HomeMy WebLinkAboutMINDYER MANORS BLK 1 LT 4Mindyer' Manor'
Block
Lot 4
#020-091-65
(Rev 05/02/ 8)
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP241342
PID Number: 020-091-65
Dwelling: ❑■ Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade
Name
Edlund David V Family Trust
ABSORPTION FIELD
❑ Deep Trench X Wide Trench El Bed [I Mound
Site Address
4801 Virgo Avenue
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
4.0 GPD/SF
1.7-2.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1.2-1.5 Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision
Block Lot
Mindyer Manors
1 4
Fill added above original grade
1.4-1.6 Ft.
Gravel length
25 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
n/a
Distance between lines
n/a Ft.
SEPARATION
DISTANCES
ToTotal
Septic
Absorption
Holding Sewer
absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank Line
125 Ftz
1
n/a Ft.
Well
50'+
50'+
50'+
NA 25'+
TANK ❑ Septic X S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anch. Tank
Capacity
1500 Gal.
Surface water
50'+
50'+
50'+
NA i
Material
Steel
Number of compartments
2
Lot Line
51+
10'+
10'+
NA NA
Foundation
10'+
10'+
10'+
NA
LIFT STATION
Manufacturer
Orenco
Capacity
250 Gal.
Remarks Final grade inspection performed 01/09/2025.
Alarm location
Inside House (Hallway Closet)
Electrical installed by
Rising Son Electric
PIPE MATERIAL House to tank D3034 Tank to D1785
drainfield
Installer
Hiland Excavation
Drainfield D3034 CO/MTD3034
Inspector PES
BENCH MARK Assumed elevation) 99.8 ft
Inspection
vt 12/12/24
�d 12/19/24
Location and description
3r1 12/19/24
4" 12/20/24
See Site Plan, Bottom of House trim
1
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
0. A�,Jkk4
Conditional Approval:
Pp
Date
's
,��
r ��P '�- 'If- Pl
j: 4 / * �l
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Sieven F,. annnne
Septic Syst
Approved
Daib
i
ote: this approval does not include well permit requireme ts.
(Rev 05/02/ 8)
1500GAL EPOXY COATED
STEEL STEP TANK
PROFILE
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A SCALE: NTS
ENGLARGED SEPTIC AREA
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241342
Work Type: Septic Upgrade
Tax Code Number: 02009165000
Site Legal Address: MINDYER MANORS BLK 1 LT 4 G:3336
Site Mailing Address: 4801 VIRGO AVE, Anchorage
Owner: EDLUND DAVID V FAMILY TRUST
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
11 /7/2024
11 /7/2025
89091
✓❑ Disposal Field Fv1 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: '55 'yea-}' Date:
Issued By: Date: , d
3
MUNICIPALITY OF ANCHORAGE
n
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON -SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 020-091-65
Property owner(s) Edlund David V Family Trust
Mailing address
Site address 4801 Virgo Avenue
Day phone
Legal description (Sub'd., Block & Lot) Mindyer Manors Block 1 Lot 4
Legal description (Township, Range & Section)
Lot Size - 89,091 _Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
FRI
Initial 0
Single Family (SF) R
(w/wo ADU)
Septic Tank
0
Upgrade I -XI
Duplex ❑
(D)
Holding Tank
El
Renewal El
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
sW
(Signature of property owner or authorized agent)
Permit/Rush Fees: a 19 (
Date of Payment: 2�7z Ll
Receipt Number: -; 6c) -7
Permit No. `-S'P2-
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Permit App_'-'- : - :-''.0 I
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
Mailing: P.O.Box 1807, Palmer, AK 99645
Telephone: (907) 745-8200 FAX: (907) 745-8201
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, Alaska
Subject: Mindyer Manors Block 1 Lot 4
Septic System Upgrade Permit Request
This is a design narrative for a permit to install a septic system upgrade on the subject property. The proposed upgrade will
serve an existing three-bedroom (3) house. This lot and surrounding lots are served by private wells.
1. Soils:
A ground water monitor tube was installed on this lot by Pannone Engineering Services, LLC on 07/15/2024. Seeps were
observed during the excavation of the hole at a depth of 6.0’ below ground surface , and bedrock was not encountered.
Groundwater was observed within the monitor tube of this hole after 7-days at a depth of 4.0’ below ground surface. A previous
test hole was performed on this lot in the area of the existing absorption field by Robert Schillin g, P.E. Ground water was
encountered during the excavation of this test hole at a depth of 6.0’ below ground surface. Based on the results of the
percolation test and overall soils appearance; an application rate of 4.0 gpd/SF was used for the design of an advanced
wastewater treatment system to be installed within the area of the test hole performed by Robert Schilling, P.E.
2. Soil Absorption System Design.
a. See Sheet 1 of the design package.
3. Surface Water:
There is no surface water within 100 feet of the proposed septic tank and drain field.
4. Topography:
See attached site plan for area topography.
5. Drawing Markings: The Drawings are marked “For MOA Review Only”. When written notification that the review is
complete and no further comments are received from MoA On-Site Department, the note will be removed and “For
Construction” drawings will be issued.
