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HomeMy WebLinkAboutTERRACE HEIGHTS BLK 1 LT 1Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231035 PID Number: 017-074-16 Dwelling: ❑t Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Upgrade Name Colin Holt ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 7801 Cox Dr., Anchorage ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 603-290-7033 2 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Terrace Heights 1 1 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Ftz Ft. Well 100I TANK F-1Septic❑ S.T.E.P. E9 Holding El Other Manufacturer Anchorage Tank Capacity 3,000 Gal. Surface Water .� 00+'' Material Number of compartments Lot Line 5+ NA Epoxy Coated Steel 2* Foundation 10+ LIFT STATION Manufacturer Capacity Remarks * septic tank was substituted due to unavailability Gal. of holding tanks in this size Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 30311 Tank to drainfield A+ Home Services Drainfield CO/MT 3034 Inspector Crewdson Engineering LLC BENCH MARK (Assumed elevation) 100 ft Inspdates:ectionIst 4/3/2023 4/3/2023 Location and description 2�d 3rd 5/24/20fi 4'h door threshold at "BM" on record drawing ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date owl .. ... .r.. , ��s' •,J �mes A. Crewdson .� cQ;� Septic Syste �� ri0 • • 01152.7 Approved Date Not/ this approval does not include well permit requirem nts.\OFES �`��"� . (rRCv VOIVL/ 10) / Lot 7 NOTES 2BR SFH 1. Holding Tank: Anchorage Tank 3,000 -gallon epoxy coated steel septic tank. ALARM Note: Approved to use since 3,000 -gallon holding tanks BM B 1 were not approved in the MOA during the permit and construction period. i t 2. 2.The tank is insulated with 2" rigid foam board DECK i insulation. • - Q / I �O'���RpO/ / / Nle i HT OC �< '0" MH1 \O BA ' \ i \ (4 TYP) _tO/ mH N 89°54'W 87.81 ' COX DMVCE BENCHMARK DOOR THRESHOLD ELEV 100' DC MH1 Lot 2 SWING TIES (feet) A B DC 71.5' 74.8' M H 1 74.5' 77.9' MH2 87.1' 90.7' SCALE: 1"=30' PROFILE ELEV NOT TO SCALE EG 96.5' FG 96.7' MH2 Crewdson Engineering, LLC � Terrace Heights, Block 1, Lot 1 Septic System RECORD DRAWING .PP' we Prepared for: Date: 5/18/2023 °"1 1k�""� "g Colin Holt PO Box 671389 Chugiak AK 99567 • cOCA@outlook.com Permit: OSP231035 Page: 1 of 1 Cell/Text: 907-280-9493 • Fax: 907-688-2295 ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC LEGEND AF - Alarm Float BA - buoyancy anchor BM - bench mark BR - bedroom DC - double cleanout EG - existing ground ELEV - elevation FG - finish grade IAW - in accordance with INV - invert GWT - groundwater HT - holding tank IAW - in accordance with MH# - 24"0 manhole MOA - Munic. of Anch. SFH - single family home TOT - top of tank of A�q kl rg• .y�i *• 49 T s.r�a3 Ja es ewdson C11527 4z F�PROFESS00 ALLC #112279 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231035 Work Type: SepticTank Renewal Tax Code Number: 01707416000 Site Legal Address: TERRACE HEIGHTS BLK 1 LT 1 G:2940 Site Mailing Address: 7801 COX DR, Anchorage Owner: HOLT COLIN T Design Engineer: CREWDSON ENGINEERING, LLC This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: ,nt No ,r -v Departtri e it 3/23/2023 3/22/2024 20372 ❑ Disposal Field ❑ Septic Tank Q Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing received -By: SSSue of +0 ercul.11S,17n Er? a Date: Issued By: 4 Date: 3 -2 VA �11�LUN1OCOF:' ®G= \ M 0 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section �= / Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-074-16 Property owner(s) Colin Holt Mailing address 7801 Cox Dr. Anchorage Day phone 603-290-7033 Site address same Legal description (Sub'd., Block & Lot) Terrace Heights, Block 1, Lot 1 Legal description (Township, Range & Section) Lot Size 20,372 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El Septic Tank ElUpgrade El(w/wo ADU) Holding Tank Renewal IT]Duplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: Date of Payment: Receipt Number: acI125�r Receipt Number: Permit No. Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc •General Contactor James “Jay” Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280‐9493 Fax: (907) 688‐2295 PO Box 671389 ● 18368 Amonson Road ● Chugiak, Alaska 99567 March 20, 2023 Plan Reviewer Municipality of Anchorage On‐site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519‐6650 Reference: Terrace Heights, Block 1, Lot 1 Permit Renewal No Design Changes or Revisions This renewal of permit “OSP221011 (expired 2/15/2023) with CO#1 revisions (approved 12/1/2022)” will use the same approved design without any changes or revisions. Please feel free to contact me if you have any questions. Thanks, James “Jay” Crewdson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231035, Deb Wockenfuss, 03/23/23 Lot 8 Lot 19 & 20 I I S 89' 4E 87.81' / 10' UTILITY EASEMENT I� 1 Lot 7f�� \ WOODEN FENCE) 20,372 S.F. O \ 1.2'1 14.2' Y O h O y '- 31.4 � U 26.4. h DECK 6 26.4' r _ dE - CE . F a . i Q � m O � —SEPTIC I PIPES - MANHOLES DECK 1 I Lot 2 O / Vl / x14.1' BALCONY / BALCONY SEDGE OF ROAD COX DRIVE PLOT PLAN ___ AS BUILT _X_ SCALE _1" —40-_ GRID _ SW 2640_ Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone ``\\ kenOlangsurvey.com Professional Land Surveyors jonothanOlongsurvey.com OF AL trovisOlongsurvey.comAW�Q'<<! I hereby certify that I have surveyed the following described property: ' 9 LOT 1, BLOCK 1, TERRACE HEIGHTS (PLAT No. 66-82) %*:. 49TH Anchorage Recording District, Alaska, and that the improvements situated thereon are • • • • • • • • • • • • • • • within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible �j 9 KENNETH G. LANG ; o easements on said property except as indicated hereon. i+ V. , o. 202 ��F LnRl . , Dated this the ______ Day of ___ ___________, �`I >__, at Anchorage, Alaska ,1 9FOp5 E , 1l\ ROFESSIONN�� It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221011 Work Type: Septic Upgrade Tax Code Number: 01707416000 Site Legal Address: TERRACE HEIGHTS BLK 1 LT 1 G:2940 Site Mailing Address Owner: HOLT COLIN T 7801 COX DR, Anchorage Design Engineer: CREWDSON ENGINEERING, LLC This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 2/15/2022 2/15/2023 20372 ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65.. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15:to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a� Opened and Closed onthesame dayj or- b. r b. Covered, sealed, and heated to prevent freezing Received By: Date: Issued By: Date: 2 2 2 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I. D. 017-074-16 Property owner(s) Collin Holt Mailing address 7801 COX Dr., Anchora Site address same e, AK Day phone Legal description (Sub'd., Block & Lot) Terrace Heights, Block 1, Lot 1 Legal description (Township, Range & Section) Lot Size 20,372 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank [] Upgrade Q Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. James Crewdson (Signature of property owner or authorized agent) Permit/Rush Fees: A-6957 Waiver Fees: Date of Payment: 17- 5117- z Date of Payment: Receipt Number: 08602,6- Receipt Number: Permit No. 05/022/0/ / Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Crewdson Engineering, _LLC mac, Civil & Environmental Engineering November 15, 2022 Onsite Reviewer Municipality of Anchorage On-site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Reference: Terrace Heights, Block 1, Lot 1 Design Change Order COI Holding Tank Upgrade James "Jay" Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280-9493 Fax: (907) 688-2295 The owner of the 2 -bedroom home would like to replace the existing holding tanks with one (1) new 3,000 -gallon holding tank. The existing foundation cleanout is inside the house, so a double cleanout will be installed ahead of the tank. The existing holding tanks do not have an alarm system. A new alarm system will be installed along with the new holding tank. There are no anticipated probable adverse impacts to adjacent properties if the holding tank upgrade is constructed as designed. Please feel free to contact me if you have any questions. James "Jay" Crewdson, P.E. �S��'-\\ OF A��� TH • i 1 r �w� ' aures A. Crewdson C11527 .