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HomeMy WebLinkAboutHERITAGE HILLS BLK 4 LT 8AHeritage Hills Block 4 Lot 8A #015-221-42 Municipality of Anchorage CDevelopment Services Department Building Safety Division On-Site Water & Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Pogo 1 of 3 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO90222 PID Number. 015-221-42 NOTe JERRY RICHIE Wastewater System: 0 New ■ Upgrade Y Address: 5201 HUFFMAN ROAD a ANCHORAGE, AK a 99516 ABSORPTION FIELD 77 Phone: No. of Bedrooms: (907) 227-2961 2 0Deep Trench 0Shallow Trench ■Bed OMound OOther LEGAL DESCRIPTION S°° Ra":/�.� ram m°deetCPO/Sp.R rL Block: Lot: $UbdivieiOm. DepN b WW belom 6prn 0r101^el grade: N Wroth plq: 4 8A HERITAGE HILLS P�owth rtTownship: WW. Range: Section: — — — M added above erlglnd arose: rt rt WELL: ❑ New O Upgrade GravN wglh: Numbw a Erica: Dblaice Wween'"sw n rt Gloerl'cerorr Private, A.B.L : Told Dep codes lo:tafDllaot) Total oWarpl4on Ppb owdenot t✓ �M SAb n. so. rt r a0d: antler: ETl�Sj1NC' We orwNd: stet weer welt bretaew: DoteIn pL LITTLE DIPPER EXC.0}?009- Pwno Set At: coming Neklht Above Grornd: TANK cvu rt rt er1 SEPARATION DISTANCES ■septic ClHoldinq OS.T.E.P. 0Othere To Septic Absorption Lift Holding bsc/Private Ypnuloeww•. GREER Lppoutr in gouorr: 1000 From Tank Field Station Tank sewer unos Well 075'+ — — — 25'+ H.D.P.E. NiniOir of carnporlmee 2 Surface water 100'+ — — — — LIFT STATION Lot Line 5'+ — — _ — Sire In E0eon0. Naedactww• Foundation 5'+ on lbw at: tegh weer dam al: — — — — PwnP . el: ElecteW Inspecllorr wrlor^rd by: Curtain Drain NONE KNOWN BENCH MARK Remarks: Lola, end Oeecrlpborp eADEC WAIVER GRANTED. TOP OF 1x6 SIDING ON WEST WALL Anwrwd Ebrplun: 100.00 rt ,J GEG, Ltd. Inspections performed by: Dates: list 10/30/2009 ENGINEER'S SEAL oq0 p�0 2nd 11/2/2009 F oo.OF.. C 0 3rd o P..• •...000 Or ' 9� �� Development Services Department Approval 0 . Conditional approval: Date: •••• ........ :.... � •• A. arness;O QO 9 Q °c CE-753 ,• `cpO� ooQre ••Itl2. �y•••�qo y Dote: 11_ Reviewed and approved by:��9 �4°Od Prores,lar`a4� (R«. 4/0e) PERMIT NUMBER: ASDRAWING PARCEL ID NUMBER: � SW090222 _ , 015-221-42 HERITAGE HILLS S/D; BLOCK 4. LOT 7 FCO 120.071 6.53 STI 120.42 1 8.98 ST2 22.02 13.86 LIT 21.07 15.57 1 BL1 22.69 15.17 OBL2 23.06 15.79 ;SHED NEW 1000 GALLON H.D.P.E. SEPTIC TANK �O DRAINFIELD Wim" OBL1 95 DBL2 \ I I SCO B wr \ � e CRIB e A \L__J DRIVEWAY H U FFMAN ROAD S E: \ 1' - SO HOUSE WELL F I I I �mm GARNESS ENGINEERING GROUP, Ltd. p;'J�`' 4 7* CONSULTANTS & GENERAL CONTRACTORS �. • • •. • ...... •. • • • 3"1 L T.CM OYq Im 101 • MMOVAL Nl (907)wt l» • Fm (YO�.IM�1tN � .mVIC w�.pnwgYwuYy.an PREPARED FOR: PHONE NUMBER: PACE NUMBER:- -• •••••• ••......... JERRY RICHIE 907-227-2961 2 OF 3 e C mess: .� LEGAL DESCRIPTION: DRAWN BY: Q�ePr ' , E— ,• t•4 HERITAGE HILLS S/D; BLOCK 4. LOT 8A A.J.G. TYPE OF WORK: DATE: �QOOQrO�OOooao AS—BUILT DRAWING OF NEW SEPTIC TANK 11/2/2009 PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: - SW090222 015-221-42 FINAL GRADE - 98.13-98.46 2' BLUEBOARD INSULATION Iril TOP OF TANK O I l- TOP OF TANK O INLET - 95.19 rte— OUTLET + 94.20 INVERT OF BUNG O INLET . 94.23 INVERT OF BUNG O OUTLET - 94.12 INLET OUTLET NEW 1000 GALLON GREER H.D.P.E. SEPTIC TANK 4' MONITORING TUBE GARNESS ENGINEERING GROUP, Ltd. 4 • CONSULTANTS S GENERAL CONTRACTORS--+—+• ......•• ..... •• 3A1 C TIOM IpID. 1111[ 101 MIO4UiL M M10) •114[ (/01)]J1-ItI1 • IM (YWJ]]!-J3N • �U91C �w.p�w�rw�q.wn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ..... . ..•• ••••••. •••••• JERRY RICHIE 907-227-2961 3 OF 3 O P r y A. 9.: LEGAL DESCRIPTION: DRAWN BY: Q CE -79 3 �d`v HERITAGE HILLS S/D; BLOCK 4. LOT 8A A.J.G.�D•h X40 e E TYPE OF WORK: DATE: 4�QOO'ofess oo� PROFILE AS -BUILT OF NEW SEPTIC TANK 11/2/2009 (Rev. 01M) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO90222 Legal Description: HERITAGE HILLS BLK 4 LT 8A Design Engineer: 0855 GARNESS ENGINEERING GROUF Owner Name: JERRY RICHIE Date Issued: Oct 28, 2009 Expiration Date: Oct 28, 2010 Parcel ID: 015-22142 Site Address: Lot Size: 0 SO. FT. Owner Address: 5201 HUFFMAN ROAD Total Bedrooms: 2 Permit Bedrooms: 2 ANCHORAGE, AK 99516-2336 This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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. Received B Issued B y: Date: ' ` d % y Date:/ hj D 9 Municipality of Anchorage -tel Development Services Department 4Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. • ..erty owner(s) JERRY RICHIE Day Mailing address 5201 EAST HUFFMAN ROAD *ANCHORAGF. AK Site address Zip Code 99567 Legal description (Sub'd, Block & Lot ) HERITAGE HILLS BLOCK 4. LOT 8A Legal description (Township, Section & Range) _N/A Lot Size Sq.Ft. Number of Bedrooms 2 THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. e✓ PermiURush Fees: 530 Date of Payment: 10.1 OL L fy% Receipt Number:a l 4 1 0 (0 (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS, �- — w. I,. - October 23, 2009 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic tank Upgrade for Heritage hills; Lot 8A, Block 4, To whom it may concern: The existing 2 bedroom house is served by a community well and a private septic system. The 1972 septic tank encroaches on the community well which is located on the northeast corner of the referenced property. In order for the homeowner to be granted a waiver DEC required that the existing septic tank be removed and replaced. We are proposing to install a new 1000 gallon FIDPE septic tank in the same location as where the existing tank lies now. ADEC granted a waiver allowing for the septic tank to be installed 75' away from the well. Comments regarding the design are summarized as follows: We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any gygstions, please contact us at 337-6179. Thank you for your assistance. Oegy,ss, .E., M.S. NOTE( Attached is a sire plan drawing and a design drawing, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259 Ph: (907) 337-6179 • Fax: (907) 338-3246' Websitc: www.gamessenginecring.com HAS A 7 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TANK UPGRADE TO OBTAIN A COPY OF THE LETTER CONTACT GEC. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND / AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. HERBAGE HILLS S/�; BLOCK 4, LAT 1 J LJ_ REMOVE CLD STEEL SEPTIC TANK ANL SHED INSTALL NEW 1000 GALLON H.D.P.E. 1 SEPTIC TANK. TANK TO BE INSULATED AND COVEREI WITH 2+ FEET OF SOIL COVER, TANK WILL BE A MOA LCI DRAINFIELD INSTALL DOUB E\I ;APPROVED 1000 GALLON TANK. / I T I CLEANOUTS lj� e CRIBINSTALL MT e FOR SEPTIC h TANK L— — J INSTALL FOUNDATION CLEANOUT HOUSE j?RNEWAY; H U FFMAN ROAD S E: :� 1.30. GARNESS ENGINEERING GROUP, Ltd. •• - - I-• CONSULTANTS & GENERAL CONTRACTORS ��----•-•»'•-----••� JAI G T ftc V n lel • wowct M e y • n feei111-e1A • r" (e0y)v 32" • e -- ....,.,r.yn..`yaa. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JERRY RICHIE 907-227-2961 1 OF 1 LEGAL DESCRIPTION: DRAWN BY: HERITAGE HILLS S/D: BLOCK 4, LOT SA A.J.G. TYPE OF WORK: DATE: DESIGN OF NEW SEPTIC TANK 10/28/09 4 WELL F ....ltl} yG0 ess.- :E-7 FFG STATE 8'�KA OF a Sean Parnell, GOVERNOR 555 CORDOVA DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE, AK 99501 DIVISION OF NATER Faxx: (907)(907)269-7519 WASTEWATER DISCIIARGE PROGRAM http://www.state.akustdec/ October 23, 2009 Jeffrey A. Gamess, P.E. