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SPRING HILLS ESTATES BLK 2 LT 11
Onsite File !iprinq Hills 3 K Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 ON -SITE WASTEWATER INSPECTION REPORT it Number: OSP241037 PID Number: 015-051-60 ing: ❑Q Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Daniel Clinefelter & Renee Amanda Site Address 9620 Spring Hill Drive Phone Number of Bedrooms Four(4) LEGAL DESCRIPTION Subdivision Block Lot Spring Hill Estates 2 11 Township Range Section SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Well >100' >100' >100' N/A >25' Surface Water > 100' >100' >100' N/A Lot Line >5' 5.2'* > 1 0' N/A NA Foundation > 10' > 10' I > 10' N/A Remarks See lot line waiver in permit Page 1 of 3 Project: ❑ New W Upgrade SORPTION FIELD ❑ Deep Trench ❑ Wide Trench M Bed ❑ Mound i— Other Soil Rating JTotal depth from original grade 0.5 GPD/SF 0•0 Ft. Depth to pipe invert from original grade Gravel depth beneath pipe +0.5 Ft. 0.5 Ft. Fill added above original grade Gravel length 3.4 Ft. 22' Ft. Gravel width Beds: Number of Lines Distance between lines 55' Ft. 4 6' Ft. Total absorption area Number of trenches Dist. between trenches 1,210 Ft2 N/A N/A Ft. IMK ❑ Septic no S.T.E.P. ❑ Holdina ❑ Other Existing\, Material lNumber of compartments ILIFT STATION \ I Existing \ alarm location Electrical instal PIPE MATERIAL House to tank D3034 Tank to D3034 Installer drainfield A.C. E.S. Drainfield D3034 CO/MTD3034 Inspector M. Jakubisin BENCH MARK (Assumed elevation) 100 ft Inspection 2 15' 6/24/24 Location and description dates: 3ro 4m Bottom of Siding @ Point B ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date `�. TH .gym i BenjartirG Schiller Septic stem Sy Z CE 12592 Approved Date �Z ,%� ° 8/28/24 - Note: this approval does not include well permit requirements. ROFESStQ.� 05/02/18) PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) FORGECIVIL.COM September 18, 2024 MOA Development Services, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Spring Hill Est B2 L11 - 9620 Spring Hill Dr Tank to Field waiver request Dear On -Site Services Engineer: The space available on this lot for a septic system replacement was extremely limited. After installation, record drawings measurements showed that the bed was more than 10' from the building foundation, slightly further from the property line than our initial waiver request (5.2'), but that the edge of the bed was within 5' of the existing STEP tank. The bed is a shallow bed with a sand filter, and the bottom of the bed was located at existing grade. The sand was specified in the design in order to provide the majority of the treatment. The bed does not affect the septic tank, and maintenance of the tank is not inhibited by the proximity of the bed. When the time comes for tank replacement, care will be taken to not undermine the field, and at that time the tank can be relocated to provide enough separation. There will be no deleterious effects from the bed location. We hereby request a waiver to allow a 2.9' separation from the field to tank. Sincerely, Benjamin Schiller, PE CIS 2-'Y/G09 2- ZO 7 ----------------------- C) W W w o W < uj > < 5 Lo x w N a Ui 00o w f- uj m '(D w <a. < z Z,C) i2 w z w cr (1) w < Z 0 w < C) 0 c1r) C) F- I LL F- 0 z w w W W W 06 UF- F- C) (L w U) DMJCI -ITWDNI�JdS c C14 0 0 w W uj w m z Z) < Z: W F— Lq F- F- (-) o - W z �- W w W < > w LIJ o _3 d - -j 0 > 0 Z M:z 0 0 < ::) =) 3: -r F- C) m z 2 �- F- owoo 0 O(Lu) J 0 U- -, < w w z U- U) F- LLJ 600 - 0 C) 0 M: FO — > F— LLJ U) F- 0 M Ul) 00 co C14 m (=; Cl) LO <0 ci 06 4 LO LO r— m < cl). "r U') 1.0 cn C\l CO w W O C> U- SPRING HILL ESTATES, BLOCK 2 LOT 11 PERMIT # OSP241037 ti• 2:1 SIDE SLOPES WITH SEEDING & TACKIFIER P I D # 015-051-60 102.5 FINISH GRADE 2" FOAM INSULATION MOA APPROVED SAND 94.1 EXISTING BED EXTENDED BED GROUNDWATER @ 94.1 6/24/24 co N",— 90.1 F— E PROFILE AS -BUILT (NO SCALE) 99.1 99.1 ORIGINAL GRADE Lot 11, Block 2 Spring Hill Estates Subdivision 49,744 Sq. Ft. +/- 9620 Spring Hill Drive 2 Story Wood Frame House With Attached 3 Car Garage ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;;;; W E G MB SC S S S S SE E E E E SC N0 0 ° 0 1 ' 0 0 " W 1 5 6 . 9 0 ' N89° 59' 00"E 317.02' N89° 59' 00"E 317.07' N0 0 ° 0 2 ' 1 3 " W 7 3 . 8 5 ' 14.1' 3 . 2 ' 6.2 ' 20 . 1 ' 16.1' 2. 0 ' 20.4' 25. 1 ' 7. 2 ' 15.8' 36 . 1 ' 24.5' 12 . 1 ' 35. 0 ' 4.1 ' 4 . 1 ' 12.2' 10 . 2 ' 150.0' 40 . 0 ' ED G E O F P A V E M E N T PAVED DRIVEWAY 10 ' E L E C . & T E L E . C O M M . E A S E M E N T 20' ELEC. & TELE. COMM. EASEMENT SHED CHICKEN COOP TREEHOUSE OVER PROP. LINE CREEK CEN T E R L I N E C R E E K E A S E M E N T 100 ' S E P T I C S Y S T E M S E T B A C K ACCESS AGREEMENT EASEMENT BOOK 1324 PAGE 892 BOOK 1477 PAGE 883 10 ' E L E C . & T E L E . C O M M . E A S E M E N T 100 ' S E P T I C S Y S T E M S E T B A C K 20.9' 30'30' LOT 10 LOT 12 1 0 0 ' W E L L R A D I U S LOT 2, BLOCK 1 SPRING HILL ESTATES ADDN. NO. 1 PLAT #84-140 UNSUBDIVIDED S P R I N G H I L L D R I V E N0 0 ° 0 1 ' 4 6 " W 8 3 . 0 5 ' 25' C R E E K M A I N T E N A N C E EAS E M E N T 54.5' 33 . 7 ' 62 . 0 ' 29 . 1 ' 8.6' PREPARED BY: FRONTIER SURVEYS, LLC 650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518 907-460-1686 DRAWN BY: CHECKED BY: DATE: SCALE:GRID: SW2436 1.Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2.This document is created by Frontier Surveys for the purpose of an as-built survey for Morgan Michelsohn, only. 3.This document is based on Plat No. 83-382, Anchorage Recording District. General Notes DisclaimerLegend 1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. RS 1" = 30ft 08/16/2024 24-171BH Scale 1" = 30' AN AS-BUILT SURVEY OF LOT 11, BLOCK 2 SPRING HILL ESTATES SUBDIVISION 9620 SPRING HILL DRIVE CONTAINING: 49,744 Sq. Ft. +/- (RECORD) RECORD PLAT: 83-382 R E GISTEREDPROFESSIO N A L L A N D S URVEYORRachel N. Shoemake No. L.S. - 14646 Aug 26, 2024 DRAWING ID: Gas Meter Electric Meter G E Septic Water Well S W SC Septic Cover Fence[ E Elec. Pedestal Wood Deck Concrete Gravel Culvert Sign MailboxMB MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241037 Effective Date: Work Type: Septic Upgrade Expiration Date: Tax Code Number: 01505160000 Site Legal Address: SPRING HILLS ESTATES BLK 2 LT 11 G:2436 Site Mailing Address: 9620 SPRING HILL DR, Anchorage Owner: CUMMINGS SHANE Lot Size in Sq Ft: Design Engineer: FORGE ENGINEERING Total Bedrooms: This permit is for the construction of: o �,vNent G S� Ueha 1'tnlent 3/21/2024 3/21/2025 49744 Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1. The survey is to include the stream on the new as -built survey. 2. The 2:1 mound is to have topsoil and be seeded, with jute mat or hydroseeded with a tackifier. Issued By: Date: Date: Z 1 A C4 4 Municipality ®f Anchorage ' ��� urp,irtmF�r P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV241009 COSA#: Permit#:OSP241037 PID#: 015-051-60 Legal Description: SPRING HILLS ESTATES BILK 2 LT 11 Engineer: Forge engineerinq Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 4.