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HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS #3A BLK 7 LT 16Thund rbird Heights lock 7 Lot 16 051 - 581 - 14 q, -~", ~- .........~ ~" ~ I~aoJdd~ luom~doo ~o~oS. luomdolo~oo '''--' ~ ~-~-~ pu~ ~-~-~ ~ ~sL :seleQ '~'a 'lepeseqelN II!ffi :~q pe~Jo~ed suo!loedsul dmelS s,JeeulSu~ ueAoo punoJ~ jo ,~+ pue UO~lelnsu~ p]~p jo ,,~ '~ 00 ~ seq ~Uel ~eN 'uolleOOl e~es eql ul Pelle~SU~ se~ ~ue~ ~eu :uo!leAel] pemnssv 'mnlep se pesn (~uel ol lueoe[pe) ~oep uepoo~ jo UOlleAele eoe~ns eql pue peAo~eJ 'pedmnd se~ ~96 ~ ul Pellelsul ~ll~Ul6jo se~ :uo~ldposeQ pue uo~l~o- ~ HON~ Se~ leql ~Uel (~UilleJ) leU!6pO '~IUO luemeoeldeJ ~ue~ e se~ slq& :~q pe~o~ed suo~l~dsul I~1oe1~ lepO~ ~ e~e~ d~n8~ / GUON ul~Ja ul~pno 'ul I'u! 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Box 196650 ® 4700 Elmore Road Anchorage. Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http:llwww.muni.orqlOnsite Development Services Division On-Site Water and Wastewater Proqram Department **** VARIANCE/WAIVER REVIEW **** Waive¢: COSA#: oscl 11368 Permit#: PID#: 051-581-14 Legal Description: Thunderbird Heiqhts #3A B-7 L-16 Applicant: ~¢~C~ /%a /eW Your request for a waiver of the required 10 feet hofizoatal separation ~om the abso~tio~ field to the prope~y line has bee~ approved. T~e approved separation dist~ce is 5.0 feet. This waiver approval applies to the existing 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. [-] The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. [--] Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. [--] Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: Approved by:/~rn.~ Reviewer · ,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,~.,,, ~)rT,,,,,,,,,,,,,,,,,,,,,,,., Rec#: Amount: Date Paid: **** VARIANCE/WAIVER REVIEW **** State of Alaska ) ) SS: Judicial District ) On this day, personally appeared before me IOQ ~3iY'~ .), to me known to be the person described in and who executed the within and foregoing instrument, and acknowledged that he/she signed the same as his/her voluntary act and deed, for the uses and purposes therein mentioned. (Not~l~-~ublic in find for the State of Alaska) My Commission Expires: ~ 16515 Centerfield Drive, Suite 201 Eagle River, AK 99577 P: 907.696.2828 F: 907.696.2845 www.eklutnainc.com December 5, 2011 Dan Simpson, PE Civil Engincehng Manager F. Robert Bell and Associates 801 W. Fireweed Lane Anchorage, AK 99503 Re: Septic Plan for Lot 16, Block 7, Thunderbird Heights #3A To Whom It May Concern: Eklutna, Inc. is the owner of property adjoining the subject property above mentioned and it does not have any comments or objections related to the septic system upgrade for Lot 16, Block 7, Thunderbird Heights # 3A. If there are questions, please contact me. Thank you. Corporate Lands & Regulatory Manager F. Robert Bell and Associates December 15, 2011 RE: OSPl11336 Thunderbird Hts. 3A, Lot 16, Block 7 Waiver Request Municipality of Anchorage Community Development Department Onsite Water/Wastewater Division PO Box 196650 Anchorage, Alaska 99519 Attn: Jeff Poet or Deb Wockenfuss We hereby request a waiver for the subject property due to its wastewater trench being weithin 10' of the south property line. Measurements show it may be approximately 5' from the property line. This waiver request is supported by the following factors: · The private wasterwater system has been in place and operational since 1981 with no problems, documented or otherwise. · The adjacent parcel utilizing the joint property line is a 40-acre parcel whose development would not be impacted by the proximity of the septic system to the property line. · The adjacent parcel further abuts even larger undeveloped parcels, which would not crowd development. · The topography of the adjacent parcel to the south rises immediately south of the common property line and would not be compromised by any potential subsurface seeps, however unlikely their occurrence. · Due to the large size of the neighboring parcel, the location of this lot's septic will not hinder the owners of the adjacebnt parcel from constructing their own onsite septic system. If you have any questions, please do not hesitate to contact me. Thank you for your time. Sincerely, Bill Klebesadel, P.