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SOUTHPARK #2 BLK 3 LT 4
Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water&Wastewater Program 4700 Elmore St.•P.O. Box 196650 Anchorage, AK 99519-6650• http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181285 PID Number: 020-502-02 0 New •Upgrade Name: LAURA SCOFIELD ABSORPTION FIELD Address: 0 Deep Trench 0 Shallow Trench 0 Bed P ound 4610 SOUTHPARK BLUFF DRIVE*ANCHORAGE,AK 0 Other , Phone: No.of Bedrooms: Soil Rating: Total Depth from original; de: (907) 345-4354 4 OPDfSg.Ft. Ft. Depth to pipe Invert from original grade: Grave --pth beneath pipe: LEGAL DESCRIPTION K . Ft. Subdivision: Block: Lot: Fill added above original grade: , .0 •Gravel length: SOUTHPARK#2 3 4 Ft. Ft. I Ownshlp: Range: Section: Gravel width: 'Beds Number of lines: Distance between lines. Ft. Ft. SEPARATION DISTANCES Total absorpl• area: 'Number of trenches: Dist,between trenches: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SO.Ft. Ft. Well I - - 25+ TANK • Septic ❑ S.T.E.P. ❑Holding ❑Other Manufacturer. Capacity: Surface Water 100'+ - - ANCHORAGE TANK 1250 Gal. Material: Number of compartments: Lot Line 5'+ N/A STEEL(10'MAX BURIAL) 2 Foundation *10'+ - LIFT STATION Curtain Drain Manufacturer: C.' • - NONE KNOWN - Gal. Remarks: •5'+FROM ALL DECK PILES;EXISTING TANK WAS HAULED "Pump on'level at 'Pump off level at High water alarm of OFFSITE PER CONTRACTOR Pump Make E Model' Electrical Inspections performed by: PIPE MATERIAL House to tank EXISTING/D3034 Tank to drainfield EXISTING/D3034 Installer A+ HOME SERVICES Drainfield EXISTING CO/MT EXISTING/D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00 Ft. Dates: 1st 9/4/2018 2nd - Location and Description: 3rd - 4th TOP OF GARAGE SLAB ENGINEER'S SEAL Community Development Department Approval o��-`00 4 .7:=7` ..., 0 F i4 / ‘4\)th cc-• 46144 Conditional approval: Date: 0V j_ • 0 C 4 • Te ••:57*. Oo D • V ____,._._ ► p f -y '. Gar'ass." I Qo CET < e`Q� O�'1 fo ...qtr .1't3"��Aovo Ap•proved: �.� Date: 6 ' ��� LICENSE kll, fesg�ooa� #AECC884 0 .00 Inspection Report_1-1-12.doc ' • PERMIT NUMBER: RECORD DRAWING PARCEL ID NUMBER: OSP1812\85 020-502-02 \ A B ST1 20.7 19.2 ST2 15.1 26.6 DBL1 15.0 29.1 DBL2 15.2 30.1 SOUTHPARK#2;BLOCK 3,LOT 5 Awiv`4 ,09MMUfIF,WATER APPROXIMATE LOCATION OF WATER LINE .....LL/) b• PROFESSIONALLY LOCATED BY CONTRACTOR PRIOR TO CONSTRUCTION i____ = , a^�h �•• :.•.••,}�: SOUTHPARK#2;BLOCK 3,LOT 4 ! 7 11. DRIVEWAi IN. • • W 1 — EXISTING ....-� DBL7&2 \ \VI HOME •, • \ crt Q `\` f t `.. NEW 1000 GALLON DEEP BURIAL(10'MAX)SEPTIC TANK Illik ��O^^ I CO EXISTING DRAINFIELD SOUTHPARK#2;BLOCK 3,LOT 3 I i 6AAt1U :,WATER )I(\1 N SCALE: 1"=40' ...VI\ X111 44 GARNESS ENGINEERING GROUP, Ltd • \''� .' : , ENGINFFRING SALFS CONSULTING i 3701 E TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)3378179•FAX(907)338-3246•YWEBSITE.www pamessenpneemp corn s vs • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 3 ey A. rn S LAURA SCOFIELD 907-345-4354 2 OF 3 • c.' •• C -795 '�� LEGAL DESCRIPTION: DRAWN BY: 04 4 ,4. SOUTHPARK#2; BLOCK 3, LOT 4 D.J.G. 'r 06...V.-••• ♦ TYPE OF WORK: DATE: LICENSE•11,,';;, i♦♦ SEPTIC TANK RECORD DRAWING SITE PLAN 9/14/2018 #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: OSP181285 RECORD DRAWING 020-502-02 FINAL GRADE=102.99-103.68 TOP OF TANK ST1 ST2 AT INLET=95.63 \______c c TOP OF TANK AT OUTLET=95.65 INVERT OF BUNG NEW 1250 GALLON SEPTIC TANK AT INLET=94.99 BURIAL RATING OF 10 FEET INVERT OF BUNG AT OUTLET=94.89 ,/ _.�\\\1♦ • GARNESS ENGINEERING GROUP, Ltd .0 : 9J ___... •-,,, •��'� ENGINFERING SALFS CONSULTING �F- —= i ir/4"3:. is a.._, 00/ 3701 E TUDOR ROAD.SLATE 101•ANCHORAGE.AK 99507•PHONE(907(3376179'FAX(907)336J246•VNEBSITE.wrw parnecsen9ne<1np corn •• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0� •,•WLAURA SCOFIELD 907-345-4354 3 OF 3 • 0 o7-7913 ;•' � LEGAL DESCRIPTION: DRAWN BY: � •••• �•e••. SOUTHPARK#2; BLOCK 3, LOT 4 D.J.G. 4c F0••••. .`... .... � :•� TYPE OF WORK: DATE: LICENSE•11111-11-E..S'S.—— SEPTIC TANK PROFILE 9/14/2018 #AECC884 �i�II%VI*� / i/ir --ak ,""""rY MUNICIPALITY OF ANCHORAGE o� -,11‘C 11 ' On-Site Water &Wastewater Program • so ,t PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 "K http://www.muni.org/onsite 1)(1).11 tntynt ,NCMONPCaE On-Site Wastewater Disposal System Permit Permit Number: OSP181285 Effective Date: 8/21/2018 Work Type: SepticTank Upgrade Expiration Date: 8/21/2019 Tax Code Number: 02050202000 Site Legal Address: SOUTHPARK#2 BLK 3 LT 4 G:3236 Site Mailing Address: 4610 SOUTHPARK BLUFF DR, Anchorage Owner: Scofield Laura Lot Size in Sq Ft: 29654 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field CO Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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: Date: 12& (id Issued By: fl A x.11.711 __ _ : Date: g MI y618910 v 77 MUNICIPALITY OF ANCHO1, • AUG 2 1 2018 Community Development Department - P 907-343-790• Development Services F. ':i e7- 343-799 On-Site Water & Wastewater Program °/ 6 8 L Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 020-502-W O' Property owner(s) LAURA SCOFIELD Day phone 907-345-4354 Mailing address 4610 SOUTHPARK BLUFF DRIVE`ANCHORAGE,AK 99516 Site address 4610 SOUTHPARK BLUFF DRIVE "ANCHORAGE.AK 99516 Legal description (Sub'd, Block& Lot) SOUTHPARK#2; BLOCK 3, LOT 4 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ❑ Upgrade (w/wo ADU) Septic Tank ® Duplex (D) Renewal ❑ Holding Tank Multiple Dwellings (l Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 42.1 5. 00 Waiver Fees: Date of Payment: � �� Date of Payment: Receipt Number: Receipt Number: Permit No. oSpI9.0!2 0 Waiver No. (Rev 01111) GARNESS ENGINEERING GROUP, Ltd Advanced l:rob»cnt system ENGINEERING SALES CONSULTING Dealer O August 20, 2018 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Southpark #2; Block 3, Lot 4 To whom it may concern: The existing 4-bedroom home is served by AWWU and private septic system. The existing 1986 steel septic tank is likely compromised. We are proposing to decommission the existing septic tank per UPC and install a new 1250-gallon steel septic tank. See attached design drawings regarding separation distances, surface water and other MOA code requirements. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, II --deer=• Ga fess, P.E., M.S. Pre- t 3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com \ Z GEG,Ltd.HAS AN 8 PAGE SPECIFICATION LETTER SOUTHPARK#2;BLOCK 3,LOT 6 THAT PERTAINS TO THIS DESIGN.BY PROCEEDING FORWARD WITH THIS INSTALLATION,THE ENGINEER,WELL DRILLER,CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. COMMUNITY WATER SOUTHPARK 32;BLOCK 3,LOT 28 VACANT SOUTHPARK#2;BLOCK 3,LOT 5 LIJ _� COMMUNITY WATER a SOUTHPARK 32;BLOCK 3,LOT 29 SOUTHPARK#2; BLOCK 2,LOT 18 LLCOMMUNITY WATER LL-J CO ►4 '.s• ••• o Is Y . _ I SOUTHPARK#2; a DRIVEWAY SOUTHPARK#2;BLOCK 3,LOT 4 I Sp BLOCK 2,LOT 1 I •�•'; 1.'4::• j m 0 • 1 EI m1,rr II OTMNG 0 I I •INFIRM TEGRITY OF FCO PRIOR TO IN' ALLATIO REPAIR/REPLACE AS NEEDED' PER MOA RECORD DRAWINGS,THE PROPOS D'F99B'GAL ON STEEL SEPTIC TANK;INSTALL EXISTING TANK IS 5'+FROM THEXISTIN \ DOU LE CLEAN* TS BEFORE AND AFTER TANK I DRAINFIELD;THEDGE OF DRAINFORIELD TO �L I CONFIRM THE EDGE OF DRAINFIELD �j PRIOR TO TANK INSTALLATION APPROXIMATE LOCATION OF EXISTING DUAL TRENCH TYPE DRAINFIELDNEIN j SOUTHPARK#2;BLOCK 3,LOT 3 I 1\ WATER LINE AND KEYBOX TO BE PROFESSIONALLY LOCATED PRIOR TO N CONSTRUCTION-THIS IS TO BE INCLUDED IN 4i..... WATER THE BID AND THE RECORD DRAWINGS WILL NOT BE SUBMITTED UNTIL THE CONTRACTOR COMMUNITY COMPLETES THIS ENGINEERING REQUIREMENT S ALE: I / / r =60' ----) • ♦.. S \ ♦♦SU• \1 1 MIMIMMMMMileadllddlkiallIllIllhiMMIIMIMMIMIIIMIIIIIIIMMI. .. \",•... 41 0 v.• GARNESS ENGINEERING GROUP, Ltd ; �`:' 4•II. � * • ENGINEERING.SALES,CONSULTING 0 f •%3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507•PHONE(907)337-6179'FAX(907)338-3246'WEBSITE.www.gamessengmeenng.com .. . . PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 t� / : , A. Gam-- �?4,/• LAURA SCOFIELD 907-345-4354 1 OF 1 ♦�J,' C -79 • ,:?= PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦ vv ,• SOUTHPARK#2; BLOCK 3, LOT 4 D.J.G. ♦11 FQ•••''u 2G• (•_��'' ♦♦� TYPE OF WORK: DATE: 11a 1110FESS ;4♦ SEPTIC SYSTEM DESIGN UPGRADE 8/17/2018 LICENSE 1 *� : :.82021i+.V • . t. Lot 6 80 . ` : . . . S89°50'344E238:31 :: 4h . ...i .'LI 17777 - • I C14.: . , � x om • •rt��� s:.� ' • . 'j �� ::::, \--1-c*-24 N_ .Y Asphalt • .• ,r, 2 112 Story 12 0 Lot .4 r+ o d • 0 ..� �*=�•_ s . N Frame 9 . . .s.. ' . . . . . . . . I m •... s; Septic vents: •House: • `r •. N ° : kP1.rox�.atft- 17 .. . . `•�ot:'n;��•�n.. L RECERTIFIED.6.13=18 �`� • • ```���`' AS=BUILT tJO CORNERSSET fHIS DATE �.c OF •,44 • 1 I hereby certify that I have performed a Mortgagee's inspection • •qs g, of.the'following described property: LOT 4. g�QGK 3 • .. r • • ,f- , : SOUTHPARK'S:UBDIVISiO ADDITION. o: 2 �' .' 