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MOUNTAIN PARK ESTATES BLK 5 LT 4A
Mountain Park Estates Block 5 Lot 4A #017-061-43 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: ________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 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. OSP181418 PID Number: 017-061-43 ❑ New ■Upgrade Name: DARRELL BOND ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed�ou Address: 13211 RIDGEVIEW DRIVE *ANCHORAGE, AK 99516 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth from origins ode: (907) 602-1600 5 GPD/Sq. FL Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: Grave pth beneath pipe: Fl. Subdivision: Block: Lot: Fill added above original grade: �� Gravel length. MOUNTAIN PARK ESTATES 5 4A �.111� FL Fl. Owns Ip: anger section: Gravel width: FL Beds Number of lines: Distance between lines: Ft. SEPARATION DISTANCES Total absorpti area: Number of trenches: Dist. between trenches: Septic Absorption Lift Holding Public/Private Tank Field Station Tank Sewer Lines S4. Ft FL100'+ Fweil!!E _ 25'+ TANK ■ Septic ❑ S.T.E.P. ❑Holding ❑ Other Manufacturer. GREER TANK Capacity: 500 Surface Water 100'+ \_ - N/A Gal. Lot Line 51+ 7Material: - Number of compartments: STEEL 1 Foundation 10'+ - LIFT STATION Curtain Drain NONE KNOWN Manufacturer. c Gal. Remarks: EXISTING TANK DECOMMISSIONED PER UPC PER CONTRACTOR. "Pump on" level at: "Pump ofr level at: High wateralarm at: Pump Make8 Model Electrical Inspections performed by: PIPE MATERIAL House to tank EXISTING/D3034 Tank to EXISTING/D3034 drainfield Installer A+ HOME SERVICES Drainfield EXISTING CO/MT EXISTING/D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Location and Description: Dates: 1st 11/20/2018 2nd - 3rd - 4th BOTTOM OF SIDING @ SW CORNER Community Development Department Approval ENGINEER'S SEAL oo�oop� Conditional approval: Date: tiH� .��,. ............ �D .................� 0 Jef arness. /��g E-795 c�O�a r Q(%UL' a� y/a`I �/� (�� Approved: Date: a P1ofession a LICENSE oO�O�O00� #AECC884 Inspection Report _1-1-12.doc PERMIT NUMBER: OSP181418 -� ii iAP Ao. GARNESS ENGINEERING GROUP, Ltd FN( -`,IN RING o SA FS o .ONSIho SQ FS o TIN�r. -- ` 3701E. TUDORROAD. SUITE 101 *ANCHORAGE. AK 99507-PHONE(907)337-6179-FAX(907) A I B C ST1 32.2 20.2 41.4 ST2 34.3 23.7 46.1 DBL1 30.7 18.1 38.8 DBL2 31.3 18.9 39.7 DBL3 35.9 25.8 48.4 DBL4 1 36.8 26.6 48.9 -� ii iAP Ao. GARNESS ENGINEERING GROUP, Ltd FN( -`,IN RING o SA FS o .ONSIho SQ FS o TIN�r. -- ` 3701E. TUDORROAD. SUITE 101 *ANCHORAGE. AK 99507-PHONE(907)337-6179-FAX(907) RECORD DRAWING PARCEL ID 017-06143 NUMBER. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DARRELL BOND 907-602-1600 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MOUNTAIN PARK ESTATES; BLOCK 5, LOT 4A D.J.G. TYPE OF WORK: DATE: �._ SEPTIC TANK RECORD DRAWING SITE PLAN MOUNTAIN PARK ESTATES; BLOCK 5, LOT 4B \ \ I 10o' WELL RADIUS I 100, wE�L RADIO S I I \ \ 1 I ui \9 / \� EXISTING 5 BEDROOM \\ / \ HOME \ T71 %~ �,• r~•;'. \ �' • !: • - �_;� :.• DRIVEWAY ASSUMED LOCATION OF CONCRETE TANK PER CLEANOUT LOCATION AND MOA RECORDS — ( F•� W ,; �' \\ SHED -- ______------------- 10' TEL. UTILITY EASEMENT Ir� n . V NEW 500 GALLON STEEL TANK BY GREER TANK; — DOUBLE CLEANOUTS INSTALLED BEFORE AND AFTER I EASEMENT FLAGGED PRIOR TO CONSTRUCTION S LE: -� ii iAP Ao. GARNESS ENGINEERING GROUP, Ltd FN( -`,IN RING o SA FS o .ONSIho SQ FS o TIN�r. -- ` 3701E. TUDORROAD. SUITE 101 *ANCHORAGE. AK 99507-PHONE(907)337-6179-FAX(907) 336-3246'WEBSITE:w gamessengineenng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DARRELL BOND 907-602-1600 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MOUNTAIN PARK ESTATES; BLOCK 5, LOT 4A D.J.G. TYPE OF WORK: DATE: �._ SEPTIC TANK RECORD DRAWING SITE PLAN 11/26/2018 OF ot Air "*z�..�'. r }. .re.......... ess... 'moi �# % CE- 95 . 7Z- A �♦ FQ ++... .� LICENSE �1 jk1;:;`SS\ #AECC884 1 \i -zo/ig r N``" MUNICIPALITY OF ANCHORAGE 1 �lll'� t ll( On-Site Water&Wastewater Program �� ;5�. PO Box 196650 4700 Elmore Road • �. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 httpa/www.muni.org/onsite ,. �q' Dci a it nt On-Site Wastewater Disposal System Permit Permit Number: OSP181418 Effective Date: 11/19/2018 Work Type: SepticTank Upgrade Expiration Date: 11/19/2019 Tax Code Number: 01706143000 Site Legal Address: MOUNTAIN PARK ESTATES BLK 5 LT 4A G:2938 Site Mailing Address: 13211 RIDGEVIEW DR, Anchorage Owner: BOND DARRELL L & HEATHER Lot Size in Sq Ft: 18193 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 5 This permit is for the construction of: ❑ Disposal Field Q 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 ii „ ,, ,, Received By: 4-' Date: / ��' • Issued By: AdjUies, CCet(., Date: 11 iff 1 t 6LAsHr--t:1-) MUNICIPALITY OF ANCHORAGE •,fry Community Development Department i Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On-Site Water & Wastewater Program Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 017-061-43 Property owner(s) DARREL BOND Day phone 907-602-1600 Mailing address 13211 RIDGEVIEW DRIVE *ANCHORAGE,AK 99516 Site address 13211 RIDGEVIEW DRIVE*ANCHORAGE,AK 99516 Legal description (Sub'd, Block& Lot) MOUNTAIN PARK ESTATES: BLOCK 5, LOT 4A Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ❑ (w/wo ADU) Septic Tank ® Upgrade Duplex (D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings El 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: /)"(ce3 Waiver Fees: Date of Payment: ( 1 ' //C7' /8./ Date of Payment: Receipt Number: C i 6 t�&p'�s� Receipt Number: Permit No. 05/' f '7 1 lO Waiver No. (Rev.01/11) _ uanics GARNESS ENGINEERING GROUP, Ltd Advanced T.cvnncvtr System ENGINEERING SALES CONSULTING c Dealer November 17, 2018 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 m0.1.40.,n (cine Es}c‘ s, 5 n Ref: Proposed Septic System Upgrade for ; Block A. Lot DA To whom it may concern: The existing 5-bedroom house is served by a private well and septic system. There are currently two septic tanks in series. One that is believed to be concrete (unknown age) and the other is approximately 36 years old and steel. Per conversations with the owner, there was a blockage between the concrete and steel tanks. During the excavation for the blockage, the steel septic tank collapsed and is non-functional. We are proposing to decommission the non-functional steel septic tank per UPC and replace it with a new 500-gallon steel septic tank. It should be noted that no drainfield pipes could be located; therefore, Garness Engineering Group, Ltd. does not know the location of the existing drainfield. It may be partially located in the easement. 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. It .g our understanding the homeowner is installing the system. 111-1y, — Jeffre ` .arnes , P.E.. M.S. Presi.- t 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com MOUNTAIN BLOCK PA8.LESTATES;14 RK OT /i MOUNTAIN PARK ESTATES, / BLOCK 6,LOT 6 ' —1� ��Q vNE���P�\�5 1Y i--- 1 -- ` /� / — --- ...z..„.. / / \ MOUNTC 57 OSTATES: \ / Cee / \ BLOC Sr�OT4B \\ \ O \ / / \ � I / 100 WELL RAD/US 1\ �� ''DIUS I I � MOUNTAIN P IZK ESTATES, 2 1 I BLOCK/ ,,LOT 5 / 044 \ MOUNTAIN PARK ESTATES; / MO`UNTAIN PARK TATES; / / 414. S \ \ BLOCK 4,LOT6 / Is LOC , OT o \ \ / N // / \ N \ / / q ,4.,:o... , ...... 'u..• a'. i`'^ h' [� MOUNTAIN PARK ESTATES. U 1 BLOCK 5.LOT 6 C6 1 MOUNTAIN PARK ESTATES; Q / BLOCK 4,LOT 5 / MOUNTAIN PARK,S-77.: E, —--- \N / BLOCK r�(OT�3 \ \ / \\ \ / / --- W //// / \\ \\\ —— MOUNTAIN PARK ESTATES!' / 1 p0. "Diu \ BLOCK 4,LOT 7i / 100 I WELL S 1 / t �' I W LC 1�gD1US 1 I // L.�-�� I 1 I / I / \ 1 `\ / /// PARKESTTES: 100'WECL 1 \ \ BLO¢K5,LOT N I RADIUS I1/ I \N / / 1 �,j� IMOUNTAIN PARK ESTA'E; // --- / 1 / BLbC`K 5,LOT 2 /— \ / ��---��,- SCALE. 1"=100' \ / \ / N / �1, GARNESS ENGINEERING GROUP, Ltd *.� 1 '•* ♦; 4 b ... .. — . ENGINEERING SALES CONSULTING I : 0 3701 E.TUDOR ROAD SUITE 101*ANCHORAGE.AK 99507•PHONE(907)337.6179'FAX(907)338.3246'WEBSITE:wwwgamesseng:neering corn 0.....!•.• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ♦ ( �/A. Ga�rness :'L• v jv DARRELL BOND 907-602-1600 1 OF 2 ♦♦��J,••=� r1:19/3 r' -: PROJECT/LEGAL DESCRIPTION DRAWN BY: ♦.. �' 1/ In•. •.4\ MOUNTAIN PARK ESTATES; BLOCK 5, LOT 4A D.J.G. . �••' 11 �' • TYPE OF WORK. DATE' 1�IIII,;;;;. ��� SEPTIC SYSTEM DESIGN UPGRADE 11/16/2018 #AECC884 �/` GEG.Ltd.HAS A 8 PAGE SPECIFICATION NOTE:THE CONTRACTOR SHALL HAVE THE SOUTH j LETTER THAT PERTAINS TO THIS DESIGN.TO LOT LINE FLAGGED BY A REGISTERED LAND N. OBTAIN A COPY OF THE LETTER CONTACT SURVEYOR PRIOR TO CONSTRUCTION;GARNESS GEG.BY PROCEEDING FORWARD WITH THIS ENGINEERING GROUP LTD.WILL NOT PERFORM \ INSTALLATION,THE ENGINEER,WELL DRILLER, INSPECTIONS WITHOUT COMPLETION OF THIS WORK \ \ CONTRACTOR AND PROPERTY OWNER AGREE \ THAT THEY HAVE READ THESE \ �\ SPECIFICATIONS AND AGREE TO ACCEPT THE \�, \ TERMS AND CONDITIONS OUTLINED. \ \ \ \ I / \\ \ I MOUNTAIN PARK ESTATES;BLOCK 5,LOT 4B ••-..... „ ` \\ \ 1 I I wECL�pIUS 1Q \\ I I I WELL RADI(/S \ / \ I I 100 DRAINFIELD PIPES COULD NOT BE FOUND BY THE \ / SURVEYOR;EXISTING DRAINFIELD LOCATION IS UNKNOWN.TANK TO DRAINFIELD SEPERATION TO BE / CONFIRMED DURING INSTALLATION AND DRAINFIELD PIPES MUST BE LOCATED PRIOR TO COSA APPROVAL / Ss. / \. // \ 11.1 / `JEXISTING 5 m = \ BEDROOM \m / ; \ HOME ‘ , / ..: '.. ASSUMED LOCATION OF CONCRETE TANK PER 1 :i !.•. •• : , �_ CLEANOUT LOCATION AND MOA RECORDS • DRIVEWAY :;;; W • I : ' p SHED �z, r i 10'TEL.UTILITY EASEMENT II Li. APPROXIMATE LOCATION OF EXISTING STEEL SEPTIC n/ TANK TO BE DECOMMISSIONED PER UPC PROPOSED 500 GALLON STEEL SEPTIC TANK;INSTALL DOU LE CLEANOUT BEFORE AND AFTER TANK;INSTALLER SHALL C IR10- I ABILITY TO OBTAIN GRAVITY FLOW TO DRAINFIELD PRIOR TO 1 INSTALLATION OF TANK.SEWER LINE FROM THE NEW TANK BACK TO i THE DRAINFIELD SHALL NOyErE IN THE UTILITIEASEMENT V MOUNTAIN PARK ESTATES;BLOCK 5,LOT 3 / / Si•LE: / 1” 40' 1 ; 11,'I%b ... 1F 4 1 GARNESS ENGINEERING GROUP, Ltd ,� • i .. . , " • , •0 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE,AK 99507'PHONE(907)337-8179'FAX(907)338-32<8'WEBSITE:www.gameaxrpneerip.00m �•� • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ' J A. Gam;ss . : DARRELL BOND 907-602-1600 2 OF 2 v% C - • 3 0' PROJECT/LEGAL DESCRIPTION: DRAWN BY: .. • r•. I' )•• •• MOUNTAIN PARK ESTATES; BLOCK 5, LOT 4A D.J.G. ••. I '���1�'.. ,�t�'••'�. • P�,4.