£. Senior [ngineer/Mat-Su Operations Manager F. Robert Bell & Associates MAT-SU OPERATIONS 1365 E. Parks HWY Suite #203 Wasilla, AK 99654 PH: (907) 357-5247 ANCHORAGE 801 W. Fireweed LN Suite #20! Anchorage, AK 99503 PH: (907) 274-5257 FX: (907) 743-3480 PRUDHOE BAY P.O. Box 340010 Prudhoe Bay, AK 99734 PH: (907) 659-5000 Municipality of Anchorage ~ *~ Development Services Department !'~ ~ Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore Road ~ ~ P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 0SPl11336 PID Number: 051-581-14-000 Name: James & Nancy Pooley Wastewater System: [] New [] Upgrade Address: 24343 Thunderbird Drive ABSORPTION FIELD Phone: 907-244-7772 Number of Bedrooms: 3 [] Deep Trench [] Shallow Trench [] Bed [] Mound [] Other: LEGAL DESCRIPTION Soil Rating: Total Depth from odginal grade: GPD/Ft~ Ft. Block: 7 Lot: 16 Subdivision: Depth to pipe bottom from odginal grade: Gravel depth beneath pipe: Thunderbird Hts 3A Ft. Ft. Township: 16N Range: 1W Secti°n:25 S.M, Fill added above odginal grade: Gravel Length: Ft. Ft, Well: [] New [] Upgrade Cravelwidth: Numberoflines: I Distanca between lines: Ft.I Ft. Classification (Private, A, B, C): ! Total Depth: Cased to: Total absorption area: Pipe Material: Et, Et. Ft~ ASTM D3034 (PVC) Ddllen Date Ddlled: Static Water Level: Installen Date Installed: Ft. Dirtworks 12-14-11 GPM Ft. Ft. TANK SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other: T~To Septic Absorption Lift Holding )ublic/Private Manufacturer: Capacity: From~ Tank Field Station Tank Sewer Line Anchorage Tank 1,000 Material: Number of Compartments: we~ > 200' > 200' Steel 2 Surface Water > 200' ~ / LIFT STATION Size: Manufacturer: Lot Line +/- 10' Ga[. Foundation 11' "Pump on" level at: in. "Pump off' level at: in.~l High water alarm at: in. Curtain Drain None Pump Make & Model Electrical Inspections performed by: Remarks: This inspection report is for the installation of the double cleanouts. BENCH MARK Location and Description: Surface elevation of wooden deck (adjacent to tank) used as datum. Assumed Elevation: 100 Ft. Engineer',-~l~a~,~ Inspections performed by: Bill Klebesadel, P.E. Dates: 1st 12-14-11 .~.'~."~ ...~."~_ oF A/.'3~ 2nd ~'_ ~'~,,. · ...... Development Services Department Approval ~,r~ · ' Conditional Approval Date:,(..A' :"49 TH ~ "; '.mu^u s. LE ES^aEk' /yO?~,.:.. CE 9135 Reviewed and approved by: Date: ~~j:,t~-D ' · ....... ,~,v. ,.- ZC CF" --~Fq 0 : 0 0 cC r-cD mm '-I ITl '13 Z 0 0 E~ FR PROW CC -oW TW 0 0 c ~ On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 OSPl11336 O5158114OOO Septic Permit Number: Tax Code Number: Work Type: Upgrade Permit Effective Dates: November 15, 2011 to Design Engineer: F. ROBERT BELL & ASSOC. Subdivision: THUNDERBIRD HEIGHTS #3A November 14, 2012 Site Legal Address: THUNDERBIRD HEIGHTS #3A BLK 7 LT 16 G:1865 Owner/Address: POOLEY JAMES GENE & NANCY G PO BOX 969 WILLOW AK 996880969 Site Mailing Address: 24343 THUNDERBIRD DR, Chugiak Lot Size in Sq Ft: 20931 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation: The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www. muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D.05158114 Property owner(s) James & Nancy Pooley Mailing address Unknown Site address 24343 Thunderbird Drive; Chugiak, AK Day phone (907)244-7772 .Zip Code Zip Code 99567 Legal description (Sub'd., Block & Lot) Thunderbird Heights #3A (Lot 16 Block 7) Legal description (Township, Range & Section) T16N RlW Sec 25, SM Lot Size 20,931 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR ([~ all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Sigr~ure of property owner or authorized agent) Date of Payment: Receipt Number: (Rev. 11/05) il-lq-Il Date of Payment: Receipt Number: F. Robert Bell and Associates F. Robert Bell and Associates 801 W. Fireweed Lane, Suite 