49th •'* . . /,,• •..,.• ,. ;..,.: ..• ... Anchorage Recording Precinct,Alaska;and that the . • . • • / /� Q4..•. • Improvements situated thereon ate.w(thin the propertylipes .., : •• •N and.do.not overlap or encroach on the property lying ?�• • izabeth L..Wolotka.if s- adjacent thereto;that:no Improvements on the property lying' I� s�•• 8036 I S'. •; - • • adjacent thereto encroach on the prejnnses n question and ci' that there are no roadways;transmission lines or other • it eo • . • �4t) visible.easements on said property except as Indicated . SCALE: 1"= 40' I OFessroru'- J ' hereon. :' • . ' \\\\�••` • Dated at Anchorage;Alaska EASEMENTS OF:RECORD, OTHER:THAN / i , - this' •2nd . day of AUGUST ,1999. • •TH9SE•SHOWN:ON THE RECORDED FRED WALATKA&ASSOCIATES,L.L.C. :PLAT ARE NOT:SHOWN.HEREON: • . • .. En ineers and Surveyors •: UNLESS OTHER IVISE•NOTED Johns 8E. • 907 24&1666 ;� Municipality of Anchorage Page of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: PID Number: 00C) -04,2k-D Name: C-tEoRkx.E NoYA.KY t St Wasewaer stern: ❑ New U y � pgrade Address:4�tO ABSORPTION FIELD Phone: 7 $3- 2Z g'2, No. of Bedrooms: ❑Deep Trench 'Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: pp Total Depth from originalgrade: r:h. .O GPD/S.Ft. Va'Rte,S r'� jp Lot: Block: Subdivision: Depth to pipe bottom frgm original gra+O ` Gravel depth beneath pipe 3 SOuTTi PA4K - .4 2 YA.I E 5 2,1j TO 4 Ft. 4.0 Ft. Township: Range: Section: Fill added above original grade: Gravel length: • 0 Ft. TOT^ L –t S FL WELL: ® ❑ New ❑ Upgrade Gravel width: +® Number of lines: Distance between lines: Ft. 2 VA&ES -IS Ft. anon (Private, A, B,C): Total Depth: Cased Total absorption area: Pipe material: Ft. i -7150 SC. Ft. L SOLI E FISOV. Driller: rilled: Static Wafer Level: Installer: Date installed: Ft. WNITTEQ's EXCAVATINia connPL.ETen 18-t -93 Yield: Pump Set at Cas h[Above Ground: aclsTl,JC� TANK OO GPM Ft. SEPARATION DISTANCES Septic El Holding ❑S.T.E.P. To Septic Absorption Lift Homing Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines r�CC`C� Ql�r-i.:�` 1250 ® .-. Material: Number of Compartments: Well � .�. -• �- Surface �' ""' ^ LIFT STATION Water Lot7,,.�1 70 tOt ^ n2r+ Siz lions: Manufacturer: Line G Foundation III 101 Qt "Pump on" level at: u "le High water alarm at: Curtain 484— 45;f` ,�, (v RN1�� qol+ Pump Make&M Electrical Inspections performed by: Drain Remarks®NL`l EtIETTLNGL CgAeOIT Fo+L S BENCH MARK Location and Description: w1,0T14 of-, a4AVEL - c. CaTA.11,31NISt LL @ Nca GOvA✓huNIrr WELL- NoT Oa -SITE. 'EAS use- , Assumed Elevation: Wsul.a'Rtq wftAf- [Coni LOSS 7jF>e,.+ 10�j.Ft TAi Eic,PoS (c0 g4tc Evl -w SIE (N �Q CoN Q(T10/�.1 ENGI AL L** s` Inspections performed by: AZI1`-`A^5> Dates: 1st 12- 10 `"" •"*a ' '_ FEt6ta 2nd 12 -1' �.., 12- IZ(13, 14,[5 Department of d ervices approval jHe `� �' es`aee e Reviewed and approved Date:l� a3/ 72-013 (Rev. 9/91) MOA 25 Permit No. Page_�__of J Municipality of Anchorage W.O. 93094 Department of Health and Human Services Date 12-17-93 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 4 BLOCK 3 SOUTHPARK ESTATES SUBDIVISION ADD'N #2 RECORD DRAWING N PAVED PARKING, >k� A / EXISTING 4 BEDROOM HOUSE /1 toot Q SEPTICEXISTINGAN50 GALLON L q/00 / x'11 _ — •�� OFA�q�+1 9TH �• 0 SEPTIC DESIGN - PLAN VIEW %•• •••• •0900 • •••: i SCALE: l'=20, 0•••� • •• .• •.�...0 #♦ �DENNIS H H, VI 80 ' �� 00,•••••••N•Al+� �'rofess orQ� DATE ,�r��o�� ti if Q3 Permit No. Page -3 -5 Municipality of Anchorage W.O. 93094 Department of Health and Human Services Date 12-17-93 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650• Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 4 BLOCK 3 SOUTHPARK ESTATES SUBDIVISION ADD'N #2 RECORD DRAWING W= WW n., _ !- Z O J WW Q W J Z Z a _ P ° a ° ° °EXISTING ° o o ° 5'-0' SEPTIC ° g % gaol °Qs o (MIN) , TANK / °� ° ° ° Sao ° ° °, s g 8 logO$o REMOVE EXISTING SEWER Q g $ ° °g° o° ROCK. OVER EXCAVATE 09% 3° MIN ALL SIDES. ° % ° °o j� REPLACE WITH NEW g ° o .o a \//�\� SEWER ROCK PER a° °e °\\/ MUNICIPAL SPECS. $o goo TYP. BOTH TRENCHES. I OFA(, + SAND FILL TO KEEP P ••' ••qS 1 GRAVEL IN PERCOLATED �•'� �9T �'•��! N STRATA OF SOIL. - VARIES _ I /•• • • •• • ••••• 0i 0D N HIGHS ¢i .0 CE 7 � •C TYPICAL REPLACEMENT TRENCH SECTION ��'rP�goo.� .•••••.•••o�4W AP- A SCALE: NTS��r°ess��`�9 RECEIVED e +� Municipality of Anchorage DEC 2 2LI@98RTMENT OF HEALTH & HUMAN SERVICES 825 " U' Street, Anchorage, Alaska 99502-0650 ma" Municipality of $G — PERCOLATION TEST Dept. Health & Hu _ _ _ PERFORMED FOR: Geode- DATE LEGAL DESCRIPTION: .COT4' 13K Sp. /�qq� Township, Range, Section: _ DEPTH 5ubdl UlS iO °-/,!dc/i OR) i#3 SLOPE SITE PLAN (FEET) 09.Ci AXa iC MAr&Xjq L, 1 Roo7S 2 3 4 < 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS I// -Ty SQNv (SM) Drove 5 4neIL ( GYAud 7"o C70'AU'fA Skeld wJ -T2{4C&/ OGS/Li 4 Oliffy— r WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After Monitoring?—)2r!-K- Date: E ■.NN■■■■■■ rte_' __.'■���■■■■■■ Reading Date Gross Time Net Time the Depth to Water Net Drop / - o 2 /0 9 of 3 /1- /C) /1: 43 /d a / v PERCOLATION RATE /0 /�"' (minutes/inch) PERC HOLE DIAMETER 6 <i TEST RUN BETWEEN FT AND 1&T'5 FT PERFORMED BY: a'�a &'Um I V'5-6 ///4w CERTIFY THAT THIS TT 2WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /a- " - 7-/ 72-008 (Rev. 4/85) PAGE 1 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930494 DESIGN ENGINEER:DEE HIGH ENGINEERING OWNER NAME:NOVAKY GEORGE OWNER ADDRESS:4610 SOUTHPARK BLUFF DR ANCHORAGE AK 99516 PARCEL ID:02005271 LEGAL DESCRIPTION: SOUTHPARK ADDN 2 BLK 3 LT 4 LOT SIZE: 29654 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:12/01/93 EXPIRATION DATE:12/01/94 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 OR 343-4681 AFTER BUSINESS HOURS 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: THIS PERMIT IS ISSUED FOR THE REPLACEMENT OF AN EXISTING FAILED WASTEWATER SYSTEM AT THE SAME LOCATION. ALL CONTAMINATED DRAINROCK AND RECEIVING SOIL FROM THE EXISTING SYSTEM MUST BE EXCAVATED AND REMOVED. ALL MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 CONTAMINATED MATERIAL MUST BE TRANSPORTED TO THE MUNICIPAL LANDFILL OR AT ANOTHER SITE APPROVED BY DHHS. AFTER REMOVAL OF CONTAMINATED MATERIAL, THE ENGINEER MUST PERFORM A PERC TEST IN THE RECEIVING SOILS. IF THE PERC RATE IS SLOWER THAN 5 MIN/INCH, THE ENGINEER MUST PROVIDE AN ALTERNATE DESIGN. THE ENGINEER WILL NOTIFY DHHS WHEN THE EXISTING FAILD SYSTEM HAS BEEN EXCAVATED SO THAT THE LOCATION AND EXTENT /\OFf ANY BIO -MAT CAN BE OBSERVED. RECEIVED BY: W Z DATE: PAGE 2 OF 2 ISSUED BY:-3ok"h`L [T -l- DATE: LZ/}/°% AO UC���sCONSULTING ENGINEERS ' November 30, 1993 W.O. 93094 Mr. John Smith Municipality of Anchorage Dept. Health & Human Services Environmental Services Division P.O. Box 196650 Anchorage, Alaska 99519-6650 RE: Southpark 132we& Subdivision, Addition # 2 Dear Mr. Smith: This letter addresses the required soils test for the design of the above mentioned lot. On Monday November 29, 1993, we attempted to drill some test holes in the front yard, within thirty feet of the existing system. Due to site constraints, a drill rig was necessary rather than a backhoe. We drilled four test holes, with the deepest being 7 1/2 feet deep. In each case the drill rig hit some large rock and was unable to achieve the required depth. For this reason, we are unable to provide a percolation test or soils log at this time. We are currently designing the replacement system to be about 10% larger than the existing system. We are requesting approval to proceed with the enclosed design subject to running a percolation test once the trenches are opened up with a back hoe. If the percolation test we perform is slower than the expected rate, we will modify the design at the time of construction. Please call if you have any questions. Very Truly Yours, CONSULTING Dee High, P6 Principal cc: George Novaky Gail High, DHI CMA/lfc DAWP511D HW99 M.w,5 ENGINEERS PO Box 111349 Anchorage, Alaska 99511-1349 • (907) 345-1355/Fax 345-1386 Permit- No. Page of tD Municipality of Anchorage W.O. 93094 Department of Health and Human Services Date 11-30-93 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 4 BLOCK 3 SOUTHPARK ESTATES SUBDIVISION ADYN #2 SITE NARRATIVE Lot 4, Block 3, South Park Estates Subdivision, Addition # 2 is bordered by 3 lots. The lot to the north is undeveloped. Both the lots on the east and west side are developed, with houses and on site septic systems on each. Lot 4 has a failed existing system sized for 4 bedrooms. We propose replacing the existing system in the same location due to poorly percolating soils in the back yard (See Tests Pits 1 & 2 on the site plan) and a curtain drain around the house. The contaminated material removed