The proposed installation will not affect the future development of this or the surrounding lots.
If you have any questions or concerns, please contact me at (907) 745-8200.
Sincerely,
SRP
Steven R. Pannone, P.E., F. ASCE
Owner/Civil Engineer
3 October 2024
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241342, Curtis Townsend, 11/07/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241342, Curtis Townsend, 11/07/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241342, Curtis Townsend, 11/07/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241342, Curtis Townsend, 11/07/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241342, Curtis Townsend, 11/07/24
4" RECIRCULATION
RETURN LINE (80%)
CATEGORY II CONFIGURATION
QUANICS AEROCELL SYSTEM
(3 BEDROOM SYSTEM ONLY)
QUANICS AEROCELL CAT. II
NOTE: ALL PIPING FROM PUMP TANK TO
AEROCELL MODULE SHALL BE PLACED ON
SUITABLE BEDDING MATERIAL THAT IS
MECHANICALLY COMPACTED. ALL LINES
SHALL BE GRADED SO THAT THEY WILL
DRAIN AFTER EACH PUMP CYCLE AND
WILL NOT RETAIN ANY STANDING WATER.
COMPONENTS SUPPLY NOTE:
1. TANKS , MH RISERS, AND LIDS ARE AVAILABLE THROUGH D &S
CONCRETE INC. AND MUST BE INSTALLER PER MANUFACTURERS
SPECIFICATIONS.
2. THE PUMP, FLOATS, INTERNAL PIPING, GROMMETS, CONTROL
PANEL, XPERT ALERT UNIT, AND AEROCELL UNIT ARE AVAILABLE
FROM GARNESS ENGINEERING, THE ALASKA STATEWIDE
DISTRIBUTOR FOR QUANICSTM PRODUCTS.
3. ALL OTHER COMPONENTS SUCH AS PIPING, FITTINGS, WIRING,
INSULATION, ETC., SHALL BE SUPPLIED BY THE CONTRACTOR.
NOTE: ALL PRESSURIZED
PIPES ARE TO BE
SCHEDULE 40 PVC UNLESS
NOTED OTHERWISE.
4" BY 4' WIDE
INSULATION
CENTERED
OVER PIPE
1.5" SCH. 40 PVC
FEED LINE
ELECTRICAL WIRE/S
(SUPPLIED BY
CONTRACTOR)
SJE RHOMBUS INSTALLER FRIENDLY SERIES (IFS)
TIMED CONTROL PANEL WITH DRY CONTACTS FOR
XPERT ALERT WIFI MESSENGER UNIT
XPERT ALERT MESSENGER UNIT
(REMOTE MONITORING SYSTEM).
INSTALLED IN HOUSE AS CLOSE
TO INTERNET "BOX" AS POSSIBLE.
WEEP HOLE
SIM/TECH
PRESSURE
FILTER
GOULDS PE51M
1500-GALLON TWO-COMPARTMENT CONCRETE TANK
TIMER ENABLE FLOAT
HIGH WATER FLOAT
TIMER OVERRIDE FLOAT
24" INSULATED MH RISER
WITH 4" OF INSULATION
AND INSULATED LID
VOLUME AT INLET INVERT
HIGH WATER ALARM
OVERRIDE FLOAT
TIMER ENABLE FLOAT
PUMP TANK FLOAT SETTINGS
INLET INVERT
*1625 GALLONS
1500
45"
MIN. OPERATING VOLUME *1264 GALLONS
FLOAT LEVELS ARE FROM BOTTOM OF TANK. NOTE:
MEASUREMENTS ARE WHERE THE FLOAT WIRE ATTACHES
TO PIPING WITH A 3.5 INCH TETHER FROM PIPING TO
FLOAT. ALL FLOATS MUST BE NARROW ANGLE FLOATS.
D & S CONCRETE TANK
QUANICS A400-AC
AEROCELL POD
4" VISUAL
INSPECTION
PORT
4" DISCHARGE (20%)
TO DRAINFIELD OR
PUMP VAULT
4" VISUAL
INSPECTION
PORT
TRANSITION TO 4" LINES
FLOAT TREE
ASSEMBLY24" INSULATED MH RISER
(WITH JUNCTION BOX)
WITH 2" OF INSULATION
AND INSULATED LID
REGARDLESS OF BURIAL DEPTH, IT IS
RECOMMENDED THAT THE TANK HAVE
A MINIMUM OF 2" OF INSULATION (NOT
SHOWN FOR CLARITY) PLACED OVER
THE TOP OF THE TANK
TIMER OVERRIDE ON 44"*1,589
TIMER OVERRIDE OFF
HIGH WATER FLOAT ON
TIMER ENABLE ON
HIGH WATER FLOAT OFF
TIMER ENABLE OFF
42"
39"
38"
35"
*1,516
VOLUME
FROM BOTTOM
OF TANK
42.5"
40.5"
36.5"
41"*1,480
*1,408
*1,372
*1,264
29"
*NOTE: LIQUID VOLUMES ARE APPROXIMATE. VOLUMES CALCULATED USING
D & S CONCRETE INC DIMENSIONS FOR THEIR 1,500 GALLON SEPTIC TANK.
