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HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS #1 BLK 5 LT 1Thunderbird 'D Heights #1 Block 5 Lot 1 #051-581-02 (rcev uoiutn 8) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221235 PID Number: 051-581-02 Dwelling: Al Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑® Upgrade Name Carolyn and Matthew Heiser A SORPTION FIELD ED D Trench El Wide Trench El Bed El Mound Site Address 24846 Thunderbird Dr Other Phone Number of Bedrooms Soil RatingTotal depth from original grade !SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original g e Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Thunderbird Heights #1 5 1 Fill added above original grade Ft. Gra length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dista between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station HoldingI Sewer Total absorption area Number of trenches Dist. between tre hes From Tank Field Tank I Line Ft' Ft. Well >z o c NA NA NA TANK KSeptic [:1S.T.E.P. ElHolding ElOther Manufacturer GREER Capacity 1000 Gal. I� Surface Water >100' NA NA NA Material Number of compartments Lot Line >5' NA NA NA NA PLASTIC 2 Foundation >10' NA NA NA LIEE§IATION Manufacturer Capacity Remarks Gal. Alarm location Elec nstalled by PIPE MATERIAL House to tank 3034Tank to 3034 drainfield Installer JRs Septic Drainfield CO/MT3034 Inspector Curtis Townsend BENCH MARK (Assumed elevation) 100 ft Inspection 1st 8/11/2022 9/2/2022 Location and description 2na floor slab of shed 3'd---- 4,h ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp �ad410®, Conditional Approval: Date ,ow 49 TH Ie • • Curds L. T wns nd • yr �� ��,• Date Septic System �t`•srF,�+No .CE 11 �����r' A Approved pp Date Z.S 2 • ���r�PROFES:1t1;" Note: this approval oes not include well permit requirements. (rcev uoiutn 8) THIS LOT AND ALL NEIGHBORING LOTS ARE SERVED BY A PUBLIC WATER SYSTEM AND THERE ARE NO WELLS WITHIN 200' OF THE SYSTEM. 1 THERE ARE NO STEEP SLOP S WITHIN 50' OF THE PROPOSE TANK. C) SCOPE OF WORK 1. REMOVED EXISTING SEPTIC TANK. 2. PLACED NEW 1,000 GALLON SEPTIC TANK AND TIED INTO EXISTING ABSORPTION SYSTEM. THE TANK WAS PROVIDED WITH A MINIMUM 20" 0 MANWAY RISER SERVING THE FIRST COMPARTMENT. DOUBLE CLEANOUTS PROVIDED DOWNSTREAM OF THE TANK. 3. THERE ARE NO DECK SUPPORTS DIRECTLY OVER NEW TANK. 4. SPLITTER VALVE WAS REPLACED. 5. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. A S BM�\ �HED C/" Sepi MARK A 8 svi 25'— 10 N2 45" 16'— 1 " S V2 -q'— 19'-1 " DCO 31'-10" 21'-11" ADJUSTED GRC JUNE GROU 1. GROUNDWATER WAS PRESENT IN THE MONTH OF JUNE AT A DEPTH OF 8'. ADJUSTED GROUNDWATER ELEVATION IS 7'. 2. THE NEW PLASTIC SEPTIC TANK WAS BURIED < 1' IN ADJUSTED GROUNDWATER, NO WATER WAS PRESENT IN HOLE WHEN TANK WAS PLACED IN THE MONTH OF AUGUST. A GROUNDWATER MONITOR TUBE WAS PLACED NEAR TANK. Septic Tank Pecord Drawing Prepared for CAROLYN AND MATTHEW HEISER 24846 Thunderbird Dr Chugiak, Alaska 99567 THUNDERBIRD HEIGHTS #1 BLOCK 5 LOT 1 OSP221235 EKLUTNA ENGINEERING, LLC DATE: 7/11/2023 i 9162 MOUNI-AIN ROAD DRAWN: CLT CHUGIAK, ALASKA 99567 SCALE: ill = 5' (907) 406-11058 PID: 051-581-02 SHEET 3 OF 3 Q D 0 0 Uj 0 -i z z z < < < Z W 0 Uj Z 04 z Z > m 0 0O 0 1. GROUNDWATER WAS PRESENT IN THE MONTH OF JUNE AT A DEPTH OF 8'. ADJUSTED GROUNDWATER ELEVATION IS 7'. 