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HomeMy WebLinkAboutFLAT TOP VIEW #1 BLK 2 LT 5Flat Top View #1 Block 2 Lot 5 #018-391-29 .,q i t 3 IN 1111111111 x r,,�s i Development Services Department Phone: 907-343-7904-343-7997115i!18001a! -il-um Fax: 907 Well Log Permit Number: # 221364 Date of Issue: Parcel Identification Number: Date Started: 10-21-22 Date Completed: 10-24-22 Is well located at approved permit location? Yes ❑ No ❑ Legal Description: Flat Top View #1 Lot5 Blk2 Property Owner Name & Address: Ashley Sockpiek Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To casing stick up 0 2 overburden 2 4 silt & gravel 4 55 silt & gravel w/1-120 (dirty) 55 57 clay layer 57 60 silt & gravel w/1-120 (dirty) 60 65 clay w/ gravel 65 105 silt & gravel w/ clay 105 126 wet silt & gravel w/ clay 126 137 sand 137 140 clay 140 165 clay w/ H2O 165 169 coarse gravel w/ H2O 169 172 Water Sample Results: Arsenic: _� ug/L Nitrates: ,N mg/L Total Coliform Bacteria: a colonies/100mL 10/3 / /Z Method of Drilling [M air rotary ❑ cable tool Casing type: steel Wall Thickness: -250 inches Diameter:6 inches Depth: i72 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 49 feet Pumping level: feet after hours pumping _gpm Recovery Rate: 15 gpm Method of Testing: airlift Q Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet 20' Start 0 20 Well Disinfected Upon Completion? Yes No Method of Disinfection: tabs Comments: Well Driller: Johnny Kay El F-1 Company: Hefty Drilling, Inc. Mailing Address: po box 112130 Anch AK 99511 Attention: The well driller shall provide a well log to the On-site Water and Wastewater Section within 30 days of completion. Legal Description F1,4 A v, 01V 41 ' Pump Installation Date: 1 U 1)8„ 2a Pump Intake Depth Below Top of Well Casing: CIO feet Pump Manufacturer's Name: A/! A Pump Model: 7 0�e,-, )--'Jo I/ 3w, Pump Size !a hp Pitless Adapter Burial Depth: /V feet Property Owner Name & Address: Pitless Adapter Manufacturer's Name: CIC VVI Pitless Adapter Installer: / UQ r A ^ vr.,' F-_ x Ca V®' � � o"1 Well Disinfected Upon Completion? a Yes ❑ No Method of Disinfection:CA I.ir,),L +.6S Comments: I Pump Installer Name: Johnny Kay Hefty Drilling, Inc. Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Development Services Department Building Safety Division i an GE Q On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 S A E T Y Mayor www.muni.org/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: �2 i3bq Date of Issue: Parcel Identification Number: Legal Description F1,4 A v, 01V 41 ' Pump Installation Date: 1 U 1)8„ 2a Pump Intake Depth Below Top of Well Casing: CIO feet Pump Manufacturer's Name: A/! A Pump Model: 7 0�e,-, )--'Jo I/ 3w, Pump Size !a hp Pitless Adapter Burial Depth: /V feet Property Owner Name & Address: Pitless Adapter Manufacturer's Name: CIC VVI Pitless Adapter Installer: / UQ r A ^ vr.,' F-_ x Ca V®' � � o"1 Well Disinfected Upon Completion? a Yes ❑ No Method of Disinfection:CA I.ir,),L +.6S Comments: I Pump Installer Name: Johnny Kay Hefty Drilling, Inc. Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Municipality of Anchorage Community Development Department On -Site Water and Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - hitp://www.muni.org/onsiite - (907) 343-7904 Subdivision Block Lot T R Section Lot On-site Water & Wastewater Program certified contractor performing the well decommissioning: Name: �t, Signature: Company: Well decommissioning date 10/31/' 2- Method of decommissioning: AMC 15.55.0601.1 a. ❑ b. ❑ C. Location: Use the space below to provide a drawing of the property showing the following items, • North arrow • Decommissioned well, • Other water wells on the property, • Two separate swing -tie distances for each well shown on the drawing, Note: The swing -tie distances shall be measured from either permanent structures or the property comers. i and 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 http://www.muni.org/onsite On -Site Water System Permit Permit Number: OSP221364 Work Type: Well Upgrade Tax Code Number: 01839129000 Site Legal Address: FLAT TOP VIEW #1 BLK 2 LT 5 G:2934 Site Mailing Address: 3326 STAYSAIL DR, Anchorage Owner: LANKARD GLEN E JR Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: ��1lenr off,' ti v Departhnent 9/13/2022 9/13/2023 14000 ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q 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 Special Provisions: To close out permit please provide water sample test results, well log, pump log along with an updated survey to verify separations Received By: Iss Date: Date: ?