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Home My WebLink AboutLAMPERT ESTATES BLK 1 LT 3Lampert Estates Block 1 Lot 3 #051-102-57 5 WOM1 1 1A JAN 2 2013 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OS0121355 PID Number: 051-102-57 Dwelling: M Single Family, (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New N Upgrade Name: DAN BILLMEYER ABSORPTION FIELD ❑Deep Trench [:1 Shallow Trench C] Bed Mound Address 22705 FRIENDSHIP LN., CHUGIAK, AK Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0.5 GPD/SF +0.7 Ft. LEGAL DESCRIPTION Depth to pipe invert from original gradeGravel +1,2 FL depth beneath pipe 0.5 Subdivision Block Lot LAMPERT ESTATES 1 3 Ft. Fill added above original grade Gravel length 60 Township Range Section ,5 Ft. Ft. Gravel width 15 Ft. Beds: Number of Lines 3 Distance between lines 5 Ft. SEPARATION DISTANCES To Septic Absorption Litt Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line goo Fe Ft. well >100' >100' >100' NA >25' TANK ❑ Septic N S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1250 Gal. Surface Water >100' >100' >100' NA Material Number of compartments Lot Line >5' >1o' >5' NA STEEL 2 NA Foundation >5' >10' >5' NA LIFT STATION Manufacturer capacity Curtain Drain >50' >50' >50' NA ANCHORAGE TANK 1250 Gal. Remarks EXISTING TANK ABANDONED PER MOA Pump on level at 25 Pump off level at 45 High water alarm at 22.5 ii ` REQUIREMENTS tRENcr1 �8�t5 ir5l �e{} in. in. in. In g6ce, ' i tilt S+W�6& IV U " Pump make and model ORENCO Electrical Inspections performed by MARK GRAHAM �— Installer PIPE MATERIAL House to tank 3034 Tank to dreinfield SCH40 DEAN CONSTRUCTION Drainfield SCH40 CO/MT F810 Inspector LARS SPURKLAND & ANSON MOXNESS BENCHMARK (Assumed elevation)100 ft Inspection ection 1a 10/12/12 10/15/12 Location and description 2"" 30 4m BOTTOM SIDING @ "A' ON 50 SCALE DRAWING COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamo OF A�{i�i�)� Conditional Approval: Date Q i LA PURKLAN :00 � 1 0 f ,• , >� Approved . Date '/ ilk `RD ,S10NP® LEVEL OBERG ROAD 3 H/GH RETAINING WALL LOT 4 \ PEv" 1 LOT 2 �Q V 6. H T m� TH EVE Septic i Area `3 m ® ( Areaic�. it LEVEL BLOCK I SWING TIES ' A8 LOT 3 �� 125WS-TO GAD STEPTANK SEPTIC SY. C 23.0 42.0 I WITH 15' X 60' ABSOPRTION BED — Well R.O.W. EASE ---4. LEVEL MAX EXCAVATION DEPTH 0.5 FEET MOA FILTER SAND 1 fOOT SEWER ROCK 0.5 FEET - ♦ I nvn c monw A 3 BDRM Ii S F.D I I Well� — — •.`, � Well — FRIENDSHIP LANE NOT£: SLOPES £XCEmm 25% WERE NOT OBSERVED WITIBN 50 F££T DOWN GRADIENT OF WE PROPOSED ABSORPTION FIELD LOCATKNI. NOT£.• THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION! ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE• 1' = 50 FT LOT 1 Well ISPURKLAND ENGINEERING(( LAMTERT ESTATES BLIT I LT 3 I I RECORD DRAWING 203 w K, 99501 TH. AVENUE ANCH, AK, DAN BILLMEYER BATEr OCT 9, 2012 (907) 279-3916 22705 FRIENDSHIP LANE, CHUGIAK AK 99567 SHEER 1/3 GRIDI NV13-" PERMIT # 17SP121XXX PID # 051-102-57IPERMIT # PID # 051-102-57 LAMPERTESTATESBIL3.SC50.DVGI D 31.0 44. £ 58.0 55.0 F 61.0 48.0 G 114 106 H 116 109 Well f_ LEVEL — Well R.O.W. EASE ---4. LEVEL MAX EXCAVATION DEPTH 0.5 FEET MOA FILTER SAND 1 fOOT SEWER ROCK 0.5 FEET - ♦ I nvn c monw A 3 BDRM Ii S F.D I I Well� — — •.