2. THE NEW PLASTIC SEPTIC TANK WAS BURIED < 1' IN ADJUSTED GROUNDWATER, NO WATER WAS PRESENT IN HOLE WHEN TANK WAS PLACED IN THE MONTH OF AUGUST. A GROUNDWATER MONITOR TUBE WAS PLACED NEAR TANK. Septic Tank Pecord Drawing Prepared for CAROLYN AND MATTHEW HEISER 24846 Thunderbird Dr Chugiak, Alaska 99567 THUNDERBIRD HEIGHTS #1 BLOCK 5 LOT 1 OSP221235 EKLUTNA ENGINEERING, LLC DATE: 7/11/2023 i 9162 MOUNI-AIN ROAD DRAWN: CLT CHUGIAK, ALASKA 99567 SCALE: ill = 5' (907) 406-11058 PID: 051-581-02 SHEET 3 OF 3 3 C`14542 "U C Z; `¢ SCALE: 1 "= 50' v `0 t,3 Lot 2 4�®� z �� OF • AI 1 plc > � W 13.E ,a3 wa? Fame 'o o � AM Al.' � • w ' ,; `''' 49th • 9 0 19 � 32.2 (jl `k � Q �' �• • 4.$ N 0' ' r lizabeth10 . W latka ; „o Manncfe i f¢ ATF • 8036 — LS • • J�,� c ven&lfyPl f \\\ c ge4 �OFZSS1014 f -L � fence ®®N Geb\e r - % LOT 1 � RECERTIFIED 9-06-22(gletJ , \ a AS -BUILT NO CORNERS SET THIS DATE m 5, 1 hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following G� described property: Lot 1, Block 5, Thunderbird Heights Subdivision Addition No. 1 6aG• fr t �r 1� Anchorage Recording Precinct, Alaska, and that the ."'C' :1v' improvements situated thereon are within the property lines d VJc°dfen o 531.25 and do not overlap or encroach on the property lying N� 1 adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 16th day of JULY 2005, EASEMENTS OF RECORD, OTHER THAN FRED WALATKA &ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED FB 22-2, pg 74 PLAT ARE NOT SHOWN HEREON Recert 4-12-07 Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 05-3, pg 72 BE 907-248-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. MUNICIPALITY OF ANCHORAGE On-Site Water & Wastewater Frogram PO 8ox 196650 4700 Etmore Road Anchorager Alaska 99519-6650 phone: (9071 343-7904 Faxi (COD 343-7997 http:/ i,vw.muhi.org/onslte Allconstruction shall he in accordancewith: 4. From October 15 to April 15, a subsurface soil absor shall be eii.her: a. Opened and Closed on the sarne day, orb. Ccvertd, sealed, and heated to prevent freezing Effective Date; Expiration Datel Lot Size in Sq Ft: Total Bedrooms: Date: On-Site Wastewater Disposal System perffiit Permit Number: OSP22123S Work Type: SeptioTank Upgrade Tax Code Nurnber: 05159102000 site Legal Address: THUNDERBIRD HHtcHTs #1 BLK s LT 1 G:to6s Eite lr4ailing Addressr 44S46 THUNDERBTRD DR, Ghugiak owner: HEISER CAROTYN R & MATIHEW Design Engineer: EKLUTNA ENGINEERING, LLC* This permlt is for the constru*tion of; Received Ey; lssued By: fl Disposal Fietd Etr Septic Tank D Hotding Tank tr frivy E Private Well H Water Storage 7t712022 7ftt2023 2825s J Date: MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-581-02 Property owners) HEISER CAROLYN R & MATTHEW Mailing address 24846 Thunderbird Drive Chugiak Site address 24846 Thunderbird Drive Chugiak AK 99567 Day phone AK 99567 Legal description (Sub'd., Block & Lot) THUNDERBIRD HEIGHTS #1 Legal description (Township, Range & Section) Lot Size 28,259 Sq. Ft. Number of Bedrooms 3 BLK5LT1 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 Septic Tank 0 Upgrade x pg ❑ (w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municig} l Qodes. ZylZgzz (Signature of property owner or authorized ag Permit/Rush Fees: i da 5 Waiver Fees: Date of Payment: 30 a 0 Date of Payment: Receipt Number: 3 7_b Receipt Number: Permit No. Q5 P 2 2 12 35 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Eklutna Engineering, LLC cu rtistownsend @gma il.com July 1.,2022 Subject: Thunderbird Heights #1 Block 5 Lot 1 Upgrade Septic Tank Permit Request Narrative osP22t235 This is a design narrative for a permit to install a new septic tank on this property. The existing tank is 41 years old. The homeowner is desiring to replace the tank. The proposed system will serve an existing three bedroom house. The existing septic tank will be removed and disposed of and a new septic tank will be installed. Double cleanouts will be provided downstream of the tank. l. Soils. The soil in this area is composed of sandy gravel. A test hole had previously been dug during the month of June to a depth of 8'. Groundwater was encountered at 8' below grade. Seasonal adjusted groundwater for the month of June is 7,. 