-13-2-2—_ 3 O. (+; me Development Services Department F` �� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 018-391-29 Property owner(s) GLEN E LANKARD JR. Day phone Mailing address 3326 STAYSAIL DRIVE, ANCHORAGE, AK 99516 Site address 3326 STAYSAIL DRIVE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) FLAT TOP VIEW #1 B2 L5 Legal description (Township, Range & Section) Lot Size 14,000 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank ❑ Upgrade 0 Duplex (D) ElHolding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Z 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 Municipal Codes. ature of property owner or authorized agent) Permit/Rush Fees: _ -92 Date of Payment: al':" Receipt Number: n l a Permit No. J % �2 L? (� Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc F!rst Water CD N S U L T I N G 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com September 9, 2022 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: WELL UPGRADE PERMIT LEGAL: FLAT TOP VIEW #1 BLOCK 2, LOT 5 PHYSICAL: 3326 STAYSAIL DRIVE, ANCHORAGE, AK 99516 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE CCN PUANC OSP221364, Tim Ecklund, 09/13/22 The owner has requested that we obtain a well permit to upgrade the existing aged well on the above referenced lot. Cole Sullivan recently scoped the well and found the casing in poor condition. The proposed well is to be drilled in proximity the existing well to maintain proper code separations and to serve the existing 3 -bedroom residence. A mix of public, private water and wastewater serves the area. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, i L � Curtis Huffman, P.E. F,j'�rr QE�1IGES 0119U1TON � Y+A7 �W Sif IIATLP Municipality of Anchorage 11 REVIEWED FOR CODE C OSP221364, Tim Eddund, DESIGN CRITERIA: DRILL NEW WELL WITHIN 5'+/— OF EXISTING WELL & RECONNECT TO WATERLINE SERVING THE RESIDENCE. DECOMMISSION EXISTING WELL PER CODE. STAKE ALL WELL/WASTEWATER SYSTEMS PRIOR TO WELL DRILLING. PROVIDE COMPLETE WELL WATER SYSTEM WITH NEW "CAN" WATER SAMPLES PER CODE. INSTALL PER AMC 15.65, 15.55, & MASS... SEPARATIONS, MATERIALS, ETC... DECOMMISSION OLD DOSRNG WELL do DRILL NEW PROPOSED STAYSAIL DRIVE WELLREQUIRED SEPARATIW VLRIFlCA nONS. STAKE & VERIFY PROPOSED APPROX LOC. WELL ® WELL WELL 6 100'+ TO ALL APPR X LOC, WELL SEPT] SYSTEMS. DRIVE DECK SINGLE FAMILY HOUSE DECKF SH LOT 8 T P SEPTIC AREA FLAT TOP SHED • .T VIEW jt 82 DOSIiNG TANK LOT 5 LOT 4 APPROX LOC. WELL CLASS 'C WELLS WELL ON LOT 8 ARE NOW DESIGNATED SERVES LOTS 8 do 9.1 AS PRIVATE WELLS WITH 10HW WELL RADII— LOT 9 LOT 8 LOT 7 APPROX LOC. wm D.SIGN ASED FR❑M T DIGI IZ D AS & M❑A DATA, FLAT TOP VIEW #1 BLOCK 2, LOT 5 SUPPORT SERVICES: PREPARED FOR: � OF A,��� GLEN LANKARD JR 3326 STAYSAIL DR C ANCHORAGE, AK 99516 * : 9 TH H>fm»: FIRST WATER CONSULTING DATE: 9/12/22 .. rtes 04 13030 SUES WAY SURVEY: 2013 HOLT CE 128991 .. $� 10, ANCHORAGE, AK 99516 907-350-9566 firstwaterAK©gmoil.com DRAWN: FWCS SCALE: 1" = 40 PAGE: 1 OF 1 9/12/2022', X r'.. .... .IANC 322 Certificate of On -Site Systems Approval Parcel 1.0- 018-391-29 Legal description Flat Top View #1 Block 2 Lot 5 Site address 3326 Staysail Dr. Anchorage, AK Current property owner(s) Lankard Expiration Date: 12-22-22 The On -sites stems is/area J l I / / 0 ZZ y () � approved for bedrooms Conditional approval for -S:z- bedrooms, with the following stipulations: - Comments or advisories: Drill a new well Under permit # 221364 along with running new water line Please decommission the old well and provide a new survev chow T-)V� Z( eo( 1 t4,,►f By. Original Certificate Date: 9-22-22 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE 0 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. 018-391-29 Complete legal description FLAT TOP VIEW #1 BLOCK 2, LOT 5 Location (site address) 3326 STAYSAIL DRIVE, ANCHORAGE, AK 99516 Current property owner(s) GLEN E LANKARD JUNIOR Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ® 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 9 - 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 $ 55l) --F q 0 Waiver Fee $ Date of Payment Date of Payment COSA # - D.1 -5G2 Z 1 y 1 I - Waiver # COSA Application—July 2022 copy.doc Legal Description: FLAT TOP VIEW #1 BLOCK 2 LOT 5 Parcel ID: 018-391-29 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) Well production at time of test 15 gpm (NEW WELL — Date drilled 10/24/2022 Total depth 172 ft SEE LOG) Cased to 40+ ft Water storage tank volume NA gallons Well disinfected for coliform test? ® Yes ❑ No ®Sanitary seal is functioning correctly ® Wires are properly protected ® Coliform bacteria is Negative Casing height (above ground) 24 in. Nitrate mg/L ® Nitrate less than MRL (ND) Date of flow test for COSA 8/10!22 Arsenic ug/L ® Arsenic less than MRL (ND) Static water level at beginning of test 49 ft. Collected by HEFTY DRILLING Date 10/31/22 Comments NEW WELL DRILLED BY HEFTY DRILLING WITH THIS COSA B. TANK DATA Measured operating fluid level in septic tank Date of pumping 8/10/22 ❑ Required maintenance completed, if AWWTS Comments: USE STEP MAINT.... D. ABSORPTION FIELD DATA Which system tested (date installed) 10/22-23/13 ® ALL standpipes present per record drawing Total measured depth from grade 9.75 ft (max) Measured depth to pipe invert from