�• TYPE OF WORK: DATE: LICENSE ,111 E ♦SS ♦• SEPTIC SYSTEM DESIGN UPGRADE 11/17/2018 #AECC884 ����♦ AS BUILT SURVEY I" = 30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 4A, BLOCK 5, MOUNTAIN PARK ESTATES( PLAT 68-123) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 16TH DAY OF NOVEMBER , 2018 14100. FB 193-4 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 345-5513 NOTE: THERE ARE NUMEROUS MATHEMATICAL, AND SURVEYING ERRORS IN THIS SUBDIVISION WHICH VARY IN SCOPE AND LOCATION. SINCE THERE APPEARS TO BE NO ORIGINAL CORNERS ON THIS LOT, THE BOUNDARY WAS COMPUTED UTILIZING SURVEY MONUMENTS IN THE VICINITY WHICH COMPUTED FAVORABLY IN RETRACING THE BOUNDARY OF LOT 4A. IT SHOULD BE NOTED THAT THE ENTIRE SUBDIVISION HAS ERRORS IN IT, AND TO IDENTIFY AND ELIMINATE ANY ONE SOURCE OF ERROR IS NOT POSSIBLE. THEREFORE THIS SURVEY �04 REPRESENTS A PROFESSIONAL OPINION OF THE BOUNDARY AS OF THIS DATE. oopO�O�Q O /� OF A A RETRACEMENT DEPENDENT SURVEY, WHILE BEYOND THE `v r_ SCOPE OF THIS SURVEY, MAY DISCLOSE A BOUNDARY SOLUTION DIFFERING FROM THAT SHOWN HEREON. 49 TFi ���� iz THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN ` HEREON ( UNLESS INDICATED) a.SHANE A. HOLT a NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE 1 P .•.' O LS -6914 -i PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. .. C 4 ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. On,°fessions\ o0 AS BUILT SURVEY I" = 30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 4A, BLOCK 5, MOUNTAIN PARK ESTATES( PLAT 68-123) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 16TH DAY OF NOVEMBER , 2018 14100. FB 193-4 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 345-5513 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH 8, ENVIRONMENTAL PROTECTION ENVlRONMEN'rAL ENGINEERING DIVtSlON 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~;K6 Ku r;~.S MAI LING ADDR ESS p LEGAL DESCRIPTION Fq~. Park IPHONE i0- II 72 An,-,¼~r~rl% !~K. qo,~- ~ ! NEW UPGRADE LOCATION NO. OF BEDROOMS~ w., / Absorptio. ar.a,5, Dw~,i.g ~, ~E,MIT NO__ O~: DISTANCE TO: I IOO* J___ ~u~ I~ Z I Manufacturer Material I No. of compartments ' · , ' ' Inside length i Width ~ Liquid depth · ~ [ L,q ca~t~allons IF HOMEMADE: ~ I ~ I DISTANCE TO: IWell J Ob ~ Dwelling , PERMIT ,O. I Material ~, I ~ ~ capacity in gall~s ~z I DISTANCE TO: iw~'' IO~' F°unda~lO' Nearestl°tlinel~l PERMITNO'~zO~I ~ ~ ~ ~' LenGthrf~¢~,line . Total lench of lineal, I~ I Trench widtl~L I Distance between lines ~ ~ ~ Top of the to finish grade ~ / ~ Material beneath tile ~ I Total effective abso~ti~ area Depth [ ~R~IT NO.- ~ ~ WJdth VZ inches I J. ~ ~ ~ JCl~s Depth Driller ] Distancetolotline ~ ~ I Di~:- Building foundation Sewer line / se;;~ OTHER PIPE MATERIALS CZ, PVC_ F"LSTM D-272c/ SOIL TEST RATING 230 /86rm INSTALLER I~7;~ ...... ~; ' ~1 ~ . -' APPROVED ~/ DATE LEGAL L 0 T :iii: :1: Z E; [:, f~: FI Z N I:::' IIE: L. 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UF'ON "FHIiE T"r'l::'li~: OF:: F:'UI:!!&.:I:C !.,.!E:t...[ .... I"1 ;i: N ]: HUI"! [:' I S;TF:i?',!CE: F:'Fi:OH F:t I::'1:;i: "FO !:::! [?3HHLIN:I:T"r' :!i!;E],.iEI:~: LINE O!"HEF? F~'.l~i;('::!Li ]: F:E:HENT::T:; HI::F'r' F!F:'F'L."r'. F:I","F::!:[L.t:::!E',Lili~ 'l'O i?',!I!!i;i...iF:~:E: I='FROF::'~.]:~: THE HUN:!: C I F'FIL :[ ?',tS!;'T'FILL. THE:: UI",I[:'I~!i:Fi::!':;TF:Ii",t[:', THFIT 'I"H!E ONe""5 ..... =, i":f: :; ' I:::' H "' ",FI ::::[, TO I I",ICL. Lt[:,E HOFRE 'TI"iF!i"! !:)~::?Ei:[:'F;~t~I:B. . ~:¥:'l:::'L.:~c,:::,'.,n' ~'~:!:~:::~:' v',.,.,~:;:.'~q.:::: ~ ,, t._.. ~.~.,_ O. ., ,"~ .......,.,.~.......,~..x,zx.L .................. m,/:~. U .................. t,d I b 7'/-t THE] F;i:E~];!Lt I F~:ED S I ;~:[E OF "tl*~'llIE :~i;CI .'[ L F:IE!:S('.'.~F;?.PT t O1'"1 .... ' '" ........... 'T'I'"tE; I--E;N(.:iTH [:' '[ i'"IE:;I'"IE I Ot'.J t ~; l~ [ ' ~- [ [~ ~ ill..E~'.,!Ii~iTH (; I ~',1 FEET ;:, OF THE.:. [:,tEF'TH OF' I=1 TF;;:E;NC:H !'Z;: t::'~T IS TI.-IEi; DI'~TI:::IIq'I~'F; C~[;i:l:31...ll'.,ll]:, I:::1t'.,1[)IT'F. IE E~O'rTni',l OF' THE; E'?:iC;I:I:,i,:Ftl'I"I']It'.J ,'I.'.J T'I...I[~Z[E: t S tqO 'i.:;ET' I,.! I [)'T'H F::'131~i "!"HI:ii; (3[;.'.I:::I:,:,:[:!;L !.)ET:'"II'H tS THE I"lIl'.,lIl"lll...li'"t [)E;F:'TH r'F (;iil:;:!!:::l',:/f]i;l... FIND Ti-. i:!:; E':OTIT'(;)i"I OF THE .FL'Z?, '~ FI:v'F:I'T I '; f'l ( ! I":I F'ii~:EZl ). I C:!!ii:F~l T :!: F':':,` TH!::IT :I..: :!: F:!t"I F::'l::!h!IL].'Fffi: I,.tI'TH 'T'HE F('.E~:!LI!F~:E:!"I[!~i'.,!T:!~; F'Ot:~: OI'.,t.-'~(;ITE: .'.:.'.:,Ei:l,.IE.:l.T..':ii!; F'OF,::TH E~"" THE PtLII'.,t]:CIF'I:::I[...Z'I":~-' CIF ;ili:: I I,.I Z L.Z. :1.' NS'T'I::II....L THE S'.r'.'.:ii;TE'?! Z I'.,! F!C:C:OF~:DFfNC:E: !4 1 TH THE :~:: t Lt!'-,!DE:I:;~::i.:.';T!::IN[:, 'T'HF!T THE (::ff.,!--.E:ITE: ':_::;Ei:[,.ff'£1:;~i S'./'E;TEI'! !"tt:::I'-:.' .t:~'.EX3LIIFi'IE !:~:N!....FIF;i:(:!iEI"!!EI'.,!T ]:F' THE: F?.ES]:I:)EI'.,t('.':E :I:S F;.':[:.::i"!(:)DEL. E:D 'T'(::~ It",!(::LI.i.I[:,I!.:': P11~:E THI::If.,I !!!i MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [~SOI LS LOG ~COLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 ~2 3 4 5 7 8 9 10 11 12 13 14~ 15 16 17 18 19 20 SLOPE 72-008 (6/79) WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SITE PLAN Reading Date Gross Net Depth toNet Time Time Water Drop .¢-/ q_q-<~/ r. ss--.---- ¢,- ~.o,_f ~4/ ¢.:os'""to I,w3 ,0 ~ ~: ~ IO 1.7'7 ,0 PERCOLATION RATE '~ TEST RUN BETWEEN _~'~'"~ FTAND ""~° D FT CERTIFIED BY (minutes/inch) P.O, Box 10-378 · 10300 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner ~E KYRIAS Use of Well Dcrnestic Location (address of: Township, Range, Section, if known; or distance main road Lot 4A Block 5 F~untain Park Estates S~ze of casing Static water level Screen ( Describe screen or per~oratio, None Well pumping test at 7 gallons per of drawdown fxom static level. Date of completion July 8. 