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Home My WebLink AboutSUNNY ACRES BLK 4 LT 7 & 8 E2Onsite File Sunny Acres Block 4 Lot 7 & 8 E2 #006-121-67 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221112 PID Number: 006-121-67 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New N Upgrade Name Ernest Edlund ABSORPTION FIELD ❑ Deep Trench 0 Wide Trench ❑ Bed ❑ Mound Site Address 1022 Boston Street Anchorage, AK ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 1.2 GPD/SF JTotal 4.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot SUNNY ACRES 4 7/8 Fill added above original grade 0 Ft. Gravel length (tea) 50 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic I Absorption Lift Station Holding Sewer I Total absorption area Number of trenches Dist. between trenches From Tank I Field Tank Line 500 Ftz 2 6.3 Ft. Well 100'+ 100'+ I n/a n/a 25'+ TANK IE Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. i Surface Water 1001+ 1001+ n/a n/a Material Number of compartments Lot Line 5.0'+ I *4.5' I n/a I n/a NA HDPE 2 Foundation 10.0'+ I 10'+ I n/a n/a LIFT STATION Manufacturer Capacity Remarks *SEE WAIVER ON FILE Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield HOMEOWNER INSTALL Drainfield 3034 Co/MT 3034 inspector Pannone Engineering BENCH MARK (Assumed elevation) 100.0 ft Inspeection i5' 06/25/22 d 06/26/22 Location and description 2 3'd 06/27/22 4th South East Corner House Trim ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date / [9 TH Steven 1 � Fon ;ore CE a1sg ��y Septic System � Approved C� Date _ �20�2 Note: this approval does not include well permit requirements.��'�`�®�� k .vv �� ov�=pCC)I i 0: o x � m m mZ�0Mu) O � �� z�o�SDN r� 00000 c� D O m r z z 0 O O D U) c" m r � z C7 m m r r N >p m fn z r_ �m O= U) C) '\ n �\ K C7 r ➢ O T C7 L)I.N;u O C7 oz m z {f} r Z b � C) DODDNp NOTES: RECORD DRAWINGS DRAWN I AJC SITE PLAN O K C7 K C7 r ➢ O T C7 p O C7 - {f} p b � P DODDNp m �c >I—I'Dm>ON -D!T�oz imp mrm �zjO �>m m-m0w O N= D X 0 � m DX =z O. p 4� cn.. 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NO 006-121-67 ;u:_. O PERMIT NO. OSP221112 mm ox SHEET OF 2 z� m mm _z r0 M m= m rO Z N X m n C) � to D -D-i D D O O Ox �rX D00cn z> m ZO::EQ D o�loo �nlby I an m I r yDimri ppa) NC) � t' ( C1 0a: mm'om� O -A N J � N X REVISIONS REV: 08/03/2n22 — 07/13/2022 SCALE 30' P.I.D. NO 006-121-67 �O PERMIT NO. OSP221112 SHEET OF 2 m mm rO V�L") C) � -D-i D �D\O I Ox z> m D oa 0 PANNO.o eo N 07SVC, PALMELLC (C 1 1088) AK 99M PHONE_ (907) 745-8200 FAX (907) 745-8201 SUNNY ACRES B4 L7&8 ERNEST EDLUND SITE:1022 BOSTON STREET ANCHORAGE, AK 99504 m .� m X x. i! rA�l a C" .............. At 4+�, �y+,+ ..... ...............; Steven R. Pannone cE-8149 t�..= REVISIONS REV: 08/03/2n22 — 07/13/2022 SCALE 30' P.I.D. NO 006-121-67 PERMIT NO. 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OD -i NOm�vl q M '{ to '9mZ1O mD v1D O�wAc 'p D c m m 0<21 m V w{ �z ooz v�3• o co O;, � n N NOTES: PANNIONIE P.O. ENG SVC LLC (C.1. 1 088) BOX 102954 ANCHORAGE, AK 99510 " ` ""` = qE �F.. 9C'+, REVISIONS DATE 07/14/202 2 RECORD. DRAWINGS PHONF (907) 272-8218 FAX (907) 272-8211 _=��P' Sfy'', = %'�' sEaeaas�o�e ''� `"r ._ SUNNY ACRES B4 L7&�3 ERNEST EDLUND SITE:1022 BOSTON STREET SCALE NTS P.I.D. NO 006-121-67 DRAWN �1c PERMIT NO. OSC221230 SOIL LOG ANCHORAGE, AK 99504' , SHEET 2 OF 3 OI N 00 W N myzm OGti m 0 J rn 0 m 0 � r A z 0 0 4 0 0 � NOTES -All dimensions shown are grid bearings and ground distances, record boundaries are per Plat No. P-320 -49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under no circumstances should any data hereon be used for establishment of property lines. -It is the owners responsibility to determine the existence of any easements, covenants, or restrictions; no title research performed. LEGEND AS BUILT SURVEY 49t r� Sta r S ti rveyl n g E. 112 Lot 7 & Lot 8, Power Pole PO Box 138 Block 4, QSeptic Lid Girdwood, AK 99587-0738 (907)891-6111 Sunny Acres SubdiNdsion, g Cleanout JeremyP49thStar5urveying.com Anchorage, AK X W.G. 2233 DATE. 7/11/22 Fence SCALE: 1"=30' ALLEY Q 0 S 89'45'13" W 75.00'v___ CA Shed C4 E'1/2 Lot 7 9 1 W. 1/2 Lot 7 L (o) t 8 (0 @) & Lot 6 Bto(ck 4 T \4 7 14.2' S.2 1 th Star 49thN y 0) :2 -Story Duplex ,'�,� tQ z SILK- ye -lig 0 is 30 o 5.2' 1.4.1' US SURVEY CO P FEET 24.1- 50' rQ ROW --N E Of 89"45'13" 75.00' H 0 CREEKSIDE CENTER DRIVE Jerbnly'A. �j rst Ld 1) 796 NOTES -All dimensions shown are grid bearings and ground distances, record boundaries are per Plat No. P-320 -49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under no circumstances should any data hereon be used for establishment of property lines. -It is the owners