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Re: Heritage Hills Sub. Block 4, Lot 8A -South Anchorage -Waiver of Separation Distance to Allow the Construction of a Replacement Septic Tank for an Onsite Wastewater Soil Absorption System-ADEC Plan Tracking Number 5174 Dear Mr. Gamess: On September 29, 2009 the Department received the fmal information for an engineering plan submittal for a waiver to an existing onsite wastewater soil absorption system and a new 1,000 gallon two compartment High Density Polyethylene (HDPE) septic tank for the three bedroom home at Heritage Hills, Block 4, Lot 8A. The Department has reviewed the engineered plans, your engineer's recommendation, the sampling results on the Class "C" source well, and the well log indicating silty sands and clay layers between the source waters and the soil absorption system. Samples taken from the well were for nitrate (1.89 mg/l) and no detection of arsenic or bacteria. The following waivers are hereby established and approved. The distance from the existing source well, a Class "C" Public Water System to the existing bed type soil absorption system, is reduced from 150 feet to 120 feet to the closest point of the absorption bed. The distance from the existing source well, to the new replacement septic tank of HDPE materials is reduced from 150 feet to 75 feet. This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. 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 Street, Anchorage, Alaska 99501, within 15 days of receiving the decision. Guidance information on the informal review process maybe found at httn://www.dec.state.ak.us/commish/ReviewGuidance.htm. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.O. Box 111800, Juneau, Alaska 99801, within 30 days of the decision. If a hearing is not requested within 30 days, the right to appeal is waived. Thank you for your cooperation. If you have any questions please do not hesitate to contact me at 269-7519. Respectfully, William R. Rieth, P.E. Environmental Engineer Enclosure: As stated cc: William Smyth, WW, w/o enc. NAM LOCATION MUN1l:l YL-1L11Z Us riLv +..iivinvL Heals, / and Environmental Protec'. -im Fourth Floor [nest 825 L Street chorage, Alaska 99501 264-4720 IN SES/EC ION RcEP RT ON-SITE Sr.WACE DISPOSAL SYSUM MAILING ADDRESS LEGAL L'ESCRIPTION 4-- PHONF.�V� 0'X wc SEPTIC TANK: DISTANCE C'�'J +? NUMBER OF FROM WELL � , MANUFACTURER _LIFERIAL _ _—COMPARThAENTS _ _ INSIDE LENGTH ___ INSIDE WIDTH__- - LIQUID DEPTH LIQUID CAPACITY GALLONS. �------------- TIF; 4nlh�h• TOTAL LENGTH _/� DISTANCE FROM WELL �.I�FOUNDATION___—NIEAREST LOT LINE--!Cr/--OF LINE # Of Lines __(____ DISTANCE BETWEEN LINES TRENCH WIDTH3--(�N. TOTAL EFFECTIVE ABSORPTION AREA ____ SQ. FT. LENGTH OF EACH LINE / DEPTH OF FILTER DEPTH: TOP OF TILE 1-0 FINISH GRADE` MATERIAL BENEATH TILE _ 5 N' �BOVE TILE --IN_- SEEPAGE PIT: DI;.METER _–OR WIDTH LENGTH_—, DEPTIA Log Crib _Rings_ Crib Size: DIAivIETER_---DEPTH_— DISTANCE FROM: WELL -- TOTAL EFFECTIVE BUILDING FOUNDATION_.. NEAREST LOT LIFE ABSORPTION AREA (WALL AREA) SQ. FT. Well Class: Depth: Well Distance To: Lot Line _� r Bldg: Sewer Line: - i I I I Pipe materials: of Bedrooms: Installer: ; I I Remarks:G o't, �'✓i,�1J' i i- i i i I I ii I - � I I I j I I 1 I I I , I I DATAe!�Y--77 APPROVED/% —�: -- ������������� �� n. PA �V����� DEPHRTMENT OF HEALTH HND ENV IRONMENTAL. PROTECTION 825 'L� STREET, HNCHORHGE/ HK. 99501 279-251� ����� ������� E-_ IF-- PERMIT NO. ( 77904 ) 2776086 HPPLICHNT GERALD H HELVEY LOCHTION HI FFMHN RD LEGHL L8 B4 HERITHGE HILLS SD LOT SIZE 10400 SQUHRE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MHXIMUM NUMBER OF BEDROOMS � ] SOIL RHTING (SQ FT/BR)= 250 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E_- E:-. F`11- "= :::I.. C-�.fi �P-4 ff__.j "T" "= ��,Z-e F<, F::1i FEE P.._ C". FE P`11- 11-1= � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD, THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCAVATION (IN FEET). ��~��41- Cfi F=' l." H PACKAGE PI -ANT MHY BE INSTAL LED AT THE PERMITTEE'S OPTION SUBJECT TO THE FOLLOWING CONDITIONS: 1. EITHER H CLHSS I OR II NSF APPROVED PLANT MHY BE INSTALL -ED. 2. H CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF H MHINTENHNCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM HND/OR YOU MAY BE SUBJECT TO PROSECUTION. y- < P-41" FE., P -A ���11-3 0-,�� BACKFILLING OF HNY SYSTEM WITHOUT FINAL INSPECTION HN[ APPROVAL- BY THIS DEPARTMENT WILL BE SUBJECT TO PRQSECUTION. MINIMUM DISTANCE BETWEEN H WELL HND ANY SEWAGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVATE WELL QR 200 FEET FOR H PU�LIC WELL OTHER REQUIREMENTS MAY HPPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE HVHILA8LE TO INSURE PROPER INSTHLLHTION F'K 114?0-1 l.' -'P*' F" 1' F-'." F " "E'm C -A F---. C_` FIA -1 E--" U=� I CERTIFY THHT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPHLITY OF ANCHORAGE. 2� I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES. ]� I UNDERSTAND THHT THE ON --SITE SEWER SYSTEM MHY REQUIRE RESIDENCE IS REMODELED TO INCLUDE MORE 'THAN ] BEDROOMS U � ISSUED BY AND WELLS AS SET ENLHRGEMENT IF THE .--., G1..,.�ATER ANCHORAGE AREA ; SOUGH Y �� �� Department of Environmental Quality ��d 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM u NAMEPICL 6WA MAILING ADDRESS BOK (n 0(- J Clr)L11 "%`%Sr)J PHONE �`�� 4-32 7 LOCATION SEPTIC TANK: LEGAL DESCRIPTION DISTANCEi NUMBER OF FROM WELL? 743 MANUFACTURER'S kL6L �{ ` ;MATERIAL COMPARTMENTS INSIDE LENGTH --INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY 766 GALLONS. SEEPAGE PIT: NUMBER OF PITS 1 DIAMETER _— Cone ce-TV-r, LINING MATERIAL 6LVC<--3 CRIB SIZE: BUILDING FOUNDATION �`, NEAREST I ADDITIONAL ABSORPTION OR WIDTH �6 , LENGTH /9,,z 'DEPTH 1 DIAMETER DEPTH 14 D.IStANCE FROM: TOTAL EFFECTIVE T LINE 20 ABSORPTION AREA (WALL AREA) WELL: TYPE OtMII994i&C�__CONSTRUCTION COS10(1 L_Lf l [IFI - DEPTH /2% WELL e0l,21,n" %2 O SQ. FT. DISTANCE FROM: BUILDING NEAREST / NEAREST SEPTIC SEEPAGE j FOUNDATION LOT LINE %0 '� SEWER LINE �o TANK %6 SYSTEM 121 CESSPOOL /_ , OTHER SOURCES APPROVED ✓ DISAPPROVED DISTANCES: INSTALLED BY: ")o 0 7s,1 , PIPE MATERIAL: 0 i7 ' LOT SLOPE: Vie_( REMARKS: qho , tyyj_�111 Pam 1),et)ee P,'r e Plc c hcf w tzarn +'�S�o��m -k) /'jr Form PW -026 REMA DIAGRAM OF SYSTEM APPROVED 12//Y/97�2 (-PARTMENT OF ENVIRONMENTAL QUI` f - 3500 TUDOR ROAD POUCH 6-650 " ANCHORAGE. ALASKA 99502 TELEPHONE 279.8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT PERMIT NO. L"/ NAME OF APPLICANT MAILING ADDRESS `�� �� PHONE "z-%'l/� INSTALLATION LOCATION -'' � LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK 1/ SEFPAGE PIT _ AF- D OTHER TYPE AND SIZE OF FACILITY TO BE SERVED `�T/'»'�`"��/��" Lf ?� L UGGL-7/- o/7J //�L%y-z /`7�/t�/y'� 2 GN���✓<N� FINANCED THRO- ` TO BE INSTALLED BY e SOIL TEST RESULTS-��`/�7/Cli�� /"� 4407"' -fes � NOTE: -THIS PERMIT IS NOT VALID WITHOUT SOIL TEST eaTip A7OF COMPLETION DATE ANTICIPATED 1 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 1 — _-- TYPE -T� 1:5'�'-- SEEPAGE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK 1 FOUNDATION TO SEEPAGE PIT DRAIN FIELD --� SEPTIC TANK TO SEEPAGE PIT WALL e -j - - SEPTIC TANK S , SEEPAGE PIT "�� ,. DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. - WATER MAIN TO SEPTIC TANK �� / SEEPAGE PIT DRAIN FIELD SEPTIC TANK; --2% SEEPAGE PIT lJ. 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. C HEALTH AUTHORITY OR LICENSEDDESIGNER - EA SIZE �� ��Yl TYPE DIAGRAM OF SYSTEM I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTSOFGREATER ANCHORAGE AREA BOROUGH.0 I A{dCE NO. 28.68 AND THAT THE ABOVE DESCRIBE���S IN ACCORDANCE WITH SAID CODE. 7 DATE � � APPLICANT'S .SIGNATURE ` � f- / ' G U • '� Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I. D.015-221-42 1. GENERAL INFORMATION: Expiration Date: — 2S ^ 2— Z Complete legal description _ Heritage Hills; Block 4, Lot 8A Location (site address) _5201 Huffman Road *Anchorage AK Current Property owner(s) Jennifer Leframboise Day phone Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Shared Well ® Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -250 f X330 Waiver Fee $ Date of Payment Receipt Number COSA# 05%0221025 Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: _Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 / Engineer's Printed Name: Jeffrey A. Garness Date, I L 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 system/s 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. 