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SPANISH HILLS LT 1
Spanish HI'011s Lot 1 #017-151-01 Inspection Report_9-1-12.doc Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 151153 PID Number: 017-151-01 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: Stephen & Patricia Wooliver ABSORPTION FIELD ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 13201 Carita Lane, Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0.5 GPD/SF 16 Fl. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.4 — 2.9 Fl. Gravel depth beneath pipe 13.1 -13.2 Ft. Subdivision Block Lot SPANISH 1 Fill added above original grade VARIES 0.4 — 2.8 Ft. JGravel length 60 Ft. Township Range Section Gravel width 2 FL Beds: Number of LinesDistance -- between lines -- Ft. SEPARATION DISTANCES ToTotal Septic Absorption Lift Station Holding Sewer absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1560 Ft' 2 26+ Ft. Well 100+ 100'+ 100'+ NA NA TANK ® Septic ❑ S.T.E.P. ❑ Holding ® Other AX -20 Manufactureracity ANCHORAGE TANK Cap1500 Gal. Surface Water 100'+ 100'+ 100'+ NA Material STEEL Number of compartments 2 Lot Line 51+ 10'+ 51+ NA NA Foundation 51+ 10'+ 5'+ NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain NA *50'+ NA NA Remarks *None known. Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Installer A+ Dralnfield 3034 CO/MT 3034 Inspector ARCTERRA BENCHMARK (Assumed elevation) 100 ft Inspection 1" 6/17/15 d 6/17/15 Location and description da 2 306/17/15 0 6/17/15 Bottom of siding COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engin Conditional Approval: Date Al.� A OQ� % ..... T H + r KENNETH NI D s ¢ / �i 711 Approved Date P. Ssiortti ,a, ` ears Stam Inspection Report_9-1-12.doc AS -BUILT SYSTEM DETAILS/SITE PLAN Permit OSPI51153 SPANISH HILLS LOT 1 PID# 017-151-01 ABANDONED ORIGINAL Ll SYSTEM &REMOVED ALL PIPES "'4 Z C:)z O 00 1 c1 A PAVED A 50.0. D/W < m 3,Bkis"//v 19 CO G CO COMH C FC BM NcUsE co SPLT. D C 34.0' MT H MT F AX -20 CO " 1500—GA S.T. CO CO N I c) x SCALE, 1' = 3D' 115.6' Lx—x—x—x—x—x— a n�no A—C=54' tiC 97.60 97.5 95.40 B—C =31' o MONITOR TU ��� x aewmur _ xx a�' FINAL GRADE 9490 92 A -D=60' o D B -D=38' D w MTERFAMND VAR E9 40 qo � A -E=77' y 1500 AL B -E=62' yN SEPTIC 90,70 0,7 90 A -F=85' am TANK SEWER ROCK Iazr B -F=61' 93.6 93,6 TRENCH 1 77,5 A-15=108' 30' �. B -G=93' 92 BO FINAL GRADE 92,50 A -H=114' SCALE, NTS B -H=95' MM FADRTC %K�� OF A4`4S�,I 1 *t� TH *� / KE Til M. D 116 .14 a L/l �FESSlOt375' SEWER ROCK TRENCH 2 PREPARED FOR1 STEPHEN WOOLIVER 13201 CARITA LANE ANCHORAGE, AK 99516 FIELD BOOKS BOUNDARY: ABC STAKING: ABC ASEUILTo JLS DWO. FIM - ADA) nm. 00 30' COMPUTED: DRAY": BMW CHET: : KMD DATe6/19/15 6/2i ORD 2939 "No' 15-142 LI TY W � Iaz• y 70.10 Gs D. On -Site Wastewater Disposal System Permit Permit Number: OSP151153 Tax Code Number: 01715101000 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 Work Type: Septic Upgrade Permit Effective Dates: June 10, 2015 to June 09, 2016 Design Engineer: ARC TERRA CONSULTING INC Subdivision: SPANISH HILLS Site Legal Address: SPANISH HILLS LT 1 G:2939 Owner/Address: WOOLIVER STEPHEN P & PATRICIA S REVOCABLE TRUSTS WOOLIVER S P 13201 CARITA LANE ANCHORAGE AK 995163713 Site Mailing Address: 13201 CARITA LN, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 31175 Total Bedrooms: 3 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. Special Provisions: Prior to the final inspection report approval, the original signed AW WTS Maintenance Agreement and original signed page 3/3 of the design (Advantex Details) shall be submitted. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone Development Services Division F� On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION 1,7j JUN 0 12015 Parcel I.D. 017-151-01 Property owner(s) STEPHEN & PATRICIA WOOLIVER Day phone Mailing address 13201 CARITA LANE, ANCHORAGE, AK 99516 Site address 13201 CARITA LANE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size 31175 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) Septic Tank L] Upgrade (w/wo ADU) Duplex (D) ElHolding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. or Permit# Fees: ? t�/`��•� Date of Payment: la%Ll��lcr4s�� Receipt Number: Q0/ Permit No. 0,505//153 Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. 20;15 o �RCTERRq m May 30, 2015 ARC 1 ERRA CONSULTING, INC 212 E. 51" Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit — Spanish Hills Lot 1 It has been determined that the absorption field of the subject property is saturated. Subsequently, the owner has requested we proceed forward to obtain a septic permit to upgrade the septic system. The general slope of this lot is from east to west at a grade of approximately 7- 10% over the septic area. On May 21, 2015 a testhole was performed to investigate soils and groundwater. The results of this test are attached for your review. The proposed upgrade will serve the existing 3 -bedroom house. We propose to install two 2' -wide deep trenches with an Advantex System. Groundwater was not encountered or at monitoring. The property and adjacent lots are served by private water. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. r Kenneth M. Duffus, E. Attachments: On -Site Sewer Application Wastewater Absorption System Details /Site Plan Soils Log/ Percolation Test 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 2 WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE SPANISH HILLS LOT 1 PLA BOUNDARY: OUNDARY In 0 MW 'TAXING: STAKING CHECKED; N89'53'34"E 230.24' ASBUILT: JLS DATE 5/30/15 DWO. FlU=,- (N89'58'01"E 230.05' R) SW2939 ACAs FM' FILE " NO': 15-142 TILITY ESMT ` z ,, e o t " Z Z 00 0 n j s SGp• r ° o m r7 j O 1a.ao as.p• A7. En cn t7 p 20 1 -Ip P ...9 g o N8 '48'08"E 66' (270.05' R) BA OF BEARING 0' 30' LOT 2 APPROX. LOC. I FLA CL -LI - - - - -- - - WELL RADII & EASEMENTS PRI❑R TO C❑NSTRUCTI❑N ScaLeI 1'= 50' DESIGN DETAILS PAGE 1 OF 3 NO SLOPES >20% 3 BDRM X 150 GPD = 450 GPD W/IN 100' DOWN HILL 450 GPD/.5 GPD PER SQ. FT. (69 MIN/IN.)= 900 SQ. FT FROM PROPOSED SEPTIC (900 / 2 x (13' GRAVEL) = 35 FT, TRENCH USE 2 TRENCHED - 30' (L) X 2' (W) X 13' (ED) Total depth of system is 16' max from original grade, Total depth of pravel below dlstributlon oloe Is'f&- Ix NO PUBLIC WELLS WITHIN EDO' OF PROPOSED SYSTEM, NOTESI NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200. OF PROPOSED WELL EXCEPT AS NOTED. OF A44', 11Y3\3\G VPf Va• - -rll V �a 11 p�,5�s�$� \ " SSIO'0= 1. INSTALL 1500 GAL AX -20 SYSTEM & INSULATE TANK IF <4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF < 3' OF FILL. MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4, CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... PREPARED FORT STEPHEN WOOLIVER 13201 CARITA LANE ANCHORAGE, AK 99516 FIELD BOOKS COMPUTED: BOUNDARY: OUNDARY DRAW MW 'TAXING: STAKING CHECKED; KMD ASBUILT: JLS DATE 5/30/15 DWO. FlU=,- GRID: SW2939 ACAs FM' FILE " NO': 15-142 WASTEWATER DISP❑SAL SYSTEM DETAILS SPANISH HILLS LOT 1 rl WELL RADII & EASEMENTS PRI❑R TO C❑NSTRUCTI❑N Scale; 1'= 20' ���'k\ 'Aw lk Ar <0 OF �� 1 PREPARED F❑R1 STEPHEN WDDLIVER 13201 CARITA LANE ANCHORAGE, AK 99516 FIELD BOOKS c mm: ` CE -711 .VBOUNDARY! BOUNDARY DRAWN: BMW ti sTmINCHKMD a STAKING EHm: JLS DA5/30/1 AseuarDAM $3t0ll -dwF DWG MM' GRID: SW2939 ACAD FILE:FILE Joe Na: 15-142 � I EXISTING SEPTIC o 0 8.01 0 O O CO TH15—i < D O m O SPLI DIVER CO CO 0 7-109 CID 11 .6' FCO, o '.,Q0 7-109 16' MT Ir r O 26' CO 7-109 2 � Lu Lu CO CO N DECOMMISSI N EXISTING S.T. O O & INSTALL EW 1500—GAL 115.6' O S.T W/ ADVA TEX AX -20 POD N89°48'08"E rl WELL RADII & EASEMENTS PRI❑R TO C❑NSTRUCTI❑N Scale; 1'= 20' ���'k\ 'Aw lk Ar <0 OF �� 1 PREPARED F❑R1 STEPHEN WDDLIVER 13201 CARITA LANE ANCHORAGE, AK 99516 FIELD BOOKS c mm: ` CE -711 .VBOUNDARY! BOUNDARY DRAWN: BMW ti sTmINCHKMD a STAKING EHm: JLS DA5/30/1 AseuarDAM $3t0ll -dwF DWG MM' GRID: SW2939 ACAD FILE:FILE Joe Na: 15-142 �RJERR9 ¢ ARC 1 ERRA CONSULTING, INC s F� 212 E. 51" Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Performed for: Stephen & Patricia Wooliver Date Performed: 05/21/15 ETTI 01 AV 6 F%TSS IUt`F Project: SPANISH HILLS LOT 1 TEST HOLE # TH 15-1 Depth (Feet) SEE ATTACHED SITE PLAN Org/OL SM/ML/gm s/ some cobbles & boulders to 6" Less silt with depth HOLE PRE-SOAKED PRIOR TO TEST B.O.H.— 22' FOR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? NO Date? 5/28/15 Reading Date Gross Time Net Time Depth of Water Net Drop 1 5/27/15 1:00 6" - 2 1:30 30 min 5 8/16' 8/16" 3 * 1:31 6" - 4 1 2:01 30 min 5 9/16" 7/16" 5 * 2:02 6" - 6 2:32 30 min 5 9/16" 7/16" 7 8 9 10 II 12 * Water Added Percolation Rate 69 (min/in) Pere Hole Diameter 6" Test Run Between 6 feet and 7 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND (Buyer) THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this _5Day of .J Ll ) 2. of 20 i5 by and between QhTAIC rA Q Sten(_( herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex AX -20 located at (legal description). I5panish Hills Lot 1, 13201 Carita Lane, Anchorage 2. Definitions. Alteration. Any change to the design or function of an AW WTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC') 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AW WTS that were included in the original design which would allow the AW WTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AW WTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AW WTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional Eouipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AW WTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AW WTS H. Owner agrees that the AW WTS installation and maintenance requirements as provided by the AW WTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AW WTS. I. Owner agrees to provide and maintain a telephone connection to the AW WTS as required by the AW WTS approval. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: Buyer b. Municipality: Director, Communi �y Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By:� l uC(c L I A) udQ "A ' (signature) Date: 6 -5-15 fftTRJC,A S tA-)o01-1v 2 (print name) STATE OF ALASKA } )as. THIRD JUDICIAL DISTRICT ) The forego g instrument was acknowledged before me this,6-6�' day of 20f�by �liGr`c.lr J/iy[r=JiCben 11 diYU/ NOTARY PUBLIC FOR My Commission expires: MUNICIPALITY: By: (signature) N,(M+State ofAlasifra YP=L31C Natalie Travere-Smyre MptDuamis�o„ FwpUes Mhr7.2MMI7 Date: name) Title: N= r m o y ..1a3 ip 'Vo a oo E E u o p 0 o m o ..ioo. °u 0 c 0 -Sc m v p EO. w O .'L L a1NN .0 M I --------_i T I � I •� w' MEiI o I CSI O p N �IaZ o y z,MIaI , m 0 0) �' a I •:•,1 I I \ O Cn (3) Z I yi I I Z O Q Y z m R C O O n M� e Z a � N a) In cfl 3 N 'OA J lF.pl- cj� N m o 3 m m L1J t m . N m 0) I, m w •C: d aN 'U Z y °. ° m Za LiJ a r � '6 z U = N D Q u Zv c o ; e c io y z ° U m v m Q N A H p 3 Of v h Oy° E° N C L w O ZO OO z a u C 0 c ° O UO � w 2 _ 0 0 O U N I F m W U m n `Y N U 0\ U m I.. O a YOj 1[1 In Q N O F a 1J iA O u O N t° ° N O m O L'J II g .,Ip O _ N 0 oo�a v s O m V m .