responsibility to determine the existence of any easements, covenants, or restrictions; no title research performed. LEGEND AS BUILT SURVEY 49t r� Sta r S ti rveyl n g E. 112 Lot 7 & Lot 8, Power Pole PO Box 138 Block 4, QSeptic Lid Girdwood, AK 99587-0738 (907)891-6111 Sunny Acres SubdiNdsion, g Cleanout JeremyP49thStar5urveying.com Anchorage, AK X W.G. 2233 DATE. 7/11/22 Fence SCALE: 1"=30' MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 198V5O 47oDElmore Road Anchorage, Alaska g951msemPhone: 04 Fax:(907)343n997 - On -Site Wastewater Disposal System Permit Permit Number: DSP221112 Effective Date: 5/12/2022 Work Type: Septic Upgrade Expiration Date: 5M2/2023 Tax Code Number: 00612167000 Site Legal Address: SUNNY ACRES BLK 4 L 7&8E2 G:1341 Site Mailing Address: 1O22BOSTON ST, Anchorage Vm/nac [WOREAU'D/A/|SK4ART|A Lot Size in Sq Ft: 10500 Design Engineer: PANNONEENGINEERING SERVICES Total Bedrooms: 4 This permit iefor the construction of: 21 Disposal Field 21 Septic Tank [] Holding Tank [] Privy [] Private Well El Water Storage All construction shall bminaccordance with: ' ^ 1. The attached approved design. 2. All requirements specified i Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska RegulationsWastewater Disposal Regulations (18AAC72) and Drinking Water 3. The mmatevvabarcode requires inopuctionadu�ngthe ino1a�abon.The engineer `haU 'heDovo|npment Services Department per AMC 15.05.Provide notification b! calling (SO7)343-7QO4(24/7).4. From October 15toApril 15. osubsurface soil absorption system underoonatruotionduringfreezingweather shall boeither: a. Opened and Closed unthe same day, or b. Covered, sealed, and heated toprevent freezing Special Provisions: ^ 1. Locate the water line prior &zconstruction. 2. A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7 -day groundwater monitoring. !fresults require a design change, construction shall stop pending approval of a change order. Please submit results with the inspection report (or change order, ifnaquinad). ` 3. After test hole completion, consult with the MOA plan reviewer prior to installing the fields. Received By: Municipality ®f Anchorage S _ __ Ue�rntmenr P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV221027 COSA#: Permit#:OSP221112 PID#: 006-121-67 Legal Description: Sunny Acres Bilk 4 Us 7&8 Engineer: Pannone Engineering Services 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 3.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: l Z/22 Approved by: (/U Name of Reviewer **** VARIANCE/WAIVER REVIEW **** 00 C 0S C.O rv` L n MUNICIPALITY F ANCHORAGE ROSH Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program -- ON-SITE SEWER/WELL PERMIT APPLICATION - - - - Parcel I.D. 006-121-67 Property owner(s) Moreau -Davis Marti A Mailing address Site address 1022 Boston Street //e Legal description (Sub'd., Block & Lot) Sunny Legal description (Township, Range & Section) Day phone Acres Block 4 Lot 7&8 Lot Size 10500 S_q. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATIOWIS AN: TYPE OF DWELLING: (® all that apply) Absorption FieldX❑ Initial ❑ Single Family (SF) X❑ Septic Tank X❑. Upgrade nX (w/wo AD U) Holding Tank EJ Renewal❑ (D) E]Renewal Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: GI's Distance: 9-iO4- 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: AS 20 f -$-'11g2 Waiver Fees: 5<__�� Date of Payment: LA2 Z Date of Payment: Receipt Number: D 2-5016:1* Receipt Number: Permit No. 05 %,22 l l l Z Waiver No. 05=10-2-7 Permit App_-'-:- .�.:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221112, Deb Wockenfuss, 05/12/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221112, Deb Wockenfuss, 05/12/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221112, Deb Wockenfuss, 05/12/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221112, Deb Wockenfuss, 05/12/22 C SURVEYERTIFICATE of folipwitig doatribatiptwnyhap own Oumayedb' e or undermy and that IMpfavvinertle allualed thereon do not encroach art adjacent ofelpefly, thRl Improvemanle an , r, ,n,,,.., property do not encroach ..„. on r otuveyedt and 1hat thereare no power rallsponsibility of c ownGrtod e the ONIAGAGHof AnY OaDements, t :':3 whichr. .. tX' :..fir r+,plot, fi r f a i - - T i j ', j M Mi -r -A44 1 � ,j 6.1—M. Svaeb Cap Morimmmnl sad s T14 Ave - 01 Al, Cap h9aumeM, SO—. Fn6. ®rasa Cap Monument, Sat,»., Fnd _ SUBDIVISION 6WHI � O hall plot. so(—. Fnd,,,,,. a 618"A39” flabaa, Sat_, , Fna. 6 M Survey Mob & Tach. 5q) _. Ffta, � + RECOACIN% PRECINCT, ALASKA ASOUILT FOR f 5"15,' _ J. .