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HomeMy WebLinkAboutWOODRIDGE BLK 2 LT 5Onsite File #020-093-13 Municipality of Anchorage Page ! of ~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SFRVICES DIVISION P.O. [3ox 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: .S~/q ~'0 ~.~ ~ PID Number: 0 ~ '- Oq~- I~ Name: ~{~j ~A~/~A~ ~[~1 WastewaterSystem: ~New QUpgrade Address:;~ ~O ~O~t ~{ ¢~ ABSORPTION FIELD Phone:,IN°' ol B~ooms: ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other Total Depth from original grade: LEGAL DESCRIPTION S°il Rating: /,~ GPO/Sq. Fb ~--~ Block: Subdiv~ion: Depth [o pipe b0eom from original grade: Gravel depth beneath pipe Township: ~ Range: ~ Seotion: Fill added above original grade: Gravel length: I I Number of lines: ~ Dislance behveen lines: WELL: ~New Q Upgrade Gravel width: ~ Ft. /I ~' Ft. Classification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe material; StaticWaterLevel: Installer: Oatei staHe : ~ GPM ~ PumpSet a: Casing Height Above Ground: Yield: ~.'~;~ FhI ~ Ft. ~'ANK SEPARATION DISTANCES ~.pt~o ~ Holding 0 S.T.E.P. TO Septic Absorption Lgt Holding Publlc/Priwt( M~nufacturer: Capacity[n gallons: From ~., ,,.=, S~a,o. ~.~ S.~.r U,., /F~C~ '~/~H I~ Number of Compartments: w.,- ~-~' //3' )4~ ~.r,.,: 5~ee-/ ~ . Surface W.t~r ~.~ ~.-~ LIFT STATION Lot I I Size in gallons: [ Manufacturer: Line ~ [ ~I [ ~ "Pump on' level at: ["Pump off" level,t: I High water alarm Foundation ~ ] ~,, ~ I I ~ E~ec~rical Inspections per[ormed Curtain Pump Make & Model by: Drain ~0~~ Remarks: BENCH MARK Location and ~ ' Assumed Elevation: ,E~INE~R'S SEAL Inspections performed by: ~7~ Dates: 1st o , ' ' ' ' ., Department of Heal and er ces approval '. ' ' Reviewed and approved b I ' ~ Date: ~ '.,': - 72-013 (Rev. 9/91) MOA 25 i¢ B$ ~ N · ~CALE~ U -- 50 \ / / 150 SWING ~fel] ;EN SPURKt ~Nl No CE-2225 t"FOBBEN SPURKLAND P.E, LOT 5 flLOCIf 2 ~OODRIDGE 165d,,i VIRGO AVE BARBARA AND BRIAN SPINK II SEPTIC SYSTEM AS BUILT DATE: ocr, 14, t996 SHEET: 2/3 GRID: 3337 ]500 SEPTIC lANK f-ounclo~ion Cleon out PRIMARY TRENOH S~ondord french; [W/de 50' Long Beep Sewer rock Noni~or 1 /VD SCALE 4" 4~' Topsoil 3' Cover IE 94.87 ]500 GAL S£PTIC lANK 89.5 NO SCALE 94.5 BARRIER 89.5 5 f'i, oP Se'£)'~i~ ,Eot'l< BFNCH NAB/(, TOP FOUNDATION WALL ASSUMED E/ E~ I00.00 TOBBEN SPURKLAND P.E. 205 W 15TN. AVENUE ANCN. AK. 99501 · f907) 279-~916 LOT 5 BLOCIF 2 t~OODRIDC£ 16544 VIRGO AVE BARBARA AND BRIAN SPINK SEPTIC SYSTEM AS BUILT gATE: OCT, 14, 1996 SHEET: $/$ GRID: 5557 LOCATION OF WELL BOROUeH LOCATION/SKETCH; i~.,~l OF NATURAL RFSODRCE$ DIVISION OF MINING & WATER MGMT WATER WELL RECORD SECTION OTRS ~ECTION ©s 63w WELL OWNER: DEPTHS MEASURED FROMl[]easing top ~ground sudace BOREHOLE DA1 A: Depth Material Type end Color From TO WELL DEPTH: Depth of DATE OF COMPLETION ft DEP'I-H ~O STATIC WATER LEVEl.; ,:~' ft below '~ top of casing ~ ground surface METHOD OF DRILLING; ~.air rotary :~ cable loci ~ other USE OE WELL: ~] domestic [] irrigation [] monitor ~) public supply [] other Casing t yp e'.~ WELl. INTAKEOPENINO TYPE: ~ open end ~ screened ~ perforated ~open hole Depths of openings: to ft )rage SCREEN TYPE: Diem: in, Slot/Mes~ Size: Length; GRAVEL PACK TYPE: Volume used: Del)th tq~,op; GROUT TYPE: me: Depth: from ~ ft 1.o ~ ft DEVELOPMENT ME~HOD: ~.~..~ Duration: ~/,~:,__ __ ' PUMPIN¢ LEVEl. AND YIELD: after __~ _ hfs pumping. ~.~.. PUMP INTAKE DEPTH; ._~'~ft ttetsopower: '~'~ WELL DISINFECTED UPON COMPLETION7 'ES [] NO CONTt(AGTOR INFORMAT.~ON: . . RE~ARKS; ,.?haas, ,rar, e . ..... T"- F .... ~~~~/~ ¢, /~. ¢/ PLEASE MAIL WHITE COPY OF LOG TO; ~~~re~~-" "~ DNR/DIVISION OF MINING & WATER MGMT --. ~ ........ .