1983 Depth of Hole 192 feet Cased to 192 feet 165 ft. ~ (below) land surface. Finish of well (check one) open end ( xx ); Perforated ( ). (minute) for t hours with 100~/. WELL LOG Depth in feet from ground surface GiVe details of formations penetrated, size of material, color and hardness ); 0 TO 2,TO 80 TO 140 TO. 185 .TO. 191 .TO. TO. .TO .TO .TO .TO. .TO. .TO. TO. 2 :Casin& 80 Brown silty, sand and _~ravel 140 Brown smady cl~y rown cl v 191 192 Waterbearing gravel -wWWA Certified Contractor Certificate No's ~!4 ~..: 273 --CUSTOMER MUNICIPALITY OF ANCHORAGE Departmenf F. Health and Environment~ rotection 825 ~ Street, Anchorage, AK. J>-501 264-4720 * * * HANDWRITTEN PERMIT * * * Permit ~ WELL Location: Phone Nu~er: Legal Description: L ~:~: ~' ~ {~? ~' ~'~ : F ~.~ ~. ,.~~ Lot Size: Type of Soil ~sorption System Is: Trench: Drainfield: Seepage Bed: Holding Tank ~aximum Number of Bedrooms: _~ ~> Soil Rating(sq.ft/br) The Required Size of the Soil ~sorption System Is: DEPTH LENGTH GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall Pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the 'type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * Z certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more tha~. 3 bedrooms. Appiican~ Issued by: Date: SWP/024(1/81) MUMU°AU7Y OF A HCH0F7 G ( 6a Development Services Department P p - - ' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-061-43-000 Expiration Date: 8/8/2023 Legal description MOUNTAIN PARK ESTATES BLK 5 LT 4A Site address 13211 RIDGEVIEW DR Anchorage AK 99516 Current property owner(s) BOND DARRELL L X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 5/8/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory _ Absorption Field Advisory Nitrate Advisory x Tank Age Advisory Arsenic Advisory _ Other COSA Approval_June 2022 �ll�UMCPAUTY OF ANCHORAGE .'4 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 017-061-43 Complete legal description Mountain Park Estates Block 5 Lot 4A Location (site address) 13211 Ridgeview Drive, Anchorage, AK 99516 Current property owner(s) Darrell Bond 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS Day phone (907) 602-1600 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: F0_1 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 4Yrs - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed Rfl Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑® Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ -5 Date of Payment 7�_ COSA # -4 8`7J Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 Mountain Park Estates Block 5 Lot 4A 017-061-43 7.61 Forge Engineering 4/6/23 10.4/9.4* N/A (907) 522-7773 Benjamin Schiller, P.E. Nitrate Advisory Certificate of On -Site Systems Approval # OSC231122 Subdivision: Mountain Park Estates, Block: 5, Lot: 4A A water sample revealed a nitrate concentration of 7.61 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ; MaiUng Address P O Box196650 �` Anchorage, Alaska 99519 6650 *www muni org � ;�, H= D Z D O 3 H m> z m H m N m r 0 m0 0 > N m m 0<z A-irZ m 3 f z C~ -i zz m-ni m GZl a I G .2. O m N D Z m r Z X m SNONt • P > X S H Z O m N H S O O -iv W O W D m m 3 m z.v HLA W a>irimm D 2 2 3 0 N mmZmnzz cj w> m D tHif N W r m Z O D O O N H cri W. z �Ni D Oc. <Dn N H W H D m m D A m JNC D = n z z D nmo > m E H AZw� T N M Z= v�ocir �nA> m<o >a�n o< N< mmz OD----i-iNZ-IZ O m m z c 0= 2 Z = O Omm<©cmm0-+m-i m7mpoz<mm=pm mmmZ�o�OHOm.. mom om�zmcm ,2Oz,8zop<<Hommm Smmc�O>mDo�cz OHmmOQvmN Mm0022SDVTzO mmmM,X>00m*c <ZOMO_000=0 Km00-. v -,O=D <yDA?O-,m<= OOr W-1r�mZmS 0 A% � O Z O j c O<5, omzm,z6Hz.> m{9OpOmN�Or a=-oD. >Zi��z mZO<NO O Cm2R1 _iHzc ON Z W m H T> m< mz O c Om W =<-i fn RiZr m m z OC m Z m m 3 N O< o�DOmmC)zz:�40 C m<m �-Zi 4l CK:- m H > 2 xT M m 0 oT N m N m r x Z O H c Z i M 7� m m zD< O � m Municipality o.f Anchorage Development Sentlces Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907) 343-7S04 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ParcelI.D. 017-061-4.3 '1. GENERAL INFORMATION Expiration Date: Complete legal description MOUNTAIN PARK ESTATES LOT 4A, BLOCK 5 Location (site address or directions) 13211 RIDGEVlEW DRIVE Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address RITA COLVER P.O. BOX 113042 Day phone 345-0142 ANCHORAGE, AK. 99511 Day phone DAN WOLF w/ REMAX PROPERTIES Dayphone 2600 CORDOVA ANCHORACE. AK. 99503 257-0114 Unless otherwise requested, HAA will be held by DgD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well · Public Water System 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 cf Health Authority Approval (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) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date cf issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Ce~ficates are valid for one year for prope~es served by Class Acr B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note:Alaska Waler and Wastewater Consultants, Inc. shall be paid $4OO. OO at, or prior I to dosing for the engineering services provided. I 4. STATEMENT OF INSPECTION BY ENGINEER Aa 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 Appreval 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 bedreoms and type of structure indicated herein. I further verify that based on the information obtained from the Municipaliiy 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 ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 6901DEBARR ROAD, SUITE 2B * ANCHORAGE. AK 99504 Engineer's Pdnted Name JEFFREY A. GARNESS. P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AW1/VC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational lifo of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate dudng the year, end the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encreachments. AWWC, Inc. con therefore not provide any watran~ or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit oft he owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal fight whatsoever. DSD SIGNATURE ~ Approved for .~) bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory · .... ,,> .- : ASTE ATER ; --~ '. P~U~M .' - · ..... . Manitanance Agreements Supplemental Engineer's Reort Other / .-- . (Rev. 12/00) Original Ce~ficate Bate: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bmgaw St. P.O. Box 196650 Ancl~orage, AK g9519-6650 www.cLanchorage.ak,us (S0'~ ~4~04 Legal Description: A. WELL DATA Well type PR/VAT[ Date completed Total depth 192 HEALTH AUTHORITY APPROVAL CHECKLIST MOUNTAIN PARK EST. LOT 4A. BLOCK 5 Parcel ID: ifA, B, or C provide PWSID~ N/A Sanita~/seal (Y/N) YES Casedto 192 fl. FROM WELL LOG 7/8/83 7/8/85 ff. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Date of sample: 10/9/0 t B. SEPTIC/HOLDING TANK DATA 165 .ff. 7 g.p,m. Nllrate 3.68 mg./L. Collected by: Wetl Log (Y/N) Wires pmpe~ pmtectsd (Y/N). Casing height (above ground) AT INSPECTION 5/ o/o 164 f. 6.1 ,g.p.m. Tank Type/Matarial *CONCRETE/STEEL Tank size 1000/500 gal. Number of Compartments 2 Foundation cteanout (Y/N) YES Depression over tank (Y/N) NO 017-061-43 YES YES Date of pumping 5/10/01 Pumper C. ABSORPTION FIELD DATA ]TESTED SOUTHERN TRENCHJ Date installed ?/g/e2 Soil rating (g.p.dJfl~or~'~-~ 280 Leng~ 140 ff. Wldt~ 5 ft. 18"+ in. Other bacteria 0 colonies/100 mi. AWWC. INC. Date installed UNKNOWN / 7/9/82 Cleanouts (y/N) YES High water alarm (Y/N) N/A DENALI SEWER AND 0RAIN *CONCRETE PER A+ HOME SERVICES. · 'TO BOTTOM OF DEEPEST SUMP. in. Absoq:~tion rate >-- NONE KNOWN Total dap~"l l +/- ff. Eff. absorptlonarea1680 ft= Monltorlngtube YES Date of adequacy test 5/10/2001 Results (Pass/Fall) PASS Fluid depth in at)sorpUon field befom last 0 in. Water added1828gal. Elapsed Time: 20 min. Final fluid depth 8 Any rejuvenation treatment (pest 12 mo.) (Y/N & type) System type TRENCH Grovel below pipe 6 ft. Depression over field NO For 3 bedrooms New dept~ 16,5 in. 450+ g.p.d. If yes, give date - O. LIFT STATION Date installed Size in gallons, Manhole/~ast.~ "Pump on' level at in. "Pumper alarm level at in. Da...~.~m ~ee tested Meets alarm & circuit requirements? SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 'gs' Public sewer main N//A Sewer Isepitc seneca line 25% I'WA~VER WR87-002I On adjacent lots. 100'+ On adjacent lots 100' + Public sewer manhole/cieenout Holding tank N//A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main N,/A Water se~ce line 10'+ Sun'ace water. Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: N/A Property line 10'+ Water aendce line I0'+ Curtain drain NONE KNOWN 5'+ 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION Building foundation 10'4- Surface w~tar 100' 4- Wells on adjacent lots. 100'+ I certify that I have determined through field inspections end review of Municipal records that the above systems ere In conformance with MOA HAA guidelines in effect on this date. JEFFREY A. GARNESS Engineer's Pdnte~ Nam/e Date /_~._~l HAA Fee $ :~O O ~ Oate of Payment Receipt Number i 1'7~'/ (Rev. Water main N/A Driveway, parking/vehicle storage ~ o'+ Waiver Fee $ Date of Payment Receipt Number ALASI WATER & WASTEWATER , CONSULTANTS, INC. May 18, 2001 Rita Colver cio Remax Properties 2600 Cordova Street Anchorage, Alaska 99503 Attn: Dan Wolf Subject: Inspection/Testing of Private Well & Septic System. Mountain Park Estates, Lot 4A, Bk 5. 13211 Rldgeview Drive Dear Ms. Colver: Per your request we evaluated the well and septic system which serve your property. Our findings are summarized as follows: A. WELL: On the day of my inspection, (5110/01) the static level was 164 feet below the top of the casing (BTC). Water was pumped from the well at a rate of 6.1 gpm for 295 minutes (1800 gallons). The water level only dropped 1 foot in the casing throughout the entire test. Based upon this data, it has been determined that the production of the well exceeds Municipal requirements for a 3 bedroom house (450 gallons per day). The well produces greater than 3 gallons per minute, (720 gallons in four hours) as required for FHA financing. The well testing data is considered valid Coy the Municipality) for a period of 2 years. B. WATER QUALITY: Water samples were taken and analyzed for nitrates and bacteria. The lab results indicated that no bacteria was present and nitrate levels of 3.91 milligrams per liter (rog/L). This is well below maximum allowable nitrate level of 10 mg/L. This water quality data must be submitted to the MOA with the health certificate paperwork within 30 days of the sample being taken (5/11/2001). If the water sample results expire, a new sample will need to be · taken ($100.00 fee by