-. eY ... MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section —' Fax: 907-343-7997 Septic System Owner -installer Agreement The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner to perform work on an on-site wastewater disposal system to serve that individual's owner - occupied, single-family or duplex home if the homeowner meets and agrees to the following requirements: 1. The property owner and excavation equipment operator may perform work on no more than one owner -installation project in a 12 -month period. 2. Owner's projected active involvement with the installation: 3. The name of the excavation equipment operator:d 4. 1 agree that there will be no monetary compensation for installation services rendered. 5. The name of the inspecting engineer: &1717o„4 ii 9_,174 149 6. 1 agree to discuss the following items with the inspecting engineer: a. Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.070. c. Advance notice given to the On-site Water & Wastewater Section for all required municipal inspections (AMC 15.65.070A). 7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. 8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will obtain additional installation instructions and approval from the equipment distributor. As owner of (legal description) Su„ Acres L 741 R 4:Z Z6_ 1 agree that the information above is true and accurate. Owner's printed name:��cf�(�,��/�,� Owner's signature Date: s/Zy leea ,� Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org J, ,(~ ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE [] NEW ~AILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS I1~ ~ ~To.~V DISTANCE TO'. IW~/~ I Ab'o"Pti°n ~'"~10 ~Dw~''"'~ PERM,TNO. ~ z Manufacturer Material No. of compartments ~ ~ Liq. capacity in gallons Inside length Width Kiquid depth /~ ~F HOmemADE: ~ DISTANCE TO: Well Dwelling PERMIT O ~ Manufacturer Material Liquid capacity in gallons Q Well Foundation Nearest lot lino/~ ~ PERMIT NO. -- No. of lines Length . Total length of~line ~ Trench ~wldth inches Distance between lines ~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area Length Width Depth PERMIT NO, ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ 01ass Depth Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPEMATERIALS ~ i~ IN SOl L TEST RATING / ?O Z .~' ' - ~ iNSTALLER REMARKS ~v;-' ~-'~ .............. ~ ...... ~t , ~ ~, APP~OWD ~J'~ '.~'~-- ~% '.'~ATE LE~A~ ~ ~l~ .~ ' ' 72-013 (Rev. 3/78J PERMIT NO. FI F'F'I_.. i CFINT LOE:RTIOH :tKTH LEGRL L. 7 B4 SUNN'T' F!CRES T'¢F'E OF SOIL RBSORS"I'!E$,i 5'¢S'FEH MR;:',',!!'!UM NUMBER 0F BEDROOMS; = ]"liE; iN:EC~LIiRED SIZE OF THE SO'(L r ........ ,f., -,_ ,1 _.,T....,~E~ ....... THE LENGTH E)iMEi",ISION IS THE L.EI'-~GTH '::IN FEET) OF' T.4E -FF'EN'£H THE ..... uRId',/EL- ' "' DEF'TH _rS ...... TFIE HINZMIJH [.EF-TH ]P' GRRVEL BE"!'!.,.IEEN THE E~I...i]"FFil..L F'TPF' ..... : ~ (IN FEET). FIN[:' THE E:CFf'TOM OF THE E,,',,_.a, .... :, t E.!'1 !41 ]'HOI_IT 1:: l NFiL. ): N'.:-;F'ECT l C!N RF~.[.:' FIF't::'t::tC¢,,,'FiL E',¥ TH Z S BF!L-:I<F T_ LL t NG OF' Ri",!'¢ ':': ": ........ E',EF'FiRT!"IE.Wf' I,.tI LL BI:Z S JE..TF-:C]' TO F'ROSECUT_T ON. HiN!PIUH DiSTRNCE BE'Ti4EiEN R 14E!...L RN[:, FIN"/ ON--SITE SEI4RGE D!SPOSRL SYSTEM IS J_E~C~ FEET FOR R PRiVFFFE i4ELL..~ OR :tOE~ TO 2(:~iE~ FEET FROM R PUBLIC 1.4ELL. [>EPEI',![)tNG UPON THE TYPE OF F'LiE:LIC 14EI...L. OTHER RE~Z4UI~:Ef'IENTS MI:IV RPF'L"?. SPEC!F'iCFITIEffqS Fff'~D CONS'FRI_.ICTtON DIi~GRflMS FiRE R',/RILFiEfl_E '!"O INSURE PROPER INS'i-RLL.F!T!OI'4. ! CERTtF'¢ THFIT · i: i RH FRMILIFIR 1.4:.fTH THE RE~:IUiREHE'NTS F'OR ON..-SI'FE S;E!4ERS RND 1.4ELLS RS SET FORTH B'¢ THE MUNIC!PRL..IT'.¢ OF RNC!..iORRGE. 2: ~ WILL ):NS;'~'~/L THE S'¢STEFI '~:: i UNDE:RSTCqI::~THFIT "f'H~ ON-SITE SEHER S'¢S~'EM MFf'r' RE6:¢JIRE EN_.~RSE."!EN"." IF THE R,F,q~r:,:'NE~MOI}EL~i"O II'.~CL.UC, E MORE THRr.~ 4 BEDROOHS. FiF'PL tCRNT F'F'.~NK SE:HHRNTES 4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: 907-27%2581 SOILS LOG- PERCOLATION TEST 1 2 3 4 5 6 7- 8- 9 10-- 11 12 13. WAS GROUND WATER ENCOUNTEliED? IF YES, AT WIIAT DEPTH? 14 15 16 17 18 19 20- Readln~ Dste Net Time De~d~ to Drop PERCOI.ATIO, N RATE TEST RUN 8E I'WEEN FT AND . FT BY: January 3, 1978 Frank Schwantes 2209 E Eureka Anchorage, Alaska 99503 Subject: Lot 7 Block 4 Sunny Acres subdivision Permit ~77816 A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions~ please contact this office at 264-4720. Sincerely, Health and Environmental Protection Sewer and Water Section PERMIT NO. I.)EP~R 1 MEN I- ii Hli:flL I FI F:IIqD ENVi ROr'g'IEN i Fl[., P'"UI ECl l UN ,:,..,~_.. L......St I REET~ ' :' . HN -.H ..I ~H _ b,, FIK. ':: ?','q~d.d; ) HPPLICRNi LEGFIL FRFINK SCHWFtNI'IES E- it'i'H L?' 84 SIjNN'.r' RCRES SUB[) ~20~ E EUREKH LOT SIZE: ?000 i~r'PE OF SOii,._ FIBSOFi'.Fll'iON S'-?SlEM IS: "I'RENCH MFINIMUM NUMFlER 0F FIEDROOMS = 4 SOIL. RBI'ING (SQ FI'/FIR)= FHE REQUIRE[) SIZE UF IHE SOIL. I-:I8ESORP]):ON '.E;YSIEM IHE LENGf'H DIMENSiFIN :iS I'HE LENG["H (IN FEEl) OF 1HE IRENCH FIR DRFIINFIL:]..J). ll-.IE DEPiFI OF FI -IR. ENCH 01.,:.' I.:'I] IS I'HE DZSTF.INCE BETWEEN 'fl-IE SORFFICE OF L~ROUND FINE.', -IHE FIOT'ioM OF THE E:'.::CFIYFIliON (IN FEE"I). THERE .l:S NO SEI' 1.411} I,'Ft FOR I'RENCHES. I'FIE tJRFIVEL L)EI.