`, � Well — FRIENDSHIP LANE NOT£: SLOPES £XCEmm 25% WERE NOT OBSERVED WITIBN 50 F££T DOWN GRADIENT OF WE PROPOSED ABSORPTION FIELD LOCATKNI. NOT£.• THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION! ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE• 1' = 50 FT LOT 1 Well ISPURKLAND ENGINEERING(( LAMTERT ESTATES BLIT I LT 3 I I RECORD DRAWING 203 w K, 99501 TH. AVENUE ANCH, AK, DAN BILLMEYER BATEr OCT 9, 2012 (907) 279-3916 22705 FRIENDSHIP LANE, CHUGIAK AK 99567 SHEER 1/3 GRIDI NV13-" PERMIT # 17SP121XXX PID # 051-102-57IPERMIT # PID # 051-102-57 LAMPERTESTATESBIL3.SC50.DVGI Kff I��I:7�7�77;7#l'I�T�I�T NOT TO SCALE 15' X 60' Mound Bad.• 15' Wide 60' Long Excavation Depth Remove Organics Fliter Sand 0.5' Rock (effective) 2' Insulation 2' Cover lmin) NT.S 1250 GALLON STEP TANK BENCH MARK 901TUM 51DING O A- ON 50 SCALE DRAWING ISPURKL4ND ENGINEERINGI I L4MPERT ESTATES BLK 1 LT 3 t l RECORD DRAWING I 203 W15th Ave DAN BILLMEYER fl DATES OCT 17, 2012 279-3916 Anchorage Ak 99501 22705 FRIENDSHIP LANE, CHUGIAK AK 99567 SHEET: 313 GRIDS NW1359 ' PERMIT 0 OSPIOXXX - PARCEL ID 0 051-102-57 LANPERTESTATESB1L3.B3.DWG On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121355 Tax Code Number: 05110257000 Work Type: Septic Upgrade Permit Effective Dates: October 10, 2012 to October 10, 2013 119 -12- /L0 - / 5� I i) �,_ J, 3� -- I> t- Id,' 3D' Design Engineer: SPURKLAND ENGINEERING Subdivision: LAMPERT ESTATES Site Legal Address: LAMPERT ESTATES BLK 1 LT 3 G:1359 Owner/Address: BILLMEYER DANIEL H & DIANNA L 22705 FRIENDSHIP LANE CHUGIAK AK 995676151 Site Mailing Address: 22705 FRIENDSHIP LN, Chugiak Lot Size in Sq Ft: 19856 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: I Z MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907=343-7997 On -Site Water & Wastewater Program ` _4 ON-SITE SEWER/WELL PERMIT APPLICATION 051 "7I p. ,tP�el I.D..O$;'102-57 m% Property owner(s) DAN BILLMEYER Day phone 351-4182 Mailing address 22705 FRIENDSHIP LANE, CHUGIAK, AK 99567 Site address SAME Legal description (Sub'd., Block & Lot) LAMPERT ESTATES BLK 1 LOT 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Q Initial ❑ Single Family (SF) Ej (w/wo ADU) Septic Tank Q Upgrade. 0 Duplex (D) ❑ Holding Tank ❑ Renewal L1Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. LO -110 s� owner or Permit/Rush Fees: S,,vo " 2CI 4 QuSh Waiver Fees: _ Date of Payment: 1011ok-. Date of Payment: Receipt Number: b"101q G% Receipt Number: Permit No. 055 I2\3S 5 Waiver No. Permit App_9-1-12.doc SPUTMand Engkmaa long Environmental Consulting and Design SEPTIC SYSTEM DESIGN Lampert Estates Block 1 Lot 3 Municipality of Anchorage October 9, 2012 Development Services Department On Site Water and Wastewater Program 4700 Elmore Rd. Anchorage, Alaska 99519 Subject: Septic System Installation Permit 22705 Friendship Lane Ladies and Gentlemen: I am writing to request a septic system upgrade permit for the above referenced