HomeMy WebLinkAboutT14N R1W SEC 17 E2SE4NW4 WHITESTONE ESTATES Unit 9 Municipality of Anchorage Page //of
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: ~)c~O2.(~ PID Number: ~
N~me: ~~0¢~ ~% Wastewater System: ~New ~ Upgrade
*~'~':~.o, %o~ '~'~ ~ ABSORPTION FIELD
Phone: ~-~O No. of Bed~oms: ~DeepTrench ~ShallowTrench ~Bed ~Mound ~Other
Total Depth from orlgi~l grade:
LEGAL DESCRIPTION S°gRating: I,~ GPD/Sq. Ft.
Lot: U¢~ ~ ~ BIOCk:%~ ~ ~ ~ ~ ~ Subdiv~ion: Depth to plpe~;~bo~om from original grade: Ft. Gr~vel dept~b~neath pipe Ft.
Township: ~¢ IRange: ~ I~,,on: ~'-~ Filladdedaboveoriginalgrade: Gravellength:
WELL: ~New ~ Upgrade Gravel width: ~ ~ Number of lines: ~9istance ~n lin~:
Ft. ~ -- Ft.
Clarification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe material:
?~q~_ j~ F~. i~ Ft. , ~q~ SO. Ft.
Driller; Da e D i[led: Static Water Level:Installer:
Yield: Casing Height Above Ground:
Ca GPMIPumpSeta,: -- Ft, I ; ,,. TANK
SEPARATION DISTANCES ~ s..tic u ,o~i,~
To Septic Abso.tlon ~ .oldi.g '.blic/Private Man.facturer: Csp.ci~inga[Ions:
From Tan~ Field Tank Sewer Lin~
Water . 2 ~O~C~ ~m~
Li.e Z~,g' )~,~, ~,~ Size ,. gallons: Manufacturer; '
Fou.dat,o. lO' ~.~' ~1~ 'Pump on" level at: I "Pump o~' level at: I High water alarm a{:
CuKain Drain J~l ~ %~ ~ =ump Make & Model Electri~[~lns~ctions~fO peflormed by;
Remarks:~ ~ '95k ~ ¢~b~ ~% BENCH MARK
EN61NEER'S S~AL
Inspections pedormed by: ~ ~% Dates: 1st /~¢~boo
Depa~ment of Health and Human Se~ices approval '~'~
Reviewed and approved by: _ _ ~, ~ Date: ~-/~-oo
72-O13 (Rev. 9/91) MOA 25
Permit No. ~ ~'~ 07_~ I Page ~ of ~
Municipality of Anchorage
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 Inspeotlon Report
Legal Description= ¼G-~}~ ~c.~[[~ k~ld~ '-Cldf~ ~-[~O,~(~PID No.:
/
-UNIT 9
RESERVE TRENCH=
5'X27'I
A ~
UNIT 9
PRIMARY TRENCH
5'x
BIOCYCLE MODEL
JOJ4
UNIT 9 WELL
(NOT TO SCALE)
681
INSUL.--, ~ 2' I.SUL.\nn /-o.e. ATnmENCH
B.M. - 2-1/2" BRASS MONUMENT, NE PROPERTY CORNER
- (ELEV. = 687.8)
TH
16 685
DISTANCES
A - C 60.4
A - D 23.3
B - C 45.8
B - D 63.5
TEST PIT BY OTHERS
TEST PIT BY PTS
CLEANOUT
MONITORING TUBE
SCALE 1" = 50'
PERFORMED FOR=
Municipality of Anchorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
SLOPE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
(EN~C~L)
~'L ~'E ,.,m, ," ';,,'",
Township, Range, Section:
S
IF YES, AT WHAT
DEPTH? ' ~ p
E
ITe~th to Water After.,
Mofl~riflg? /v~.,¢ Oate
7-,P ¢//¢
WAS GROUND WATER
ENCOUNTERED?