2. Soil Absorption System. In June 2022,the eastern trench had 28" of water in it. The western trench had 0" of water in it. This suggests that the splitter valve is not working effectively. This will be corrected when the tank is replaced. 3. Wells. This lot and the surrounding lots are served by a public water system. There are no wells within 200'of the proposed tank location. Neighboring Wastewater systems. lmmediate neighboring septic systems are all 5, distant from property lines. Surface Water: There is no surface water within 1OO' of the tank. The proposed tank upgrade will maintain at least 100'from all surface water and drainage ditches. Topography: The existing topography in the area of the tank is flat with slopes less than 2% in any direction within 50'of the tank. The proposed installation will not affect the future development of this or the surrounding lots. Sincerely, Curtis L. Townsend, P.E. Attachments 6. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221235, Rebecca Carroll, 07/07/22 THIS LOT AND ALL NEIGHBORING LOTS ARE SERVTD BY A PUBLIC WATER SYSTEM AND THERE ARE NO WELLS WITHIN 2OO' OF THE SYSTEM. SCOPE OF WORK1. REMOVE EXISTING SEPTIC TANK. Tt/n _____rr.\ ,.;i-::: a.::r-.: ' ' :r1.r:' I $ Y I o FLAT SLOPE \\ \r-, 2. PLACE NEW 1,OOO GALLON SEPTIC TANK AND TIE INTO EXISTING ABSORPTION SYSTEM. THE TANK IS TO 8E PROVIDED WITH A MINIMUM 20" O MANWAY RISER STRVING THE FIRST COMPARTMENT. PROVIDE DOUBLE CLEANOUTS DOWNSTREAM OF THE TANK. 5. ENSURE THERE ARE NO DECK SUPPORTS DIRECTLY OVER NEW TANK. VERIFY CONDITION OF SPLITTER VALVE, REPLACEIF NECESSARY. ALL CONSTRUCTION TO BE IN ACCORDANCE WITHALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. Septic Tonk Permit Drowing prepored for CAROLYN AND MATTHEW HEISER 24846Thunderbird Dr Chugiak, Alaska 99567 THUNDERBIRD HE]GHTS #1 BLOCK 5 LOT 1 osP221235 EKLUTNA [NG/N[IR/NG, LLC 19162 N/OUNTAIN ROAD CHUGIAK, ALASKA 99567(907) 406- 1 058 DATE: 7t7t2022 DRAWN: CLT SCALE: 1" = 30' PID: 051-581-02 SHEET 1 OF 2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221235, Rebecca Carroll, 07/07/22 _-, \r] or? =< JLI I LL (J -Zas tlt-lJ I t' '\C) \_./ \r/ )< ,--7 l- z- \3= SdT_ \J l l,l -t=, =<-J LrJO --t UV ADJUSTTD GROUNDWATTRJUNI GROUNDWATTR _8' I NVTRT TXISTING S EPTIC TAN KSTTEL 1. 2. J. INVERT.OF EXISTING STEEL SEPTIC TANK IS 8' BELOW GRADE.TOP OF NEW PLASTIC SEPTIC TANK WILL BE PLACED AT SAME ELEVATION AS EXISTING STEEL SEPTIC TANK. GROUNDWATER WAS PRESENT IN THE MONTH OF JUNE AT A DEPTH OF 8,. ADJUSTED GROUNDWATER ELEVATION IS 7'. THE NEW PLASTIC SEPTIC TANK WILL BE BURIED < 1'IN GROUNDWATER. PLACE GROUNDWATER MONITOR TUBE NEAR TANK. PROVIDE 2'' INSULATION OVER NEW SEPTIC TANK. 4 \\1nnn.