property. The existing septic system is backing up into the house and needs to be replaced. The proposed system will serve a 3 -bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Cates: Groundwater observed at a depth of 4 feet below ground surface (10/9/2012). Soil Rating. From Test hole 10/2/2012 15 min/in = 0.5 gal per sq.ft/day No. of Bedrooms 3 Required Area per Bedroom: 150/ 0.5 =300 sq.ft. Total area required: 300 x 3 = 900 sgft System: We are proposing a 1250 gallon STEP tank followed by a mounded bed absorption field. The absorption field will be 60 feet long and 15 feet wide and contain 0.5 feet (900 sq.ft. effective) of sewer rock. Soils: A test hole was excavated on October 2"d, 2012. See the attached soil logs. No ground water was observed to a depth of 20 feet during excavation. Ground water depth was observed at 4 feet on October 9a', 2012. Monitoring will continue through construction of the septic system. Surface Water: There are no surface waters within one hundred feet of the proposed septic system upgrade. Topography: The ground surface in the vicinity of the proposed drain field is generally level. 203 West 15 Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net Jk-Ai_ SpaMaimd EnUoMcellmg Environmental Consulting and Design Waivers: None The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. if you have any questions or concerns, please contact me at 279-3916. Sincerely, Lsom� Lars Spurkland, P.E. Civil Engineer 203 West 15`h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net TRACT A I F— ORERG ROAD — — LOT 6 I LOT 5� � LOT 4 LOT LOT 2 LOT I I M04 PARK � I I � I o f BLOCK 1 I m I � I al I I ¢ lFell I SF.D I I o I G��o� I I I I - WeU ASE _----�R.O.W.f-- LOT 56 LOT 55 WellI Well L — NOTE. THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN fROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTAWN. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE.- 1' = 100 FT SPURKLAND ENGINEERING I I LAMPEBT ESTATES BLK 1 LT 3 I (SEPTIC SYSTEM DESIGN 203 V 15TH AVENUE DAN BILLMEYER DATEi SEPT 26 2012 ANCH. AK. 99501 (907) 279-3916 22705 FRIENDSHIP LANE CHUGIAK AK 99567 SHEET+ 1/3 GRID NV 1359 PERMIT R LISPI11OXX PID R 051-102-57 LAMPERTESTATESBIL3.SCIOO.DVG LOT 4 �` LEVEL LEVEL Septi, LEVEL OBERG ROAD LOT 2 Area i t Areaic� y I LEVEL BOCK 1 I INSTALL 3 -BEDROOM SEPTIC SYSTI FLEVER 1250 GAL. STEP TANK WITH 15' X 60' ABSOPRTION BED "' v £XCAVATKNN DEPTH 0 5 FEET hLEVEL Y ell Well ITLTER SAND 1 FOOT R ROCK 0.5 FEET LOT 1 3 BDRM 1SYS7TM PER UPC R£QUNtEM£N S F.D Well Well — Well FRIENDSHIP LANE R.O.W. EASE ---4- - - NOT£.• SLOPES EXCEEDING 25% WERE NOT OBSERVED WHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPTION FELD LOCATION. NOTE: THIS IS NOT A SURVEYED PLAT. WELL h SEPTIC LOCATIONS TAKEN FROM ON -SA£ WATER AND WAST£ WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 250 25 50 75 I100185 150 SCALE 1' = 50 FT SPURKLAND ENGINEERING I"PEBT ESTATES BM I LT 3SEPTIC SYSTEM DESIGN 203 V 15TH, AVENUE BAN BILLMEYER DATE+ OCT 9, 2012 ANCH. AK. 99501 (907) 279-3916 22705 FRIENDSHIP LANE, CHUGIAK AK 99567 SHEET, 