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: 3 Z I 2 Approved by: Name of Reviewer ............................................................. ■ ............. ■ 1 **** VARIAN C E/WAIVER REVIEW **** MUMCPUTY OF HCC=�Op%� Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-051-60 Property owner(s) Shane Cummings Day phone Mailing address 9620 Spring Hill Drive, Anchorage, AK 99507 Site address 9620 Spring Hill Drive, Anchorage, AK 99507 Legal description (Sub'd., Block & Lot) Spring Hills Estates, Block 2 Lot 11 Legal description (Township, Range & Section) Lot Size 49,744 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) Septic Tank ❑ Upgrade (w/wo ADU) p9 ❑ Holding Tank ❑ Renewal ❑ Duplex (D) Privy ❑ Multiple Dwellings (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct applicable Municipal Codes. v 0 Distance: - I further certify that this is in accordance with (Signature of property owner or authorized agent) Permit/Rush Fees: <� 8"o Waiver Fees: Date of Payment: 3/g Z L{ Date of Payment: Receipt Number: 000e; D Receipt Number: Permit No. -5P 2 y LO Waiver No. Permit App__- : :_,.,:r ; March 21, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Spring Hill Est B2 L11 - 9620 Spring Hill Dr Septic system design and Waiver request – 4’ from field to lot line Dear On-Site Services Engineer: The field has failed on the above lot, so we are submitting this septic permit to replace it. The attached site plan identifies the location of the home, well, and existing septic location. No conflicts exist between this new system and any other well or septic system, whether on this lot or adjacent lots. Because of the limited area available for septic, we are proposing re-building the existing 22’x43’ field in- place. However, with updated codes the application rate for the rebuild needs adjusting and the new field will be larger. This design extends the bed to 55’ long and rotates it somewhat to fit the new bed in the space. We have specified replacing 2’ of the contaminated sand below the existing bed, and matching the design with 4’ of sand in areas where the new bed extends past the existing. Due to the very limited area available for the bed, including building location and separation to TH1 , it is not possible to fit the extended bed without encroaching on the lot line separation. We discussed with the contractor the feasibility of changing the shape to add an extension to one side, but he would not be able to build it in that tight space without tracking equipment over the bed area. The only way to actually fit the new field in that space is to extend it on the ends and rotate it slightly. Extending it as far as possible toward the tank while still keeping 10’ separation to the foundation leaves a 4’ separation to the lot line. W e therefore request a lot line waiver. This allows for the construction of the bed and the mound without encroaching on the neighboring lot or septic system. We are also requesting approval for the width to match the old bed at 22’. The contractor has large enough equipment that this will be feasible without tracking over the new bed area, and limiting the width to 15’ will not allow the bed to fit in the spac e available. The ground surface on the lot slopes mildly toward the road, at less than 5%. Where the existing field is, the area is fairly flat. Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241037, Deb Wockenfuss, 03/21/24 // // / / / / / / / / / / CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FD - FLOW DIVERTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND 1"=50' 4-BDRM HOME SPRING HILL ESTATES, BLOCK 2 LOT 11 FEET 0 50 100Benjamin Schiller CE 12592REGISTEREDPROFESSIONA L E N GINEER SP R I N G H I L L D R I V E 25' CREEK MAINT. EASEMENT 320 3/15/24 SEPTIC PLAN DRIVEWAY EASEMENT 100' SEWER SYSTEM SETBACK 325 325 325 330 330 EXISTING 1500-GAL STEP TANK TO REMAIN FCO REBUILD 22'x43' FIELD AND EXTEND TO 22'x55'. MAINTAIN 4' FROM PROPERTY LINE FOR MOUND. EXCAVATE 2' BELOW EXISTING BED AND REPLACE WITH CLEAN MOA SAND. WHERE NEW BED EXTENDS PAST EXISTING PROVIDE 4' CLEAN MOA SAND DOWN TO RECEIVING SOILS MT MT EXISTING WELL 10' T&E EASEMENT MT MT EXTENT OF MOUND 10.0 6.0 13.9 TH1 TH3 REMOVE OLD SEWER ROCK WITHIN 6' OF NEW BED SEPTIC SYSTEM OUTSIDE VIEWING AREA WELL RADIUS OUTSIDE VIEWING AREA WELL RADIUS OUTSIDE VIEWING AREA Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241037, Deb Wockenfuss, 03/21/24 SPRING HILL ESTATES, BLOCK 2 LOT 11 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 22' (NOT TO SCALE) 6" DESIGN FACTORS:SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: 7.9 MIN/IN APPLICATION RATE: 0.5 SF/BDRM SHALLOW BED 1500-GAL STEP TANK (EXISTING) REBUILD IN PLACE EXISTING 22' x 43' BED AND EXTEND TO 54'. REPLACE 2' OF SAND AND MATCH EXISTING GRADES- BOTTOM OF BED, FLOW LINE ELEVATION, TOP OF BED PROVIDE 2" INSULATION AND COVER MAX 2:1 SLOPES WITH VEGETATION WHERE NEW BED EXTENDS PAST EXISTING PROVIDE 4' OF SAND DOWN TO RECEIVING SOILS AT 5' BELOW GRADE GEOTEXTILE FABRIC 4x 2" PVC w/ 10x 1 8" ORIFICES EVENLY SPACED (HOLES DOWN) 3/20/24 2' 2' INSULATION DRAINFIELD ROCK EXCAVATE 2' BELOW BED AND REPLACE WITH CLEAN MOA SAND WHERE BED EXTENDS PAST EXISTING, EXCAVATE 4' BELOW BED AND REPLACE WITH CLEAN MOA SAND 600 GPD / 0.5 GPD/SF = 1200 SF BED REQUIRED (22'x54' SPECIFIED) 2:1 MAX SLOPES WITH JUTE MATTING OR HYDROSEEDING w/ TACKIFIERS Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241037, Deb Wockenfuss, 03/21/24 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT (.00 Permit Number: OSP191291 PID Number: 015-051-X Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Neil & Kristeen McCleary ABSORPTION FIELD El Deep Trench F-1 Wide Trench EJ Bed EJ Mound Site Address 9620 Spring Hill Drive ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Spring Hill Estates 2 11 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100,+ (e) TANK ❑ Septic XS.T.E.P. El Holding ❑ Other Manufacturer Anchorage Tank Capacity 1500 Gal. 1 Surface Water 100,+ Material Number of compartments Lot Line 51+ NA Steel 2 Foundation 101+ LIFT STATION Manufacturer Capacity Remarks Orenco 250 Gal. Alarm location existing alarm on house Electrical installed by Capstone Electrical PIPE MATERIAL House to tank 3034Tank to 3034 drainfield Installer A+ Home Services Drainfield CO/MT3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 326.0 ft Inspdection 1s` 9/3/2019 9/3/2019 Location and description Zw Bottom Trim @ A 3rd 41h ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional OF: Al—,q k,�k Approval: Date ' AAEW !r 49TH �nnr�ore -�'"; CF a Septic System ^� �\S��J�JC� C���J�v Approved Date Note: this approval does not include well permit requirements. tnev uoiuznuf 0Kc)m.: -4D I V�C)vy p To CD -'I-- D {Z O � 0 m Z ko > FTI �OKmmnmv-fTl "o000pmx vmi C I � M IVB n--�oz�o=> L rmx-0>OG7 m OpmZ m 0 -1 h ' r- - o 0 0 m I n D D W m z z �o 00 ^U1 <D z �� Cz m rn 0z p > c,� �1 �,o -{O i 22 m C-) c m >m n \ z m ,m ou > \ ♦ 1 I mi'- r1 X Im