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HomeMy WebLinkAboutSTUCKAGAIN HEIGHTS #2 BLK 1 LT 9Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211361 PID Number: 041-021-38 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name EMILY DAVENPORT ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 9600 BURNING BUSH DRIVE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 6 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot STUCKAGAIN HEIGHTS #2 1 9 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line FtZ Ft. Well 100'+ -- 25'+ TANK N Septic ❑ S:T:E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1500 & 1000 Gal. Surface water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ __ NA Foundation1 Q'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks 1500 GALLON TANK BAFFLE REMOVED WELL RADII STAKED AT CONSTRUCTION Alarm location Electrical installed by Installer ALASKA EXCAVATOR, LLC PIPE MATERIAL House to tank 3034 Tandra n k to 3034 Drainfield CO/MT 3034. Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection V1 10/07/21 2�d 10/8/2021 Location and description 3'd 4'h TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL �l Conditional Approval: Date 7 I TM .. �.._ ...... r� % " "" """"" / Curtis Huffman � Septic System Approved - Date _is... I 1 � ~ 2 CE 128991 +D,oROFESSIONP�'��~ �i\���1��� Note: this approval does not include well permit requirements. trcev uoiuu 10) PID: 041-021-38 OSP211361 r� ne-N A—C=24.3' B—C=8,2' -MH Co FC0 c0 coA—D=27,5' B—D=12.7' BM 99.19 Dco 98.9800 DCO FINAL GRADE A—E=32.8' I 95.95 95.70 B—E=16,4' A—F=37.5' 95.37 95.20 95.1294.95 B-17=19.1'1HDPE °N TANKS INSULATED 1'HDPE EXISTING FIELD TANK TANKN A—G=39,9' BAFFLE REMOVED B-6=20,2' IN FIRST TANK SEPTIC SECTION A—H=44.4' SCALE, NTS B—H=23.0' STUCKAGAIN HEIGHTS #2 131, L9 PREPARED FOR: EMILY DAVENPORT 9600 BURNING BUSH DRIVE ANCHORAGE, AK 99507 FIRST WATER CONSULTING DATE: 13030 Sues Way SURVI Anchorage, Alaska 99516 DRAW (907)350-9566 SCALE FirstWaterAK@amail.com co SUPPORT®SERVICES: AL FFc6 , o THuffman 10/12/2021 LANG FWCS CE 128991' 1" = 30' 10/12/2021' ��sstozzt� 3.4' DECK W/ BALCONY ABOVE HOUSE DETAIL Scale: 1"=30' 1.8' 10' UTILITY \ / •••fff"' �" EASEMENT Lot 2 / _ Lot 8 \ / /♦ 6.2'x6.2' SHED $ %9+57,77'E '169.1%' \ / 11.5'x28.0' SHED _ °\05 \ \ WELL PROtE \CHAIN- N /ry / " °° Lot 9 EN / 4 MANHOLE- / 48,707 S.F. RETAINING WALLS Lot 1 � I /SEPTIC SEPTIC SE_ OUSE PIPES �P CHAIN-LINK FENCE, / I DETAIL\ �atr DRivEI C' u: S 89'57'35"W 306.94' a 20' UTILITY o CHAIN—LINK / EASEMENT Lot 1 \ FENCE / PLOT PLAN ___ AS BUILT _X_ SCALE _1" =_60__ GRID _ SW 2043Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 0000�p40 (907) 522-4625 Fax Professional Land Surveyors kenOlongsurvey.com ...p...F...q.��44 9C�4 jonaihanOlangsurvey.com Do *..• l) DO I hereby certify that I have surveyed the following described property: OOH ' 0 LOT 9, BLOCK 1, STUCKAGAIN HEIGHTS — ADDITION No. 2 (PLAT No. 80-101) o 49— .�9* Anchorage Recording District, Alaska, and that the improvements situated thereon are """"""' within the property lines and do not encroach onto the property adjacent thereto, that 0 no improvements on the property lying adjacent thereto encroach on the surveyed KENN H LANG . 2 premises and that there are no roadways, transmission lines or other visible QO c o� easements on said property except as indicated hereon. Q s� '.. ����` 'Z�Q Dated this the ___o�> _ �Fp L —5 02. ' 13 ___ l- —_ Day of d� _ ��__, �"�� \ _, at Anchorage, Alaska 0 aR •..