-I
N
COMMENTS
Reading Date Gross Net Depth to Net
Time Time Water Drop
0 ~ t~~
PERCOLATION RATE [P'~ (minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN ~ FT AND 4 FT
t
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DAT~ DAT~ / ~ ~
72~8 (R~, 4/~)
7-12-2000 8: 44.AM
FROM : ClaRC~L ~L~:CTRIC
FROM
CA Eb
P. 2
P3
Haster Piece Homes
P.O. BoX 773471
Eagle R~ver~ ~ 99577~71
To whom it may concern:
Apri; Z7. 2000
Carcel Electric wired the Bio-Cycle'located at white Stone
Estates Unit~9" ,.~agle River, AK.
This Bio-Cycle was wired per the 1999 National Electrical
Code. If you ha~e any questions please give ~e a call.
't.'hank you,/ /~
'st~ve Cloud
Gene~aI Manager
by
DOC Co. dba
SULLIVAN WATER WELLS
LEGAL DESCRIPTION T/I
PERMIT NUMBER~~ Date of Issue ~ - ~ - ~
T~ INDENTIFICATION NUMBER O~O - ~.0 ~
is well located at approved pe~it location? ~ ~ No
Method of Drilling; ~otaw ~ oable tool
Depth of well: ~/~ ~[
Casing Type ~ ~L Wall Thickness ~ ~ ~O inches
Diameter ~ [~ inches, depth /& ~ feet
Liner Type: _ ¢~0 ~ '~
Casing Stickup Above Ground; ~ feet
Static Water Level (from groURd level): ~-- feet
Pumping level:, feet after hrs. pumping gpm
Recover Rate; _.~ O gpm
Method of Testing: ~
Well Intake Opening Typo; ~ End ~ Open Hole
~ Screened; StaK feet Stopped feet
~ Petbrations Sta~ fDet~_¢topped feet
Depth: from~ ~ feet, to w feet
Pump Intake DeCh: ~ teat
Pump Size .bp Brand Name
WelIDisinfected Upon Completion? ~ ~ No
Co~ht~:
P.O. BOX 670272, CHUOIAK, ALASKA 99567 ,, TELEPHONE 688-2759
DEPTH
From To
IVIA¥ ,b 1 'ZOO0
~ N IUnlOlpahly ol ,~ncnorage
opt. Health &Humao 8e~ices __
ATI'ENTION: it is the responsibility of the property owner to submit a copy of the well log to the proper authority, Muni~ipeli[y
of Anchorage: Department of Health & Human Se~,icea and/cr Department o~' Environmental Conservation, MatSu Borough:
Department of Environmental Conservation,
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Renewal
Permit Number: SW990261
Legal Description: T14N RIW SEC 17 NE4SE4NW4
Owner Name: Masterpiece HomeS, Inc.
Owner Address: PO Box 773471
Eagle River, AK 99577-3471
Date Issued: Aug 06, 1999
Expiration Date: Aug 05, 2000
Parcel ID: 050-362-06
Site Address: 020610 PTARMIGAN BLVD
Lot Size: 0 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 (24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special previsions.
Biocycle system for Unit #9.
This is a renewal of permit #SW980287 issued August 6, 1998.
Received By:
Issued By:
,/
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM /WATER SUPPLY PERMIT
Initial
Date Issued: Aug 06, 1998
Expiration Date: Aug 06, 1999
Permit Number: SW980287
Legal Description: T14N R1W SEC. Q. t7 NE4SE[4NW4
Design Engineer:.-2.~, ~%- L(__.~C',
Owner Name: MASTERPIECE HOMES, INC.
Owner Address: PO BOX773471
EAGLE RIVER , AK 99577-3471
Parcel ID: 050-362-06
Site Address:
Lot Size: 871200 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
THIS PERMIT ISSUED FOR THE CONSTRUCTION OF AN ALTERNATIVE WASTEWATER SYSTEM. THE
ATTACHED PROPERTY OWNER MAINTENANCE AGREEMENT SHALL BECOME A PART OF THIS PERMIT
PACKAGE. THIS PERMIT FOR UNIT 9.