~. , 3601 C St, Suite 800 ANCHORAGE AK 99603.5935 Pi)one (907)269-8639, F~x (907)B6~-1384 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519~6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960282 DESIGN ENGIMEER:TOBBEN SPURKLAND, P.E. OWNER NAME:SPINK BARBARA & BRIAN OWNER ADDRESS:3230 ORION CIR. ANCHORAGE, AK. 99517 PARCEL ID:02009313 LEGAL DESCRIPTION: WOODRIDGE BLK 2 LT 5 ~ DATE ISSUED: 9/06/96 EXPIRATION DATE: 9/06/97 LOT SIZE: 45314 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ~ ISSUED BY: ~ 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 5 BLOCK 2 WOODRIDGE S/D BRIAN AND KIM SPINK Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 August 27, 1996 We are re-submitting an application for the installation of a well and septic system for this lot. The submittal consist of tlu'ee (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvments of the lot, of which only the well and septic system are subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet3/3). Soillogsandpercolationtestsofapplicabletestholesarealsoenclosed. Pleasenote that the primary drailffield is located at TH#2 and the replacement drainfield at TH#1. The course sand found in TH#2 fi'om 1 to 10 feet at this location pein'ed faster than 1 in/min. ( Perchole drained in less than 3 minutes.) This sand was loose, causing constant sluffing. The sand below 10 feet was finer and firmer. This sand did not sluff, but it was considered unsafe to try to perc this material. I have included a sample for your inspection. Clearly this sand is way too silty to meet the filtersand requireinent. However, this sand will filter the wastewater and protect the groundwater without causing premature failure of the proposed system. Due to the sluffing problem a shallow and long trench is desirable. Sufficient fill will be placed on the trench to obtain the required 3 feet of cover. The lot have a steep gradient to the west of this location. The surface of the trench will be at elevation 92. Computing an elevation 50 feet away and sloping at 25% gives a drop of 12.5 feet or elevation 80. The 80 foot contour is more than 60 feet from the proposed drainfield. The primary septic system design is based on the following: No Ground Water or hnpervious Layer to 15 ft. Use Standard Trench SoilRating. l<min/in= 1.2 gal per sq.fffday No. of Bedrooms 4 Required Area per Bedroom: 150/l.2 = 125 sq.ft.. Total area required: 500 sq ft Testhole depth 15 feet Bottom Rock At 7 feet Top Rock At 2 feet Rock Depth 5 feet Total Trench Leugth 500 / 10 = 50 ft. S ~STEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 50 FT TOTAL WIDTH 2 FT TOTAL DEPTH 7 FT ROCK DEPTH 5 FT COVER 3 FT ( 1 foot additional cover) SEPTIC TANK 1500 GAL STEP The secondary drainfield design is based on the following: Groundwater at 02' below 5 feet Filtersand required Use standard bed 02' ISF Groundslope ~10% Required area: q= 0.7 gal per sq ft per day a=214 sq fl/bedroom A = 860 sq ft Bed dimeusions: 20 x 42.5 Because of the filtersand the 15 foot max width of the bed can be disregm'ded. Compaction of the sand is desirable. A bottomless ISF will require 215 sq ft The installation of this septic system will not prevent wells fi'om be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoffwill oot result fi'om this installation. LI~T7 / / / N / 50 0 50 100 150 800 RSO 300 L[2I' 4 ~CREEK §PURKLAND TOBBEN SPURKLAND P.E, 203 W 15TH. AVENUE ANCH, AK, 99501 LOT 5 B£OCI( 2 ~YOOBRIOG~; 16544 VII?gO AVE EX/STING Ik(PROVEk(ENTS II SEPTIC SYSTEM DESIGN DATE: JULY 24, 1996 SHEET: 1/$ GRID: 3557 ~5 0 N / / 150 ~rF ~ell ! ! 49th TOBBEN SPURKLAND P.E. 203 W 15TH. AVENUE ANCH, AK, 99501 LOT 5 ]]LOCI( 2 ffOODRIDGE 165d4 VIRGO AV£ PROPOSED I~iPROVEMEN?S SEPTIC SYS'rEM DESIGN DATE: JULY 24, 1996 SHEET: 2/5 GRID: 5537 1500 £TEP L_g PNIWARY TRENCH ~40n/tol~ I-I/4' PVC SCHEDULE 40 $?7~'-flOLES AT 18" HOLES DOWN £ fonclord Trenches~ 59' L on9 Deep Sewer rock Cover SILT Founc/otlon Clmon out MoD/'~'OF 4' Topsoil 3' Cover Place suffic~nt f/il over lrench and tanl~ /---- Exi,~i.. &round 4' Mm Cove/(' Toni< H NO SCALE 1500 GAL STEP I~NK BENCH MARW ASSUMFD EI_E~A 100,00 rOBBEN SPURKLANB P'E' IIOT 803 \4lSth Ave Ancho~'oge Ak 99501 5, BLOCE 2, tfOODRID~£ ,s/oil 16544 VIREO AVE. [ PROPOSED SEPTIC SYS?EY, SCHEMATIC I SEPT]£ SYSTEM DESIGN I I DATE: JULY 24, 1996 SHEET~ ,~r//,~ GRID, 3337 PERFORMED FOR: LEGAL. DESCRIPTION: 1 2 3- 4- 5- 6- 7- 8. 