Is \ C) p cn p 0 0 \ \ FOUNDA71ON z)� On j i - - - - n- - - - - m - - - - - - - - - - - - - - - _ CLEANOUT -----�----r>-ppm---------------------- z7 m l m� MANHOLE /0\ \ O \ \ C) Ica i� P f� \ .m n ( Sys\ t > I N \ \ Xmo I f\ Z Q f -n >p > mZ74 n LIFT STATION \ \ \ a I y \ 1 4 I `a o i >z 2m 0 I \/ \ \ r \ \ I m 00 \ \ I D y 7 U) I NOTES: PANNONE ENG SVC, LLC P.O. 80X 1807 PALMER, AK 99645 Ij REVISIONS DATE 9/5/2019 RECORD DRAWING PHONE 907) 745-8200 FAX 907) 745-8201 ��QFACgs�\\\� ' 9il1 SCALE /r��P. �* $teven'R,'Fsanrione j CE 60' SPRING HILL ESTATES B2 L11 NEIL & KRISTEEN MCCLEARY DRIVE 620 SPRING L99503 gANCHORAGE, P.I.D. NO 015-051-60 DRAWN ACP NO. OETP191291 SHEPERMIT SITE PLAN AK 141st— \ 1 OF 2 ' MUNICIPALITY {JFANCHORAGE ' On -Site Water QVYasteweterPrn m poBox xesoso w7noElmore Road Anchorage, Alaska sa51e'usoo Phone: (sor)zwu'ron4 Fax: (sur)z*s'rny7 On -Site Wastewater Disposal System Permit Permit Number: OSP191291 Work Type: SepboTankUpgrade Tax Code Number: 01505180000 Site Legal Address: SPRING HILLS ESTATES BLK 2 L 11 G:2436 Site Mailing Address: 3620SPRING HILL DR, Anchorage Owner: MCCLEARYNEIL R&KR|STEENE Design Engineer: PANNONEENGINEERING SERVICES This permit isfor the construction of: [] Disposal Field 10 Septic Tank [] Holding Tank [] Privy All construction shall beinaccordance with: 1. The attached approved design, Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: 7/19/2019 []Private Well M Water Storage 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 (18AAC8D) 3. The wastewater code requires inspections during the installation, T he engineer shall notify the Development Services Department per AMC 15.GS.Provide noiifioabunbycalling (OO7)343-7A84(24/7), 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: o. Opened and Closed mnthe same day, or b. Covered, sealed, and heated to prevent freezing Date: 711, ?///1 Issued By: 4 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-051-60 Property owner(s) Neil & Kristeen McCleary Mailing address 9620 Spring Hill Drive Anchorage, AK 99503 Site address Same Day phone Legal description (Sub'd., Block & Lot) Spring Hill Estates B2 L11 Legal description (Township, Range & Section) Lot Size 49,744 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X Septic Tank ❑X (w/wo ADU) Upgrade 0 Tank ❑ Duplex (D) El Renewal El Privy ❑ Multiple Dwellings ❑ (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. (Signature of property owner or authorized agent) Permit/Rush Fees: $19 C9 6_' bo Waiver Fees: Date of Payment: -1I I _19 Date of Payment: Receipt Number: O?J31aCpC'� Receipt Number: Permit No. M Waiver No. Permit App_:- : P�_I Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191291, Rebecca Carroll, 07/19/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191291, Rebecca Carroll, 07/19/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191291, Rebecca Carroll, 07/19/19 MUNICIPALITY OF ANCHORAGE DEl TMENT OF: HEALTH AND HUMAN SER~ ,S Environmental Health Division 825 "L' Streot, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT .Po lYo:, III 762' L£GAL D£SCRIPIlON TANKS '['~ SEPTIC UanulaC(UH,[ [] HOLDING TYPE OF SYSTI=M TRENCH /~ BIF. D [~ W, DRAIN [] OTHER ong,naJ grade rf~ FT ~-~ FT FT WELLS ~-] PRIVATE [] OTHER (Identifv) REMARKS: ~,~ DISTANCES ~ SEPTIC ABSORPTION TANK FIELD WELL WELL 4,° ¢- ,~, a o 'h ,~ LOT LINE FOUNDATION /z Municipal an[I Sta~l(lelJne$ in ell~cl on Ihis dale: cedily Ihat tills inspeclion was pedormed 8ccordin9 to all ~/.- ~ s'- 72-013 (3~85) ENGINEER'S SEAL 2&Zl "'fl '7 ;?.0 L.I I l] ][ ' IF" Il!E: '.!:Ei; lEE: II,,,,,il l}:iiE: tF::;i',:..,~. 1},,~,,~ IR It.,.. [ ...... I[ ~ I}: I1 , Il I1 ::11:: '1t ' I:::'1 ~:Fil~'1:1: T I .f!!X3t.~L, I..C!I" ~ilI ZIE L I..(JL, I .... ::. :1: c: (.::~, r 't: :i. f' y 'L I'1 a t. ~ :1 ,. i ~:/m f'amJ. ].iar' 14 ): I..I. hlCI I' /.:Il!ii: (~I::'F::'F:d::)Vli!H) t~1:1: 'f I.II3LIT ~lq IEI._.L'~C:X'I F-( I C;~-%. I BI[:;F::'IECi'I" :1:O1',1 I:qiEl:;'13F(l' !i F~IqD (:3) 'II-IL:: tEI.,.lii[C,"t'I:RIC;~I. P~[)RI'( I~tI,Ji.!ll' /.:Il:!:: )[)[:)lxll!!!: i!!l¥ (.~ I..]:lJli!:lq!iilED Municipality of Aachorage I)eparL~lent of llealth and lluman Services P.0. Box 196650 Anchorage, Alaska 99519-6650 A~tn: Steve Morris May 29, 1986 MUNICIPALII~ OF ANC~oP, AGE DEPT. OF HEALTH & ~NVI~ONMENTAL PROTECTIO]'~ C JUN 4 1986 RECEI E Subject: On-Site Wastewater Disposal Permit Lot 11, Block 2 Spriag Hills Estates Subdivision tlere is a copy of the water monitoring t:hat was performed on t:he subject lot, between the period of March 21, 1986 add ending oa May 28, 1986. The tests show that the ~ater level has remained in the sand and ii: is not moving upward into the silty sand. On May 28, 1986 we added enough water 'the raise the water in the monitoring 'tube to 7.5 feet from the h~p Qf the tulle., and hy 4:00 p.m. it had returned to the original level. The water was placed in the tube at 11:57 a.m. and was monitored uatil 12:24 p.m. and it had reached at 8.3 feet. Itowever, at 4:00 p.m. of the same day the water level had returned to it's original 8.4 feeL. This would indicate that the 8.4 feet is probably the reasonable level. Request that you issue the permit, requested earlier. I still do not recommend that we change the design. This would still leave a suitable margin for the future in case the water table does rise in that: valley. Also, Frost level is at 1 foot. If you have any questions please let me know. Sincerely, Presi~i~t , PE 1200 LUcsl 33~,rl Aucnue. Suil¢ B · Anchor,q¢, AI,sk 99503 '~(907) 561-5040 ALASKA ENVIRONMENTAL CONTROL SERVICr INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 -N ALASKA ENVIRONMI-nlTAL CONTROL SERVICES, INC. ].200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 ALASKA ENVIRONMrNTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 56~.-5040 ~.EET .0.. '~ 0~ fO CHECKEO BY DATE ALASKA ENVIRONr¢''~ITAL CONTROL SERVICE~, INC. 1200 west 33rd Avenue, Suite E~ ANCHORAGE, ALASKA 99503 (907) 561-5040 OF -- SHEET NO ~ CHECKED BY DATE NEMA 4 ENCLOSURE GALVANIZED OR PAINTED 1~4" DIA PULL-PIPE CONNECTED TO METAL. COVER PITL ESS ADAPTER FOR ~'* URETHANE FOAM PUMP REMOVAl GLUED TO COVER GROUND L E VEL POWER AND PUMP CONTROL LINES I ~ DIA STEEL PIPE PITI ESS ADAPTER PUMP PUMP ' M/N · I.