Received~~
4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 56f-6237 fax: (90) 563-38 3
July 13, 1998
Daniel Roth, Civil Engineer
On-Site Services Section
Health & Human Services
825 L Street, Suite 502
Anchorage, AK 99501
Re:
White Stone Estates Condominiums
Unit 9-Permit
Dear Mr. Roth:
This letter transmits the application for the well and septic system permit for Unit 9 of White
Stone Estate Condominiums located on an unsubdivided tract of land south of Ptarmigan
Boulevard in Eagle River. The legal description for the property is the East ½ of the Southeast ¼
of the Northwest ¼ of Section 17, Township 14 North, Range 1 West, Seward Meridian. The
project proposes to construct nine (9) single family style units. Previous permit applications
have been received by your office for units 1, 2, 3, and 4 and one (1) well and septic permit has
already been issued for a home site on this development, proposed Unit 7. Transmitted with this
submittal package will be permit applications for units 5, 6, 8, and 9. Test pits were excavated
and percolation tests performed by Crowther Associates. Test Pit 16 has been utilized to design
the drain field for Unit 9. Test Pit 16 was excavated to ten feet (10') and silty sand was
encountered through the depth explored. No ground water was encountered in this hole, based
on ground water monitoring. The percolation rate of 1.3 minutes per inch was used to size the
drain field.
A Bio-cycle system is proposed to be incorporated into the septic system for Unit 9, allowing the
reduction of 50% of the required drain field area. The intent of the drain field design is to install
a five-foot (5') wide drain field with a gravel depth of one foot (1 ') beneath the perforated pipe.
The table below summarizes the calculations for the septic system drain field for Unit 9.
ALASKA PROPERTY DEVELOPMENT SPECIALISTS
White Stone Estates Condominiums
Unit 9
07/13/98
P.T.S., Inc.
Page 2
UNIT MAX. PERCOLATION APPLICATION ABSORPTION $0% RED, LENGTH GRAVEL RF FOR REVISED
FLOW RATE RATE AREA OF AREA OF 5' WIDE DEPTH GRAVEL LENGTH
IBENEATH
FOR BIOCYCLE TRENCH PERF. PIPE DEPTH OF 5* WIDE
(GPD) (MIN/IN.) (GPD/SF) (SF) (SF) (FT) (FT)
9 600 1.3 1.2 500 250 50 1 .87 43.5
The proposed disposal field for Unit 9 is not anticipated to have negative impacts on adjacent
properties. The well for Lot 8, Block 3 of Eagle Park Subdivision is located greater than one
hundred feet (100') from the proposed drainage field for Unit 9. Surface drainage fi'om the area
around Unit 9 drains to the south of the tract.
Thank you for your prompt review of the application information. If you have any questions,
please call me at 561-6266.
Sincerely,
Professional & Technical Services, Inc.
Vice President
Enclosures
ALASKA PROPERTY DEVELOPMENT SPECIALISTS
-UNIT 9
RESERVE TRENCH
5'X 44'
I
UNIT 9
TRENCH
5'X 44'
JBIOCYCLE MODEL
PV¢ @2~
TH 12
UNIT 9
o TEST PIT BY Oll-IERS
· 1EST PIT BY P'rs
[]c= CLEANOUT
'~" MONITORING TUBE
SITE PLAN
UNIT 9
WHITE STONE ESTATES
4-" DIA.
FROM HOUSE, --
S = 2~
MANHOLE COVER;
I J" INSULATION ON
BIOCYCLE /
MODEL 6000
1- 1/4" DIA.
PVC FROM
BIOCYCLE
MOUND SURFACE
MTuOBf~TORING__ / FOR DRAINAGE
"" '"'"' '"'
I 5, I
GROUNDWATER DEPTH GREATER THAN 10' BELOW GROUND SURFACE.
BEDROCK GREATER THAN 10' BELOW GROUND SURFACE.
LENGTH OF PIT -- 44'.
SECTIONS
UNIT 9
WHITE STONE ESTATES
.~u.~ ~lsc^~ r--so' 17/./..