AWWC, Inc.). C. SEPTIC SYSTEM ADEQUACY: Per MOA records, the septic system consists of a 1000 gallon septic tank, followed by a 500 gallons septic tank, and a trench type drainfleld (two trenches). Per MOA records, the system was installed in 1982. Each drainfield has an effective depth of 72 inches. The sump on the north trench only extends 20 inches below the drainpipe invert and was dry prior to performing the adequacy test. The sump on the south trench extends 46.5 inches below the drainpipe invert and was also dry prior to performing the adequacy test. Over a period of 140 minutes, a total of 761 gallons was introduced into the south trench, 6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com '~ausing the liquid level to rise to a depth of 2 inches in the sump. Over the next 210 minutes, an additional 1067 gallons was introduced. This caused the liquid level to rise an additional 14.5 inches (16.5 inches total standing in the sump). Twenty (20) minutes after the water introduction was discontinued, the liquid depth in the sump dropped 8.5 inches. Based upon this data, the septic system exceeds the MOA absorption requirements for a three {3) bedroom residence. D. NEED TO FIND SEPTIC TANK PIPES AND INSTALL A FOUNDATION CLEAN-OUT: Prior to applying for the MOA health certificate, the following repairs will need to be completed: · 1. Install a foundation clean-out, or confirm that there is a clean-out inside the residence that will serve to allow for access to the sewer line between the house and the first septic tank. · 2. Ensure that the septic tank clean-outs are all extended above grade. There is a 500 gallon tank and a 1000 gallon tank. According to MOA records, there are two clean-outs on each tank. Typically there is a single clean-out on a 500 gallon tank. The septic tank clean-out that is currently above grade was pumped by Denali Sewer & Drain on 5110/01. Once the other clean-outs are found and extended, those tank compartments should be pumped also. · 3. Provide us with a current as-built survey which shows the well and all of the septic system pipes. · 4. Please notify us once you have a buyer secured so we can take current water samples ($100.00) and apply for the MOA health certificate ($300.00). ./0o,,¢ It is recommended that you contact Mike Blakeslee with A+ Home Services (345-1890) regarding the repairs and tank pumping. If you have any questions, please contact us at 337-6179. 6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akxvwe.com ~nt By: Dan ~olf REMAX; · 1_8/22/290! ].e:e7 2729739 9072584687; 0ct-22-01 9:15AU; H[LD(:~HEH Page 212 PAGE 01 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-472O Application Date GENERAL INFORMATION (a) Legal Description (inclu¢.e.lpt, block, subdivision, section,J, qwns~hip, range) Location (address or directi~)/_ . (c) A~plicant is (check one): L~nd. ing Institution ~ ;~wntr/bui~d?r D; .uy.r Q; Other D (exCain); (~} Lending Institution Telephone A d d re s s :'; "~ (e) Real Estate Company and Agent -Address Telephone /~ 2., TYPE OF RESIDENCE : ' Singl~-Family~'~]j Multi-Fami,y ~: '" Num'ber ~f Bedrooms-- Other 3. ,WATER SUP , Individual Well/L~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 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 (11/84) ENGINEERING FIRM PROVIDIN ISPECTIONS, TESTS, FILE SEARCH, DA 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 DHEp APPROVAL '"% :):r~,e~for'i'/~i~'*~/ b~drboms by - ~ ~'",, Disapproved Annrnv~l Conditional The Muncipality of Anchorage Department of Health and Environmental Protection (DHEp) issues Health Authority . ~ i 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) Anchorage P.O. BO 96650 ANCI-'tOF[/AGE, ALASKA 99519-6650 (907) 343-4200 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES September 17, 1987 City Mortgage Corporation 405 West 36 Avenue Anchorage, Alaska 99503 Subject: Lot 4A Block 5 Mountain Park Estates Subdivision #1 Mike Kyrias Property This department has received written confirmation from the engineer regarding the Conditional Approval of January 16, 1987. The corrections have been accomplished and an inspection has been completed by the engineer. The subject property meets with Municipal standards and is now approved. However, the Conditional Approval has expired as of June 15, 1987. If there are any questions, please call this office at 343-4744. Sincerely, / Daniel Bolles Engineering Tech On-site Services DB/ljw CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. \ 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ~,'~'L'~.'O~,~,~,E ~% FEDERAL TAX ID # 92-0040440 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ,~ ~'"~ - ~)~)~_~ OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1, GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) ~Scati6n (adS~bss~ions) (b Telephone: Home ~¢~%/~¢ Business (¢*~ (c) ~pplicant is (chedk ~e) ~%ding Institution D; Owner/builder~; Buyer U; Other D (explain); (d) Lending Institutio~ ~. Telephone (e) Beat Estate Company anO ~ent ~~ Address ~t Telephone ~~ (f) Mail the HAA ~wing address: TYPE OF RESIDENCE Single-Family []' Multi-Family [] Number of Bedrooms '~ Other WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 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 (11/84) ENGINEERING FIRM PROVIDI INSPECTIONS, TESTS, FILE SEARCH, I~ ~. 