6. DSQ SIGNATURE System #1 Approved for q bedrooms System #2 Approved for - bedrooms Disapproved M Conditional approval for bedrooms, with the following #AECC884 ON-SITE WATER AND VATE R z 1 J� PROGRAM .10 ,��1� Original Certificate Date: 2-y Z 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 Nitrate Advisory Septic System Advisory / Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: HERITAGE HILLS; BLOCK 4, LOT 8A Parcel ID: 015-221-42 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA SHARED WELL - PREVIOUSLY PWSID #216033 ❑ Well log is filed with Onsite (or attached) Well production at time of tes Date drilled a tank volume gallons Total depth ft Well disinfected for coliform test? ❑ Yes ■❑ N Cased to ft 9 Coliform bacteria is Negative ❑ Sanitary seal is fu oning correctly Nitrate 2.39 mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are pr rly protected Arsenic ug/L ❑■ Arsenic less than MRL (ND) Casing hei (above ground) in. Collected by GEG Date low test for COSA Date of Sample 1/3/22 atic water level at beginning of test ft. Comments SEE ATTACHED LETTER REGARDING TANK SIZE B. TANK DATA C. LIFT STATION Age of tank(s) -12 years ❑ Required maintenance com Tank type/material SEP"""°"' Age of lift station ars Measured operating fluid level in septic tank 57 Lift station mater' ❑E Standpipes/foundation cleanout per record drawing Comme Date of pumping 1/6/2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 10130/72 Adequacy test date 1/3/22 X ALL standpipes present per record drawing Results Z Pass For **4 bedrooms Total measured depth from grade 10.6 ft (max) Fluid depth prior to test 4 in Measured depth to pipe invert from grade * ft (min) Water added 607 gal ❑ N/A - pressurized field New depth 45 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 120 min depth into effective ❑ Code -required soil cover over field Final fluid depth 15 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to N/A Any rejuvenation treatment (past 12 months) _ date of test) Gallons introduced N/A gallons _ If yes, enter date Comments/Deficiencies: 'SEEPAGE PIT - PIPE INVERT UNKNOWN - TESTED SEEPAGE PIT ONLY • SEE ATTACHED LETTER REGARDING 4 BEDROOM APPROVAL. CLEANOUT AND MONITORING TUBE INSTALLED INTO TRENCH ON 1/21/22. TRENCH DRY ON 1/25/22 COSA Checklist yellow sheet E. SEPARATION DISTANCES — SHARED WATER SYSTEM From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Communitv Sewer Manhole/Cleanout > ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes If No jt Neighboring Absorption Fields >� Yes if No ft Main > 75' ❑ Yes if No ft if No ft Private Septic Line > 25' [--I Yes if No ft Holding Tank > 100' ❑ Yes if No ft Animal Containment > 50' ❑ Yes if No ft Manure/Animal Excreta Storage > 100' ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' Q Yes if No ft P rt L' I ope y ine > 5 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 21 Yes if No ft Private Wells > 100' ❑ Yes if No **75' ft Water Main > 10' Yes if No ft Community Wells > 200' []✓ Yes if No ft Water Service Line > 10' (Q 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' Cj Yes if No ft Wells on Adjacent Lots: Water Main > 10' EI -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 ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *TANK PIPE TO DECK PILE IS 3.5 FEET **ADEC WAIVER ON FILE IN MOA RECORDS - WELL IS BELIEVED TO SERVE SEVEN LOTS ( BLOCK 4; LOT 1,2, 3, 6, 7, 8 & BLOCK 5; LOT 1). ***ASSUMED BASED UPON KEYBOX LOCATION IN MOA RECORDS FOR BLOCK 5, LOT 1 AND BLOCK 4, LOT 7 G. ENGINEER'S CERTIFICATION o�wvUv� OF AL I certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. q9 ...... .. •;Je r y am 5 4 :... 953'.; \cG COSA Checklist yellow sheet 4 4 ed VProfessloo #AECC88444�Z7 >rl� srEVE COWPER, GOVERNOR nn d d A 10-)) n L!� DEPT. E ENVIRONMENTAL CONSERVATION/ 6 NSE VATI Nit ANCHORAGE WESTERN DISTRICT OFFICE 563-6775 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 October 31, 1989 Dr. Leroy C. Reid, Jr. MUNICIPALITY OF ANCHORAGE- Alaska NCHORAGEAlaska Environmental Control Services, Inc. DEPT. OF HEALTH & 1412 West 33rd Ave. ENVIRONMENTAL PROTECTION Anchorage, AK 99503 Nov 81989 Subject: Heritage Hills Water System RECEIVED Dear Lee: .__In-refere-ocp. to. your October 26, 1-989 le-tteY_.on..the ..s hject water system, we have made the determination to uphold the Department's January 8, 1973 approval letter for lots 1, 2, 3, 6, 7, 8, block 4, along with the inclusion of lot 1, block 5 of the Heritage Hills Subdivision. This letter of acceptance is conditional upon the receipt of current satisfactory water quality testing for total coliform and nitrates. In addition, if the population of the water ..system exceeds 24 residents, monthly.. monitoring for total coliform will be: required. Any future expansion _ofthe subject system will requ-ire additional approval from this office. Sincerely, Michael P. Lewis, PE Environmental Engineer MPL: bas cc: Cindy Thomas Vera Craig GARNESS ENGINEERING GROUP, .�.. � ..M- ENGINEERING -SALES -CONSULTING January 271h, 2022 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Four (4) Bedroom COSA approval To whom it may concern: The subject lot is served by a shared well (formerly a public water system) and a private septic system. Per MOA records, the subject lot has a 1,000 -gallon HDPE Greer tank that was installed. in 2009. However, a receipt provided by the owner (attached), shows that a 1250 - gallon septic tank was purchased for the lot. The liquid level in the septic tank on 1/27/22 was 57", which is close to Greer specifications for their 1250 -Galion tank. Based upon this fact, the homeowner is requesting that your department issue a 4 -bedroom COSA on the property. The drainfield sizing requirements as calculated as follows: ® The drainfield consists of a seepage pit with a trench extension ® Both drainfields have an application rate of 250 gpd/ft2 ® The effective area of the seepage pit is 720 ft2 ® The effective area of the drainfield is 750 ft2 - ® This equates to a total effective area of 1470 ft2 e 4 -bedroom approval at 250 ft2/bedroom is 1000 ft2 which is less than 1470 ft2 The reserve drainfield consists of rebuilding the existing drainfield and possibly using an AWWTS. If you have any questions, please contact us at 337-6179. Thank you for your assistance. A ess,IP.E., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Website: www.garnessengineering.com A A E0 E 0 cu CU CU CU CU ca .c: E > -a CU cu V V a) o CU S— w 0 V (D Q 1 m m < LO A A E0 E 0 cu CU CU CU CU ca .c: E > -a CU cu V V a) o CU S— w 0 V (D Q — — — — — — — — — — — — — LOT 7 IIS \v I LOT 8 LOT 6 LOTS` I I \ 131st. Ave. III LOT 4 III III LOT 5 1 1 1 LOT 4 I i LO VA NT O 1 1 1 LOT 3 6 LOT 2 We LOT? La--�--- 1 411 DT 7 — — — — — — well CLASS A LOT 0 LOT 8 "1 1 ILOT I R200.00 I I : H.UFFMAN RD,JA D 50 0 50 100 150 200 250 300 SCALE, 1' = 100 FT. REVISED; FEB. 7, 1996 ABB. CLASS A WELL TOBBEN SPURKLAND P.E. 203 W15TH. AVENUE LO1 2 BLOCK 5 HERITAGE HILLS SEPTIC SYSTEM DESIGN ANCH. AK. 99501 (907) 279-3916 DAVID DENIG-SCHAKROFF 12320 TRACY ROAD DATE: AUGUST 22, 1994 SHEET: 114 GRID: 2737 6 �pNOZ ag2mZh- Om -91 H S�m�Zw�o 4ZiHnZ 0Cw3 oNzN���� Z"� ,("OmZ ZOv > prN+NO �Z,<—paz� aaa HO n ", =Zv p m�>�o man= pzz=�cc p>-1 0;1 (A H mm apo >ZO m O a 'y N Z c m H av mmZ aZ Cli5 0"Zp�z M. m IM -Z x Z 2 ^ O M. N O m v H C Z m O OONO Ln m_vmaN Oc yZC? (A m :.1 -1 D O 0-n v O Z O a 7 m'v(MA a p I pmm Z � H m m (A m Z 2 H N m OZaEn Zm Zf^v2 0 (H a z r TRACY _ ROAD '41 i O m IOm H<D DXSH Z Om n (n `p HO-iAwO Dmm m C w r 0 O0 m N y m< r D m M H m .O vi ntP, On n< m SH On O m TZ: H y N .C 0Sr <O HH N )a Zm30 g? LZl< < D mZ VIZI SOH o -4m mm= N D O O N o H n b m ]c Z -I -I m W H _ i w D O C m m m x it D H 2 HT-nI O D H T V 0 H N Q r JJ mm Nfmm IN r2 PD' maN A t~il ZD C -IO {3 nO z m IH m D A O x v m H 2 < < < Z� �p=i m maSz � Ffc N^IZ r TRACY _ ROAD '41 i O m Municipality of Anchorage • % Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995196650 www.munt.