\| , v\J\J \j2 l P LASTIC TAN K Septic Tonk Permit Drcwing prepored for CAROLYN AND MATTHEW HEISER 24846Thunderbird Dr Chugiak, Alaska 99567 THUNDERBIRD HEIGHTS #1 BLOCK 5 LOT 1 osP221235 TKLUTNA ING/NE-fR/NG, LLC 19162 N/OUNTAIN ROAD CHUGIAK, ALASKA 99567(e07) 406- 1 o5B DATE: 7t1t2022 DMWN: CLT SCALE: 1" = 5' PID: 051-581-02 SHEET 2OF 2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221235, Rebecca Carroll, 07/07/22 MUNICIPALITY OF ANCHORAGE f DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION .hI I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264-4720 \ ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW ❑ UPGRADE MAILING ADDRESS 0, �/0 f LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS 03 Uy DISTANCE TO: Well Absorption area Dwelling PERMIT NO. W2 Manulacturer Material No. of compar[ment14 ' Nf Liq. capacity in gallons Ci IF HOMEMADE: Insitle length Width Liquid depth d y Jaz DISTANCE TO: Well Dwelling PERMIT NO. _ z FQ- Manufacturer Material Liquid capacity in gallons O W = DISTANCE TO: Well C0aid Foundation Nearest lot line PERMIT NO. J M Z F E W No. of lines Length s of each line 2 4 4 Total lengt of�irrs e1. Trenfh width WC%1At^ Distance between lines -71 c f O Top of tile to finish grade f Material beneath tile inches Total effective absorption area W Length Width Depth PERMIT NO. l7 n F W d Type of crib Crib diameter Crib depth Total effective absorption area WWell U) DISTANCE TO: Building foundation Nearest lot line J J Class Depth Driller Dntance to lot line PERMIT NO. W �+ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER , PIPE MATERIALS C SOIL TEST RATING p. Q s� INSTALLER s REMARKS APPROVED DATE LEGAL 712.013 IF"V.3l78) U � IItirS- ^JNICIPALITY OF ANCHORAGE L-1 Department of Health and Environmental a otection L4. q- c• 825 L Street, Anchorage, AK. 99501 _ 264-4720 `3 j `i� S N d4g1 * * * HANDWRITTEN PERMIT * * * C? RI Lvtr.% mfiWw4MiA*R ON-SITE SEWER PERMIT 1L3u.tei� Applicant:L ��1e-mow Mailing Address: '0. Location:0 1� 1)lr Phone Number:,�k���� ��fJ�f�...-��. � — Legal Description: �.'- �J 6' bt Size: oe� Type of Soil Absorption System Is: Trench: ;G Drainfield: _.Seepage Bed: Holding Tank: Maximum Number of Bedrooms: __ Soil Rating(sq.ft/br) [�S The Required Size of the Soil Absorption System Is: DEPTH l 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 _ �Q O 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 fine 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. I • 1. * * 1* PERMIT EXPIRES DECEMBER 31, 1 9 3 1 * * .* I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the'Municipality of Anchorage. (2) Twill install the system in accordance with codes. (3). I understand that the on-site seer system may require enlargement if the residence is remodeled to include more. at edrooms. Signe$: Issued•by: Applicant Date: swP/024 (1/81) .! hogGII Lo (md I Qloc k' i nrsJ Rog n. • _ O & E ENuINEERING & DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 RUssall Oyster Earl Ellls 694-2774 SOIL LOG 688-2280 Performed for. Name: 2 TA �7dAG v Tel. No. � ' 701/s Mailing Address: �� �OcrrlJ Kum �NC'!/ 40- 4j9 a-0/ aT1 �S Legal Description: L Oapth (bat) / Soil Characteristics L' 1q-Sj - 0 _ T_ � 1 2 3 cv �{ oNo y 644avt—L- _ 4 Vc= mac, �c-crL�nf 1% 5 L—Od Sfr � 6 r, 8 W4Tr2 ralloiall. 9 4�����Q7 10 — .:!! e OF At -Ze- Q LdT, C Pbl 3,3 PLOT PLAN Comments: ( %��Performed by: DateruNr f 12— 13 "" '• �Fa PERC. TEST _ r ; Ruac:l L Oyu« 15 16 •' , Ground Water Encountered: Yes ' No If yes, what depth Proposed Installation: Seepage Pit— Drain Field c�— Comments: ( %��Performed by: DateruNr f •. � � • , r.. fit• (-..'�_. n� 'i . _� —��. • '(�"2CClc: ,.cam, ,- a" o-i..-�-•-- . • •. 19y-Cvu-..'�(-`'.auo • 6 � Q�C!(�t..f" +` 3 ��J�-�—��Ji2:.L2 Parcel I.D. 051-581-02 Municipality of Anchorage P 2 ` 4`„OY On -Site Water and Wastewater Program (907) 343-7904 s A roti Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Location (site address) Expiration Date: 'q e�?