grade 2.75 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 IR & SHOT 7.1' ED ❑ 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) N If yes, enter date Comments/Deficiencies: MT/CO AT GRADE. COSA Checklist July 2022 copy.docx C. LIFT STATION ® Required maintenance completed Age of lift station 9 years Lift station material STEP / STEEL Comments: *PER MAINTENANCE / FLOATS Adequacy test date 8/10/22 Results M Pass Fluid depth prior to test 0 in. -DRY Water added 450 gal New fluid depth 11 in Elapsed time 480 min Final fluid depth 0 in. -DRY Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 85.3 in Effective depth used 0 in Effective depth remaining 85.3 in. -DRY 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' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® 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 Surface Water > 100' ® Yes if No ft Tank to Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ❑ Yes if No *119 ft Water Service Line > 10' ® Yes if No ft F. ENGINEER'S COMMENTS If tank or field is under driveway comment below *ADEC WAIVER GRANTED, 119' CLASS C WELL (LOT 7). "CLASS C" ARE NOW CONSIDERED PRIVATE WELLS WITH 100' SEPARATION REQUIREMENTS. 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. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer's Printed Name CURTIS HUFFMAN PE Date 11/09/22 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic �•�'�+��°0®i��� applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, d , • • ' ' ' • . , �1� �� local soil characteristics, groundwater levels that may fluctuate during the year, quality of ,r'j�• construction (workmanship & materials), the water usage of the family being served by the •• �•'� system and maintenance. The operational life of all well and septic systems are subject to �/ �•! these various and dynamic characteristics and are outside the control of the evaluator of the . , , . . , „ , , . , , well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory ��� for current or future occupants or guarantee that no unseen encroachments, deficiencies or } • � � . . • discrepancies exist can be given by First Water Consulting & FWI.S Curtis Huffman f •. CE 128991 + �J� ' . • 11/09/22..' ,,SW FpdOW pROFESSOP . _ COSA Checklist—July 2022 copy.docx 0 6 M N 89'58'00"W � wEGG Rpp� 1p0P i' 100.00' ' —WELL WOODEN WALKWAY rr--` 8.2 x 10.9' DECK 1.8` 48.2' 1 STORY RESIDENCE 1 12.3' 0 0 Lot 4 m \ o 0 \ O GRAVEL Lot 5 14000 s.f. 4.1'8.2' 8.2' DECK 8.2'x16.0'DECK do WIRE FENCE SEPTIC PIPES I p FENCE ; E'19.7 WOODEN FENCE MANHOLE n— u— S 89'58'00"E 100 ALLEY [1 n.w. PLOT PLAN AS BUILT X SCALE 1" = 30' GRID SW2934 Project No. 22-557/A1 ,' Associates, 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & f� S S o c i a t e S, (nc4 (907) 522-6476 Phone Professional Land Surve ors (907) 5g2 -46Y5 Fax OF q��o0� �( ken0lan surve com � .... jonathan@langsurvey.com I hereby certify that I have surveyed the following described property: 4 LOT 5, BLOCK 2, FLAT TOP VIEW SUBDIVISION (PLAT NO. P-282) G Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible -easements on said --property except as Indicated hereon. Dated this the 1 "lt2 Da of N t )� � lu) c r � '� Day � at -Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH 0 ?� KENNETH NG It ttq- AECC963 Certificate of On -Site Systems Approval Parcel I.D-. 018-391-29 Legal description Flat Top View #1 Block 2 Lot 5 Site address 3326 Staysail Dr. Anchorage, AK Current property owner(s) Lankard Expiration Date: 12-22-22 The On-site system(s) is/are approved for bedrooms X Conditional approval for 3 bedrooms, with the following stipulations: Comments or advisories: Drill a new well Under permit # 221364 along with running new water line Please decommission the old well and provide a new survey By. Original Certificate Date: 9-22-22 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 RA UHMPAU Y OFCHORALE �- 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. 018 -391 - Complete legal description FLATTOP VIEW #1 BLOCK 2, LOT 5 Location (site address) 3326 STAYSAIL DRIVE, ANCHORAGE AK 99516 Current property owner(s) GLEN E LANKARD JUNIOR Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ® 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 9 - 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 $ _550 Waiver Fee $ Date of Payment g 57/2 -zDate of Payment COSA # 0S G2'2_ I y ) I Waiver # COSA Application—July 2022 copy.doc Legal Description: FLAT TOP VIEW #1 BLOCK 2 LOT 5 Parcel ID: 018-391-29 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) Water storage tank volume NA gallons Date drilled CIRCA 1969 Total depth 60 ft Well disinfected for coliform test? ❑ Yes ® No Cased to 40+ ft ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate 5.84 mg/L ❑ Nitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height (above ground) 18 in. FWIH Date of flow test for COSA 8/10/22 Collected by Static water level at beginning of test 27 ft. Date 