Loading...
HomeMy WebLinkAboutSUNSET HILLS BLK E LT 4Sunset Hill Block E Lot 4 #018-241-36 Municipality of Anchorage Page _ / of '-~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater DiSposal System and/or Well Inspection Report Permit Number: ..~'~/¢~'o,~,.p ~,'~ PID Number:_O/E- ~: ~TI~P ~ co~e ~Puc~/~ Wastewater System: ~ New ~ Upgrade Address: /~OJ p~'~ ~ ~ ABSORPTION FIELD I Nc. of Bedrooms: Phone: ~ ~'-~/~/~ ~ ~ Deep Trench ~ Shallow Trench D Bed ~ Mound ~ Other LEGAL DESCRIPTION ~o,....,: Total Depth from original grade: O, ~' GPU/Sq. Ft. Lot: ~ Block: ~ ~x~ ~Subdiv~i°n:t/~ ~ 3epth to pipe bottom~from original grade: Ft. Gravel deptb ~beneath pipe Ft, Township: I Range: I Section: Fil, ~dded above original grade~ Gravel length: Number of lines: ~ Distance between ~ines: WELL: ~ New Q Upgrade Gravelwldth: ClassiBcation (Private, A,B.C): Total Depth: Cased 1'o: Total absorption area: Pi e material: DriBer: Date Drilled: S[atic Water Level: Installer: Date installed: Yield:~ Pump Set at:~ C~sing Height Above Ground: TANK SEPARATION DISTANCES ~ septic D Holding ~ S.T.E.P. TO Septic Absolption Lil[ Holding =ubllc/PrivateManufacturer: Capacity in gallons: From Tank Fie~d St.t~on Tank Sewer Lines ~r/(~ &~ Material: Number of Co~pa~ments: we~- t~o '/ /oo9 ~ '-- ~.5 ~ SuHace LIFT STATION LOt ~/.~ Size in gagons: [ Manufacturer: ~~ CudainDrain ~ ~' ~//~4J~ ~--~um~e'~°del ~ Electrical Inspections pedormed by: Remarks:'v L,,~ ,-t~[ ~,~,~/~ ~o.~,~ BENCH MARK Location and Description: I Assumed Elevation: 11014 E~Io River Loop Road, ~o.~04 Inspections performed by: --,-.,, .... ~.v~oo~ Dates: 1st Department of Health and Human Services approval .... ~ , ,,".,.:. .,,,'.~.'~ -- Reviewed and approved by:~ ~'k~[ ~/~,[/~ Date: 72-013 (Rev. 9191) MOA 25 PERMIT NO SW980528 PAG~ 2 OF 5 Municip. aLi~v c)R Amchomaae DEPARTMENT OF: HEALTH AND HUH'AN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196,650 OAnchop~ge, A~ska 99519-66500Te[ephone~, 343-4744 ON-SITE WASTEWATFR DISPOSAL ~YSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4, BLOCK E, SUNSET HILLS P,I.D. NO. 018-241-56 DENNIS WAY DRIVE NEW WELL LOT 5 CRIB ,TH ~.P l I C AREA~'~'~ C01 C02 10' ELEC. & TELECOM~ ESMT. NEW 1000 GAL. SEPTIC TANK DBLI~ TRENCH PERMIT NO SW980528 PACE 3 OF 8 Municip. aU~.. _y_..o? Anczhorac]e DEPARTMENT OF" HEALTHAND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,D, Box 196650 e Anchor~§e A.L(isk~ 99519-665.0 · Te.[ephone, 343-4744 ON-SITE WASTEWATER )ISPOSAL ~YSTEM AND/OR WELL NSPECTION REPORT LEGA5 LOT 4, BLOCK E, SUNSET HILLS P.LD. ~0. 018-241-56 ST1 ST2 F~/FINAL C'RADE 91 1000 GAL , A El FCO 755.5' 7.0' ST1 63.5' 58.0' ST2 69.0' 44.0' DBL1 75.5' 51.0' DBL2 78,0' 54.0' C01 99.0' 67,5' MT1 95.5' 68.5' C02 98.5' 91.5' MT2 96,0' 87,5' MT! CO1 ~T2 C02 2 = 97,9' 94.2' CO1 = 91.3'.--~ C02 = 91.2' MTI = 83.5~_/ MT2 = 83.4' THA BOH 77.4' NO WATER FOUND 1354 P.OZ LOCATIONISKETCH: DEPTHS MEASURED FROM:E-]casing top E~ground surface BOREHOLE DATA: Material Type and Color Depth From TO STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIViSiON OF MINING & WATER MGMT WATER WELL RECORD E]N ~E WELL DEPTN;,~ DATE OF COM~L~ION Depth of hole /~ It DEPTH TO STATIC WATER LEVEL: ft below,,]~ top of CaSio~l METHOD OF DRILLING: ~ eir rotary [] other [] ground surface [] cable tool USE OF WELL: ~ domestic [~ irrigation E~ monitor [] public supply ~ other CASING It, Diem: I~ in. Casing type'. WELL INTAKE OPENING TYPE;,,,~ ~pen end [~ perforated O open hole RECEIVE' DEC 1998 0 Mu~dclpality oi AnCr~ ept. Health & Human; Depths of openingsl to ft SCREEN TYPE: '. Dian: in. Slot/Mesh Size: ___ Lenoth; __ ft Volume oscO: Depth to top: C;ROUT TYPE: Depth: from ft DI~VELOPMENT METHOD; Duration; PUMPING LEA/EL AND YIELD: x~_ ft after '~.-,~ hfs pumping~.......~gpm PUMP INTAKE DEPTH: it Horsepower: __ WELL DISINFECTED UPON COMPLETION? ~] YES [] CONTRACTOR INFORM~ATION: Re-giSJ~*~d Business N.,ame/ '-' ../ Signature of AuthOrized HesJ~fesentative Date REMARKS: PLEASE MAIL WHITE COPY OF LOG TO: DNRtDIVISIDN OF MINING a WATEM MGMT 3601 C St, Suite 800 ANCHORAGE AK g9503-5935 Phone (907)Z69-8639, I:ox (907)5(12-138~. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Progrem 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Aug 27, 1998 Expiration [)ate: Aug 27, 1999 Permit Number: SW980328 Legal Description: SUNSET HILLS BLK F_ LT 4 Design Engineer: 0003 S & S Engineering Owner Name: BETHARD CONSTRUCTION Owner Address: 12801 REATA ROAD ANCHORAGE , AK 99516- Parcel ID: 018-241-30 Site Address: Lot Size: 16000 SQ, FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [-3 Disposal Field [] Septic Tank '1 Holding 'rank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal P, egulations ( 18AAC72 ) and Drinking Water Regulations ( 18AACS0 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued 13y: Date: [)ate: ~--2 7-¢~' HEAl TH AUTHORITY APPROVALS SEWER&WATER MAIN E~TENSIONO SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS $OAO OESIGN SO][. TEST PERCOlaTION TEST STRUCTURAL & MECHANICAL INSPECTIONS ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. August 19, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Depm'tment of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 4, Block E, Sunset Hills Subdivision Request you issue a permit to install afisept~c system to serve the three bedroom dwelling on the referenced property. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation 08/10/98 water was not encountered in the test hole . After seven days of ground water monitoring the test hole w,a~ found to be dry. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional infom~ation, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mg Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 o EAGLE RIVER, ALASKA 99577 50' DESIGN DETAILS ~m~ SEWA[~D HIGHWAY PERFORMED FOR: LEGAL DESCRIPTION: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION 1'EST I//LL._ .~ $,/,,)Township, Range, Section: 2 3- 4- 5- 6- 7- 8- 9- 10- 11 13 14 15 16 17 18 19 20 COMMENTS I_ WAS GROUND WATER ENCOUNTERED? SLOPE MO IF YES, AT WHAT ~ ~) DEPTH? p E 0eplh t0 Water After SITE PLAN -t Gross Net Depth to Net Reading Date Time Time Water Drop 90 ~ 're" I" PERCOLATION RATE (o O tm~nutes/inch) PERC ROLE DIAMETER ~-~ "' TEST RUN BETWEEN . '~ FT AND ~'¢ FT PERFORMED BY: 17634 Ea~;e River Loop ~oad NO. 204I ACCORDANCE WI~'=C~L~L~F~IIII~b,~!~'AL GUIDELINES IN EFFECT ON THiS DATE. DATE: THAT T iS TEST WAS PERFORMED 72-008 (Rev. 4/85) SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS tneemn ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-'i 211 REFERENCE: Lot 4, Block E, Sunset Hills Subdivision August 19, 1998 GENERAL: Thc scope of this project includes the installation of a 1000 gallon septic tank, three bedroom leachfield treuch aud well to selwe tile residence located on the referenced property. Construction shall be in accordance with the approved site plau and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible For final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 4, Block E, Sunset Hills S/D Aug 19, 1998 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet fi'om the building foundatiou. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away fi'om the septic tal~k. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavatiou shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimnm of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tribes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated fi'om the bottom of the treuch to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than th/rty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Lot 4, Block E, Sunset Hills S/D Aug 19, 1998 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Mmficipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt ban'ier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to cun'cnt M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. Page Four Lot 4, Block E, Sunset Hills S/D Aug 19, 1998 The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-.site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to docmnent the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any o~her persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER • '-� Municipality of Anchorage On -Site Water and Wastewater Program < (907) 343-7904 Certificate of On -Site Systems Approval Parcel I. D.018-241-36 1. GENERAL INFORMATION: Complete legal description SUNSET HILLS; BLOCK,, LOT 4 Location (site address) 2440 DENNIS WAY *ANCHORAGE, AK Current Property owner(s) Mailing address Expiration Date: Z- 2 1- 2 I Day phone Real Estate Agent AMY BACON Day phone 947-1401 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ J�5� Waiver Fee $ Date of Payment �� �f Date of Payment Receipt Number Z 2 Receipt Number COSA # 05 C a 1 1 a y 5 Waiver # _A 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchoraqe, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: /I In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and 0000Gp�� industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells �•• Q �'n and septic systems depend upon a variety of variables, including but not limited to, soil conditions, / r J groundwater levels that may fluctuate during the ear y ( g ( y g year), quality of construction materials and :t . . h /J workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and""""' .j / """' are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systemis; therefore, GEG makes no warranty (express or implied) regarding the future performance of �? ^"`• • . • _� • • • • • • •L the well or septic system. GEG makes no representation whether an alternative well or septic system y h• Garness.-' can be installed on the property in the event either of the current systems fail to perform adequately in tr, rt - 7963 !t� �� �•. .� ,.� oz/� the future. The content of this report is for the sole benefit of the person/party that retained GEG to �,`��� ;� a ® � Jd••• � � perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right `QV pr iass+004 whatsoever. 