45"
35" MIN. LEVEL
Mindyer Manor B1 L4 Subject:
10/02/2024 Originator:LJC Checker:
SITE PARAMETERS 1. No angle of repose on backfill material
Weight of Water 62.4 lb/ft3
Weight of Soil 100.0 lb/ft3
Tank Bury Depth 3.5 ft
TANK DIMENSIONS
Diameter 64.0 in
Diameter 5.33 ft
Length 10 ft
Area 22.34 ft2
Volume 223.40 ft3
Weight 1200 lbf
Manholes Yes
Percentage of Tank in Groundwater 100%
BOUYANT FORCES (Weight of the displaced water)
13940 lbf UP
RESISTING FORCES (Weight of soil & tank)
Is Backfill Material Saturated?NO
Volume of Manholes 40 ft3
Volume of Soil 146.67 ft3 (Volume of Soil over Tank minus Volume of Manholes)
Weight of Soil 14666.67 lb DOWN
NET FORCE ON TANK 1926 lb DWN Design OK
1500-gallon Steel STEP Tank
ASSUMPTIONS
2. 100 lb/ft3 backfill material
3. Tank is empty
4. Tank is completely submerged.
Septic Tank Buoyancy Check
Job Name: Buoyancy Check
Job Number:ACP
Buoyancy Control:
-Ensure 3.5' minimum soil cover over top of tank
weighing 100lb/ft^3 minimum.
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PROFESSIONAL SEAL
Date:Frontier Surveys, LLC Project No:
650 W. 58th Ave. Suite E Anchorage, Alaska 99518
As-Built Survey of:
www.frontiersurveys.com
Frontier Surveys, LLC
I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or
under my direct supervision on
Plat:Grid:Ordered By:
907.460.1686 - info@frontiersurveys.com
This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and
conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any
inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the
existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances
should this document be used for construction or for establishing a boundary or fence line.
October 25th, 2023.
Legend:
Scale 1" = 60'
Gas Meter
Electric Meter/Outside Power
Deck
Septic
Telephone Pole
Fence
Overhead Utility
Lot 4, Block 1 Mindyer Manors
General Notes:
1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws.
2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey.
3. All measurements/setbacks are to the visual/apparent building footprint.
4. All dimensions to property lines are plus/minus 0.1ft.
Carole Marvel
23-446 11/01/2023
78-294 3336
Water Well
Tel. Pedestal
Concrete
G
E
S
x T
W Culvert
1RY
R
E
GISTEREDPROFESSIO N A L L A N D S URVEYORPierre M. Stragier
No. L.S. - 9812
/O7
/O7
/O7
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MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE
//ANP REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this of 411) 2(1, by and between
Gi\1( C�cran 4/ herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPA Y", in accordance with Anchorage Municipal Code
(AMC) 15,65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as
Quanics
located at (legal description)
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
G'l t shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
0iwner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
_Wpatrs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/ 18/2018) Page 1 of 3
nr— wner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
071__�wner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
O'"vwner agrees that any sale or transfer of title of the property will not occur without a new
rAA Certificate of On -Site Systems Approval.
C✓!lv-) Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
/�j guidelines for the construction, maintenance and repair of the Owner's AWWTS.
�' `�wner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon. transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/ 18/2018) Page 2 of 3
OWNER:
�--
gy; signature} Date:
Aq4ok-� r --, (print name)
STATE OF ALASKA }
ss.
THIRD JUDICIAL DISTRICT )
The f regoi a instrument was acknowledged before me this_ day of (w,
20, by( n .M Vel
'7mycorn
Y PUBLIC
NOTARY PUBLIC FOR ALASICAr Natalieravers-Smyre
My Commission expires: c3 OF AIASKA
pires March 7, 2025
MUNICIPALITY• .
By: 77{signature)
(/U(=T1 S 'n L, -3 e,,O (print name)
(rev. 05/ 18/2018)
Date: / / L -,?-'%
Title: C i V L C-^-j Gr E t2
Page 3 of 3
' ~ Municipality of Anchorage
Development Services Department ::
Building Safety Dhaslon
On-Site Water & Wastewater Program, 4700 8ou~ Bragaw SL
P.O. Box 196650 Anchom~, AK 99519-6650
www.cLanchomge.ek.u~ (g07) 343-7904 Poga 1 of
On-Site West°water Disposal System and/or Well Inspection Report
Permit Number:. SW01026B PI0 Number. 020-091-65
Name:DAVE~ EDLUND Wast°water System: · New I-I Upgrnde
Addrea$:
P.O. Box 111977 *ANCHORACr ~ 99511 ABSORPTION FIELD
No, of Bedmoml:
Ph°ne:(907) 440--9441 2 · 0~ep Trench ri Shallow Trench Itl Bed ~Mound
LEGAL
DESCRIPTION
~/s~
4 1 MINDYER MANOR ~,/ n
SEPARATION DISTANCES .s~.= n Holo'Ing rl $.T.r e. ri Other
St~Jon Tenk ANCHORAGE TANK I$oo
w~n 100'+ - - - 25'+ STEEL 2
s.rto¢o War,, lO0'+ .... LIFT STATION
Lot Un° 5'+ ....