201 Anchorage, Alaska 99504 November 14, 2011 Re: On-site Septic Design Narrative -Thunderbird Heights #3A (Lot 16 Block 7) Development Services Department On-site Water & Wastewater Program 4700 Elmore Road Anchorage,. Alaska 99507 To Whom It May Concern: Proiect Summary: A three bedroom house located on the property described as Lot 16 Block 7 of Thunderbird Heights #3A has a failing on-site septic tank in need of replacement. The existing 1000 gallon steel tank will be replaced with a 1000 gal. two compartment steel tank. The property is currently served by public water and on-site sewer. Existing system: The existing system begins with pvc piping routed from the existing house foundation about 17.5 feet from the southeast corner beneath the rear deck. The line then continues to the south approximately 10 feet where it connects to a :1000 gallon steel tank. The line departs the steel tank to the south an additional seven feet to the eastern end of the 33'L x 7'D deep trench septic field. Domestic Waste Water & Septic Design Calculations: Tank Size: 1,000 gal. min. for 3-bedroom house (AMC 15.65.50) Construction of New Septic System: The existing steel tank will be removed from the ground completely. The new tank will be installed in the same location as the existing tank. A foundation cleanout was not observed during the field investigation, but could exist under the deck. If a foundation cleanout is not present one shall be installed by contractor during tank installation. The existing absorption field has been tested and meets current absorption requirements. When construction is completed, a COSA will be performed on the new system. All construction and demolition shall be performed to meet the minimum standards detailed in the current Anchorage Municipal Code (AMC) Chapter :15.65. The septic tank and piping shall be installed on undisturbed native soils or in trenches that have been adequately compacted. The service line shall not exceed the maximum allowable slopes. Cleanouts shall be installed on the service line and septic tank. All cleanouts and monitoring tubes shall extend a minimum :1 foot above finished grade. WASILLA ANCHORAGE PRUDHOE BAY 1365 E. Parks HWY 801 W. Fireweed LN P.O. Box 340010 Suite #203 Suite #201 Prudhoe Bay, AK Wasilla, AK 99654 Anchorage, AK 99503 99734 PH: (907) 357-5247 PH: (907) 274-5257 FX: (907) 743-3480 PH: (907) 659-5000 November 14, 2011 Maintenance of Septic System: Routine maintenance shall be performed on the system, including pumping of the septic tank at least every two years. Using garbage disposals and flushing of non-degradable items (coffee grounds, cigarette butts, tampons, paper towels, etc.) should be avoided. The owner should limit heavy surface loads on the area to maintain the structural integrity of the system. Trees and other large plants should be removed and maintained at an adequate distance to prevent roots from growing into the system. Preventing vehicle traffic over the septic system is also encouraged. Please contact me with any questions. OF Sincerely, L'" Daniel G. Simpson, P.[. ~ ~ '.. c~ s2~e., .' ,~ Attachments: · Engineered Plans (F. Robert Bell & Assoc.; November 14, 2011) 2 of 2 ~0 ~<o ~> >~ ~ >~ <> ~ ~ - ~ ~ 7~mO~O z~ ~ ~ ~0~ ~ © ~ ~. 0~ · ~ 0 ~× ~ <> 0 m 0 0 o ~ o~ ~ z ~ ~ z ~ ~ 3> r-- 0 Fq .--t Pq z o ¥>B OOm~ >o~ ~B 0~ z~>~ 8F ~Z~ ~ Z~ 0 4~07 ~© F  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 /~ /' ,/ ,~.~) PONE ~ UPGRADE MAILINGA6D~ESS , ~ ~ ~/ ~) ~ . ~ LEGAL DESCRIPTION / ] / ~ ~ , - ~ LOCATION NO. OF BEDROO S ~ DISTANCE TO: 1¢ /~ IAbsor~area/~. Dwelling CO [¢__ PER~N~.~/ ~ Manufacturer/ ~ M ~~[ ~ ~ / No. of comportments Liq~ ~aHons IF HOMEMADE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons D Well NO. of lines / Length o~c~in~ Total ~ ofgin~ Trencl~th ~ M~t~r)al beneath the Top of~e~ ~ish grade Total effec~ve absorption area 0~ ~-- ~,~ ~ ~./~ .