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING r� Parcel I.D. 01522142 COSA# L) 1 nt 1,i l 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address -Real Estate Agent Mailing address HERITAGE HILLS; BLOCK 4 LOT 8A 5201 EAST HUFFMAN * ANCHORAGE AK " 99516 JERRY RICHIE W/ DYNAMIC Day phone 227-2961 3111 C STREET • ANCHORAGE AK + 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class C Well Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 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 riles 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 GROUP, Ltd. Phone 337-6179 Address _3701E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 111 4D Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & 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 idontifiable 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 V' Approved for 2 bedrooms. Disapproved. Conditional approval for bedrooms, with the WATER AND 1^= '• WJhVVAltM otzorRAM Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineers Report Nitrate Advisory Other Original Certificate Date: q JR., INS) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Legal Description: HERITAGE HILLS; BLOCK 4, LOT 8A A. WELL DATA Well typeCOMMUNmr Date completed Total depth ft. Date of test Static water level If A. B, oI C&rovide PWSID# 216033 Sanitary seal (Y/N)— Cased to ft. FROM WELL LOG WATER SAMPLE RESULTS: Coliform O colonies/100 ml. Arsenic: _2 ug./L. B. SEPTIC/HOLDING TANK DATA Nitrate�2a mg./L. Date of sample: 11 /5/09 Tank Type/Material SEPTIC/HDPE Tank size 1000 gal. Number of Compartments E Foundation cleanout (YIN) YES Depression over tank (YIN) NO I; I. CHECKLIST Parcel ID: I Well Log (Y/N) '__� Wires properly pr( Casin at AT INSPECTION ground) in. i Other bacteria O colonies/100 ml. Collected by: GEG.,LTD I. i Date installed 10/30-11/2/09 Cleanouts (YIN) I YES I High water alarm (Y/N) N/A Date of pumping NEW Pumper N/A •CRIB DEPTH MEASURED TO BE 73 INCHES BELOW THE TOP OF CRIB. ••To 1972 CRIB C. ABSORPTION FIELD DATA BOTTOM OF SUMP. WHICH ONLY EXTENDS 18' BELOW INVERT OF DRMNFIELD. CR19g7-1 TRENCH 10/30/1972 x x ' TREINCH Date installed 16/411977 Soil rating (g.p.d./ft o Ibd 1gd System type 21_19/ 1 UNKNOWN/ Length 42 A. Width ft. Gravel below pipe 6 ft. •10 70� I. Total depth .• ft. Eft. absorption area E ft, Monitoring tube YES Depression over field NO I Date of adequacy lest ••6/12/2009 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test24 in. Water added 390 gal. New depth3fi in. I Elapsed Time: 205 min. Final fluid depth 28 in. Absorption rate >= 1 300+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date ***HOUSE WAS VACANT AT TIME OF TEST. PRE–SOAKED WITH 1360 GALLONS OF WATER ON 6/11/09. PRE–SOAK AND ADEQUACY TEST WAS PERFORMED ON 1977 TRENCH ONLY. 1972 CRIB WAS DRY D. LIFT STATION Date Installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off" level a . High water alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic lankAift station on lot •75'+ On adjacent lot: Absorption field on lot • 115'+ On adjacent lots ••105'+ BLOCK 4, LOT 2 ••105'+ BLOCK 4, LOT 7 Public sewer main NSA Public sewer manhole/cleanout 100'+ Sewer /septic service line •••APPROX. 72' Holding tank N/A Animal containment areas 150'+ Manure/animal excrete storage areas 150'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 51+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: I CRIB/FIELDI Property line 10'+/10'+ Building foundation 10'+/10'+ Water main 10'+/10'+ Water service line 10'+/10'+ Surface water 100'+/100'+ Driveway, parking/vehicle storage 10'+ 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WAIVER GRANTED BY ADEC "WAIVERS ON RECORD ***INSTALLED PRIOR TO 1982 G. ENGINEER'S CERTIFICATION I cerlify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineers Printed Name JEFFREY A. GARNESS Date __ 111201,7 COSA Fee $ '{ 610 Date of Payment Receipt Number �6 S 7NU (Rev. 11/05) Waiver Fee Date of Payment Receipt Number p m7 N I I I I I I I I I I I I _J WaACY ROAD iml;2c=�� S coo 1'00"W 80.00' O lO' 1ITILIT'/ 4aCMCW— S 000 1,00"W 1 00.00, Q O i II E� STATE OF ALASKA Sean Parnell, GOVERNOR 555 CORDOVA DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE, AK 99501 Phone: (907)269-7519 DIVISION OF WATER Fax: (907) 269-3487 WASTEWATER DISCHARGE PROGRAM http://www.state.ak.us/dec/ November 5, 2009 Jeffrey A. Gamess, P.E. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Re: Heritage Hills Sub. Block 4, Lot 8A -South Anchorage -Waiver of Separation Distance to Allow the Construction of a Replacement Septic Tank for an Onsite Wastewater Soil Absorption System-ADEC Plan Tracking Number 5174 Dear Mr. Gamess: On November 5, 2009 the Department received the final information altering the distance to the existing onsite wastewater soil absorption system to 115 feet while still keeping the 75 foot distance to the new 1,000 gallon two compartment High Density Polyethylene (HDPE) septic tank for the three bedroom home at Heritage Hills, Block 4, Lot 8A. The Department has reviewed the engineered plans, your engineer's recommendation, the sampling results on the Class "C" source well, and the well log indicating silty sands and clay layers between the source waters and the soil absorption system. Samples taken from the well were for nitrate (1.89 mg/I) and no detection of arsenic or bacteria. The following waivers are hereby established and approved. The distance from the existing source well, a Class "C" Public Water System to the existing bed type soil absorption system, is reduced from 150 feet to 115 feet to the closest point of the absorption bed. The distance from the existing source well, to the new replacement septic tank of HDPE materials is reduced from 150 feet to 75 feet. This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. 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 Street, Anchorage, Alaska 99501, within 15 days of receiving the decision. Guidance information on the informal review process may be found at http://www.dec.state.ak.us/commish/ReviewGuidance.htm. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.O. Box 111800, Juneau, Alaska 99801, within 30 days of the decision. If a hearing is not requested within 30 days, the right to appeal is waived. Thank you for your cooperation. If you have any questions please do not hesitate to contact me at 269-7519. Respectfully, 7/,uo� /?, .