~'LR" COUPL lNG - / ~"SOLIDPE ORAB~ J. 7'0 ABSORPTION / ' AREA FILLET WELD AROUND PIPE . FRO4'~ DIA SOLID PVC PIPE M SEPTIC TANK · CALDER COUPL lNG DIFFERENT/AL. MERCURY FLOAT SWITCH AL ARM CORD · PUMt /NS/DE OF PIT SHALl- L BE COATED WITH BITUMINOUS PAINT CY? TAR CLAMP ~HEAT TAPE GArVAN/ZED STEEL ~TM OR ALUMINUM CULVERT ALARM LEVEL PUMP 'ON" LEVEL PUMP "OFF*' L EVE'L ~ ~ GALVANIZED OR PAINTED Bra'Er PLAT, ALASKA ENVIRONM~,~TAL CONTROL SERVICES, INC. 1200 west 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 276-1361 S.EET .0 ~ OE CALCULATEO DY DATE. CHECKED DY. DATE ALASKA e,,,JIROBIT/ FiTAL COBTROL SI2,kmlC S, IFIC. ~nqin¢¢rinq 6 ~nuironmenlul $1udies Municipality of Anchorage 825 L Street Anchorage, Alaska 99501 Attn: Steve Morris April 19, 1986 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION A P R 2 11986 RECEIVED Ref: Lot Il, Block 2 Spring ltills Subdivision Dear Steve: This letter is in reference to the conversation we had earlier this week in regards to the mottling that we found in a very thin layer at the soils test done at 5 feet. When Dennis Roe spoke with you he told you that he did not feel 'that this mottling indicated that there was a high water table. I also discussed the same thing with you and explained to you that this is the only location of ~mttling is at the 5 foot level. There is no evidence of of mottling in the silty sands below or in the poorly graded sands to the the water table at 8 feet. However you will also note that the water had gone to 9 feet a week fr~n the date of the testhole. Were the mottling significant, it would have occured in the silty-sand, then I could agree with your position that the water table could fluctuate higher than what we measured. I am sending a copy of a report from the Individual On-Site Wastewater Systems which is from the proceedings of the Sixth National Conference, date 1979 on Individual On-Site Wastewater Systems. I have highlighted 'the position taken by the State of Wisconson on soils that are identical to what we have found in this subdivision. Please review this. I think your position is wrong and I believe that the Municipality ~vould do well to adopt a position very similar to that used by the State of Wisconson. I think if you will review our design we have been extremely conservative in our position in that we have designed the system to be ~ foot above the small layer of m~ttling. I therefore request that a permit be issued for the construction of the bed system as we have presented it to you. If you disagree, please reply to me writing as to the reason that the system can not be approved. Thank you for your consideration. Sincerely, President 1200 ~Uesl 33ri Aucnue, Suite B · finchoruqe, Aluska 99503 ,(907) ~ ~¢ , , .... 7 ,. ". ~ / ~ ~) / I/ / ,,',.. ,,,', t / /0 ~",:~. r 7~ ~, ' ' co~tA~, .-s~t7. LEGEND 0 LOT CO~ER5 .~,,, ' FOUNDATION ~ DRAINAGE ARROWS ~.~o i.,~ ~- ~'%-~,,,'",,,,,~t.o ' ~ , ~ ,., ,.~ . = 9~~ ~.,'t ',' ' ' ~ '~ .'g Y~ I, IT ~IHALL BE THE RERPOH,~IBILITy OF THE BUILDER OR OWNER TO VERIFY THAT nicipahtyo{ Alnchor ge P.O. BL,,,. 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES April 24, 1986 Leroy Reid, PhD Alaska Environmental Control Services, Inc. 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: On-site Wastewater Disposal Permit Lot 11 Block 2 Spring Hills Estates Subdivision Dear Dr. Reid: Thank you for sending me a copy of "Soil Mottling and Groundwater Monitoring". InformatJon on the interpretation of soil mottling and the description of Wisconsin's groundwater monitoring procedures will be helpful to us here. Let me make it clear that I do not necessarily disagree with yo~ or Dennis Roe's interpretation of the reddish mottling reported in the log of Testbole #3. This mottling was reported at five feet, at the interface of the ML and SM layers. Your interpretation that the mottling occurring at this interface was not the result of seasonal high water table is perfectly reasonable and supported in the literature you have kindly supplied to me. The issuance of this permit is being held up until springtime monitoring during the seasonal high water period can be accomplished. It has been the practice of this department to add a reasonable, albeit arbritrary adjustment factor of two to three feet to water tables monitored in periods when the groundwater table is anticipated to be lower than the "seasonal high". In the case of Testhole #3, for example, where the stabilized level was measured at eight feet during a March monitoring period the water table was "seasonally adjusted" to 5 or 6 feet for design purposes. This seasonal adjustment factor ls reasonable and is supported by data gathered in other Anchorage locations. The mottling indicated in the soil log coincidentally corresponds to this seasonal adjustment and is not the only factor leading to the withholding of the permit. Leroy Reid, PhD. Alaska Environmental Control Services, Inc. April 23, 1986 Page Two Again, let me make it clear that this permit is being withheld, not denied, pending verification of the seasonal high watertable. This department will accept a stablized late May measurement as the "seasonal high watertable". If it can be established tht two feet of accepting native soil exists above the monitored water level a permit for the design as submitted will be issued by this department. Thanks again for the technical information. Your input is always appreciated. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw #5.#6 PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST [)ATE PERFORMED: LEGAL DESCRIPTION: 1 4- 5- 6- 7- 8- 9- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS TownshiP,sLoPERange, Section: /c:~ ,~~sITE%6c~,P{_AN~-¢''~-./~'- S L IF YES, AT WHAT O DEPTH? p E Depth to Waler After Monitoring? 'TI~-/" Gross Net Depth to Net Reading Date Time Time Water Drop '~ ~ I ~ ~*/~ ~2 ,b~q ~ '~ ' PERCOLATION RATE ~-r(~ ~ (m~nutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN . ,,.! PERFORMED BY: ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ' 72-008 (Rev. 4/85) PERFORMED FOR: 2 3 4 5 8 9 13- 14- 16- 17- 20-- DATE Township, Range, Section: [~/~¢ SLOPE SITE PLAN ' Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST WAS GROUND WATER ¢,,,,¢~ ENCOUNTERED? ,~, IF YES, AT WHAT E Depth Io Water Afte~. ~ Monitorino? ~ Date: Gross Net Depth to Net Reading Dato "rime Timo Water Drop PERCOLATION RATE -- (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN __ FTAND FT COMMENTS PERFORMED BY: ~-~t/~C'~,_.'~.,~C:~¢.,~'~t'~ ~/ CERTIFY THAT THIS TEST WAS PERFORMED I. ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TI-IlS DATE. DATE; '. 72-008 (Rev. 4/85) DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 so, s - SLOPE 3- 9- 10 - WAS GROUND WATER ENCOUNTERED? DEPTH? IF YES, AT WHAT O E Monitoring?,~.., Date: _'~'~ 14 15 16 17 18 19 Gross Net DepUte Reading Date Time Time Water Drop 20 ~ ¢p ~-~r PERCOLATION RATE /,, t (minutes/tach) PERC HOLE DIAMETER (, TEST RtJN BETWEE ~"'- ~"' -- FT AND ~,~ FT / PERFORMED BY: ~~; ~ff~ I ~ - CERTIFY TRA* TRIS TEST WAS PERFORMED IN ACCORDANCE WITiJ ALL STATE AND MUNICIPAL GUIDEI-INES IN EFFECT ON THIS DATE. DATE: '~ %~/~ 72-008 (Rev. 4185) (- (~7) 349 S53~ i~6-220 L: .;il w~:.m. ............ ~3 ........ U;: :- r~ ~%11 Domea ;:;hPh' wa/op l:::ve] ..... ].!~.O.,Sk. ~rrb>i;'.u-}; ~ba!ov/) lind sux':lace. ?Li'[n sh oi we. 1 (cheek o*~e) op~ll end ( ~( ); , , e ¢ ~ ' ' ;' ' ' ' MuN~C~P~LI~ OFvlF,.ANCHO~A~r& gro,md suv~Taee Cige debdlg 6f folTnntions penatrated, gize~I~"kl]~ c~lm' and ha:cdness 3~ 'L" 4) eep~ng Ila:cclpan T ............... T© ............ 