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3-
4-
5-
6-
7-
8
9-
10-
11-
12
13
14
15
16
17
18
19
20
COMMENTS
Municipality of Anchorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
_~//;~ ~.__~//~_ .4/.v~///+ Township, Range, Section: ~C/, ]7
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
'~[*ex-. G. SCOTf CROWTHER
IF YES, AT WHAT ~ /
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
4 /7Vz
/Z I q
PERCOLATION RATE ~- (m~nutes/inch) PERC HOLE DIAMETER --
TEST RUN BETWEEN ~ FT AND ~' FT
PERFORMED FOR:
Municipality of Anchorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
2O
,~'?/~ /'[/WY~F Township, Range, Section: ~'~.~-/ /7
SLOPE SITE PLAN
WAS GROONO WATER
ENCOUNTERED?
COMMENTS
IF YES, AT WHAT
DEPTH?
Monitoring?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE [, ~' (mmuteshnchI PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND ~, FT
PERFORMED BY: 6' ~ (~"P~/~zu°~ I ~' ~---~~~ERTIFY THAT TH.IS TE§T WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN El=FI:CT ON THIS DATE. BATE; ~,,/~/q ¢
72-008 (Rev. 4/85)
MUNICIPALITY OF ANCHORAGE
Development Services Department v Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 067-311-01-009
Expiration Date: I L -3a - I
1. GENERAL INFORMATION f_1
Complete legal description T1 4N R1 W SEC 17 1311K SE4 NW4 UNIT 9
Location (site address) 20630 PTARMIGAN
Current property owner(s) Dunn Day phone
Mailing address
Real estate agent Day phone
2. TYPE OF DWELLING:
0 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:
Private Well
F
Private Septic
0
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for:
Distance:
Received by:
Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ a�
Waiver Fee $
Date of Payment 7 7 lZozzo
Date of Payment
Receipt Number 0 yq&y
Receipt Number
COSA # 05C 2 0 1 3 O LA
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by rhi 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 C&M ENGINEERING Phone 8545558
Address 20182 TULWAR
Engineer's Printed Name CHARLES BALZARINI Date 6/30/2020
_ tt I'
of Akgs��1
low, • !f'
i* 49 • H
i � I
6. DSD SIGNATURE 0 " • • • • •'
i .. ... i
System #1 Approved for bedrooms /r
CHARLES G BALZARKI �
System #2 Approved for bedrooms6'.. CE -13854
Disapproved�ll%pROFE.S 1s P �
Conditional approval for bedrooms, with the following stipulations:
tG(AAln(���(0,
Z
g I t1sl �P�M
P 0 �. Q
1)))111
By: al Original Certificate Date:
The Municipality of AnchorZ, Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
COSA Checklist yellow sheet
COSA Checklist
Legal Description: Parcel ID:
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system
A.WELL DATA
W ell log is filed with Onsite (or attached)
Date drilled
Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date of Sample
Comments __________________________________________________________________________________
B.T ANK DATA
Age of tank(s) years
Tank type/material
Measured operating fluid level in septic tank
Standpipes/foundation cleanout per record drawing
Date of pumping
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA ______________________
Which system tested (date installed)
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Code-required soil cover over field
System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Adequacy test date
Results Pass For bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
Comments/Deficiencies:
9/10/20 (Ar)
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100’
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 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 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 ft
F. ENGINEER’S COMMENTS
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.
I I NOTE:
N88'58'18"E 660.09 1. EASEMENTS OF RECORD, OTHER THAN THOSE
UNSUBD DED SHOWN ON THE RECORD PLAT ARE NOT
SHOWN HEREIN.
2. 2 STORY WOOD FRAME HOUSE WITH BLOCK
FOUNDATION.
0 250 500 3. OVERHANG OF BUILDING IS 1' EXCEPT ON
mmmm REAR IT .IS 1.5'.