•�2�'// ..� V�pROFESSIONP�" Q OFFS �~ PO Box 671389 • 18368 Amonson Road • Chugiak, Alaska 99567 NOTES CO # I 1. All septic system components and construction shall be in accordance with MOA code. 2. All property lines and easements within 20 feet of the proposed sewage holding tank shall be flagged by a licensed surveyor. 3. (E) Holding Tanks: Decommission in place or remove in accordance with the code. 4. E Crib: The undocumented abandoned log crib was discovered while digging soils test TH1. The extent and exact location is unknown and may possibly reach into the proposed holding tank's footprint. The contractor shall ensure the holding tank is not bedded on any part of the old crib. 5. (P) Holding Tank: Epoxy coated steel 3,000 -gallon septic tank. 6. Buoyancy Anchors: Lot 6.1. Cables and helical piers per detail "BA1". 6.2. Locate on tank per Plan view. 7. Insulation shall be in accordance with the code and the following requirements. 7.1. 25 -psi minimum burial grade rigid foam boards 7.2. The insulation board thickness (IT) and horizontal extension (IHE) beyond each side of the insulated component below it shall be in accordance with the following schedule: HOLDING TANK PIPES Soil Cover IT IHE Soil Cover IT IHE >4' none reqd >4' none reqd 2' - 4' 2" 2' 2'- 4' 2" 2' Note: 2' min soil cover required over entire septic system. (4 TYP) ;AF NOTE: RECORDS INDICATE THERE MAYBE AN NOTE: ABANDONED CONCRETE SEPTIC TANK SOMEWHERE ON THE PROPERTY. N 89°54'W 87.81' — — COX DROVE SPLAN0' I or_akIn (t) - existing (P) - proposed AF - Alarm Float AMC - Anch. Muni. Code BA - buoyancy anchor BR - bedroom GWT - groundwater HT - holding tank IAW - in accordance with MH# - 24"0 manhole MOA - Munic. of Anch. SFH - single family home Crewd_son f ngineedngf LLC arc taw & EWrantxyM EMnmtrq Box 671389 Chugiak AK 99567 . cellc.l@oullook.com Cell/Text:907-280-9493 . Fax:907-688-2295 A. J"O GALVANIZED STEEL CABLE WITH 'DIXON DHS -100" FLAT PROTECTIVE SLEEVE TO PROTECT TANK COATING (2 TYP). CONNECT CABLE TO PIER WITH k SHACKLE ON ONE END AND J" TURNBUCKLE ON OPPOSITE END, REMOVE ALL SLACK FROM CABLE WITH TURNBUCKLE, FINISH TIGHTENING WITH ONE ADDITIONAL FULL TURN ON THE TURNBUCKLE. B. TECHNO METAL POST "P3" HELICAL PIER (4 TYP). MIN DEVELOPED TENSILE LOAD RATING: 10,000 LBS. DETAIL BA1 Terrace Heights, Block 1, Lot 1 PLAN -NOTES -LEGEND CHANGE ORDER #1 Prepared for: Collin Holt Date: 11-17-2022 Permit: OSP221011 Page: 1 of 1 ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC NTS OF A�gsll1, . Ja s A. Crewdson ��.. C11527�`�� PROFESSION L—OAlw ALLC #112279 1 DECK SHED 0Ja40// Q U / O r O N N � N2 BR SFH N W ALARM (O �'--- � 1 cD O I O O O DECK I Z I to NOTES CO # I 1. All septic system components and construction shall be in accordance with MOA code. 2. All property lines and easements within 20 feet of the proposed sewage holding tank shall be flagged by a licensed surveyor. 3. (E) Holding Tanks: Decommission in place or remove in accordance with the code. 4. E Crib: The undocumented abandoned log crib was discovered while digging soils test TH1. The extent and exact location is unknown and may possibly reach into the proposed holding tank's footprint. The contractor shall ensure the holding tank is not bedded on any part of the old crib. 5. (P) Holding Tank: Epoxy coated steel 3,000 -gallon septic tank. 6. Buoyancy Anchors: Lot 6.1. Cables and helical piers per detail "BA1". 6.2. Locate on tank per Plan view. 7. Insulation shall be in accordance with the code and the following requirements. 7.1. 25 -psi minimum burial grade rigid foam boards 7.2. The insulation board thickness (IT) and horizontal extension (IHE) beyond each side of the insulated component below it shall be in accordance with the following schedule: HOLDING TANK PIPES Soil Cover IT IHE Soil Cover IT IHE >4' none reqd >4' none reqd 2' - 4' 2" 2' 2'- 4' 2" 2' Note: 2' min soil cover required over entire septic system. (4 TYP) ;AF NOTE: RECORDS INDICATE THERE MAYBE AN NOTE: ABANDONED CONCRETE SEPTIC TANK SOMEWHERE ON THE PROPERTY. N 89°54'W 87.81' — — COX DROVE SPLAN0' I or_akIn (t) - existing (P) - proposed AF - Alarm Float AMC - Anch. Muni. Code BA - buoyancy anchor BR - bedroom GWT - groundwater HT - holding tank IAW - in accordance with MH# - 24"0 manhole MOA - Munic. of Anch. SFH - single family home Crewd_son f ngineedngf LLC arc taw & EWrantxyM EMnmtrq Box 671389 Chugiak AK 99567 . cellc.l@oullook.com Cell/Text:907-280-9493 . Fax:907-688-2295 A. J"O GALVANIZED STEEL CABLE WITH 'DIXON DHS -100" FLAT PROTECTIVE SLEEVE TO PROTECT TANK COATING (2 TYP). CONNECT CABLE TO PIER WITH k SHACKLE ON ONE END AND J" TURNBUCKLE ON OPPOSITE END, REMOVE ALL SLACK FROM CABLE WITH TURNBUCKLE, FINISH TIGHTENING WITH ONE ADDITIONAL FULL TURN ON THE TURNBUCKLE. B. TECHNO METAL POST "P3" HELICAL PIER (4 TYP). MIN DEVELOPED TENSILE LOAD RATING: 10,000 LBS. DETAIL BA1 Terrace Heights, Block 1, Lot 1 PLAN -NOTES -LEGEND CHANGE ORDER #1 Prepared for: Collin Holt Date: 11-17-2022 Permit: OSP221011 Page: 1 of 1 ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC NTS OF A�gsll1, . Ja s A. Crewdson ��.. C11527�`�� PROFESSION L—OAlw ALLC #112279 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE Municipality of Anchorage tDeb Wocker fuss, 02/151, Development Services Department On -Site Water and Wastewater Section j 4700 Elmore St. S * : q H / P.O. Box 196650 Anchorage, AK 99519-6650 % ' ' `• www.muni.ora/onsite• • • • • • • • • . • (907) 343-7904 .James A. Crewdson j s C11527j �0NP���r Soils Log - Percolation Test OFES`1 �. Performed For: Collin Holt Date Performed: 5-7-2021 & 7-14-2021 ** Legal Description: Terrace Heights, Block 1, Lot 1 Slope TH-2 (front yard) Depth (Feet 1- 2- 3- ML 4- 5- 7- 8- GP* 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - SEE DESIGN Township, Range, Section: Site Plan WAS GROUND WATER YES ENCOUNTERED? s BOH IF YES, AT WHAT DEPTH? 5.3' o Depth to Water After Monitoring? 1.7' E Date: 10-10-21 2.8' 5-14-21 SEE DESIGN SEE DESIGN Reading Date Gross Time Net Time Depth to Water Net Drop Percolation test was not conducted. See comments below. PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS* Per Alaska Testlabs soils analysis. **5-7-2021: testhole dua to 6'. 