~ ~ ~ inches Length a Width 'Depth ' ' PERMITNO. ~ ~ T~e of crib Crib Crib Oepth Total effective absorption area m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Olass ~ Depth Driller Distance to lot line PERMIT NO, ~ DISTANCE TO: Building founda~ Sewer line Septic tank Absorption area(si OTHER · SOILTESTRATING , /~ ~ ~/~ ~-~ __ INSTALLE~ 72-0 /. 3/78) PERMIT NO. [:,EF'RR-FNENT OF' HEFILTH F!ND ENVIRONHENTRL PROTEC'TION 825 "L.." STREET., FINCHORBGE., Fig:. 9950i 264-4720 RF'PL I CRNT LOCWF i ON LE:GfaL RI CHRRD KUF'ER THUNDERBIRD HTS 688-27±2 LOT SIZE 688-27!;2 18000 SQUFtRE FEET TVPE OF SOIL. RBSORPTtON S'¢STEM IS: TRENCH MOXIMUM NUMB, ER OF BEDROOMS = ?- SOIL.. RRTING (SQ FTZBR)= ±50 THE REQUIRED SIZE OF' ']"HE SOIL.. FIE,'SORPTION SYSTE]'"I IS: 'THE L..Ei",!GI"H DIMENSION IS 'THE LENGTH '.'.'IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF FI -FRENCH OR PIT IS TNE DISTRNCE BETWEEN THE SURFBCE OF THE GROUN[:' FINE:, THE BO'F'T'Oi"t OF TNE EXCFt'¢RTION (:iN FEET). THERE IS NO SET WI[:'TH FOR TRENCHES. ]'HE GRFlVEL DEF'TH IS TNE MININUM DEPTH OF GRFIVEL F.:ETWEEN THE OUTFRLL PIPE FIND 'THE BOTTOM OF' THE EXCP, VFITION (IN FEET.'.". PERNIT RF'PLIC:RNT HFlS THE RESPONSIBIL!T'¢ TO INFORM THIS DEF'RR"FMENT DLIR!NG THE INS]"FIL. LR'TION INSPECTIONS OF Flf.`l'¢ WELLS FlDJRCENT 'TO TNIS PROPERTV FIND THE NUNBER OF' RESIDENCES THRT TIlE HELL WILL SER'¢E. ............ '"T ~-.~ (::~ ,:: .2::: ::¢ I ['-~£:;F'E-J:C::-f" Z ,:, ~'.....~:':'; :-~F:E: R El ~Z:.'- L., .-l: F-: E-.': E? E:RCKFILLING ElF' Ftf',JV :F.,VSTEN WITHOUT FiNRL INSPECTION BN[." laPPROYFIL E:V "['HIS DEPRRTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN Ft WELL. FIND Ri'.,!'¢ ON-SITE SEHFIGE DtSPOSFIL SYSTEM :IS ±00 FEET FOR Fl PRI',,,'FFf'E HELL OR 't_50 'TO 200 FEET FRON R PUBLIC i.4ELL DEF'ENDING UPON THE T'¢PE OF PUBLIC WELL. MiNII'dUN DIS"FFINCE FROM Fl PRIS'FITE WELL 'FO R PRI"/RTE SEWER LINE IS ;25 FEET RND TO R C:OMMLINI"!"u.,' SEWER LINE IS 75 FEET. OTHER REQLIIREhlEN"FS MR"/ RPPL'¢. SPEC:iF!CRTIONS RN[."- CONSTRUCTtEIN DIRI]iRFII'"IS RRE W,,,'!:]ZLFI_E,'LE TO tNSLIRE PROPER If',I::STFILLFITION. I CERTIFV THRT 1: I AM FRMILiFlR WITH THE REg!UIREMENTS [:OR ON-SITE SEWERS FIND WELLS RS SET FORTH B':' THE MUNtCIPF!LIT'¢ OF I~NCHORSGE. 2: I WILL INSTRLL THE SVSTEM tN FICCORDRNCE WITN THE CODES. ~:: I UNDERSTRND TNRT TNE ON-SITE SEWER S'¢STEM MR'¢ REQUIRE ENL. RRGENENT :IF' THE RESIDENCE !S REMODELED TO iNCLUDE MORE 'THRN ]: BEDROOMS. V4. 0 BLOCK 7, LOT 16 The soil of Lot 16 is deep, moderately permeable and consists of a thin layer of organics over silty gravel. Seepage trenches may be installed at a minimum depth of four feet and may use a percolation rate of a GM soil. The observed percola- tion rate was Test Hole 2. minutes/inch. BOR:NG NO. ~ ELEVATION = F-2, BROWN SILTY GRAVEL, MOIST W.O NO. Al',,, ,', LOGG[0 BY I}. DF~PTH 1.0' F-l, BANDY GRAVEL WITH TRACE SILT AND OCCASIONAL COBBLES BOTTOM OF BORING = 18.0'. COMPLETED 1/6/81. KEY PP = UNCONFINED COMPRESSIVE STRENGTH [PENETROMETER)(TSF) TV= SHEAR STRENGTH (TORVANE)(TSF) MA= MECHANICAL ANALYSIS LL = LIQUID LIMIT PI = PLASTIC INDEX D - GRAB SAMPLE [~ - SPT SAMPLE ~ -2.5" I.D. SPOON SAMPL[ T 340~ WEIGHT, 30" FALL [] - SHELBY TUBE - PUSHED ~7_ GROUND WATER TABLE WHILE DRILLING LOG OF BORING FIGURE It I— C] (7) 0') G) chi c�� CD O (7) CD C— Q) E (o O Q Q Q cn () cn A 00 a) O O a) U_ W A =, N C'') N co iv cu 0 C O cu CL X LU J 0) ti CY) Y Y J Q co < m � 0) H U 2 ry LU _� N� m co LLJN 1.1. 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O oZ J Q 0 LU D Z 0 LU 0 � T J 1 _ Q C'7 4— L � 0 a) C c1) C � O CV Q U) U U U O) a) W N a) O O E cu O U U a) C O Q cc 11w U) O W m w O LL1 N Fn Lw I -- Cl) N N W F— z O U) C O Q1 C Q) N m C a) N a) > n m cu d ❑ J a a D cn w LU 2� LL W a H cri U Cl) LL O ` ^ >a) W _> N C O) C E E U) O U U CL ❑� CA cn C: ca O > 0) 0 - El Q) ❑ � U M C N ca cn (DL cu d � O ❑� a) CO J co a`) Q >Cn u cB O a aI^ ❑ ElD w W H 2N LL W IL H It L �r a) r� Cr / Q U N Q El O U Q U a) a) U)a) ~ _a O E O(nElU ca 0) U LL C ❑ L a) a) p N O ❑o N = O O ❑ U m ❑ �_ ❑ U O CO cy a) ❑ L, Q O ❑ d5 Ln U) o W Y Z 0O_L r Lzz r UCV � P: U) m w 0) CO ori cc w 0 U) a) 0- a) a) ❑ a) U) a) LD a) a) a) a x w F" - a) a) a) LL a) �Z COSA Checklist Legal Description: Thunderbird Heights #3A B7 L16 Parcel ID: 051-581-14 If more than 1 well and/or septic system on lot, provide separate checklist. 