• • 'Do 04��OFfSS10NA\- �o It is the responsibility of the owner to determine the existence of any easements, �"vODoo� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 3 V) m K Won ROOFTOP BALCONY m O (j W j p p O 6.0' p N [n 3.0' 22.2' w z W Q it > = o 31.3' N 1.8' 10' UTILITY \ / •••fff"' �" EASEMENT Lot 2 / _ Lot 8 \ / /♦ 6.2'x6.2' SHED $ %9+57,77'E '169.1%' \ / 11.5'x28.0' SHED _ °\05 \ \ WELL PROtE \CHAIN- N /ry / " °° Lot 9 EN / 4 MANHOLE- / 48,707 S.F. RETAINING WALLS Lot 1 � I /SEPTIC SEPTIC SE_ OUSE PIPES �P CHAIN-LINK FENCE, / I DETAIL\ �atr DRivEI C' u: S 89'57'35"W 306.94' a 20' UTILITY o CHAIN—LINK / EASEMENT Lot 1 \ FENCE / PLOT PLAN ___ AS BUILT _X_ SCALE _1" =_60__ GRID _ SW 2043Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 0000�p40 (907) 522-4625 Fax Professional Land Surveyors kenOlongsurvey.com ...p...F...q.��44 9C�4 jonaihanOlangsurvey.com Do *..• l) DO I hereby certify that I have surveyed the following described property: OOH ' 0 LOT 9, BLOCK 1, STUCKAGAIN HEIGHTS — ADDITION No. 2 (PLAT No. 80-101) o 49— .�9* Anchorage Recording District, Alaska, and that the improvements situated thereon are """"""' within the property lines and do not encroach onto the property adjacent thereto, that 0 no improvements on the property lying adjacent thereto encroach on the surveyed KENN H LANG . 2 premises and that there are no roadways, transmission lines or other visible QO c o� easements on said property except as indicated hereon. Q s� '.. ����` 'Z�Q Dated this the ___o�> _ �Fp L —5 02. ' 13 ___ l- —_ Day of d� _ ��__, �"�� \ _, at Anchorage, Alaska 0 aR •..• • 'Do 04��OFfSS10NA\- �o It is the responsibility of the owner to determine the existence of any easements, �"vODoo� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE OnZite Water & Wastewater Program PO BOX 196650 470D Elrrm re Road Anworage, AAA3 99!�19-65$0 Fll r&rrp: (90n -n1 4 FQx: MY) �A�M7 hIlpJ&. w.r'n4ni,¢"9J"iW On -Size Wastewater Disposal System Permit Permit Number; OSP2'.1361 VVork Type: S-RpticTank Upgrade TL+A CuLIL Numlivi, 441021�Mg4 Site, Logal Address= STUCKAGNN HEIGHTS 02 e I -K 1 l_T 9 ;2 3 Site Mailing Addrem 9600 BURNING BUSH DR. APT S, Anchorage Owner, DAVI_NPORT EMILY L DesIgn Engineer; FIRST WATER CON SULTINO This permit ie for the mstrt,ctlon of; Effective Date: ExpiraUon Date; Lot Size in Sq Ft Total Bedrooms: NIV2021 8,+31022 4870T ❑ Disposal Field M Septic Tank © Hotding Tank ❑ Privy 13 Pr Yate werl ❑ 1r aler St=qa All canstructicn stealI be in secordanco tirrith: 1 , The attached approved design. 2. AFI requirem encs specified in Anchorage Mun icipal code Chapte rs 15.55 and 15.65 a nd the Slata of AlasKa. VYastewalee Dlopooel Regul 811Wns (18AA 72) and Orin king Vote r Regu lation s. C 18AAC80) 3. Ttte 7,wasbawam'wrJa 11eyuile6 ilIGPO Jiuilf. CJuii179 [Ire ilnPLW11.00Vii, Tliri eiiyiriuui !3Iia1I 1iu[ify R i u L]ev�!Iupii%rlt erviDm De par tment per AMC 1 x.65. Provide notifi c-alki on by calling (007) 34 3-7904 (24R). 4. From October 15 to Aprfl 15, s subsurface soil ahsorptifln system under eonslru0on dudng freezing weather ohall allher a. Opened and Closed an the seals day. or b. Covered, se$Ied, and heated to pre ntfreezing Speols I P rovis Ions; The well on Stuckaga in H eights # 1 Block 1 Lot 1 (to the west) may be closer to the septic system on this lot th an ghown- Tho 100 fi radii for she weirs sh&Arn on the permit site plan shall be staked prior to tank installation. Reoalaed E y. Issued B}� aT"Z/,/ 91V21 Date= Date; P13 1 MUNICIPALITY F ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section �-� Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 041-021-38 Property owner(s) EMILY DAVENPORT Day phone Mailing address 9600 BURNING BUSH DRIVE, ANCHORAGE, AK 99507 Site address 9600 BURNING BUSH DRIVE, ANCHORAGE, AK 99507 Legal description (Sub'd., Block & Lot) STUCKAGAIN HTS. #2 B1, L9 Legal description (Township, Range & Section) Lot Size 48707 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank 0 Upgrade 0 (D) ❑ Holding Tank ❑ Renewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: � a 2 5 Waiver Fees: Date of Payment: 81Z_q1Z 1 Date of Payment: Receipt Number: 2_'1 y2 -Z2 Receipt Number: Permit No. 6 S I°.