7-14-2021: redia testhole to 10'. PERFORMED BY: Crewdson Engineering LLC I James Crewdson CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7-14-2021 sig:AA7BA2E7-0FF7-47E7-AEA1-AC8400467694 lab:875B992C-C4F8-4770-AA43-A4E60065765E Dispersant by hand No GP Poorly graded gravel with sand Oven-Dried Particle Size Distribution 821in (25.0mm) 74¾in (19.0mm) 62½in (12.5mm) 931½in (37.5mm) 1003in (75.0mm) 982in (50.0mm) % PassingSieve Size Method: ASTM D 6913 Limits 21No.20 (850µm) 14No.40 (425µm) 6No.60 (250µm) 33No.10 (2.0mm) 563/8in (9.5mm) 43No.4 (4.75mm) 4No.100 (150µm) 2No.200 (75µm) 2.5Finer 75µm Date Tested: 6/24/2021 Sample Details 21-1275-S01Sample ID SieveSpecification By ClientClient Sample ID Result Method ASTM D 6913 Other Test Results Method Description Limits Sample Obtained While Group Name Group Symbol Composite Sieving Used Dispersion Method Prior Testing Tested By: Quinton Goodman The results contained below pertain only to the items tested below. This report should not be reproduced, except in full, without the prior written approval of Alaska Testlab or the agency. Report No: MAT:21-1275-S01 Issue No: 1 J Crewdson Maria Kampsen Material Test Report 4040 B Street, Suite 102 Anchorage, AK 99503 Phone: 907-205-1987 info@alaskatestlab.com 6/24/2021Date: CC: Fax: 907-782-4409 Project: Gradation Client: Crewdson Engineering, LLC Laboratory SupervisorTitle: Oscar LageReviewed By: Alaska Testlab - Anchorage Project Code: 210220 Page 1 of 1© 2000-2021 QESTLab by SpectraQEST.com Form No: 18909, Report No: MAT:21-1275-S01 NP = Non Plastic Comments Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221011, Deb Wockenfuss, 02/15/22 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211004 Work Type: SepticTank Upgrade Tax Code Number: 01707416000 Site Legal Address: TERRACE HEIGHTS BLK 1 LT 1 G:2940 Site Mailing Address: 7801 COX DR, Anchorage Owner: BISCHOFF RICHARD S & LINDA M Design Engineer: CREWDSON ENGINEERING, LLC This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank Q Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: cnr 11 •` llepartment 1/22/2021 1/22/2022 20372 ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: p�4/Zl N MUNICIPALITY OF Development Services Department 4, On -Site Water & Wastewater Section ON-SITE SEPTIC/WELL PERMIT APPLICATION Phone: 907-343-7904 Fax: 907-343-7997 Parcel I. D. 017-074-16 Property owner(s) Richard & Linda Bischoff Day phone 907-310-5662 Mailing address PO Box 111935, Anchorage, AK 99511 Site address 7801 Cox Drive Legal description (Sub'd., Block & Lot) Terrace Heights, Block 1, Lot 1 Legal description (Township, Range & Section) Lot Size 20,372 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Q (w/wo ADU) Septic Tank ElUpgrade 0 Duplex (D) ❑ Holding Tank Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: $ ZZS Date of Payment: 1 11 it'll Z1 Receipt Number: '76015 - Permit No. 05P2.1 IDOL -J Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc NAME ~ LEGAL DESCRIPTI MUNICIPALITY OF ANCHORAGE ;NTAL PROTECTION REBECCA SAYLES 3 DIVISION ASSISTANT CASHIER relephone 264-4720 INELL INSPECTION REPORT PHONE [] NEW J UP .ADE MORTGAGE LOAN PRODUCTION / CORPORATE HEADQUARTERS POUCH 7025 / ANCHORAGE ALASKA 99510 / 1907) 265 2869 Liq, capacity in gallons I IF HOMEMADE: No. of lines Length of e~ch line Length Width Type of crib Crib diameter DISTANCE TO: Well IAbsorPtion area Dwelling Material Width NO. OF BEDROO~,] PERMIT NO, ~lnside length Material ~ ' . Noarest lot line Trencl~ ~idth OTHER Liquid depth PERMIT N [)welling Total length of lines Material beneath tile Liquid capacity i~} gal]on.,~.(/~,~(,~ -- PERMIT NO. Total effective absorption area Depth PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO, Sewer Fine Septic tank ~sor~o~ ~rea(s) APPROVED 72-013 (Rev. 3/78) Q DATE LEGAL Permit # Applicant: Location: Legal Description: Type of Soil Absorption System Is: Trench: Drain field: Maximum Number of ]Bedrooms: MUNICIPALITY OF ANCHORAGF Depar'tmen )f Health and Environmenta Protection 825 L Street, Anchorage, AK. 99501 264-4720 * * * ' "DW ........ E~MI- * * * ~a~F W E~~-~~R P E RM I T Phone Nu~er: ~/ L/ ~u~~, Lot Size: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH LENGTH .......... GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet)° * * REQUIRED S£-P-~IC(HOLDING) TANK SIZE = ~0 ~ ~ GALLONS ~ * Per,nit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number Df residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * ~+ Backfilling of any system without final inspection and approval by this department 4ill be subject to prosecution. ~4inimum distance between a well and any on-site sewage disposal system is 100 feet [~or a private well or 150 to 200 feet from a public well depending upon the type -~f }public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required ~nd must be returned to this department within 30 days of the well completion. )ther requirements may apply. Specifications and construction diagrams are ~vailable to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 * * * I certify that: (i) I am familiar w~th the requiremeuts for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. {3) I understand thD~--J~he on-site sewer system may require enlargement if Signe Issued by: ~(~_~ ~ppli~an t --J Date: SWP/024 (1/Sl) Permit Applicant: Location: MUNICIPALITY OF: ANCHORAGE Department Health and Environmental rotection 825 ~, Street, Anchorage, AK. ~501 264-4720 * * * HANDWRITTEN PERMIT * * * ~ '_ ~_.~_~1~_~__ -~,=,' AN~/-~R~ON-SITE SEWER PERMIT Phone Number: si e: Seepage Bed: __ Holding Tank:/~- Soil Rating(sq.ft/br) Legal Description: Type of Soil Absorption System Is: Trench: Drainfield: Maximum Number of Bedrooms: The Required Size of the Soil Absorption System Is: DEPTH LENGTH GRAVEl_ DEPTFI WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of grave], between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = ,]-~DOO GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent te this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 3L 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I uncIers~nd that the on-site sewer system may require enlargeme~ if th~s~nc~ is remodeled to include more that 3 bedrooms. Applicant ~ Date: d~,~-~3 SWP/024(1/81) NAME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anphora.~le, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT 'PHONE MAILING ADDRESS 5RA t3~X 17Z~ F~ LEGAL DESCRIPTION B~ LOCATION DISTANCE TO: (n Liq. capacity in gallons ~F HOMEMADE: ~,.~ [ DISTANCE TO' IWell J DISTANCE TO: ~ ~ ~ No. of lines Length of each hne ~ ~ ~ of ti ' ' 9rad~~ ~ ~ngth Width ~ ~ Type of cri~ Crib diameter ~ ~~o w~, DISTANCE TO: I Absorption area I Dwelling Material Inside length W~t~ Dwelling Material,%'¥e-~ I NO. OF BEDROOMS ~ PERMIT NO. Liquid depth PE MIT O, ~ Liquid capacity in gallons Foundation Nearest lot line PERMIT NO. Total length of lines Troncb width Distance between lines Building foundation Driller Sewer line OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS Depth PERMIT NO. Crib depth Total effective absoH]tion area Nearest lot line Distance to lot line PERMIT NO. Septic tank (ltl area(si APPROVED DATE LEGAL 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE Health and Environmenta~ Street, Anchorage, AK. Department rotection 825 , ,501 264-4720 * * * HANDWRITTEN PERMIT * * * Permit ~]q~ , /~L-L--AND/-OR~-QN-SITE SEWER PERMIT Applicant: --"I <P c..'