1/3 GRID+ NV1359 PERMIT # OSP121XXX PID # 051-102-57 LAMP£RTESTATESBIL3.SC50.DV6 3 -BEDROOM RESIDENCE NOT TO SCALE 15' X 60' Mound Bed. - 15' Wide 60' Long Excavation Depth Remove Organics Filter Sand 0.5' Rock (effective) 2' Insulation 2' Cover (min) MT.S 1250 GALLON STEP TANK IMI jGmr. 1250 GALLON STEP TANK ISPURKLAND ENGINEERINGI I LAMPERT ESTATES BLK 1 LT 3 I I SEPTIC SYSTEM SCHEMATIC I 203 W15th Ave DA 279-3916 N BILLMEYER DATE+ OCT 9, 2012 Anchorage Ak 99501 22705 FRI£NBSHIP LANE, CHUGIAK AK 99567 SHEET, 3/3 GRID, N0359 PERMIT # 17SP121XXX PARCEL ID # 051-102-57 LAMPERTESTATESB1L3B3.BW6 Municipality of Anchorage Development Services Department Building Safety Division y�r On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraoe.ak. us (907) 343-7904 Soils Log - Percolation Test �+t Performed For: DAN BILLMEYER Date Perforried:'1 Legal Description: LAMPERT ESTATES BLK 1 LT 3 Township, Range, Section: 1 7 1 1 1 1 Depth Suwc1� CGS) (3.0. H . WAS GROUND WATER Date ENCOUNTERED? NO Net Time Depth to Water a IF YES, AT WHAT DEPTH? - L Depth to Water After O P Monitoring? 4� E Date: 10/9112 10/9/12 t fH E.SPURKLAND lr 1 00 i Reading Date Gross Time Net Time Depth to Water Net Drop 10/9112 10:15 AM 0 MIN 11.438" 9.375" 10/9/12 10:45 AM 30 MIN 11.938" 2.063" 9.875" 10/9/12 11:15 AM 30 MIN 12.000" 2.063" 10.000" 10/9/12 11:45 AM 30 MIN 2.000" PERCOLATION RATE 15 (minutesA c) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 0,5 FT AND 1 FT COMMENTS Pre-soak conducted. PERFORMED BY: ANSON MOXNESS I / CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL WIDELINCS IN EFFECT ON THIS DATE. DATE: 10/9/12 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE M NEW / ❑UPGRADE MAIL�IG�L DRESS�/ LEGAL DESCRIPTION elkl LP LOCATION NO. OF BEDROOMS s U Well / Absorption a�jea DISTANCE TO: j �_ �-•G 'iY�� Dwelling� _ PERMIT NO. F- 2 Manufacturer Material No. of compartments Liq. rapacity in gallons /a,/)40 IF HOMEMADE: 1 Inside length Width Liquid depth DISTANCE TO: Well Dwelling �� PERMIT NO. _j 02 O Z Q 2 — F Manufacturer Material Liquid capacity in gallons , DISTANCE TO: Well s t , Foundation Nearest lot line 1j PERMIT NO. J Z F- Q ¢ No. of lines / Length of each line '` r ��-I Total length of lines `- _ Trench width �,-" ' inches Distance between lines ¢ F- Top of tile to finish grade Material beneat i the Total effectiv absorption area o % ' F 72 inches VW s Length Width Depth PERMIT NO. Lu L7 Q F- to Type of crib Crib diameter Crib depth Total effective absorption _� area w DISTANCE T0: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT N0. J W DISTANCE T0: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS e SOI L TEST ? (RATING INSTALLER REMARKS C• ' sr LEGAL APP -E/D DATE/7 72-013v. 3/78) C.