FoundaUon 5'+ .... "~'~ m' k"d "~ ~"~-'~"'~ ' I~'" -- e*ae'~ e~
Curtain Drain · NOiNE KNOW ·
Remarks: THE EXISTING SEPTIC TANK WAS A~ANDONED BENCH MARK
PER U.P.C. SOUTHWEST CORNER OF CONCRETE
SIDEWALK AT HOUSE (TOP OF STNRS)
~==._ a.~e-. 100.00
Inspec'dons performed by:. AWWC, INC. Dates: 1st 7/30/01 ~ .......... 7~.~ ,~. .
Department of HealtlLa.nd Hum~ln §ervl~s appr.o, val, / '(/~-~[o~..... ~'' /c~.:-' ......... .7~53
Fa,~v~ewed and approved by:~ate. ~J-/-~/--~- -~[~o~,a=~o~,=~
~,~ ~,.: AS BUILT DI~WlNG
SW010268 - 020-091-65
~/ / - ~ ~1 I 12.5 18.1
/ _----'-
...... ~_ ~ ~ ~x~s~.~
~-~ ......~/~X~ 2~ED~OOM
J Nm 1500 GALLON
Ex~ D~F~[LD SEPTIC TA~ ~ /
I
s/7/o~
~~ WATER & WASTEWATER
CONSULTANTS, INC. , ........
PR~ FOR: ~ONE NUM~:
DAVE EDLUND (907) 440-9441 1 OF I
LOT a eLOCK ~ ~.DYE. UA.O. "~G. "':' .......... ";,~
AS-BmLT
PROFILE AS BUILT
PERM~ NUMGER:
SWO10268 - 020-091-65
FINAL GRADE = 99.87-99.04
TOP OF TANK AT--X I= --..______..~ //--TOP OF TANK AT
INLET = 95.6 ~ ~ I /OUTLET = 95.64
NEW 1500 GALLON~
INVERT OF BUNG SEPTIC TANK INVERT OF BUNG AT
^T ,,LET = 95.07 l) ~,) O~LET = 94.9,
AI.~$KA WATER & WASTEWATER 9.s.c. ~..I
PROFILE AS-BUILT
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jul 26, 2001
Expiration Date: Jul 26, 2002
Permlt Number: SW010268
Legal Description: MINDYER MANORS BLK I LT 4
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: Dave Edlund
Owner Address: PO BOX 111977
ANCHORAGE, AK 99511-1977
Parcel ID: 020-091-65
Site Address: 004801 VIRGO AVE
Lot Size: 87091 SQ. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date: ~'/ ~ ~,/0 /
Date: 7
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchorage.ak.us
(9O7) 343-79O4
Parcel I.D.
ON-SITE SEWER/WELL PERMIT ~,PPLICATION
FOR A SINGLE FAMILY DWELLING
020-091-65
Permit Number
Pmperty owner(s)
Mailing address (1)
Mailing address (2)
OA¥[ EDLUND
P.O. BOX 111977 * ANCHORAGE. AK
Dayphone 440-9441
~pCode 99511-1977
Legal description (Lot, Block & Sub'd.)
Legal descflpflon (Section, Township & Range)
~41NDYER MANOR SUBDIVISION: LOT 4. BLOCK 1.
Lot Size 1~7.e91 Acres/Sq. FL
THIS APPLICATION IS FOR:
Sewer Only ~r~
Sewer and Well
Sewer Upgrade * ·
Number of Bedrooms
*TANK UPGRADE ONLY
Well Only
Water Storage
2
THIS PROPERTY CONTAINS:
Hot Tub ~1
Swimming Pool
Therapy Pool []
Water Softening Unlt
I certify that the above Information Is correct. I further certify that this application is being made for a
Single Family Dwelling and is In accordance with applicable Municipal codes.
ALASKA WATER & WASTE'WATER CONSULTANTS~ INC.
Permit Fees: ~,. ~.C~) - oo
Date 0f.a en 7J
Receipt Number. '7-~ ~
Waiver Fees;
Date of Payment:
Receipt Number,
ALASICA WATER & WASTEWATER
CONSULTANTS, INC. ~ '"
July lS, 2001
Municipality of Anchorage
Development Service Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
Reft Septic Tank Upgrade for Lot 4, Block 1, Mindyer Manor Subdivision
To whom it may concern:
The existing 2 bedroom house is currently served by an on-site well and septic system. The
conventional septic system contains a 1000 gallon septic tank that is structurally unsound and
must be replaced. Per the homeowners request, a 1500 gallon septic tank is to be installed.
I am 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.
NOTE: ,~ttached is a site platt drawing, a design drawing, and a 5 page construction
specification letter which are all part of the design package for this septic system.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akxvxvc.com
................. / ........ :--7 .............
.......................... /---~ ............... ~--~ ~-~
LOT 2. 8~K 1. / ~ ~ ~T 3. B~ 1. ~ I LOT 4. B~2.
~ X'~ N // ,t--_ _/'1' ' ',
[ NxT~'X -' ..... - I, , -.._
7/~s/;oo~ __,~ ...~...~ ~
8.$.0.