from the existing system will be disposed of at the Municipal Landfill as per Municipality Of Anchorage regulations. WELLS: The subdivision is on a community well which will not pose any set back restrictions to the location of the proposed system. WASTEWATER SYSTEMS: The proposed system does not encroach into any of the required setback distances, (See Site Plan) and will be in the same location as the existing system. DRAINAGE: The lot slopes naturally from the east to the west. All fills will be sloped to drain in the direction of natural drainage. The system will receive topsoil and seeding to prevent erosion. tF. ee ' Permit. No. Page 2 of Municipality of Anchorage W.O. 93094 Department of Health and Human Services Date 11-30-93 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 4 BLOCK 3 SOUTHPARK ESTATES SUBDIVISION ADD'N #2 � I \I + I STP#2 PARKING [751 �� I 00� 1+ 't EXISTING 4 9 61 0 TP#I 111 r BEDROOM p nY/10 1m I m� HOUSE z¢ I' � _LLI EXISTING SEPTIC 1 SYSTEM SITE PLAN SCALE: 1'=40' a . i=,a„ �. v a Permit No. Page 3 of W.O. 93094 Municipality of Anchorage Department of Health and Human Services Date 11-30-93 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 4 BLOCK 3 SOUTHPARK ESTATES SUB. ADD'N #2 REPLACEMENT SYSTEM DESIGN CALCULATIONS 1. NO. BEDROOMS = 4 2. REPLACE DEEP TRENCH SYSTEM WITH 5' WIDE DRAINRELD 3. ABSORPTION AREA = (# BEDROOMS)(150 GPD/BR) TRENCH APPLICATION RATE = (4)(150) = 500 SF 1.2* 4. TRENCH AREA = (LENGTH)(WIDTH) = 500 SF IF EXISTING LENGTH = 60' THEN LENGTH OF TRENCH REQUIRED = 100' REDUCTION FACTOR FOR ADDITIONAL DEPTH MUST EQUAL 0.60 W + 2 = 0.60 W + 1 + 2d IF W = 5' THEN d (REQU(RED DEPTH OF GRAVEL BELOW THE PIPE) = 2.84' WE RECOMMEND USING 3.0' OF GRAVEL BELOW THE DISTRIBUTION PIPE PERCOLATION RATE PIT & TRENCH MOUND & BED APPLICATION RATE APPLICATION RATE MIN /INCH GPD/SF GPD/SF 0-1 NOT SUITABLE NOT SUITABLE * 1=5 1.2 0.8 6-15 0.8 0.5 16-30 0.6 0.4 31-60 0.45 0.3 GREATER THAN 60 NOT SUITABLE NOT SUITABLE FILTER LAYER 1.0 .7 M-013 A (2/91) uW M f.. Fer n4a—.a Permit No. Page4 of (o Municipality of Anchorage W.O. 93094 Department of Health and Human Services Date 11-30-93 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 4 BLOCK 3 SOUTHPARK ESTATES SUBDIVISION ADD'N #2 N PAVED �j �/ PARKING / // / / // EXISTING 4 / / // BEDROOM g"/ / / /ry HOUSE I 1 I EXISTING 1250 GALLON SEPTIC TANK 1 s,a' SEE NOTE 2 FLOW CHAMBER EOUALIZATION :. /00 .�� OFqkq�s� SEPTIC DESIGN - PLAN VIEW %�;•'••�0•••t••'••S • TH SCALE P=20' Owe 0 0 *00 so . 4 99 �♦ �DENNIS D IGH; ai / ••• CE 5 7 we Ci •, +! d profess'o'r .4 nATF\����� 72-013 A (2/91) MOA 25 f Flim nCa_a Permit- filo. Page S of Municipality of Anchorage W.O. 93094 Department of Health and Human Services Date 11-30-93 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 4 BLOCK 3 SOUTHPARK ESTATES SUBDIVISION ADD'N #2 '_- ! a m f., RA M45 FLOW EQUALIZATION CHAMBER. ORENCO SISTEMS INC. HYDRO—SPLITTER OR ENGINEER—APPROVED EQUAL. SLOPE TRENCH WALLS AS REQUIRED TO MEET ALL LOCAL, STATE, AND FEDERAL REGULATIONS EXISTING TRENCH (TYP) TO BE REMOVED (TYP) EXISTING GRADE BACKFILL r � 0 O I 8b °qsl I^ $�0 ° REMOVE EXISTING SEWER ° s ROCK. OVER EXCAVATE 3" MIN ALL SIDES. REPLACE WITH NEW Q I SEWER ROCK PER MUNICIPAL SPECS. !e TYP. BOTH TRENCHES. 5'-0" (TYP) ° q8 0 TYP) a11(3— %g OFA4+ °q' TH :F ♦�, 5 o ail * . see* ..... .. 00 (TYP) 000 % /•••• . . . �.000 TYPICAL REPLACEMENT TRENCH SECTION DENNIS GH j ¢i a ♦♦9s :,� A SCALE: NTS TS cE 5 a:" _ DpTE '_- ! a m f., RA M45 Permit No Page (0 of Cn W.O. 93094 Legal Description: LOT 4 BLOCK 3 SOUTHPARK SUBDIVISION ADD'N #2 Date 11-30-93 NOTES: 1 ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. 2 CONTRACTOR TO EXPOSE EXISTING 1250 GALLON SEPTIC TANK FOR ENGINEERS INSPECTION PRIOR TO ITS INCORPORATION INTO THE SYSTEM. TANK TO BE REPLACED IF IT IS DEEMED UNSATISFACTORY. 3 SITE TOPOGRAPHIC SURVEY CONDUCTED BY DHI ON 11-30-93. EXISTING STRUCTURES, WELLS, SEPTIC SYSTEMS OBSERVED WITHIN 200 FT. OF THE PROPOSED SYSTEM SITE ARE SHOWN ON DESIGN DRAWINGS. 4 ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION INTO THE SYSTEM. 5 CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATERWAYS, SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM. CONTRACTOR TO STAKE PROPOSED SYSTEM PRIOR TO CONSTRUCTION. NOTIFY THE ENGINEER OF ANY OBSERVED CONFLICTS PRIOR TO CONSTRUCTION. 6 CONTRACTOR TO NOTIFY THE ENGINEER AND DHHS 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF THREE INSPECTIONS ARE REQUIRED. THE FIRST INSPECTION SHALL BE OF THE SUBGRADE PRIOR TO PLACING THE SEWER ROCK. THE SECOND INSPECTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION PIPING, STANDPIPES, AND OTHER COMPONENTS AS SPECIFIED. THE THIRD INSPECTION SHALL BE AFTER THE WORK IS COMPLETED. 7 CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED -LINED, AS -BUILT DRAWINGS SHOWING ALL DATA AS SPECIFIED IN SEC. 15.65.F.2, 3, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL CODE WITHIN FIVE DAYS OF THE FINAL INSPECTION. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT. THESE AS-BUILTS SHALL BE USED BY THE ENGINEER TO PREPARE AND SUBMIT RECORD DRAWINGS TO DHHS. 8 ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE DESIGN. 9 EXCAVATE THE ABSORPTION FIELD. BOTTOM OF EXCAVATION SHALL BE LEVEL AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END OF BED BOTTOM, CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL. 10 PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO t 1" PRIOR TO INSTALLING THE PERFORATED PIPE, 11 ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER -APPROVED EQUAL. MINIMUM SOIL COVER SHALL BE 3 FEET OVER THE PIPE AND 4 FEET OVER THE SEPTIC TANK. ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR 1 FOOT OF SOIL COVER. (SEE NOTE 12) 12 ALL INSULATION BOARD SHALL BE 2" THICK DOW HI -35 INSULBOARD OR ENGINEER -APPROVED EQUAL. CENTER INSULBDARD WIDTH OVER SEPTIC TANK. 13 GEOTEXTILE SHALL BE MIRAFI 14DS OR ENGINEER -APPROVED EQUAL. LAP ALL JOINTS 2' MIN. 14 COVER THE DISTRIBUTION PIPE WITH MIN 2" SEWER ROCK, AND COVER WITH GEOTEXTILE BEFORE PLACING BACKFILL AND INSULATION (IF NECESSARY). 15 MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS. 16 SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN, SLOPE, AND 3:1 MAX SLOPE, AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MUNICIPAL SPECS. 17 RECORD THE FINISH GROUND ELEVATION OVER THE BEGINNING, MIDDLE, AND END OF EACH TRENCH AND SUBMIT THIS INFORMATION ALONG WITH THE RED -LINES TO THE PROJECT ENGINEER. 18 CONTRACTOR TO BE RESPONSIBLE FOR THE REMOVAL AND DISPOSAL OF CONTAMINATED MATERIAL FROM THE EXISTING TRENCHES. LCONSULTING ENGINEERS ",or 400, November 11, 1993 W.O. 93094. RECEIVED NOV 1 01993 Ms. Susan Oswalt Mumc,paiay of Anchorage Municipality of Anchorage Dept. Health & Human Services Dept. Health & Human Services Environmental Services Division P.O. Box 196650 Anchorage, Alaska 99519-6650 RE: Lot 4 Block 3 Southpark Subdivision Addition # 2 Dear Susan: We have concluded our septic system adequacy test on the above mentioned lot. The upper trench has failed, the lower trench is only about 30% functional. We are in concurrence with the previous adequacy test completed by Jeff Garness, that states that the septic system has failed. Attached is a site plan of the lot. It shows the location of our test pits in the back yard. The soils and topography of the back yard will not provide an area for a replacement septic system. It is our recommendation that we remove and replace both of the existing trenches in the front yard. We propose two alternatives: 1. Removing and replacing the existing trenches with standard gravel trenches. 2. Replacing the trenches with In -drain geotexile treatment units. The In -drain units have been approved for use by ADEC. They are currently in use on the new restaurant facility at Alyeska Ski Resort. For sites like this, they offer several advantages the most important being the ability to reduce the Bio Mat build up on the soil surface. We would submit along with our design all the necessary information on the In -drain units to your office for review. PO Box 111349 Anchorage, Alaska 99511-1349 a (907) 345-1385/Fax 345-1386 Page: 2 Southpark Subdivision # 2 November 11, 1993 If you have no objection to reusing the existing trench, we will proceed with the design. Sincerely, DHI Consulting Engineers Carl Abrams Civil Engineer cc: George Novaky Dee High, DHI Gail High, DHI CMA\lfc DAWPSMNPA94cD09N.,pS N. WAH A 111LerI! Inua1 _. ,u sn• i N 5 89' SO. 34"e eo L-5 23B,jr/ ' G 4fv T 501 cu2rAo"� 02A1w off SET L-3 TP AZ UNO[R NO CIACUMStANCItS SHOULD AN AS -WILY DE U*V FOR OCN9TWCTICN CR FOR EBTABU"G BOUNDARY OR FENCE LINES. THE SURVEYOt TAKES RESPONSRIILITe rcet THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVE'+. LISTED DISTANCES PREVAR. OVER SCALING. REMLOOUGRON MAY CAUSE ERRORS IN SCALE. Loy mwv SURVEY TYPE SYMBOLS • -I ASPHALT ❑ IONALOATKN ft ASr • SET MAR DRAINAGE .,.. ❑ MIk lTRUctVAE A!