[' ~-~' \~"~ ~. ! Mailing Address: - /~"/~ Location: Phone Number: . ~ , Legal Description: ;?~ / ~ ~! ~ ~ , ', ,. ,- r,~. Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: __ Holding Tank:/_~___ Maximum Number of Bedrooms: _V~ _ Soil Rating (sq.ft/br) / The Required Size of the Soil Absorption System DEPTH ,LENGTH GRAVEl_ DEPTH ............ WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel, between the outfa].l pipe and the bottom of the excavation(in feet). ~.. (~.~ * * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS * ~ Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * *.~'--T'W~2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a co~nunity sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 $ 2 * * * I certify that: (1) I am familiar with the requ'irements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer systemmay require enlargement if th~es~gBce is remodeled to include more that 3 bedrooms Applicant Date: / (~ DEPARTMENT OF FIEAI.TH & ENVIRONMENTAl. PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 t. Street - Anchorage, Alaska 99,501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL. SYSTEM AND/OR WELL INSPECTION REPGRT ~AILINGADDRESS E~IPTION DISTANC~ TO: Well Manufacturer y in gallons DISTANCE TO: jWell Absorption Dwelling Material Inside length th Well DISTANCE TO: No. of lines Length of each llne Top of ti)e to finish grade Length Width Foundation Total length of lines Material beneath tile Depth Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: Class Depth DISTANCE TO: Building foundation Sewer line OTHER SOIL TEST RATING ..... INSTALLER ~* / NO. OF ~ROOMS area PERMIT NO, Mater ~.~ · Neal/est lot I~n~"------- I_iquid depth PERMIT liquid c apac ~:~(~a(~ PERMIT NO. Distance between lines Total effective absorption area PERMIT NO. Total effective absorption areil Nearest lot line SeBtic tank sorption area{si 72-013 {Rev. 3/78) LEGAL [:,EF*F'I[:;:I'HEN'T [ 'tEF I...] I"1 FIND EN'v'I F.:ONHENTFIL r ..... rEr:T m.-,,~ '"" .:':' : ' -' ' ' S 9L ,:,,=:,., '"[ ..... : I [..EET. I INL. I IORRE~E,, .- -~ ~ -~,.-¢ ~/I~ HFI::.:: I MLIM NUMI3ER OF: E E[ RUUI L = 3: ,:,UIL F, IaTINu ,:::SC..! FT, ER..- ;~'*¢'g TFIE I:~:IEi2LI]:F;:ED :,I,~E OF THIE :,uIL RE_CFF~ICN _,',~.,TE.i'I I_. THE LENOTH DIMENSION IS THE: I,.EI'.,IGTI.,I ,.'.'IN FEET) OF TIlE TRENCH OR DRRINF:[ELD. THE [:,EPTH OF Fi TRENCH OF..' PIT ZS THE DISTRNC:E DET.t4EEN THE SURFRCE OF THE GROUI",ID RND THE BOTTOM OF THE ENC:RVFITION (IN FEET). THE GRRVEL DEPTH IS THE MINIMUM DEPTI4 OF:' GF:!RVEL BETHEEN T;IE OUTFFILL F. IND TIlE BOTTOM OF THE ENCRVRTION ,::IN FEET). PEi:;:ff"l I T IIPPL I L.,F]i'.,I r I-IFIS TFIIE RE= F uN_ I E, I L I T ~ TO I NF'ORM ] H I _ I. EF I- F...111EN r DIJF:I I i'.,IG TIqE 11L I I ILL.,I .I I I Uiq I N_ F E,_. r I ,. 14,.. cfi: FIN"r' HELJ .... '- D JR ,..EN'[ TO 'f'H I 5 I' ROF EF, 1 'r FIt",ID THE I',IUi'IEER CF F..E_ZDEI',I..E_ THIqT THE HELL HILL =,ER,E.. MIf',IiMUIfl DI2:,]"FINCE BETHEEN R HEL. L RND Ri",IY ON-SITE SEI,.IFIGE I.'.'ISPOSFIL SYSTEM IL:.:, :1, OO F:'EET f='CIF.' Fi PRI',,,'I'-ITE 14ELL OF:! '.tL50 TO 200 FEET FF.'OM R F'UP':L~C HELL DEPENDING UPON TI'IE T"r'PE OF PUBLIC HELL. MIi",IIMUM D]:::!!;TRNCE F'ROM t":t PF..'IVRTE HELL TO R F'RIVflTE 5EI.,I[:::R LINE IS 2,.'5 FEET RND TO F'I COMMUNITh' SEI.4ER LINE IS 75 FEET, OTHER F:'.EO. UIF:!EHENTS I'tR"r' f:tPPL'¢. Si:'"ECIFICFITIONS RND CONSTRL.ICTIOi'~ DIRGRRH:S RRE FI'v'RIL, FIDI_f): TO IN:F:,URE PROPER INSTRLLRTION. I CERTIFh" THRT :L: I FIM FqaMILIRR I.,IITI"I THE REg!UIREMENrS FOR ON-.SITE SEHEF.:S RND I.,IELL. S RS :SET F:OF:'.TH B'¢ THE HUNIC:IPRLIT"d OF' ':2: I I, III..L INSTFILI_ THE 9'¢STEH IN RCCOF:~DRNCE !4ITI~I THE CODES, :~: I UNI:)ER'J~TFtN[:, THRT TF'IIZ ON-SITE SEI4EF:'. S"r'STEM I'IFI'¢ REQUIt;?.E ENLF:IR(~iEHENT II:: "I"I-'IE RES, IDENC:£~ :[~ REMODELED TO INCLUDE I'qORE '¥HRN .:,1. L: NE[: ................................................................ ...H-L.I..Hi'Ir ',/FIL.E:,R [:, F:: R k..' E:.' ',/4. iD [:,EF'RRTMENT OF HERLTH RN[:, ENV IRI3Nr'IENTRL PROTECT I0N 825 "L ,- -r, '--,I?URRE FEET LL]T _-,I,-E~'~-4 I ~q - · _, ~ =,TEM ABSORPTION c, ,,'- IS: f'IFI.~<IMUM H_i'flE, ER OF EEDRCCt'IS =-~ SOIL RFITING ,::S~..]. [-T,.'BR..- THE REQIJlREC'_,~IZE OF THE SOIL .FIBSORPTION _,'r.:,TEi'4 I_. ~ ~ E:, E F'-F H= L E:I"-41:3 T H = ~3 i-: R',,,' E L E:'E F="TH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE F)EPTH OF FI TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TR. ENCHES. THE GRR',/EL DEPTH IS I'HE MINIMUM DEPTH 0F GRRVEL BETNEEN THE OLITFRLL PIPE ~ND THE BOTTOM OF THE EXCR'¢RTION (IN FEET). PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTFILLFITION INSPECTIONS OF FIN¥ ~.,If-'LLS RC, JRCENT TO THIS PROF'ERTY RND THE NUMBER OF' RESIDENCES THRT THE P~ELt_ !.4ILL SERVE. T I-,-I El ( 2 ) I I'-,ISPECT I ]31'45 RRE F.: E' L----!LI I F-:'E [) , ~ c, ~,'~ , . E, RCKFILLINJ 0F RN'¢ ._,'r_TE~"I 14ITHOUT FINRL INSPECTION RND RPP~'r'VRL E:"r' THIS DEPFIRTMENT WILL BE SUBJECT TO PROSECLITION. MINIMUM DISTRNCE BETWEEN FI WELL RND RNY ON-SITE SE!.4RG. E C, ISPOSFIL SYSTEM IS 100 FEET FOR FI F'F.'.IVt~TE 14ELL OR 150 TO 200 FEET FROM FI PUE:LIC NELL [:,EF'ENDING UPON THE TYPE OF PUBLIC ~.4ELL MINIMUM DISTFIf',fCE FROM FI PRIVRTE 14ELL TO FI PRIVRTE SEI4ER LINE IS 25 FEET TO FI CI"~MMUNIT'~" SEWER LINE IS 75 FEET. ~4ELL LOGS FIRE RE64UIRED FIHD MUST BE RETURNED TO THE DEPFIRTMENT t,4ITHIN 3:0 DFIYS OF THE ~.4ELL COMPLETION. OTHER REQUIREMENTS i'qFIY ~:tPF'LY. SPECIFICFITIONS FIND CONSTRUCTION DIRGRFIMS RRE FIVRILFIRLE Ti] INSURE PREIPER INSTFILLRTION. PERI"1 I T E)<P I F-:E'__-] DEE:-EPlE:ER __~-:--~ :.1..... :l.L='- :=,~O I CERTIF'¢ THFIT l: I FIM FRMILIFIR NITH THE REQUIREMENTS FOR IDN-SITE SENERS FIND ~4ELLS FIS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I ~4ILL INSTRLL' THE SYSTEM IN RCCORDRNCE 14ITH THE CODES. 3: I UNDERSTRND TH8T THE ON-SITE SE~4ER SYSTEM MRY R. EE~UIRE ENLBRGEMENT IF THE RESIDENCE IS REMODELED TO INCLLIDE MORE THRN ~ BEDROOMS. - p ~ ~ ~ ._~ . ... ~PPL I CRNT ISSUED BY_ .......... DRTE V4. 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 1~6§0, Anchorage, Al~ske 99502 276.2221 SOILS LOG - PERCOLATION TEST [2~ SOILS LOG [] PERCOLATION TEST PERFORMED FOR:. DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11- 12- 13 14 15- 16 17 18- 19- 20- SLOPE SITE PLAN ,~×) ,~ ,~ dO ,'?)~' :/~>~,' WAS GROUND WATER :~-'~ (~/'~ ~ ENCOUNTERED? DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop COMMENTS TEST RUN BETWEEN FT AND FT PERFORMED BY: DATE:_ 72-008 (7/76) OWNER: J~im Jackso_n ' PERCOLATION DATA LEGAL DESCRIPTION: Lot 1~ Block 1LTerrace Heiq~ts Subdivision, Upger.._ DeArmoun Road Re'ading No. Gross Time Net Time Initial Level -- DATE: June 4, 1980 TIME OF INITIAL READING: ~:30 p.n], Depth To Water #1 ~2 #3 Net Drop #l ~2 #3 l0 Min. l0 Min. l0 Min. l0 Min. 10 Min. 42½ 51¼ - 3/4. 20 Mi n. 30 Mi n, 40 Mi n. 42½ 51 42½ 51 -1 4 42½ 50½ 44½ 5 6 ? 