SCALE IN FEET
I MICHAEL RUCINSKI, HEREBY CERTIFY THAT I HAVE PERFORMED AN AS—BUILT
SURVEY OF THE FOUNDATION ON THIS LOT AND ALL THE DIMENSIONS AND
INFORMATION AS SHOWN HEREON WERE PREPARED IN ACCORDANCE WITH ASPLS
MORTGAGE LOCATION SURVEY STANDARDS. NO ENCROACHMENTS EXIST UNLESS
SHOWN OTHERWISE.
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
LIABILITY ONLY FOR THE COSTS OF THE SURVEY. LISTED DISTANCES PREVAIL
OVER SCALING. ANY REPRODUCTION MAY CAUSE ERRORS IN SCALE.
AS -BUILT
UNIT 9
WHITESTONE ESTATES
CONDOMINIUMS
ADDRESS:
20630 PTARMIGAN BLVD.
EAGLE RIVER, AK. 99577
SCALE: AS SHOWN
SURVEY DATE: 10/27/2020
DRAWN BY: M. RUCINSKI
CHECKED BY: M. RUCINSKI
MOA GRID: SWO056
1s,N�
CONSULTING T 15TH AVE.� SURVEYING
912 EAST 15111 AVE, SUITE200
ANCHORAGE, ALASKA 9995011
PHONE: (907)581-8237
FAX: (907)583-3813
LICENSE/ AECC924
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WOOD DECK
PTARMX�
89,29 V 660.02
OVERHANG
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10' X 20'
'
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i
DETAIL
1"=30'
I I NOTE:
N88'58'18"E 660.09 1. EASEMENTS OF RECORD, OTHER THAN THOSE
UNSUBD DED SHOWN ON THE RECORD PLAT ARE NOT
SHOWN HEREIN.
2. 2 STORY WOOD FRAME HOUSE WITH BLOCK
FOUNDATION.
0 250 500 3. OVERHANG OF BUILDING IS 1' EXCEPT ON
mmmm REAR IT .IS 1.5'.
SCALE IN FEET
I MICHAEL RUCINSKI, HEREBY CERTIFY THAT I HAVE PERFORMED AN AS—BUILT
SURVEY OF THE FOUNDATION ON THIS LOT AND ALL THE DIMENSIONS AND
INFORMATION AS SHOWN HEREON WERE PREPARED IN ACCORDANCE WITH ASPLS
MORTGAGE LOCATION SURVEY STANDARDS. NO ENCROACHMENTS EXIST UNLESS
SHOWN OTHERWISE.
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
LIABILITY ONLY FOR THE COSTS OF THE SURVEY. LISTED DISTANCES PREVAIL
OVER SCALING. ANY REPRODUCTION MAY CAUSE ERRORS IN SCALE.
AS -BUILT
UNIT 9
WHITESTONE ESTATES
CONDOMINIUMS
ADDRESS:
20630 PTARMIGAN BLVD.
EAGLE RIVER, AK. 99577
SCALE: AS SHOWN
SURVEY DATE: 10/27/2020
DRAWN BY: M. RUCINSKI
CHECKED BY: M. RUCINSKI
MOA GRID: SWO056
1s,N�
CONSULTING T 15TH AVE.� SURVEYING
912 EAST 15111 AVE, SUITE200
ANCHORAGE, ALASKA 9995011
PHONE: (907)581-8237
FAX: (907)583-3813
LICENSE/ AECC924
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/ 'eMICHAEL G RUCINSKI oo
LS 14836v AW
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Municipality of Anchorage
\% Ur.partment
P.O. Box 196650 0 4700 Elmore Road
Anchorage, Alaska 99519-6650 0 (907) 343-7904 a Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On -Site Water and Wastewater Program
* * * * VARIANCE/WAIVER REVIEW * * * *
Waiver#: OSV201074 COSA#:OSC201304 Permit#:
PID#: 067-311-01
Legal Description: T14N R1W SEC 17 E2SE4NW4 WHITESTONE ESTATES Unit 9
Engineer: CM Engineering
Your request for a waiver of the required 10 feet horizontal separation from the absorption field to
the foundation has been approved. The approved separation distance is 8.0 feet.
This waiver approval applies to the existing absorption field only. Any future upgrade to the on-
site wastewater disposal system will require all separation distances be met or another approval
from this department.