~S~ WATER & ~STE~TER
CON$ULTANTS, lNG.
PREPPED FOR P~NE NUMBER: P~E NUU~:
DAVE EDLUND 440-9441 1 OF 2
~ o~ ~o.~:
SITE P~N
S~C T~K TO BE
NOTE: THE COm~CTOR SHALL I
HAVE THE 100' CREEK S~BACK
AND THE 100' WELL ~DII ~p
F~GGED PRIOR CON.RUCTION. TIC AR~~ I
A~S~ ~TER & WASTE~TER
DAVE EDLUND (907) 440-"441 1 OF 2
MINDYER MANORS SUBDIVISION; LOT 4, BLOCK 1.
DESIGN OF SEPTIC TANK UPGRADE
.~_~. MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~-'
PHONE I [] NEW
NAME
,~ /~,~' ~-)'~-L.//,JI) '~4""~-'~7'Z'~'I ~UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
Weld I Absorption ~rea Dwelling ~ PERMIT NO,
DISTANCE TO:[ i ~ ~ I
Material No, of compartments
~ Manufacturer ~ ,Z~ ~''~
Liq. capacity in gallons IF HOME,DE: Inside length Width Liquid depth
PERMIT
NO.
O Z < Manufacturer /V f ~ Material Liquid capacity in gallons
Well I Foundation Nearest lot line PERMIT NO.
DISTANCE
TO:
I
.°.°,,-
~ Top of tile to finish grade Material beneath tile Total effective absorption area
a ~ I /~ inches / ~ ~ ~
Length Width Depth PERMIT NO.
A /3
TgOe of crib Crib diameter rib dooth
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth ~ ~ Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line ~ I ~ I Septic tank ~ Absorption area(s) I ~
~ DISTANCE TO: ~ ~ / /~
OTHER
PIPE MATERIALS ~ ~ ~.~. ~ ~ ~/~1~
SOIL TEST RATING
INSTALLER ~P~, ~ ~ ~,~D ~
REMARKS ~ ~[ ~ ~ ~ ~eT~ ~
APPROVED ~ ~' DATE LEGAL
72-013 (Rev. 3/78)
264-4720
* * * HANDWRITTEN PERMIT * * *
Permit ~ ~_%~] WELL ANDS 0N-SITE SEWER PERMIT
Applicant: '~(._/~"~ ~. l~d Mailing Address:
MUNICIPALITY OF ANCHORAGE
Department,. ~ Health and Environmenta' ?rotection
825 %~' Street, Anchorage, AK. ~'~501
Location: Phone Number:
Legal Description: &~7--~ ~ l ~ ~m~ Size: --
Type of Soil Absorp~ion._Sys~tem Is:
Trench: ~Drainfield://_~--~Seepage Bed: Holding Tank:
Maximum Number of--~~~-~-~s~i-'~[m~i Soil Rating(sq.ft/br)
The Required Si~of the Soil Absorption System Is: '" - ]
DEPTH ~ LENGTH /,%0 ' GRAVEL DEPTH &¢r WIDTHi ~- t/,
The length dimension is the length(in feet) of the trench or drain'f-ie~. 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(~NK SIZE = /0~ 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 con~unity 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 * * *
I certify that:
(!) 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 residDnce is remodeled to include more tha~ bedrooms.
S igne~: ~/~/J/ Is sued by:
Applicant ~ Date:
CURVED .~
WINDOW
CONC.
PATIO'-'----
(Fu~u~)
./
/
42
1~,4
HOUSE. SHOWN IN
/L-SO' SCALE
I--3
sfreOtW threO8 } ~
l-5
I
.
I
I hereby certify the following described property, LOT~. , BLK /
MINDYER MANOt?S
Anchorage Recording Precinct, Alaska, has been surveyed by r, le, or at
my direction, and that the improvements situated thereon are within the
property lines and do not overlap or encroach on the property lying adja-
cent thereto, that no improvements on property lying adjacent thereto
encroach on the premises ;n question and thai there are no roadways,
transmission lines, or other visibJe easements on said property, except
as indicated hereon.
It is the responsibility of Ihe owner or builder, prior to construction, to
verify proposed building grade relative to finished grade and utility con-
nections and to determine the existence of any easements, covenants,
or restrictions which do not appear on the recorded subdivision plot.
urora
ngineers
nc.
7133 Arctic Blvd., No. 7
Anchorage, Alaska 99502
349-7724
Date: glib,/85
Scale: /''=
Grid:
CALCULATEDBY DATE
CHECKED BY DATE
SCALE
AURORA ENGINEEF~.INC.
7133 Arctic Blvd. #7
ANCHORAGE, AK 99502
Phone 349-7724
SHEET NO. '~"-~'/ ~- OF
CALCULATED BY 1'~' ~ ~ DATE
CHECKED BY. DATE
SCALE
7133 Arctic Blvd. ~7 SHEET NO,
ANCHORAGE, AK 99502
Phone 349-7724 CALCULATED DY
CHECKED BY
DATE
SCALE.