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) fn. Date of flow test for COS Static water le v eginning of test Comm is Community well 211156 B. TANK DATA Measured operating fluid level in septi tank 48" Date of pumping 2-3 Z L ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/31/81 ALL standpipes present per record drawing otal measured depth from grade 10.5 ft (max) Measured depth to pipe invert from grade 3.5 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) no If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production a e of test gpm =elldisinfected age tank volume gallons 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 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 10/20/22 Results [O]Pass Fluid depth prior to test 0 in Water added 450+ gal New fluid depth 0 in Elapsed time 150 min Final fluid depth 0 in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 84 Effective depth used 0 in Effective depth remaining 84 in in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' ❑■ 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 tank or field is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes if No ft ❑Yes if No ft X 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 Surface Water > 100' Yes if No ft Tank to Property Line > 5' ❑■ Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' *es if No '5 ft Private Wells > 100' Yes if No ft Water Main > 10' ❑■ Yes if No ft Community Wells > 200' ❑■ Yes if No ft Water Service Line > 10' H Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS �_w r1.((HU-- t-- o11, R le, 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC & MOA 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. Name of Firm Pannone Engineering Services Engineer's Printed Name Steven R Pannone P.E., F. ASCE Phone 907-745-8200 COSA Checklist—June 2022 Date 8/26/24 ASBUILT-NO CORNERS SET THIS DATE. ' L SFWARn F, Aq.gn TATR4 T.ANTI crrRVFVTNTr_ r-AR-i,CZC_c. I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: �.e.�.eti, a ®► FOLLOWING DESCRIBED PROPERTY: Lot 16, 1" = 30' OF A �o Block 7, Thunderbird Heights, Addn. No. 3A DATE C� AND THAT NO ENCROACHMENTS EXIST EXCEPT AS �'`�� 5/23/92• INDICATED. IT IS THE RESPONSIBILITY OF THE Of * 4t• OWNER TO DETERMINE THE EXISTENCE OF ANY GRID �, EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- NW1865 O• Duane Merk Sawerd 0 VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' f °�� LS -69 g If ANY DATA HEREON BE USED FOR CONSTRUCTION 28-78 t �� '� /! . • �C7J r OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN ARY LINES. DMS Certificate of On -Site Systems Approval Parcel I.D. 051-581-14 Legal description Thunderbird Heights #3 137 lot 16 Site address 24343 Thunderbird Dr Current property owner(s) Lawendowski Expiration Date: 3-8-2023 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Dater " -2Z This 2Z - This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 05158114000 Complete legal description Thunderbird Heights #3'137 L16 Location (site address) 24343 Thunderbird Dr Current property owner(s) Joseph Lawendowski Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units FOR Community Well or Public ❑ Water Storage 4.. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: R Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 10 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 96-0 Waiver Fee $ Date of Payment /!l Xq/Aa�'' // Date of Payment COSA # Sr Xa1!!F5 Waiver # ff- 0003 C COSA Application June 2022 Legal Description: Thunderbird Heights #3 137 L16 Parcel ID: 05158114000 If more than 1 well and/or septic system on lot, provide separate checklist. 