-eultT 0 FWNO WAR �_A_9 WOOD �,x I' p• ••� CONCRETE Q rLor PLM ... As-lun.T ...LST BAhCr . TMOARASHr - _ _-4_ COD ASSUMED ELEV. I K- METAL FENCE WOOD DECK PLOT PLANS St LOT SURVEYS nu Le IT 14 t V MRtPe ftlnb IYr Or THF BUILDER OR OWNER PRIOR TO ONLY 'HOSE IMPROWMENTS ABOVE OROUNO AND VISIBLE WALL BE TO VERIFY PROI IDE AND UTILITY SURVEY CER71FICAPON UCNRE AS-EVIIi a..t ., •.r» ..uM n.I W NO r '*IvtirN �. Int b1 s1e MN w w DSEO BUILDING GRADE REIATYErAILL OWN. FENCES. WELLS, WJ-TIC CLEAHOUTS. SIDEWALKS. DRIVEWAYS, ;ONNEC110N9 AND T'0, DETERMINEC,. ARt SHOWN IN THEIR APPROxIMA1E LOCATION, ONLY. SNOW 11, COVENANTS OR RESTRICTION$MAY PREVENT SOME IMPROVEIAENTS FROM 8E1N0 SEEN AND LOCATED. RECORDED SUBDIVISION PLAT._DISTANOCBARE RECORD UNLESS OTHERYA$E NOTED. - �•+r�rryr F'reparea by OF by Robert E. Johns, Jr. & Assoc. r�r`�p�,•• """"•••• V ProfesslotalE Land Surveyors AYL ANCHORAOE, ALASKA 91100,1 1 •�{ � $e0t�' T R r R.O. Lot t.F. Roe. Plot He No. 'Date Draw 9-16-93 `""13236 I -J! 93-164 OT 4, BLOCK. 3, SOUTHPARK. SURD1viST0N ADDN 12 Lin CO ' IRS m ' Co• eo L-5 23B,jr/ ' G 4fv T 501 cu2rAo"� 02A1w off SET L-3 TP AZ UNO[R NO CIACUMStANCItS SHOULD AN AS -WILY DE U*V FOR OCN9TWCTICN CR FOR EBTABU"G BOUNDARY OR FENCE LINES. THE SURVEYOt TAKES RESPONSRIILITe rcet THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVE'+. LISTED DISTANCES PREVAR. OVER SCALING. REMLOOUGRON MAY CAUSE ERRORS IN SCALE. Loy mwv SURVEY TYPE SYMBOLS • -I ASPHALT ❑ IONALOATKN ft ASr • SET MAR DRAINAGE .,.. ❑ MIk lTRUctVAE A!-eultT 0 FWNO WAR �_A_9 WOOD �,x I' p• ••� CONCRETE Q rLor PLM ... As-lun.T ...LST BAhCr . TMOARASHr - _ _-4_ COD ASSUMED ELEV. I K- METAL FENCE WOOD DECK PLOT PLANS St LOT SURVEYS nu Le IT 14 t V MRtPe ftlnb IYr Or THF BUILDER OR OWNER PRIOR TO ONLY 'HOSE IMPROWMENTS ABOVE OROUNO AND VISIBLE WALL BE TO VERIFY PROI IDE AND UTILITY SURVEY CER71FICAPON UCNRE AS-EVIIi a..t ., •.r» ..uM n.I W NO r '*IvtirN �. Int b1 s1e MN w w DSEO BUILDING GRADE REIATYErAILL OWN. FENCES. WELLS, WJ-TIC CLEAHOUTS. SIDEWALKS. DRIVEWAYS, ;ONNEC110N9 AND T'0, DETERMINEC,. ARt SHOWN IN THEIR APPROxIMA1E LOCATION, ONLY. SNOW 11, COVENANTS OR RESTRICTION$MAY PREVENT SOME IMPROVEIAENTS FROM 8E1N0 SEEN AND LOCATED. RECORDED SUBDIVISION PLAT._DISTANOCBARE RECORD UNLESS OTHERYA$E NOTED. - �•+r�rryr F'reparea by OF by Robert E. Johns, Jr. & Assoc. r�r`�p�,•• """"•••• V ProfesslotalE Land Surveyors AYL ANCHORAOE, ALASKA 91100,1 1 •�{ � $e0t�' T R r R.O. Lot t.F. Roe. Plot He No. 'Date Draw 9-16-93 `""13236 I -J! 93-164 OT 4, BLOCK. 3, SOUTHPARK. SURD1viST0N ADDN 12 Permit No. Pageof `.y.0. 93n94 Municipality of Anchorage Department of Health and Human Services Date 17-10-93 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 4 BLOCK 3 SOUTHPARK SUBDIVISION ADD'N #f2 PID No. FLOW EQUALIZATION CHAMBER. ORENCO SISTEMS INC. HYDRO—SPLITTER OR ENGINEER—APPROVED EQUAL. SLOPE TRENCH WALLS AS REQUIRED TO MEET ALL LOCAL, STATE, AND FEDERAL REGULATIONS GEOTEXTILE FABRIC EXISTING GRADE BACKFILL 0Y8 5'-0" (TYP) 00 U 0`68' REMOVE EXISTING SEWER ° ROCK. OVER EXCAVATE 3" MIN ALL SIDES. REPLACE WITH NEW SEWER ROCK PER MUNICIPAL SPECS. TYP. BOTH TRENCHES, TYPICAL REPLACEMENT TRENCH SECTION SCALE: NTS rznn u. zs Permit No. Page—of W.O. 93094 Municipality of Anchorage Date 11-10-93 Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 4 BLOCK 3 SOUTHPARK SUBDIVISION ADD'N #2 PID No. FLOW EQUALIZATION CHAMBER. ORENCO SISTEMS INC. HYDRO—SPLITTER OR ENGINEER—APPROVED EQUAL. SLOPE TRENCH WALLS AS REQUIRED TO MEET ALL LOCAL, STATE, AND FEDERAL REGULATIONS — GEOTEXTILE FABRIC EXISTING GRADE BACKFILL REMOVE EXISTING SEWER ROCK. OVER EXCAVATE 3" MIN ALL SIDES. REPLACE WITH NEW SAND FILTER PER 9 MUNICIPAL SPECS. ^......... TYP. BOTH TRENCHES. ............... 3' X 2' X 6" IN—DRAIN UNITS 4'-6" ' (TYP) �. fit` OF4� ♦1* •' 9 TH TYPICAL REPLACEMENT TRENCH SECTION f iDENNIS HIGHS CE 07 CA) SCALE: NTS ���PeN'•••••!•'�\� i� 72- 3 A 12/911 NM M f.: R% II04fi>I 7 Municipal and State guidelines in effect an1 this dale: Health Department Approval: 72-013 (3/85) Scale; �o Ins ections Pertorm tl by: — Date: q 06°40 a 46. 60006 1lhi specti/jon was performed ac ruin to 111 Date: MUNICIPALITY OF ANCHORAGE (37 DEWMENT OF HEALTH AND HUMAN SER# Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 r ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name 6-i-eerce Alo R DISTANCES Tp FROM SEPTIC TANK ABSORPTION FIELD WELL Addreaa. O o ( Z D FIuG• AK 993 WELL •/ ,!Y A N A rn Phone(s) 345- /9G4- Permit No. 8(00152- No. of Bedrooms 4 LOT LINE 37/ 15 LEGAL DESCRIPTION Lot 4 Black 3 Subdivision Sov H PRrz Township, Range, Section^ ..� _ 6/.., •�Q) /—�` ///V R 3 'Sec.• FOUNDATION / // -BUILT DIAGHAMIShow location of well, septic system, property lines, foundation, driveway; water bodies, etc.) TANKS I SEPTIC -- ❑ HOLDING Manufacturer Capacity in gallons Material STEE No. of Compartments `L L apo r Ra 1E i 04A4 TYPE OF SYSTEM Ix TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from original grade / 4 5 FT Total depth from orginal. grade ' �%-5 FT - r Fill added above original grade Gravel depth beneath pipe Gravel length FT Gravel width/ ;2 FT Total absorption area &00 SQ FT Distance between lines 10 / FT Number of lines 2 Soil rating 15Z) SQ FT Pipe material PVe Installer – leyieAA aXG• Date Installed t 8� 86�O9Z WELLS ❑ PRIVATE X OTHER (Identity) n Ao I A Classification (A,B,C7 / Total Depth FT Cased to N�X FT Installer /V f1 Date Installed: /✓/X REMARKS: Municipal and State guidelines in effect an1 this dale: Health Department Approval: 72-013 (3/85) Scale; �o Ins ections Pertorm tl by: — Date: q 06°40 a 46. 60006 1lhi specti/jon was performed ac ruin to 111 Date: �~--*M U N1 I E--' d0k �� �� ��r �_���� ���� , DFPARTMEN��]F HEALTH AND ENVIRONMENTPROTECTION ` ^ / 825 L STREET ANCHORAGE ^mw�'` , AK 99501 ` 264-472O C) P4 -- E3 I -F- F= E3 F= UWEFF�<' �EF. F�C M I -F PERMIT NO: 860152 DATE ISSUED: 06/03/86 ��� APPLICANT- GEORGE NOVAKY ^- - �r r � -- , ADDRESS: P.O. BOX 230504 ~~�^'°����°^ ANCHORAGE, AK 99523 CONTACT PHONE: 786-8500 LEGAL DESCRIP: SUBDIVISIONe SOUTHPARK #2 L8To 4 BLOCK: 3 SECTION.,3 TOWNSHIP: 11N RANGE: 3W ` LOT SIZE: 29654 (SQ"FT" OR ACRES) MAX BEDROOMS: 4 Listed below are the options available to you in designing your septic system" Choose the option that best fits your site" 1- P4 C--, " E:9 1E-_- ID W - n FR dn� I M DEPTH TO PIPE BOTTOM (FT.) 4"0 4"0 ' 4.0 GRAVELDEPTH (FT.) 5"0 0"5 3"5 TOTAL DEPTH (FT"} 1-y 9°0 ` 4"5 7.5 GRAVEL WIDTH (FT.) �*°"�~~ � 2"5 22"0 ' 5"0 GRAVEL LENGTH (FT.) -' 4o�& �-;w 60"0 41,0 65"0 GRAVEL VOLUME (CU. YDS. vK 30"6 33"5 48,2 TANK SIZE (GALS)' 1,250^0 ** 1,250"0 ** 1,250"0 ** SOIL RATING (SQ"FT°/BR) 150 150 150 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS ~_______-~~^___-~~___~~-___~^__-.__~~__~ I certify that: 1" I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska" 2� I will install the system in accordance with all MOA codes and regulationsv and in compliance with the design criteria of this permit, 7" I will'adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4" I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS~BUILTS WILL NOT RE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. ` SIGNED DATE: APPLICANT: GEORGE OVA ISSUED BY 'eaDATE: 6~.3 —99;1 ---�7------------ ~------------------------ ~--~-~----- � • Municipality of Anchorage t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: e, AloiIAK�j DATE P 5a.ra P/% LEGAL DESCRIPTION: LT Township, 47 (3�K3 nna � Z P. Ran 9e, Section: .6E SLOPE SITE PLAN 1 i 2 / Jai /: xy is 3 4 d, 5 6- 0 7 8- 9 to 11 12 13 c7 ; 14 F ROLEAI 70 �� Rvorc j roXAQBl3 SAuD �� i�iGu(Grei'S CT,¢ftrx of ��c.Ts� sP 15 -' 16 Barrao.. sF TEST 17 IE 19 WAS GROUND WATER ENCOUNTERED? _ rtloNE IF YES, AT WHAT DEPTH? Depth to Water Aller Monitoring? 'Vz57 Date: 0 Reading Date Gross Time Net Time Depth to Water Net Drop 20 I PERCOLATION RATE (mmutewinch) PERC HOLE DIAMETER t -I TEST RUN BETWEEN FT AND FT COMMENTS /50 SQ �% .C�6QRDUA4► PERFORMED BY: 4t; Li I _j7P:a W1 9' FL CERTIFY THAT/THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT O`NNTTHIS DATE. DATE: 72-008 (Rev. 4185) '/ Y- - o Municipality of Anchorage • DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: GCOY'Ne /,L/( DATE DATE PERF( LEGAL DESCRIPTION: L'T (3GK 3 '; • j)AA' r *Z -Township, Range, Section: DEPTH SLOPE SITE PLAN (FEET) 1 2- 3- 4 34 s D D• 5 +leo 6 7 Q ei• a 8 9 10 a. Q < 12 9 13 14 O D 15 4 D is 17 18 19 ORC.hurC ?OOT mAT y0v=EAf 70 // �rowa] Z""rej -T41" D (S Ih } SA^c/7 C'AAVg=L w/ —MA19 DF S�cT iC-�1N� WAS GROUND WATER A10A/O ENCOUNTERED? to— Water S IF YES, AT WHAT L O DEPTH? P E Depth to Water AtlefJ NONE Monitoring? Date: 20 PERCOLATION RATE (minutevinch) PERC HOLE DIAMETER TEST RUN BETWEEN X01 FT ANDILS FT COMMENTS 110 Siq-47 Z6;W1Z,20mA ®®®� to— Water a PERFORMED BY: �CC � I t- ' 4 4 CERTIFY THAT THIS TEST WAS PERFORMED IN i ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 3j • QPME .9Ui • �-� Municipality of Anchorage s `° On-Site Water and Wastewater Program (907) 343-7904 SAFETY Certificate of On-Site Systems Approval Parcel I.D. 020-502-20 Expiration Date: —3 d ✓� 1. GENERAL INFORMATION: Complete legal description SOUTHPARK#2; BLOCK 3, LOT 4 Location (site address) 4610 Southpark Bluff Drive *Anchorage,AK 99516 Current Property owner(s) Laura Scofield Day phone 345-4354 Mailing address • Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ® Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number � Receipt Number COSA# -CC- �f7y(gl -7 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. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 lie Engineer's Printed Name: Jeffrey A. Garness Date: ' t y 0000pN.�4 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system oq OF 4, C 444 in accordance with the guidelines and regulations established by the Municipality of Anchorage and o qs�0 industry practices. The reported results describe the condition of the system/s on the date/s of the p P.• Q evaluation. Separation distances were measured to readily identifiable features. Hidden defects or G * �4! *�/oO encroachments may exist that were not identified during the evaluation. The operational life of all wells •. 49fil and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 0 \• VA groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 ( � workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and V.___:_-J..U. : O are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q ••Jeffre, A. Gorness: system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of 00 m • /C •• ,�� the well or septic system. GEG makes no representation whether an alternative well or septic system 1 9 •,c�4 can be installed on the property in the event either of the current systems fail to perform adequately in �� ,Pam{ i. `�•\coo the future. The content of this report is for the sole benefit of the person/party that retained GEG to N4 Profession°o perform the evaluation. Reliance upon the information provided in this report by any other person or 4�Opppo' ' party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD S GNATURE System #1 Approved for q bedrooms System #2 Approved for bedrooms \�\Q�`�Y OF:/1/1/C6. Disapproved ON-SITE -3� Conditional approval for bedrooms, with the folio a6ring WtE oAID m :1 WASTEWATER : PROGRAM ,I .go., O . SERJ\C. By: ( -t.__ N ( Original Certificate Date: a( t( 1 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 A" Nitrate Advisory • Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10.12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: SOUTHPARK#3; BLOCK 3, LOT 4 Parcel ID: 020-502-20 A. WELL DATA AWWU Well type If A, B, or C provide PWSID# Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N Total depth ft. Cased to ft. Casing height(abo - •round) in. FROM WELL LOG AT I - ` CTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RES • Coliform colonies/100 ml. Nitrate mg./L. Collected by: enic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 9/4/18 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT MONITORING TUBE Date installed 12/15/93 Soil rating .p.d./ 2or ftZ/bdrm) 0.8 System type DUAL TRENCH Length 75 TOTAL ft. Width 8+/- ft. Gravel below pipe 4 ft. Total depth *8.4+ ft. Eff. absorption area 750 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 6/2/18 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test DRY in. Water added 612 gal. New depth 4 in. Elapsed Time: 33 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - TESTED EAST TRENCH ONLY UPON ARRIVAL WEST TRENCH HAD 31"OF LIQUID D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at wa er alarm level at in. I --• Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: AWWU Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main '•• ' sewer manhole/cleanout Sewer/septic service line Holding tank - containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 5'+ Absorption field * Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+)8,200'+ PUtLIC SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line **10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots100'+s&200'+ PUBLIC F. COMMENTS `pvr 94 *ASSUMED 5'. POTENTIALLY 3'FROM EXISTING DRAINFIELD.VERBALLY APPROVED BY MOA ONSITE EMPLOYEE REBECCA CARROL, P.E. ON 9/4/18 DURING TANK INSTALL. •• OF ,C G. ENGINEER'S CERTIFICATION .7c-,..�� • 4♦♦♦�1 I certify that 1 have determined through field inspections and a . '9 ,' 16 • review of Municipal records that the above systems are in v i conformance with MOA COSA guidelines in effect on this • ;•••• • • •4 •t•: date. ♦r^: Jiff :• •. Game.s : , Engineer's Printed Name JEFFREY A.GARNESS •Z SJ'•••/ E-179513 ,_ ♦ g �i i...91 i`If l °<e Date ♦�44 PROFESS\O 4• 44 LICENSE 1•liii"`i�� #AECC884 (Rev.10/12/12) 8202W I \ I Lot 5 PJ 1 30 I I f S89°50'34"E 238.31 �, :1 N N I a] kr5 03 J` -ya. �;ii'. arc :• i:Z—'—' -e:;ti:; .1 III 1 0 0 /y 3rv. �L. �:., �� pz...• Asphalt--',3.1?,:::..� —t N X/ r-- Fes'..,:: ,?•ie'n&:twT•;f n'�'•� C7 T M :1='IIIIIIIIIIIIII� 6.� rn p rn �q° ; ° 2 v2 story 12.o Lot 4 I co O .t.;Ty� N Frame o I m O <. s Septic vents Fe House N O v M m C,}t .-..to: _ 42.0 I ct, CD r a [[17.7 1 30 ° 0 �° I?. 1 1 N80°26,50„ I I W 275.09 Lot 3 RECERTIFIED 9-11-18 d44c REVISED 7-16-18 Added Septic Vent RECERTIFIED 6-13-18 ```�� \ AS-BUILT NO CORNERS SET THIS DATE �� OF , A� 1 �, I hereby certify that I have performed a Mortgagee's Inspection aMEr 9 , , of the following described property: LOT 4 BLOCK 3, i�P•• `' •,�� SOUTHPARK SUBDIVISION ADDITION No. 2 • 49th �� /I / ••„•,r•• �• Anchorage Recording Precinct,Alaska,and that the /`�f„.' �; `•7 j improvements situated thereon are within the property lines /Cry /1.„4 1/ and do not overlap or encroach on the property lying 0 ” • lizabeth L. alatka:j / adjacent thereto,that no improvements on the property lying '`ni••• 8036 - LS ••Q� - adjacent thereto encroach on the premises in question and I <" • GI that there are no roadways,transmission lines or other ' O •• • , • • . • •�,o Alp visible easements on said property except as indicated SCALE: 1"= 40' I k;opssiot ,k- �. hereon. �‘\.�: Dated at Anchorage,Alaska EASEMENTS OF RECORD, OTHER THAN C4 i 4......I p- ., this 2nd day of AUGUST . 1999. THOSE SHOWN ON THE RECORDED FRED WALATKA&ASSOCIATES,L.L.C. PLAT ARE NOT SHOWN HEREON. Engineers and Surveyors UNLESS OTHERWISE NOTED Johns, FB 18-7, pg 37 BE 907-248-1666 • • P?Gt S Municipality of Anchorage • On-Site Water and Wastewater Program < Lid (907) 343-7904 SAFETY Certificate of On-Site Systems Approval Parcel I.D. 020-502-20 Expiration Date: C9 2 '-f I 1. GENERAL INFORMATION: Complete legal description SOUTHPARK#2; BLOCK 3, LOT 4 Location (site address) 4610 Southpaark Bluff Drive *Anchorage,AK 99516 Current Property owner(s) Laura Scofield Day phone 345-4354 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ® Public Sewer ❑ WaiverNariance request fo • Distance: glikNEFA= Received by: 'i�� Date: Z7 � COSA to be releas-: • i_ , less of -rwise requested by the engineer. COSA Fee $ 52 C Waiver Fee $ Date of Payment 71(7/ / d Date of Payment Receipt Number if)Z Z Receipt Number COSA# SC— t ( 3 t f 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. Name of Firm: Garness Engineering Group,•Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: S / , f' I 000000,0 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system oQ OF 4 4�N in accordance with the guidelines and regulations established by the Municipality of Anchorage and o ". ...441 c j industry practices. The reported results describe the condition of the system/s on the date/s of the .- '-.•'• n evaluation. Separation distances were measured to readily identifiable features. Hidden defects or Q ��� V encroachments may exist that were not identified during the evaluation. The operational life of all wells / .•• 49 Ht .�*OQ and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 1 Q groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and .. . are outside the control of GEG. Satisfactory test results do not guarantee future performance of the and „/) ••.J- fr A. Game.s.: • system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of v0 E e,) Q the well or septic system. GEG makes no representation whether an alternative well or septic system (1(11\4‘/0 '1'sf (+ •c,,4 can be installed on the property in the event either of the current systems fail to perform adequately in Qv1\P J 51(11.43-* ii c, the future. The content of this report is for the sole benefit of the person/party that retained GEG to Qeoi , „ops o f ess�o perform the evaluation. Reliance upon the information provided in this report by any other person or 'Op0000� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right V- AN whatsoever. (`! 