[-1 SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION/J~ PERCOLATION
TEST
Pouch 6-650, Anchorage, Alaska 99502 276-222~
SOILS LOG- PERCOLATION TEST
PERFORMED FOR:
DATE PERFORMED:
LEGAL DESCRIPTION:
1
7
8
9
10
11
12
13
SLOPE
IF YES, AT WHAT
DEPTH?
14
15
16
17
18
19
20
COMMENTS
SITE PLAN
j I
L
· 0
P
Ei
Gross Net Depth to Net
Read!ng Date Time Time Water Drop
PERCOLATION RATE ~ ~ (minutes/inch)
TEST RUN BETWEEN ~ FT AND /-~ FT
PERFORMED BY: ,/'"'~-~ '~,,,,~ ."~ I..~ CERTIFIED BY: ~.~J~'ff~g~..-;' DATE: 7- Z'z'/'%'~'-'
72-008 (7/76)
>- 0
0 0 0 0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0 0
CHEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301
ANALYSIS REPORT BY SAMPLE for WORKorder$ 37335
Date Reper~ Printed: AUG 16 91 @ 17:01
Client Sample ID:L4 E1 MINDYER F~NORS WEDT HOSE BIB
PWSID
Collected AUG 15 91 fl 12:30 hrs.
Received AUG 15 91 ~ 15:08
P~eserved with :AS REQUIRED
Client Name :FLATTOP TECHNICAL SRV
Client Aect :FLATTOT
BPO $ PO $ NONE RECEIVED
~eq $
Ordered By ;TED MOORE
Analys~s Completed :AUG 16 91 , Send Reports to:
Laboratory Supervisgr °:STEPHEN C. EDE 1)FLATTOP TECHNICAL SRV
Chemlab Re£ $: 91416? Lab Smpl ID: i Matrix: WATER
Allowable
Parame~ez Tested Result Units Method Limits
NtTRATB-N flD[O.lO) mg/1 EPA 353.2 !0
Sample ROUTINE SAMPLE COLLECTED BY: CHRIS.
Remarks:
Tests Performed See Special Irmtzuctions Above UA~Unavallable
None Detected "See Sample Remarks Above
Not Analyzed LT-Less Than. CT=Greater Than
~-~LLLLLL~-I~ Member of the SGS Group (Soci6t~ G~nbrale de Surveillance)
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251023
Parcel ID 020 -091-65 Expiration Date: 1/13/2026
Legal description MINDYER MANORS BLK 1 LT 4
Site address 4801 VIRGO AVE
Current property owner(s)
EDLUND DAVID V FAMILY TRUST
X The On-site system(s) is/are approved for
By:
3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
Original Certificate Date:
2/11/2025
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
systdi (s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
,Wvelopment Service 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 submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
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. 020-091-65
Complete legal description Mindyer Manors 131 L4
Location (site address) 4801 Virgo Avenue
Current property owner(s) Edlund David V Family Trust
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: X 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: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑■ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age <1 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ 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 $ 2 00
Date of Payment Z 2 5
COSA# '05C 2 9)�2�
Waiver Fee $
Date of Payment
Waiver #
COSA Application_June 2022
COSA Checklist_June 2022
COSA Checklist
Legal Description: Parcel ID:
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed)
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date
Adequacy test date
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) in
Effective depth used in
Effective depth remaining in
Comments/Deficiencies:
COSA Checklist_June 2022
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F.ENGINEER’S COMMENTS
G.CERTIFICATION & 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, indicates that the on-site water supply
and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation, unless noted otherwise.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with ADEC & MOA 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 life 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 sole benefit of the owner listed above.
Name of Firm
Phone
Engineer’s Printed Name
Date
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this 10
Day of FE$Ru.a21/
of 20 Zr , by and between
(ALA" kt GFL r) , herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as OUAO L C. S Ccac--EL-4- s'TE.,
located at (legal description) C��NpyEL /v%AnjoFs'�
Los L) Gu/, I L -4,r % -�9t! A i2 D 4 t3o1 V �,cwo �� ANG�kokA.0
Maintenance, Repairs and Alterations. 4k-?
(Owner is required to read, understand and initial each section)
Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
:'� Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of
Al Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
A( Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
j� Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
/441 Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER:
)
r�—C(
B :L signature Date:
Y b
ALA tl r 6(1 i rrt W (print name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
T
hetfo •egoi a instrument was acknowledged before me this �J day of0"L�, byVI
N ARY PI JRLit FOR AL SKA LINNZI E. REILLY
My Commission expires: Notary Public
State of Alaska
My Commission Expires Nov 22, 2027
(signature) Date.'�4/ /-,zg--
print
name) Title:
(rev. 05/18/2018) Page 3 of 3
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Lot 4, Block 1
Mindyer Manor
Subdivision
89,091 Sq. Ft. +/-
4801 Virgo Ave
2 Story Wood Frame House
℄ VIRG
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21.1
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PROFESSIONAL SEAL
Date:Frontier Surveys, LLC Project No:
650 W. 58th Ave. Suite E Anchorage, Alaska 99518
As-Built Survey of:
www.frontiersurveys.com
Frontier Surveys, LLC
I, Rachel Shoemake, hereby certify that this Mortgage Inspection Survey was performed by me, or
under my direct supervision on
Plat:Grid:Ordered By:
907.460.1686 - info@frontiersurveys.com
This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and
conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any
inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the
existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances
should this document be used for construction or for establishing a boundary or fence line.