� 1 T 3� Waiver No. 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 August 25, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: STUCKAGAIN HEIGHTS #2 BLOCK 1, LOT 9 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1500-gallon HDPE tank with baffle removed followed by a 1000-gallon HDPE tank per the attached design to serve the existing 6- bedroom residence. The lot and area are served by private wells. 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 OSP211361, Rebecca Carroll, 08/31/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211361, Rebecca Carroll, 08/31/21 · DEPARTMENT OF HEALTH& ENVIRONMENTALP F_.~! ~? ~,. q! & ENV RONMENTAL LNG NEERING DIVIS ~ ........ 'ENi" ;LCTION 825 L Street- Anchorage, Alaska 99501 Telephone~-~'~' ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPEC. IT.~N~R~P~Q~IF NAME ~PHONE ~NEW DISTANCE TO: ~ / ~ t I~ ~ IF HOME.DE: ~ ~ ~ DISTANCE TO: Well : Dwelling PERMIT NO. ~ Well FounOationt, 1+ Nearest Io~ ,jne No. of lines Length of each line I Total length of lines Trenh width Distan~een lines PER~IT NO. ~ DISTANCE TO: OTHER PIP~TE~IALS ~ ,,~C~LIT? OF ANCHORAGE ~i SOl L TEST BATI~G~ ENVIRONMEN~/~ ' i::CTION 72-013 (Rev. 3/78) r. .2Jd -n -n •n ryrf tr rr'- rn O O O' o O O O O. O.' Ln CQ 77 C�r7 . y W C Z 0 :oa J m bl :Ln i00iN1 Lvi c w !J7 :a i0 O � i i i i c z � t-a }-' i tzr "TI •T1 Tf 'Ty "Tf '�1 .,y '•}'f '�7 "I 'TI O cD :0 :(D • b :-3 •-I H H ' H H y '-] �•-1 -i :-3 �•-� f � i (!� : r-t :fK ': �-1: : H H "-i H .. y H . H H �-I -3 H : N �v i'•�- � O O o O o . O O O O. O O N XD E :I 4 4-1 o :o V :c ' :V7 h 00 :.1: 7—' d :U1 xv m:Uj . O } ,. 'J :E6 UZ "T7 s7 "rf 'Tf Tf . �7 "i7 •T7 'Ty •T7 •T7 �-+ ' {D r D I S i(D H b � S :(�p � c n :sL is o :. tf rt G n Jt i0IRV -� ID fDD :(D fD m m 4 n O x' x 7�C i„m', D ' s x T7 •.:cn c) # �111 ITI "ll Oil X Cl d O O >AL O O O O O O O O O O O D' 3 3 3 3TI.O D ° cn'T7 to ry rl .Tf 'Tf .Tf •-M ,11 'Tf 'Tl Tl f iD 'n dA O O O o . s z © � � 1;• N : t Fh y y H i P,- Aopo b i' co T4. 1Y if bN n' P Sidney .11. Self October 10, 198`) 'NELL LOG Bob Homestine Lot Blk a' ;pub. StuckCagnin Hei ht .; 0-----------18 ft. :;and R; Gravel 18----------43 ft. Hard Sand I 43----------46 ft. fine Sand 48----------69 ft. Gravel 69----------97 ft. ilard Sand Gravel 97---------1-04 ft. Bed Rock I Q Sv bN n' P , .~ . ' DEPFIRTMENT ~r" HEFILTH Ft['-~[:, ENVIRONMENTRL~'~-/.OTECTION ~' E:~:5 "L' STREET.. HNCHORFIUE.. BF...'. z~.;~:::L ' * ~' 264-4720 b-IELL Ftlf-4g. Of-4--S I TE SEb]EF." PERrfl T T PERMIT NO. ( 800='.':21 ) 8PPLICBNT LOCRTION LEGFIL ROBERT O. HOHNSTEIN 3952 DEBORRH LRNE BURNING BUSH LOT 9 BLK i STUOKRGRIN HTS. i LOT SIZE 54450 SQURRE FEET TYPE OF SOIL FIBSORPTION SYSTEM IS: TRENCH MRNIMUM NUMBER OF BEDROOMS SOIL RRTING (SQ FT?BR)= 190 THE REQUIRED SIZE OF THE SOIL FIBSORPTION SYSTEM IS: [)EF'Ttd= t2 LE~qGTH= 72 GRR'v'EL i}EPTH= E: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF FI TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF ORRVEL BETWEEN THE OUTFFILL PIPE FIND THE BOTTOM OF THE EXCRVRTION (IN FEET). F-:EL-]LI ~ BEC-. SEPT I C TRNk'. S I ZE= ~L?SC'~ GRLLOf-~S PERMIT FIPPLICFINT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTFILLRTION INSPECTIONS OF FINY WELLS RDJFICENT TO THIS PROPERTM RND TME NUMBER OF RESIDENCES THFIT THE WELL WILL SERVE. ........ Tb~F3 (2) I ~4SF'E~2TIO~-~S I~RE REaZ~gJZ ~:E[) 8RCEFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL FIND FINM ON-,-SITE SEWBGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVFITE WELL OR 150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVBTE WEL~ TO R PRIVRTE SEWER LINE IS 25 FEET RND 'FO FI COMMUNITY SEWER LINE IS 75 FEET. [qELL LOGS FIRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MBY BPPLY. SPECIFICBTIONS RND CONSTRUCTION DIRGRRMS RRE FIVRILFIBLE TO INSURE PROPER INSTRLLRTION. P'ERM Z T E::-~P T RES [:.ECEMBER 3t.. 198C-~ I CERTIFY THRT i: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS FIs=. SET FORTH BY THE MUNICIPALITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN FICCORDFINCE WITH THE CODES. _?.: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MFI't' REQUIRE ENLBRGEMENT IF THE -'-" I =,:.LIE[ _DRTE_ , V4. 0 825 "L." STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M, SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRQNMENTAL PROTECTION January 15, 1981 Robert G. Hohnstein 3932 Deborah Lane Anchorage, Alaska 99504 Subject: Lot 9 Block 1 Stuckagain Heights Subdivision Permit # 800321 You were notified of no record of installation inspection for y~ur on-site sewer system. This department allowed the installation to be inspected by registered professional engineers in Alaska in lieu of Municipality of Anchorage inspectors. A letter from S & S Engineers was received by this department stating your installation was according to Municipal of Anchorage codes. A number of descrepancies must be corrected prior to your sewer being approved by the Municipality of Anchorage, namely; (1) Your engineer must stamp all reports with his stamp and signature. (2) The inspection report must be filled out on Municipal of Anchorage inspection report forms and submitted to this department. These items are necessary for the installation to be of approved construction and not in violation of Municipal of Anchorage Code 15.65.020. If there are any further questions, please call this department at 264-4720. Sincerely, Les N. Buchholz, RoS. Senior Environmental Specialist LNB/ljw $ & $ Engineers 5610 SILVERADO - SUITE A7 - ANCHORAGE, ALASKA 99502 - (907) 274-9397 October l, 1980 Mr. Ed Norman Genora Street Eagle River, Alaska Dear Ed, Per your request we have inspected the septic system for Lot 9, Block 1, Stuckagain Heights Addition II (permit #800321) and found the System in full compliance with the Municipality of Anchorage regulations. If you have any further questions please call. k-1 MUNICIPALITY OF ANCHORAGE 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. 041-021-38 1. GENERAL INFORMATION Expiration Date: Complete legal description STUCKAGAIN HEIGHTS #2 BLOCK 1, LOT 9 Location (site address) 9600 BURNING BUSH DRIVE, ANCHORAGE AK 99507 Current property owner(s) EMILY DAVENPORT Mailing address Real estate agent Day phone 9600 BURNING BUSH DRIVE, ANCHORAGE AK 99507 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 6 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: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $�/ Waiver Fee $ Date of Payment 10 .? -2 02 0 10126121 26/21 Date of Payment Receipt Number Q 1 ;z a 3 W N2 73 Receipt Number COSA # 0,SG 2 1 (,6-� 3 Waiver # 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 10/11/2021 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 system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWrs 6. DSD SIGNATURE _X System #1 Approved for --&edrooms By System #2 Approved for bedrooms AJ Aw rrg�P• TM ......k. po • • ' Curtis Huffman^ 19J .. CE 128991 •.