�,/ THE REQUIRED SIZE OF THE SOIL HBSORPTlON SYITEM lS: �� L. K 141121 X H - q �= 10" 15 . Ey 01A VR 1-1 "Vo W L. 17, KT: 101' 1 - 1-1 Is: PERMIT RPPLICRNT HAS THE RESPONSIBILITY TO INF0RM THIS DEPHRTMENT DURING THE INSTHLLHTION INSPECTIONS OF HNY WEiLS RDJRCENT TO THIS PROPERTY RND THE NUM8ER OF RESIDENCES THHT THE WB.L WILL SERVE. ��— I *8- 9 C�) A,-. Ir. � --:" , 11' � 0: � � A rr A PF�:! V,�:: 11"_11�� —~~— BHCKFILLING UF RNY SYSTEM WITHOUT FINAL. INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUOJECT TO PROSECUTION MINIMUM DISTANCE BETWEEN H WELL HND HNY ON~SITE SEWOGE DISPOS0L SYSTEM IS 100 FEET FOR H PRIVHTE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC NELL OTHER REQUIREMENTS MHY HPPLYSPECIFICHTIONS HND CUNSTRUCTION DIRGRHMS HRE RVRILHBLE T0 INSURE PROPER INSTHLLRTION. WEARM S' W WWW"" I TRUS; : A - T" E., N 2 4 6 12 14 16 Steven A. Johnson Soils Log Box 76 Percolation Test Chugiak, Alaska 99567 Phone: 688-3085 Performed for Charles Oliver Date 8/9/78 Legal Description Lot 3, Block 1, Lampert Estates Subdivision Test Pit Location 125' N and 45' E of SW corner 6.o' 7.5' 0'- 2' red brown silty sandy gravel w/organics (GM) 225 ft2/bd.rm 21- 16' dense gray brown silty sandy gravel w/var.iable amounts of silt and cobbles to eight inches (GM) 250 ft2/bdrm perc test from 6.0' to 7.5' denser below 10' no water table encountered Total depth this test 1.6 feet AVERAGE ABSORPTION AREA REQUIRED FROM SOILS LOG = 247 ft.2/bdrm. ATF. NET TIME (Min.) NET DROP In. PERC RATE(Min/in) 8Z9/78 30 1.25 30 0.85 4. 30 1.00 0.0 65 _ 1- 3Z54 .3 30 1.125 26. _ 30 0.87_ 4. Percolation rate Signed minutes/inch �U PA X KV 3: 10 L. X _F_ V kip F07 FIVICA-M ROCKY_ DEPHRTMENT O� 'EHLTH HND ENVIRUNMENTHL P/ .ECTION �NCHORHGE/ 99�01 264^4720 PERMIT NO ( 780104 ) HPPLIIVH 1"1 O. BF:. R. 694-2588 LOCHTION OLBERG RD LEGHL LT.] 1 LHMPERT EST. LOT SIZE 28000 SQUHRE FEET I CERTIFY THHT 1� I HM FHMILIHR WITH THE REQUIREMENTS FOR ON~SITE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPHLITY OF HNCHORHGE 2� I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES. SIGNE.... ____.... _..... ... ..... .... .... ______.... _.... .... .... ..... HPPLICHNT LEE SULLIVHN ISSUED BY .__..... _DHTE C�wt tax rb Britting by A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 694-2588 OWNER OF LAND l,. , .' 'I .,.1 i ;, `,_•' ,' DEPTH OF WELL _- ADDRESS LEGAL DESCRIPTION i DATE -Started i PERMIT NUMBER KIND OF FORMATION: STATIC LEVEL OF WATER FT. DRAW DOWN FT. GALS. PER HR KIND OF CASING From f% Ft. to Ft. to Ft. From From—Ft. to _Ft. Ft. to Ft. From Ft. to From Ft. to Ft. ."`"" From Ft. to— --Ft. From Ft. to f� 1 �`" Ft. _(;) '.; c, .. r,_. _. , . From Ft. to_ Ft. From ; "i '. Ft. to,i1 Ft._ %• ; j`'<, -.'ir, f; _ From Ft. to Ft. From � ' � Ft. to / ` • 4 Ft.- I-P� x% Fl._ ,, , From Ft. to Ft. From - ' Ft. to N'' Ft. `% From_ Ft. to Ft. Frmn_Ft. to P" Ft S;. ,l l a ,,-,r"."+, J,'; i .,rProm Ft. to —_Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. Froin—Ft. to Ft. From Ft. to— _Ft. From Ft. to Ft From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. MISCL. INFORMATION: From Ft. to— Ft. From Ft. to Ft. From Ft. to— -Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. DRILLER'S NAME 0 MUNICIPALITY OF ANCHORAGE Development Services Department t a p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-102-57 Legal description LAMPERT ESTATES BLK 1 LT 3 Site address 22705 FRIENDSHIP LN