6. DSD SIGNATURE�\�Y tOF(f4�C884 System #1 Approved for bedrooms ffqwSystem #2 Approved for bedrooms N -SITE O m Disapproved WATER AND WAST!:-v`'ATER o Conditional approval for bedrooms, with the followinS ul�la�K AM J rte— ` 5 t Original Certificate Date: 5 " 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 Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other .A COSA Checklist Legal Description: SUNSET HILLS; BLOCK E, LOT 4, If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA A Well log is filed with Onsite (or attached) Date drilled 9/10/98 Total depth 184 ft Cased to 184 ft Sanitary seal is functioning correctly Fil Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/4/21 Static water level at beginning of test 92.2 ft. Comments B. TANK DATA Age of tank(s) 22.5 years Tank type/material SEPTIC TEE Measured operating fluid level in septic tank 50 © Standpipes/foundation cleanout per record drawing Date of pumping 9/22/2020 D. ABSORPTION FIELD DATA Which system tested (date installed) 10/2/98 ALL standpipes present per record drawing Total measured depth from grade 13.9+ft (max) Measured depth to pipe invert from grade 3.1 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 7.75 Parcel ID: 018-241-36 Structure served by this system Well production at time of test 6.7+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes FM� No Coliform bacteria is Negative Nitrate G-L/(,jmg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L t rsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 5/4/2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station year Lift station material Commen Adequacy test date 5/4/21 Results [7 Pass For 3 bedrooms Fluid depth prior to test 7 in Water added 605 gal New depth 56 in Elapsed time 120 min ❑ Code -required soil cover over field Final fluid depth 31 in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) N/A Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: 'PRIOR TO THE START OF THE TEST THE. LIQUID LEVEL IN MT2 WAS AT 52 INCHES AND REMAINED AT 52 INCHES THROUGHOUT THE TEST DRAINFIELD IS SHY ON COVER (2.6' OF SOIL COVER) . SEE EMAIL FROM OWNER REGARDING FREEZING COSA Checklist yellow sheet 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' 0 Yes if No Community Sewer Manhole/Cleanout > 100' []✓ Yes if No ft Q✓ Yes if No Neighboring Tank > 100' P/1 Yes if No ft Private Sewer/Septic Line > 25' 7 Yes if No Absorption Field on Lot > 100' M Yes - if No ft Holding Tank > 100' Z✓ Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' Fv Yes if No P/1 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' F✓ Yes if No ft FV -1 Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F✓ Yes if No ft Surface Water > 100' ft ft ft ft ft 121 Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' R� Yes if No ft Private Wells > 100' Yes if No. Water Main > 10' Q Yes if No ft Community Wells > 200' 71 Yes if No Water Service Line > 10' 7 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' 21 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *81 ft Wells on Adjacent Lots: Water Main > 10' ✓-1 Yes if No ft Private Wells > 100' Q✓ Yes if No Water Service Line > 10' F/� Yes if No ft Community Wells > 200' F/ Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *WR#980100 GEG TESTED 1998 DRAINFIELD 4/23/19 WITH VERY SIMILAR DATA GATHERED FROM MT2. THE CAUSE OF THESE READINGS ARE UNKNOWN, G. ENGINEER'S CERTIFICATION �� OF qw��� I certify that / have determined through field inspections and review 511-711Y.7-. of Municipal records that the above systems are in conformance with/�MOA COSH uidelines in effect on this date. (" ........... g � - �,,�� .................. O ef• A. Gbrness:: % CE 793 c�G COSA Checklist yellow sheet Pro f ess'1o0 #AECC884'; ��' ! ! ft ft ft ft �ooppp� 0 o bad. • X444 LANTECH Oa C-C"'P I 0 ° � � N • ,�. .-•moo 0 00.09 6 M „95,00.00 N T • • • 25' 25' Q 0 0-" D A➢ m :L c7 O Z o a 0 CD m I 0 a N CLo m C) CII v O ➢ CD z (f) ET CA IOC rog-i rn 0 o N cnjO CA < Z > _ PL C Cd co v n rr m m O W ol� Q- —i o a _ N UJZ C• fel S CO • v Ul cn m o = ;u O• x c o I � rn cncnZ rn rn O I NZ rn c m rnn,m o=Z m (n O o r O ZC/) i o o o p (T1 CD N 000XX o�cvcn n a --4D CD Eiyp mn� r o m m O z O CD �3F�0 CZ �O 3 «fin m 7 Z0 7 7 0 m n :E � m o m O =_ S �� °� O•=7� m Q mD �J O mO `7C Z d o E D I m N m (— N fb=r moo 7 m .. E z x 'a C �Z O ��z I m O ICL -D0 x �m p-, p >aM - 7 m ®O O mm ox_oom :'E ml CCK l O �O £ vo� 7 C 7 7 y `C n 7 •D 2 W j O a Om p m ,n•. .m V Z . m a m O m m acv ° rto m �ofi Y. �4�" 1 c L V �oc�e rL C r-C.O.Q � M 70 =-D S -D 7 u0: _m ... C>O Z (n (_ t N N �a N� j o� f6 �� y'..::: m UY z m i NS O 9. A n of o omo —I D ,a o oa�'m s3 c OCn 1 :1c 3� Ll m o o ➢ r crtos 'm ➢ -0 0? Tm o ZO mm �ooppp� 0 o bad. • X444 LANTECH Oa C-C"'P I 0 ° � � N • ,�. .-•moo 0 00.09 6 M „95,00.00 N T • • • 25' 25' Q Erik Widger From: Barbara Liu <wheresmydruirn@gmail.com> Sent: Friday, May 14, 2021 1:01 PM To: Erik Widger - Subject: 2440 Dennis Way Anchorage, Ak 99515 I live at 2440 Dennis Way from 5/31/19 until 6/4/21. Septic did not freeze. Thank you! Barbara Liu, Owner 1 Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC211245 Subdivision: Sunset Hills Block E Lot 4 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22.5 years old. Typical replacement costs range from $8,000 to $11,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. ' Mailing Address PCO Box'196650 Anchorage, Alaska 99519 5650 *www muni org g Pt AlS • • •, 3 Municipality of Anchorage 5? ' On-Site Water and Wastewater Programsari (907) 343-7904 SA ETV Certificate of On-Site Systems Approval Parcel I.D.018-241-36 Expiration Date: g> ` t( 1. GENERAL INFORMATION: Complete legal description SunseiHills;Block E, Lot 4 Location (site address) 2440 Dennis Way*Anchorage,AK 99516 Current Property owner(s) Amy Downer Day phone 907-317-8355 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 5Z Waiver Fee $ Date of Payment 5 /7-/lg Date of Payment Receipt Number d4clig6 Receipt Number COSA# (33(,/q//5g- Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: �-;/iIi9 In conducting this evaluation. GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and Qoo S' t"1. industry practices. The reported results describe the condition of the system/s on the date/s of the �1' OF a X04 evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ,`c. ..•••••. , 1 ( \j\ encroachments may exist that were not identified during the evaluation. The operational life of all wells , and septic systems depend upon a variety of variables, including but not limited to, soil conditions, �. Q groundwater levels (that may fluctuate during the year), quality of construction (materials and �„ �.• 4*'_Hwit ••�*00 workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and Q•••••• , are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of t/V!, ,. . • Q the well or septic system. GEG makes no representation whether an alternative well or septic system ••J-f'r:• A. - ,n ess: 0 can be installed on the property in the event either of the current systems fail to perform adequately in (1h130 • the future. The content of this report is for the sole benefit of the person/party that retained GEG to Q9 ••. E— 95 • c�'a perform the evaluation. Reliance upon the information provided in this report by any other person or �� e.,, •... .. .t I. c,°d party (including subsequent property purchasers) is not authorized, nor will it confer any legal right 4%0 p,°f ess on°oma whatsoever. 4pO0oo •* > HEG,C,86A 6. DSD SIGNATURE o((((((((qq System #1 Approved for 3 bedrooms 1/4s,( OF4 ;(t System #2 Approved for bedrooms .%. C,)QP�' do Disapproved `Z ON-SITE WATER AND Conditional approval for bedrooms, with the followin:4•u gTEWATER PROGRAM v, - -=_',7e0 ,�` 17)97, SES W\„.))'\.`--- --- - -- -- __---4 � Er.----- \--- .,4Original Certificate Date: J --1 (i'l The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Othef� -t.,L,Is at COSA Checklist Legal Description: Sunset Hills; Block E, Lot 4 Parcel ID: 018-241-36 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA 0 Well log is filed with Onsite (or attached) Well production at time of test 5.8 gpm Date drilled 9/10f98 Water storage tank volume n/a gallons Total depth 184 ft Well disinfected for coliform test? ❑Yes 0 No Cased to 184 ft 0 Coliform bacteria is Negative Ei Sanitary seal is functioning correctly Nitrate 0.451 mg/L ❑ Nitrate less than MRL (ND) ■❑ Wires are properly protected Arsenic ug/L 0 Arsenic less than MRL (ND) Casing height (above ground) 18+ in. Collected by Garness Engineering Group, Ltd. Date of flow test for COSA 4/18/19 Date of Sample 4/18/19 Static water level at beginning of test 91.6 ft. Comments B. TANK DATA C. LIFT STATION Age of tank7/27/98 years (s) ❑ Required maintenance completed Tank type/material SCpOC$1O" Age of lift station years ID Standpipes/foundation cleanout per record drawing Lift station material Date of pumping f''} 01/4 3 w , c; Pt Comments: 51"of Liquid in Septic Tank on 4/18/2019 D. ABSORPTION FIELD DATA Which system tested (date installed) 10/2/98 Adequacy test date 4/23/19 0 ALL standpipes present per record drawing Results ❑✓ Pass For 3 bedrooms Total measured depth from grade 11 ft (max) Fluid depth prior to test 3 in Measured depth to pipe invert from grade 2.9 ft(min) Water added 615 gal 0 N/A—pressurized field New depth 64 in ❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 120 min depth into effective 7.75+ ❑ Code-required soil cover over field Final fluid depth 36 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) No date of test) Gallons introduced n/a gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet 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' Community Sewer Manhole/Cleanout> 100' 0 Yes if No ft Q✓ Yes if No ft Neighboring Tank > 100' LI Yes if No ft Private Sewer/Septic Line > 25' QYes if No ft Absorption Field on Lot> 100' QYes if No ft Holding Tank > 100' ['Yes if No ft Neighboring Absorption Fields > 100' Animal Containment> 50' 0 Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft O✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft Property Line > 5' QYes if No ft Driveway/Parking > 0' QYes if No, comment Absorption Field > 5' E Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q✓ Yes if No ft Private Wells > 100' Q✓ Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q✓ Yes if No ft Driveway/Parking > 0' 0 Yes if No, comment Property Line > 10' 0 Yes if No *8' ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0✓ Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' .g Yes if No ft Surface Water> 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *WR#980100 _oo�000�. G. ENGINEER'S CERTIFICATION o�c OF A �4s4Q OA I certify that/have determined through field inspections and review �0 9 �v of Municipal records that the above systems are in conformance with Q Q MOA COSA guidelines in effect on this date. • vA •.J fr_y Garn-ss 0 E- �o Q9: /'�• ceO 411e'r '.' Ti.J ` cpci� VVtt COSA Checklist yellow sheet v4 ' rofess+o�� MECC884 ���00 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 1 • `fc'`� 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate of On-Site Systems Approval #OSC191152 Subdivision: Sunset Hills BIkE Lot 4 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 21 years old. Typical replacement costs range from $6,000 to $9,000. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. I 4:111Y f . f. e fid • .c • * '"'ra. 7 .� ! * 4*' £ iti S `" • ' '' ' ' * .' ' t:''' . 205:5TPW , 3 4 #;7 * Mailing Address: P.O. Box 196650 * Anchorage,Alaska 99519-6650 *www.muni.org Dennis Way in in N N • S 8959'00" W 100.00' Poveti' well N �( N 19$ JJ i ......:.'••••• .:::• ••• •)•••. .. �� V 1. -..: ` i - •••,....„:„.,„;,.... 4,v:fJrf/ i4 A .3 `2 ,, 44, to161, Existing z House ry o o ef o o 403 tio ai Ln 0) • a? m %� * Lot 5 ..e" rn o rn 0 0 7o,000000 Lot 4 0 offif4: 49TH y v7.... Q00 •O . Janice M. Zilko 0OO0 LS-8629 p0 ° •' 0 septic d'agCleono uls I�ressionctQQ 440000� . CP 110 OD 10' T& E Easement ` 100.00' N 89'59'00" E Lot 5 NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. Lpal Oeserlpibn: Ordered By Rob Cushman AS-BUILT Legend: Lot 4 Block E, Septi standpne ® aphrat'. " "'Gred:::,.'Water Well mngitiSunset Hills Subdivision rene —x—x® ''''°"''''''''' .�.Wogf 6 4_ ■ SURVEY roprt C s shown o1.ICON hoe d certifies a physical.prey of improvements properly ca ACA on this drawing and oerltand lhol the chmentmeIn. tteted thereon Ke allhh the properly Inn and no oncrglMmMts oast other then noted. — EMGLUSU:WARY NOTE: it Is the owners responsibility to determine the LAND & CONSTRUCTION SURVEYORS-PLANNERS-ENGINEERS existence of any easements,covenants,restriction,or right-of-way 440 West Benson Boulevard, Suite 200 Phone: 562-5291 0 king•whlan do not appear an the.,acrd., wbdi too pia'. Under Anchorage, Alaska 99503 Fax: 561-6626 rear...tobioningawao iy Wiwi.ya icor pmt-W." b.pn> e..' een.trucelon. Piot P-228 Grid SW3033 Out.:September 7, 2010 Orown 9y PL • Work Order: 2010—L-192 rb/pg, 758/52.55 scale: 1"=20' eenrwad ey JMZ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEIVlS APPROVAL FOR A SINGE'E "FAHILY DWELLING Parcel I.D. 018241.36 1. GENERAL INFORMATION COSA# Expiration Date: i- ,,~ O -- / / Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address. SUNSET HILLS BLOCK E~ LOT 4 2440 DENNIS WAY *ANCHORAGE~ AK 99516 CHARLES (ROB)' CUSHMAN ' Day phone 2440 DENNIS WAY *ANCHORAGE~ AK 99516 501-904'6 Day phone Day phone Unlessotherwise mqueste~ COSA~flbeheldbyDSD ~rpickup. 2. NUMBER OF BEDROOMS: 5 TYPE OF WATER SUPPLY: Individual Well · Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site · Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wasteWater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are Valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION'BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage 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 GARNESS ENGINEERING GROUP, Ltd. Phone 557-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date o Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of th(s report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE Approved for 3 Disapproved. Conditional approval for bedrooms. bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Re;. 11/05) '~ Maintenance Agreements Supplemental Engineer's Report' Other ¢)/" ""Jc)'-4~ Original Certificate Date: io.-.9.0-1o Municipality of Anchorage Development Services Department, Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF 0N-SITE SYSTEHS APPROVAL Legal Description: SUNSET HILLS BLOCK E, LOT 4 CHECKLIST A. WELL DATA Parcel ID: 01824136 Well type PRIVATE If A, B, or C provide PWSID# N/A Date cOmpleted 9/10/98 Sanitary seal (Y/N) YES Total depth 184 ft. Cased to 184 ft. Date of test Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) YES YES 18+ in. FROM WELL LOG 9/10/98, Static water level 91 Well production 60+ WATER SAMPLE RESULTS: Coliform O colonies/100 mi. Arsenic: ~ ug./L. B. SEPTIC/HOLDING TANK DATA AT INSPECTION 7/27/10 89 ft. g.p.m. 5.79 g.p.m. Nitrate0. 3(,,' mg./L. Date of sample: 7/27/10 Other bacteria O colonies/100 mi. Collected by: GE(; Ltd. Tank Type/Material SEPTIC/STEEL Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N)'. NO Dateof pumping ~ j;;;;k J l O Pumper I v ABSORPTION FIELD DATA ~*BELOW EXISTING GRADE] Date installed 10/2-12/21/98 Soil rating (g.p.d./ft20~ 0.45 Length 64 ft. Width 3 ft. Date installed 10/2-12/21/98 Cleanouts (Y/N) YES High water alarm (Y/N) N/A A+ HOUE SERVICES System type DEEP TRENCH Gravel below pipe 8 ft. Depression over field NO For 5 bedrooms Totaldepth '13,9 ft. Date of adequacy test Eft. absorption area 1024 ft2 Monitoring tube YES 7/27/10 Results (Pass/Fail) PASS Fluid depth in absorption field before test 58 in. Elapsed Time: 151 min. Final fluid depth 73 Any rejuvenation treatment (past 12 mo.) (Y/N & type) Water added 724 gal. New depth 80 in. in. Absorption rate >= 450+ g.p.d. NONE KNOWN If yes, give date - D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons Manhole/Access ~ ~ "Pump off" level ~, High water alarm level at Cycles tested. Meets alarm & circuit requirements? 100'+ Septic tank/lift station on lot Absorption field on lot: 100'+ Public sewer main N/A Sewer/septic service ~line 25'+ Animal containment areas. 50'+ On adjacent lots, 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Water main N/A Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *8' Water service line 10'+ Curtain drain NONE KNOWN COMMENTS *WR#9801 O0 Property line 5'+ Water service line. 10'+ Absorption field 5'+ Surface water. 100'+ Building foundation 10'+ Surface water 100'+ Wells on adjacent lots. 100'+ Water main N/A Driveway, parking/vehicle storage .in. 10'+ G. ENGINEER'S CERTIFICATION ! certify that I have determined through field inspections and review of Municipal reCords that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date ~::~ / 1"//t/) COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number SGS ReL# 1103670001 Client Name Garness Engineering Group, Ltd Printed Date/Time 08/02/2010 16:32 Project Name/# Sunset Hills BE L4 Collected Date/Time 07/27/2010 12:20 Client Sample ID Sunset Hills BE L4 Received Date/Time 07/27/2010 15:08 Matrix Drinking Water Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container 1D Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 07/28/10 07/30/10 NRB Waters Department Total Nitrate/Nitrite-N 0.360 0.I00 mg/L, SM20 4500NO3-F B (<10) 07/29/10 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM20 9223B A 07/27/10 DLC Total Coliform Negative 1 100mL SM20 9223B A 07/27/10 DLC Dennis Wa), Lot 5 16.1' S 89'59'00" W Existing House Lot 4 10' T & E Easement 100.00' N 89"59'00" E 100.00' Septic Cleanouts Lot 5 NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. Legal Description: AS-BUILT Lot 4, Block E, Sunset Hills Subdivision Ordered By:. Legend: Rob Cushman Septic Standpipe (~ t..-.................-. ,'.--'.--'.--'.--'.'.t Water Well Fence --X--X--L~H ~1t J h~ v'c~["ur~g JtJ[J I~ltl ILAND& CONSTRUCTION SURVEYORS-PLANNERS- ENGINEERSI 440 West Benson Boulevard, Suite 200 Phone: 562-5291 Anchorage, Alaska 9950.3 Fax: 561-6626 Plat: P--228 Grid: SW3033 wo~k Order: 2010-L-192 SURVEY CERTIFICATION: LANTECH has conducted a physical survey of the property as shown on this drawing and certifies that the improvements situated thereon are within the property lines and no encroachments exist other than noted. EXCLUSIONARY NOTE: It is the owners' responsibility to determine the existence of any easements, covenants, restrictions or right-of-way takings which do not appear on the recorded subdivision plat. Under no circumstances should any data hereon be used for construction, for establishing property lines, or for plot-plan purposes. Date: September 7, 2010 Drawn By. PL Fb/Pg: 758/52,55 Scale: 1"=20' Checked e~. JMZ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anch0~age; AK: 99519-6650 www, cLanchorage.ak,us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 0~.~ -~t - "~(-e 1, GENERAL NFORMATiON Complete lega'l description L.o~' % HAA# U4 0qql Expiration Date: ./_.O/C9'7 / _..TC'z'hq Location (site address or directions) Current Property owne[(s), Mailing address Day phone ~,.{ -~ Day phone Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DSD for pidkup. 2. NUMBER OF BEDROOMS: '~ TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Auth0dty Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system, DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C weil and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional englneer's work. .4. STATEMENT OF INSPECTION 'BY ENGINEER' As certified by my seal affixed hereto and as of the validation, date shown below, I verify that my investigation, based on procedures outtined in the Health Authority Approval Guidelines for this application, shows that the 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 Municipalify 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 Address Engineer's Printed Name o DSD SIGNATURE __~"' Approved for . ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Eng'neer s Report Other Original Certificate Date: (Rev. 01/02) m . .. of Anch6rage Development nt e.akius Sanital OCher, ba,c,.teria ~5 Colonies/lO0 mi Number Pumper ft, Gravel ~ Depression over field., ~ Fi¸ Abso[ New depth c{.~ in LIFT STATION /V' / ~' Manhole/Access (Y/N) Date ins~alied Size in gallons "Purr p on" level at 'n. Datum SEPARATION DISTANC~E~ SEPARATION DISTANCES FROM WELL O Septic tanK/lift station on lot ~ co ~r On adjacent lots i c A~' Absorption field on lot Public sewer maLn "PumD off" level at in. High water a arm level at Cycles testea Meets alarm & circuit requirements? =ublic sewer manhole/cleanout ~'~ Sewer/septic service lin6 SEPARAT' ON DISTANCES FROM SE~?!C/HC _DING TANK ON LOT TO: Building foundation ~20/'z Proper~y line Water main ¢ I ~ Water service line Wells on adjacent lots ~,0t~ ~' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line'b ~, .6-~r~'~-e '~ Buildin9 foundation ~2' Water Service line (O Surface water Absorption field Surface water Curtain drain Wells on adjacent lots Water main ~ ~ Driveway. oarking vehicle storage F. COMMENTS ATo G. ENGINEER'S OERTIFIC I N I certify that I have determined through field inspections and review of Municipal records that the above systems are ~n conformance with MOA HAA guidelines [n effect on this date, Engineer's Printed Name HAA Fee $ Date of Payment Recelp~ Number Rev. 12/01} Waiver Fee $ Date of Paymem Receim Number Analytica International. [nc. 5761 Silverado Way, Unit N Anchorage, AK 99518 Phone: 907-258-2155 Fax: 907-258-6634 Attn: Todd Bethard 2440 Dennis Way Anchorage, AK 99515 907-868-5083 Fax: 907-644-2022 Client Sample ID: Location: Sample Matrix: COC #: PWS#: Comments: Family Well Aqueous 36267 Report Date: 9/17/2004 Receipt Date: 9/7/2004 Sample Date: 9/7/2004 Sample Time: 7:10:00AM Collected By: MRL = Method Reporting Limit MCL = Maximum Contaminant Limit B = Present also in Method Blank H = Exceeds Regulatory Limit M = Matrix Interference J = Estimated Value D = Lost to Dilution ** = RL higher than MCL; target not detected Sample Comment: Lab#: A0409060-0 lA Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst 4500'NO3E/4500-NO3E (Aqueous) - Nitrate + Nitrite Test was conducted by: Analytica - Anchorage NitrateasN 0.263 mg/L 0.10 10 4500-NO3E 9/11/2004 9/11/2004 AJ Lab#: A0409060-01 B Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Data Date Analyst 9223B (Aqueous) - C01iforms in DW E. Coli PASS PassFail Total Coliform PASS PassFail Test was conducted by: Analytica - Anchorage 9/7/2004 9/8/2004 BB 9/7/2004 9/8/2004 BB Lab#: A0409060-01 C Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst 200.8/200.8 (Aqueous) - Arsenic Arsenic 2.97 ug/L 2.5 Test was conducted by: Analytica - Fairban~ $0 200.8 9/13/2004 9/13/2004 NA Reported by: Amber Hammontree, Laboratory Project Manager Page 1 of 1 LOT 4 HAS 16,000 sQ.FT~ oF ~ . DENNIS WAY ? __~ __ N89'59'00."E I00.00' 2~5' '5x$5 !O' ELEC, ~ TELECQ~ ESOT N89~59'OO"E 100.00' ~ FO~: Bethard Cons[ruction Oate Scale Legal Description 8/30/04 1" = 30' Lot 4 ~S:ock E ..~M~ Grid As-Built e~m~t~ ~ s~.e~.e, m~. 3033 2400832 Sunset Hills Anchorage, Alaska 99507 Drawn by Field Book SUBDIVISION (o0~) uee-a0~0 C.E.F./D.L.M.: 207 I hereby certify that the property described hereon has been surveyed are within the property lines and do not overlap or encroach on the premises in question and ~at there are no roadways, transmission It is ~he responsibility of the owner or builder, prior t0 construc(ion, to verify proposed building grade relative to finish grade and utility connections and to determine the existence of any easements, covenants, ~ Listed distances prevail over scaling. 'MUNICI!ALITY 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 Parcel I,D. # O]B-241-36 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITy APPROVAL FOR A SINGLE FAMILY DWELLING NAA # Lot 4, Block E, Sunset Hills S/D Location (site address or directions) ' NHN Dennis Way .. Property owner Mailing address Lending agency Mailing address Agent Add ress Bethard Construction Day phone 12801Reata Road, Anchora9, AK 99516 345-1615 Day phone Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 3 NOTE: Individual well xxx Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: XXX individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING Name of Firm 17034 Ea_(jle River L(~op r~o~d l~Jn. ~){34 Phone (;' ~/~ - '~- ~ '7 ~ Eagle River, Alaska 99577 Address ,4 Engineer's signature ~,,~I~-~/~ ~/¢"~-~ Date /~'/;z z'//R ~/ CE DHHS SIGNATURE ~ ~- .,-.-.- Approved for I ~;~,~(_~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: 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 BHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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 engineeCs work. Legal Description: LO'T- i. REC£1V£D Municipality of Anchorage D~-,., ,. /.=.~'.~J~\ DEPARTMENT OF HEALTH & HUMAN SERVICES 199~ ~ EnvironmeBtal Services Division ~N~c~¢,~Ulyo~,,~.~ 825 L Street, Room 502 · Andhorage, A aska 99501 · (¢O~'~v"~?