0' Gfy(J �Q�#AECC884 'IgG, 6. DSD SIGNATURE .� ON P� z': System #1 Approved for q bedrooms :m \1\11\1°W N 10: c c System #2 Approved for bedrooms a W pROGR' cc Disapproved G Conditional approval for bedrooms, with the followingnstipulations: 4 t=1n1 c��IAl K c S 3 2 vs 0 I�y / cv V 1 7 I IU” GC ce tc --‘-- < < S 2_0 Ipakr CO By: L."- Original Certificate Date: Eg J — IF 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 Nitrate Advisory Septic System Advisory Arsenic Advisoryp_ Well Flow Advisory _ Other J "-{ 3 2_ COSA blue sheet 10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: SOUTHPARK#2; BLOCK 3, LOT 4 Parcel ID: 020-502-20 A. WELL DATA AWWU Well type If A, B, or C provide PWSID# Well Log (YIN) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N Total depth ft. Cased to ft. Casing height(abo - •round) in. FROM WELL LOG AT I . ' CTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RES • Coliform colonies/100 ml. Nitrate mg./L. Collected by: enic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA 32 YEAR OLD STEEL SEPTIC TANK IS APPROACHING THE END OF IT'S USEFUL LIFE Tank Type/Material SEPTIC/STEEL Date installed 12/29/86 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 9/6/17 Pumper ISAAC'S PUMPING SERVICE C. ABSORPTION FIELD DATA -BELOW EXISTING GRADE AT MONITORING TUBE Date installed 12/15/93 Soil rating ...p.d./ or ft2/bdrm) 0.8 System type DUAL TRENCH Length 75 TOTAL ft. Width 8+/- ft. Gravel below pipe 4 ft. Total depth *8.4+ ft. Eff. absorption area 750 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 6/2/18 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test DRY in. Water added 612 gal. New depth 4 in. Elapsed Time: 33 min. Final fluid depth 0 in. Absorption rate>= 600+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date - TESTED EAST TRENCH ONLY , D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on"level at in. "Pump off' level at '• wa er alarm level at in. - - Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: AWWU Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main '•• ' sewer manhole/cleanout Sewer/septic service line Holding tank - - containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field UNK Water main 10'+ Water service line "'UNK Surface water 100'+ Wells on adjacent lots 100'+PVT&200'+PUBLIC SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line `4' Building foundation 10'+ Water main 10'+ Water service line ***UNK Surface water 100'+ Driveway, parking/vehicle storage 6' Curtain drain "45'+ Wells on adjacent lots 100'+PVT&200'+PUBLIC F. COMMENTS •WR#090030 **PER 1993 INSPECTION REPORT.REPORT NOTES THAT CURTAIN DRAIN IS UPHILL FROM DRAINFIELD. "'GIVEN KEY-BOX LOCATION IT IS REASONABLE TO BELIEVE THAT THERE IS 10'SEPERATION. G. ENGINEER'S CERTIFICATION �7��� F•• • 'O -':. -••♦ I certify that I have determined through field inspections and 4••,' i\ • review of Municipal records that the above systems are in • conformance with MOA COSA guidelines in effect on this • • •• 11 •date. •� f; _ • A. arnesg% .•�� Engineer's Printed ame JEFFREY A.GARNESS ��♦�I•••• E 79531jd Date •� ESS\ ..• / LICENSE �•\m"`��• #AECC884 (Rev.10/12/12) MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT ® 4, 907-343-7904 On-Site Water and Wastewater Section / Fax: 343-7997 www.muni.org/onsite -/ OSC181349 Septic Tank Advisory Certificate of On-Site Systems Approval # Subdivision: South Park #2 Block:3, Lot: 4 The septic tank for this property is 32 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $6,000 to $9,000. 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. 0 „ l t 4., ^g,:< ,. . . " #Ia. 4,j _ ,}n -\iv > r�.i:'—• .ay Y -.P'',.:...':.;.; �� bO i� M.. 0, , q„ ,to-- , ,-.4.-., 04,,,, , tho ' i '.'' -.° c4.7, ,..5,,,.. ,„, „le"',,,,Akt •V •4., -ir . , , , - ., . •A, • :,1.,r&A., 1. 4 tti,., "‘ It, ,-.0.:, ,I,• . .,-7.*-`s .., 1, , ( mi,' ,-: , ,': a $r ti r 1 4' Mailing Address: P. 0. Box 196650 * Anchorage,Alaska 99519-6650 *www.muni.org r r, MUNICIPALITY OF ANCHORAGE ' WATER CONNECTION - Location on Record ACCT. NO. NAME ADDRESS g110 5001-h t f'f 1 kA Cr pf- LOT q BLOCK 3 ADDITION SIZE CONN. DATE MADE NEW CONN. REPLACEMENT CONN. LOCATION:ALLEY 0 STREET® TYPE OF MAIN ( 14'r D ,T. ) SHOW SKETCH ON REVERSE SIDE CORP STOP THAW PLATE/NUT PERMIT NO. CURB STOP C TO C KEARNY WIRE CONNECTOR W. CURB STOP C TO I OTHER: CONN. CORP CONNECTOR INSP. - COUPLING TO C TO 1 X BRASS BUSHING X GALVANIZED BUSHING COMMENTS: BROKEN MAIN, EXT. CONNECTION, EXTRA PIPE 2 PART UNION CASING, DELAYS, ETC. 3 PART UNION 511(441 P -k rr aSe._ SERVICE CLAMP X _ COPPER PIPE _1 I• CI g f(eut SAex-boO QJ 1 1/4" KEY BOX 2' KEY BOX THAW WIRE DISCONNECTS LOCATION 51 3 Q C lu bj p,c, EXCAVATOR APPOINTMENT TIME: TIME READY: CONNECTION MADE BY INSPECTED BY 31-058(Rev. 10/97)" 8202W / l Lot 5 j 30 ' a i S89°50'34"E 238.31 S •.S` ^ 5+ . Nt.1.CO O o cr r. ',„Asphalt 1-t tN Q1 3 y � 3 ��p�. o C , l , s. '411'4 ].>n1;.:-s..0 M .0 OH (9 Q) 2 �, rn !Iflm 0 o� .ems o . 2 1/2 Story 12.0 Lot 4 1 CO ch • Im 0 0 0 CO r ,?4 Septic vents § N House N co O (� '' 42.0 1 ce'o 0 30 o m co a / 1? 1 1 N80°26'50"w l 275.09 I I Lot 3 REVISED 7-16-18 Added Septic Vent r' �J RECERTIFIED 6-13-18 ``�`1.'t\' AS-BUILT NO CORNERS SET THIS DATE OF A ' 1 I hereby certify that I have performed a Mortgagee's inspection Alir ' C-'• • •' • • �;4 �, of the following described property: LOT 4 BLOCK 3, -�P•• .6‘f- SOUTHPARK SUBDIVISION ADDITION No. 2 i CO 49th --,15.- ••� •* Anchorage Recording Precinct,Alaska,and that the improvements situated thereon are within the property lines •• • — and do not overlap or encroach on the property lying I :tlizobeth L. olotka*615 / adjacent thereto,that no improvements on the property lying /,s •• ••• adjacent thereto encroach on the premises in question and �c^pe•• 8036 - LS y that there are no roadways,transmission lines or other • . • ' 11 visible easements on said property except as indicated SCALE: 1"= 40' , a I i�OEssicoal- �, O� hereon. 1 I I.N.V%� Dated at Anchorage,Alaska EASEMENTS OF RECORD,OTHER THAN 7 1 this 2nd day of AUGUST ,1999. THOSE SHOWN ON THE RECORDED FRED WALATKA&ASSOCIATES,L.L.C. PLAT ARE NOT SHOWN HEREON. Johns Engineers and Surveyors UNLESS OTHERWISE NOTED BE 907-248-1666 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 Parcel I.D. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 020-502-02 rrL�� COSA #0� 0 177 " it Expiration Date: & " /a—/o 1. GENERAL INFORMATION Complete legal description Lot 4, Block 3, Southpark Subdivision No. 2 Location (site address) 4610 Southpark Bluff Drive Anchorage, AK 99516 Current Property owner(S) Gregoryand Lauren Zwack Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 4610 Southpark Bluff Drive Anchorage, AK 99516 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four (4) 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑✓ Day phone 345-0256 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑✓ Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, basedon procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson,-P.E. S. DSD SIGNATURE Approved for _ bedrooms. Disapproved. Phone 522-7773 Date 5/10/2009 Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other BY Original Certificate Date: (Rev. 1 tms) Municipality of Anchorage ,be Development Services Department 4 `� Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 4, Block 3, Southpark Subdivision No.2 Parcel ID: 020-2 @-W4—"q'0Z-02 A. WELL DATA Well type _ If A, B, or C provide PWSID # _ Well Log (Y/N) Date completed _ Sanitary seal (YIN) _ Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Other bacteria colonies/100 mL Arsenic: ug/1 Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 711986 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 5/23/2009 Pumper Around the Clock Pumping C. ABSORPTION FIELD DATA Date installed 12115193 Soil rating (g.p.d./e or ft'lbdrm) .a SF/BRM System type s' wide Trench Length 35;40 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth 6.8 ft. Eff. absorption area 750 ftz Monitoring tube Y Depression over field N Date of adequacy test 5118/09 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 25.51121 in. Water added 626 gal. New depth 28.3114.2 in. Elapsed Time: 1,424 min. Final fluid depth 25111.5 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & tape) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at _ in. "Pump off' level at —in. High water alarm level at Datum Cycles tested 5 Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas None Manure/animal excrete storage areas None SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5' Absorption field >5' Water main NIA Water Service line - >10' Surface water >100' Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 4, Building foundation >10' Water main NIA Water Service line >10' Surface water >100' Driveway, parking/vehicle storage 2` Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS:. See Lot Line Waiver. Lot is Served by AW WU Water System. G. ENGINEER'S CERTIFICATION I certify that / 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. Engineer's Printed Name Michael E. Anderson, P.E. Date 5/9/2009 COSA Fee $ K R' 0 Date of Payment i�O o p Receipt Number (Rev. 11105) 4918 Waiver Fee $ c200 Date of Payment 0 / Receipt Number in. L - S SURVEY CERTIFICATION T PLp +, a.