- O >. P r n m 0 V 0 0 0 =° v JO N N u > c ? 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N M I O I� I0 n, - o ; i•'•• E pL o r �0 W n ma N Flry tip - W ;:i•• W y - e 0 D y 'I O C7 o My U O W rn O w CIDry ° c _ a 8 z O 7i- U I I' I•• U v 9 v o E c i I I w O w n o a O n 0 U NMN I C p J O _ O D O (O d v I I _ U yLD G N 0 V O I I > 1 M o v y II I 0 o O ; L `w m 1 a L ro o a w r N A w m ° W 2 Lp Q W o" w O N m B Z U m m 0 O t a n m 0 O O -0 O) p V M O W M 1+1 0 N O_ 0I M I(f Q M J Z w (0 a) In w Lli 0 o m N m 0) Z N n N O N N m Fa- Q O O O O O 0 0 n 0 0 O O O O I.. O a N YOj 1[1 In rt W - N a _ - N v s O 0 V 0 0 0 JO N (V M - In ? M M O O W O N ° 0 O 0) i- r p M 0 01— Z Iclim C to (D N M I O I� I0 n, - o ; i•'•• E pL o r �0 W n ma N Flry tip - W ;:i•• W y - e 0 D y 'I O C7 o My U O W rn O w CIDry ° c _ a 8 z O 7i- U I I' I•• U v 9 v o E c i I I w O w n o a O n 0 U NMN I C p J O _ O D O (O d v I I _ U yLD G N 0 V O I I > 1 M o v y II I 0 o O ; L `w m 1 a L ro o a w r N A w m ° W 2 Lp Q W o" w O N m B Z U m m 0 O t a n m Municipality of Anchorage Page — of �- DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: - _ S W q 2.0 / e s PID Number: (�) / 7/ `✓ le) / Name: Wastewater System: ❑ New a4`6pgrade Address: ABSORPTION FIELD Phone: � �� _.' •• No. of Bedrooms: � ���� ❑Deep Trench O Shallow Trench IISBed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: , .3 GPD/Sq. Ft. / i1 Vim, Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe '—✓ ."i 'JYiE✓��r'i / .' r 1� Ft. . Ft. Township: Range: Section: Fill added above original grade: Gravel length: /.2/f/ .3(v Ft. 9 5, y </ Ft. WELL: �J� ❑ New ❑ Upgrade Gravel depth: Number of lines: Distance between lines: Ft. e Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. /S 7 -5 SQ. FL 1) .:�; o ..y r Driller: Date Drilled: Static Water Level: Installer: Date installed: Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines Well 95 / /.glo /�/ '�% Material: Number of Compartments: Surface Non/E / / A,t'�A /l n 7r LIFT STATION A/4,) Water Lot / // // Size in gallons: Manufacturer: Line 151 /Q // Foundation r / "Pump on" level at: "Pump off' level at: High water alarm at: 37 / 5 Curtain , ��5 Pump Make & Model Electrical Inspections performed by: Drain (: Remarks: % 017-10A/ BENCH MARK Location and Description: 1,(JAe Li(-'7' 11'1' fl Gt fi Si,i::. 06r)cPETi--- :,F ..I W, TA I fll.l c) ar a; l nr 7'r /nn/ !,'r: 711ilT, Assumed Elevation: Nno .. b -.J f' I AVT-fo i X1,( 10L), 06 oU o- Yr •�j+ OC ` ''J iEY OO COa >CGGG6 e0®�� t;" Pea Inspections performed by: )Al, Jb)='I; l��ur Al Dates: 1st 0° ° `.0 °°'°000GGG,G G. Aadcrson �� (p,�r n Michael 2nd d' E; I,. V�(, G 43at Department of Health and Human Services approval Reviewed and approved by: �� Date: —%—%2 72-013 (1/91) MOA 25 Permit No. S lam/ 9 2 0/ 83 a Page Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 O Telephone; 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: GOT / SAA//5H //i //5 \I )s v P7r�lnle, �uRTAixI ✓j /�� /,k op( IoAIAL / 7-f HOLC 3�drz g3,ZO /O/P/All 86) A 0 72-013 A (2/91) MOA 25 MIC, TFSr//oLE MS f`trWn1. --Ir r-,anlit" 81,60 93/� PID No.: 0/7/57/61 ,T'F7 fl6RA T7 on/ !/;1 Al /< / //= 30' pp'S SEAL "J c � ✓ /DO, 60•%,��'�� °'u' tl0000 ua�eoa a°c � "°a ° /-�DUSTLl cooa °e°o °ono °oa°oo c�aa 7-A k � ' 'a Michael L. Andorson Ali, 4381-U PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920185 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:DENNIS LESLIE E JR & OWNER ADDRESS:13201 CARITA LANE ANCHORAGE, ALASKA 99516 PARCEL ID:01715101 LEGAL DESCRIPTION: SPANISH HILLS LT 1 LOT SIZE: 31175 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 7/14/92 EXPIRATION DATE: 7/14/93 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL P'. RECEIVED ISSUED BY DATE: 7._ 1 � -72_ DATE: /-/ -) - 9,-2 July 3, 1992 Municipality Of Anchorage DHHS 825 L Street Anchorage, Alaska 99501 To Whom It May Concern: The attached design is being submitted for a permit to install a new on site wastewater system for Lot 1 Spanish Hills Subd. An inspection of the existing system was made this spring and it failed an adequacy test. It is believed that several reasons are the cause. The first is due to the age of the system. The second is due to a curtain drain found on the property and shown on the plans which adds additional water into the area of the system. The attached design increases the absorption area from 1,008 to 1,575 square feet which seems more realistic for the soils encountered. In addition, a curtain drain is planned upgradient of the new system to help ensure any surface runoff will not go into the new system, especially at breakup time. If you have any questions please contact me at 344-4551. Yours Truly, E OVW � Michael E. Anderson, P.E. ON SITE SYSTEM IMPACT L1 BL - Spanish Hills Subd. ;a [vlun vices I. pop, I L Installation of an on site wastewater system for this lot should have little if any impact on the surrounding properties due to: 1. The existing well on the property is upgradient from the area proposed for the new septic system and no other wells are located within 200 feet of the new area. 2. The existing wastewater system on the lot will be abandoned and the new system will be installed further away from existing wastewater systems. 