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 CLASS A PWS ID: 211156 B. TANK DATA Measured operating fluid level in septic tank 48 Date of pumping ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/31/81 ❑ ALL standpipes present per record drawing Total measured depth from grade 10.5 ft (max) Measured depth to pipe invert from grade 3.5 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 Comments/Deficiencies: COSA Checklist June 2022 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 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 10/20/22 Results Q Pass Fluid depth prior to test 0 in Water added 450 gal New fluid depth 0 in Elapsed time 150 min Final fluid depth 0 in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 84 in Effective depth used 0 in Effective depth remaining 84 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' R Yes if No Community Sewer Manhole/Cleanout > 100' ❑Yes if No ft F-1 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 tank or field is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft ❑ 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' R Yes if No ft Surface Water > 100' 0 Yes if No ft Tank to Property Line > 5' ❑a Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No 5* ft Private Wells > 100' FE -1 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' [z� 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 Pannone Engineering Services Phone 907-745-8200 Engineer's Printed Name Steven R Pannone P.E., F. ASCE Date COSA Checklist June 2022 AILASIC4Alaska Quality Septic, LLC QUA 111 SEPTIC s P.O. Box 770965 ( Eagle River, Ak 99577 (907)346-7867 1 akqualityseptic a gmail.com I www.akqualityseptic.com Septic Pumping(less than 1250gal) Military discount Thank you for your business. Please contact us with any questions regarding this invoice. Total $330.00 Paid —$330.00 Invoice balance $0.00 Account balance $0.00 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 ~. '~ /') , Anchorage, AK 99519-6650,/' ~,..e¢ ¢ ~, . www. muni.org/onsite !' /? · CERTIFICATE OF ON-SITE SYsTEM'~ APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. *i#~'~'~".. Ex iration Date. / GENE~L INFORMATIO~ ~{ ..... %,~Z ~-- Location (site addres~ :'" '~ ~ff~' ' ~' ~~6 )~D ~ R ~ dE · Marling address ~:,',,~ ,,~'.~5~;'~' Lending agency -~a~v-' Day phone Mailing address Real Estate Agent Day phone Mailing Address Un/es§ OiherWiSe requ~eSted, COSA will be held by DSD for pickup. NUMBEROF BEDROOMS: TYPE OF' WA~ER SUPPLY: - Individual Well '"~: '1 ndivid ual..Water Storage Commt~it); clasS Well Public Water.System TYPE OF WASTEWATER DISPOSAL: Individual On-site IndividUal Holding Tank Community On-site Public Sewer [] [] [] [] -[ I I The MunicipalA~, ~)~ Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (CQSA) based only upon the representations given in paragraph 4 by an independent, professional civil engineer registered in the State of'Alaska. Cedificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply 'system. DSD also .issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the dat~ of issue for properties served by a private or Class C well and may be reissued with new water sample results..(Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my.investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water' supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm. F ,,~z~z~7-.Z~,~E~ Address /~ G ~- ,~- ,~,,/f~-.:.~ Engineer's Printed Name bedrooms. 5. ' DSD SIGNATURE I~ Approved for Disapproved.. Conditional approval for Date bedrooms, with the following stipulations: By: Attachments: COSA Checklist Septic System Advisory Well .Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ¢¢¢~"~~Ori~inal certificate Date: /¢g-- (Rev. 11105) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 ' www. muni.org/onsite (907) 343~7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type ,~_ Date completed ~ Total depth ~ Parcel ID: If A, B, or c provide PWSID # 2111.~'do Well Log (Y/N) Sanitary seal (Y/N)~ Wires properly protected (Y/N) ft. Cased to .. ft. Casing height (abov(~ ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production WATER SAMPLE RESULTS: g.p.m, g.p.m. · Coliform colonies/100 mL Nitrate ~ mg/L Arsenic: ug/L date of sample:. B. SEPTIC/HOLDING TANK DATA. Tank Type/Material -~'7"Z5~/.. Tank size, ,/, 'O~ 'g~i.''''