�`��% liIF�PROFESSIO X\\ Disapproved onditional approval or bedrooms, with the following stipulations: N D Original Certificate Date: 10 —Z� '_2e The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: STUCKAGAIN HEIGHTS #2, BLOCK 1, LOT 9 Parcel ID: 041-021-38 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA (S / N WELLS — SULLIVAN TESTED NORTH WELL) ® Well log is filed with Onsite (or attached) Well production at time of test 0.72 & 0.6 gpm Date drilled 5/31/1987 (PER MOA REC DOCS) ../ 10/22/1980 Water storage tank volume 500 gallons Total depth 511 / 300 ft (PER MOA Docs & PANEL NOTE) Well disinfected for coliform test? ❑ Yes ® No Cased to 111/UNKNOWN ft (PER MOA DOCS) ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate mg/L R Nitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height (above ground) 18+ / 18+ in. NES NES Date of flow test for COSA 10/18/21 & 8/10/2021 Collected by Static water level at beginning of test 161 / 99 ft. Date of Sample 9/22/2021 Comments APPROXIMATELY 500 GALLONS OF "STORAGE" IN CASING PER SWL & BOTTOM OF WELL IN S WELL + AN ADDITIONAL 500 GALLON WITH TWO 250 GALLON STORAGE TANKS. SEE SULLIVAN'S N. WELL TEST DATA B. TANK DATA C. LIFT STATION Age of tank(s) NA — NEW TANKS years ❑ Required maintenance completed Tank type/material SEPTIC / HDPE Age of lift station _ years Measured operating fluid level in septic tank NA Lift station material ® Standpipes/foundation cleanout per record drawing Comments: Date of pumping NA D. ABSORPTION FIELD DATA Which system tested (date installed) 1/28/1981 ® ALL standpipes present per record drawing Total measured depth from grade *8.3 ft (max) Measured depth to pipe invert from grade *3.1 ft (min) ❑ N/A — pressurized field Adequacy test date 8/10/2021 Results 2 Pass For 6 bedrooms Fluid depth prior to test 2 in Water added 1300 gal New depth 33 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 1380 min depth into effective **5.29 OF 8' ED ®Code -required soil cover over field Final fluid depth 3 in ❑ System presoaked Absorption rate 900+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: *TOTAL DEPTH AT MT & CO. **PER ELEVATIONS TAKEN / MEASURED FES 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' ® Yes if No 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' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes _ if No ft ®Yes if No 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' N.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 SEPTIC FIELD ENCROACHES SLIGHTLY INTO 20' UTILITY EASEMENT ROW PERMIT & UTILITY NON- OBJECTION LETTERS PREVIOUSLY OBTAINED WITH LAST COSA 2014 G. ENGINEER'S CERTIFICATION I 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. ,o.,�G; Idw oe TH g.• :�'�� .. .. .... ..........� Curtis Huffman CE 128991 '�fF,�• • ao/2o/�I • •��U�.p ,�\i�'°ROFESSIONP -4 ft ft ft ft ft ft ft ft Municipality of Anchorage G A Development Services Department a:,:" Building Safety Division ¢.....; A r Y.. On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC211633 During a recent COSA on-site inspection and test of the potable water supply well on Block 1, Lot 9 of Stuckagain Heights #2 subdivision, the well's productivity was determined to be .72 & .6 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 6 -bedroom residence is .62 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: Brent Western 9600 Burning Bush Anchorage, AK 99507 Flow Test Report Resting Static: 98.7' Max Drawdown: 274.6' Well Yield:.6 GPM Date: 10/18/21 3.4' DECK w/ BALCONY ABOVHOUSE DETAIL E Scale: 1 "=30' iY W mN ROOFTOP BALCONY rn c� o OZF LL' O C) O 6.0' z N W Q 3.0' 22.2' 31.3' ui O N j nir d' 29.3' 1.8' CANT DECK / 1 UTILITY \ / EASEMENT \ Lot 2 / Lot 8 \ / 6.z'x6,2' SHED 57 17 E 269. i 7' 11.5'x28.0' SHED '-- * E �p\JS WELL �• pR0 CHAIN-LINK 1N //+ X00 Lot 9\ FENCE + *4✓ MANHOLE? 