3. The new system is designed to be installed in the best alternate area and will allow the old area time to rest. 4 Drainage will not be effected due to the size of the lots in the area and the topography. If you have any questions please contact me at 344-4551. Yours Truly, Michael E. Anderson, P.E. 0 o � �0, °��Z,o/0�3Ba='��°nG-2°oL'JLG�ae °�i•oo a a V'rMichael E. Anderson �J Ji 'e 4361 • L• .; .N of GURTAI�.1•DRAiu J AT LF-t`srSo' FRom ABSORPrior.r t3ED AA LI 6 F+T 1 n ^ria N EXrsTrnrC� D \ /h/SULATE= UNDER DRIVEWAY Cbm�J/�GT BACKFiI/ 4n1D BATCH ASpHAL.- 36 1 /\13SOJA P-r'o BsTN V L�, Dept., cos a EX/sf 0 c, a. 5 C.O. C/JL7- �° as 1a • 4 9 Je° an °omJtloa+f0 Q V�% Michael E. Anderson tu; sb 4331-E "80FESSI� E X Isr1 NI 61 D2,41n! CU RTA EX/srlv6 /250 6Al. —TEr AERAroa a ro RrmA/N A5 sEprlcTAuk /rJSTA1.L 14 6 14 CL CA ✓,I OUTg AND DI5CO,UAlt^CT F-KISTII-IG SYSTEM SEWE2 SgsrsM -6ZLF of EX / sTi,vC� TR En! c �3it v /l� D � / / ' S/ "'Y✓ � �oTs 35' DETA IL_ is •� (•; o o«r.s, a\u+ncc+:cusoo o mae v f� M1'dthccl E. Anderson tr,;A BEGET.' D JII' ' I + ;l kj' Nun!:c BY /_ In/ r1 DATE _1131q2. CLIENT LES f)E I.J _w IL lDE)PL JJPLI!,SHEET.<::.:i;; CHKD. BY DEBCRIrTioN L1 PA U I S W � Y I IS JOB NO. . 3 RArE /Soo SP _ 4/5' USE .35/ X qS/ ,QED 3 5'_ RESEED %P So I L SLo pE 3" SAMA _ OR TopsnrL f=1 LL RocI< ® n E X/sr/N6 GRADE REMOVE. ORGAti11cS (GRASS) AND LEVEL SECT/OA-/ SURFACE FOR P oc-K- 35' DETA IL_ is •� (•; o o«r.s, a\u+ncc+:cusoo o mae v f� M1'dthccl E. Anderson tr,;A Municipality of Anchorage • y[ V�0 °° ac° °J°° °°a o Doom ° T DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 W Michael E. Anderson v;J SOILS LOG — PERCOLATION TEST �F J,^? 4381-E e,'J PERFORMED FOR: S .DAl A/ IS DATE PERFORMED: 'aQ-.�.'•'4 3 %Z LEGAL DESCRIPTION: LD% I 15OAAI15N N % 5 Township, Range, Section: SLOPE SITE PLAN 1 2 .M 3 StLr/ 4 S A t-1 5 6 7 8 9 10- 11 12 13 14- 15- 16 41516 17 18- 19- 20 81920 t_ COMMENTS Til l WAS GROUND WATER ENCOUNTERED? N (7 S L IF YES, AT WHAT O DEPTH? P E Oepth to Water After Monitoring? A191a1ATD'—Dale: -7,21157 Date Gross Time MIN Net�� Time MEN ■mom �_■ Net Drop 3 7 9i ■■■■■■■■ O ■ mom mo kReading 35115' ■■©�■■■■■ONO MONN ONE■ ■■MON.1■■7■ 100EffiffiSAMMEN ■■■■■■■■■ Date Gross Time MIN Net�� Time Depth to Water Net Drop 3 7 9i D O S" kReading 35115' -:7ff#/55 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN �' FT AND w • Q FT �r A,ob i _ "' `e '-- RTIFY THAT T IS TEST WAS PERFORMED IN PERFORMED BY: IA/ //I ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 9 7-- 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: LES DEN till S 's-';tEN¢INES� SEAL) 0+7 xyN a ' a dsv.'i Ly,.,v� Ht0 ea°"Lat. /(y].0,3.Q. .Qp •°m°o�a �� �oe°o o�3 pibd+6b1°uu eo eeC"�"'e-�a+°'� Sr 1;Michael E. Anderson t �O s 4381 - E \� DATE PERFA1* t.F% � �OF:aa LEGAL DESCRIPTION: L -OT SPAM I5i1 Township, Range, Section: SLOPE SITE PLAN 1 2 SM 3 SILT�� SAND 4 5 6 7 8 9 10 11 12 13 14- 15 16 17 81920 18- 19- 20 COMMENTS T'1 -f Z WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? KI o Depth to Water After Monitoring? tJo WATER Data: 7/3% S L 0 P E 0 Reading Date Gross Time Net Time Depth to Water Net Drop 7 3 9z v /-Z — Z LJ5 y 5 /S„ /„ 3 qo s /( / /35 / 7 ■■■■■■■■■■ S L 0 P E 0 Reading Date Gross Time Net Time Depth to Water Net Drop 7 3 9z v /-Z — Z LJ5 y 5 /S„ /„ 3 qo s /( / /35 / 7 PERCOLATION RATE tminutesiin�ch) PERC HOLE DIAMETER TEST RUN BETWEEN �' FT AND c7 ' S FT PERFORMED BY: � ti� • r) )C F�/-�:.r T ,l l_ "//Y.V�C���Q,f,�' �� CETHAT /TJ,/H,IS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 72-008 (Rev. 4/85) /-bi / SPAxtI st4 Il s w, GREA r ER ANCHORAGE AREA BORUGH i� �, ,c Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION_ REPORT ON-SITE SEWAGE DISPOSAL SYSTEM I ' I t NAME /� —IL Iw1I2.,� � �1` MAILING ADDRESS 7x IC�� ESS i�- PHONE -ILI `I _'4 a I y LOCATION Cir 1 Y0. L( the LEGAL DESCRIPTION -j:A SEPTIC TANK: DISTANCE wl� p�t,�^^ 1 NUMBER OF FROM WELLV\JMANUFACTURER\ MATERIAL C`��C ' COMPARTMENTS_ INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY_ SSU GALLONS. TI�DRAIN FIELD: LyC� IyI ly,� I TOTAL LENGTH I DISTANCE FROM WELL�O� th Q OUNDATION_ cN _NEAREST LOT LINE._- a U_ (( OF LINES 3 NUMBER OF LINES ' DISTANCE BETWEEN LINES —TRENCH WIDTH 4 IN. TOTAL EFFECTIVE I ABSORPTION AREA -1-0—( 5 SQ. FT. LENGTH OF EACH LINE k DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE _CII /� �IN. ABOVE TILE 3 IN. WELL: 0 o- t'(' ye, ` TYPE___ 0 CONSTRUCTION BUILDING FOUNDATION CESSPOOL Irl *VAX7 DISTANCES: NEAREST LOT LINE OTHER SOURCES DISAPPROVED INSTALLED BY: ��E 5 _ SEWER LINE DEPTH: L�I PIPE MATERIAL: t n e, LOT SLOPE: _ lll s_� REMARKS: 56 1 �) v Form EQ -032 NEAREST SEPTIC SEWER LINE__, TANK- CESSPOOL ANK_ REMARKS DEPTH —_ DISTANCE FROM: SEEPAGE SYSTEM_ DIAGRAM