1 -- CUSTOMER Parcel I.D. 015-051-60 Certificate of On -Site Systems Approval 12 / Z 7-/ Z�o2 y Expiration Date: Jky_-,-2D247 Legal description SPRING HILLS ESTATES BLK 2 LT 11 Site address 9620 SPRING HILL DR Anchorage AK 99507 Current property owner(s) CUMMINGS The On -site system(s) is/are approved for bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: July 15, 2024 septic field to be rebuilt under permit OSP241037 by r' ( C, CO f - r-- 3 L/r L-T S i� C / sP r...-G ji ®,�1it r-P o a--T- Original Certificate Date: 4/1 /2024 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 COSA Approval_June 2022 MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-051-60 Complete legal description Spring Hills Estates Block 2 Lot 11 Location (site address) 9620 Spring Hills Drive, Anchorage, AK 99507 Current property owner(s) Shane Cummings — Day phone 2. ON -SITE SYSTEMS SIZED FOR BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well E] Private Well serving 2 dwelling units F] Private Well serving 3+ dwelling units El Community Well or Public F-1 Water Storage 4. TYPE OF WASTEWATER DISPOSAL: FN� Private Septic R Private Septic serving 2 dwelling units El Holding Tank R Community Septic or Public Sewer 5. SEPTIC TANK: RE Steel E] Plastic E] Concrete R Fiberglass Age 5 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: F] AWWTS 01 Bed F] Deep Trench 0 Wide Trench F] Seepage Pit Waiver request for: Expedited review requested: 0 Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment Date of Payment COSA # GS Cz O Waiver # COSA Application —June 2022 COSA Checklist Legal Description: Spring Hills Estates Block 2 Lot 11 Parcel ID: 015-051-60 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Date drilled 8/22/86 Total depth 181 ft Cased to 181 ft 01 Sanitary seal is functioning correctly FE-1 Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 12/27/23 Static water level at beginning of test 127 ft. Comments B. TANK DATA Measured operating fluid level in septic tank N/A Date of pumping 3/19/24 ❑ Required maintenance completed, if AWWTS Comments: Northland Pumping D. ABSORPTION FIELD DATA Which system tested (date installed) 6/24/24 ❑■ ALL standpipes present per record drawing Total measured depth from grade 3.4 ft (max) Measured depth to pipe invert from grade ft (min) FO-1 N/A — pressurized field. ❑E Per record drawings, field is insulated. ❑■ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced N/A gallons N/A date Any rejuvenation treatment (past 12 months) N/A If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 3.5 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes FOR No F61 Coliform bacteria is Negative Nitrate 3.23 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑E Arsenic less than MRL (ND) Collected by Forge Engineering Date 12/27/23 C. LIFT STATION F0 Required maintenance completed Age of lift station 5 years Lift station material Steel Comments: Adequacy test date NEW INSTALLATION Results 0 Pass id depth prior to test in Wate dded gal New fluid th in Elapsed time �min Final fluid depth "�,, in Absorption rate gptk, FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' 0■ Yes if No ft 0 Yes if No ft Neighboring Tank > 100' ❑o Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' RN Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft no Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' no Yes if No ft Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' FE-1 Yes if No ft Surface Water > 100' ■❑ Yes if No ft Tank to Property Line > 5' Fi Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No 5'2* ft Private Wells > 100' FE-1 Yes if No ft Water Main > 10' ❑■ Yes if No ft Community Wells > 200' M Yes if No ft Water Service Line > 10' Fm� Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS Waiver OSV241009* G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on -site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Forge Engineering Phone (907) 522-7773 Engineer's Printed Name Benjamin Schiller, P.E. Date 9/4/24 COSA Checklist —June 2022 .ft� of A��1�}i * 49 TH * / Benjarn(R Schiller ��`• CE 12592``�/� ��k1 10RQFESSI0P;. Development Services Department :-' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 015-051-60 Certificate of On -Site Systems Approval Expiration Date: July 31, 2024 Legal description SPRING HILLS ESTATES BLK 2 LT 11 Site address 9620 SPRING HILL DR Anchorage AK 99507 Current property owner(s) CUMMINGS The On -site system(s) is/are approved for bedrooms X Conditional approval for 4 bedrooms, with the following stipulations: Comments or advisories July 15, 2024 septic field to be rebuilt under permit OSP241037 by Original Certificate Date: 4/1 /2024 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 COSA ApprovaIjune 2022 �V/W MUPAUTY OF AHC rHORAGE `e4 cam Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application j 1. GENERAL INFORMATION Parcel I.D. 015-051-60 Complete legal description Spring Hills Estates Block 2 Lot 11 Location (Site address) 9620 Spring Hills Drive, Anchorage, AK 99507 Current property owner(s) Shane Cummings Day phone 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: X 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: ®❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 4 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS 0 Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: 0 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 $ J Waiver Fee $ Date of Payment F Z Y Date of Payment COSA # C, `-I (� Waiver # COSA Application —June 2022 Spring Hills Estates Block 2 Lot 11 015-051-60 3.5 8/22/86 181 N/A 181 3.23 18 12/27/23 Forge Engineering 127 12/27/23 N/A 3/19/24* *Northland Pumping TO BE INSTALLED N/A N/A N/A 4.5 Steel NEW INSTALLATION > This field is to be installed per permit OSP241037. Benjamin Schiller, P.E. (907) 522-7773 April 1, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Spring Hill Est B2 L11 - 9620 Spring Hill Dr Conditional COSA request Dear On-Site Services Engineer: The owners of this property began the process to sell their home. They found out that their system did not pass a COSA test during the winter, and were waiting for thaw to replace the system. In the meantime, they received an inquiry that led to a serious buyer with a closing date before spring. We have an approved permit for the septic replacement now. They have solicited three bids from contractors and have placed 150% of the highest bid in escrow. We request a conditional COSA for the sale of the home, with the work to be completed before June 1, 2024. We will provide inspections for the installation, and the money in escrow will not be released until the MOA issues their final approval and COSA. The issuance of a conditional COSA does not pose any immediate health risks to the occupants. Sincerely, Benjamin Schiller, PE MUNICIPALITY OF ANCHORAGE L)evelOP"T'lerit Services Departryient Phonqe: 907-3,-/ 31-7904 0�'-Site W,9t-r & Wastewaier Section A � 90 Lift Station/Pump Vault Maintenance Loci � - --i-a Owner Street Address ID 92299int .Sludge level (2inches -Pumping: required Mn -Pumping complete <e� jjo Lift station: -Pump basket cleane., no -Effluent filter cleanedno -Control floats cleaned no ,Proper