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 .~, Address Date J '1 '-/ DHEP APPROVAL Approved for C 2bedrooms by Approved Disapproved Conditional Terms of Conditional Approval Date CAUTION 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) WELL DATA Well Classification __ Well Log Present (~N) Total Depth Static Water Level Casing Height Above Ground . Electrical Wiring in Conduit {~N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) .t~ECKLIST- FEBRUARY 1984 i,,~C. ,¢0~~' 264-4720 ,,~\C~ ~ O~~O~C'~\O~ Legal Description: ~ If A, B, C, D.E.C. Approved (Y/N) Completed 7/~/~ Yield Casedto /?~ / / / . Depth of Grouting 2,0' Pump Set At Sanitary Seal on Casing (~N) Depression Around Wellhead (Y/~ ; On Adjoining Lots C~'5'/¢; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on · / , Date B. SEPTIC/HOLDING TANK DATA ate ~ns[aHe(3 ' 7' 2_... Size ~ No. of Compartments Standpipes CN) ~'/ Air-tight Caps (~N) Depression over Tank (Y/J~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) N'//~ I Separation Distances from Septic/Holding Tank: To Water-Supply Well / To Pro per.{y~ine z~.,~ ,-/''- ~,Wa!~, My[niBble Line Page 1 of 2 , Foundation Cleanout (Y8 ..Date Last Pumped :~ /'V/'//3[ ;for Temporary Holding Tank Permit (Y/N) To Building Foundation ~' / TO Disposal Field ~,~ To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 7/ Width of Field Square Feet of Absorption Area _ Depression,over Field (y~) Results of Last Adequacy Test _. Separation Distance from Absorption Field: To Water-Supply Well ~ ~" / /2. Type of System Design Length of Field _ . Depth of Field _ Gravel Bed Thickness Standpipes Present (~/N) Date of Last Adequacy Test _. To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course _. To Driveway, Parking Area, or Vehicle Storage Area . Comments ~ To Property Line To Existing or Abandoned System on ·; On Adjoining Lots ~ To Cutbank (if present) . 100 ' '.20 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" Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have//c e~_~.e~,.ve%ified,,pr conformed to all M~DA and HAA guidelines n effect Signed. (~/~~ Date_ ///(_~'/o~,7' onthedateofthisinspection. Company_ .~__~ //~z'~'~_,. MOA No._ }~'/~ ¢~;?-~,/'_ Date of Payment _ Amount: $ Page 2 of 2 72-026 (11/84) ALASKA e dlR0nmenTAL C0nTBOL s r, ulC $, InC. ~n§incerinq $ ~nuironmental Sluclics Mi}([ KYRiAS P,9 BOX ] il]72 ANCHORAGE AK 9951 I 0i/] !,'P, 7 SEI, LER -M [KE KYRJAS MIKE KYRiAS PO BOX [J1172 ANCtIORAGE Al( MUNIClPALITY OF ANCHOItAGP DEPT. OF HEALTH & ENVIRONMENTAL PILNDTECTION JAN 1 6 t987 !.E(]AL'MT PAR}( ESTAT}!S =~',,'~c - .. >t;O,,~, .ES I,OT RECEIVED AD~:,QI,AL~ 'rEST FOR SEWER SYSTEM ,'\!)i;OUA( Y '.,:c,.r i)ATE 13/02/86 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AHEA OE !680 TilE SVSTEM IS CAPABLE OF ACCEPTING 750 6Ai,LONS OF 11;ATER PER DAY. THE SURGE CAPACJTY OF THE SYSTEM IS 1526 GALLONS BASEl) UPON '[lie TEST DATA THE SYSTEM IS ACCEPTABt,E EOR rx 5 BEDROOM ItOME. SEPTFE TANK A'f~EQUACY 'P!U~ iXJSTING SEPTIC TANK VOLUME OF 3500 [S ADEQUATE FOR 'PHIS 5 BEDROOM HOUSE. TIlE SEPT[(; 'I'ANK/PACKAf;E PLANT IiAS NO'!' [IlJEX PUMPED W iTIifN TIlE PAST YEAR. TIffS REPORT DOES NOT VERIFY TIIE iNTEGRiTY OE THE PIPING :2OR THE WATER SUP"LV OR ktAS'FEWATER SVSTEM. F!;O!~? TEST ON WEf,i, WEI,L FI,Ob/ I)ATE 12/07./86 '\ I"]()f~ TES',' it~Af:; i'EREORMEi) ON T!IE WEI.J:. !52.6 PUMPED AT A RATE OE 7.25 GPM OVER A i)URATION 0F Tile 9RAWI)OWN WAS .5 ' WITII A RECOVERY 'rIME O1" 2 AM, THE STATIC WATER LEVEL WAS J68.2 FEET. ,, WEI.L TS AI,LQbA!R FOR Tilts 5 BEDRO0~ IIOXE. GAhlONS 0I)' WATER WAS 3.5 flOURS. MI NIJTI];S 1200 [[Jesl 33r'ct Auenu¢ Suite B' Anchor~qe. Alosko 99503'*(907] 561-5040 unicipa tYo Anchorage P.O. X 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 7, 1987 Jeff Kaitchuck Alaska Environmental Control Services 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 Subject: Lot 4A Block 5 Mountain Park Estates Subdivision Waiver Request WR87-002 Dear Mr. Kaitchuck: Your request for a waiver of the 100 foot separation required between the well and septic system absorption area on the subject lot has been granted. This distance has been waived to 95 feet. This waiver is based on your assessment that the reduced separation distance does not constitute a health hazard. This waiver is valid for the existing single family septic system and private well. This waiver is not valid for future modifications of the well or septic system. Sincerely, Stephen S. Morris Civil Engineer On-site Services ALASKA I l.dlROnmeF1TAL COFITROL IFIC. ~nqineeriM 6 ~nuironmenld Sludies December ~3l, 19B6~ Municipalit:y of Anchorage Departmeil[ of Hea]t}l and Bmnan S(;rvJce'.a 825 I, Street, Suite 502 Anchorage, Al aska 99501 Alta: Steve Mm'pis lie: Lot 4A, Block 5, MounLa:in Park Estates MUNICIPAl IJ¥ OF ANCIqo~AG~ DEPF, CF I/EAITH & 2 !C 'IVED Dear Steve: On December 2, I986, our o['fice, performed a Ileal Lb Au~horJi:y Apppova~ :irlspeeLio~ on the subject lot. It was noted at that time that the well is only 95 feet fpem klm closest edge of lthe absorption area. When the well pem~}it was issued (May 4, 1983), a waiver of the well to trench separation distance was hand wpiti:en nn the permit. The reason be:lng there was no where else on the lot Lo drill the well, Water samples taken on the snb,ject lot are free from eolJfopm bacteria and they show a nitraie-.nitrogen counL of ] .9 mg/L. Oeoiogi(;a] CelKlJ' '~lons Thc water 1able is 7157 feel: below the on-site sewer systeln Type: Sandy Clay Soll Sorptim~ Permeabi] i ty lxh~im!