� William R. Rieth, P.E. Environmental Engineer Enclosure: As stated cc: William Smyth, WW, w/o enc. A. STATE OF ALASKA DEPARTM ENT OF ENVIRONMENTAL CONSERVATIO CONSTRUCTION AND OPERATION CERTIFICATE FOR DO.NIESTIC R'ASTEWLA�TE�R� DISPOSAL SYSTEMS zOct- Plans for the construction or modification of ❑ approved as submitted 0 conditionally approved (see attached letter) Oc2;60i;123., //��..J � T l Lr��C/J �vrvr/2e�L»c2.r��h2�n¢�®���r•�y Z3�ZDa9 ( Reviewing Lngin w) Il 111c) l Datc of Approvdn If applicant fails to construct, alter, install, or modify the system within two years of the date of approval to construct, approval is void, and plans must be resubmitted for Department review and approval. B. APPROVED CHANGE ORDERS Change (contract order number or descriptive reference) Qntv (Rvtiicw tng Lnpn •r) (rule) l Uate of Approval) C. APPROVAL. TO OPERATE The "Interim Approval to Operate" section must be completed and signed by the Department before this domestic wastewater disposal system is made available for use. Interim Approval to Operate: The construction of domestic wastewater disposal system was completed on The system is hereby granted 1ATERM APPROVAL TO OPERATE for 90 days following the completion date. It is illegal to operate the domestic wastewater disposal system beyond 90 days without Final Approval to Operate from the Department. (RcNtcwmg 1-ngmm) (I nlc) (Date of Approval) Final Approval to Operate: Record drawings and other documents submitted to the Department, or an inspection by the Department, has confirmed that the domestic wastewater disposal system was constructed in substantial conformance with the approved plans. The system is hereby granted FLVAL APPROVAL TO OPERATE. ,) 2009 (R� ,cw mg 4igmcer) ILtic) lUatc of Appro�all r r .' r. 4 1 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L,8 Uv, 9 , Pao-yza _kltS Parcel I.D. A. V&Q Data Well type Log present ff/N Total depth — Sanitary seal (Y/N) Date of test Static water level Well flow Pump levell SEPARATION DISTANCES Septic/holding tank on I Absorption field lot Publics er main er service line WATER SAM T! Coliform Date of sample: 015-- — JL� If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to —Driller Casing I Wires properly protected ( FROM WE LOG AT INS CTION Wires <propeotected (Y/, properly r FROM Wires AT CTO 9 -P.M. =R WELL TO: On adjacent lots On adjacent lots Public sewer manhole/cleanout Petroleum tank B. SEPTIC/101611MIG TANK DATA Nitrate lected by: bacteria Date installed 0 LO 2 Tank size ?so Ct+(_ Compartments Cleanou , ts -Foundation cleanout (Y/N —Depression ff/� High water alarm(Y/N) Alarm tested (Y/O A Date of pump1hg Pumper—LIZTOLA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot On adjacent lots Fflb f Foundation To property line Absorption field— Water main/service line Surface water/drainage Wo k 72-026 (3/93)- F . ront -I"W, wjxvt Dh-reo CONTINUED ON BACK PAGE rn ?t M lei > J o > g.p-nA-n 1-0 mn <_n "c 0 Zz V; G' bacteria Date installed 0 LO 2 Tank size ?so Ct+(_ Compartments Cleanou , ts -Foundation cleanout (Y/N —Depression ff/� High water alarm(Y/N) Alarm tested (Y/O A Date of pump1hg Pumper—LIZTOLA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot On adjacent lots Fflb f Foundation To property line Absorption field— Water main/service line Surface water/drainage Wo k 72-026 (3/93)- F . ront -I"W, wjxvt Dh-reo CONTINUED ON BACK PAGE STATION Date installed �7 Size in gallons— Vent (Y/N) allonsVent(Y/N) High water alarm level "Pump on" Meets MOA electrical codes (Y/N SEPARATION D NCE FROM LIFT STATION TO: on On adjacent lots Manufacturer "Pump off" Level at tested water D. ABSORPTION FIELD DATA L Date installed C1216 /c 30 qLz oil rating (GPD/Ft2) �� �� o2�S�t� System type /lZvUCH Length a I Wid(h 3 Gravel thickness /U 6 r Total depth Total absorption area Tao Sl= 5)� LF- 1/ p _Cleanout present (Y/N) Depression over field (Y/N) Date of adequacy test �l 3'iS Results (pass/fail) � for oZ Bedrooms Water level in absorption field before testn 1 IG/ After test Z;^4 Peroxide treatment (past 12 months) (Y/6. / o7 /wownJ, If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: v Well on lot Ia I On adjacent lots To building foundation 1U On adjacent lots Cutbank f Property line 1b ' , To existing or abandoned system on lot ri/A Water main/service line Cv L Surface water (66 4 Driveway, parking/vehicle storage area Curtain drain Ik) dNry KN_xOu� Ir y. r —c t7 (A-7F_o ld h3 ,L E. ENGINEER'S CERTIFICATION //_l>CZ9. I certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect on +pf this inspection. �i Signature IWC Engineer's Name i'` •3�/L% C< �D �,/i1� Date "7 7 HAA Fee $ d"' " Date of Payment of Receipt Number / a 72-026 (3/93)' Back S �I . ..... •• E Waiver Fee $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGEIWESTERN PUBLIC SERVICE AREA OFFIC 555 CORDOVA STREET ANCHORAGE, ALASKA 99501 August 15, 1995 Mr. Robert Cowan S & S Engineering 17034 Eagle River Loop Rd., Suite 204 Eagle River, AK 99577 TONY KNOWLES, GOVERNOR (907) 269-7505 SUBJECT: Lot 8, Block 4 Heritage Hills Subdivision - 5201 Tracy Road; Anchorage, Alaska. Class "C" Public Water System ID no. 216033, ADEC Project No. 9621 -DW -223-037. Dear Mr. Cowan: This letter is in response to the information received in this office May .17, 1995, requesting a letter of compliance regarding the above Class "C" Public Water System. The Department has completed its review of the submitted information which included recent water sample analyses for total coliform bacteria and inorganics for nitrate. Since this drinking water system has been previously approved by the Department, and because it serves less than 13 bedrooms or 25 residents, this water system is viewed as a Class "C" Public Water System. Verification that the water supply has been recently tested will be required to maintain compliance with State Drinking Water Regulations. The submitted water analyses were satisfactory for both total coliform bacteria and nitrate and satisfy this concern. Therefore, for the concerns of this Department, this system is in compliance with State of Alaska Drinking Water Regulations (18 AAC 80). Attached is an "Approval of On -Site Residential Water and Sewer Systems" certificate verifying this system's status as an approved water system that is in compliance with 18 AAC 80. Thank you for your cooperation with this Department, if there are any questions regarding the above please do not hesitate to call. Sincerely, Michael Lu, E.I.T. Environmental Engineer ML/cf Attachments OF TSF STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ONSITE RESIDENTIAL WATER AND SEWER SYSTEMS OF, AI. ASµP PROPERTY DESCRIPTION Lot, Block & Subdivision or U.S. Survey L0+ 16 Zlocll `IHeri+age -5 ID 5201 i'r•acy Rd, 01s Class ``C" ?WSID no. 216033 Certificate Issued for Application No.: 9621-JOW- 223- 037 This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- ing water standards for total coliform bacteria -and n;�ra+e Name Title Date WASTEWATER DISPOSAL The domestic wastewater system was: ❑ inspected by the Department of Environmental Conservation and found to be in compliance with applicable requirements of 18 AAC 72; ❑ inspected by a Professional Engineer who certifies that the system complies with applicable re- quirements of 18 AAC 72; ❑ installed by a Certified Installer who certifies that the system complies with applicable requirements of 18 AAC 72; or ❑ tested by a Professional Engineer who certifies that the performance of the system is satisfactory and that the system complies with the minimum separation distances specified in 18 AAC 72. This approval is valid for a ❑ single family ❑ multi -family unit with a total of bedrooms. Name Title Date 180404 (Rev. 8185) DISTRIBUTION: WHITE—BANK/LENDING INSTITUTION; CANARY—APPLICANT; PINK—DEPARTMENT Parcel I.D. # MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES di Division of Environmental Services On -Site Services Section P.O. Boz 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING `7` Z-- HAA # 1. GENERAL INFORMATION 91� Complete legal description Lo.tl Btock 4; HeAitage H,i-2.Zs Subd%vi,6ion; Location (site address or directions) -5907 Road Property owner Exptoration Logu.tin Day phone Mailing address P U Sox 210163 Anchorage, Ataska 99521 Lending agency Day phone Mailing address Agent Debbie Wade MARS,TON REAL ESTATE Day phone 248-2804 - Address 2804 West NortheAn Ligh.tis Blvd., Anchorage, Ak. Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: Individual well Community well xx 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 XX 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 MOA 021 U 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. ,L Name of Firm S@�::r6L1� 1r Phone /_p �T ��� 17034 Eagle River LOOP Road No. 204 Address Eagle Rivej, A183 -ft 9119-57. Engineer's signature Date 6. DHHS SIGNATURE Approved for Disapproved. Conditional approval for Additional Comments M bedrooms. 111Th Pnnc\�12 i bedrooms, with the following stipulations: 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 (Rov. 1/91) Back MOA N21 *L15198 '', . Municipality of Anchorage rENTAL SEavis,; WVIs(ON Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST1, Legal Description: ni (nc ri+Aqe A S Parcel I.D. L2� `J ZCEC r Ct A. WELL DATA ( 00. -2 0 Well type If A, B, or C, attach ADEC letter. ADEC water system number 7_160-13 Log present (Y Date completed Driller Total depth Cased to Casing height— Sanitary seal (Y/N) Wires properly protected (Y/N) — NF OM WELL LOG AT INSPECTION Date of test Static water level Well flow 9.p -m. g.p.m. Pump level SEPARATION DISTANCES FROM WELL TO: _ r r Septic/holding tank on lot !� f ; On adjacent lots ! 5O + Absorption field on lot j CJ rt ; On adjacent lots i S� r+ Public sewer main A) PL Public sewer manhole/cleanout p)�►� Public sewer service line N'w Petroleum tank AlONe, KINowio WATER SAMPLE RESULTS: Sec V4 CIAckca E C �"e7tfCV Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 1D 30 - -4 2 Tank size ' x,50! 1A � Compartments i Cleanouts (Y/N) !4 Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) Nf W Alarm tested (Y/N) Date of pumping SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: _ r � Wells) on lot— N �ok On adjacent lots 1 �% 4 Foundation /J/ t To property line' /n f Absorption field �4 Water main/service line SS r Surface water/drainage / Oo f 72-026 (Rev. 3r91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) "P High water alarm level Meets MOA electrical codes'(` on" level at Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATIZSN TO: Well on lot D. ABSORPTION FIELD DATA On adjacent I "Pump off' level at Cycles tested Surface water _ Date installed 110-30-72 Soil rating Z �c� �f �� System type C�tb f cQ�nlcil LengthCA(&21, e,. 4 Width C ih rh'.)r@Gravel thicknesses ,lDi e A"&I Total depthC�t� j2'1 ikyr- Total absorption area �� Cleanouts present (Y/N) �] Depression over field (Y/N) rJ Date of adequacy test - (- �( I Results (pass/fail) P&SS for Z bedrooms Peroxide treatment (Past 12 months) (Y/N) N' If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot tit A On adjacent lots j 47�0 r f Property line lo �-f 7 To building foundation J D fi To existing or abandoned system on lot ti%(,19 r On adjacent lots 30 y CutbankAJ /lA Water main/service line (O 4 Surface water ( nv Driveway, parking/vehicle storage area 3C> -i" Curtain drain /J 1 E. ENGINEER'S CERTIFICATION I certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Es i.Nt,ltd?:L�itiiu Signature 1703n GFiv r Loop R'Osd NO. 204 Eagle Ieivor, Alaska 995 Engineer's Name 41 q1 Date — f, HAA Fee $�! Date of Payment Receipt Number�'cSC1 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number 3 z�1 ,4a [YU j 4 r � 1 L f S WALTER J. H/CKEL, GOVERNOR U , DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 563-6775 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 11 July 8, 1991 FOR: S & S Engineering PWSID2# 16033 My review of the records on file in this office reveals that the Heritage Hills Subdivision Class A Public Water System, is in compliance with the provisions of 18 AAC 80.060, State of Alaska Drinking Water Regulations. Sincerely, Keven K. Kleweno �O Lead Engineer �,u v MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services 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 1. D. # AQ Q HAA # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) _ Location (addre'ss or d'rrections)¢Y 9 JaY I - .. • �... >HPJ�iUi4 DYa<A s.$a3 cww3.� (b) Property owner; /S`/as/cz. jiyvr..�. w Mailing Address' (c) Lending Institution Mailing Address I-ce Telephone : (home) Telephone Business (d) Real Estate Company and Agent mar*A� 't>e �z G -r -A, �c 1, - .2": er."e r -cc Address Telephone (e) Mail the HAA to the following address: (or check here,K if hold for pick up.) List contact person and day phone number below: 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 Address Yaep 6 g /AkC_ orz� Telephone �I. Date t 44 CIO* • ••. •% W y e R i.tit _ eo••ee ee. •9.0 T e•�1 qe f•+. eee eswe.� ee CE - 225! w 4 f4 PM 4\w 6. DHHS APPROVAL Approved for bedrooms by Date Approved _� Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Ap proval 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 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. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) a 3 n 13 Health Authority Approval (HAA) A CHECKLIST - FEBRUARY 1984 0661 �(11 343-4744 Legal Description: E13 NOISIAIO S301AdgS 1v1N3WN0d1AN9 N /Z 90W0HDNv d0 A111vdI01NnV4 A. WELL DATA Well Classification Se •H!— A✓Ul c If A, B C, D.E.C. Approved (Y/N) Well Log Present (Y/6?Date Completed Yield Total Depth Cased to Depth of Grouting / Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of To Nearest Public SBW-er Line ield on Lot Pump Set snit, yy eal on Casing (Y/N) ion Around Wellhead (Y/N) ; On Adjoining Lots On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole To Nea, st Sewer Service Line on Lot Water Sample Collected by 1, A2�'d ; Date Water Sample Test Results /�P c xe_#ec Comments NJ_'CX tj: </ 13��f:a B. SEPTIC/HOLDING TANK DATA Date Installed 14917_q/2z- Size 7M No. of Compartments / Standpipes &/N) Air -tight Caps&N) Foundation Cleanout UVN) Depression over Tank (Y0 Date Last Pumped ea c.5 Pumping/Maintenance Contact on File (Y/N) ��'� ; for Holding Tank High -Water Alarm (Y/N) Aj Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 7S To Building Foundation ! y To Property Line r y S -S / To Disposal Field To Water Main/Service Line.: 5,5- To 5To Stream, Pond, Lake or Major Drainage Course Comments /oa " 72-026 (Rev. 7/88) Front Page 1 Of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata zsypdti° Type of System Design 0,, d 7r a.,« Date Installed y-.- 104y/2'? Length of Field Cr?1 .Zi' 74YZ� Width of Field Cr, 6 16' Tre« 3 ' Depth of Field Gravel Bed Thickness Cn �0� � e, r Square Feet of Absortion Area 7-20 4- 7 M . Statndpipes Present ON) Depression over Field (Y/6? Results of Last Adequacy Test `(5'r6 A0 Date of Last Adequacy Test &zvl Fre . SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well p To Property Line (04-1 6, Z/ 7/_Ge c�. To Building Foundation 57�/ To Existing or Abandoned System on Lot Nose- ; On Adjoining Lots > Zv To Water Main/Service Line;7e,4ci 32-' To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course y/OO ", To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed 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 **Check Permitted Bedroom Rating Against HAA Request** "Pump 9.fif" Level at Vent(Y/N) Afl,5x Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed �°° ° Company '7 Date / v� 9 v�° ° °°°° ° ° Etigrneer's Seal oozy ° >r MOA No. CF 40-0/z Receipt No. wr) U a C' Date of Payment . � - 1 a -c?'U Receipt No. t tl`ofbP�SSjr>tia��v->`"� � d Waiver Fee: $ Amount: $ t _)U• UU Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 APPLIC AT FILLS OUT UPPER HAL, ONLY ..Property Owner // - jj (,/U1 - //�� \_ L1 T L 1 ILL V'0��}/! C��I //� 1 Phone ` it Time Mailing Addre/Zip L6de C Buyer Address Zip Code Lending Institution Inspector Phone Address Zip Code Inspector Realty Co. &Agent /i 1 /' AIS KCR �1 � �' K ��ff I T C c� Phone Address Zip Code _ W r Legal Description �. 