float settings confirms j::�'_��no -Operation satisfacto to no Akmimikm Dedicated electrical alarm circuit es no -Audible and visual alarm inside dwelling��no -Alarm system operati gstisfactor ot s atisfact Manhole Riser *Ground water intrusion at riser to tank connection ye oGround water intrusion around pipe penetrations es -Weep hole functiona[Cy--no y9s ,Manhole lid: I Functional(:9, no Insulated' Other _��o Properly Secured(�no Company /'I -t Date of maintenance #,()/Ze/ 5:9 OwPIANS MUNICIPALITY OF ANCHORAGE Phone: 907-343-7904 Development Services Department �Fax: 907-343-7997 On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Parcel I.D. 015-051-60 Expiration Date: 12— 7,q -VZ 0 1. GENERAL INFORMATION CSpring Hill Estates B2 L11 Complete legal description Location (site address) 9020 SDrina Hill Drive Current property owner(s) Mailing address Real estate agent Neil & Kristeen McCleary Same 2. TYPE OF DWELLING: n Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone Day phone Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5-0 Date of Payment /Pa Aa JA Receipt Number 51 U P,6 COSA # ®SC1RILlb(o Waiver Fee $ Date of Payment Receipt Number Waiver # 4 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well [I Private Septic El Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer . ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5-0 Date of Payment /Pa Aa JA Receipt Number 51 U P,6 COSA # ®SC1RILlb(o Waiver Fee $ 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. 1 further verify that based on the information obtained from the Municipality of Anchorage files and cfrrb m my esti end State and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable a Mun ciP codes, ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 9 9 Address P.O. Box 1807 Palmer, AK 99645 Steven R. Pannone P.E. Engineer's Printed Name 6. DSD SIGNATURE System #1 Approved for _�_ bedrooms System #2 Approved for bedrooms Disapproved Date % Qd Q Conditional approval for bedrooms, with the following stipulations: Ns ON-SITE U ''MIItI%ItO' By. J �, - J —�Original Certificate Date: / V /I 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State, of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Spring Hill Estates B2 L11 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA FEI Well log is filed with Onsite (or attached) Date drilled 8/22186 Total depth 181 ft Cased to 181 ft ❑® Sanitary seal is functioning correctly © Wires are properly protected Casing height (above ground) 32 in. Date of flow test for COSA 6/25/19 Static water level at beginning of test 137.7 ft. Comments B. TANK DATA Age of tank(s) 912 019 years Tank type/material ST`D'S Measured operating fluid level in septic tank n/a V Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Bed Which system tested (date installed) 6/86 ® ALL standpipes present per record drawing Total measured depth from grade 4.6 ft (max) Measured depth to pipe invert from grade 3.1 ft (min) ❑ N/A — pressurized field 0_1 Monitor tubes go to bottom of effective. If not, state depth into effective © Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: '. See comment section below COSA Checklist yellow sheet Parcel ID: Structure served by this system 1 015-051-80 Well production at time of test 4.03 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes M No Coliform bacteria is Negative Nitrate 4.04 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L FMJ Arsenic less than MRL (ND) Collected by Pannone Engineering Services__ Date of Sample Q7//y C. LIFT STATION Al Required maintenance completed Age of lift station 9""""9 years Lift station material Steel Comments: Adequacy test date 6/25/19 Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test 3.5 in Water added 600 gal New depth 6.5 in Elapsed time 200 min Final fluid depth 3.5 in Absorption rate >600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' IZI Yes Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft ✓(_j` Yes if No Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' 1-71 Yes if No Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' [D Yes if No Neighboring Absorption Fields > 100' F/7l Yes if No Water Main > 10' Animal Containment > 50' 171 Yes if No 0 Yes if No ft F/� Yes if No Water Service Line > 10' 0 Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' 71 Yes if No ft ❑✓ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' IZI Yes if No ft Surface Water > 100' Q✓ Yes if No _ Property Line > 5' Yes Yes if No ft Wells on Adjacent Lots: 0 Absorption Field > 5' M Yes if No ft Private Wells > 100' F/7l Yes if No Water Main > 10' 0 Yes if No ft Community Wells > 200' F/� Yes if No Water Service Line > 10' 0 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' IZI Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Z Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS ** Based of Elevations taken on 6/25/2019 drain field monitor tube extends into sand filter below drain rock. Based on drain field performance and age it is likely 75-80% used. G. ENGINEER'S CERTIFICATION s � I certify that l have determined through field inspections and review��� of Municipal records that the above systems are in conformance with : 49 TH MOA COSA guidelines in effect on this date.?C97 . ' ... Stevan F. f'annor e CF gAi 1.9 COSA Checklist yellow sheet ft ft ft ft It ft ft ft ft ft 000ppe 46eY � y�4�e/e1 All Parcel I.D. # _ 1. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAl. INFORMATION , :, Complete'legal description .Sprinq H±ll ~.states :hot 11; Blk 2 Location (site address or directions) 9620 Sprinq Hill Dr. Property owner Mailing address Lending agency Maitin. g address Agent Address Neil Ritson 9620 Spring Hill Dr. Day phone. 346-2622 . Day phone Jack White Real Estate Dayphone 563-5500 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well Community welt Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ~'YPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer xx NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72*02~(Rev. I/91) Front MOAf~21 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, functiona! 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 co ~pliance with all Municipal and State codes, ordinances, and regulations_in effect on the dat, ~,= this inspection. TE V^TBR Name of Firm .....~C_O_N ~U~,_ T .~7/J~ ~,IE~fC. Phone ~.~'.~'?.- ¢/7 ~' Address '--; ?~ ,A~[ 9950~ / / Engineeds signature '"~"-- Date ' Alaska Water & Wastew(/aterI onsultants Inc. shall be paid $1,100.00 at or prior to closing for the engineering services provided. DHHS SIGNATURE __~/ .. Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments '.The M~icJpality of ,~,l~h0rage 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 prb~essional eggi,n~ registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their Ibnding institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct in~peetions 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. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: A. WELL DATA Well type ~A.