- r~h]e gradien~ is gr[ater than 60 percent HorJzcmLal separation diskanc-e (95 Feet;) Point Value = 7.25 Point Value Point Value = 0,0 Point Va] tie = 2.8 ~OTA, POINT VALUF. = 16.55 We ['eel thai the reduced horizoatal separation distance wl]l oot constitute a health hazam.. There fore, we request a writ ten wa:iver for t:he separat, ion distance of 95 feet from the welt lo the absorption area be granted. fi' you have any qnesLions, please feel free to call me at: 561-5040. ALASKA ENVIROhMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO OF OHSOKEO SV O^T~ sc^L~ 1%20' 5EPDc 78' 37.~' · * ' MUNICIPALITY OF ANCHORAGE ~./.-~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~- . REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEwER~A~I UTI ES DIRECTIONS: Complete all pa~s on page 1. Incomplete reques~ will n°t be proce~ed. Please ellow ten (10) days for p~essing. ~1. ~O "E RTY OWNER I I r PEtE 2, BUrR ~ ~ _ ' ,-- PHONE 4. RE,OR/AGENT ,~/ · ~'~/ · ~ ..~¥ ~ ~ , ' PH'ONE MAIEING~DD~ESS ~ ~ -~ ~ 6. TYPE OF RESIDENCE ~'~1NG LE FAMILY [--I MULTIPLE FAMILY 7. WATER SUPPLY [] INDIVIDUAL* [~]'~OMMUN ITY ~ PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM ~NDIVI DUAL/ON-SITE** PUBLIC UTILITY NUMBER OF BEI~ROOMS ' [] One [] Four [] Two ~:;~Five [] Three [] Six [] Other, * ATTACH WELL LOG. A wel log is required for all wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach log if available.) ;~ ~'~-/ **If individual/on-site, give installation date . If system is over two (2) years old an adequacy test is required by this Department, NOTE~THE'INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ' ' 72-010(3/78) · 2-010 (Rev. 3/78) ' E FOR OFFICIAL USE ONL, · " THIS SID '. ....... DATE RECEIV~=D INSPE,CTION APPOt;NTMENTS- ' ,. , TIME ' -'""-'~ TIME' TM TM ' : ' r "' 'TIME' 'DATE ' ' , DATE .... , ..... DATE INSPECTOR INSPECTOR INSPECTOR ' - DIRECTIONS: 1. TYPE'OF RESIDENCE ' ' ' NUMBER OF BEDROOM'8 --' [] 'SINGLE FAMILY -- [] ONE [] ,THREE [] FIVE FI. OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX , 2 WATER SUPPLY PERMIT NUMBER , []-~tNDIVIDUAL DEPTH OF WELL [] COMMU'~i'T,~ l, , .': : .'- .... : DATE DR LLED '1--I PUBLIC UTILITY , ....... Connection Veri'fied '. ..... [~0G R.E.CEIVED, . ' · 3.. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER I--IINDIVIDUAL/ON-SITE 'DATE NSTALLED ' r 'F-}PU BLIC'UTI LI'TY Connection Verified I~JSTALLER ' ' ' '~Sepfic:Tank or~ []'Ho ding Tank : , .~ , Size:,. If Tank is homemade SOILS RATING ...... give dimensions'. ~ ~ . TYPE OF TANK , MANUFACTURER TOTAL ABSORPTION' AREA ,, ~ ' ; MATERIAL ' .. 4, DISTANCES ' Septic/Holding Tank Absorption Area Sewer L ne '- - Nearest Lot'L ne ............ WELLT0i .... I [ ' - - ; "";;', ~,bsorptioa'Arsa tonea~est Lot Line- ~..~ ·,.. '- '-. · ., .· ~ - . 5 COMMENTS _ -- · ', '- _ - , [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE ' . BY (Title) ~ / ' J~ly 10, 1978 Aaron G. Goodson Post Office Box 5436 Fort Richardson, Alaska 99504 Subject= Lot 4A Block 5 Mountain Park Estates Sbbdivision Beforu this department may approve the request for sewer and water facilities a few items will need to be completed. (1) Extend the well casing six(6) inches above ground level. The pit floor around the well casing needs to be A percolation test must be perfo~me~ on your existing sewer system. The two(2) fimms in town that do the test are J.M.L. Engineoring, 276-4113 or R & M Engineering 279-0483. In the event the system fails to pass the percolation test, an upgrade will be necessary. If the upgrade is necessary, a soils test will be required. The soils test must be submitted so that we may i~sue a permit. If theru are any further questions, please contaet this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Sanitarian CP/ljh CC: United Bank Alaska % Lynda Nelson Mortgage Loan Section Post Office Box 59 99510 July 12, 1978 R&M No. 851552 Mr. Aaron Goodson P.O. Box 5436 Fort Rich, Alaska 99505 Subject: Adequacy Test on Existing Sanitary Sewer System; Lot 4A, Block 5, Mountain Park Estates #1 Subdivision, Anchorage, Alaska Dear Mr. Goodson: At your request of July 10, 1978, we conducted a test of the septic system on the above described property. During this test the liquid level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: Time Liquid Level Below Top of Standpipe Total Gallons Added 3:04 3.0 25 3:15 2.9 75 3:25 2.9 125 3:35 2.6 175 3:42 2.7 175 4:10 2.9 175 4:20 3.0 175 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. If the 5 bedroom residence on the property is to house 10 people, the average load on the system can be expected to be 750 gallons per day or .52 gallons per minute. During the test, the system accepted 175 gallons in 76 minutes. This indicates an average effluent acceptance rate of approximately 2.3 gallons per minute at the time of the test. July 12, ]978 Mr. Aaron Goodson Page 2 Because the house on the lot is occupied, we assume that the leach field was at its normal degree of saturation. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 5 bedroom residence. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. L~nne Kosikowski Staff Geologist ~ pGraor ]Y' e Sc~i~hanager JMB/kky