a A- t J A / Mailing Address: �D7 �.-!) /VOrrhpYn I i G K�C Phone �7q— ^ Name of Realtor or Agent: . . `IW AR 0 Mailing Address: 5i� 1 V0,4 �: a h� �_ Phone 27 (6— 3 T— 13 6. Legal Description: Locati n: hl �Q 3 h0oh �`, - -- 7. Type of Facility to be inspected: LAICAL �Se4_'j 4% No. Bdrms. _ 8. Water Supply ' '' Type of Supply: Public Utility Individual i'Om►aij.-I IIwe-(l If Individual, number of dwellings presently served se -le it If Individual, depth of well .235 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) X Page 2 of two pages - Rc st for Approval of Individual er & Water Facilities hegal"Description Lot 3 Block 4 Heritage Heights Comments Approved Disapproved Date Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM �I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. 69NLCI EQ -034 (1/74) Date GREATER ANCHORAGE AREA BOROUGH Department of Envi ronrnental ,dual i ty MEVORANDUM October 18, 1972 TO: C. P. Judkins, R.S. Dieector FROM: Rolf Strickland, R.S. Chief Sarcitaria;, SUBJECT: heritage hills Subdivision Some time ago, (approximately one month), a man, (did not give his nacre), called we in regards to the sale of a lot he owned. The, inan did not identify himself or tell me where the laird was. He accused me of advising a prospective client riot to purchase the land because it was "no good"., This could not be further from the truth and is a direct lie. About two montas ago a man, (do not renrermber his name), carne to me and asked me about the, suitability of a lot in the subject subdivision. I now know the subdivision in question because you told me today. I pulled tie file., obtained fire soils information from the surround- ing lots and we platted wrrere his k+ell and sewer system should be. Tiro man was,very_alarmed because there was not sufficient room replace -the seepage pit on this lot sho iu d the original- frit tie asked me what would be the proper fining to do, at the time; the original seepage system quit. I advised him tilt it would have to be replaced, which was obviously not possible, or he would have to install a holding tank and pump it weekly. The man said he did not want to purchase the property under those conditions because of the possible great expense: of maintaining the sewer system. I advised him that he sriould ask the seller, to obtain a valid permit to install an on-site sewer system prior to purchase of the property. This would insure the purchaser that he could build on his lot. I never advised him not to purchase the property. I did advise him that if the: soils did not pass our minimum acceptable standards he would not be given a permit to install an on-site sewage disposal system. This is why I also advised him to be sure the seller secured a valid permit before he purchased the property.