-'TI.4 ].S THE MINIMUM [)EPIH 01,: GR'HVEL FIEI,'FIEEN 'tHE OuiF. HLL.. PiPE FIND IHE FIFIlTOH OF' tHE EXCRYFI'IION <iN FEEl'.). Fl PACKFIGE PLFIWT i"l;~Y FIE: iNS'TRLI_EI.) R't' THE PERMiI'TEE"E; FOLL. OWINC-; C:ONL)IT1ONS: :i.. Ell'HER FI CLFISS I OR Ii NSF FIPPRO',,,'Et) F'LFINT i',IR¥ Fll,-:. iNS'tRI._L. ED. 2, FI CONFINUOUS MRINIENFINCE FIGREEMEN/' IS REI~UIRED. il.:' Ft MFIZNiEN,'aNCE I::IGF.'.EEMEN1 ]:S Nt]] KEPT CtJRRENT '¢OU MFI'T' FIE REL41..IZREI)FO ENL. FIRGE 'iHE SuIL FIBSORPT'ION SYE;'IEM I':IND?OR 'T'OU Ml::t"r' BE SUBJEC"F TO PROSECU'I,1ON. 8HCKFiL. LING OF FIN'¢ S'¢S'I'EM WI'THOUT FiNFIL INSPECilON FIN[) FIPPROVFIL E:'~' ]HIE'-_'; L:,EPFIF.'IT"tENI' WILL. BE SUBJECT l'O PROSEuO-IION. MINIP'ILIM, [)ISTRNC'E BETWEEN FI WELl.- FIN£) RN"r' ON-SiI-E SEWFIGE 1. O~d FEE] FOR FI PRIVFIIE WEL. L OR 2'.00 FEET I:C~R FI PUFlLIC 14ELL. O1HER REQOIREMENfS MFl"r' FIPPL'¢. SPEC].FICFtI'iL~NS FIN[.) CONS]'RUC1tON [:'IFIGP.'.RMS FIRE Fr~,'FIILRI:¢LE ]O INSURE PRCiPER INS'I,'FiLLFIIiON. I L:ERTIFY THFII' f: IRM FFIMiL. iFIR WI]Fl i'HE 1.4EQUIREMEN]S FOR ON-SITE SEWERS FIND P.IEI...LS I':IS SEi 'I-OR]H FI'T' 'iHE blUNiC:IPFILII,"-r' OF FINCFIORFIGE. 2: .t. WILL INS'I'FILL '['FIE S'.r"_--',TEM IN RCCORDHNCE t4Ii'H THE CODES. 2¢: ,L UNDERS]FIN[:, I,"HFYF TI-iE ON-SITE 25EI.,.tER RESIL)ENC:E IS; REMODEL. EL:, lO INC:LLtL)E MORE I'HFIN 4- FIEL)ROOI"!S. blGNED: ....................... ] ................................... ~F'PL I CFINI' FRFtNK SCHNFIN I'ES ISSUED Fl*r' ............................................................. L)FI I'E ............................. GrE;ATEr AN HO MAR -~ SEWAGE DISPOSAL SYS'rE~ ~ APPLICATION AND PERMIT PERMIT NO. INSTALLATION Of: SEPTIC TANK /- SEE A~GE PIT ., DRAIN FIELD FINANCED THROUGH ~ ~ TO BE INSTALLED BY SOIL TEST RESULTS // 7 NOTE~ THIS PERMIT iS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL {DUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPT,CTAN S,ZE T PE SEEPAGEARE^S'Z T PE MINIMUM DISTANCES, RE~IUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PiT SEPTIC TANK TO SEEPAGE PIT WALl SEPTIC TANK _, SEEPAGE PiT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK· , SEEPAGE PIT TO R~VER~ LAKE, STREAM. -, DRAIN FIELD ., DRAIN FIELD · SEEPAGE PIT ALSO CONSIDER AREA WELLS. , SEEPAGE PIT · DRAIN FIELD CAST [EON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM DESCRIBED ST M IS IN A ORDANCE WITH SAID CODE. 4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: 907-279-2581 September 13, 1977 W.O. ~A18223 ~':~ ~:~'?~ ~ ~,~:,,. Grid #1341 ~' '~ .' :., Mr. Frank Schwantes 2209 Eureka Drive Anchorage, AK 99503 Subject: Subsurface Investigation for Suitability of On-Site Sewer, Lot 7, Block 4, Sunny Acres Subdivision Dear Mr. Schwantes: Transmitted herein in accordance with your instructions are the results of the above referenced investigation as performed by us on September 8, 1977. The scope of this project is the investigation for suitability of an on-site sewerage system. Included in this transmittal are: Test Hole Location Sketch Test Hole Log Explanatory Information Figure 1 Table A Sheets 1-3 The exploration was conducted using a continuous flight solid stem auger. The rig is owned and operate~ by Denali Drilling, Inc. Drilling was supervised, the test hole logged and percolation test performed by Mr. Terry Barber, geologist for Alaska Testlab. The log of the test hole is included as Table A of this report. In interpreting the log, it would be helpful to utilize the explanatory information contained in Sheets 1--3 of the report. When drilling was completed a 3/4" slotted PVC pipe was inserted in the hole to aid in determining the free water level. For the percolation test, the test hole was filled with water and left overnight to saturate. On returning the next day, the hole was refilled with water and the drop in the water level carefully monitored over the next 60 minutes. This procedure is not a standardized percolation test, however, we understand that the Municipality of Anchorage, Department of Public Health and Environmental Protection prefers tests performed in this manner to evaluate a site for a proposed on-site sewerage system. Mr. Frank Schwa~~ %s September 13, 1~ Page 2 Using the above