8/10/22 Well production at time of test 3+ gpm Comments SEE SULLIVAN WELL SCOPING LETTER. B. TANK DATA Measured operating fluid level in septic tank Date of pumping 8/10/22 ❑ Required maintenance completed, if AWWTS Comments: USE STEP MAINT.... D. ABSORPTION FIELD DATA Which system tested (date installed) 10/22-23/13 ® ALL standpipes present per record drawing Total measured depth from grade 9.75 ft (max) Measured depth to pipe invert from grade 2.75 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 IR & SHOT 7.1' ED ❑ 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) N If yes, enter date Comments/Deficiencies: MT/CO AT GRADE. COSA Checklist—July 2022 copy.docx C. LIFT STATION ® Required maintenance completed Age of lift station 9 years Lift station material STEP / STEEL Comments: *PER MAINTENANCE / FLOATS Adequacy test date 8/10/22 Results M Pass Fluid depth prior to test 0 in. -DRY Water added 450 gal New fluid depth 11 in Elapsed time 480 min Final fluid depth 0 in. -DRY Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 85.3 in Effective depth used 85.3 in Effective depth remaining 0 in. -DRY 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' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes — if No ft ®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 Surface Water > 100' ® Yes if No ft Tank to Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ❑ Yes if No *119 ft Water Service Line > 10' ® Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *ADEC WAIVER GRANTED, 119' CLASS C WELL (LOT 7) "CLASS C" ARE NOW CONSIDERED PRIVATE WELLS WITH 100' SEPARATION REQUIREMENTS. 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. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer's Printed Name CURTIS HUFFMAN, PE Date Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or 0 discrepancies exist can be given by First Water Consulting & FWU COSA Checklist July 2022 copy.docx 8/23/22 —�'Odil *: -49TH .. .. ....... J Curtis Huffman / 1 2% CE 128991 �� ��r • • . 8/23/22. •' C��,� 11F�'opROFESS10Na`��!.= F V ifst Wder C 0 N S U 1. T I N G FF 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com September 21, 2022 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: CONDITIONAL COSA LEGAL: FLAT TOP VIEW #1 BLOCK 2, LOT S PHYSICAL: 3326 STAYSAIL DRIVE, ANCHORAGE, AK 99516 The pending permitted OSP221364 3 -bedroom well upgrade has been impeded due to contractor availability conditions and other factors. We are therefore requesting a Conditional COSA at this time and will proceed with the upgrade once conditions allow. The water system has been working for the occupants and granting of this Conditional COSA will not impact any of the neighboring properties or pose a public health risk. Attached are 2 drilling and 2 excavation bids with escrow letter for the pending installation. Please contact us if you have any questions. Sincerely, Curtis Huffinan, P.E. F W d 1- 6U 1�(iNr, R�fbtti y, ,.. 'I( ��` � 41 C➢ YAE7 P i 911 Pt mN1EB MUNICIPALITY e '-1 Y Phone: 907-343-7904 Development Services Department Fax: 907-343-7997 On -Site Water & Wastewater Section Owner Septic Tank: -Sludge level eKinches Lift Station/Pump Vault Maintenance Lo Street Address -Pumping: required eso Lift station: Pump basket cleaned Q no -Control floats cleaned rnoo' •Operation satisfactory -Pumping completedes no pub o -Effluent filter cleaned a no, -Proper float settings confirmed es' no - Alarm System: -Dedicated electrical alarm circuit ve no -Audible and visual alarm inside dwelling es no -Alarm system operation satisfacto not satisfacto , Manhole Riser -Ground water intrusion at riser to tank connection es Ground water intrusion around pipe penetrations es no -Weep hole functionaley s no Manhole lid: Functional es o Insulated es no Properly Secured es no Other `f -All manufacturer required inspections and maintenance completedaso Comments: Qualified Maintenance Provider: Technician_ �_Orf-v fG 1 xy CompanyrG� Signature Date of maintenance %q .c MWNIN vucuoign tnvelope IU: VAy/UbAt-ZUIU-43l;A-Att4-bUt-C:Alt/1A8U To: Municipality of Anchorage Agreement between: Lankard and Sockpick Property Address: 3326 Staysail Drive, Anchorage, AK 99516 File No. 1795606 Amount withheld: $28,407.00 The undersigned parties authorize Stewart Title to escrow funds in the amount of $28,407.00 from the seller For the purpose of: New Well It is the sole responsibility of the undersigned parties to provide invoices to Stewart Title for payment. Upon receipt and with Municipality approval, Stewart Title shall pay invoices for the above-mentioned work. In the event parties are requesting to be reimbursed for invoices they paid out of pocket, Stewart Title will require evidence of paid invoices before any reimbursement is paid. Once work is complete and invoices paid; any excess funds will be refunded to the seller. The undersigned parties hereby jointly and severally indemnify and hold Stewart Title harmless from and against all costs, damages, judgments, attorneys' fees, expenses or obligations of every kind and descriptions which, in good faith, it may incur or suffer in connection with this escrow holdback. 