10- 15- 16 17 18 19 20 Municipality of Anchorage DEPARTMENT OF FiEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ' ugcv,,:~..,bu;¢.~,c_Township, Range, Sechon: SLOPE ? WAS GROUND WATER ENCOUNTERED? SITE PLAN DEPTH? Deplh Io Water After I~o o ng? Reading PERCOLATION RATE . TEST RUN BETWEEN __ Gross Depth to Water Net Drop COMMENTS . REORMED (minutes/inch) PI--RC HOLE DIAMETER FT AND _ -- FT CERTIF'~ T~IAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 3 4 ~ ~ ~ ,~. 6 7 8 9 10 12 - 13- 14- ~7- 18- 19- 20- DATE PER.FSRM [ ' ," .:t: :: ' Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER N O ENCOUNTI:RED? IF YES, AT WHAT DEPTH? m I N Deptll Io Waler Allerl hlonitoring? .-~-~ Dale: tJ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER ~.~.'~ ~ '~l~ I ~,'~) ~'¢~ - ~ / CERTIFY THaT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIOELINES IN E~FECT ON THIS DAT~. DATE: ~J ~ ~1 [ ~ ~ ~ 72-008 (Rev. 4/85) ~ /} Development Services Department On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Parcel I.D. 020-093-13 Expiration Date: 1. GENERAL INFORMATION Complete legal description WOODRIDGE BLOCK 2, LOT Location (site address) 16544 VIRGO AVENUE, ANCHORAGE, AK 99516 Current property owner(s) BRIAN SPINK COMMUNITY TRUST.... Mailing address Real estate agent Day phone 16544 VIRGO AVENUE, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone Phone: 907-343-7904 Fax: 907-343-7997 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 1Z Private Septic Water Storage F-1 Holding Tank ❑ Community Well El Community 0 Public Water System 0 Sewer ❑Public F� Waiver request for: WDSoi-p4ior-\ tr(: V * prpper j:, I � VX Distance:( L+ V Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN PE Date 7/13/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to OF A these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory ®�'i • • • : • • • • • �� �� for current or future occupants or guarantee that no unseen encroachments, deficiencies or Water Consulting & �.Ag�•. TH �....•. discrepancies exist can be given by First FW CS •. .. 6. DSD SIGNATURE Curtis Huffman ��� System #1 Approved for bedrooms y pp c� �• CE 128991 .c�®d �� sTF�•..7113121 •'F� System #2 Approved for bedrooms mom' ���FOPROFESSI*� Disapproved Conditional approval for bedrooms, with the following stipulations: Off%. o By: Original Certificate Dater o20 a2b� 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 I&A COSA Checklist Legal Description: WOODRIDGE BLOCK 2, LOT 5 Parcel ID: 020-093-13 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 9/16/1996 Total depth 286 ft Cased to 41 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/15/2021 Static water level at beginning of test 26 ft. Well production at time of test 2 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 7/13/2021 Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) 25 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49” Standpipes/foundation cleanout per record drawing Date of pumping 6/15/2021 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA – FIELD IS ONLY RATED AS 4BR Which system tested (date installed) 9/27/1996 ALL standpipes present per record drawing Total measured depth from grade 8.8 ft (max) Measured depth to pipe invert from grade 4.8 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective 4’ INTO THE 5’ ED Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 6/15/2021 Results Pass For 4 bedrooms Fluid depth prior to test 1 in Water added 760 gal New depth 4 in Elapsed time 1020 min Final fluid depth 0 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: THE TRENCH IS A DEEP