~ A'rC-- Log present ~N) Total depth Sanitary seal ~'~) Health Authority Approval Checklist ~ ~'r^"re~ - Parcel I.D.: If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ) ~ I Casing height (above ground) Wires properly protected Date of test Stat.lc water'level FROM WELL LOG AT INSPECTION 15o i iq.z~ Well production ~o g.p.m. ~'~ g.p.m. WATER SAMPLE R~ULTS:. Coliform Date of sample: I /'Z~/.t~ B. SEPTIC/HOLDING TANK DATA Date installed ~/~¢* Tank size Foundation cleanout ~N) Date of Pumping '/Z.'z,/q', Nitrate [ ' ,~"'7 Other bacteria ~ Collected by: ,fi, .~, ~j. ¢. ~ i~J ~.. I.,g,,.~O Number of Compartments '~- Cleanouts (~/N) 'f'e--~ Depression (Y~ /J~ High water alarm ~N) Pumper C. ABSORPTION FIELD DATA Date installed (~/~G Soil rating (~.p.d.,'ft* o~ Length ~'.~ Width ':~ Effective absorption area ~'~ ¢ Date of adequacy test Fluid depth in absorption field before test (in.);'~'7-'z~ System type ~Dc, Gravel thickness below pipe O, ,~ I,,~_ Total depth ~-¢ ~l Monitoring Tube present ~N) ~'5 Depression over field (Y/l~) /kJo Results (Pass/Fail) CA~L~ ~ For /-/ bedrooms immediately after-/$~, gal. water added (in.): ~O,~ Fluid depth ~.¢~ (ins) Minutes later: Ioo Absorption rate = ~OO,4- g.p.d. Peroxide treatment (past 12 months) (Y/N) 14¢N ¢- ~¢¢~ If yes, give date B, LIFT STATION / Date installed ~/¢8 Manhole/Access ON) High water alarm level at* Cycles tested ~¢ E. SEPARATION DISTANCES Size in gallons ~5'~)o "Pump on" level at* /¢ '7. ~J "Pump off" level at* *Datum ¢~'¢'¢,,,~ .,F T',,~ ~. SEPARATION DISTANCES FROM WI=-LL ON LOT TO: Septic/holding tank on lot Absorption field on let Public sewer mmn 14//~ Sewer/septic servme line "Z~'l'l~ __ On adjacent ires On aejacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LO1' TO: Foundation ~ I+ Properly line ~ J f'' Absorstion field Water main/service line Ic~[f- Surfacewater/drainage IooI'[' Wells on adjacent lots ioolt SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Propmty line J Z,I '''''''~'' PaC. I¢~t[ 4, m~;@~-'fio/~ Building foundation Io I ~ Water main/se~ice line Sudace water 1oo~ ~- Driveway, parking/vehicle storage area Cudain drain ~NE ~ Wells on adjacent lots _ // ENGINEER'S CERTIFICATION/// ' , ce.fly that, *¢~d¢~m¢¢~hr~ field inspections and review of Municipal record~~ in conformanc~ wilh ~pqH~A gufde/ines in effect on this date. Signature_ L~L~ Enaineer's Nam~ ' ~~ m' ~~ re HAA Fee $~_c¢'~ D%) ¢ ~ _ Date of Payment ~)'"~/~ Receipt Number /7/Z//-7~ /""(/~'¢~'-1 / 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment_ Receiet Number Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner I~1~- ~' F,I~L[ · Dayphone ~GI- -'~0~- Mailing address [.ending agency Mailing address Day phone Agent Address ~-"" Day phone. Unless otherwise requested, HAA will be held for pickup. ,NUMBER OF BEDROOMS: J"~- '~ TYPE OF WATER SUPPLY: individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 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~)25 (Rev. 1/91) Front MOA#21 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 structu re 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 co ordinances, and regulations in effect on the date Ataska Water & Name of Firm W¢,~tcw~t~rP~l¥ic~"S'~ ~ .,--84,71 BrqJ~k/~lge,.Or. / Address ~~~/~ EngineeCs signature DHHS SIGNATURE V~' Approved for Disapproved. Conditional approval for bedrooms. ~pliance with all Municipal and State codes, this inspection. Phone Date bedrooms, with the following stipulations: Additional Comments 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 DH HS 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 analy~e data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICE~ Environmental Se~ices Division 825 L Street, Room 502. Anchorage, Alaska 99501. Legal Description: L-,o'T"- I/j A. WELL DATA Health Authority Approval Checklist O E- Sanitary seal (Y/NI Well type ~'~-' If A. B, or C, attach ADEC letter. ADEC water system number I'J//~- Log present (Y/N', '~¢ I~'=- ~ Date completed ~"~/~ ~ Total depth / ~/~ Cased / ¢ / / Casing height (above ground) { ~-' t?/~:. ¢. Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION / Date of test ~/~)& 7/~Z~/~'~ t Static water level / "~--'-~) / ~'~ / Well production ~O g,p.m. ~' ~ g..m. ~ ~o 0~0~ WATER SAMPLE RESETS'. ~ ~ Coliform Nitrate /' ~ ' Other bacteria / - Date of sample: Collected Dy: ~f~ ~l~t~' B. SEPTIC/HOLDING TANK DATA Date installed __ ~)/~ Tank size / ~-'~)O Number of Compartments ~ Cleanouts IY/N). Foundation cleanout (Y/N) ""~,~" Depression (Y/NI ~JC) High water alarm (Y/N) Date of Pumping~ (~/~"7/~"':~Pumpe' ,A'+ ,/--I~¢~wF- _~'~-.-.-.-.-.-.-.-.-.~-v/~-~' C. ABSORPTION FIELD DATA Date installed ~/~-'~ Soil rating (g.p.d,/ft= or f¢/bdrm) ~ ~'O System type ~ Length :~t'.~! Width P_-'7._. / rr .~'0" ~&"/-' _ Gravel thickness below pipe ~ Total depth Effective absorption area_ <~'"~ Monitoring Tube present (Y/N) Y_ Depression over field (Y/N) NC) Date of adequacy test ~/IA'/°/~p' Results (Pass/fail) ~'~ ~"~' For ~ bedrooms (I/~luid depth in absorption field before test (in.); ~'°~'~ 'nmediatelyafter'~gl. wateradded (in.): '7°~''/! Fluid decth ~_3-, (~ (ins) Minutes ater:. /0 ~0 Absorption rate = ~OC) 4- _g.p.d. -e /, " /,1' ast 12 months) (Y/N) ~ . If yes, give date '_ ~ ~'~"' ,, installedSTATION ,~/(~' ,--'//'-,- ~ ,, Size in gallo~: Manhole/Access (Y/N) ~/~-' Pump on" level at* High water alarm level at* ~ ~ *Datum ~°'T"T?"'¥'~ '~ Cycles tested ~J~lr.,t ¢¢,'LOL4 E, SBPARATION DISTANCES /s-Co "Pump off" level at* 4"Z// SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot i~) Absorption field on lot Public sewer main Sewer/septic service line ~ ,~'/~- On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOL_DJNG TANK ON LOT TO: Foundation ~"/~- Property line --~ Absorption field Water main/service line /O I+. Surface water/drainage /OO/'¢' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line f z l ,-~¢¢-~' Buildihg foundation ./~0 /W' Water main/service line /~/4- Surface water /O~)/"~ Driveway, parking/vehicle storage area /~) Curtain drain /UOr,f~__:-. (,~..,4oLz./t~,J Wells on adjacent lots / ~)O F. ENGINEER'S CERTIFICATION ,/~ I cerlify that l h..~detfr~ine/'~t~ Iield inspections and review of Municipal records that J in conforman¢ ~ l~y/~g%nes, in effect on this date. Signature t,,._.~H//c'////'r L/~ k,, "'-')"'"-,~ Engineer's Na~ HAA Fee $. ~' ~ Date of Payment / Receipt Number .~..,.