9/21/2022 9/21/2022 1 2:35 PDT Dated: Buye : DocuTnea by: Ashley Soc ptc Seller: DocuSigned by: 7� E,l WAL (,cu &arV EA2E423 Glen E. Lankard Jr. READ AND APPROVED BY: Municipality of Anchorage P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: Brent Western 3326 Staysail Drive Anchorage, AK 99516 Camera Inspection Report Date: 8-31-22 Starting at 8' to 30'— extreme casing decomposition. The casing is in very poor condition with numerous cracks (vertical and horizontal) and multiple holes. We could not find an obvious source for the nitrates but entire area was saturated and any of the cracks or holes could be causing the issue. Also, the pitless was wet and in one of the worst areas of the casing. Pitless depth: 11'6" Static: 26' Recommend drilling a new well and decommissioning current well. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Owner Septic Tank: -Sludge level (?Kinches Lift station: -Pump basket cleaned -Control floats cleaned -Operation satisfactory Lift Station/Pump Vault Maintenance Log Street Address -Pumping: required yes efio -Pumping completed('Y�esno (�n o -Effluent filter cleaned &no •Proper float settings confirmed /ved no rono' -Dedicated electrical alarm circuit ve no -Audible and visual alarm inside dwelling( yes) no -Alarm system operation satisfacto , not satisfacto, Manhole Riser -Ground water intrusion at riser to tank connectiones -Ground water intrusion around pipe penetrations es Sf -Weep hole functional ves no o -Manhole lid: Functional Insulated es no Properly Secured yes 1 no Other -All manufacturer required inspections and maintenance completedaeso Comments: Qualified Maintenance Provider: Technician �-orry vo_ Company + f- \j Date of maintenance Z3A42_1� Signature Date) W h L) Nitrate Advisory Certificate of On -Site Systems Approval # OSC 221411 Subdivision: Flat Top View #1 Block 2 Lot 5 A water sample revealed a nitrate concentration of 5.84 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical' methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Northern Excavation and Construction, LLC 15861 South Birchwood Loop Road Chugiak, AK 99567 (907)694-1373 NorthernExcavation@Gmail.com Estimate ADDRESS FLAT TOP VIEW #1 B2 L5 3326 STAYSAIL DR ESTIMATE # 2254 DATE 09/21/2022 DATE ACTIVITY QTY RATE AMOUNT Services 4,000.00 FLAT TOP VIEW #1 B2 L5 3326 STAYSAIL DR Thank you for the opportunity to provide you with this estimate. Acceptance of this estimate will be acknowledged upon either receipt of a signed copy to Northern Excavation and Construction (NEC) or an email stating acceptance and notice to proceed. Changes that affect or increase specific tasks and machine time shall be submitted and agreed upon in writing. All agreements are contingent upon circumstances beyond NEC's control, i.e. weather, design changes, unforeseen site conditions, etc. NEC is licensed, bonded, insured, and maintains safe digging practice. All methods and material shall be in accordance with MOA and SOA regulations. NEC shall not be held liable for affects that may occur to the property during or after install. Affects such as, trees left in close proximity of where machine work takes place, having to stock and later retrieve displaced excavated material around trees, damage or structural integrity of retaining walls or fences that may need to be partially removed or traveled close too, disturbance to roads/driveways/landscaping, etc. Client is encouraged to contact NEC prior to start of construction for clarification of specific affects that may occur on the property. Payment in full is due upon completion of backfill. Payments received after 30 says of completion shall be charged a 1.5% monthly fee on any unpaid balance. DESCRIPTION: 2 SITE VISITS FOR EXCAVATION: Please note that a 48 hour notice to start digging is required by the State of Alaska for utility locates. NEC is not liable for any utility lines not located by 811 public utility locate i.e., any lines running to detached structures. An extra charge will be incurred for private locate services. DATE ACTIVITY QTY RATE AMOUNT 1 ST VISIT: Remove 2 small trees. Excavate approximately 4' to expose existing well head for decommissioning. 