OF SYSTEM DATE J_I la I I _I APPROVED (a3 kill"cllr� _ U Sr V' u^a l SpA Su.P 28' `T CJ DATE J_I la I I _I APPROVED TYPE OF SOI TRENCH MHXIMUM NUMBER UF 8EDROOMS c 4 SOIL RHTING (SQ Fl7BR)= 250 THE REQUlRED SlZE OF THE SOIL HBSORPTIUN SYSTEH IS� J. 12: L 1; 1: A 1 -1 Ch hot to! ITE L THE LENGTH DIMENSION IS THE LENGlH (IN FEET) OF THE TRENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET) TH�RE IS NO SET WIDTH FOH TRENCHES THE GRHVEL DEPTH in; THE MINIMUM DEP111 OF GRAVEL BETWEEN THE OUTFHLL PIPF � HND THE BOTTOM OF THE EXCRVRTION (lN FEE')'. EITHER H CLHSS I UR II NSF HPPROYED PLANT MHY BE INSTHLLE� R CONTINUOUS MHINTENHNCE HGREEMENT in; REQUIRE0. IF H MHlNTENHNCE HGREEMENT IS HOTKEPlCURRENT YOU MAY 8E REQUlRED TO ENLHRGE THE SOIL HBSORPTION SYSTEM HND/OR YOU MHY BE SUBJECT TQ PRUSE CAI TlON. IF R CLHSS I SYSTEM IS USED THE LENGl'H lS 450 FEET lF H CLHSS II SYSTEM lS USED THE LENGTH IS 57,0 FEET pth in feet from )und surface -O-To- --96 _96 TO--- _10.0_ 100-'1'0--].35- - 13.5 _ TO. 1.41 ---- -TO ---- - -- -TO- - TO 710-- TO- Give 'O —TO WALL LO Give details of formations penetrated, size of material, color and hardness Existing well. Water Rravel_ Weeping ha_r__d-pan- Water Rravel pan_WaterRravel 1 —CUSTOMER � M�• pp �����li,�_ NG, INC.dJh�ICi'A'L771',%%����j'�P'•:':;noP,�3c K f! .✓'2 1�.'� �ICcI pth in feet from )und surface -O-To- --96 _96 TO--- _10.0_ 100-'1'0--].35- - 13.5 _ TO. 1.41 ---- -TO ---- - -- -TO- - TO 710-- TO- Give 'O —TO WALL LO Give details of formations penetrated, size of material, color and hardness Existing well. Water Rravel_ Weeping ha_r__d-pan- Water Rravel pan_WaterRravel 1 —CUSTOMER ' S f DRILLIM', LOG ell Owner-------- Dick B. Wright Dom. - - - - -- --- -- ------ -- — - - -__ [Ise of Well----- Location (address of: Township, Range, Section, if known; or distance main road Lot 1 Spanish Hills Sudivision, Anchorage 7e of casing_ 0pth of Hole- 141.feet. Cased to 140.7_ _feet atic water level-- 06._ft. (}gr) (below) land. _surface. Finish of well (check one) open end ( xx ); Screen ( ); Perforated ( ). Describe screen or ----"'--_--------------------_----_.—--- ell pumping test at -J2 per (k(xuX (minut() fol,---]---- _hours with-__ of drawdown from static level. 2/15/79 ite of comuletion pth in feet from )und surface -O-To- --96 _96 TO--- _10.0_ 100-'1'0--].35- - 13.5 _ TO. 1.41 ---- -TO ---- - -- -TO- - TO 710-- TO- Give 'O —TO WALL LO Give details of formations penetrated, size of material, color and hardness Existing well. Water Rravel_ Weeping ha_r__d-pan- Water Rravel pan_WaterRravel 1 —CUSTOMER Well . )g Loc`ation:Lot I, Spanis:. dills Description:6" well cased to Platerials: --18 gravel 19 39 sand 40 86 gray clay 87 94 silt,gravel 95 96 gravel(water Static watervlevel:58 ft. Yield: II gpm Drilled by:Thomas Drillers 96 ft.approx.49ft. east of house bearing) P.O. box I0-516 Anchorage,Alaska 99511 344-3133 License # WD 78020 Completed May 20,1978 Vt tIJA�� -U i •I I• 1- i _C�. r 7 _ I L)t)I 1�_ti {tlrrlllil�l hril •,•-rl {,I�rf.1tA I {I ',I I,.I,I . .'('l' / 1op'll old r X% �f ` Y (tI^:f I"illj`'., Tl'idl 11; I'. - 1'li i Ifl t11 ;IVi f141Y4'I) t.rt>:K1•.t"ilh �t n (;11' ;I •v r!1 11 - - l0(Jr� i - ' .i 1.1ltJ irf 1�If5�l��'1.iul1 I � 7f.Q�_f �I: t WELL Loc ---'--- - ----- t'� - --- . f u,tlni till) f.lc� '. c;Ir ,• n I Irl'r� 11 ('IIIIII• :Ind 1111 Y(t tlbtiR I Silcv ':ra't 37- llrtrd prat _. 37 I'ttFi0 _. Loo:;c f;r,aval To j._._90 Si.II- IlIlyd brut t}0 i0,.,i..1.05.-. C,�u1(Ic•r Imt - L05 r rJ�l 1,4.> Si 1 r_. lim-d p"Ill • 14.i C(7 .i155 c,tn(1 ] S `I't� • ��;05 S l , ,, lutrci i,rtn 1,01.. Srinrly 710 rta r Z2,9 t,.1rt /t .r .�.�l% � 4I�Lf./.. ��.11,1� �r•il \Jt�l. �1 130 t'C} 257 357 Po_,_26Z ; tLc't' :. "t,r•1 fvo, ._, .:... . I. r t ' (:I-6TOMr 0 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APP Parcel I.D. 017-151-01S'UBM'TTA[ TUN 2 3 2015 Expiration Da GratChel? StU1181' 1. GENERAL INFORMATION Complete legal description SPANISH HILLS LOT 1 Location (site address) 13201 CARITA LANE ANCHORAGE AK 99516 Current Property owner(s) STEPHEN & PATRICIA WOOLIVER REV. TRUST Day phone Mailing address Real Estate Agent 13201 CARITA LANE, ANCHORAGE AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 Waiver Fee $ Date of Payment 4. TYPE OF WATER SUPPLY: Date of Payment TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual O�Ci!5(299 Individual Water Storage ❑ Holding Tank ❑ Community Class _ Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request COSA to be released to the engineer, unless requested by the engineer. Date: COSA Fee $ $R(03.56 Waiver Fee $ Date of Payment 4419115 Date of Payment Receipt Number Oq 3ti14) Receipt Number COSA# O�Ci!5(299 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, be, 9Qures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, s sho tha Min -site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 6/19/15 Engineer's Comments: This investigation was completed in compliance with ADEC and MCA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested- The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen �rr OF AZ\ ` encroachments, deficiencies or discrepancies exist. / �v 4QTII* 6. DSD SIG �- System #1 Approved for bedrooms. air o ns1 ue oue