TRENCH W/ 5’ OF COVER W/ NO KNOWN FROST OR STRUCTURAL ISSUES W/ IT BEING PARTIALLY IN THE PARKING / DRIVEWAY AREA. E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No 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 From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No *5+ ft Property Line > 5’ Yes if No ft Absorption Field > 5’ 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 septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No **6+ ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS *PER CODE AT TIME OF INSTALL. **WAIVER REQUESTED W/ THIS COSA SUBMITTAL. 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. 8/20/21 MUNICIPALITY OF ANCHORAGE    DEVELOPMENT SERVICES DEPARTMENT    907‐343‐7904  On‐Site Water and Wastewater Section                                                                                           Fax: 343‐7997  www.muni.org/onsite         Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org      Septic Tank Advisory   Certificate of On‐Site Systems Approval # OSC211397  Subdivision:  Woodridge  Block:2, Lot: 5  The septic tank for this property is 25 years old.  The average life for a steel septic  tank is 20 years. Typical replacement costs range from $7,000 to $11,000.   This advisory must be attached to all copies of the subject Certificate of On‐Site  Systems Approval.               This is an example of what the metal of a 30 year old steel tank MAY look like.      Municipality of Anchorage Auk , S �: 31 P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Develogment Services Department On -Site Water and Wastewater Section ARIANCE/WAIVER REVIEW 7'Cxa'CY Waiver#: OSV211060 COSA#:OSC211397 Permit#: PID#: 020-093-13 Legal Description: Woodridge Block 2 Lot 5 Engineer: First Water Consulting Applicant: Brian Spink Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 6.0 feet. See engineer's waiver request for justifications. 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. esevevvveevvvvemvvvevvvamvvveaeeeveeeeeeeseeeseeeseeeaeeeevmvavmecveeveveeeave� Waiver is Granted: X Waiver is not Granted: Date: Approved by: eAl� 6-7ylou Name of Reviewer aeeeaeveeeeeeeeeIII eeveeseeeeeveeveevavvveeaeeeaeeeeeeeeeevevveaemeeeeeeeeaavmevI M7111is `'-.. 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com August 20, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: WOODRIDGE BLOCK 2, LOT 5 – FIELD TO LOT LINE WAIVER Per the recently completed as-built survey of Shane Holt, RLS and MOA records, it appears the existing field is approximately 7.2’ from property line at its closest point and therefore we respectfully request a field to lot line waiver of 6’ be granted at this time. Granting of this waiver is justified since the existing field has been in operation since 1996 with no known issues or ill effects to the adjacent property and it is anticipated that the field will not impact the neighboring property. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. OF.A CO 49 R `9 h'Ae�— s SHANE A. HOLT �� G LS -6914 ,\,°fessioW �-Qo THESURVEYDATA AND MEASUREMENTS HEREONAREPREPARED FOR THE OWNER OFRECORD AS OF THEDATE OF THIS SURVEY. ANY USEOF THIS DRAWING BY THIRD PARTIES IS PROHIBITED UNLESS WRITTEN PERMISSION IS PROV/DED. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOD/ ANY CONFLICTS BETNEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO SE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES- EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOYN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAYING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHONN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNON AND/OR ICE. o I AS -BUILT SURVEY I" =30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 5, BLOCK 2, WOODRIDGE SUB. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 19TH DAY OF AUGUST , 2021 15185, FB 215-60 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 345-5513 MUNICIPALITY OF ANCHORAGF DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# ¢-.