~/¢i¢ Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/98)* 8471 Brookridge Drive ,- Anchorage ~ Alaska 99504 Phone (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers October 13, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: HAA for Private Well & Septic System. Lot 11, Bk 2, Spring Hill Estates S/D. To whom it may concern: The subject lot has a 4 bedroom house on it which is served by a private well and septic system. The septic system was tested on 7/24/97 and determined to be failed. It was TerraLiffe6 on 8/1/97, and retested on 9/12/97. Attached is a copy a report, dated 7/26/97, which addresses the well test. The results of the septic adequacy test are addressed on the HAA check sheet. NOTE: The adequacy ora septic system is iqfluenced by numerous factors, including, but not limited to, seasonal smface water infiltration, groundwater variations, septic system maintenance (fi'equency of septic tank pumping, usage of biological additives'.), condition of drain pipe and pipe joints' (which can be danlaged by seismic activity and deteriorate with age), type of substances deposited itl septic system (cigarette butts, sanitary napkins, misc. objects), and the amo~mt of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for tile specific day of the test. l?urthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected. No warrantee is made regarding the filan'e performance of this well or septic system If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. Sinceril~~/~~ 8471 Brookridge Drive ,~ Anchorage -~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Coosniting Engineers July 26, 1997 Marc Langland 9620 Spring Hill Drive Anchorage, Alaska 99516 Subject: Inspection of Well & Septic System. Lot 11, Bk 2, Spring Hill Estates. Dear Mr. Langland: Per your request, we inspected the well and septic system on your property. The results of the field investigation and adequacy tests are summarized as follows: WELL: The static water level on 7/24/97 was 146 feet below the top of the casing. Water was pumped fi'om the well at a rate of 5.2 gpm for a total of 150 minutes (780 gallons). Throughout the pumping period the water level in the well remained unchanged. In short, the well production is at least 5.2 gallons per mim~te. Based upon this data it is clear tbat the capacity of the well exceeds the Municipal requirements for a 4 bedroom house (600 gallons per day). SEPTIC SYSTEM ADEQUACY TEST: The drairrtield is a 22 foot wide bed, that is 43 feet long, and has an effective depth of .5 feet. The bed is underlain with 4 feet of imported sand. Prior to starting the adequacy test, the M.T. had 6.75 inches of liquid in it, indicating that the drainfield was full. The bed clean-outs had 1 inch of water in them, a further indication that the bed was full. In order to verify this, water introduced into the bed at a rate of 5.2 gallons per minute, and within 16 minutes (85 gallons) the water level in the bed clean-outs had raised approximately 1/8 inch, confirming that the drainfield was full. In short, although the drainfield is still functional, it is techlfically failed because the operating level is above the invert of the drainpipe. The options available at this time would be to either replace the drainfield, or attempt to rejuvenate it using chemicals, or the Terralift process. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Jeffrey pg/~qarness,~P Ak ,MS. Prir~iI~al [J DEPARTMENT OF HEALTH AND ENVIRONMENTAL PRO'rECTION DIVISION OF ENVIRONMENTAL HEALTH MUNICIPALITY OF ANCHORA(3E DEPT, OF HEALTH & CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPRCB~A~ONMENTAL PRO'rECTICN OF ON-SITE SEWER AND WATER FACILITY Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name]~g~/.~ Applicant Address (c) Telephone: Home Applicant is (check one): Lending Institution []; Owner/builder~; Buyer i]; Other [] (explain); (d) Lending Institution Address Telephone (e) Real Estate Company and Agent Address (f) Telephone Mail the HAA to the following address: 5~(' ~'/y/ 2, TYPE OF RESIDENCE Single-Family,~' Multi-Fam2 [] Other Number of Bedrooms ! WATFR SUPPLY Individual Well/E/J/ Community D Public [~ Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite E~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-o2501~84} ENI~INEERING 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 i~~~,- -- 't '~o77.%' Telephone _ Engineer's Seal DHEP APPROVAL~ /X,.x Approved ~ .. ~ Disapproved Oondmond _ Terms of OondJtJonal Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska, The DHEP does this as a courtesy to purchasers of homes and t, heir Jending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The MunicipaJity of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 [11/84) MUNICIPALITY OF ANC~ DEPT. OF HEALTH & ~NVII~ONMENTAL PROTEC~J, NiCiPALrl.Y OF ANCHORAGE (MOA) ..... HEALTH AUTFtORITY APPROVAL (HAA) L)[~-~ 2 ~,1~:~' CHECKLIST- FEBRUARY1984 264-4744 RECEIVED Legal Description: /- // WELL DATA Well Classification /--,~"/r,~,/i-?'~-_,¢' If A, B, C, D.E.C. Approved (Y/N) _ Well Log Present (Y/N) ~ Date Completed ~/~-~;~ Yield ,~, Total Depth /~/ ~sed to _ /~/ _ Depth of Grouting Static Water Level /Z~('.~" Pump Set At ~ 2~*~ ¢ ¢-~ Casing Height Above Ground ,' ~;'~ ~ Sanitary Seal on Casing (Y/N) ~ Electrical Wiring in Conduit (Y/N) W ~ Depression Around Wellhead (Y/N~I%~ Separation Distances from Well: To Septic/Holding Tank on Lot /¢~-/- ~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot /(~2/'~ ; On Adjoining Lots To Nearest Public Sewer Line ~_~ To Nearest Public Sewer Cleanout/Manhole ~ ~/~. . To Nearest Sewer Service Line on Lot Water Sample Collected by P~.~¢ ~]z,~,,., t:~s., ~%; Date Water Sample Test Results ~t~s ~AOJ~ Comments ~ 2~r~ ~fzA(¢~ (A)¢~' ~%~7 SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank ('Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /'~/./~ Separation Distances from Septic/Holding Tank: Size /J;?~.- O~ No. of Compartments Foundation Cleanout ?/N) __ Air-tight Caps (Y/N)~l Date Last pu m ped A/a_~.,~ .:)y~;TE./~)' ;for Temporary Holding Tank Permit (Y/N) To Water-Supply Well /_~__ To Building Foundation To Property Line , "~'~¢'-;~¢- -/:~- To Disposal Field To Water Main/Service Line ,.~"2'/' F? To Stream, Pond, Lake, or Major Drainage Course __ ~4/¢~. Page 1 of 2 ABSORPTION FIELD DATA Soils Rating in Absorption Strata /'¢,~0 ~¢/~'~. Date Installed ~/~,~ Width of Field .~?_ ~"~-r- Square Feet of Absorption Area Depression over Field (Y/N) . Results of Last Adequacy Test Type of System Design Length of Field ,.,, /-,..~ Depth of Field Gravel Bed Thickness ',-%. F Standpipes Present (Y/N) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation __ Lot __ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course __ To Driveway, Parking Area, or Vehicle Storage Area To Property Line __ /~' To Existing or Abandoned System on ; On Adjoining Lots )00'/ To Cutbank (if present) Comments D. LIFT STATION Date Installed Size in Gallons ~,)ot~t~¢~ "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes ~N~) Dimensions /u° / X 5(~ .~/4.~ , Manhole/Access (Y/N) "Pump Off" Level at Pumping Cycles during Adequacy Test. Meets MOA ** Cbeck Permitted Bedroom Rating Against HAA Request ** I certify that I have cheCced,,~verifi~d, .er conforme~ to all MOA and HAA guidelines in Company~'~ ~~ MOA No. Receipt No, /~/ ~O// Dateof Payment ~//~ Amount: $ ~ ~ / Page 2 of 2 72 026 IRev 81861 ~ack affect on the date of this inspection. ANCi!ORA,~';~ AK 99507 (~07) 349-645 I. ,h L,,2, ~,.iE[,h Subdivision: Lot: Block: ..... Addcess: TIt4g GPH ZN "lO[,UbSrff: 'IX:I£,% .... _x:L~.c? N O'i'ZS: