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HomeMy WebLinkAboutSUNSET HILLS WEST BLK 4 LT 3A1Sunset Hi West Block 4 Lot 3A-1 #018-203-53 s Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP21354 PID Number: 018-203-53 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name ERIC T. SANDERS ABSORPTION FIELD ® Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 14164 HANCOCK DRIVE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.8 GPD/SF 13.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.5 Ft. Gravel depth beneath pipe 9 Ft. Subdivision Block Lot SUNSE HILLS WEST 4 3A1 Fill added above original grade VARIES 0.1 - 0.6+/- Ft. Gravel length 43 Ft. Township Range Section Gravel width 5 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 774 Ft' 1 Ft. Well __ 100'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer EXISTING Capacity Gal. Surface water -- 100'+ Material Number of compartments Lot Line -- 10'+ NA Foundation -- 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks Original field decommissioned / removed per code ( 18'+ from new field). Alarm location Electrical installed by Installer NORTHERN EXCAVATION PIPE MATERIAL House to tank ---- Tank to 3034 drainfield Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 1" 10/10/20Location dates: 2"d 10/10/2020 and description 3rd 10/12/20 41h DOOR SILL ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF A li Conditional Approval: Date i "•:� Rid 7H 10 " " " " " "' � j Curtis Huffman % Septic System Appro / Date `t1/ - �'c'c�.• CE 128991 .•��r�/ �� �F�•. 10/12/20ZQ-* AM AdW ,IiF�PROFESSI4NA, �-r lk\��11�� Note: this approval does not include well permit requirements. trcev uoiuu-i ut PID: 018-203-53 PERMIT: OSP201354 Ip/p, WELL sm STAKED LL RATUS PL CC NST. A a > c MT D C� C co F 7 ESJ 6 DCO DCO co MT TH20-1 EXISTING ORIGINAL FIELD WAN 1 - OF SEPTIC NEW FIELD WAS TANK REMOVED / DECOM SIONED lq9 2.0' 2�c4 Rte, tK* SCALE, 1' = 30 A—C=97.3' FCO cocoCO CO co MT IAT co 13 7 ) f 101.1 13—C=68.4'100.6 FINAL GRADE 100.5 A—D=100.6' p � ORIGINAL GRADE-Ir— B-11=67.6' . I I /- FILTER FABRIC r3.5! - ORG / OL A—E=130.7' EXISTING 96.0 96.0/ GM/SM SEWER ROCK B—E=59,7' TANK GROUND WATER A—F=131.0' 016.5' 9/18/20 B—F=60.3' .87.0/ 87.0/ & 20' ON 10/10/20 118.5 ., SW SEPTIC SECTION 20.0 OH 11-120-1 0.5 SCALEt NTS SUNSET HILLS WEST BLOCK 4, LOT 3A1 SUPPORT@ SERVICES: PREPARED FOR: OF ERIC SANDERS 14164 HANCOCK DRIVE eC 9 T -H* ANCHORAGE, AK 99515 0 FIRST WATER CONSULTING DATE: 0 9TH Huffman p4 10/133/2020 0# �h CE 128991 13030 SUES WAY SURVEY: KGL 10/13/202Wo ANCHORAGE, AK 99516 DRAWN: FWCS 907-350-9566 firstwaterAK@gmoil.com SCALE: 1" = 30' �o ' Lot 2 00 I WELL S g8. DIY �. b F \ •.. oil \ Lot 3A— 1 \, \ 28,209 S.F. a� R• \ \ 2.0'x60.4' CANT SEPTIC o PIPES CONCRETE �O \ Cb\2.0\, tK. tK Lot 19A tK Lot 3A-2 \ 10' UTILITY \ \ EASEMENTS PLOT PLAN --- AS BUILT _X_ SCALE 1N=40' GRID _ SW 3033\Project No. 20-5091A2___ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, in c. (907) 522-6476 Phone (907) 522-4625 Fax �� Professional Land Surveyors ken®langsurvey.com v OF 4 Z � jonothan®longsurvey.com I hereby certify that I have surveyed the following described property: LOT 3A-1, BLOCK 4, SUNSET HILLS WEST SUBDIVISION (PLAT No. 84-68) p 49TH*** 9TH .-�'* QQ Anchorage Recording District, Alaska, and that the improvements situated thereon are�KENN "" """"'D 0within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed ..'. LAN .......Q premises and that there are no roadways, transmission lines or other visible c*�o easements on said property except as indicated hereon. Dated this the .LS -5202. ___ Day of C�� n?'51�, _, at Anchorage, Alaska �Q o o ao 0 4©4RO�SSIONA�- It is the responsibility of the owner to determine the existence of any easements, �OOppo�" covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORA IE C n -Site Water & Wastewa to r Prog ram PO egg 19 4700 rirngre Rodd Anchorage. Alaska M19-6660 Phvne: (907) 343-7904 Fax: (-907) 343-7997 hitp:fAm w_mun i.arglanske Oa -Site Wastewater Disposal System Permit PermiilNumljon OSP201ZI 4 Work Type: Septc Upgrade Tax Cade Number. 01020�153000 S itc Leg al A dad res s: S U NS ET H I LLS WEST SLK d LT 9A1 G=3033 Site Mai I in g Address: 14164 HACK CK DIS, Anc:norage Owner; SA.NDERS EIII C T Design Engineer; FIR ST WATER CON SlyLTIN Th is Permit is for the co natrtrotio n Efferitive Date: Expiration Date: Lot Size in Sq Ft_ Total B-odrooms: O !1Q9f2021 28209 ® Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ PrlVy ❑ Private Vvel1 ❑ Vwater Storage A I l cc nstr uetic n c hal I bo In ioccc rdance waith. 1. Trio attached approwed design. 2. All req uirements apecifiied in Anchorage M u n icipal c» -de Chapters 1$.5$ and 1:5.0:5 and the State of Ala ska was lew ter Di"Sal RN ul allocls (18AAC ) a rod Drin ki ng Water Regulatio n s (18AAC8 D) TrLe wa:5tewaker Qvde requirea inaper,0=5 during the mwailation. Trre englneerahall notify me Developm&nt Services Department per AMC 1-5.65. Provide notification by calling (907) 3-7904 (2417). 4. Frain Octobe r 15 to Ap ril 15, a su bsu rface sail a bsorpfian syste m La nder n5trUCtion � ming freez I fig weatMr shall be eilheF: a. Opened and Closed on the some -day , or b. Covered, sealed, and healed to s�r nt Freezir)g rt ia I P rovisions. I f th a distd lotion pi pe in the emsti ng absorption field is d eeper than 4.5 ft below g rale, ruolion shall qt-ap pend) n g revIevr @nd a pp nova I of a change o rda5r. Received Bir Issued By: 912912020 Date; f Date. f Municipality ®f Anchorage P.O. Box 196650 m 4700 Elmore Road Anchorage, nchorage, Alaska 99519-6650 a (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV201060 COSA#: Permit#:OSP201354 PID#: 018-203-53 Legal Description: Sunset Hills West Block 4 Lot 3A1 Engineer: First Water Consulting Applicant: Eric Sanders 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 0.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the proposed absorption field only. Any fixture 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: 2 9Z;?o Q 5 Approved by: " 6�� Name of Reviewer *** VARIAN C EMAIVE R REVIEW **** MUNICIPALITY Development Services Department On -Site Water & Wastewater Section Parcel I.D. 018-203-53 ON-SITE SEPTICM/ELL PERMIT APPLICATION Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) ERIC SANDERS Day phone Mailing address 14164 HANCOCK DRIVE, ANCHORAGE, AK 99515 Site address 14164 HANCOCK DRIVE, ANCHORAGE, AK 99515 Legal description (Sub'd., Block & Lot) SUNSET HILLS WEST BLOCK 4, LOT 3A1 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Fx_1 Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank ElUpgrade Q (D) ❑ Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS INCLUDESI A WAIVER REQUEST FOR: ^^APPLICATION 154r Tlo� `C� �on2 Distance:0 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: �7 7 L1 6, Q5 a V Jb-]IJWaiver Fees: 4 CID V Date of Payment:'/22/a 00,0 Date of Payment: `�'�°�I 20A0 Receipt Number: ?0 t 2 % U Receipt Number: 01123-0 Permit No. 0 SP OI 3 5'1 Waiver No. O S V Ll0 b 0 GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350 -9566 / firstwaterAK@gmail.com September 28, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT WITH WAIVER LEGAL: SUNSET HILLS WEST BLOCK 4, LOT 3A1 A recent successful adequacy test was performed on the septic system that serves the referenced property. However, a portion of the field is located on the adjacent Lot 3A-2 and the property owner has now requested that we obtain a permit to upgrade the septic field to resolve this encroachment. We propose to decommission the field portion on Lot 3A-2, install a silt plug at property line and augment / connect with the remaining septic field by installing one deep trench as shown on the attached design to serve the 4-bedroom residence. We respectfully request a field to lot line waiver of 0’ with this upgrade. The corner lot location of the existing field and proposed field augmentation will not impact the development of the adjacent lot and the waiver is justifiable. The design is based on the recent test hole conducted on September 15, 2020. No groundwater was observed at test hole excavation, but was found at 18.5’ & 19.1’ during monitoring. Groundwater levels will be verified prior to construction. The slopes are moderate at 5-10% at the proposed upgrade location. The lot and area are served by private and public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201354, Rebecca Carroll, 09/29/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201354, Rebecca Carroll, 09/29/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201354, Rebecca Carroll, 09/29/20 4661 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350 -9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: SUNSET HILLS WEST B4, L3A1 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9/28/2020 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 GM/sp-gp 9 10 11 12 13 14 15 16 17 18 19 SW 20 BOH Reading Date Gross Time Net Time Depth to Water Net Drop 9/17/20 30 min 6” 3 4/16” 30 min 6” 3 3/16” 30 min 6” 3 3/16” PERCOLATION RATE 9 (MIN / INCH) TEST RUN BEWTWEEN 6 & 7 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: 18.5’ & 19.1’ DATE: 9/18/2020 & 9/28/2020 TESTHOLE # 20-1 DATE PERFORMED: 9/15/2020 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: ERIC SANDERS 9/28/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201354, Rebecca Carroll, 09/29/20 Rare s8 / \ Lot 3A-1 °S \ 28,209 S.F. \ �' R• 0 2.0'x60.4' CANT / / SEPTPIPES \ \ ,e hjey�e CONCR PORCHETE 2i F �6 2ssr ti FNT SCF •js9•1'R \ ` e)y \ SR 2.0' A �^ \ a ` Lot 19A \ \ h \ C � Lot 3A-2 10' UTILITY \ \ EASEMENTS PLOT PLAN ___ AS BUILT _X— SCALE _1 40__ GRID _ SW 3033Project No. ____20=509/ 1—___ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, i n (moi , (907) 522-6476 Phone ooOo�ppO (907) 522-4625 Fax oo Professional Land Surveyors kenOlongsurvey.com F...�...F...A....�� q o4 jonathanOlangsurvey.com 1 hereby certify that I have surveyed the following described property: OOH LOT 3A-1, BLOCK 4, SUNSET HILLS WEST SUBDIVISION (PLAT No. 84-68) Oe : 49TH*0� Anchorage Recording District, Alaska, and that the Improvements situated thereon are P,• • • • "' • • • • •" ' • • • • • • • • • . within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed �'p .....KENNETH G. premises and that there are no roadways, transmission lines or other visibleo easements on said property except as Indicated hereon.w� Dated this the _ Da of vwias'cau 1"e.:, - Y4y`i-4- OQ�PFo ' .LS -5202.•' yJo� __ y —_1, , at Anchorage, Alaska Q pR • • O o 4OQ OFESSION,\L o� It is the responsibility of the owner to determine the existence of any easements, �4pppoo� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 • Municipality of Anchorage lei° -,0 Development Services Department Building Safety Division Nn On -Site Water and Wastewater Program, 4700 S. Bragaw St. \./ P.O. Box 196650 Anchorage, AK 99519-6650 Page I of 2 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S&-' py o V 9z9 PID Number: 0( - 20 7- C3 Name: erlc ran alto- Wastewater System: 0 New 0 Upgrade Address: rosy Man exit k Dee •-t f 9r,j- ABSORPTION FIELD / Phone: a / Number of Bedrooms: Z 79 —/ a/ 9 O v D Deep Trench D Shallow Trench D Bed O Mound C Other: LEGAL DESCRIPTION Soil Rating: GPD/F9 Total Depth from original grade: Ft. Block: Lot: Subdivision: V 34-1 Sunref Hilt. w*rf Depth to pipe bottom from original grade: Ft. Gravel depth beneath pipe: Ft. Township' Range: Section: Fill added above original grade: Ft. Gravel Length: Ft. Well: fsis r ❑ New 0 Upgrade Gra vNw dh. FI. Number olines: Distance between lines: Fl. Classification (Private, A, B, C): Total Depth: Ft. Cased to: FL Total absorption area: Fe Pipe Material: D -To 7 Y Driller. Date Drilled: Static Water Level: Ft Installer. / A # /+lone, £ervre.I Date Installed: it / 7 /O y Yield: GPMFt. Pump Set at Casing Height Above Ground: Ft. TANK SEPARATION DISTANCES ® Septic 0 Holding • S.T.E.P. 0 Other: To From Septic Tank Absorption Field Lift Station Holding Tank 'ubliUPrivate Sewer Line Mamnaaurer An c A or o9i Tan 4- Capacity: r 0 / lGal. Well 110' Materiel: ✓ Sl -..r Number of Compartments: 2 Surface Water 7 toot LIFT STATION AA 4 Lot Line 33' Size: Gal. Manufacturer: Fauntlation 3a r Pump on' level at in. 'Pump oft level at in. High water alarm at: in. Curtain Drain N' A Pump Make a Model Electrical Inspections performed by Remarks: Detp burro/ sppHc knk fnn(r/La/ BENCH MARK pQ" ezfri.G✓tri prrniif_ Or7snu/ Location and Description: /�� Con ere /' .0 ep LA Trowf arbor- rborAssumed tee/rt don k pnaperly o.t.anoteAneof AssumedElevation: lop.eFt. 17 y7Knrpin% Crcrh fry f 4te�iwq on Se Dor .4ide c.c..'.nt%a✓/ret� inty✓d'h. /t°Of leaf? unfjr a„ Engineer's Stamp and down/-reon, 0/ re.e/Vc /o'n4- �.riceoreimt_ Inspectionsperformed b : Fla Hoe fc'6. S've. Dates: 1't 1 t/ 7 / 0 P Y P Y � ! • . • 4 fl .e. s ... A, - %• „ ` � .•'y.� 2nd � �t�, O * 4 Qg— �• i. onoa Developm nt Services Department Approval $. ,,t r/144.-/-1, Reviewed and approved by: Q F.J. �t0�4,:Date: i • #. :.ffEODORE F. rooeE t ii tBay. tvoo) ir'`-7`�� 'Chis is cc�ty ssoc Ahead Sttc,,?oLs tcnllaq on tag +/. f. e CE 3589 ''a '•%i!`.i' •• ` - q iH t ,.. PERMIT PID NO: NO: SW040490 018-203-53 WELL oop PAGE2OF2 SWING TIES: FROM: COR. "A" COR. "B" TO: DBL C.O. "C" 35' 88' S.T. C.O. "0" 36' 91' S.T. C.O. "E" 39' 100' DBL. C.O. "F" 40' 103' C.O. "G" 41' 113' ' DBL. C.O. uµu."F "G" NEW 1250 -GALLON DEEP BURIAL SEPTIC TANK PLAN VIEW SCALE: 1" = 30' CROSS-SECTION SCALE: 1" = 5' 86.3' gat Vae rekie-emc7114 K f % THEODORE F. MOORE : 0 t• CE - 3589 � p� �4I lit ;Fore nwoir LOT 3A-1, BLOCK 4, SUNSET HILLS WEST 510 SEPTIC TANK REPLACEMENT AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 DECEMBER, 2004 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW040490 Legal Description: laUNSET 14 LLS WEST.BLK 4.LTL3A Design Engineer: 0019 Flattop Technical Services Owner Name: ERIC SANDERS Owner Address: 14164 HANCOCK DR ANCHORAGE , AK 99515-3958 1'x -7 -hie Len Date Issued: Dec 06, 2004 Expiration Date: Dec 06, 2005 Parcel ID: 018-203-53 Site Address: 014164 HANCOCK DR Lot Size: 28209 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well C Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By Issued By: Date.'i/7/0y Date: /2 -AA 1 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O/ 8- zo3 0105-s. Permit Number SW Property owner(s) i=r *. c Sg n I eat, Day phone 2 79 -9090 Mailing address (1) 1'9 16Y yanco c k Mailing address (2) /incAoraAa 4 -it Zip Code 99,5- IC V. Legal description (Lot, Block & Sub'd.) L.o/ 34-1, C/4- 4/ S'N ve F ,W'b "'St tii, Legal description (Section, Township & Range) Lot Size Agit Zn, ZO1 Acre6D Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only Sewer and Well ❑ Water Storage Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Y60 0° Waiver Fees: Date of Payment: 11 /30, /COY Date of Payment: Receipt Number: IDS OI 3 , w" Receipt Number: (Rev. 12/00) CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 November 30, 2004 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sus: The purpose of this letter is to provide the required design narrative in support of our application for a permit to install a replacement septic tank on Lot 3A-1, Block 4, Sunset Hills West S/D, located at 14164 Hancock Drive. A site plan and specifications are enclosed for your review. The existing septic tank was installed in 1972 and has rusted to the verge of collapse. As illustrated on the site plan, the new tank will be installed at a location greater than 100 feet from the existing private well on lot 3A-1 and will tie into the existing soil absorption trench which was installed in 1981. It should be noted that a portion of this existing trench is on Lot 3A-2 which is owned by the same owner, and the far end of the trench is approximately 89 feet from a private well on Lot 6, Block 4. The present condition of the existing trench is unknown, but the owners are aware that prior to sale of their residence an adequacy test of the absorption system will be necessary. If the system passes an adequacy test at that time, it will also be necessary to either obtain a waiver or to relocate the absorption system, and also resolve any issues pertaining to the location of a portion of the trench on Lot 3A-2. The purpose of the requested permit is solely to allow replacement of a failing septic tank. The topography of the lot in the area of proposed construction slopes down towards the northeast at approximately 15%. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. INSTALL NEW , •` DRIVE 1250 -GALLON,' `� DEEP BURIAL viii [;;>;`'' SEPTIC TANK DOUBLE ABANDON -- „" SDR ISTING �'• HOUSE SEPTIC TANK AWWU PUBLIC WATER N\\\\\• AreeCte.' ArSA 171. 49 m ._l.. S i THEODORE F. MOORS . / 11b • CE -3589 I', �ea, Itiebe� LOT 3A-2 BLOCK 4 (VACANT) WELL LOT 6, BLOCK 4 LOT 17 • LOT 3A-1, BLK. 4, SUNSET HILLS WEST S/D SEPTIC TANK REPLACEMENT SITE PLAN FLATTOP TECHNICAL SERVICES 14530 ECHO STREET ANCHORAGE, ALASKA 99516 1 INCH = 50 FEET DRAWN BY TFM NOVEMBER, 2004 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. c7attop 7ecfinicatSewices 14530 Echo Street, _Anchorage, ylx 99516 (Phone (907) 345-1355 Lot 3A-1, Block 4, Sunset Hills West S/D 14164 Hancock Drive Septic tank upgrade Specifications 1.0 General: 1.1 The scope of the project consists of abandonment of an existing collapsing septic tank and installation of a new 1250 -gallon deep -burial septic tank in the same general area. 1.2 Construction shall be as depicted on the approved site plan. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 Unless agreed otherwise, the contractor shall be responsible for any tree clearing and grubbing necessary to complete the project. 1.5 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.6 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The new 1250 -gallon, 2 compartment septic tank shall be Municipally approved and rated for a burial depth in excess of 10 -feet. The tank shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A double cleanout shall be installed within 5 feet downstream of the septic tank and a second double cleanout shall be installed upstream of the tank at a point near to where it is connected in to the existing waste line from the house. 3.0 Inspections: 3.1 A total of 3 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the tank has been set and connected into the waste line, but prior to backfill, and (3) after rough backfill and grading is complete. 3.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. DISTANCE TO: DISTANCE TO: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PRQTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELL INSPECTION REPORT I-lONE [] NEW A~-or ption area Inside length Dwelling Dwelling Materia-~..~ [Width NO. OFSEDROOMS ~ Material Total length ?~flil]e~/ ! Trench wid~ ~ ~-r-i~ ~t h t?~'',e ' : inches / ~ ¢ ~nche~ · p ents ~ Liquid depth IF HOMEMADE: PERMIT NO, Liquid capacity in gallons Foundation Crib diameter Crib depth Well ~otal effective absorption area PERMIT NO. Building foundation Nearest lot line Depth Driller DISTANCE TO: Building foundation Sewer line OTHER PIPE MATERIALS PERMIT NO, Absorption area(s) SOIL TEST RATING/~,~ REMARKS APPR DATE EGAL ~ 72-013 (Rev. 3178) (~J ffIF:'P L. :[ CF:lB] T L..OCRT I ON LEGF:I[.. ...I>F{PFIRTI"1EI'.,IT FtEFII...TFt FIN[:, EI'.,I'v'ZI~:ONI'"IEi'.,FFFI! ...... :~_:i;j'.!;~i "L'" ?T'REET., fflI'.,!C:FIOF.'.I:rlC:iE., F!K. 995E1::[. .... ~ r,, .,,~_ ........ :,x,~ % '""£' I{EE '_'i~;; E; .~ ,4 .EE; ~:::4:: ~1':"" L: ~: ...... .... " E'I],' ;,1;; '1- ,: ....... . HFINCOCK [..CFI" ;:]:l::l E&..I<: 4 !~;LIBI~;I:E"[' HILL. "f"-r'PE OF 50IL FIE~r'2;ORF'"f' :[ ON ~E;'gSTEFI ;[:5: TRENCH F'IFI::':::[f'II_II"I Iql...li'q[~]L:]:;?. 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I 'f'HEIUT Fl' I'.,IF. IL :[i'.,!tSI:::'E:CT I ON FI!q[> FII-:'F'IRO',/FII... E:Y TH ;[:~.~; DEF'Fff;i:TP1E]'.,Ff' i,.[ZL.L [?,E SI..JEL;fECT TO PROSECUTION. I',!Ii',!IFIL.IM [:,Ir~Tl'l::lr-,!C:E E]ETI,IL-':Et'.,! F:I I.,.IELL RN[) ::L,(BO FLEET I::'OR f:l Pf;~: :[ ',,,'RTE I.,.IEL!.. OR 150 ]"E~ LIF'ON ]"HE 'T"¢F'E OF' I::'LIE~L. IC I.,,IEL.L.. M :[ F,I :[ i-,'IUM I:) ]: '.E;TF:II'-,!C:E I:::'RCff4 F;I F'R Z ',,,~F:rT'E kiEL.!._ ]"0 F:I F'R Z b'ffl'/'E :~i;EI,IEF,.'~ L. ]; F,IE; .I.' :~i; ;;i:5 FEET'F F:llqD TO la COi','INI.JNZT'.r' ¢-~;[~:l,.l[ii:l:;'. LINE f.E; 75 F'[:.;:ET. OTFIER RE([!LI ]: F~:E:FIEBIT:i!; F'IFI"r' FIF']::'L."r'. :E;P[EC: R'v'R]:L.FIE]LE 'TO .'[N:E;LI[;:E F'RE~F'ER :[ C:ERT];F:"T' THFIT ::i.: :[ F:II"I FORTH B"d TI4E P1UI'.,I:[C]:F'FIL.]:r".d OF' RNCHORRGE. ;.2: Z HIL..L ;[I'.,IE;"f'FIL. L. 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[)E:F'TH ]:'_:.i; THE: ]'"I ;[ !q ;[ HL.IH DEPTH I:1[:' I:~NE:, 'f'HE E:CrT'"I"OH O1:::' "I"HE' EXCRVI=IT ]: Oiq ( ]: N FEET ). F'E[;U','!:["I' FtF'F'!...:[ C:FINT HFI:E; THE t~:[EE;PC~I'qE; :[ I'.,!:!~;'TFIL.L.FIT :1: O1'.,I Z NE;PECT :1: OlqE; OF' Fff',l"r' FII.')J'FIC:E:N"I' FH Z S NLIP1E'/~F;: OF:' !:~:ES!E:,EI",ICES THFI-I' THE I,.I i.,.IIL..L. E:FJC:I':::I:::':[I....L.:[NC!i C:I[: FIi'~I"? f:'] FINE:, DEPF'Ih?.TPtENT' I,.I:[L.L..r:3E: PF;?.OSE: [:,E F:' F:I R i" H E: F,I T F'F~:CiI::'ERT'.~' FiNt.) THE: i',I:I:I'..!:I:PII...II','I D:[E;TFII'..IC:E: EEE'T'HE:EN .L FI!'.,!! :J.euZi FEET' F'[:)I~: U[::'OI'.~ THE T~./F'E I'"I]:I'.,I]:HUFI I:::,]::~:;TFII",!C:L:: F,q:Ol'"l FI F'F: =IT[E NELL TO F'i C:OHP1L.It'.,!:[T'./ E;EHEFt [.:[NE: '?'~i F'EET O'I'HE'[?. [;?.EI]:!I_IIE'.I~:HEI'.,?I'E; i"IFl"r' F:IVFI ]: LJ:IB[.E: TO I h,IE;URE: F't:~:CIPI ",IE',TFILLI:: TO FI k' :1: Cf:Y[' 1[ ]. 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I'"1~[ I:: :[1:' 'THE: SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTIV1ENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: SLOPE 3 7 8 DATE PERFORMED: SITE PLAN 10 11 12 13 14 15 16 17 18 19 20 WASGROUND WATER ENCOUNTERED7 IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch) TES RUN BETWEEN FT AND COMMENTS ~,~ L~ ~--.~.~. S~;.~.~.~. ;: ".~ ~' ~,'~ 72-008 (6/79) Gl;" 'ER ANCHORAGE AREA BOROI: D~,-~,RTMENT OF ENVIRONMENTAL QUALI~ 3500 TUDOR ROAD ANCHORAGE, ALASKA 09507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ADDRESS4~_~O ? E.M¢~/(/t /¢4,&/Y. __PHONE__ LOCATION_(~' ¢7 /~ ?, ' /] ~r'.;x/V_~/.~J _~=c L-¢;(%~,? -LEGAL DESCRIPTION SEPTIC TANK: D STANCE FROM WEL LIQUID CAPACITY __MATERIAL ~.¢~/j,z./~- .S~ NUMBER OF ,COMPARTMENTS .--- LIQUID GALLONS· INSIDE! LENGTH ~ INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER__ LINING M A T E R I A L ~-' C"V( "? ~'/7~ NEAREST LOT LINE __OR WIDTH ,~ '7 , LENGTH~/'~- __, DEPTH DISTANCE FROM WELL__ rOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) BUILDING FOUNDATION f;'/¢// BT. TILE DRAIN FIELD: DISTANCE FROM WELL__ ., F~OkJ.~DATION_ NUMBER OF LINES ..... DISTANCE BETWEEN~t~ES AREA SQ. FT. LENGTH OF '"'""""""'~H LINE ABSORPTION DEPTH: TOP OF TILE TO FINISH GRADE_ , NEAREST LOT LINE fRENCH WIDTH TOTAL LEN/GDf'- OF LI~/ES~ / _IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEAflJ fiLE IN. ABOVE fiLE  DISTANCE FROM -- WATER WELL: TYPE ~,',&D"), __, DEPTH '~ , BUILDING FOUNDATION __SAMPLE NEAREST _ . SEPTIC SEEPAGE LOT LiNE , SEWER UNE , TANK -',' SYSTEM .... ~TCESSPOOL DIAGRAM OF SYSTEM DISTANCES: .... '" , NEAREST OTHER ,-~SQURC ES _ T.H,-I 8-17-72 ORGANICS ORGANIC SILT W/SOME GRAVEL SANDY GRAVEL (GW) W/SOME COBBLES 6,51 SILTY SANDY GRAVEL (GM] ~ ,~ W/8OME COBBLES 10.5' SANDY GRAVEL (GW) TRACE SILT 1~6/~ No Water 'robie 15.0' Note: Hole excavated with trector mounted backhoe. F~ Robert Groeneweg Property Engineering 8[ Geological Consultants LOG OF TI--_ST BORI NG ^.~Ho~^e~ ~,,,..~.K8 ALASKA,,Ju~^u,, Anchorage Alaska R&M C/vi/Engineers ENGIr EERING & GF. OLOGICAL CONSULTANTS 22g EAST 51st. AVE. - P.O. BOX 6087- ANCHORAGE, ALASKA gg563 TELEPHONE 907-279-0483 TELEX 090-35419 Geologists Land Surveyors JAMES W. ROONEY, P, E, MALCOLM A, MENZIES, P,E., L.S. JAMES H. WELLMAN, P.E. RALPH R. MIGLIACCIO August 21, 1972 R & M No. 26540-23 Mr. Robert Groeneweg 1749 Brir& Drive Anchorage, Alaska RE: Test Hole and Soil Log Report for Sanitary System Lot 3A, Block 4, Sunset Hills West Subdivision Dear Mr. Groeneweg: We are submitting herewith the test bozd. ng results and our comments regarding soil conditions encountered at the subject site. This investigation was per- ~ormed in accordance with your request o{ August 18, 1972 and -those procedures outlfmed in a letter dated September 13, 1971 by IVlr. Rol~ Strlcldand o~ the Greater Anchorage Area Borough Department of Envirorumental Quality. A singel test hole was put down within the Lot 3A area {or the purpose o~ defining general subsurface soil conditions ~or the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the 'test hole was ex~ended to a total depth of 15 ~eet below ground surface. The final log prepared ~or the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be o~ service to you. Should you have any questions with regard to the aobve, please do not hesitate to contac~ us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS James W. Rooney JWR: wb E nclo sure xc: Greater Anchorage Area Borough ANCHORAGE FAIRBANKS JUNEAU n lgumc�FAL ry Off' ANCHORAGE i yif i tai Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 018.203-53 Expiration Date: 1. GENERAL INFORMATION Complete legal description SUNSET HILLS WEST BLOCK 4, LOT 3A1 Location (site address) 14164 HANCOCK DRIVE, ANCHORAGE, AK 99515 Current property owner(s) ERIC T. SANDERS Day phone Mailing address 14164 HANCOCK DRIVE, ANCHORAGE, AK 99515 Real estate agent Day phone 2. TYPE OF DWELLING: r ® Single Family (w/wo ADU) ❑ Duplex # ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic 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 $ ") Waiver Fee $ Date of Payment 0113 D 2 D Date of Payment Receipt Number 1311 y Receipt Number COSA# Os ca o) 5 (o 3 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 10/10/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the At,' system and maintenance. The operational life of all well and septic systems are subject to �1t91�� these various and dynamic characteristics and are outside the control of the evaluator of the i •�(i well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or 1 J discrepancies exist can be given by First Water Consulting & Fks ' .*' .� ll -I .....•.* rr 6. DSD SIGNATURE Curtis Huffman System #1 Approved for bedrooms %�c/sT , .CE 128991 .����� F,FFO .10/1012021 System #2 Approved for bedrooms % ROFEW`3 Disapproved Conditional approval for bedrooms, with the following stipulations: �Iry g 4/V_S�TE o WA T N c� ='� INASTr ,A Rp, M G�`AM o� I)1J))))11111- Original Certificate Date: 6 C 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 C Well Flow Advisory Other Legal Description: SUNSET HILLS WEST BLOCK 4 LOT 3A1 Parcel ID: 018-203-53 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Water storage tank volume NA gallons Date drilled UNK Well disinfected for coliform test? ❑ Yes ® No Total depth *108 ft ® Coliform bacteria is Negative Cased to UNK ft Nitrate mg/L ® Nitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic 24.4 ug/L❑ Arsenic less than MRL (ND) ® Wires are properly protected Casing height (above ground) 24+ in. Collected by Date of flow test for COSA 8/7/2020 Static water level at beginning of test 77 ft. Date of Sample 8/20/20 Well production at time of test 5 gpm Comments *PER MOA DOCS. B. TANK DATA Age of tank(s) 16 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49" ® Standpipes/foundation cleanout per record drawing Date of pumping 8/7/2020 D. ABSORPTION FIELD DATA Which system tested (date installed) NEW ® ALL standpipes present per record drawing Total measured depth from grade 14.1 ft (max) Measured depth to pipe invert from grade 5.1 ft (min) ❑ N/A — pressurized field ® 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: C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date NA - NEW Results ,F Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date US 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' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ® Yes if No ft ft ft ft ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No. Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No. Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No. Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No _ ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Aaw Aw �• i CCE12 991 Huffman..���� �fip••ao�l�i2o�o���Aaw ��pROFESSION��•,am, ft ft ft Arsenic Advisory Certificate of On -Site Systems Approval # OSC201563 Subdivision: Sunset Hills West, Block 4, Lot 3A-1 A water sample revealed an arsenic concentration of 24.4 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ,�: � � � Mailing Address P O Box 196650 * Anch°o`�age, Al�aska�99519 6650`.* `www muni org �� � � MUNICIPALITY OF ANCHORAGF. DIVISION OF I'INVIRONMENTAL HJ~ALTH DEPARTMENT GF I~ALTH AND ENVIRONMENTAL PROTECTION APPLICATION ig0R HEALTH AUTHORITY APPROVAL CERTIFICATE Genera]. Information Application Date _.8_/_~J!~.8~ ......... (a) Legal Description (iaclude lot, block, subdivision~ se~%t~ion, township, range) Location (address or directions) J4164'Hancock DrJ.v~ (b) Applicants Name Applicants' Address [[4164 Hancock Drive (c) Applicant is (check one) Lending Institution Buyer ~ ; Other ~-~] (explain),' (d) Lending Institution Alaska PacifJ.c Bank Address lO1 Benson Blvd. William Mon'-'ov Is]~phone - Home345 621~usiness Telephone (e) Real Estate Co. & Agent ~C_e__ntur~y~l Award Address 209 W. Dimond T e 1 e p ho e e _ 3_.4._9-_~ 6~_6 _8_3_ .................................. (f) MeiJ. the Ilia to the following address: 2, T_y_t?_ of Residence Single-Family Number of Bedrooms Ot:her __( .d_e s c~j~_)_ .............................. Individual Weli l.--'~q Community ~i-t Public Note: ]if cemmunity well system~ must have writteu confirmation from the State Department of Enviromnental Conservation attesting to the leg~].ity and status. 0nsite [~][ Public Iii! Community [Eli Holding Tank Note: If commuuity well system, must hays written confirmation from the State Department of Environmeatal Conservation attsstimg to the legality and status. [Page 1 of 2] 5. .E__n.g_J:n__ee__.r~i Firm Providing Ins~tions, Tests~. File Search.t Data and Infomnation As certified by my sea]. 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, functioeal and adeqeate for the number of bedrooms and type of structure indicated herein. I further w;rify that, based ou 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 regula- tions in effect on the date of this inspeetion. Name of Firm.~.~.~r.~._r~.t...ic~E___n~=i_n_De~r_s_~_.inc ...... Te].epho n e__.__56,]=_j_~_ .... Address 1506 w. ,36th Aw~. Anchora eqg~_A_K~__- Data 8-30-84 (ENGINEER SEAl,) A roved for ~'~ ~ PP ~Y~Y'~_5_ bedrooms Approved ~_~. Disapproved Terms of Coaditioaal Approval Condit ion~l CAUTION THE MUNICIPAI, ITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTNORITY APPROVAL CERTIFICATES BASED SOI~LY UPON THE REPRESENT- ATIONS GIVEN IN PAILAGIhtPII 5 ABOVE BY AN INDEPENDENT PROt ESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA° THE DItEP DOES THIS AS A COURTESY 170 PURCHASERS OF HOMES AND INofITUIIONS IN ORDER TO SATISFY CERTAIN FEDLRAL AN]) STATE REQUIRE- THEIR LENDING ' ~' ' '" ~ MEN.~S. EMPLOYEES OF DIIEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEIORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DtIEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF A~CHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MiJNiClpALIIY OF ANCHORAO~ DEPT. OP .~EAIJH & ENVIRONMENTAt pi~OTECTION RECEIVED Well Classification Individual Well Log Present (Y/N) N Total Depth 108' Cased to Static Water [evel 75' Casing Height Above Ground 2'+ Elec~ical Wiring in Conduit (Y/N) Y Separation Distances from Well: To Septic/Holding Tank on Lot 100'+ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Lina N/A C leanout/Manhole N/A Water Sample Collected By Water Sample Test Results C~m~nts If A, B, or C, D.E.C. Approved(Y/N) N/A Date Completed Unknown Yield__ 5 gp~m unknown Depth of Grouting. unknown Pump Set At unknown Sanitary Seal on Casing (Y_/N) Y Depression Around Wellhead (Y/N) N ; On Adjoining Lots 100'+ 100'+ ; On Adjoining f~Dts 100'+ To Nearest Public Sewer To Nearest Sewe~ Service Line on Lot N/A Dttane Maney ; Date__ 8-16-8~ Satisfactory for Total Coliform B. SEPTIC/HOLDING TANK DATA Date Installed 10-22-8~. _ Size _.2~f0_~a3~_~ No. of Compa~h~nts Standpipes (Y_~/N) Y Air-tight Caps (Y~_~_Y Foundation Cleanout (Y_~N)nno°~eed Depression ove~ Tank .(Y__2~) N Date Last Pun~.d ...... P~n~ping/Maintenance Contract ca File _(Y/N) -- _~ for ..... Holding Tank High-Water Alarm (__Y/N) -- Ter~pora~y Holding Tank Permit (Y_~/N) --- Separation Distances f~om Septic./Holding Tank: To Water-Supply Well 100'+ To P~operty Lir~ 5~ To Water Main/Service Line Cou~s~ None Noted N/A TO ~ilding Foundation 24' To Disposal Field 8' To Stream, Pond, [~ke, Ge Majo~ D~ainage Comments [Pa~e 1 of 2] 2-15-.84 ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 10-81 Width of Field 3' Square Feet of Absorption A~ea Depression over Field (Y/N) N Results of Last Adequacy Test 125 Type of System Design Length of Field 59' DeDth of Field 14. Gravel Bed Thickness 5, 590 Standpipes P~esent {,Y/N) Y Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well 100'+ To Building Foundation 40' Lot 30'+ To Water Main/Service Line To P~operty Line 10'+ To Existing or Abandoned System on ; On Adjoining Lots 30'+ N/A TO Cutbank(if p~esent) None To Stream/Pond/Lake/or Major D~ainage C°U~Zse · None Noted TO D~iveway, Parking A~ea, or Vehicle Storage A~ea 10'+ Comments Trench ,, D. LIFT STATION Date Installed Size tn Gallons ."Pump On" Level at High Water Alarm Level at Tested fo~ Eleet=ical Codes(Y/N) bimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA Comments ** Check Permitted Bed~oomRatingAgainst HAARequest ** I certify that I have checked, verified, or conformed to all MOA on tke date of_this inspection. // Signed /~~ Date 8-30~84 Cor~pany Arctic EnGineers. Thc. MOA NO. ST84-001 KB1/d5/s [Page 2 of 2] HAA Guidelines in effect /.¢'-:'" ,,"" A ', 2-15-84 ,, . DATE RECEIVED INSPECTION APPOINTMENTS ~ME TIME TIME ~-ATE DATE DATE INSPECTOR iNSPECTOR INSPECTO MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVl RONME~TAL PROTE~ONMENIAL p;;OTECTION 82S LStreet-Anchorage, A.aska99501 MAY t 5 1981 ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all 6arts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER ~PHONE Geo~qe Suddock]345-2744 M~I LING ADDR ESS PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHONE Unknown at th~s t~me. MAILING ADDRESS ~ LENDING INSTITUTION PHONE Unknown at th~s t~me, ~AI LING ADDRESS ~ REALTOR/AGENT ] PHONE ElliOt C. Lawson, 0ack ~hite Company~ 277-1553 ~AILING ADDRESS 3201 "C" St,, Suite 100, Anchorage, AK 99503 NOTE Send all information & reports to Elliot Lawson at Jack White Co, at above address. LEGAL DESCRIPTION Lot 3A~ Block 4~ Sunset Hills West ~TREET LOCATION NHN Hancock Drive 6, TYPE OF RESIDENCE ~c~ - ~'~ ~7~ NUMBER OF~BEDROOMS [] Two [] Five [] MULTIPLE FAMILY ~ ~(,j[~IL~'~ '~- Three [] Six 7, WATER SUPPLY INDIVIDUAL' [] COMMUNITY [] PUBLIC UTIL TY '~. SEWAGE DISPOSAL SYSTEM [] Other ATTACH WELL LOG. A well log is required for all wells drilled ;ince June 1975. For wells drillee orior to that date, g~ve we~ depth (attach log if available.) [Z] IN DIVIDUAL/ON-SITE'~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [~] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDiVIDUAL/ON 'SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: ,]~)~?