2ND VISIT: Backfill decommission excavation. Excavate to intercept exiting waterline, install new pitless in new well, attach waterline to well, splice on to exiting well wire and stub it up at new well head. EXCLUSIONS: Re -landscaping or seeding. Acceptance of this estimate will be TOTAL acknowledged and scheduled upon either K000.00 receipt of a signed copy to Northern Excavation and Construction (NEC) or an email stating acceptance and notice to proceed. Accepted By Accepted Date Please note that a 48 hour notice to start digging is required by the State of Alaska for utility locates. NEC is not liable for any utility lines not located by 811 public utility locate i.e., any lines running to detached structures. An extra charge will be incurred for private locate services. Sullivan Water Wells P. O. BOX 670269 CHUGIAK, AK 99567 US sullivanwaterwellsoa gmail.com AUUHBS; Brent Western _ 3326 Staysail Drive Anchorage, AK 99516 Flat Top View #1 B2 L5 ES x IM %TE it DATE 1086 09/16/2022 ACTIVITY RATE AMOUNT. Water Well Package 1 , 8,366.80 8,366.80' Water Well 125 60.00 Casing Shoe 1 200.00 Bentonite 1 200.00' Well Cap 1 100.00, Chlorine 1 ! 30.00 Well Tag 1 15.00 4% Fuel Surcharge 8,045 0.04 4F11 P07301 S Pump & Installation Package 1 3,171.50 3,171.50 Water Samples 1 400.00 400.00 Well Decommission 1 3,000.00 3,000.00 NOTE: QUOTE IS ONLY FOR SERVICES LISTED. WE DO NOT DO TOTAL EXCAVATING SO YOU WILL HAVE TO GET AN ESTIMATE FROM AN .938 'ngQn® $14y938.30 . 3 EXCAVATOR. Accepted By Accepted Date Hefty Drilling, Inc. P.O. Box 112130 Anchorage, AK 99511 (907)830-9985 - Johnny heftydrilling@aol.com - email www.heftydrilling.com - web First Water Consulting Services New Well Flat Top View #1 B2 Lot5 3326 Staysail Dr. Date: 09/18/2022 Quote No.: 10080 Qty Description Unit Price Total 125 Well Drilling per ft $60.00 $7,500.00 1 6" Drive shoe $200.00 $200.00 1 6" well cap $100.00 $100.00 1 Bentonite casing seal $200.00 $200.00 1 4% fuel surcharge $300.00 $300.00 1 Pull & reset existing well pump $800.00 $800.00 1 Decommission 6" water well per muni code $1,600.00 $1,600.00 Total $10,700.00 Quote is for new water well installed only. Excavating will need to be done by seperate company for water line work. Please contact us for more information about payment options. \ _ / / 6 ( c 0 -o \3/= =<a% ) \§ �\ m \ y//� / /o�� \ CIJ§0 \0ko a § k ! \ � ca / m ;\E/o &EatQ • « c ES a±ƒ)2 \{J)\ § ctm )\§ 'a E co m am§ »cJD \ \#m /k f m e K@e a LL CD E mEo Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 131373 PID Number: 018-391-29 ❑ New ■ Upgrade Name: KATHY LYTLE ABSORPTION FIELD ■ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 3326 STAYSAIL *ANCHORAGE, AK 99516 ❑ Other Phone: No. of Bedrooms: (907) 501-533-3001 3 Soil Rating: 0.8 GPD/Sq. Ft. Total Depth from original grade: 8 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: SEE DWG. Ft. Gravel depth beneath pipe: 7.11 Ft. Subdivision: Block: Lot: FLAT TOP VIEW #1 2 5 Fill added above original grade: SEE DWG. Ft. Gravel length: 41 Ft. Owns Ip: — Hange. — ec ion: _ Gravel width: Beds Number of lines. Distance between lines: 2.5 Ft. Ft. SEPARATION DISTANCES Total absorption area: 574 54. Ft. Number of trenches: 1 Dist. between trenches: _ Ft. To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines Well 100'+ 100'+ 100'+ — 25'+ TANK ❑ Septic i S.T.E.P. ❑Holding ❑ Other Manufacturer: Capacity: Surface Water 100'+ 100'+ 100'+ — ANCHORAGE TANK 1500 Gal. Lot Line 5'+ 10'+ 5'+ - N/A Material: STEEL Number of compartments: 2 Foundation 5'+ 10'+ 5'+ - LIFT STATION *APPROXIMATE Curtain Drain NONE KNOWN Manufacturer. Capacity: ANCHORAGE TANK 1500 Gal. Remarks: OLD TANK WAS DECOMMISSIONED PER UPC. "Pump on" level at: *40" "Pump off" level at: *44" High water alar at: 46" MOA CONFIRMED WITH ADEC ENGINEER BILL RIETH, P.E. Pump Make & Model: 20—OSI-05—HHF Electrical Inspections performed by: MOA THAT ADEC WAIVERS WERE VALID FOR CONVENTIONAL SEPTIC SYSTEM. PIPE IAATERIAL House to tank D3034 Tank to D3034 drainfield Installer WILCO CONTRACTORS CO/ MT D3034 Drainfield D3034 CO MT GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Dates: 1st 10/22/13 2nd 10/22/13 Location and Description: 3rd 10/23/13 4th — DOOR THRESHOLD @ BACK OF HOUSE Community Development Department Approval Conditional approval: Date: PP ENGINEEFUS SEAL 00600 0 o (DF q� opa o00 l o g_Ho ..d ... ............... .... ............:....0 QO .J f A warn sS: 953- •' \c�Op �p0edp�o e3 o�03�00 ��OOOoo�a� Approved: T�// r�I /� �� Date:. (� /-3 OLDJ`f�ANT(/W ,AS DECOMMISSIONED PER UPC. �v� PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: – OSP131373 018-391-29 I I I 1 1 1 1 / / 1 1 rI_R� ST 77.6 72.5 ST STAYSAI/ D R IV\E\ \`\ ` 1 / \ 1 *o\_'5_ 111 1 f 75.7 74.2 MH 75.1 74.2 C01 72.9 63.6 MT7 72.1 63.2 CO2 52.8 62.1 MT2 52.5 62.9 FCO 21.9 11.8 STAYSAI/ D R IV\E\ \`\ ` 1 / \ 1 *o\_'5_ 111 1 f p0...... I (� I I a ; I /Q \ \ B / o\J5 1 j HOUSE j ��� \ FCO SHED TO BE RELOCATED. \ �O� o I f J w I I $p \ \ PQ \ — — — _- MT1__-- per•- ---' �}-j-4-� p0...... a ; \EXISTING 3 BEDROOM / /Q \ HOUSE / \ B / j HOUSE j ��� \ FCO o I f J w I I i)< x /Fkl 1 f,N TRENC � — — — _- MT1__-- per•- ---' �}-j-4-� SHED n p vtin� — — — FLAT TOP VIEW#1; _ _ j / _ Kl�o FLAT TOP VI 1; BLOCK 2, LOT 4 SOu — —_ �iFBLOC 2, LOT�6 .................._.................................................._–_......-. .-1.500.,._.. _ `_._....._..........