~ :,~ .... Number of Compartments Foundati6n cleanOut.,(Y/N), ./u,',;~.:~ Depression over tank (Y/N) Date 6¥ Pumping, /V~Z,~/'::·.7'~/~,'~/4- Pumper C. ABSORPTION FIELD DA.TA' ' Dat~,iin~t~Ucd ~'$/-¢ ,~'.~iCrating (g.p.d./ff2 or ff2/bdrm) Collected by: Date installed ~ ~'~' Cleanouts (Y/N) High water alarm (Y/N) J~/ ' System type Length ';. ,,~.,~' '~ ft'. ~, ":: ii',,., !' ~' Width ~ [~) ff. Gravel below pipe 7 Total depth'ih:' ~' "~ Eft. absorption area .~,~ Zft2 Monitoring tube ....... Y Depression over field Date of adequacy test ~- Z.Z-}J Results (Pass/Fail) ~' Fluid depth in absorption field before test I in. Water added/'J'~ gal.' Elapsed lime:7~7 min. Final fluid depth O Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) in. For -~ bedrooms New depth /-} ~-E) ' g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at~ in. Datum SEPARATION DISTANCES Size in gallons "Pump off" level at, Cycles tested in, Manhole/Access (Y/N) High water alarm level at · Meets alarm & circuit requirements? in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main On adjacent lots ' On adjacent lots Public sewer manhole/cleanout Sewer/septic service line Animal containment areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ! Building foundation 4- I0 Property line 4-~ 0 . Water main 4- ~0 r Water service line Wells on adjacent lots ,, ~- C) 0 / 7~ Holding tank Manure/animal excrete storage areas Absorption field + lO t Surface water F; SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ~- I 0 r Building foundation Surface water ~ / Wells on adjacent Iol~s Property line Water Service line ~ J 0 ~ Curtain drain ~//~Z} COMMENTS / ENGINEER'S CERTIFICATION tha review of Municipal records that the above systems are in ~~~,~"~ conformance with MOA COSA guidelines in effe~ on this date. ~~ ~. Date Dat~;'~fpayment q16~ t l./ Receipt Number C)"~O,..~ ~ (Rev. 4/10) Waiver Fee $ Date of Payment Receipt Number ASBUILT-NO CORNERS SET THIS DATE. SE~gARD & ASSOCIATES LAND SURV~ING 688-4 I HEREBY CERTIFY .THAT I HAVE SURVEYED THE SCALE: FOLLOWING DESCRIBED PROPERTY: Lot 16, 1" = 30' ~.~ OF Block 7, Thunderbird Heights Addn. No. 3A "~ATE: ' ~- .." AND THAT NO ENCROACHMENTS EXIST EXCEPT AS 5/23/92 INDICATED. IT IS THE RESPONSIBILITY OF THE ~'~'o."4. c,~',~ OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: ~"":"~'"/ EASEMENTS, COVENANTS, OR RESTRICTIONS NW1865 WHICH DO NOT APPEAR ON THE RECORDED SUBDi- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: ~'"~ ANY DATA HEREON BE USED FOR CONSTRUCTION 28-78 OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN: ARY LINES. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1, GENERAL INFORMATION Complete legal description Lot 16; Block 7; Thunderbird Heiqhts Subdivision 3A /24343 Thunderbird Drive Location (site address or directions) ~ Property owner Mailing address Pran~ n~ ~h~ nn~ Day phone HC 79 Box 608 T-Bird, Chugiak, Alaska 99567 Lending agency Day phone Mailing address '.' Agent Day phone,... Address ' ' i Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with ail Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature S & $ ENGINEERING 17034 EaGle River Loop Ro=d Eagle Eive~', AlasEa 99577 DHHS SIGNATURE /__ ApproVed for ~ bedrooms. :. Disapp;o~ved. Conditional approval for .Phone Date bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a cour[esy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST 'l"~,~o,,Ac, c-e--Fm c.-r> ¢~Parcel I.D. Legal Description: ~r A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level Date completed Cased to FROM WELL LOG Driller Casing height Wires properly protected (Y/N) AT INSPECTION g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot ; On adjacent lots ; On adjacent lots Public sewer main Public sewer manhole/cleanout Sewerse~iceline Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~ - ~>'~ /~-~ / Tank size \ c~c:)~ ~,~,~- Compartments ~-- Cleanouts (~/N) ? Foundation cleanout (Y,~) ~ Depression (Y/~ High water alarm (Y,,~ b'~ Alarm tested (Y/N) ~1/~ Date of pumping L~ -- ~'. ct 'b. ~--~- Pumper ~"..