~..~ IfTankishomemade SOILS RATING give dimensions: TYPE OF TANK MAN UFACTURER/~.~Z~ TOTAL ABSORPTION AREA MATERIAL ¢ . 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Atea Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMEN~S [~/CONDITIONAL APPR~?~{Iotter/~hst accompany certificate) 72-010 (Rev, 6/79) 82B "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 G[~ORGI: M. SULIJVAN, MAY()I~ DEPARTMENT OF HEALTH AND ENVIRONMHN'['AL PI:IOTEC'I'ION September 10, 1981 Elliot C. Lawson % Jack White Company 3201 C Street, suite 100 Amchorage, Alaska 99503 Subject: Lot 3A Block 4 Sunset Hills West Subdivision Geomge Suddock Property A three(3) Bedroom single family dwelling located at the above property will accomodate six(6) persons. office If there are any further questions, please call this at 264-4720. S lncer~, y, Robert C. Pratt, R.S. Associate Specialist RcP/ljw 82B "1," S fREE I 190/) 264 4'1!1 May 21, 1981 George Suddock % Eli Jot Lawson 3201 C Street Suite 100 Anchorage, Alaska 99!503 ounset H:Llls West Subdivis:ion Subject; I,ot 3A B]eck 4 ~" ' Approva'l. for the :ndlv]dua] sewer and water fac~ it:es c. annot be granted uut:i.1 the following items have been comple ted: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Skreet, for (2) Au adequacy test needs to be perforraed on the existing ].eaching area. This test wJ].Z determine if the s~rn:em is adequate ac, cordJ, ug to NatJ.onnl Sitandards. A ].ishin9 of pr:ivate firms performing the test ].s :,nc].e.~ed. This report needs to be submitt:ed to this office for ou]: (3) The application shows the nun,)er o[ bedrooms exceeds the ,~umber the sewer system was or:igJ.nally des:i, gned for. An l~0f~ upgrade wi1! be uecessary. Prior to any ui)qrade, a permit .--~' will need to be obtained frem this o~fice. - -/'lf there are any further quest:i, ons, please call this office at 264-4720, Sincerely, Robert C. lifatt, R.S. Associate Specialist: Elliot L~wson Jack ~'~ite Co. 3201C Street Anchorage~ Alaska ~9503 Tobben Spurldand P.F.. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243:5302 MUNICIPALITY OF ANCHORAGE DEPT. OF 14EALTit & ENVIRONMENTAL P'r'o rSC1'ION 1981 RECEIVED June 18, 1981 S E W E R A D ]~ (~ U [, C Y T E S T Legal Location Owner ~esJ.denco Water Sewer Date of Test Tcst 3~ro¢;edure Absorption Absorpt ion System Soil Rating Installat ion Date June 17.~18, 1981 Lot 3A, Bleck 4, ;;unseb Hills S/D On Hancock George Suddock 3 bedrooms~ Single family On Site Well From Hunicipal Records: Ta~k 1000 gal Stack Steel~ 2 compartments Volume verSfied by punlping 624 sq.ft. Concrete Rdng,~3 6 feet deep 147 Aug 1972 ~ys~em was inslz~cted on June 14th. C~ ~_b ms 18 feet ~low ground, liquid depth 6'-~". Tank is 14 feet below ground Liquid depth 3~6'', Both standpipes are O.ush with sur~aceo 9?ank pipe is 4~5 feet highe~:r than crumb pipe. Tank was pumped on June 16th. On June 17th. water was added to the crib at aro. te of 6 gal per min. A total of 450 gsl. weme added~ The following readings of the liquid depth in the crib were recorded. T~,~e Water Volume Depth o o qO 60 30 180 9]5 40 240 120 5o 3o0 60 360 162' 70 420 159 8O (10:10 ~tr~) 450 162' 10;20 89 11 :/-tO 09:20 V~] 61~ Tobben Spurkland P,E. ]sg_liot I~wson dune 18, 1981 *A't this level ]_iquid was £1owing into 'the tank. ?illing was discontinued for 5 rain. during which time the water lovel subsided several feet. Test Result The cor~cr~te ring cz~ib is probably a 4- £oot diamcter drywell. The liquid vo]_~J'ae :is 9'~ gal per foot or 565 gal, total~ The crib seems to be full or nearly full. Despite bhi~ the crib did accept ~50 gal. in a time period of IOO min. 'J)he crib b~come s~charged in the process~ but liquid did not backflow into the tank or the house. After 24 hours the liquid leYel was below that~mbsei~ved prior to filling. Thc eystem had absorbed the required [~al and meets the mun~cipsl requ:irement ~or a threo bod,~ ~001)1 ROUSO · REAL ESTATE CALAIS OFFICE CENTER · 3201 "C" STREET ANCHORAGE. ALASKA 99503 PHONE (gO7) 277-1553 TO Ms. Laura Harrison DA'rH June 25, 1981 DEQ-Water/Sewer 825 L Street Anchorage, ~Ji 99501 SUBJECT Lot 3A,Blk 4, Sunset Hills W. Home of Geo. Suddock NHN Hancock Dr. Dear Laura .... Just a note to send along an invoice from Stack Steel indicating that the tank put into the ground at the above noted home was indeed a 1250 gallon tank (as the homeowner recalled) vs. the 1000 gallon tank noted on your records. As you'll note from the invoice the tank # is the same as on Inspection Report (#166679). I called Tobben S. and he said that that should be enough evidence to change the records .... as there are lots of variables in trying to measure tank capacity from a pump truck float mater. Anyway, wanted you to have this for your records .... and we would~ike to get approval for a 3 Bedroom home as that is all that the absorbtion-~ could handle apparently without some additional modification. Thanking you muchly!!!! As ever, Elliot Lawson Associate Broker