■..r I e.. yy..y n.Wr a +.I N 4ewsel Il..n N w Iewe r eYYW a w w, w ew Mwn w+w �Iw Nbb Mein oye. N rwi • Ierlw Irw �M b N euunul. iNDAVON AS -BUILT re c uer x. a.+s�anrry wn r r�w ww. ikw wY�w� +. N Iwwnerr . r, rew L STRFCRIRE AS-BULT re C AIM x. nnwr »IIh wk r )-J 36.31' C2' ►." , Prepared by OF Robert E_ Johns, Jr. & Assoc. �j Professional Land Surveyors •1. ANCHORAGE ALAWAA 990504 Scale: T c, _ r �./ Rx . Loi SF. RIc. Plat Flo No. Data SurveyaE 6-02-09 Drown. bp P'r.7 Chw**d by JI'T!C E. NS, JR. ..-- 21-5 e�ot- D't''D 6-02-09 Grid: 3236 w•0•93164/91 :."+`►Maw:~w.ww.I.wi w`.: w ..r .r �1 p°o Faaeand V°���� +l��R�rrr►r Lot 4 Block 3 °.� Southpark #2 WT+* _ SURVEY TYPE FOUNDATIONg SYMBOLS • FV A 91NIICaAE ,s-eMT SET REBAR 77 DRAMACE ASPHALT © n:or ... AS-BIAT... LRf Sue`ti-... TCPoa O FOUND REBAR g WOOD FENCE '..: CONCRETE W ImAlm WL WE ASSUMED ELEV. r -_;,-_;r METAL FENCE ® WOOD BEC( PLOT PLANS & LOT SUR YS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER. PRIOR TO ONLY THOSE IMPROVEMENTS ABOVEGROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE 70 FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE SHOWN. FENCES, WELLS, SEPTIC CLEANOUM SMJEWALKS. DRIVEWAYS. ETC., THE EXISTENCE OF ANY EASEMENTS. COVENANTS OR RESTRICTIONS ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. I ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES, THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABYJTY ONLY FOR THE COST OF. THE SURVEY. _ _ LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907)343-7904 • Fax(907)343-7997 http://www.muni.orgiOnsite Development Services Department On -Site Water and Wastewater Program r � �i Department **** VARIANCE/WAIVER REVIEW **** WR#: 090030 HAM 090174 Permit#: PID#:020-502-02 Legal Description: Southwark #2 Block 3 Lot 4 Engineer: Anderson Engineering Applicant: Gregory & Lauren Zwack 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 4.0 feet. This waiver approval applies .to the, existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ...................................................... 0........................ Waiver is Granted: X Waiver is not Granted: Date: 6/17/2009 Approved by: I,Z Na eviewer ..................... a.............. A.......• .. ............................ Rec#: 042055 Amount: $200.00 Date Paid: 6/10/09 **** VARIANCEIWAIVER REVIEW **** June 10, 2009 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Lot 4, Block 3, Southpark Subdivision Separation Distance Waiver Absorption Trench to Lot Line Dear On Site Services Engineer: The septic system on Lot 4, Block 3, Southpark Subdivision was reconstructed in 1993. The record drawing submitted with the inspection report shows the southern cleanout of the westernmost trench more than 10' from the property line. A recent survey completed this week indicates the cleanout is only 4' from the property line. A waiver is therefore required to allow the system to remain in its current location. The subdivision is served by the AWWU water system and no conflicts were noted with existing septic systems on the adjacent lot. In addition, soil conditions underlying the absorption trench are clean sandy gravel. Septic effluent will be absorbed into the underlying soil rather than migrating to the south. We hereby recommend a lot line waiver be issued allowing placement of the absorption system within 4' of the southern lot line. Sincerely, Michael E. Anderson, P.E. MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services ffs 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. # 020-052-711 1. GENERAL INFORMATION Complete legal description Lot 4, R1 nrk 3, Southmark S17hr1i vi ci nn Addition No. 2 Location (site address or directions) Property owner daanrla R C• rh Day phone 767-6899 Mailing address 4610 So, hoark Bluff Drive Anchorage, AK 99516 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: Four (4 ) 3. TYPE OF WATER SUPPLY: Individual well Community well " Public water XXX NOTE: If community well system, provide written confirmation from State ADEC attest- ing,to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX 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(Aev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality.of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Anderson F.nai napri nq - Phone S)9-7773 Address Engineer's signature 6. DHHS SIGNATURE Approved for 4 V R bedrooms. Disapproved. Conditional approval for Additional Comments 0 MITIC, _ .. i•E > bedrooms, with the following stipulations: Date q- 2 %- ci9 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev.1/91) Beck MOA M Municipality of Anchorage RECEIVE D DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division AUG 26 1999 825 L Street, Room 502 • Anchorage, Alaska 99501 • (`N 0714141 lot Anchorage Dept. Health & Human Services Health Authority Approval Checklist Legal Description: Lot 4, Block 3, Southpark Parcel I.D.: 020-052-71 Addn. No. 2 A. WELL DATA Well type A Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to FROM WELL LOG B. SEPTIC/HOLDING TANK DATA Casing height (above ground) Wires properly protected (Y/N) 9-13-m- - Public Water System Nitrate Collected by: _ AT INSPECTION Other bacteria Date installed 7/2/86 Tank size 1 , 2 5 0 Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) Date of Pumping 8/25/99 Pumper Old MacDonald C. ABSORPTION FIELD DATA Date installed 1115/93 Soil rating (g.p.d.ff? or ft2/bdrm) —8 Length 75 Width 8'± Gravel thickness below pipe 4 Systemtype 5' Wide Trench Total depth 6'-8'± Effective absorption area >750 SF Monitoring Tube present (YIN)--!— Depression over field (Y/N) N Date of adequacy test 8/17/99 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test (in.); 12 . 13 Immediately after 6 71 gal. water added (in.): 2 4.5 Fluid depth 12.13 (ins) Minutes later: 24 Hrs. Absorption rate = > 600 c.p.d. Peroxide treatment (past 12 months) (Y/N) N If yes, give date N/A 72-026 (Rev. 3/96)' D. LIFTSTATION - N/A Date installed Manhole/Access (Y/N) High water alarm level at* _ Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum "Pump off' level at* SEPARATION DISTANCES FROM WELL ON LOT TO: No Well on Lot (PWS) Septic/holding tank on lot Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation >51 Property line >5' Absorption field >5' Water main/service line __11 -ll' --Surface water/drainage > 10 0 ' Wells on adjacent lots >200' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line >1 0' Building foundation >10' Water main/service line >10, Surface water >100' Driveway, parking/vehicle storage area >10' Curtain drain None Noted on Lot Wells on adjacent lots >2001 F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conformance with MOA AHAA guidelines in effect on this date. Signature 7`' ,j,.a� , (L (/ ,"t, Engineer's Name Michael E Anderson, P.E. Date 8/24/99 HAA Fee $ co , ob Waiver Fee $ _ Date of Payment 19 12�,�9 Date of Payment Receipt Number �/ �D Receipt Number 72-026 (Rev. 3/96)' Frra August 25, 1999 Prudential Relocation 2500 Citywest Boulevard, Suite 400 Houston, TX 77042 Attention: Charlotte Aswell Subject: Lot 4, Block 3, Southpark Subdivision, Addn. No. 2 Septic System Inspection and Certification Dear Charlotte: RECEIVED AUG 26 1999 Municipality of Hncnorage Dept. Health & Human Services On Tuesday, August 17, 1999, we inspected and tested the septic system on Lot 4, Block 3, Southpark Subdivision, Addition No. 2. Prior to the inspection we reviewed the files on the system from the archives of the Municipality of Anchorage. These files indicate the absorption trenches were upgraded in December of 1993. At that time the septic tank was inspected and found to be acceptable for continued use. The tank was originally placed in July of 1986. The absorption system consists of two trenches. The trenches are 35' and 40' in length and approximately 10' to 15' apart. The trenches were placed at different elevations on the lot and a tee was placed to divide the flow to the trenches. Our inspection revealed the upper trench was dry and the lower trench contained 12.13" of water. We then injected 671 gallons of water into the post tank cleanout. No water appeared in the upper trench and the water level in the lower trench rose to 24.5". It appears the tee separating the two trenches may be out of level as all of the water appeared to be going to the lower trench. We then measured the water in the lower trench 24 hours later and found it back to the original elevation. The system is therefore capable of absorbing more than the required 600 gallons of water per day and meets the requirements of the Municipality of Anchorage. Most, if not all, the absorption is accomplished in the lower trench. The upper trench appears to be unused at this time. Sincerely, c- Michael E. Anderson, P.E. MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES r 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.