48,707 S.F. • r'�I • RETAINING / WALLS r+ Lot I � �ry ./f SEPTIC1 ^ SE PIPES E�OU$E CHAIN-LINK FENCE DEiAIL_,__ fLSPHA�! DRIV `�hh J WELL 14p 1. 1. co S 89'57'35"W 306.94' 20' UTILITY a CHAIN—LINKJ / EASEMENT Lot I \ FENCE PLOT PLAN _—_ AS BUILT _X SCALE _ 1 _ = 60__ GRID SW 2043 Project No 21-6861R1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone `' (907) 522-4625 Fox Professional Land Surveyors ken®langsurvey.comv c) F A jonathan0langsurvey.com ��'_4\ '9sQ4 I hereby certify that 1 have surveyed the following described property: LOT 9, BLOCK 1, STUCKAGAIN HEIGHTS — ADDITION No. 2 (PLAT No. 80-101) Anchorage Recording District, Alaska, and that the improvements situated thereon are 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 premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the --- ---- Day of--_�c�L�_ 'l�'L� ___, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH �* 10 KENN H LANG a *-.Lk202. OARNgo 4�h �FfSS10 AL �6 AECC963 MUNICIPALITY OF ANCHORAGE Development Services Department t� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 041-021-38 1. GENERAL INFORMATION Expiration Date: 1 Complete legal description STUCKAGAIN HEIGHTS #2 BLOCK 1, LOT 9 Location (site address) 9600 BURNING BUSH DRIVE, ANCHORAGE, AK 99507 Current property owner(s) EMILY DAVENPORT Day phone Mailing address Real estate agent 9600 BURNING BUSH DRIVE, ANCHORAGE, AK 99507 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 6 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 $ .Z 3 Date of Payment /o/.?") 02.0 Receipt Number o 1 ;z a � 3 Waiver Fee $ Date of Payment Receipt Number COSA # 05G2 l 16 -� 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 10/11/2021 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 _11\\\\\, system and maintenance. The operational life of all well and septic systems are subject to OF'�s`il� these various and dynamic characteristics and are outside the control of the evaluator of the ^� well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q: • • . :1.,9}�� for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FW[.5 * ._419 7H 6. DSD SIGNATURE %'� •: Curtis Huffman . System #1 Approved for bedrooms ���c�s•, cEt2ssst System #2 Approved for bedrooms ,11PROFESSIONA��+ Disapproved Conditional approval for bedrooms, with the following stipulations: By: —` \ k111__ VVr%I CR 114 L-) r r _v z� J. c�PROGF AM �Nr SER��GNNN�,\, Original Certificate Date: t 0 ^Zk'� ' 4 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: STUCKAGAIN HEIGHTS #2 BLOCK 1, LOT 9 Parcel ID: 041-021-38 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA (S / N WELLS — SULLIVAN TESTED NORTH WELL) ® Well log is filed with Onsite (or attached) Well production at time of test 0.72 & 0.6 gpm Date drilled 5/31/1987 (PER MOA REC DOCS) / 10/22/1980 Water storage tank volume 500 gallons Total depth 511 / 300 ft (PER MOA Docs & PANEL NOTE) Well disinfected for coliform test? ❑ Yes ® No Cased to 111/UNKNOWN ft (PER MOA Docs) ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate 0.368 mg/L ElNitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height (above ground) 18+ / 18+ in. Date of flow test for COSA 10/18/21 & 8/10/2021y Collected b Static water level at beginning of test 161 / 99 ft. Date of Sample 9/22/2021 Comments APPROXIMATELY 500 GALLONS OF "STORAGE" IN CASING PER SWL & BOTTOM OF WELL IN S WELL + AN ADDITIONAL 500 GALLON WITH TWO 250 GALLON STORAGE TANKS. SEE SULLIVAN'S N WELL TEST DATA B. TANK DATA Age of tank(s) NA — NEW TANKS years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping NA D. ABSORPTION FIELD DATA Which system tested (date installed) 1/28/1981 ® ALL standpipes present per record drawing Total measured depth from grade *8.3 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 **5.29 OF 8' ED C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 8/10/2021 Results N Pass For 6 bedrooms Fluid depth prior to test 2 in Water added 1300 gal New depth 33 in Elapsed time 1380 min ®Code -required soil cover over field Final fluid depth 3 in ❑ System presoaked Absorption rate 900+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons F'N Comments/Deficiencies: *TOTAL DEPTH AT MT & CO. **PER ELEVATIONS TAKEN / MEASURED. 