__.....STEP2 ALLEY NK PORTION OF XISTING / SEEPAGE PIT LLED IN Y TO MEET THE R OUIRED I \ 14 rvuq strA llu -\ FLAT TOP VIEW#1; / / BETWEEN; DRAINFI LDS. N \ / /FLAT TOP VIEW#1; BLOCK 2, LOT 9 / 1 LOCK 2, LOT 8 / SCALE: 110 FOOT ADE- 1 " = 40' / K'AIVER / I f FLAT TOP VIEW#1; � BLOCK 2, LOT 7 GARNESS ENGINEERING GROUP, Ltd p 4 T yl CONSULTANTS & GENERAL CONTRACTORS p ...... ... . .... ........... 3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSITE: w—gamessengineering.cam PREPARED FOR: PHONE NUMBER: PAGE NUMBER: KATHY LYTLE 501-533-3001 2 OF 3 �O '• f y G mess: LEGAL DESCRIPTION: DRAWN BY: o0 9�s CE -7 \ceG FLAT TOP VIEW #1; BLOCK 2, LOT 5 PNBJe s s TYPE OF WORK: DATE: ���ODOOo *%0 AS—BUILT DRAWING 10/29/13 PERMIT NUMBER: PARCEL ID NUMBER: OSP131373 AS -BUILT DRAWING 018-391-29 FINAL GRADE = 97.31-97.39 STl ST2 MH TOP OF TANKTOP OF TANK AT INLET = 93.14-\ / AT OUTLET = 93.15 rEW 1500 GALLO INVERT OF BUNG ` S.T. E. P. TANK AT INLET = 92.57 FINAL GRADE = 97.56+ ULATION 74ZINS FILTER FABRIC ,RTOF PIPE = 94.94 BOTTOM OF TRENCH = 87.83 RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 80.33 (GROUNDWATER ® 83.83) GARNESS ENGINEiERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SURE 101 - ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSRE:—gamessengineering.00m PREPARED FOR: PHONE NUMBER: PAGE NUMBER: KATHY LYTLE 501-533-3001 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: FLAT TOP VIEW #1; BLOCK 2, LOT 5 PNB TYPE OF WORK: DATE: PROFILE AS—BUILT DRAWING 10/29/13 (Rev. U7lU5) /��.°F' Imo: 4 T -� ............... ............ of r y� A. arness:' CE —7953 �40,V�,pro f essioloo� On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131373 Tax Code Number: 01839129000 Work Type: Septic Permit Effective Dates: October 16, 2013 to October 16, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: FLAT TOP VIEW #1 Site Legal Address: FLAT TOP VIEW #1 BILK 2 LT 5 G:2934 Owner/Address: LYTLE KATHRYN D 3326 STAYSAIL DRIVE ANCHORAGE AK 995163585 Site Mailing Address: 3326 STAYSAIL DR, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 14000 Total Bedrooms: 3 N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan 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. GARNESS ENGINEERING GROUP Ltd. (Signature of property owner or authorized agent) Permlt/RushFees. If 530 Waiver Fees: Date of Payment: �Q Ln0�13 Date of Payment: Receipt Number. °� a�0$L Receipt Number: Permit No. 05031,373 Waiver No. (Rev. 01/11) On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D.r1�q/-429 Property owner(s) KATHY LYfLE Day phone 501-533-3001 Mailing address 3326 STAYSAIL *ANCHORAGE AK Site address 3326 STAYSAIL *ANCHORAGE AK Legal description (Sub'd, Block & Lot) FLAT TOP VIEW #1 • BLOCK 2, LOT 5 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (lel that apply) Initial ❑ Single Family (SF) Absorption Field ® ® (w/wo ADU) Septic Tank Upgrade ® El Duplex Duplex (D) El Holding Tank Renewal ❑ Dwellings El ❑ (SF and/or D) Privy 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. GARNESS ENGINEERING GROUP Ltd. (Signature of property owner or authorized agent) Permlt/RushFees. If 530 Waiver Fees: Date of Payment: �Q Ln0�13 Date of Payment: Receipt Number. °� a�0$L Receipt Number: Permit No. 05031,373 Waiver No. (Rev. 01/11) �i2F�/ti� �%5►Grf GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS October 11, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic System Upgrade for Flat Top View #1; Lot 5, Block 2, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. We are proposing to install a 1500 gallon S.T.E.P. tank and deep trench type drainfield. Attached are a site plan and a design drawing showing the proposed septic system. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached site plan, the average topography below the drainfield is relatively flat. In short, there are no slope concerns. 5. WELL WAIVERS FOR ADJACENT PROPERTY: Due to site constraints, we are requesting a 110' waiver from the class "C" well on the adjacent property (Flat Top View #1; Block 2, Lot 7) to the proposed drainfield on the subject property. A copy of the ADEC approval is forthcoming. We are unaware f any adverse impacts this installation would have on adjacent wells or septic systems. If you have any qt estions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com I I II I I II I I II -- I STAYSAIL//DRIVE RppWS APPROXIMATE 100' WELL RADIUS U Gt3RNESS ENGINEERING GROUP, Ltd. _.... CONSULTANTS & GENERAL CONTRACTORS __. _... 5701 E. TIOOR ROAD, SURE 101 • ANCHORAGE, A1C 99507 • PHONE (90])5]7-8179 • FM (907)338-3218 • KBSRE: wrv.9omeva•pimMn9.can PREPARED FOR:PHONE NUMBER: PAGE NUMBER:i KATHY LYTLE 501-533-3001 1 OF 3 LEGAL DESCRIPTION: DRAWN BY: FLAT TOP VIEW #1 S/D; BLOCK 2, LOT 5 A.J.G. TYPE OF WORK: DATE: p SITE PLAN 108/38•/2013 (Rev. 01105) IIS I I � II � RADIUS II � YORS I / JCES NI \ HOUSE // / GE� � On a ��1.11. BLOCK 2, LO" BLOCK 2, LOT 8 BLOCK 2, LOT 7 FLAT TOP VIEW#gi; SHED °— TOP VIEW 1y — — _ _ _ —BLOCK F76i3 — _FLAT BLOCK 2 LOT 6 20' ALLEY U Gt3RNESS ENGINEERING GROUP, Ltd. _.... CONSULTANTS & GENERAL CONTRACTORS __. _... 