~eg I ICEs DIVI310N I Health Authority Approval Checklist / ~¢~ ~ 5'~¢&~ ~J ParcellD' OI¢ -~ ~ff/- ~ ~ A. WELL DATA Well type ¢/~ ~ v 4-"r ~ Log present ~'4) Total depth Sanitary seal (~N) Cased to If A, B, or C, attach A?EC letter. ADEC water system number Date co~npleted ~ /,o / a,~ ~¢ I '~ "~ Casing height (above ground) FROM WELL LOG Wires properly protected ~/N) Date of test Static water level (4 t Well production (~o 4 WATER SAMPLE RESULTS: Coliform 0 Nitrate aateofsamp[e: I~/]//~[ ~ ~¢ 1~./2~1/~1 B. SEPTIC/HOLDING TANK DATA Date installed IO/'¢1 c'1¢¢ Tanksize Foundation cleanout.(-~/N) )' Date of Pumping i'~/4 - /v ,,~ ,,./ Pumper AT INSPECTION g.p.m, g.p.m. 0,761 Other bacteria Collected by: $ ~- $ 17034 Eagle River Loop Rca,.! ['!-,. '~'- Eagle River, Alaska Number of Compartments .'2-_ Cleanouts(~/N). '7 Depres?on (Y/~ /'/ O High water alarm (Y/~/~ C. ABSORPTION FIELD DATA Date installed I 0 / '~//q ~ Length ~ L/ ~ Width Effective absorption area )o ;).L/ ~r ~. Monitoring Date of adequacy test /'~/,~ -m~.,.~ Results Fluid depth in absorption field before test (in.); Fluid depth (ins) Minutes later: Peroxid. e t r~eat.~.~.m_ _e_nt~(past~f'2--m-~h~) (Y/N) 72-026 (Rev. 3/96)* rating ~or ft~/bdrm) Soil ,,~ / Grav, O. "/3- System type ?- '''~ 4'" ~lthickness below pipe ~' Total depth // Fube present (~/N). '¥ ¢ J' Depression over field (Y/~. ,~' Pass/Fail) For ~'~ bedrooms immediately after gal. water added (in.): r,~n rate= g.p.d. If ybs, give date D, LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* C y c~s~ tested ........ *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WEI. L ON LOT TO: Septic/holding tank on lot / o 0 4- On adjacent lots Absorotion field on lot / o O ~- On adjacent lots Public sewer mare N //~ Public sewer manhole/cleanout Sewer/septic service line ~- .C' ~ Lift statior SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 'J 7 Property line ~/~- Absorption field Water main/service line lo 4 Surface water/drainage ) ~0 ~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Propertyiine ~ 't/t'',~''~/t Q(:~e~'~.~") - " Building founaauon (~ 6 Water main/service line Surface water / o ~) ~ Driveway. parking/vehicle storage area Curtain drain N ~,,~/c ~ ~o ~,~ ~ Wells on ad. acent lots / O0 ~¢ /o ~ F, ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and rewew of Mumc~pal records t~l~.~,,~.~'~tstems are~ in conformance with M~A guide~es in effect on this date. ~?~,"" Date - HAAFee $ ~ ~ ~' '-' Waiver Fees ~ '- ' ' Date of Payment / ~Z -- ~. ~ --- ~ Date of Payment_ Receipt Number d)~/~ ~- /~,~) Receipt Number_ 72-026 (Rev. 3/96)* T-Z$$ P.02/03 F-413 Sample R~re~rks: 987303001 $ & S Engi~'l~nng Lr 6 Blk E ~u~sct Hilb Ddilking Water Cliem Printed Date/Time 12/29/98 13:36 Coll~c~l D~telTime 12/21/98 12:30 Re~cived D~le/Time 12/21/98 13:45 T~hni~l Dir~loe: Stephen C. Ede 0,~61 O.1OO r~9/L [PA SqO.O Allowable prep Anetysi~ 1Z/~1/9~ ~AP Rick Mystrom. Mayor Mtmicipality oI Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1999 Robert C. Cowan, PE S&S Engineering 17034 North Eagle River Loop, Suite 204 Eagle River, AK 99577 Subject: Waiver Request for Sunset Hills Subdivision, Lot 4, Block E Waiver Request #WR980100 Parcel ID #018-241-36 Health Authority #HA980512, As-Built for Permit #SW980328 Dear Mr. Cowan: Your request for a waiver of the required 10 feet horizontal separation from the on-site wastewater disposal system to property line has been approved. The approved separation distance is 8.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. lfthere are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Donna C. Meats, E.I.T. Civil Engineer On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Serv£ces On-site Services Section Waiver Review Worksheet 018-241-36 Permit a SW980328 Date Received: December 23, 1998 Legal Description: Lot ~' Block E Sunset Hills Subdivision Engineer: Applicant: Robert C. Cowan, PE. S & S Engineering 17034 Eagle ]liver Loop Road, Suite 204, Ea~le River, Alaska Bethard Construction 99577 Waiver Requested: Request lot line waiver of 8 feet from the leachfield to wes~ property line on property. Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: Points: 3. Other: Wazver is Granted: Waiver is List Conditions or Reasons for above: NOT Granted: Date: Rec ~: 04662/9477 Amount: By: _ $ 115.00 Nam~ of Reviewer Date Paid: Dec 23~ 1998 SEWER&WATER INSPEGIION ENGINEERING STUDIES /~ND REPORTS WELL INSPECTION & FLOWTEST SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECT[ONS ROBERT C. COWAN, P.E. December 22, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 ~_~j..~ Anchorage, AK. 99519 REFERENCE: Lot 4, Block E, Sunset Subdivision RECEIVED DEC 2 5 19913 N~UlXI~(,.IPALI]¥ OF ANCHORAGE eNVIRONMENTAL SERVICES DIVISION This is to request a waiver for the horizontal distauce betweeu the leachfield and ¢~,,~, r- property line to 8 feet for the referenced property. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve m'eas, or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future developement on any of the adjacent properties. If you require additional infm'mation, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/rdp Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER. ALASKA 99577