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' ® Yes if No 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' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No 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 SEPTIC FIELD ENCROACHES SLIGHTLY INTO 20' UTILITY EASEMENT. ROW PERMIT & UTILITY NON- OBJECTION LETTERS PREVIOUSLY OBTAINED WITH LAST COSA 2014. G. ENGINEER'S CERTIFICATION 1 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. .'Rib- i w.TRI*.- '�' . TM ....''� ... Curtis Huffman �� �`��'�s•. CE 128991AW ft ft ft ft ft ft ft ft Municipality of Anchorage << A ......s ® Development Services Department i x �;.;;..:"'•:r l; 1. :ST:'r. Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC211633 During a recent COSA on-site inspection and test of the potable water supply well on Block 1, Lot 9 of Stuckagain Heights #2 subdivision, the well's productivity was determined to be .72 & .6 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 6 -bedroom residence is .62 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: Brent Western 9600 Burning Bush Anchorage, AK 99507 Flow Test Report Resting Static: 98.7' Max Drawdown: 274.6' Well Yield:.6 GPM Date: 10/18/21 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com October 22, 2021 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: CONDITIONAL COSA LEGAL: STUCKAGAIN HEIGHTS #2 BLOCK 1, LOT 9 We are requesting a Conditional COSA be issued for the referenced property pending the second CAN sample results of the north well that was recently put back into service by Sullivan Water Wells. Both wells are functioning and feed the 2 -tank water storage system located in the garage. The CAN results for the south well have minimal nitrate levels, as does the surrounding area. Sullivan Water Wells has billed the owner $1,950 for corrective action or required well services pending these results. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. F',"I W Flrsl ltc E1 ,tS C O N S U L T I N G 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com October 22, 2021 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: CONDITIONAL COSA LEGAL: STUCKAGAIN HEIGHTS #2 BLOCK 1, LOT 9 We are requesting a Conditional COSA be issued for the referenced property pending the second CAN sample results of the north well that was recently put back into service by Sullivan Water Wells. Both wells are functioning and feed the 2 -tank water storage system located in the garage. The CAN results for the south well have minimal nitrate levels, as does the surrounding area. Sullivan Water Wells has billed the owner $1,950 for corrective action or required well services pending these results. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. F',"I W ECt tt. ltc E1 ,tS Dept: Show All Status: Show All Response: Show All Search: Enter ke rd �ose Window Type: Show All Cycle: Show All Time: Show All Refresh [Select One] v i Apply (0 selected) Add Comment Please enter your responses Onsite Type your response here. �__� Ref.