test, the observed minimum percolation rate was 10.0 minutes/inch. This requires a seepage pit absorp- tive area of 170 square feet/bedroom. No water table was observed during drilling. It should be noted though, that the free water level normally fluctuates seasonally and with precipitation. We hope this report meets your present needs. If we can be of further service, please feel free to contact us. Very sincerely, ALASKA TESTLAB JRS:rb Enclosures Laboratory Manager Test Hole #1 Table A WO #A18223 Date: 9-8-77 Logged By: T. Barber Depth in Feet From To 0.0' - 1.0' 1.0' - 10.0' 10.0' - 20.0' Soil Description NFS/F-l, brown Sandy Gravel, GP, with layers of Sandy Gravelly Silt, dry, high density. F-4, brown Gravelly Sandy Sil~, ~, damp, stiff. F-4, brown Sandy Silt, ML, wet, stiff. Bottom of Test Hole: Frost Line: Free Water Level: 20.0' None Observed None Observed while drilling ...~7~.~o .... (North Stor ', · T EST Court (Moon Ave. FI6, 1 HOLE LOCATION S K E TiC H ! DICKINSON-OSWALD & RTNERS ENGINEERS AND SURVEYORS PHONE EO? July 2, 1973 Mr. Rolf Strickland Greater Anchorage Area Borough Department of Environmental Quality 3330 "C" Street Anchorage, Alaska Re: Sunny Acres Subdivision 1973 Sewer Extension Dear Mr. Strickland: Submitted for your review and approval is the enclosed print for the above project. This project will be constructed in accordance with GAAB 1973 Standard Specifications and Details for Sewer Systems. We appreciate your prompt review and response. If there are any questions, please feel free to call this office. Sincerely, DICKINSON-OSWALD & PARTNERS Harry A. Hartung, Engineer HAH: gr Enc. cc: Mr. Bob Bannon LEWIS E. DICKINSON. P.E. MAURICE P. OSWALD, L.S. KENNETH B. WALCH, P,E. DIVISION OF ENVIRON~fENTAL HEAL TH 338 DEHALI ST£EET -- ANCHORAGE 99501 May 24, 1971 Mr. Peter C. Vincent Office ~nager Wakon~I. Redbirt & Associates 640 West 36th Avenue Anchorage, Alaska 99502 Subj: SUNNY ACRES SUBDIVISION SEWER IMPROVEMENT BETWEEN FzAST 10TH AVENUE AND EAST llTH COURT. Dear F~. Vincent: The preliminary plans and specifications are approved for those features with which this Department is concerned. This approval is given with the understanding that all manholes are to be provided with rungs and that all sewer service connects crossing ahove~ within 3 feet below, or within 10 feet parallel to waterlines, will be case iron° In the future please provide a vicinity map for~ the proposed project. We shall look forward to the Submission of the final plans and specifica~, tionso Yours truly, Regional Sanitary Engineer KJC/mw cc: Richard Britt Rolf Stricktand RECEIVED MAY 3 ? 1971 1 W/Al(ON REDBIRD AND ASeqCIATES ANCHORAGE, ALASKA 99502 -* 640 West 36th ,_. Phone 272-9522 GENTLEMEN: -- WE ARE SENDING YOU [] Shop drawings []. Copy of letter [~"~Attached E Under separate cover via [] Prints [~"'Pla ns [] Change order [] [] Samples the following items: [] Specifications COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: Lt~For approval [] For your use [] As requested [] For review and comment [] FOR BIDS DUE '%/d,~J~ [2 Approved as submitted [] Approved as noted :3 Returned for corrections [] Resubmit [] Submit [] Return___ copies for approval copies for distribution corrected prints 19 7/ ~ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO Steven R.Pannone, Principal Registered Professional Engjneer E-mail: steve@panenRak.com DATE: 2 Subject: Conditional Cosa Request Permit Number: D3P2Z1lI2 Legal Description: Sunny Acres B4 L 7&8 This is arequest toapprove aConditional [OSAfor this property. The septic system isinfailure and a permit toreplace the system has been obtained. The current owner/seller has nofunds tofix the failed system prior tothe sale and the buyer has escrowed I.5times the highest bid. Bids and letter are attached. Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O.Box 1BQ7,Pa|n0er,AK 99645-1807 Telephone: (907)'-i-415-8200 FAX: (9O7)745-Q2Ol 1 L J M N O N M 6 cu C O M Q X W It N O W LO 00 0) 06 Y ti Q J � '� (u J U m Q w U) `Q p Z CO Z O CO N C) O U) U U) W J (n Al 0 O N O N cu cn cn cn N c O X `- G O .+ N O N N ti a) M L) O`` 0O O (n O t V N C) fn � rn a s 0 E- ~ �a •a � � O O O v G •� cn N is � 0 _ _. Qcn .N Q. > O .N0 ..r N = O � U Q Cf) OL p o Z cn Q p 3 a) a 'Fn U) V -0 O > O _ , mc Q Q i•• O CL Q W N v C O E 0 a� Lo x w N ' ' (%j M `CD cn cn CD N N G-0 Q > O Q. a Z' O O _ O CL N n O a).