System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: The Original Certificate 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 forerrors-or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA bluee et_10.10-12.dw If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: SPANISH HILLS LOT 1 Parcel ID: 017.151.01 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # _ Date completed 7/911979 Sanitary seal (Y/N) Y Total depth 262 ft. Cased to 261.6 ft. FROM WELL LOG Date of test 7/9179 Static water level 220 ft. Well production 5 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 1.88 mg/L Arsenic: ND ug/L Date of sample: 5127115 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC / STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping NA -NEW TANK Pumper C. ABSORPTION FIELD DATA Well Log (Y/N) Wires properly protected (YIN) Y Casing height (above ground) 18+ in. AT INSPECTION 5/15/2015 ft. Collected by: ARCTERRA Date installed 6117115 Cleanouts (Y/N) Y High water alarm (Y/N) Y Date installed 6/17115 Soil rating (g.p.d./ft2 or ftZ/bdnn) 0.50 System type ADVANTEX DEEP TRENCH Length (2 0301) 60 ft. Width 2 ft. Gravel below pipe 13 ft. Total depth 16 ft. Eff. absorption area 1560 a Monitoring tube Y Depression over field N Date of adequacy test NA- NEW SYSTEM Results (Pass/Faip PASS For 3 bedrooms Fluid depth in absorption Feld before test _ in. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date,.installed "Pump on" level at _ in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons "Pump off" level at _ in. Cycles tested Septic tank/lift station on lot 100'+ Absorption field on lot 1001+ Public sewer main 751+ Sewer /septic service line 251+ Animal containment areas 504 SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots 1001+ On adjacent lots 1001+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 100'+ Building foundation 5'+ Property line 51+ Absorption field 54 Water main 10'+ Water service line 101+ Surface water 1001+ Wells on adjacent lots 1001+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 101+ Surface water. 1001+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(NONEKNOWN) Wells on adjacent lots 1004 F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that f have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 6119115 COSA canary sheet 2-e-15.doc SOFA 4, 'a xemxEn M ue in. 50' d• . N tr) O O N NO) N w w 0 ul)00 N 00 m z DO 30' ACCESS ESMT ANCHORAGE RECORDING DISTRICT, ALASKA ASBUILT OF: SPANISH HILLS SUBDIVISION LOT 1 PLAT 75-199 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should my information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existenceof any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 15-012 JLS 1 2939 PAVEDL :AULT i D/W � • • SEPTIC VENT (tY➢) N00'31'59"W 96.11' (N00°11'51 "W 96.41' R) CARITA LANE 0 n A in O O Z (r Q w (0 (b m Li O o N Lo w m 00 0 00 Z7) 00 z * = FND 5/8" REBAR OF•.�9t'j'I I 4 L. 3CHULLER:0 IS-10408®� C\2 E- 0 O a 0 0 L�R�p�� r 4 qtr 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fan BUENA-VISTA DRIVE N00'11'09"W 95.85' (N00°11'52"W 95.75' R) 1 10' UTILITY ESMT ABANDONED LOT 1 ts., � / n AN l r30 w WELL • 21.7F �N OGRAVEL DECK moo� 28.2 ' • ANCHORAGE RECORDING DISTRICT, ALASKA ASBUILT OF: SPANISH HILLS SUBDIVISION LOT 1 PLAT 75-199 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should my information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existenceof any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 15-012 JLS 1 2939 PAVEDL :AULT i D/W � • • SEPTIC VENT (tY➢) N00'31'59"W 96.11' (N00°11'51 "W 96.41' R) CARITA LANE 0 n A in O O Z (r Q w (0 (b m Li O o N Lo w m 00 0 00 Z7) 00 z * = FND 5/8" REBAR OF•.�9t'j'I I 4 L. 3CHULLER:0 IS-10408®� C\2 E- 0 O a 0 0 L�R�p�� r 4 qtr 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fan MUNICIPALITY OF ANCHORAGE • F DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services — On -Site Services Section P.O. Dox 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # C) 1-� 1 5.1 0l V 1. GENERAL INFORMATION HAA# ti, �("'')L('`�1 Complete legal description L61- 1 S Q^ M 1 S r -L 61 "1 s S u SL) - Location (site address or directions) _43201 CAR/7'A W Property owner LE LiF_ bEN 'm Day phone 2 64- 7822 Mailing address 13201 CA g 1 TA Lm Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well 'r Community well Public water Day phone Day phone 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 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. 1/91) Front MOA #21 b. 51 A I 1�MtN 1 UI- IN51jhU l lUN UY LNUINttM As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm /4-, L�n so ErJ 4, i Q1Z'A)G Phone `(y Address 0. Lax zya-77.3 A-I\JCV©ttA Gc Ak-2qS-zV Engineer's signature Date or- A v _�ja orf 4f'!® °oo0°e°y °S1 ori e � (a�0 °e u°os'o s�aoge+aea�eeo� ;Y VX d/Mo °_^Ga+'o.(L...'