_ O — /( Thunderbird Heights, #1, Block 5, Lot 1 24846 Thunderbird Dr. Current Property owner(s) Paul Marko Mailing address Real Estate Agent Day phone _ PO Box 772491 Eagle River, AK 99577 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class WAIT ❑ Public Water System F WaiverNariance request Received by: Day phorLa 9 `. ,r1N m TYPE OF WASTEWATER DISPOSAL: Individual 0 Holding Tank ❑ Community ❑ Public Sewer ❑ COSA to be released to the engineAr, unless otherwise requested by the engineer. COSA Fee $ /�62& - Date of Payment `'t l a!t Receipt Number i 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe 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 fife of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sale benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE l� System #1 Approved for _? bedrooms System #2 Approved for bedrooms Disapproved Date 8/22/2014 Conditional approval for bedrooms, with the following stipulations: By: AA Original Certificate Date: Th unici fi f orage 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 COSAbluesheet t ., - If more than 1 septic system is on the lot: COSA Checklist # + of I Structure served by this system I Certificate of On -Site Systems Approval Checklist Legal Description: Thunderbird Heights #1, Block 5, Lot 1 A. WELL DATA Well type Public Date completed Total depth ft. Date of test Static water level Well production If A, B, or C provide PWSID # AWWLI Sanitary seal (Y/N) _ Cased to ft. FROM WELL LOG WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate Arsenic ug/L Date of sample: ft. g.p.m. mg/L Parcel ID: 051-581 {)2 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION Collected by: ft. g.p.m. B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 9/24/1981 Tank size 1,000 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N N High water alarm (Y/N) N Date of pumping Z� Zoi `i Pumper J p S rU i'n n. k L -I C. ABSORPTION FIELD DATA Date installed 9/24/1981 Soil rating (g.p.d./ftz or ftz/bdrm) 85 SF/BR System type Shallow Trench Length 32 - 34 ft. Width 4 - 7 ft. Gravel below pipe 2 - 2 ft. Total depth 6 . 8 - 6.2ft. Eff. absorption area 255 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/ZOIZ014 Results (Pass/Fail) PASS For 2 bedrooms Fluid depth in absorption field before test 0 - 5 in. Water added 470 gal. New depth 1 - 5 in. Elapsed Time: 140 min. Final fluid depth 0 - 5 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons _ in. "Pump off' level at — Cycles tested _ E. SEPARATION DISTANCES WELL ON LOT TO: Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 10+ G. ENGINEER'S CERTIFICATION,+T' pp `% 1 certify that I have determined through field inspections and fAJ-*V,-. �Preview of Municipal records that the above systems are in ' conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone�}evi li. onrio8/22/2014. cE-alas ; Date l COSA brown sheet 10-10-12.doc in. 8287s • d� L 4 t �cI � 4� 0 r 1 he location of the Stntctw'e(*S `n shown on this record drawing to (as -built) (o nplie With Title 21, AMC, �t •ii ® wt Li. Lot 2 = qK i N 13•� 183 '�8? Mme SCALE: 111^ iQt (J�NP 2 Sto Hous �5 gecK "'optic 7i17 Uonrs �'•L;OTH7fV Ue ° nrs ° �� •• Fred Walatka 4 J No. 3255-5 1ao LOT ---I�ecertified 4-12-0764 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that l have performed a Mortgagees inspection h O of the fallowing described property Lot 1 Black 6 s(� �(js Thunde 61rd Heights Subdivision Mahlon No 1 6�G• �1P 11...11 ❑ orage Resealing recrne,asa, an a e Improvements situated thereon are within the property lines (D 5 and do not overlap or encroach on the property lying adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the premises In question and that there are no roadways, transmission lines or other visible easements on said property except as indkated hereon. Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN this 16th day of duty ,2695 THOSE SHOWN ON THE RECORDED FRED WALATM& ASSOCIATES PLAT ARE NOT SHOWN HEREON. Fb65-3, Pg 72 Engineers and Surveyors BE (AO7-9dRA nfin1 Municipality of Anchorage •�/ Development Services Department :.i.. e Building Safety Division On -Site Water and Wastewater Program 1 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051- 52 1-O:?. HAA# 05 0'2719 Expiration Date: CD — 9 ' O 1. GENERAL INFORMATION Complete legal description Lot 1: Block 5; Thunderbird H ightejl Location (site address ordirections) 24846 Thunderbird n rhugink Current Property owner(s) Bob Bolding Day phone 230-0700 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 10630 Lone Tree Dr. Anchorage, AK Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well p Individual Water Storage ❑ Community Class Well ❑ Public Water System E3 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site 7® Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 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 of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority 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 S 6 S Engineering Phone 694-2979 Address17034 N Eagle River Loon S't .204 Rnglp River, AK 9999577 Engineer's Printed Name 1P0 Bs/L T C. CBc✓A✓ Date 6 /-7 /n J 0 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. ROBERT C COWAN CE -8801 Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: (/„ / (�t/, Original Certificate Date: a 0.5 (R.v Of A2) r Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST 11 Legal Description: (.OT t; Mot t �� 7N omfO 94RParcel I A. WELL DATA i UFUL Well type _ Date completed _ Total depth ft. Date of test Static water level Well production WATER SAMPLE Coliform l If A, B, or C provide PWSID # _ Sanitary seal (YIN) _ Cased to ft. FROM WELL LOG f g.p.m. ies/100 ml. Nitrate mg./I. Well Log (Y/N) Wires properly Casing heighVadbve ground) in. ft. 9 -13 -m - Other bacteria colonies/100 ml. mg./l. Date of sample: _ Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material cJ �T L Date installed t? laq lei Tank size I" gal. Number of Compartments 2 Cleanouts®N) �E4 Foundation cleanoutON) IJES Depression over tank (YO) /b High water alarm (Y/N) tb Date of pumping 5 A//65 Pumper fZ`s f 0"iJ-tK-3Er C. ABSORPTION FATA Date Soil rating (g.p.d./ft2 r ft2/bdrm 465 System type Q t %r Time=s t Length s r ft. IPV -"L Width t1t—T ft. Gravel below pipe 2-4 i Total depth �_ ft. Eff. absorption area LS+ft2 Monitoring tube�G Depression over field Date of adequacy test S 2L Results [ ail) 7� s For 3 bedrooms Fluid depth in absorption field before test -;R! in. Water added gal. New depth_29in. Elapsed Time:.Z3 min. Final fluid depth in. Absorption rate >_ q50+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/19 type) If yes, give date /J14 D. LIFT STATION Date installed Size in gallons Manh /N) 'Pump on' level at _ in. `Pump ofr _ in. High water alarm level at in. Datum Cycles tested Meets alarm 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacen Public sewer main Public sewer manhole/cleanout Sewer /se ine Holding lank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 614-1 rf Property line Absorption field 5 / 1 Water main Ib k Water service line Ib 4' Surface water 1C� Wells on adjacent lots OR SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: I Property line Ib 14- Building foundation �� Water main Ib -I- 1 Water Service line td 14— Surface water 100 4, Driveway, parkinglvehicle storage + Curtain drain - /AZa-0 Wells on adjacent lots ►J F. COMMENTS _.c OF Ar_ G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and %-. ••• review of Municipal records that the above systems are in _ • w conformance with MOA HAA guidelines in effect on this date. •^C COWAN �g ROBERT G 01 �? Engineer's Printed Name O�Ar� t•'r�.