10 Min. 50 Min. 42½ 5O¼ -1 l0 Min. 60 Mi n. 42¼ 50 10 Min. 70 Min. 42¼ -% Percolation Rate (Minutes/Inch) Total Depth Of Holes From Surface #1 - 91" HOWARD GREY & ASSOCIATES INC. #2 - 94" ' #3 - 70" June 5, 1980 Subject: Jim Jackson, Percolation Test Two test pits were excavated on the subject property. The first of these, labeled #1 on the site plan, was abandoned due to water entering the pit from near surface drainage, some two feet below existing grade, and wet soils conditions. #2 test pit was excavated to the west, several feet. The #2 pit was then filled in and an adjacent trench, some four feet in depth was excavated for purposes of conducting percolation tests. The following day percolation tests were run in three test holes excavated in the bottom of the trench. The attached results show that no percolation was achieved. Based on visual examination and test information, we suspect that the problem is a combination of both tight moist to wet soils and near surface drainage. Accordingly, the placement of a new system will not resolve the problem. If it is decided to attempt to construct a workable system, we would first recommend that the near surface drainage be channeled away from the leach field area. One method to accomplish this would be by the construction of intercepter ditches,upslope and on either side of the proposed system. These could either be open ditches or covered, gravel filled trenches, with or without perforated pipe or drain tile. The 'trenches should be at least six inches to one foot low the base of the seepage, with adequate slope to drain toward Cox Drive. Drainage along Cox Drive should also be improved, either toward the existing CMP or to the west, providing that a culvert is placed beneath the existing driveway. Following improvement of the near surface drainage, we would then recommend pumping and frequent monitoring of the existing system for 'improved performance, prior to installation of a new drain field. As an alternative, a new drain field could be constructed immediately, keeping in mind that performance cannot be guaranteed. U, H C0P�, L0 u tel! ®F H C H 0FRAG E Development Services Dep -., ��n Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-074-16-000 Legal description TERRACE HEIGHTS BLK 1 LT 1 Site address 7801 COX DR Anchorage AK 99516 Current property owner(s) HOLT COLIN T Expiration Date: 9/8/2023 X The On-site system(s) is/are approved for 2 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 6/8/2023 ,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 Approvaijune 2022 r, 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. 017-074-16 Complete legal description Terrace Heights, Block 1, Lot 1 L t' ;t 4,47801 Cox Drive oca ion (si e a ress) Current property owner(s) Colin Holt 2. ON-SITE SYSTEMS SIZED FOR 2 BEDROOMS Day phone 603-290-7033 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units 0 Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 0.3 yrs _ See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ 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 $ Waiver Fee $ Date of Payment Date of Payment COSA # Waiver # COSA Application—June 2022 COSA Checklist Legal Description: Terrace Heights, Block 1, Lot 1 Parcel ID: 017-074-16 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 1970* Total depth >141* ft Cased to > 141 * ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/24/2023 Static water level at beginning of test 116 ft Comments * per Onsite records B. TANK DATA Measured operating fluid level in septic tank * Date of pumping ❑ Required maintenance completed, if AWWTS Comments: *New Holding Tank 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 Comments/Deficiencies:** Holding tank, no drainfield. COSA Checklist June 2022 Well production at time of test 5.7 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ No [91 Coliform bacteria is Negative Nitrate 2.01 mg/L E]Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by Crewdson Engineering Date 5/24/2023 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results ❑ Pass Fluid depth prior to test _ Water added gal New fluid depth in Elapsed time min Final fluid depth in in Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in 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 Crewdson Engineering James Crewdson 5/30/2023 NA* NA* NA* * property uses a holding tank 907-280-9493 ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ohc�ci�w� MUNICIPALITY OF AmCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 Parcel I.D. 017-074-16 Certificate of On -Site Systems Approval Expiration Date: 7— Z F ^ Zf 1. GENERAL INFORMATION Complete legal description Terrace Heights, Block 1, Lot 1 Location (site address) 7801 Cox Drive Current property owner(s) Richard & Linda Bischoff Day phone 907-310-5662 Mailing address PO Box 111935, Anchorage, AK 99511 Real estate agent FSBO 2. TYPE OF DWELLING: E] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 2 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El 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 $_a 13 0 -f- -Y,ZI0 Date of Payment //Y/ZI Receipt Number 2.6137 COSA# 05621 I DJ 5 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On-Site staff may visit the site to verify the information submitted. Name of Firm Crewdson Engineering, LLC Phone 907-280-9493 Address PO Box 671389, Chugiak, AK 99567 Engineer's Printed Name James Crewdson Date 1-13-2021 — % .:k OF A4.4 low � 6. DSD SIGNATURE �: .44 System #1 Approved for bedrooms /� Ames C11 re7wdson. ;io System #2 Approved for bedrooms 1~1.5: j 1-iliaA'.r Disapproved �1�\ROFESS1�NPy... Conditional approval for bedrooms, with the following stipulations: J2 ON-SITE WATER_ Original Certificate Date: 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 Legal Description: Terrace Heights, Block 1, Lot 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1970 Total depth > 141 * ft Cased to > 141 * ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 1-12-2021 Static water level at beginning of test 115 ft Comments * per Onsite records B. TANK DATA two holding tanks Age of tank(s) 37/38 years Tank type/material Steel* Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping Parcel ID: 017-074-16 Structure served by this system Well production at time of test 5.6 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ® Yes ❑ No ® Coliform bacteria is Negative Nitrate 2.6 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by Crewdson Engineering Date of Sample 1-12-2021 Resample: 3-12-2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: * To be replaced summer 2021, see permit OSP211004. D. ABSORPTION FIELD DATA NA -property uses two holding tanks 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 ❑ 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 Adequacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' NA* []Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft AbseFptien-Field-ela-L-et > 100' — F-1Yesif No ft Holding Tank > 100' El Yes — if No 96** ft NA* , ® Yes if No ft Water Service Line > 10' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Abser-ptieR Fiiead > 5' NA* ❑ Yes if No ft Private Wells > 100' ®*Yes if No ft Water Main > 1'0' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From* Absorption Field on Lot to: (Please enter distances if less than required) NA Building Foundation > 10' ❑ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No Water Service Line > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No Surface Water > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS *property uses two holding tanks **per recent engineer's measurements. It's shown incorrectly on 1989 Site plan. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet ft ft AsI G 1 4 Ad PLOT PLAN AS BUILT _X_ SCALE_ 1�� _ GRID __SW_2940Project No. Associates, �� 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Long & A S S o C i a f e S, inc. (907) 522-6476 Phone (907) 522-4625 Fax F Professional Land Surveyors ken®langsurvey.com jonathan0longsurvey.com �dPs44� I hereby certify that I have surveyed the following described property: TH LOT 1, BLOCK 1, TERRACE HEIGHTS (PLAT No. 66-82) o * ' 49T 4 Anchorage Recording District, p""""" """"'"`� g g Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed �' K . `.. . .. LAN. . premises and that there are no roadways, transmission lines or other visible o, o Q easements on said property except as indicated hereon.�(`'��© the --i L 0 — Day of — r sis t Z. i .LS -5202. Dated this ' gJpO at Anchorage, Alaska ROFfSSIONA -1-" It is the responsibility of the owner to determine the existence of any easements, DOppgpQ`� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 Lot 8 I Lot 19 &. 20 .J S 89'54'E 87.81' ---- 1'0' UTILITY / EASEMENTS "�....,> Lot 1 \ / 20,372 S.F. 11.2' 14.2. / Y O N Ld Q N D 'Do' PROTECTIVERADIUS WELL 8.0'x8.2' DECK f 29.6' 26.4' O N N pW M inN , N N Lot 7 lJJ ..:. N .4 � Lot f 2 \ WOODEN FENCE co .31•.4' 2s.a' to \Z : • - DECK N ff � _ 26.4' / j•_ o.: ,• BALx14,1' BALCONY / J r NOTE: DUE TO SNOW & ICE COVER, THE SEPTIC PIPES ASPHALT DRIVEWAY IS APPROXIMATE. ------ N 89'54'W 87.81' — -- o 0 to EDGE OF ROAD AsI G 1 4 Ad PLOT PLAN AS BUILT _X_ SCALE_ 1�� _ GRID __SW_2940Project No. Associates, �� 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Long & A S S o C i a f e S, inc. (907) 522-6476 Phone (907) 522-4625 Fax F Professional Land Surveyors ken®langsurvey.com jonathan0longsurvey.com �dPs44� I hereby certify that I have surveyed the following described property: TH LOT 1, BLOCK 1, TERRACE HEIGHTS (PLAT No. 66-82) o * ' 49T 4 Anchorage Recording District, p""""" """"'"`� g g Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed �' K . `.. . .. LAN. . premises and that there are no roadways, transmission lines or other visible o, o Q easements on said property except as indicated hereon.�(`'��© the --i L 0 — Day of — r sis t Z. i .LS -5202. Dated this ' gJpO at Anchorage, Alaska ROFfSSIONA -1-" It is the responsibility of the owner to determine the existence of any easements, DOppgpQ`� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 Civil & Environmental Engineering January 21, 2021 Onsite Reviewer Municipality of Anchorage On-site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Reference: Terrace Heights, Block 1, Lot 1 COSA Conditional Approval Request James "Jay" Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280-9493 Fax: (907) 688-2295 We are requesting a conditional COSA approval be issued for the subject property, which will allow completion of the home sale prior to completing the required repair/upgrade to the septic system. Septic System: The two existing steel holding tanks were installed in the early 1980's and need to be upgraded. The following items satisfy the conditional approval requirements. 1. Holding tank upgrade permit OSP211004. 2. At least two contractor's bids to complete the upgrade construction in accordance with the approved permit have been obtained. 3. A letter stating there's an amount of money equal to 1.5 times the highest contractor's bid in an escrow account that is for the specific purpose of completing the upgrade construction in accordance with the approved permit. Please feel free to contact me if you have any questions. James "Jay" Crewdson, P.E. ,.;—�� of A,(� s TH James A. Crewdson cc • ,C115 7 ••y'®® �C 11130J., I�� I V�\" 0OFESS•�' -ft, PO Box 671389 ® 18368 Amonson Road e Chugiak, Alaska 99567 DocuSign Envelope ID: 069EA9F2-09B7-4584-93E1-30DFA85D898E e a� ""`•,F, First American 11tieInsurance Company • " '','A 3035 C Street Andiorage, AK 99503 �n (907)786-9523 Fax: (907)561-1948 To: First American Title insurance Company ("Settlement Agent") File No.: 0201-3682693 (cmj) Christina Jones, Escrow Officer Date: March 24, 2021 Re: 7801 Cox Drive, Anchorage, Aft 99516 ("Property") "Buyer": Colin T. dolt "Seller": Richard S. Bischoff and Linda M. Bischoff (Individually, a "Party" and collectively the "Parties") AGREEMENT AND INSTRUCTIONS TO HOLD FUNDS IN ESCROW - MUTUAL RELEASE - WEATHER DELAY This Agreement and Instruction is to be used when the Parties agree to hold funds for Improvements, repairs or other agreed upon Items due to weather considerations. It constitutes authorized Instructions to the Settlement Agent and may not contain terms for the Parties. The Parties agree and instruct Settlement: Agent to hold funds in the amount of $ 21,000.00 (the "Escrowed Funds") pursuant to this agreement and the instructions contained herein. Purpose of Withheld Funds: Funds are being held for repair septic system. Funds withheld from: Buyer Harty responsible for ordering work: [ X ] Buyer [ ] Seller Estimated Completion date: June 1, 2021 Mutual instructions: Escrowed Funds are to be released pursuant to and upon receipt by the Settlement Agent of mutual written Instructions from the Parties concerning disposition of the j��jc�rowFunds. t{ —i'lI'laed 6YPVDVA . Modification in Writing: Any modification of the Agreement and Instructions shall be given mutually by the Parties in writing. A modification regarding any matter other than the disbursement of Escrowed Funds will be of no force or effect unless agreed to and accepted by the Settlement Agent. interpleader Action: Any time after the date that is three (3) months after Settlement Agent's receipt of the Escrowed Funds or the Estimated Completion Date listed above, whichever Is later, in the event no mutual instructions to release the Escrowed Funds is received by the Settlement Agent, Settlement Agent may, AT ITS SOLE DISCRETION, file an action in interpleader, or any other appropriate and necessary action, and deposit the Escrowed Funds held with the clerk of the court. The Parties agree that all costs, fees and expenses including attorney's fees incurred by the Settlement Agent by filing an action may be deducted from the Escrowed Funds held prior to or upon depositing any of the remaining Escrowed Funds with the clerk of the court. Upon filing of an action in interpleader, or other appropriate and necessary action, the Settlement Agent will be deemed fully released and discharged from any obligations, duties or requirements imposed by these instructions. State Escheatment Requirements: Settlement Agent will forward any remaining balance of the Escrowed Funds held to the applicable state agency or department requiring the disposition or handling of unclaimed property pursuant to the applicable state's unclaimed property act or administrative rules. Once any remaining balance of Escrowed Funds held has been escheated to the State, it may be necessary for the Parties to file a claim with the State in order to receive any of the Escrowed Funds deposited with the applicable state agency or unclaimed property department. Page 1 of 2 DocuSign Envelope ID: D69EA9F2-09B7-4584-93E1-30DFA85D898E File No.. 0201-3682683 (cmj) Indemnity, Hold Harmless and Limit of Liability: The Parties agree to indemnify and hold Settlement Agent harmless from any loss or damage arising from or pertaining to the Parties` conduct, requirements, action or inaction regarding the matters addressed herein or for any other loss or damage that is not caused by Settlement Agent, The Parties acknowledge and agree that Settlement Agent's sole responsibility arises under the instructions given to Settlement Agent. The Parties further expressly waive any special, incidental, punitive or consequential damages arising out of or In connection with these instructions to Settlement Agent and that Settlement Agent's liability is limited to and cannot exceed the amount of Escrowed Funds held. Close of Escrow: Except for the Parties',obligations under the preceding paragraph (which shalt survive), the escrow and this Agreement shall autornatically.terminate upon Settlement Agent's disbursement of the Escrowed Funds pursuant to the terms of this Agreement. If Settlement Agent has not received written mutual Instructions from the Parties concerning disposition of the Escrowed Funds, or written notice of a dispute from one of the Parties, by the date that is three (3) months, after receipt of the Escrowed Funds or the Estimated Completion Date listed above, whichever is later, Settlement Agent has the right, but not the obligation, at any time thereafter to dose this escrow by issuing one check In the amount of remaining Escrowed Funds to the Party that delivered the Escrowed Funds to Settlement Agent without additional notice to or Instructions from the Parties. Settlement Agent may mail the check to the payee. EaFCd noeusiQna ey: FRRPA7l+.1AAF - - Colin T. Holt j�`1�IIIN�a(�nVPSS Page 2 of 2 6610 De Armoun Road 99516 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATP OF INSPECTION FOR HEAl_TH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner ~'~m¢.Z ~--~¢/'~'c,n Telephone : (home) Business (c) Lending Institution _ /¥, /~, Telephone Mailing Address (d) Real Estate Address Telephone (e) Mail the HAA to the following address: (or check here I~, if hold for pick up.) List contact person and day phone number below: 2, TYPE OF RESIDENCE Single-Family [] Number of bedrooms 3, WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4, SEWAGE DISPOSAL On-site [] Public [] Community [3 Holding Tank [] Note: If community weir system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/85} Page 1 of 2 5 ~o ~ e6Bd IBAoJddv leUO!l!puOO 1o SLUJe.L pe^oJddBs!O X pe/~oJddv 4q swooJpeq' + Joj pe^oJddv 1VAOl::ldd¥ SHHQ '9 IBeS B,Jeeu!Bu3 , ~ / SSoJppv ~ 'uo3oedsu! s!q~ jo alBp oql uo loojje u! suoRBInbeJ pub 'seouBu!p~o 'sepoo elB1S pub IBd!o!unw lib q3!M eeuB!lddUoo u! m wo~sXs IBsOds!p ~elBMmSeM Jo/puB Xlddns JelBM e3!s-uo eq~ 'uo.~oedsu! pub UO!3BB,lSe^U! ~Lu woJJ pub seliJ ~8BJoqou¥ jo ~ilBd!o!unW eq~ Luo~j pau!B~qo uo,3eLu~oju~ eqi uo peseq 1Bql XHJe^ JeqHn~ 'u!eJaq pe3Bo!pu] e~n~on~s jo ed~l pub swooJpeq ~o JeqLunu eq~ Joj e~BnbopB puc IBUO!lounj 'ejBs s! Lue~sXs IBsOd$!P ~e~B~e~seM Jo/puB Xlddns ~e~em m!s-uo eq~ ~eq3 s~oqs le^oJddv ~Hoqlnv q~lBeH S.LJ~ JO UO.~Bfi.iSOAUI/~UJ ;~BH~. ~J!JOA I 'MOIOq UMOHO o1Bp UoRePIIB^ CHi jo sB pub o~eJeq pOX!J~B IBOS/~w ~q po!tllJeo ov NOI.LVINI~O4NI aN~f ¥.LYa 'FtOB~S 3"11J 'SJ.S~J. 'SNOIJ. O~dSNI 9NlalAO14d ~I1~14 9NIIJt~NION~ 'g OF ANCHORAGE (MOA) Health. Atlthority Approval (NAA) ! '(~EIEE~I~E~IS,'I' - FEBRUARY 1984 343-4744 Legal Description: ~o~- _ Date Completed ~ I)7O Yield Cased to '~> f~l! Depth of Grouting I~,/).. Pump Set At __ ~, Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) A. WELL DATA Well Classification Well Log Present (Y/N) Total Depth~ { 'fl Static Water Level I Casing Height Above Ground. Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To ~/Holding Tank on Lot If A, B, C, D.E.C. Approved (Y/N) /ti,/..(. N ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot I'~, To Nearest Public Sewer L. ine /~, 4, To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot _ ~'~5" ~ Water Sample Collected by _ '7- F/~f ; Date Water Sample Test Results ; On Adjoining Lots B. ~I~/HOLDING TANK DATA Date Installed I?~ I¢¢.,~ Size ~ooo +ZOOONo' of Compartments Standpipes (Y/N) )" _Air-tight Caps (Y/N) Depression over Tank (Y/N) ~/ Pumping/Maintenance Contact on File (Y/N) (~fl [~' Holding Tank High-Water Alarm (Y/N) Y.- Y' F:oundation Cleanout (Y/N) lu.~,de acc*z,cr Date Last Pumped _ 'iz~'~/TM emf,/,,y ¢?/c¢9 ; for Temporary Holding Tank Permit (Y/N) N,~., SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ?f ~ ..,C¢~ c.o, To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course '~. too Comments To Building Foundation To Disposal Field 72 026 (Rev. 7/88} Front Page 1 of 2 C. ABSORPTION FIELD DATA N, Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion 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 Type of System Design Length of Field Depth of Field Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutback (if present) D. LIFT STATION h/, ,4. Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this ~W; ~ ~ Engineers Seal Date of Payment ~ ~- /~ Waiver Fee: $ Amount: $ /~¢.-O~) Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Tom Fink, Mayor Nlunicipality Anchorage Department of Health and Human Services 825 "L" Street P.~. Box 196650 .Anchorage, Alaska 99519-6650 343-4744 September 20', 1989 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 1 Waiver Request %WR890050, HA890361 '' Block 1 Terrace Heights PID ~017-072-17 Dear Mr. Moore: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is: Lot 1 Block l's well to septic tank on Lot 7 Block 1 Kimberly Manor - 83 feet; well to absorption field on Lot 1 Block 1 Terrace Heights - 95 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Civil Engineer On-site Services DJR/ljw%6 7TOP TECHNI( CWIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSkS TItEODORE F. MOORE, P.E. PH: (907) 345-1355 September 12, 1989 M.0.A. Dep't, of Health and Human Services P,0. Box 19-6650 Anchorage, AK 99519 14530 ECHO ST. ANCHORAGE, ALASKA 99516 RE: Separation distance waiver(s) w.r.t, well on LI, BI, Terrace Hts. S/D Dear Sirs: By means of this letter we are requesting a waiver down to 83 feet from the required 100 foot separation distance between the well on Lot 1, Block 1, Terrace Heights S/D and the septic tank on Lot 7, Block 1, Kimberley Manor S/D. We are also requesting a waiver of the well-soil absorption trench distance down to 95 feet. A site plan and copies of relevant documents from your files are enclosed. No driller's log exists for the well serving the subject lot, but it was probably drilled in 1970 since the tax assessor's office reports the residence was constructed in that year. I did find the enclosed well log for Lot 7, Block 1, Kimberley Manor S/D which is located approximately 90 feet west of the subject well, and thus should represent similar geologic conditions. On August 7 the static water level in the subject well was 118 feet below the top of the casing. I tested the well yield by pumping 572 gallons of water from the well at the maximum pump output of 5.7 gpm. This caused the water level in the well casing to be drawn down