~, ~.~.si'o o~. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~ t ~'- To property line ~ o ' ~' Surface water/drainage On adjacent lots AbSorption field Foundation Water main/service line I~ ~' 72-026 (Rev. 7/9t) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y~ VWGII on lot On adjacent lots Manhole/Access (Y/N) · ~ ~yclestested Surface water D. ABSORPTION FIELD DATA Date installed /~ - ~5 ~ /6~ ?z~'~/ Length "~'~ ~ Width ,.~t~ Total absorption area ~ L.)... ~ Depression over field (Y~ .~ Results (.~ail) ~¢ &~'~ Peroxide treatment (past 12 months) (Y~ Soil rating Gravel thickness Cleanouts present~Y.~N) _ Date of adequacy test for System type "¢'¢-¢-¢.~..~ Total depth t 6~ (-~'~) ~ _ bedrooms If yes, give date ~ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: To building foundation On adjacent lots .-~ Surface water Curtain drain ~' On adjacent lots ~ ['~ Property line \c~' To existing or abandoned system on lot Cutbank ~//~ Water main/service line Driveway, parking/vehicle storage area E, ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Date S & S ENGINEERING 17034 Eaqle Rivet' I.oop Road No. 204 Eagle River, Alaska 99577 HAAFee$ /?O'¢'r/~ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSERVATION WALTER J. HICKEL, GOVERNOR ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99503 (907) 349-7755 Januaw 16,1992 FOR: S & S Engineering PWSID ,'¢- 211156 My review of the records on file in this office reveals that the Eklutna Thunderbird Heights Subdivision Class "A" Public Water System, is in compliance with the routine coliform bacteria sampling requirements listed in Table C, and with the inorganic sampling requirements listed in Table B of 18 AAC 80.200. Keven K. Kleweno Environmental Engineer KKK/cf : APPLI('~NT FILLS OUT UPPER HAi~-~ONLY Type of Resi~nce '~Single Family Water Supply ~ Individual ~ ~ ~ ~ ~ A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach Icg if available). Sewer Disposal ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date~ ~)~ ~_~ Inspector Inspector Inspector Inspector Field Notes: Q~ C- ~' ~ DEPT. OF HSALTH e, ENVI"ONM~N~AL PROJECTION ~ SEP 3 0 ~0¢:~ RECEIVED /~ -- ~ [ Well to Tank Septic T~k Size October 7, 1983 Richard Kuper ~h ~2, Box ~08 Thunderbird [~r ive Chu%) iak, AK ~)9567 Subject: Lot 16, Block 7, 'i'hunderbird Heights ~pproval for the individual sewer and water facilities ca~]not be granted until the following items have been co.~[~pleted: A four (4) inch cleanout needs to be installed to the leaching area. Please notify this Department for a reinspection %~hen the noted discrepancies have been corrected. If there are any ~urther questions, please call this office at 26~i~4720. Sincerely, Cory Willis, i(.S. Actin9 Sewer & Water Program [~anager Time, Time } Date,~ Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed .... ~,~,~,r-~ Permit No. Septic Tank Size / ~ ~ I 6 ~{ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received APPLICANT FILLS OUT LOWER HALF ONLY Property Owner Buyer Address Address Legal Description Typ~f Residence ~ Single Family ~ Multiple Family No. of Bedrooms ~ Water Supply ~ Individual A~ACH WELL LOG. A well Icg is required for ali wells drilled since June ~Community 1975. For wells drilled prior to that date, give well depth (attach Icg if ~ Public Utilit~ available.) Sew~e Disposal / ~ ~ ) ~ Individual Year Individual installed: ', -~ ~ Holding Tank NOTE: THE INSPECTION FEE 'MusT ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Pebruary 25, 19~q2 Richard A. Kuper SR 2B, 101 ~allard Court Chugiak, AK 99567 Subject: Lot 16, Block 7 9~und. erbird Heights Approval for %he mndlvl¢~.ual sewer an~. water zacll~mt].es cannot be granted until the followin? items have been completed.~ A four (4) inch cast iron cleano~t needs to be installed to the septic tank and/or leaching area. Please notify this department for a reinspection %~en tha note~ discrepancies have been corrected. If ~ere are any further questions, please call this office at 26~-4720. Sincerely, Robert C. Pratt Associate Environ~ental Specialist