14 {� l ti J / �/ /2 7- �� G t %J hJ Street Location kV �.--+ Type of Residence Mngle Family Family No. of Bedrooms ultiple ❑ Other Water Supply El Individual RECEIVED ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. p'Community - x_ 'CONDITIONS OF APPROVAL - - For wells drilled prior to that date, give well depth (attach log if available). ,. ♦yf 1% Public Utility ( ) CON ITIO AL APPROVAL' Sewer Disposal Year Individual Installed: *Individual Ll` Public Utility When Connected to Public Utility: ❑ Holding Tank BY: ,L NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date - Date Date Date Inspector Inspector Inspector Inspector Field Notes: C•'t � G�yµ1jY..e.t .xi'—+ \ UNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONP✓,-INTAL PROTECTION J' RECEIVED ( "L.) -APPROVED BEDROOMS - 'CONDITIONS OF APPROVAL - - ( ) DISAPPROVED ( ) CON ITIO AL APPROVAL' - DATE 3J BY: ,L Soils Rating - Date Sewer Installed Well To Absorption Area I �- r' - Well Log Received Septic Tank Size FL -�I') Well to Tank ���P 72-023 (3182) May 9, 1983 izok;er_t and Roberta Critchett c/o Dale Murphy 3201 C Stree:. 0100 Anchorage, AS� 99503 Subject: Lot a, block 4, fferitaye- dills Approval for the individual sewer and water facilities cannot be granted until the following items have been completed; The water analysis report needs to be subMitted to this office from the Chew Lav, 5633 B Street, for our review. 6r The septic tank pumped with a reCciPt SuDmittOd to this department. An adequacy test needs to be performed on the existing leaching area. This test will determine if the systeat is adequate according to national standards. A listing of private firms performing the test is enclosed. 'i IAS report needs to bre submitted to this office for our. review. 6�° The standpipe to the se k-mr system need cars on ther•,i. Tease notify this Departtient for a reinsp<.ction when the noted discrepancies have been corrected. If there are any further questions, }Tease call this office at 264--4720. Sincerely, ,�obert C. Pratt HStioclzite Environmental Specialist RP34/ej/El --� ENGINEERING INNOVATION IN THE FAR NORTH A-KCTIL; E'NNGHIN ER3%' 9 ENGINEERING STUDIES 9 DESIGN ® CONSTRUCTION MANAGEMENT J SURVEYING MAY 24, 1983 Mr. Dale Murphy, Realtor Jack White Co. 3201 "C" St., #100 Anchorage, Ak. 99503 LEGAL: OWNER: HOUSE: WATER: SEPTIC SYSTEM: TEST DATE: SEPTIC SYSTEM ADEQUACY TEST Lot 8, Block 4, Heritage Hills Subdivision Unsold at present 2 -Bedroom, single family Individual well From MOA Records Tank: 750 gallon Absorption System: Seepage pit with added deep trench, 6'D x 42'L Absorption Area: Sail Rating: Upgrade Approval Date: May 14, 1983 750 ft2 250 ftz/bedroom 1977 ARCTIC ENGINEERS, 506 W. 36TH AVENUE ® ANCHORAGE. ALASKA 99503 e 907/277-8593 PPSS 6r 6e ENGINEERS, Gff INC.4� 3901 PATRICIA LANE a ANCHORAGE. ALASKA 99504 ® 907/333-9428 (ACCOUNTING) Jack White Co. Adequacy Test Unsold Unit -2- PROCEDURE: Water was dumped into a 4" cleanout at the crib in 100 gallon increments. A total of 500 gallons was added when the absorption system became full. Rate of rise was 50 gallons per inch. The septic tank was then pumped, and absorption monitoring was carried out. The resultant plot of absorption vs. time with the extrapolated daily absorption capacity, is attached. After the test was completed, all standpipes and clean outs were capped. RESULTS: The extrapolated daily absorption capacity was 540 gallons per day. The required absorption capacity for a 2 -bedroom house is 300 gallons per day. The absorption system is adequate by Municipality of Anchorage requirements. MUNICIPALITY OF ANCHORAGE DEPARTMEN�i—OF HEALTH AND ENVIRONMENTA'_PRO C ONS 825 L Street, Anchoraae, Alaska 99501 % -A1 � 264-4720 ost� Date Rec? ved : September 2, 1977 h�a ucl CCLA P�, �'{..- #1: Time 1Ci;f�Uhrn #2: Time ��', �, #3: Time Date '-.I - Insp Date 'A_`QCA Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WA 1. Lending Institution Request: Coast Mortgage Company Date uk_ - Insp )) L Q . 1L1 iES i -fig l Mailing Address: Post Office Box 1200 99510 Phone: 2. Property Owner: Gerald A. Helvey Phone: Mailing Address: 2 L//-Uyoo LP -1-207L4. ZAA� -&1S 3. Legal Description: Lot 8 Block 4 Heritage Hills Subdivision 4: Single Family Residence: (x) Number of Bedrooms: Two Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual Well (x) Community/Public Svstem ( ) Permit # Depth of Well Well Log on File ( ) Construction Bacterial Analysis 6. Sewage Disposal System: On-site System (x) Public Utility ( ) Permit # Installed 1973 Installer 7� Ceo�,Z� Septic Tank Size 7 Manufacturer ei Absorption Area vre� Soils Rate Material 7. �istances: Well to Septic Tank — (� to Absorption Area to.Sewer Line 6/ Nearest Lot line Absorption Area to Nearest Lot Line 0 11) MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: VA FHA 2. Property Owner:— 6taA -0 A • %Ft%L-VE1 . Mailing Address: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION )r P ';1977 RECEIVED CONV - -,.-- Day Phone:_H 77— 6D09 (e 3. Name of Buyer:---ec) L. CE-r(,F%E11 _ Mailing Address:b 2L_�ANCC ��DayPhone: G! 5. Q 7 Name of Lending Inst MaiIingAddress: PCC Name of Realtor or Agent: Mailing Address: CJ Phone:_ 27q—DC2L0S Phone Legal Description: Lo -r S, I)Lcy_-)< `t' +LT -1 1PGic -HILL-S, Sug'D- Location: 4hl60AAN Type of Facility to be Inspected:— 1 ILE lk No. Bdrms. Z- 8. Water Supply Type of Supply 0 Public Litility Individual t/ If Individual, number of dwellings presently served1KMOW 14 If Individual, depth of well f IAjkKtJ"A I Sewage Disposal System Type of System: Public Utility If Individual, date of installation __ 72-003(3/76) Cl' -75 Individual (on-site)__ Paqe T6'�7o Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 8 Block 4 Heritage Hills Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved : l s��Lt v�� Date: Disapproved: Date: Department Worksheet: .7 a.� w.o o u iQ10 i e cte��9 i' ` OA I v �MRlk�! L'i � '�,�� k Y e,D % Gic POUCH 6-650 ANCHORAGE, ALASKA 99502 (907) 279-2511 GEORGE M. SULLIVAN, MAYO -R DEPARTMENT OF HEALTH AND ENVIROMAIENTAL PROTECTION (825 "L` Street) September 30, 1977 Coast Mortgage Corporation Post Office Box 1200 Anchorage, Alaska 99510 Subject: Lot 8 Block 4 Heritage Hills Subdivision Please be advised that the recent perc test conducted by this department on the subject property's seepage pit failed to meet the minimum required absorption rate, therefore, an upgrade of the existing system is necessary before final approval can be granted. Temporary approval will be granted iii funds are escrowed for the upgrade. Also, funds should be set aside for interim pumping as necessary until the upgrade is completed. A completion date of October 31, 1977 is requested. specifications for the upgrade are as follows: Trench length forty-two(42) feet Total depth ten(10) feet Gravel depth six(6) feet A permit is required from this department prior to construction. If there are any further questions, please contact this office at 264-4720. sincerely, John Kennedy Principal Code Enforcement Officer JK/ljh cc: Gerald A. Helvey 2 3. Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection 2o -j -(J-30 Date of Inspection 3 :76� REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested by: Mailing Address: J ('e T,j Phone: .1) Property Owner: Phone: '5 Mailing Address: Legal Description: 4. Location: 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. Size B. Installer C - 2. Manufacturer D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Material A. Well to: Septic tank , Absorption area , Sewer Lines 9 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 GREATER ANCHORAGE AREA BOROUGH__ Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV _ 2. Property Owner: Mailing Address: .S KA 3o :7 Day Phone 3. Name of Buyer: Mailing Address: 's.5t,c+2;w+br:ck 7 3 C� Da, Pi r 4. Name of Lending Institution: CyaS'1�`(1'UAU `-2 Mailing Address: r%Q0 ~� s�r'�ee Phone 5. Name of Realtor -or Agent: - Mailing Address: Phone 6. Legal Descrip Location: tion: I 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Uti ity we No. Bdrms. te_� Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation C"� EQ-037 (1/74) ai Description Comments Approved :�-a - ?' %< . v-sapproved Date j 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. SIGNED _ Date EQ -034 (1/74) r' e GREATER ANCHORAGE AREA BOROUGH �I,V Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-3696 Date Received 1. Approval Requested Address: 2• Property Owner: 3. Legal Description: 4. Location: 5. 6. Type of F Time of Insnection Date 6f Inspection REQUEST FOR APGROVAL OF IN,)TVIDUAL SEWPP & +MATER FACILITIES FOR Phone: Phone: Number of, Bedrooms: c2i Well Data: s a vlAr Le A. Type, �42 C'c C. Construction 7. Sewage Disoosal System: A. Installed CM CCCC B. Depth D. Bacterial Analysis B. Installer.e1�.� �'lJ'LLGLti�_ C. Septic Tank: 1. Size_ 2. Manufacturer �L CP-A,�L,, D. Seepage Pit: 7.. Size>'�Ott)(�ka• Material E. Disposal Field: Total Length of Lines B. Distances: � f A.u7e11 To: Septic Tank, Absorption Area /. / Sewer Lines Nearest Lot lire % b Other Contamination 3. Foundation to Septic Tank j Absorption. Area C. Absorotion Area to Nearest Lot Lane `12equect for A,? nroval of-.dividual Sewer & water Facilitft ,' Page Two 9. Comments: Aorroved��; , ,�.>/�1cc� �isarproved Da t e���7 3 Approval Valid for One Year From Date Sinned Greater Anchorage Area Borough, Department of Environr.ental Quality DIAGRAM OF SYSTFiM I certify that the information contained in this request for approval to be a true and accurate representation of the suhiect sewer and water facilities located at: Signed Date • �.t Municipality of Anchorage DEPARTMENT OF COMMUNITY PLANNING REC"D BY: P.O. Box 6650 VERIFY OWN. Anchorage, Alaska 99502-0650 A. Please fill in the information requested below. Print one letter or number per block. Do not write in the shaded blocks. 0. Case Number (IF KNOWN) 1. Vacation Code t� _Da), ra), 1� 9� `o 2. New abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34). 3. Existing abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOT 34) full legal on back page. 4. Petitioner's Name (Last - First) oo©m©■r�eo®e��■eeo�■ ■■■■■■■■■■■■■■■■■■■ Address .� z-() 3 4 1 5. Petitioner's Representative Address 44U wr5T %3c -/-150/-I ( t o City AState A (L City 4L6ilOP-401�. State IgL"451Gi1 Phone No. �6 — (9 00 Bill Me Phone No. $ 6z- J —D Bill Me 6. Petition Area 7. Proposed 8. Existing 9. Traffic 10. Grid Number 11. Zone Acreage Number Number Analysis Zone Lots Lots 0, 34-00� 0�1 2737 P—� 12. Fee $ 13. -Community Council B. I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire to subdivide it in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision fee is nonrefundable and is to cover the costs associated with processing this application, that It does not assure approval of the subdivision. I also understand that additional fees may be assessed if the Municipality costs to process this application exceed the basic fee. I further understand that assigned hearing dates are tentative and may be have to postponed by Planning Staff, Platting Board, Planning Commission, or the Assembly due to administrative reasons. Date: L bo!//L ti Signature *Agents must provide written proof or authorization. 20-003 Front (4.85) 4 9 0 8 MAR- o 5 ,1990 C. Please check or fill in the following: 1. Comprehensive Plan — Land Use Classification Residential Marginal Land — Commercial Commercial/Industrial — Parks/Open Space Public Lands/Institutions — Transportation Related 2. Comprehensive Plan — Land Use Intensity Dwelling Units per Acre _ Special Study Alpine/Slope Affected 3. Environmental Factors (if any): a. Wetland b. Avalanche 1. Developable 2. Conservation c. Floodplain 3. Preservation Alpine/Slope Affected Industrial Special Study d. Seismic Zone (Harding/Lawson) D. Please indicate below if any of these events have occurred in the last three years on the property. Rezoning Case Number Subdivision Case Number Conditional Use Case Number Zoning Variance Case Number Enforcement Action For Building/Land Use Permit For Army Corp of Engineers Permit E. Legal description for advertising. L 0 5 &,06V- 1Irl?I7AGG l-l/�L_S F. Checklist 30 Copies of Plat / Reduced Copy of Plat (S'h x 11) V Certificate to Plat Fee Topo Map 3 Copies Soils Report 4 Copies Aerial Photo Housing Stock Map Zoning Map Water: Private Wells Sewer: —X_ Private Septic 20-003 Back (4.b5) Waiver XCommunity Well Community Sys. Public Utility Public Utility VACATION OF RIGHT-OF-WAY OR OFFICE UJZI� EASEMENT APPLICATION' Municipality of Anchorage RECD BY: DEPARTMENT OF COMMUNITY PLANNING- VERIFY OWN: P.O. Box 6650 Anchorage, Alaska 99502-065x- " A. Please fill in the info NO requested below. Print one letter or number per block. Do not write in the shaded blocks. >£ . 0. Case Number (IF -KNOWN} _ 1. Vacation Code:. B. 2. Abbreviated Description of Vacation (EAST 200 FEET SOME STREET) 3. IFIMFAFn11111€aitgoi I' 1IIMLIESC�'�riQ� eN11s3a � r I' eN11s3a Existing abbreviated legal -description (T12N R2W SEC 2 LOT 45 OR SHORT SUB- BILK 3 LOT 34). r I' eN11s3a 4. Petitioner's Name (Last - First) 5. Petitioner's. Representative L Address 26- 3 JZ In Address y ��� r �1'% f0 X63 City._ 14 Y el State - - -- City-- State Phone No. 90 Bill Me Phone No. S�� - 2 11 Bill Me 6.; Petition Area'Acreagw .: , 7. ODi!ilYO eN11s3a 10. Grid Number 1. Proposed Number.. 8_ Existing Number 9. Traffio Analysis Zone Lots ._ LotsFMi . Zone 12. Fee $ f 4t.1 Dz"LJ 13.`- Community Council I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire to vacate it in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic vacation fee is nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the vacation. I also understand that additional fees may be assessed if the Municipality's costs to process this application exceed the basic fee. I further understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff, Platting Board, Planning Commission, orthe Assembly due to administrative reasons. Date: 20-019 From (4/85) Signature 'Agents must provide written3rogly� ft�oVA1 ff. 0 5 ;990 C. Please check or fill in the following:4 1. Comprehensive: Plan v Use Classification idential Marginal Land Alpine/Slope Affected Commercial Commercial/Industrial Industrial Parks/Open Space, Public Lands/Institutions Special Study Transportation Related 2. Comprehensive Plan — Land Use Intensity'. Dwelling Units per Acre Special Study Alpine/Slope Affected.;:, 3. Environmental Factors (if any): a. Wetland b. Avalanche 1. Developable 2. Conservation c. Floodplain 3. Preservation d. Seismig Zone (Harding/Lawsgn) D. Please indicate below if any of these events have occurred irr the last three years on the property. Rezoning Case Number Subdivision Case Number L1 4 ..I Conditional Use Case Number Zoning Variance Case Number Enforcement Action For Building/Land Use Permit For E. Legal description for advertising. of F. Checklist 30 C of Plat Red Copy of Plat (81/2 x 11) Ce(tificate.to Plat Be Topo Map 3 Copies Soils Report 4 Copies Aerial Photo Housing Stock Map W^erg yFh We/[ Cr o Sr PS /rC q bl eer,' j a r Waiver Zoning Map Water:L'Priv Wells Sewer: rivate Septic 20-019 Back (4/85) Community Well Community Sys. 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