.e 6 A .3). Michael E. Anderson uwd $ S'ee�°e 4381 • E N OP4Oi-SS1S��P 6. DHHS SIGNATURE 14 Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments CA 11 IITIr Date 9-7-72- 11 —/ —9Z- The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1191) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: G / S,,d lN/ sN /// /15 Parcel I.D. D 17 / 5-10 / A. WELL DATA Well type _PR/ V4 7 -E -If A, B, or C, attach ADEC letter. ADEC water system number NSA Log present(Y/N) Date completed ;719,l79 Driller Total depth 2 Z Cased to Casing height Z / Sanitary seal (Y/N) Date of test Static water level FROM WELL LOG Z zv Wires properly protected (Y/N) Well flow -5 9 -p.m Pump level M6 -r AT INSPECTION MgUNICIPALITY OF ANCHORAGE 7,Z 2 ���,; lRMENTAL SERVICES DIVISION 3 LETEfZM)ntl�4� V Ll SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 9,51 Lw- Ay)On adjacent lots Ia0 rt Absorption field on lot 128 ; On adjacent lots /Op' Public sewer main M( L E s Public sewer manhole/cleanout M) L L S Public sewer service line m I L E s Petroleum tank A16MF_ i✓/TNia Zoo WATER SAMPLE RESULTS: Coliform Nitrate Z- 1.0 Other bacteria Date of sample: 7- Z Z" 9 Z Collected by: M c FA D D ErJ B. SEPTIC/HOLDING TANK DATA Date installed 74-X77 Tank size 1 ZSO Compartments JET AEP-4-DOIJ Cleanouts (Y/N) _ y Foundation cleanout (Y/N) �® Depression (Y/N) N High water alarm (Y/N) NIA Alarm tested (Y/N) ty A Date of pumping 7,2 y fqZ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot 45' (1 JAVII24—Onadjacentlots 100(11 Foundation 32� To property line Absorption field 7Z Water main/service line 5-5- Surface S Surface water/drainage No N E I � AREA 72-026 (Rev. 3/91)Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water . Date installed/ZZ 9 Soil rating 3 System type L3�D Length 3 5 Width Y�5 Gravel thickness Total depth y Total absorption area 1575 Cleanouts present (Y/N) Depression over field (Y/N) Al Date of adequacy test NEIA! i�2DN5T. 7/2:5/L2 Results (pass/fail) PA 55 for Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: 3 If yes, give date Well on lot 1.361 On adjacent lots /00,/-- Property line Z01 To building foundation G 5 / To existing or abandoned system on lot 60/ On adjacent lots !bd` Cutbank LOLIE iQARi=Q Water main/service line AM0 Surface water L10MG /nr A EeA Driveway, parking/vehicle storage area 12 Curtain drain � S E. ENGINEER'S CERTIFICATION bedrooms 1 certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature �njdka4LE �q.`- Engineer's Name /VriU'f/aCt� L.0CASoJJ Date 7101 l �y HAA Fee $ �� Waiver Fee: $ Date of Payment - -�' Date of Payment Receipt Number ���� �� Receipt Number 72-026 (Rev. 3/91) Back MOA 21 C) I fit �O'y t r " Michael E. Anderson 4<i • �'% '•� 43£31 - E °�u000 00 5 a o^.� I CHEMICAL & GEOLOGICAL LABORATORY or cP A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. LABORATORY TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER1TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D. # PRIVATE WATER SYSTEM Analvsis shows this Water SAMPLE to be: LOT 1 SPLI N l5 AI I� I 5 ��U [~JA�r-1� I r F74 Name Phone No. Mailing Address 9'9 s'v 3 cly State Zip Code SAMPLE DATE: O 7 Mo. SAMPLE TYPE: Day Year ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water C16 -special Purpose ❑ Untreated Water Satisfactory lil Unsatisfactory 0 Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send 4 new sample via special delivery mail. Rate Received IG�( Time Received 2-5� Analytical Method: Membrane Filter No. of colonies/100 ml. SAMPLE Time Collected No. LOCATION Collected By Lab Ref. No. Result' Analyst 1 lOu75/0,5 f60vsc 7-11 J Me- 92.3650 2 I m 3 I II II m 4 I I ILII m 5 BACTERIOLOGICAL WATER ANALYSIS RECORD � .D.�.C. READ INSTRUCTIONS Membrane Filter: Direct Count /') Coliform/100 ml Verification: LSB BGB BEFORE Fecal Coliform Confirmation COLLECTING SAMPLE Final Membrane Filter esuits C oliform/100 mi Reported By Date 7` TNTC =Too Numerous To Count l Sf� a.m. PART ONE OF TWO p.m. OB = Other Bacteria REMAINDER TO FOLLOW 1 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561.5301 ANALYSIS RESULTS for INVOICE 1 56180 Chemlab Ref.1 92.3650 Semple I 1 Matrix: WATER F' Client Sample ID LS SPANISH HILLS OUTSIDE HOUSE TAP Client Name :MCFADDEN, WAYNE PWSID UA Client Acct :NCFAWCS Collected JUL 22 92 4 12:00 hrs. BPO# Poi :NONE RECEIVED Received JUL 22 92 1 12:55 hre. Req# Preserved with AS REQUIRED Ordered By :WAYNE MCFADDEN Analysis Completed JUL 24 92 Send Reports to: Laboratory Supe iso STEPHEN C. EDE 1)MCFADDEN, WAYNE Released By : C' i� 2) .............................................................................................................................. Parameter Results Unite Method Allowable Limits ------------------------------------------------------------------------------------------------------------------------- NITRATE-H 0.73 mg/l EPA 353.2 SO Sample ROUTINE SAMPLE COLLIC79D BY: M.C.F. NO TAG FOR THIS SAMPLE. Remarks: .......................... 1 Teets Performed HD- None Detected NA- Not Analyzed n N ..................................................................................................... See Special Instructions Above UA -Unavailable " See Sample Rourke Above LT -Lees Than, GT -Greater Then 11480 803 Member of the SGS Group (Socl6t6 GAnArale de Surveillance) Municipality of Anchorage / Department of Health and Human Services dhh5 825 "L" Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 6, 1992 Michael E. Anderson, P. E. Anderson Engineering PO Box 240773 Anchorage, Alaska 99524 Subject: Waiver Request for Lot 1 Spanish Hills Subdivision Waiver Request #WR920040, PID #017-151-02, HA920459 Dear Mr. Anderson: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are: a private well to the septic tank on the property - 95 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, &�� W-? -1�2R Daniel J. Roth Civil Engineer On-site Services ljm:#6 Concur: l ohn Smith, P.E. Program Manager On-site Services vFn RFquEST Foy / or / s PAviSR H/ur Su SP. wRl✓ER REQu Esr Alv"8iFV WR q2 004O tv#IvER REquEs790 FoR OA/ Lor 14, f. ro 5Ea77c 7-,q^Q 9sFEEr — s E h r/c nA Tp - y"K� SEPTIC T19 All? IN auESna.v WA.T INXrALZRO Tu[Y'1?77, 7-,#uK is of <a,vcA?,rrF r/�N/r/ w rti n JE r Alp�.s T P/9- CR AGE" /iv / r. I'HE 7Er u,v/F f -)4r fie"valza Rj5c/E/vYLY U -/-(EN TI -OE ApsaR97-ioN /e4 0 wAg- S Gr R6A1p,UEV, Y L .. 