+ > (1) C +' O c U o a 0 as D)a I U)^ \F CD m w 2 VJ CU Q C H O U= L ow L 4' 14- 1-- C:) OT') V) CY) I—I,- CIDC'7 It Nl- O O CD (3) (v x W 0(a rn LL O V a_ Q 0 U Z LL Q 0 J �o a- F (ll U `� L (n U) U L 06 U) ^^, (_ D E 0- O a� C/) > 0CL0 r- 0 U Q Q O U) a) U) a) c 0 O N U a) All Z O r` N OLL o Z O J Q a LU Z L) LU 0 d T N 00 ti 0 J U O m � N (n Q 0 O W N � N O Q N U N O -0 -O .0 M W •� a� 0 Q 0 E cu O U U L J J U) _ V� ♦O J O m C O tf N 0- 0 L- Q - (D N 7 U T LL I OR (u A (a d 0 (u U) ci O ^^� a) I..L 0 ^, o = in cc N (u i O N >, N a U Q. r D O C (B 0)V T N O U U) N ❑� U� O 0 cn a) E Eu C. a)D o cn 0 d U c c a) Ll Ela) U u M (ll c (6 ElL 0- cnO U m N 7 O OO El(ll > N O El N '> 0 � = -0�, w N > O ❑ ❑ O U (B 0 O. L. ❑( L On cts El ON � o � M Oa. oV^ O ❑ J -- Q .O W ❑ E F- Ln(u -,p r- w CO N W � �, [:1(u m Fw- w F- F- U) LL c `� N 4 40 Z O o °' ci (i �0 (0a w u- O Li- O Fa - a L U cs ZF- a. a O H H U) Q Q > Q M >cu N M et L6 (i > w m r T LL I OR (u A (a d 0 (u U) ci O COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test?Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 E. SEPARATION DISTANCES From Private Well on Lot to:(Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’Yes if No ft Absorption Field on Lot > 100’Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to:(Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’Yes if No ft Water Main > 10’Yes if No ft Water Service Line > 10’Yes if No ft Surface Water > 100’Yes if No ft Wells on Adjacent Lots: Private Wells > 100’Yes if No ft Community Wells > 200’Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Phone Engineer’s Printed Name Date Pannone Engineering Services Steven R Pannone P.E., F. ASCE 907-745-8200 �u 0C'n CREEKSIDE CENTER 0 DRIVE ova, Vr 0 15 30 US SURVEY FEET OF JeremyAuist 4 U�1) 796 �¢1;f�9FOP� �,;�i1-l�s�� N OTE S -All dimensions shown are grid bearings and ground distances, record boundaries are per Plat No. P-320 -49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under no circumstances should any data hereon be used for establishment of property lines. -It is the owners responsibility to determine the existence of any easements, covenants, or restrictions-, no title research performed. AS BUILT SURVEY E. 1/2 Lot 7 & Lot 8, Block 4, Sunny Acres Subdivision, Anchorage, AK -LEGEND (70) Power Pole (5) Septic Lid 0 Cleanout Fence d9th Star Suirvev,,Ing PO Box 738 Girdwood, AK 99587-0738 (907)891-6111 Jeremy@49thStarSurveying.com W.O. 2233 --- - -------- 1/2-)2 SCALE: V=30' ALLEY-CD LLEYS 89"45'1.3" W 75.00' S ------ I V) 0 Shedj IE,ji/2 Lot ,&Q,- Loc 8 X 1 /2 Lot 7 to & Lot 6 24.1' M 14.2' CS y Pg 2 -Story Duplex 0 2' 14.1' J 24.1 501 ROW 89'45'13" E 75.00'—--------- �u 0C'n CREEKSIDE CENTER 0 DRIVE ova, Vr 0 15 30 US SURVEY FEET OF JeremyAuist 4 U�1) 796 �¢1;f�9FOP� �,;�i1-l�s�� N OTE S -All dimensions shown are grid bearings and ground distances, record boundaries are per Plat No. P-320 -49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under no circumstances should any data hereon be used for establishment of property lines. -It is the owners responsibility to determine the existence of any easements, covenants, or restrictions-, no title research performed. AS BUILT SURVEY E. 1/2 Lot 7 & Lot 8, Block 4, Sunny Acres Subdivision, Anchorage, AK -LEGEND (70) Power Pole (5) Septic Lid 0 Cleanout Fence d9th Star Suirvev,,Ing PO Box 738 Girdwood, AK 99587-0738 (907)891-6111 Jeremy@49thStarSurveying.com W.O. 2233 --- - -------- 1/2-)2 SCALE: V=30' 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. 006-121-67 Expiration Date: 1. GENERAL INFORMATION Complete legal description Sunny Acres 134 L7&8 �a Location (site address) 1022/1024 Boston (Duplex) Current property owner(s) Moreau -Davis, Marti4 Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) 0 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 $- C On C1 t ft Cell O\� I Waiver Fee $ Date of Payment 512&1 &z2 5I3t I L2 Date of Payment Receipt Number 0 5a 1 I G 3 91 iCi Receipt Number COSA # D .s G 2 2 12- 30 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E., F. ASCE S. DSD/SIGNATURE - _ �/3'a0)2 �/ System #1 Approved for bedrooms System #2 Approved for _ bedrooms Disapproved Date 22% ® 0.. AC q kk ieven fir? -'anncne CE 814'9 nf't .d Conditional approval for y bedrooms, with the following stipulations: aCrr)rA0n BY (Lz,&Original Certificate Date: ,5/�y/ 20, The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: Sunny Acres B4 L7&8 C 'lq Parcel ID: 006-121-67' If more than 1 septic system on tot: COSA Checklist # 1 of 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected ` Casing height (above grourtdY" in. Date of flow test for COSA Static water level at beginning of test ft. Comments Public water B. TANK DATA 7 Age of tankLes) � yearsrs Tank type/material �7 Measured. -operating fluid level in septic tank CD ❑ Standpipes/foundation cleanout per record drawing Date of pumping Jam° D. ABSORPTION FIELD DATA Which