~r~~2'' ¢) ~") ~'.:.~ - FIAA # 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner S~'-~IyA~.) .'~ ~, E5 Day phone Maili,ngaddress ~,2.'~O CE. lO /'q ~,f~ Lending agency Nrta Dayphone_~L~'7 Mailing address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: v' If community well system, provide written confirmation from State ADEC attest-, lng 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 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 fi[es and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm '1~o~1 ~u'~.,.~.~? ~'~ Phone Engineer's signature ~ ~4.Z.~'~-z~ Date DHHS SIGNATURE · ~ Approved for '¢~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHSI issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engin'eer registered in the State of Alaska, The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Em ployees 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, MUNICIPALITY OP ANCI~ORAGE I~NVIgONMENfAL ~E~VICES DIVISION Municipality of Anchorage ~IU~ 1 0 ]9~? ~ DEPARTMENT OF HEALTH & HUMAN SERVICES L~J Environmental SerVices Division R~ C ~ I ~J ~ ~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343;4%4~ ' "- '" Health Authority Approval Checklist Legal Description: A, WELL DATA Well type ~. Log present (Y/N) Total depth r~ ParcelI.D.: ~)o'~- O~,,~'- If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ,Z// ¢ Casing height (above ground) ~ I Sanitary seal (Y/N) y Date of test Static water level Well production FROM WELL LOG g,p.m. Wires properly pr0tbcted (Y/N) AT INSPECTION 7' g.p.m. WATER SAMPLE RESULTS: Coliform ~ Date of sample: ~'/~/~/~ 7 Nitrate 0 4,?// Other bacteria Collected by: ~ ~ B, SEPTIC/HOLDINGTANK DATA Data installed ~//'~?/¢fi. _ Tank size /.~o'~ Number of Compartments ,~. Cleanouts (WN) Foundation cleanout (Y/N) 7 Depression (Y/N) t'~ High water alarm (Y/N) Date of Pumping ~) .~'x.O' Pumper C. ABSORPTION FIELD DATA Date installed ~/~7/¢ b Length ,;'~O I Width__ Soil rating (g.p.d./fF er f¢./bdm~) ~ ; Gravel thickness below pipe Effective absorption area ~¢,.,,-o /¢ Monitoring Tube present (Y/N) "'/ Date of adequacy test ~"'~Y/~ ~,C/.,C'~' Results (Pass/Fail) ~ Fluid depth in absorption field before test (in.); ~ Immediately after Fluid depth v"/" (ins) Minutes later: V/- Peroxide treatment (past 12 months) (Y/N) System type O _ Total depth _ ~'~ Depression over field (Y/N) F'or l/~gal, water added (in.): Absorption rate = t~ .g.p.d. If yes. give date bedrooms 72-026 (Rev. 3/96)* D, LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* "Pump off" level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES Absorption field on lot Public sewer main Sewer/septic service line SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/hcb.~m~J.-ta~k on lot ~ ¢~-~ ~ On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HeEEHNemTANK ON LOTTO: Foundation ~ t Property line I ~ I Absorption field Water main/service line ~'_.~.~ I Surface wateddrainage ~/,~¢ ! Wells on adjacent lots ldOI F, SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line I ~ f Building foundation ~ O. "-~ I Water main/service kine Surface water ) I~¢-~1 Driveway, parking/vehicle storage area Curtain drain ~ ~ ~ ( Wells on adjacent lots ENGINEER'S CERTIFICATION I cert~ that I have determ ned thru field ~nspect ohs and rewew of Mumccpal in conformance with MOA HAA guidelines in effect on this date S~gnature HAA Fee $. ~0'~ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number 1G'r&E Envirortmm~tal ~orvioes In(;, RECEIVED CT&E Ref,# Client Name Project Name/// Client Sample ID Matri× Ordered I13' o728'/F001 Tobben Spurkland P.E. 5/2 Woodridge 5i2 Woodndge Dnnking Wate~ Client Printed Date/Time 06/12i9/ Collected Date/Time 06/10/9'1 12:(10 Received Date/'[ime 06i10/97 13:20 Technical Director: S£ephen C. Ede