............................... 0 0 M M Z M .......... ■ 0 M 0 a 0 t ......... t ............ 0
Waiver is Granted: X Waiver is not Granted:
Date: Z0 Approved by: LU(/
Name of Revie
**** VARIAN C E/WAIVER REVIEW ****
C&M ENGINEERING SERVICES
Ph: 907-854-5558
Municipality of Anchorage
Onsite Water & Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Septic System at T14N R1W SEC17 E2 SE4 NW4 (Whitestone Estates #9)
Dear Reviewer,
We are requesting that a waiver be approved for a distance of 8.5’ between the drainfield and the house
foundation at the above referenced property.
The waiver may be justified for the following reasons:
• The drainfield appears to be oversized in width by 2.5’ or more, which mitigates potentianl
concerns with reduced absorption area.
• This configuration has existed for approximately 20 years with no apparent problems.
• There does not appear to be a basement or crawlspace that could flood with effluent.
• The soils are granular relatively free draining, so effluent migrating laterally and reducing
foundation bearing capacity is not anticipated.
The tank to house foundation was considered for a waiver as well. We were unable to determine the
exact extents of the biocycle tank, but believe that it is more than 5’ from the foundation based on field
measurements to the manhole.
Thank you for your time in reviewing this request. Please do not hesitate to contact me at 907-854-5558
or by email cgbalzarini@gmail.com with any questions or concerns.
Sincerely,
Charles Balzarini, PE
10/28/20
Quarter Inspection Report
3705 Arctic Blvd #313
Anchorage AK 99503
Email: crbioak@gmail.com
(907) 274-0314
Homeowner Info
Initial Inspection:
System Inspection
Customer Name:Tank #: Install Date:
Is System Lid Locked?
Inlet plumbing in working order?
Are all aerators functioning?
Pump float operating?
Date:
Filter cleaned?Discharge line condition:
Alarm float functioning?Any buildup of solids?
Clarification return system operating?
pH Reading:
(pH of 6-8 is ideal)
Dissolved Oxygen PPM
(2-5 is ideal)
Turbidity of discharge (in FTU)
(Under 35 FTU is considered compliant.)
Solids pillow normal?
Any buildup of solids?
Any buildup of solids?
Lid hardware in working order?Is there any noticeable odor?
Alarms Tested: Air High Water
Does system have a septic tank ?
Battery Tested:Yes
No
Yes
Yes
Yes
Good Replaced
Yes Yes
Yes
Yes
Yes
Yes
Strong Mild None
No
Yes
Yes Repaired
Replaced
Replaced
Replaced Replaced No
Adjusted
Requires Pumping
No
No
Yes Repaired
N/A
Primary Chamber
Aeration Chamber
Clarification Chamber
Effluent testing result
Discharge Chamber
Yes
Comments:
Inspected By:
N/A
(Recommend pumping tank every 2 years)
(Please make sure alarm is on "normal", not "mute")
Address:Area:
Has emailing or mailing of form been requested?
(contact office to request...)Yes No
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
1VIAINT ENANCEAid D RE' PAIR AGATE EME
TIJISAN!;-,-,, REPAIR. AGREEMENT, herein the "AGREEMENT"madl- and
of 20-:��"-, by and between
0/'AJ r i. , herein theq> jNER," and !he � anicipality of
Anchorage, herein the "-,%4UN-!ClPALl'ry", in accordance with Anchorage Municipal Code
Z�
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows.,
1. iz-dvancedt Wasigimaler Tireatment S,, ste mis. The Mil-Inicipality grants permission to the
Owner to u1n; lize and is pt at, Advanced Wastewater'l-'ren atment Systema (AWWTS),
described as BloCyde
located at i'Icgal deselIption)
114N R1W SEC 17 E2SE-4.NV'V4- WHITEST ONE ESTATES
2
(Owner is required to read, understand and initial each section)
Th-roughout the term of this Agreei-iient, the Owner shall enter into a. service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be -maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
Itsh
�;7dl' P
0 the responsibility of the Owner daring the term of this Agreement to ,,ay for all
repair( s", maintenance, adjustment(s), replacement costs, and inspection costs. This
inch:des an annual maintenance fee (typically= $400 to$600),
lbt, Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or perniftwd alterations to the system.
f w-ner acknowledges that regular tnaintenance of an AWNVTS reduces the potential
-flailure of thesysten-l' Which could include sewage back-up and costly repairs or drairifield
replacement.