7,1465 SEPr/7-K4/v/r Jtirt<GR/T19T THE TIME OF Co,vs 7R t4 77oiv AND Face A�,D ra Oe ( 00P O- - IN46/v 7 -HE' SE)Orlc TR>-Nk 1-057 i ti s PE c 7706- JT, 7,H F w E L L w o f ti 0 r 1.4- T HE 56 P7 -I6 7-J4Nk is puwAv 6RAV1,5#7 FRO14 7-H6 G, E,4 L /AI Qu EST/Aa OAJ A Jr °/a' SL DPE. l(elE SF-P771657i-Ef-r if e-aAvsTr?c� c 7--O /A Sof SIz 7,r .www T1 -t A r PIER c, A r Hl,v u 7-E511 A, c H. C�- ELL AOA 7-,4 — 1r He t..ELL IN RUESTiaty 1-r9f ORnzteO IN ,Tiny 1979. 7-14E 6,.FLL /S 2wl2 FEET 0 E E P ClfI¢tffD 1D TME- paTjpN w) r/-/ R Y 7'A TIC G -o} 7'Fn 40NEW L4 vEL 7-0V.4 i pF 2DO�. il-dERE F}'nE auMFduf L )4 j'',QErA,FEIV 1 -7 -LE 6/?auov0 sunFli�cE ANO i/TE 61?�9vE` Ar 2 s`7 r,Yg T Su opnt/er T1-tE w4 ren to TI -t w ELL. I7" is J,+F4E is 1.-nrjFl3 I�Er3121uL. GR�1vFF 6P07-Fe7-FP FRor1 57URF-#C41F r OA.,7A- WI AA r/040-) EV&Eg RFA[y/4U& I T F/?on Tl-fE SEpT,,c i Hak la 4 u£Tr-1o4v. INCL L /S up Fxo "-t TSF LtES7,1l1n. oR/ A S % SLo00E. 4/F -LL 6v167"F_R fo�MPLFS /,vb/elttTE TK,*,' 7-1-e'ERF 91FE 410 COL/FoRl-t o/? 8AcrErll9 ,qL,�0 .73 mRk .vIri'iArFS. 5, OF f'1. 0. E. C. Al 190 9a7.3 Sa/L 50,R3T/Pa LE )?M Ffl 8 L 17" Y _ 136 ib t�19o)3f 6MV3O 'aJ' 21. 2 1 MA" No,1r14c SE/�t?Y1pTinN Y =. 220 2, 8 G7-ar4L /6.9 COiyCL LtS 0l?AA.l r wd-1 oEn ./ 2t�9 taw LE )?M Ffl 8 L 17" Y _ 136 ib t�19o)3f 6MV3O 'aJ' 21. 2 1 MA" No,1r14c SE/�t?Y1pTinN Y =. 220 2, 8 G7-ar4L /6.9 COiyCL LtS 0l?AA.l r wd-1 oEn ./ July 23, 1992 Municipality Of Anchorage DHHS P.O. Box 196650 Anchorage, Alaska 99519-6650 Attention: Wavier Review Committee Regarding: Lot 1 Spanish Hills Subd. MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION JI!l_ 2 7 1992 RECEIVED Upon construction completion of a new drainfield on the subject property a separation distance of 95 feet was measured from the well to the existing septic tank. The well was installed in 1979 following construction of the drainfield in 1977. The well log plus other pertinent information is attached for your information. The existing separation distance should not cause deterioration of the well water quality due to the tight soils in the area and the fact that the well is upgradient from the septic tank. The lot size is 31,175 square feet and it has only one structure which is a three bedroom home. It is bordered on the north by DeArmoun Rd., on the south by Lot 2 Spanish Hills Sub., on the east by Buena -Vista Drive, and on the west by Carita Lane. The property owner to the south is Colin Baxter and the telephone number is 345-2384. There appears to be no negative impacts associated with this request and it is not felt that it's issuance will adversely affect achievement of the MOA ordinance. If you have any questions please contact me at 344-4551 Yours truly, Michael E. Anderson, P.E. an u „F,� plr0 FESS�U�'t S0 M Ip or/ 6� 1> )lU-." Rao wV/D 5-. LEGAL DESCRIPTION - MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION - - DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION STR ET LOCATION - 825 L Street - Anchorage, Alaska 99501 �& 6 • OCT 5 1978 6. TYPE OF RESIDENCE ENVIRONMENTAL ENGINEERING DIVISION C Telephone 264.4720 RECEIVE D1.- REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. - 1. PRO`PERTYO NER ❑ Three ❑ Six PHONE j 1;7] INDIVIDUAL* 3171�4 MAILING ADDRESS since June 1975. For wells drilled prior to that date, give well (( PROPERTY RESIDENT (If different from above) PHONE 2. BUYER **If individual/on-site, give installation date PHONE - ,2,y r/ ❑ PUBLIC UTILITY by this Department. MAILING ADDRESS 3, LENDIN ,INSTITUTION PHONE u 1.sc G-Le MAILING ADDRESS 4. REAL R/AGENT PHONE L� 4' MAI LING ADDRESS 5-. LEGAL DESCRIPTION - /) _ �L STR ET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS El One X Four ❑ Other SINGLE FAMILY' ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY - - 1;7] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled b COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) J 19 8. SEWAGE DISPOSAL SYSTEM 550 INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date If system is over two (2) years old an adequac test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) vrz— I W ,,, THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME 71ME 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 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER 2 ❑Septic Tank or ❑ Holding Tank Size: 1 O If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL _i 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS b- APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE �/' 16 , U - BY (Title) �2 C. � LEGAL DESCRIPTION 72-UIU (Rev. 3/78)