system tested date installed ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade. ft (min) ❑ N/A — pressurized field [`Monitor tubes go to bottom of effective. If not, state �depth into effective E, 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 COSA Checklist yellow sheet Structure served by this systern 1 Well products •2f time of test gpm Water-sforage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ' ❑ Required maintenance completed Age of lift station years Lift station material Comments: ti Adequacy test date Results RPass For `7 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate ItVgpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ---"-ft ❑ Yes -4f-f'4'0 ft Z Neighboring Tank > 100' 171 Yes if leo ft Private Sewer/Septic Line .> 25JEl Yes if No It Absorption Field on Lot > 100' ❑ Ye` if No ft Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields,>'100' Animal Containrnerd> 50' ❑ Yes if No ft ❑ Yes if No ft j Man ure/Animdl Excreta Storage > 100' Community Sewer Main ?175, ❑ 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' El Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' [Yes if No It Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' 0 Yes if No ft, If septic tank is under driveway comment peiow 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 3 ft Wells on Adjacent Lots: Water Main > 10' ✓V Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' Yes if No It Surface Water > 100' ✓0 Yes if No ft F. ENGINEER'S COMMENTS * waiver on file G. ENGINEER'S CERTIFICATION -- plaw F A�s� ( certify that I have determined through field inspections and review ro-V t of Municipal records that the above systems are in conformance with. MOA COSA guidelines in effect on this date. ..... ........... COSA Checklist yellow sheet Steven R.Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com DATE 7/22/22 Subject: Issuance of Conditional COSA to Unconditional COSA Permit Number: OSC22l230/OSP221112 Legal Description: Sunny Acres 134 L7&8 This is a request to change from a conditional COSA to an unconditional COSA. All conditions ofthe conditional [OSAwere met and the new system isinplace. The IR/RD updated as -built and revised COSA checklist are attached for review. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer MaAin'a: P.O. Box 1807, P@!rner, AK 99645-I807 Te|ephone:(9O7)745'82OO FAX: (BO7)745-Q2Ul Development Services Department Phone 907 ��' 3 343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 006-121-67 1. GENERAL INFORMATION Expiration Date: Complete legal description Sunny Acres B4 L7&8 ra Location (site address) 1022/1024 Boston (Duplex) Current property owner(S) Moreau -Davis, Marti4 Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: ( ] Single Family (w/wo ADU) R 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 0 Public Sewer ❑ Waiver request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ CC On �� t �l 1b (1011, I Waiver Fee $ Date of Payment 5'2-b/&,,Z 4 5I 3 t 120 z z Date of Payment Receipt Number 0 5 a l i G 0 3 9 '7 9 G Receipt Number COSA# 0 _IS G 2 2 /2- 30 Waiver # Distance: 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 Jn 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E., F. ASCE 6. DSD SIGNATURE Phone (907) 745-8200 Date OF ALgs�� System #1 Approved for bedrooms ' ' ' a:.^vin R. Pannone � System #2 Approved for bedrooms` cL 8149 Disapproved J Conditional approval for bedrooms, with the following stipulations: OF rr�A, QC-coV- anCe l c)i� dsPaa i 11 OW By:1 Original Certificate Date: Jr �`//1?Uo?.? The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: Sunny Acres 134 L7&8 Ca Parcel ID: 006-121-6 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments Public water B. TANK DATA Age of tank(s) 44 years Tank type/material steel Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping 5/11/22 D. ABSORPTION FIELD DATA Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ® No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by _ Date of Sample C. LIFT STATION ' ❑ Required maintenance completed Age of lift station years Lift station material Comments: no adequacy was required per Onsite due to system replacement part of conditional cosa Which system tested (date installed) '5/3 1,7-q, Adequacy test date''` ALL standpipes present per record drawing Results ❑ Pass For bedrooms Total measured depth from grade /0- ft (max) Fluid depth prior to test in Measured depth to pipe invert from grade' ft (min) Water added gal ❑ N/A - pressurized field New depth in Monitor tubes go to bottom of effective. If not, state depth into effective Elapsed time min El"Code-required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: system to be replaced as part of this conditional Cosa- per discussion with Tim, no adequacy will be required 15& t. P, Vii' ( , xry 4y,t COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 121 Yes if No Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑ Yes if No ft ❑ Yes if No ft ft, If septic tank is under driveway comment below F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' F-1 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' 121 Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' `Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' ✓V Yes if No ft Water Main > 10' El Yes if No ft Community Wells > 200' n Yes if No ft Water Service Line > 10' ®Yes if Na 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 2 ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' F,71 Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100'✓� Yes if No ft F. ENGINEER'S COMMENTS * waiver on file 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. COSA Checklist yellow sheet MUNICIPALITY OF ANCHORAGE ' DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (addresser directions) ~'~='°{~ .~ ~ [E, H,~. '~'-~ 3 ~ (b) Applicant Name Jg~_.,~_~h.__~ ~/~-'~¢~,.~-- Telephone: Home ~ Business ~. Applicant Address ~ ~_A¢,~. ~-~ (c) Applicant is (check one): Lending Institution []; Owner/builder,~; Buyer []; Other [] (explain); (d) Lending Institution ~,.~-4,~~,J~- ~.T'~"IL~~ Telephone Address ....... (e) Real Estate Compan~'and Agent Address (f) Telephone Malt the HAA to the following add~ TYPE OF RESIDENCE Single-Family [] Multi-Family]~ Number of Bedrooms Otb WATER SUPPLY Individual Well [] Community [] Public~ · ' Note: If community well system, must have written 60nfirmatio'n from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite,,~ Public [] Community[] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) WELL DATA MONIQP^LIT¢ ~' '-~,~ICIPALITY OF ANCHORAGE ENVIRONMENTAL P~OT[~LTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on LOt To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected Water Sample Test Results Comments if A, B, C, D.E.C. Approved (Y/N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B, SEPTIC/HOLDING TANK DATA Date Installed ~4/~? 1~3~::~ Size--/ Standpipes (Y/N) Y Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/~- Separation Distances from Septic/Holding Tank: To Water-Supply Well /- To Property Line I ~ / To Water Main/Service Line _~ '::~',~" Course Comments No. of Compartments ~, Foundation Cleanout (Y/N) ~ Date Last Pumped # ~, ~' ~ /~ ; for Temporary Holding Tank Permit (Y/N) ,-~//? To Building Foundation 'l ~' ! To Disposal Field J~ ! To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~/¢~ To Building Foundation Lot To Water Main/Service Line ~'~) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~"fJ~;:~ ~ Type of System Design Length of Reid Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test ~~' To Property Line To Existing or Abandoned System on ; On Adjoining Lots ! (if present) To Cutbank D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted BedrOom Rating Against HAA Request I certify that I hi, ye c hecke~,.yerified_..~.q.~;pn for reed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ ~-~,~¢/_.~.~z~.~ Date Company ._~-"'~.~Z?~. ~. MOA No. Receipt No. "~ ~ L..( ~.~ C) Date of Payment Amount: $ Page 2 of 2 72-026 {11/84) Engineer's Seal ENVIRONMENTAL ENGINEERING DIVISION FEB 1 4 979 Telephone 264-4720 ~ ~l~ D~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ~ PHONE VlAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAI LING ADDR~*~ 3. LENDING INSTITUTION MAI LING ADDR ESS PHONE 4 REALTOR/AGENT ..~ /.~--~'~ , /2 /~ STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One []~' [] SINGLE FAMILY ~ Two &7/ [] Five ~ MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is requ'ired for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well ~ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date ~-~.~Y~ ~Y~. ~ If system is over two (2} years old an adequacy test is required [] PUBLIC UTI LITY by this Department: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED I NSPECTI ON APPel NTM E NTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR DIRECTIONS: 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 CATE DR I LLE D [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic or E~Holding Tank__ ,~__~,~ ('~ ~J~,,-, ~.~.~ Tank Size: !.~'-~'~ IfTankishomemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line Nearest Lot Line WELL TO: / Absorption Area to nearest Lot Line 5. COMMENTS ~::~'"~'APP R OV E D FOR ~[' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION · 72-010 (Rev. 3/78J