(rev. 051"J,8/2018) Page 1 of 3
OAvner acknov?,bedges that the Municipality ma,, request records of maintenance; and
repaurs from the manuffacturer's representative or maintenance provider.
OwnE,r acknowled g,,. -,s that the fine for failing to maintain and repair an AWWTS inay be
assessed in accordance with AMC 14.60.030.
0,,vner at_yrees to grai-A L. -le Municipality reasonable access to test and inspect the
AWWTS. 'I'lie Municipality will ,alvc at least 24-hour riotice.
(mactileragrees that any sale or transfer of title of the property s ;ill not occur without a new
Cer6ficate, ol'On-Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AMIWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction,. maintenance and repair of the Owner's AWWTS.
EVA- Owner agrees to maintain remote monilorinp, of the AWWTS as required by the
AWWTS approval.
'Ferin. The ten-ri of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
\ ' *le the AV,-'VV'_`S operational or until title is transferred.
vin I
4. Nonwaiver, `i h€ ftallure of the Municipality at any time to enforce a provision of this
Agree-nen't in no way constitute a waiver ofthe provisions, nor in any way affect
Z:I
LI -1-- -alidiry of 'lie Aj<
ric.,ement or any part hereof, or the right ofthe Municipality
thereafter to enfore- CN/Cry provision hereof.
5. Amend mnesit. This 1%.1o.-c-cment shall only be amended by authorized representatives of
the Ow-ner and IMunicpality. An,; attempt to amend this agreement by either an
unauthorized renresentative or unauthorized means shall be void.
6. Jurisdiction: Chi ;ce ol'Laiv. Any civil action arising from this Agreement shall be
brought the Superior Cour, for the Third Judicial District of the State of Alaska at
AnchoraLye. The lcivvs of the State of Alaska shall govern the rights and obligations of the
zn
parties under thiszkgrcement.
7. Sevei-abffl�. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions ofthe Agreement.
z:I
Page 2 of3
r C V, 0 �7, / 1 '-,:/.'2 1, , 0 %
OWNER:
t
By: At ��' _ ..-.._... (signature) Bate: !I'�
zr>- .�- --._ ...
(print name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT }
s
The foregoing instrument was acknowledged me this ��' day of � � -a ,
r } _ ..
_-:_l_�.-} __ Notary Public
DARCIE L, MORGAN
NOTARY PUBLIC FOR ALASKA State of Alaska
My Commission expires: 011'd -a- •-2 _ Commission No.:190809003
My Commission Expires 08/09/2023 �
MUNICIPALITY:
By: �r v�/ -- (signature)
Date: 101Z -71z-0
(print name) 'Title:
(rev. 05/18/2018) rage 3 of
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.ancho rage.ak.us
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
· ' ~' ~ ~,~,': Expiration Date:
I '," GENERAL INfOrMATION
~ Complete ~egal desc~p~on ~ 9, ~ S~ ~ ~[4 ~ ~W ~c. [7
· fbocation (~it~dd[e~r directions) uni~ 9, ~testoae ~sta~es
-~ ~ ,, ..... , ....~. · ' 907/694-7320
Cur[ent ~[~edy'owner(s) ~steD~ece ~oms Day phone
Mailing address ~.O. ~x 773~7Z, ~gZe ~e=, ~ 9957?
Lending agency
Day phone
Mailing address
Real Estate Agent
Mailing Address
Day phone
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
PT$, Inc.
Individual On-site []
Individual Holding Tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of
Health AuthorityApproval (HAA) based only upon the representations given in paragraph 5 by an independent
professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are
required for the transfer of title (except between spouses) on properties served by a single family on-site
wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners.