Expiration Date: 1/12/2024 Current property owner(s) BILLMEYER DANIEL H & DIANNA L XThe On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By Original Certificate Date: 10/12/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other r' COSA Approval—June 2022 MUNICIPALITY OF ANCHORAGE 0 ., f '•T Development Services Department 4 p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-102-57 Complete legal description Lampert Estates Block 1 Lot 3 Location (site address) 22705 Friendship Lane, Chugiak, AK 99567 Current property owner(s) Daniel & Dianna Blllmeyer Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY:❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: 9 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 11 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $_q�� C) Waiver Fee $ Date of Payment J /Z_ 5 Z 20Z_3 Date of Payment COSA # �S ,z 3 B 3 Waiver # COSA Application—June 2022 Lampert Estates Block 1 Lot 3 051-102-57 5.2 4/3/78 202 N/A 1.03 9/25/23 Forge Engineering 156 9/12/23 44" 5/5/23 JR's 10/15/12 4.5 N/A N/A N/A 11 Steel 9/25/23 0 454 1 120 0 > 450 6 0 6 (907) 522-7773 Benjamin Schiller, P.E. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log Owner__a_,n 9, -c -A . �J l Ae)t e r Street Address .2dZ 70,5 Septic Tank: Cr- -Sludge level � inches -Pumping: required e no •Pumping completed e no Lift station: *Pump basket cleanedtsn *Effluent filter cleaned e no C *Control floats cleaned •Proper float settings confirme es no `5123 •Operation satisfacto N Alarm System- -Dedicated electrical alarm it es no -Audible an4-yi�clarm inside dwellin es no -Alarm system operati satisfacto not satisfactorV Manhole Riser *Ground water intrusion at riser to tank connection yqK no *Ground water intrusion around pipe penetrationses no -Weep hole functional es o -Manhole lid: Functiona e no Insulated es no Properly Secured es no Other -All manufacturer required inspections and maintenance completee no Comments: Qualified Maintenance Provider: Technician �� 2( L..�2 !'1 f Date of maintenance 4 Company Signature Date to t,d ,23 O co • rr r ROAD a t� N89059'20"W 90.00 ° 6.7 Septic vent 34.0 (typ) Garage o o � LOT 3LO Chain link fence (typ) 34.0 6.6 ° a� ° t} _ Asphalt u� L Ret. wall 4 (typ) Well 0 -T 10' 1 Utility Easement N89057'20"W 90.00 FRIENDSHIP LANE 50' BLM Road Reservation 8507w SCALE: V= 40' �"W* OFlow Am A �� A .S 49th •-� *h• 101.•••. • s' / en Elizabeth L. Walatka : ff 00 �t�x • • 8036 - LS• • �, l i F J AW • • C' Ar A•••• ••• �O AW %r ESSIONA � REVISED 10-06-23 Added septic vents , AS -BUILT NO CORNERS SET THIS ATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 3, BLOCK 1, LAMPERT ESTATES SUBD. Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 12th day of September , 2023. EASEMENTS OF RECORD, OTHER THAN FRED WALATKA & ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON BE Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 23-3, pg 12-13 907-24$-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. Manhole Lot 4 M ' `t �C.0 Lot t N r CO deck N N . 15. 