# 620-05-2 - 7i HAA # LI /30777 GENERAL INFORMATION Complete legal description /-, T 4 /11-- —3 :JOLvT d i�flArc *W, SuG AC-lc(c 41ori �— ' 2 Location (site address or directions) 4�/0 SO 1AT_HPf9rek 6L OFF ;9R, Property owner GCc,f6C- L'Ok >Al- �l Day phone 7(„1 41 7 Mailing address - /�'v' lS°4' 730 S0 u- Az'clo ^yr 14/ Lending agency 4 %C A 6 Day phone 7S-3 Mailing address /u �(oc'c� �'e1�L� St / 4 Jw 7oz- Air&o Agent T /��i c � �'� KcA177 Day phone a57 _� SiS Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4- 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Y NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. 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 MOAN21 MUNICIPALITY OF ANCHORAGE 1 70 • DEPARTMENT OF HEALTH & HUMAN SERVICES y Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AIHAN,4 APPROVAL FOR A SINGLE FAMIParcell.D.# 020-Os2 — / o777 1. GENERAL INFORMATION Complete legal description i -N fvi ArL s - uG Location (site addressor directions) lD SD tA T -P P,9Rk L u FP Property owner C7 CnrG ) c, L>A1�Day phone 7( - 41 y Mailing address A"lt' lv 4, Lending agency P�CiF/C io ('G /t GG Day phone 75;3 Mailing address a�C'� r7e�t4 C St �ui c 7oZ i&4o79503 Agent //� W/ �erL'7 Dayphone e_Z, � $/S Address Unless otherwise requested, A will be held for pickup. 1 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY. Individual ell ( k Commun' y well Public ter NOTE: If commun ty well system, provide written confirmation from State ADEC attest- ing to the egality and status of system.'" 4. TYPE OF WAST ATER DISPOSAL: I% ividual on-site Molding 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 MOAN21 ® Municipality of Anchorage IaL mama Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 10T 4 gc_e 3 Parcel I.D. SCJ -t I4 V tAK 4 elel- �f_3 A. Well Data Well type >^ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) IJIA Date completed �_JR Driller u [ A Total depth N/A Cased to �J/A Casing height k I A Sanitary seal (Y/N) N/A Wires properly protected (Y/N) iul A Date of test Static water level Well flow Pump levels FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: AT INSPECTION _; On adjacent lots _; On adjacent lots _ iblic sewer manhole/[ Petroleum tank Coliform Nitrate Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA MUMCIFALIP CF ANCHORAGE vmnNAAFNTAL. SERVla-S DIVISION RECEIVED Other bacteria Date installed -7 - Z - C , Tank size t'i 5 C, Compartments Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression (Y/N) !J High water alarm (Y/N) QIA Alarm tested (Y/N) a/A- Date of pumping l6/S Pumper 15 A AL - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 1C?o f On adjacent lots P Foundation To property line 7 Absorption field r Water main/service line LIQ' Surface water/drainage ti` E 72-026(3tM)*Front CONTINUED ON BACK PAGE C. LIFT Date install Size in gallons Vent(Y/N) High water alarm lev Meets MOA electrical SEPARATION Well on "Pump on" level (Y/N) D. ABSORPTION FIELD DATA LIFT STATION TO: (Y/N) "Pump off" Level at Cycles tested adjacent lots Surface water Date installed /9 //- 7-.3 Soil rating (GPD/Ft2) G•8( iKJ1Systemtype .WAcccct; irz�.kro4 Length _7 S ' ( 3 ) Width L Gravel thickness Total absorption area Total depth Cleanout present (Y/N) _Depression over field (Y/N) tvJ Date of adequacy test K,L��, )y s 41- Results (pass/fail) Ka y, Scg c 4: _ for 4- Bedrooms Water level in absorption field before test tie . V4,, 4_w_ Aftertest & KL,; / sy s k- - Peroxide treatment (past 12 months) (Y/N) ti /i If yes, give date JCA SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot t"It C. Cti IA ( On adjacent lots Property line 16,11 To building foundation �- To existing or abandoned system on lot — c' 3c,; On adjacent lots ACutbank t_, o ti c- Water main/service line 4G Surface water & h Driveway, parking/vehicle storage area ' Curtain drain C E. ENGINEER'S CERTIFICATION I car* that I have checked, verified, or conformed to all MOA and HAA Signature Engineer': Date h HAA Fee $ �'C1C Waiver Fee $ Date of Payment /_ 1 0 - 9-3 / Date of Payment Receipt Number J5 1 Receipt Number, 72-026 (3/93)' Back of this inspection. tJ)t%i f. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL kqyLio )J '7 V-/ OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1.tLn by ' 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) '5- (b) (b) Applicant Name Gere /✓'_ Telephone: Home 34S- Business Applicant Address 1670, ( �•3G5O4 4t d'. /�k'- ���� (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution &aseA rme,_,fG(i.4[' ,13AA;e Telephone 6�74- 35(4 Address (10 l W 5 ` � AAJ C , (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family I,( Multi-Fa/milily ❑ Other Number of Bedrooms `� 3. WATER SUPPLY Individual Well ❑ Community ❑ Public g Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11,94) 5. ENGINEERING FIRM PROVIDINPINSPECTIONS, TESTS, FILE SEARCH, DIA1 AND INFORMATION 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 shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm rade ER)G'2' Telephone ,_7G% -S3 A Addre Date 6. DHEP APPROVAL Approved for _106' C4 bedrooms by ^"'"o Date Approved 6� Disapproved Conditional Terms of Conditional Approval CAUTION A The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (11/84) • MUNI DtEp71 0 OHeANC tHH AUTHORITY APPROVAL (HAA) ENVIU- TAu v2oTEC"VAECKLIST - FEBRUARY 1984 264-4720 Q Legal Description: J /1N %'.3 u/ .S -Z 3 A. WELL DATA .� 4 Well Classification H If&A B, C, D.E.C. Approved (Y/N) _ Y Well Log Present/(Y/N) A'14/R Date Completed %IIA Yield `ILA Total Depth � Cased to /v ,4 Depth of Grouting 4i�1+ Static Water Level n/ZA Pump Set At " Casing Height Above Ground /VA Sanitary Seal on Casing (Y/N) A`14 Electrical Wiring in Conduit (Y/N) IVA Depression Around Wellhead (Y/N) /V 14 Separation Distances from Well To Septic/Holding Tank on Lot �C�U� +` ; On Adjoining Lots Z 00 To Nearest Edge of Absorption Field on Lot On Adjoining Lots Zc2)` f To Nearest Public Sewer Line /✓ A To Nearest Public Sewer Cleanout/Manhole HA To Nearest Sewer Service Line on Lot Water Sample Collected by jvq : Date " Water Sample Test Results /J 14 Comments S&i- D&7C A/AL t a mc—t1_ B. SEPTIC/HOLDING TANK DATA Date Installed 7/r/ �b Size /'LSU No. of Compartments Z Standpipes (Y/N) 3 Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) Date Last Pumped _ /�/L/.C.� Sy S5 Pumping/Maintenance Contract on File (Y/N) /v/+ ; for ly,A Holding Tank High -Water Alarm (Y/N) NA Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well 000, fi To Property Line To Water Main/Service Line 40 f Course . Comments Page 1 of 2 72-026(11/84) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 160 Type of System Design %/Z,5/✓C-1+ Date Installed 7/�� �� Length of Field GAO Width of Field Depth of Field Gravel Bed Thickness Square Feet of Absorption Area 60c) Standpipes Present (Y/N) Depression over Field (Y/N) IV Date of Last Adequacy Test Me 4,6 T42lerm- Results of Last Adequacy Test W&2j Separation Distance from Absorption Field: To Water -Supply Well apo � To Property Line 15 , To Building Foundation 17 To Existing or Abandoned System on Lot /V'ONC5�_ ; On Adjoining Lots /aWF 3 0 7 To Water Main/Service Line ZO f To Cutbank (if present) dov( To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area 5 It Comments -srA-4/1ci7ez,1 /Lr rFtiS iiirC-_ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) — "Pump Off' Level at Vent(Y/N) Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** Icertify that have ecked, en ed, confermedtoallMOAandHAAguidelinesineffect onthe date ofthis inspection. Signed Date il,B�� Company (�'f ��G/f rr /1tG//N " MOA No. Receipt No. (o c)/ pQ2 3 Date of Payment (Z I ��6 1 Amount:$ _ &�UV Page 2 of 2 72-026 (11/84) Seal BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION Telephone: (907) Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 DATE• December 29, 1986 PWS I.D.# 213475 To Whom it May Concern: According to records on file in this office the Water Regulations 274-2533 South Park Addition # 2 Water System is in compliance with the State Drinking Sincerely, Michael P. Lewis Environmental Engineer