Certificates of Health Authority Approval are valid for 90 days from the date of issue for propedies served by
a private or Class C well and may be reissued with new water sample results less than 30 days old. 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.
72-025 (Rev. 01/00)* -:
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 Health Authority Approval Guidelines for the Health Authority Approval
application show 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm
Address
Engineer's Printed Name Dean A, Karc2
PTS, Inc. Phone 907/561-6237
4155 Tudor Centre Drive, Suite #103, Anchoraqe, AK 99508
Date 7/10/00
bedrooms, with the following stipulations.
bedrooms.
DHHS SIGNATURE
~ Approved for ~
Disapproved.
Conditional approval for
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Expiration Date: / o -/'~.. - O o
Original Certificate Date:
Reissue Date:
72-025 (Rev. 01/00)*
CEIVEU
k'-/Municipality of Anchorage ~ JUL 1 0~0 ~/~
Department of Health and Human Services
Division of Environmental Services MUNICIPALITY OF ANCH~J
On-Site Services Section 825 "L" Street Room 50;?~ONMENTALSERVICES Oil
P.O. Box lg6650 Anchorage, AK gg519-6650
www.oi.anohorage.ak.us
(907) 343-4744
HEALTH AUTHORITY APPROVAL CHECKLIST
Parcel I.D.:
Legal Description: Unit- 9, NE%~ SF~ NW%~ T14N R1W Sec. 17
A. WELL DATA
Well type PJ:ivat-e IfA, B, or C provide PWSID # __ Well Log
Date completed 2/7/00 Sanitary seal Y Wires properly protected Y
Total depth 169 ft 169 ft Casing height (above ground) 3 in.
AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform <1 colonies/100 mi
Date of sample: 6/15/00
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material '
Date installed -'
Cleanouts · Foundation cleanout
Date Of PumPing
C. ABSORPTION FIELD DATA
Nitrate 0 mg/I
Collected by: B±ll Bowen
Cased to
FROM WELL LOG
2/7/00
1Rs ft
20 g.p.m
gal
Depression over tank
Pumper
Tank size
ft
g.p.m
Other bacteria 41 colonies/100 mi
Number of Compadments __
High water alarm
Date installed J.Z2.~Z0/L~ Soil rating (g.p.d./ft2 or fl2/bdrm) 1.2
Length. 27.9 ft Width 5 ft Gravelbelow pipe 4
Total depth 6.4 ft Effective absorption area279 ft2 Monitoring tube ¥
Date of adequacy test Results (Pass/Fail)
Fluid depth in absorption field before test __ in Water added__
Elapsed Time: min Final fluid depth in
Any rejuvenation treatment (past 12 mo.) (Y/N & type),
System type 'l~'ench
ft
__ Depression over field N
For bedrooms
gal. New depth __
Absorption rate >= __
If yes, give date
in.
g.p.d.
72-026 (Rev. 01/00)*
BIOCS~CL~
Date installed 1/25/00 Size in gallons 1500
"Pump on" level at __ in "Pump off" level at __
Datum Cycles tested
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot N/A
Absorption field on lot 113.0'
Public sewer main N/A
Sewer/septic service line 102'
.in
Manhole/Access ¥
High water alarm level at __ in
Meets alarm & circuit requirements
On adjacent lots ~ 150 '
On adjacent lots 132'
Public sewer manhole/cleanout N/A
Holding tank N/A
BTCCYCLE
SEPARATION DISTANCES FROM .... ON LOTTO:
Building foundation 9,6' Property line 17,6 '
Water main N/A Water service line N/A
Drainage N/A Wells on adjacent lots 156,5
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 28.7~
Water Service line N/A
Curtain drain N/A
COMMENTS
Building foundation 10'
Surface water 155 '
Wells on adjacent lots 159'6~
Absorption field 15,5'
Surface water 198 '
Water main N/A
Driveway, parking/vehicle storage 40 ~
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 HAA guidelines in effect on this date.
Engineer's Printed Name
Date
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 01/00)*