44.0 0 W W N 2 Story o CD Frame a - � _ House 18.0 w o C:) o ---29. o I O C:) 2.6 O H N� � o Z Z 26.0 -� Asphalt u� L Ret. wall 4 (typ) Well 0 -T 10' 1 Utility Easement N89057'20"W 90.00 FRIENDSHIP LANE 50' BLM Road Reservation 8507w SCALE: V= 40' �"W* OFlow Am A �� A .S 49th •-� *h• 101.•••. • s' / en Elizabeth L. Walatka : ff 00 �t�x • • 8036 - LS• • �, l i F J AW • • C' Ar A•••• ••• �O AW %r ESSIONA � REVISED 10-06-23 Added septic vents , AS -BUILT NO CORNERS SET THIS ATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 3, BLOCK 1, LAMPERT ESTATES SUBD. Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 12th day of September , 2023. EASEMENTS OF RECORD, OTHER THAN FRED WALATKA & ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON BE Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 23-3, pg 12-13 907-24$-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. MUNICIPALITY OF ANCHORAGE 5. LEGAL DESCRIPTION DEPT, OF HEALTH & MUNICIPALITY OF CHORAGE ENVIRONMENTAL K,01ECTION DEPARTMENT OF HEALTH & EN RONMENTAL PROTECTION - - - -825 L Street - Anchorage, Alaska 99501 (] q(�ryp - NOV 8 9 8 ENVIRONMENTAL ENGINEERING DIVISION 6. TYPE OF RES107ENCE Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. incomplete requests will not -be_processed. Please allowten(10) days for processing. - 1. PROPERTY OWNER PHONE _ W a Co u _TI vje_g' . ,BvIlae-t^ MAILING ADDRESS WELL LOG. Awell lag is required for all wells drilled PROPERTY RESIDENT (If different from above) since June 1975. For wells drilled prior to that date, give well PHONE 2. _BUYER 8. SEWAGE DISPOSAL SYSTEM S0 PHONE '7l ane i `' MIc,hPle. 1 e ns 5 If system is over two (2) years old an adequacy test is required MAILING ADDRESS by this Department. 3. LENDING INSTITUTION PHONE lay,. le.s.q. feCA(2 a CretQ.t 1tV110f MAILING ADDRESS - _ - Jame -cu S . tet o 4. REALTOR/AGENT' - PHONE Norte st.c�-v e4 crt v�,w. G9Y-$7ob MAILING ADDRESS Sox S y_Ic R VeN , K. 9 9s'-17 5. LEGAL DESCRIPTION � a -t F s tr—t es B 1 K, I .- V STREET LOCATIO r _0'UL d. e-t-C'sCVV-VK 6. TYPE OF RES107ENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other ® SINGLE FAMILY ❑ Two ❑ Five MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY- �jryg XL INDIVIDUAL* it°"' lu5 *ATTACH WELL LOG. Awell lag is required for all wells drilled 0 COMMUNI-j"Y since June 1975. For wells drilled prior to that date, give well PUBLIC UTILITY Sergi y�-_ depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM S0 ......%j �a INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date, v -ro, SuS--, ns 5 If system is over two (2) years old an adequacy test is required EJ PUBLIC UTILITY �. SC4 by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. - THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED Ves 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED 2 g��6 INSTALLER ❑Septic T nIS or EJ Holding Tank Size: (M If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUF TUBER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS E�-- APPROVED FOR C BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE2/-"___1j- BY (TitV(.._ LEGAL DESCRIPTION 72-010 (Rev. 3/78)