�,� •,: `��� j Date HAA Fee $ Y3 O • Waiver Fee $ Date of Payment 6 /-7 49 s Date of Payment Receipt Number tDR44.;�- Receipt Number (Rev. 12101) h t°O X'X eta". wi' , pee Kr' 40 W If �'<'1wt Y i%j' •i`Y� Rs V11�at1>Tdz7�d 1 Iis..+f '•�' 4 = AS-BUILT . a I hereby certify that I have surveyed the following desc�riW •, property. �_LO_�y�oc-�' 1', il-:._s•�.r�rir�. ' ••qT ? �,. - - - r{-it-'�/ea '2�3'r %/(s-N � PI La, _Sti/ Anchorage Recording Frecinct,AL•ska,and that the improve-- `� =`•�• -• - -' menta situated thereon are within the property lines and do r r _� ,• • not overlap or encroach on the property lying adjacent there. + to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no + +• H • .` - roadw3ys; transmission lines or ether visible easements on said property except as indicated hereon. Dated at Eagle River, •Alaska, th i• nay of . , P:•� 10 �7 '�� •„ .. _ •. - - ROBERT C. JOBNSON'I co:.•- ,..} ,,, ;_•. i- ' ' SCALY: • Registered Land Surveyor Nd. hii-L8 � . • t - '1" o LJ-p' Box 458, Eagle River,'Alaska f• �'- - - Phone (907) 634-2543 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 Feb7uia)ty 23, 1987 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 1; Btock 5; Thundenbitd Hei.ghta Location (address or directions) (b) Applicant Name RacnteA Bank Telephone: Home Business Applicant Address Handting bo,% Ai?aaka Houaing (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder C; Buyer ❑ ; Other ❑ (explain); BuyeA/Patmen - 688-0696 (d) Lending Institution Cent4ust Telephone Address Anchorage, A2aaka (e) Real Estate Company and Agent RE/MAX OF EAGLE RIVER - AL Romaazews ii. Address P.O. Box 772849, Eagte R.Lvert, ACaaka 99577 Telephone 694-4200 (f) 16trafFVthe HAA to the following address: S d S ENGINEERING 17034 Eagte Riven Loop Road, Suite 204 Eagte Riven, Ataaka 99577 Otdmd by At - Re/Max 2. TYPE OF RESIDENCE Single -Family ❑ Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well ❑ Community ❑ Public Q Note: It community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite R7 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 73-025 (11,84( 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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 Telephone e4 9 rF—Z 97 p Address 17034 Eagle River Loon Road Ne_ 204 Date Eagle River, Alaska 99577 2 — Z Y -8r7 it 4.6on ti shw6w Na 147.11 6. DHEP APPROVAL Approved for & ,3) bedrooms by Date Approved a— Disapproved Conditional Terms of Conditional Approval 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 J 72-025 411,84) MUNICIPALITY OF ANCHORAGE (MO../ MUNICIPALITY OF MMM UTHORITY APPROVAL (HAA) ENVIRONMENTAL SERVICES6I'IST - FEBRUARY 1994 264-4720 MAR 2198% Legal Description: Z, 7 A. WELL DATA RECEIVED Well Classification A If A, B, C, D.E.C. Approvedµ /N) ya5 Well Log Present (Y/N) Date Completed Total Depth Cased to Static Water Level Casing Height Above Ground — Electrical Wiring in Conduit (Y/N) _ Separation Distances from Well: Depth of Grouting _ Pump Set At Yield Sanitary Seal on Casing (Y/N) — Depression Around Wellhead (Y/N) To Septic/Holding Tank on Lot Z /4 ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot Z440 { ; On Adjoining Lots — To Nearest Public Sewer Line Cleanout/Manhole — Water Sample Collected by Water Sample Test Results Comments A).5 911 ACL A* rA All B. SEPTIC/HOLDING TANK DATA To Nearest Public Sewer To Nearest Sewer Service Line on Lot Date Date Installed '512Y / Size 1000 No. of Compartments Z StandpipesY�J 1) Air -tight Caps/N) Foundation Cleanout hvN) Depression over Tank (Y/ 1D Date Last Pumped—> 1 ��82 Pumping/Maintenance Contract on File (Y/N) 'J1A ; for A* Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) AJ Separation Distances from Septic/Holding Tank: To Water -Supply Well L6J14 To Building Foundation �9 r To Property Line �Or`/ To Disposal Field 8 To Water Main/Service Line /0 /"f To Stream, Pond, Lake, or Major Drainage Course /CDa/+ Comments Page 1 of 2 72-026(1184) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata R5 '/'�/je Type of System Design WA,; )t4l UZ-32 2:11) Date Installed ��Z°f��A/ Length of Field fobs Width of Field S r - Depth of Field `% r Square Feet of Absorption Area �/-gravel d Thickness Zr J SS f nStandpipes Present (Y/© Depression over Field (Y/W Date of Last Adequacy Test ?;LZ" Z Results of Last Adequacy Test S/FTr5Ps1�Y �tne �e Separation Distance from Absorption Field: To Water -Supply Well ? 00" 'f To Property Line /d /f To Building Foundation To Existing or Abandoned System on Lot N14 ; On Adjoining Lots 309 To Water Main/Service Line /C3 r1, To Cutbank (if present) IIIA To Stream/Pond/Lake/or Major Drainage Course 100,74 To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments •• Check Permitted Bedroom Rating Against HAA Request " I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signedi 11 S ENGINEERING Date 2—Z f7- 8 7 Eagle Rliw Loop Road No. Comp�7� MOANo. _k6-00-9 \\ Receipt No. � �3 �' : • 1j S;f- � Date of Payment 3 a -F7 +' •. � .A Amount:$ /ao �' "• ... ax• �+ tc.b• t A. Sax.. Page 2 of 2 �� 9c��•..»» �•����� 72-026 (11,84) 5. LEGAL DESCRIPTION . t / /ock- S DR EIV INSPECTION APPOINTMENTS 3o TIME 6. TYPE OF RESIDENCE TIME TIME ❑ One ❑ Four ❑ Other ❑ Two ❑ Five Q vu i n.R DATE 7. WATER SUPPLY DATE DATE ' ATTACH WELL LOG. A well log is required for all wells drilled 15 COMMUNITY since June 1975. For wells drilled prior to that date, give well P-,-k�-83 INSPECTOR 8. SEWAGE DISPOSAL SYSTEM INSPECTOR INSPECTOR ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street -Anchorage, Alaska 88601 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 (Pfj' Z"/ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all pans on page 1.Incomplets requests will not be prxaseed. Please allow ten (10) days for processing. 1T� W17�E Jzsf �SGtI'GC� PHONE BPP- 3aZ3 MAILING DDRESS SR, 307 PROPERTY RESIDENT Of different from above) U PHONE 2. BUYER le- ' b PHONE 694- 9080 MAILING ADDRESS 1,28 o Tek a / 9577 3. 1 ENDIN INSSTITUTI N 2d � 5 T/'L�� PHONE a7G-d'OdQ MAI LIN_ A-D_DR/ESS dZ—i� 706 e. REALTOR/AGENT PHONE MAI LING ADD ESS �, �7 i S / 5. LEGAL DESCRIPTION . t / /ock- S STREET LOCATION -111uwdeKki 3o r. 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY 2:`— Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled 15 COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - rEr- INDIVIDUAL/ON-SITE" 19ea YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(Rev.6/78) AysAy/-#N-/is' THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMITNUMBER DEPTH OF WELL GATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE EP.UTILITY -Connection Verified PERMIT NUMBER DATEINSTALL€D INSTALLER ❑SepticTank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS C / APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE / 5- BY 72 010 (Rev. 6/79)