to 141 feet, but no further, indicating that the well yield is at least 5.7 gpm. I suspect that the total depth of the well is only a little more than 141 feet, because extended pumping at this level of drawdown caused the water to become temporarily turbid. For this reason I believe that the aquifer being tapped by this well is the one identified on the L7, BI, Kimberley Manor S/D well log as being between 142 and 144 feet below ground level, and I doubt that this well extends down to the second aquifer at 302 feet being utilized by the Kimberley Manor well. The L7, BI, Kimberley Manor well log indicates primarily clayey soils between 3 and 48 feet, below which a three foot thick water bearing gravel seam was encountered. Then another clay and gravel stratum was encountered between 51 and 135 feet in depth, before the aquifer in question was encountered. Based on this log, it appears that the aquifer is well protected from contamination by the presence of the overlying clay strata. Water samples taken on August 3 support this hypothesis, showing 0 coliform bacteria and a non-detectabl(: level of nitrates. The earliest record of the wastewater disposal system for L 1, B l, Terrace Heights is an adequacy test report by R&M Consultants in 1980 stating that the system was failing due to shallow groundwater. Accordingly, a holding tank was installed in 1980, and this was subsequently upgraded in 1982 and 1983 to it's present configuration of two 2000 gallon tanks. The cleanout pipe for the closest holding tank is approximately 99 feet from the well, which exceeds the required 75 foot separation distance. At our request, Carl's Excavating is in the process of installing a high level alarm to bring the holding tank system into compliance with today's code requirement, so that it can receive Health Authority Approval. In 1978 a wastewater disposal system was installed on Lot 7, Block 1, Kimberley Manor S/D, consisting of a 1250 gallon septic tank followed by 43 lineal feet of soil absorption trench containing 8 feet of gravel. The soils test prepared prior to construction of this system showed no groundwater and a percolation rate of 125 square feet per bedroom in the designated absorption stratum. On August 7 I measured the distance from the cleanout pipe on this septic tank to the subject well to be 86 feet. The requested waiver distance of 83 feet is to allow for underground projection of the tank. The nearest cleanout pipe in the soil absorption trench is 112 feet from the subject well, but by extrapolation from the other cleanout and 'the as-built record, I believe it is possible that the closest portion of the trench may be within 95 feet of the well. The surface topography in this area slopes to the south at approximately 5% meaning that, should the septic system fail, any surfacing effluent would tend to flow directly away from the subject well. One can hypothesize that the underlying soil strata also parallel the surface topography, resulting in all subsurface effluent will also tend to be carried away from the well. Since this septic system is on a separately owned piece of private property, there is no way for me to assess it's present adequacy. It is my professional opinion, however, that surface topography coupled with the relatiYely impermeable subsurface strata overlying the aquifer, ensure that the septic system in question cannot contaminate the subject well. I have also enclosed my ,~nalysis of how the points might be alloted using the DEC SCRO waiver analysis guidelines. Please give me a call if you have any questions. Sincerely, Ted Moore, P.E. I~mr 7, r3 L l'r ~. , FI,qN oR LoT 2 7'AN~£ Flattop Technical Services 14530 l~;cho Street Anchorage, Alaska 9°'ue g I ?E PLAN~ DI, uN, ~Y', TFP'I 5ID WA I U~l~ Flattop Technical Services 14530 Echo Street Anchorcrge, Alaska 995]~ /..-of- 1, (3:oe~' d, 7-ee-,'-oce 6/-e~h,O _C :.o MUNICIPALITY OF ANCHORAGE DEPT. OF I JALTH & February 20, 1980 R&M NC~N¢:~Dtx~] .... IsclloN Dynamic Realty 801 W. Northern Lights Anchorage, AK 99503 Attention: Ms. Drake FEB 2 ' 1980 RECEIVED Re: Adequacy Test on Existing Sanitary Sewer System; Lot 1~ Block 1, Terrace Heights Subdivision, Anchorage~ Alaska Dear Ms. Drake: Per your request of 1-28-80, we attempted to conduct a test of the sanitary sewer system on the above described property which was vacated. ,/~ One 2-6-80 the septic tank was pumped prior to the performance of the test , on the seepage pit and leach lines. On 2-15-80 a technician from our office went to the subject site to complete tile adequacy test on the system. It was noted that the septic tank and leach lines were full of water indicating that the septic system was possibly below the seasonal water table. In order to confirm this, the septic tank was repumped on 2-15-80 and monitored over a four day period. On 2-19-80, the water had risen in the tank 24 inches. See page 2, Table I Summary of Water Level Measurements. As 'the system is buried below the water table, an adequacy test cannot be completed. The Municipality of Anchorage Specifications require that the seasonal groundwater has to be a minimum of 4 feet below the system. This test indicates that the system does not meet the Municipality of Anchorage Specifications. We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or' if we can be of additional service to you. Very truly yours, R&M CONSULTANTS¢ INC. [_ab'q~rator y Manager JC/dj/L4-BB February 20, 1980 Dynamic Realty Page -2- TABLE I Summary of Water Level Measurements DATE TIME SEPTIC TANK SEEPAGE PIT LEACHFIELD CLEANOUT 2-15-80 2-15-80 2-15-80 2-19-80 Initial 60" 24" 77" After Pumping 114" 43" 96" @ 12:00 p.m. 3:00 p,m, 112" 42" 96" 1:30 p.m, 90,5" 42" 95" : ' ' ' MUNICIPALITY OF ANCFIORAGE ~, ~,~ ~' pA/l'V ~' ANCHOI~AGE '' ' ~ DEPARTMENT or: HEALTH & ENVIRONMENTAL PROTECTION'x'~ ...... '(~I:-I--ALTlt ~ 82, LStr,.t-A,cho a e. Aa~ka 99,01 ,NV,,~NMEN',~'. E~.C I'~C~On I.~ROPERTY OWNER ~IONE ~LING ADDRESS -- P~OPERTY RE~HUENT (If different from abov~ PHONE ~BUYER .... ~ ........... ~ PHONE REALTOR/AGENT .., ¢ / / ~ /., I~HONE TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY ~', SEWAGE DISPOSAL SYSTEIVi %~;~ NDIVIDUAL/ON_SITE~ [] PUBLIC UTILITY ~IUMBER OF BFDROOMS ' []] One [] Four I~' Two [] Five [] Three ~ Six Other.. _ ATTACH WELL LOG. A well log is required for a~ wells drilled since June 1975. For wells drilled prior to that date, give well I depth (attach log if available,} c~..2~ / ''If individua /on-site, give installation date . , If system is over two [2) years old an adequacy test is required hy this Depar[merm NOTE THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INI,TIATED. /- 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED '. · - INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR 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 DATE DRILLED [] PUBLIC UTi LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTI LITY Connection Verified INSTALLER []Septic Tank or [~ Holding Tank Size: .If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/HoJding Tank Absorption Area 8ewer Line Nearest Lot Line Absorption Area to nearest Lot Line S. COMMENTS [~"~'-APPROV ED FOR ~ BEDROOMS ~ CONDITIONAL APPROVAL (letter mus)~accompany certificate) LEGAL