# 1 Changemark note #01 Well Tim 10/21/21 11:16 AM : Cycle 1 and Ecklund Septic COSA �+ Checklist.pdf — since there are two wells should there be two water samples. Markup Also both wells have to be in use. Please state how each well is used. Responded by: BRENT WESTERN - 70/25/21 10:78 AM Still pending SGS nitrate and arsenic on the north well. So requesting Conditional per the attached and our conversations. Both wells are connected to the water storage system and operable. 3.4' DECK w/ HOUSE DETAIL BALCONY ABOVE Scale: 1"=30' 32.4' 3 � m LU 10.3' , Q� LLJ m N ROOFTOP BALCONY c� a4 0 0 z h. C/) Ii1 -D p p O 6.0' w 0 N W J 3.0' 22.2' > in o 31.3' U 0 N It7Nt 29.3' 1.8' CANT DECK 10' UTILITY \ 1-14 EASEMENT Lot 2 / Lot 8 \ 6.2 SHEo ; — s 79,5;7,1 x7 -E 269.17 "--. / 11.5'x28.0' SHED �O\05 \ 7o PR01EC(NE WELL CHAIN-LINK /`v �/} 1p0 Loi' 9 FENCE MANHOLE-,, 48,707 S.F. 40 h v// RETAINING Lot 1 � / WALLS SEPTIC' PIPES SEE�jOUSE / I ASA CHAIN-LINK FENCE / DEIAIL\ HALT DRw y, — � � o WELL 14 \ 00— CJt S 89'57'35"W 306.94' a 20' UTILITY CHAIN—LINK EASEMENT Lot 1 \ FENCE / PLOT PLAN _-- AS BUILT _X_ SCALE _ 1= = 60__ GRID _ SW 2043 Project No. 21-6861R1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates inc. (907) 522-6476 Phone (907) 522-4625 Fax Professional Land Surveyors ken0longsurvey.com jonathan®langsurvey.com 4� o P '• 4p 1 hereby certify that I have surveyed the following described property: �� 0 LOT 9, BLOCK 1, STUCKAGAIN HEIGHTS — ADDITION No. 2 (PLAT No. 80-101) p 49TH -�S-s',� 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 dn no improvements on the property lying adjacent thereto encroach on the surveyed t/'KENN Fi .LANG premises and that there are no roadways, transmission lines or other visible �� o G easements on said property except as indicated hereon. QO sLt j �vd0 \ �4'F ' •L —5202. c Dated this the J -- _-- Day of ---mac> -�-----,�'z —, at Anchorage, Alaska 40 X00 �,oNoo ,o It is the responsibility of the owner to determine the existence of any easements, ROFE'SSIONAL �OpppNN- ky covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 INSPECYION APPOINTMENTS TIME TIME TIME DATE DATE DATE NSPECTOR INSPECTOR INSPECTOR BUNIOIPALITY OF ANCHORAGE DEPT. OF HEALTH DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~ONMENTAL P2OTE~ION  825 L Street - Anchorage, Alaska 99501 ~ APR 1 ? 1981 ENVIRONMENTAL SANITATION DIVISION Telepflo.. 264-4720 REGUEST FOR APPROVAL OF INDIVIDUAL WATER AND ~EWER FAOILITIES MAILIN6 ADDRESS ' ' / MAILING ADDRESS 6. TYPEOF RESIDENCE I NUMBER OF~BEDROOMS [] One [] Four [] Other__ E~"~NG L E FAMILY [] Two [] [] MULTIPLE FAMILY [] Three ~ Six¢ WATERRSUPP.L~SUPP ¥' [~-~NDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM YEAB ON-S,' E SYSTEM ,AS ,NSTALLED. [] PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 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 [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED ~:~ C~ 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified __ INSTALLER []Septic Tank or [] Holding Tank Size: I"l ,,~-C) If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS I~"//APP ROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79) 825 L o[hEL~ ANCHORAGE, ALASKA 99501 GEORGE M. SULL / VAN, April 21, 1981 Robert G. Hohnstein Post Office Box 2427 Anchorage, Alaska 9951,0 Subject: Lot 9 Block I Stuckagain Heights Subdivision ~2 Approval for bhe individual sewer and water facilities cannot be granted until, the following items have been completed: (]) The water anlaysis report needs bo be delivered to this office from the Chem Lab~ ~'~ .}v~ B Street, = our review. (2) The well seal needs to be tightened so that it is water tight. This will need to be re:inspected by ~hi.s office. if there are any further questions, please eall this office at 264-4720. Sincerely, Robert C. Prabt¢ RoS. Associate Specialist RCP/ljw cc: Home Federal Savings and Loan 535 D Street 99501