January 6th, 2025.
Legend:
Scale 1" = 60'
Gas Meter
Electric Meter/Outside Power
Deck
Septic
Telephone Pole
Fence
Overhead Utility
Lot 4, Block 1 Mindyer Manors
General Notes:
1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws.
2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey.
3. All measurements/setbacks are to the visual/apparent building footprint.
4. All dimensions to property lines are plus/minus 0.1ft.
Carole Marvel
25-004 01/08/2024
78-294 SW3336
Water Well
Tel. Pedestal
Concrete
G
E
S
x T
W Culvert
LOT 3
LOT 5
LOT 2
W
E
G
T
R
E
GISTEREDPROFESSIO N A L L A N D S URVEYORRachel N. Shoemake
No. L.S. - 14646
Jan 29, 2025
SCSeptic Cover
· :1; GENERAL INFORMATION
(a)
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 ~-~' /4~ ~'
(b) Applicant Name ,0,4~/~ ~--'O/_~J.O ~Telephone: Home ~,,¢.~-7'7~_5- Business
(c) Applicant is (check one): Lending Institution []; Owner/builder J~; Buyer []; Other [] (explain);
Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(d) . Lending Institution,,4z.,4~.~-,4 Z~'$/~
(e) Real Estate Company and Agent · .....
Address
Telephone
(f) Mail the HAA to the following address:
2, TYPE OF RESIDENCE
.Single-Family.~ Multi. Family []
.Number of- Bedrooms ~'~ ~
3, '.WATER SUPPLY - ,.'~'-
Individual Well~! Community []
Other
Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL :
- Onsite,~ Public [] Community [] Holding Tank
' Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status, "- "~
Page I of 2
72-025 (11/84)
E~IGINEERING 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 r~y investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is §~fe, 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.
NameofFirm .~'~--4..fl~--~-I~J~ ~'~ ~OCl~,~'-z--'"~ Telephone .-~&~--~l~l ~'~"~'~'~
Address
Date
Engineer's Seal
DHEP APPROVAL
Approved for ¢'~.¢o bedrooms by
Approved /'/ Disapprovedv 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
72-025 (11/84) '~
ISAACS PUMPING SERVICE
~Norm Tibbetts, Owner)
- 6218 Quinhagak Street
ANCHORAGE, ALASKA 99507
Plmno 563-3300
5 3
All claims and returned goods MU~
^u.o...
7217 Arctic Blvd. Anchorage, AK 99502(907) 349 7724
September 15, 1983
Municipality of Anchorage
Department of Health & Environmental Protection
825 L Street
Anchorage, Alaska 99501
Attention: Mr. Cory Willis
RE: On Site Sewage Disposal System
for Lot 4, Mindyer Manors
Dear Mr. Willis:
In accordance with our discussion of September 14, 1983,
attached are revised sketches showing the sewage disposal
system as installed and its locations in respect to the
property. The system as installed is of the bed type as
opposed to the drainfield type. This was done in order to
facilitate the bed excavation.
Ail construction and materials were furnished and installed
with the Municipality of Anchorage-Department of Health &
Environmental Protection's requirements as furnished to the
undersigned.
If you need any further information, do not hesitate to
contact me.
Sincerely,
AURORA ENGINEERS, INCo
Robert D. Schilling, P.E.
President
RDS:tw
Enclosure
AE3/A14
P.O. Box 215, Copper Center, AK 99573, (907) 822-3573
PO ,'l 6-650
AN~tuI'ORAGE, ALASKA 99502-0650
(907) 264-4111
TON Y KNO WLES,
MA YOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
September 28, 1983
Mr. Dave Edlund
P. O. Box 4162
Anchorage, AK 99509
Subject: Lot 4, Mindyer Manors
Dear Mr. Edlund:
This department has received the corrected as-builts on your on-
site sewer system. These as-builts have been reviewed and
approved as submitted.
If you have any further questions please call this office at
264-4720.
Sincerely,
CW44/ej/E2
Cory Willis, R.S.
Acting Sewer & Water
Program Manager
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of EnvironmentaJ Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D.# O~r~-~l~ -L3...~
HAA #
1. GENERAL INFORMATION
Complete legal description
I~ n or-./'
Location (site address or directions)
~ ' Pr0Pert~/owner
Mailing address
Lending agency
Mailing address
Agent N,/)
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
C~zr'o ( "Ec.~/~x,~,¢'( Day phone. ~7~ -~Y77
~n k Day phone
Day phone
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 {Rev. 1/91) Front MOA ~¢21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I furtherverifythat 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 ail Municipal and State codes,
Phone
ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Address
Engineer's signature ~~I~.
DHHS SIGNATURE
~ Approved for
Disapproved.
Conditional approval for
Date ~/~719/
THEODOES F. MOORE ,,
~:"~rcq~. ~,~¢~ ~
bedrooms,
bedrooms, with the following stipulations:
Additional Comments
,,--q ) . . ,.¢'/
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72q325 (Rev. 1/91) Back MOA #21
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: L'~,i~I I~INC~¥/~R ~/iN0¢,5
Parcel I.D.
A. WELL DATA
Well type ~'RW'ATE
Log present (Y/N) "!'
!
Total depth J rico
Sanitary seal (Y/N) ~'
If A, B, or C, attach ADEC letter. ADEC water system number N.,~
Date completed H/251~3 Driller 5'YR&N
Casedto Io' ~aPt~oCK~ Casing height
Wires properly protected (Y/N)
FROM WELL LOG
Date of test LI /2. ~,/S ~
Static water level I u~
Well flow S -[o '7
Pump level b r, tk:h!owN
g.p.m.
SEPARATION DISTANCES FROM WELL TO:
Septic/hold!rig. tank on lot II 'f To CO,
Absorption field on lot 12o' ¢'¢~ AS 5'ul~ r
Public sewer main ~ too
!
Public sewer service line ~ too
AT INSPECTION z
25 ~:~
~J
5'.~+
m~
g.P. o~
; On adjacent lots "~/oo'
; On adjacent lots
PubliC sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform O Co{ / ~00
Date of sample:
Nitrate
I m~/./_ Other bacteria
Collected by: ~LATTO? T£cH
B. SEPTIC/HC, LD;~';CTANK DATA
Date installed ~[1~[,~
Cleanouts (Y/N) )/
High water alarm (Y~N)
Date of pumping
Tank size Iooo CA-c Compartments 2
Foundation cleanout (Y/N) ~ Depression (Y/N)
A · Alarm tested (Y/N) N',/~,
N
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot Jl~/ F~'0~t C.o, Onadjacentlots ~. ~oo ~
To property line ~O / '
Absorption field 1.5-
Surface water/drainage ~ 1 oo
Foundation
Water main/service line ~ ~O
72-0?6 (Rev. 3/91)Front MOA21 CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
Meets MOA electrical codes (Y/N)
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" level at
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Date installed ~[
Length 79 Width 1'8
Total absorption area
Depression over field (Y/N)
Results (pass/fail)
Peroxide treatment (past 12 months) (Y/N)
Soil rating
Gravel thickness 2. ff"
Cleanouts present (Y/N)
Date of adequacy test R/'
for
Ho~e K~o~'~ If yes, give date N,4,
System type P100'N
Total depth
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
!
Wellonlot I~0 Onadjacentlots ~,/oo /
To building foundation
On adjacent lots ,~ 5'0
Surface water "~/o0
Curtain drain No~,~ o~¢~¢~b
Property line
To existing or abandoned system on lot
Cutbank N./~,
Water main/service line
Driveway, parking/vehicle storage area
It,A,
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA gu~dehne~f~t~nJ~ ~ of th~s mspect/on.
Signature *~~ ~ '//~ "' ' ' "*
brig neer s Name . ,.,, , ' -,, - * .'
HAA Fee $ /~(~,
Date of Payment
Receipt Number
Waiver Fee: $
Date of Payment
,) Receipt Number
72-026 (Rev. 3/91) B~ck MOA 21
A. WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA~
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
Legal Description:
Well Classification /.'~/21W~P~~ Ii A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) Y Date Completed
Total Depth /~-o ! Cased to
Static Water Level /~ ~
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
T~Holding Tank on Lot
Depth of Grouting
Pump Set At / '~,
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
/ ~,O ~ ; On Adjoining Lots ~ ! o,~ ¢
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot ~
; Date //~,/,¢~-~ 5'-
B. ~OLDING TANK DATA
Date Installed
Standpipes (Y/N) Y
Depression over Tank (Y/N)
Size -/~'~'
Air-tight Oaps (Y/N)
Pumping/Maintenance Oontract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances fro~olding,.~____~ Tank:
To Water-Supply Well / ~
To Property Line 3~ ~
To Water Main/Service Line
Course ,/&, o I
No. of Compartments
Foundation Cleanout (Y/N) Y
Date Last Pumped ~-2 2_-
· for
Temporary Holding Tank Permit (Y/N)
To Building Foundation / 2. /
To Disposal Field /,~- ~
To Stream, Pond, Lake, or Major Drainage
Comments
Page I of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~:>--/-" -~ ~:'
Width of Field /' ~ ·
Square Feet of Absorption Area _
Depression over Field (Y/N)
Results of Last Adequacy Test .
Separation Distance from Absorption Field:
!
To Water-Supply Well ? ~ ~
To Building Foundation ~' '~"
Lot
Type of System Design
Length of Field --~' /
Depth of FieLd '~¢ ~ +
Gravel Bed Thickness / ~:~
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments L'/'; ~"~.,~/~t.'~"'
To Property Line _ ~¢
To Existing or Abandoned System on
; On Adjoining Lots "~ / ~"='
To Cutbank (if present)
D, LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guideli nes in effect on the date of this inspection.
Company-~-CC/z.z,'z~..~[t-~.~ o~, MOA No.
Receipt No. _ &' '"7 ~,~
Date of Payment _
Amount: $ -
Page 2 of 2
72-026 (11/84)
Engineer's Seal