5701 E. TIOOR ROAD, SURE 101 • ANCHORAGE, A1C 99507 • PHONE (90])5]7-8179 • FM (907)338-3218 • KBSRE: wrv.9omeva•pimMn9.can PREPARED FOR:PHONE NUMBER: PAGE NUMBER:i KATHY LYTLE 501-533-3001 1 OF 3 LEGAL DESCRIPTION: DRAWN BY: FLAT TOP VIEW #1 S/D; BLOCK 2, LOT 5 A.J.G. TYPE OF WORK: DATE: p SITE PLAN 108/38•/2013 (Rev. 01105) IIS I I � II � RADIUS II � YORS I / JCES NI FLAT TOP VIEW#1/ / FLAT TOP VIEW#1; FLAT TOP VIEW GE� � On a ��1.11. BLOCK 2, LO" BLOCK 2, LOT 8 BLOCK 2, LOT 7 150' WELL I1 CLASS C WELL SERVING /UNDOCUMENTED // LOTS 8 & 9 CLA l 1 WELL SERVING SURVI / \ EXCHANGE & RESIDE ON LOT 7 & j 1� \ -7 01 %' WELL RADIUS U Gt3RNESS ENGINEERING GROUP, Ltd. _.... CONSULTANTS & GENERAL CONTRACTORS __. _... 5701 E. TIOOR ROAD, SURE 101 • ANCHORAGE, A1C 99507 • PHONE (90])5]7-8179 • FM (907)338-3218 • KBSRE: wrv.9omeva•pimMn9.can PREPARED FOR:PHONE NUMBER: PAGE NUMBER:i KATHY LYTLE 501-533-3001 1 OF 3 LEGAL DESCRIPTION: DRAWN BY: FLAT TOP VIEW #1 S/D; BLOCK 2, LOT 5 A.J.G. TYPE OF WORK: DATE: p SITE PLAN 108/38•/2013 (Rev. 01105) IIS I I � II � RADIUS II � YORS I / JCES NI . . . . .................... J ffre A. G rness: GE� � On a ��1.11. 13 ®0 i A "i"!4 "'"'" _ _ _ NOTE: THE CONTRACTOR NUMBER OF BEDROOMS: 3 $ SHALL HAVE THE SOUTH GALLONS PER DAY (GPD): 450 LOT LINE, AND ALL WELL PERCOLATION RATE/S: 8.88 \ \ RADII FLAGGED BY A ALLOWABLE APPLICATION RATE: 0.8\ MINIMUM DRAINFIELD SQ.FT.: 563 SQ FT REGISTERED LAND SURVEYOR - LP \ PRIOR TO CONSTRUCTION. DRAINFIELD DESIGN: MAXIMUM DEPTH: 8 FET \ WIDTH: 2 41 FET FET LENGTH: 4STAYSAIL' DRIVE\ M.O.A. APPROVED SAND FILTER: N/A \ EFFECTIVE: 7 FEET / \ REDUCTION FACTOR: N/A— ACTUAL SQ.FT.: 574 SQ FT / \ GEG, Ltd. HAS A 7 PAGE SPECIFICATION LETTER THAT 0 OBTAIN AECOPY SOFO THESLETTERN I\US t �, CONTACT GEG. BY PROCEEDING FORWARD WEA WITH CHIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR ANDd. PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND •'a.'+ y' I __77- AGREE � / - AGREE TO ACCEPT THE CONDITIONS OUTUNEDMS AND 1/ �I p Z / L/1 -Z 1 1 Qi \J EXISTING 3 BEDROOM II Ire 1 I r Q _ HOUSE fo- nq I HOUSE v --L-- \� INSTALL\Fca%L' 3 / a \ EXI ING SEPTIC r \\ \\ kNK BE DETOMMISSIO ED PER UPC 7�^-`Ln" / \ \ \ \ SHED TO BE \�1 / PROPOSED / \ \ RELOCATED OR / DRAINFIELD a REMOVED. I i ( D FLAT TOP VIEW#l; / SHED • f FLAT TOP VI 1; BLOCK 2, LOT 4 BLOCK 2, LO ��ppL� PRAP 0-1500 2 0 ' A L L EY �lX"� / 7 01 PORTION OF EXISTING \ \ \ lYF SEEPAGE PIT TO BE \ << H FILLED IN SO TO MET \ / 3 FOOT EPARATION \ FLAT TOP VIEW1; / FLAT TOP VIEW#1; BETWEEN DRAINFIELOS. BLOCK 2, LOT 9 BLOCK 2, LOT 8 FLAT TOP VIEW#1; NI 110 FOOT WA REQUEST REQUEST BLOCK 2, LOT 7 / SCALE: 1an' (Rev. 01/05) GARNESS ENGINEERING GROUP, Ltd. 0 p *:'4 CONSULTANTS & GENERAL CONTRACTORS Q• • • • • • .. ....... ......... 3181 E. WM R080, SURE 101 • P HOWE. W 98501 • P1 E (907)387-8179 • FM (907)338-8248 • 9R -. www.go omr4Hn.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �Qnnp •• ...:... f KATHY LYTLE 501-533-3001 2 OF 3 y a ss:' LEGAL DESCRIPTION: FLA TOP VIEW 1; BLOCK 2, LOT 5 DRAWN BY: PN g V 9 ' . CE -79 3 •' m�A o0�re ' •..10i`} TYPE OF WORK: DATE: ���ODjllslorldl SEPTIC DESIGN UPGRADE (revised) 10/2/13 OOo��000 (Rev. 01/05) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AN. 99507 • PHONE: (907)331-6179 • M (907)3.16-3246 P WE W. gamawng(nrHr SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: FLAT TOP VIEW S/D; BLOCK 2, LOT 5 PERFORMED FOR: KATHY LYTLE DATE: 9/23/2013 DEPTH��� ORGANICS (feet) -- TEST HOLE # 1 1 ® 13' 14� I� WEEP 15 B.O.H. 16- 17- 18- 19- 20— SOILS 617181920SOILS LOGGED BY: DEPTH TO GROUNDWATER �r WEEP 0 13' 9/23/2013 12 10/1/13 rr rr — r — 2 PI rr 2 7/16 rGW 9 — . r 4 r 30 2 10/16 3 6/16 5 OR — r — r r 4:00 � 2 10/16 ML %////.CL r II�III!II y NswIIIIIIIIIMH GCN1111 • r 20' ALLEY r � %//%CH NAT 111P \EX: �i�.BOHSC BLOp( R. IAT 9 r 9M1( £. w 8 BId:H 2. IN 7 M"62 I / � 1i J, ® 13' 14� I� WEEP 15 B.O.H. 16- 17- 18- 19- 20— SOILS 617181920SOILS LOGGED BY: DEPTH TO GROUNDWATER �r WEEP 0 13' 9/23/2013 12 10/1/13 rr rr — r — 2 PI 30 2 7/16 3 9/16 9 r — . r ® 13' 14� I� WEEP 15 B.O.H. 16- 17- 18- 19- 20— SOILS 617181920SOILS LOGGED BY: DEPTH TO GROUNDWATER DATE WEEP 0 13' 9/23/2013 12 10/1/13 2:30 — 6° — / A. Garnessr E-795� m� IQ.IISW3 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/28/13 1 2:30 — 6° — 2 PI 30 2 7/16 3 9/16 3 3:00 — r r 4 3:30 30 2 10/16 3 6/16 5 3:30 — 6" — 6 4:00 30 2 10/16 3 6/16 20' ALLEY / MT TOP %9 NAT 111P \EX: rEAr 1[P NEV: BLOp( R. IAT 9 r 9M1( £. w 8 BId:H 2. IN 7 I / � 1i J, SCALE: /\ i = 100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/28/13 1 2:30 — 6° — 2 3:00 30 2 7/16 3 9/16 3 3:00 — 6" — 4 3:30 30 2 10/16 3 6/16 5 3:30 — 6" — 6 4:00 30 2 10/16 3 6/16 PERCOLATION RATE 8.88 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5 FT. AND 6 FT. A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: �/� � October 11, 2013 THE STATE °fALASKA GOVERNOR SEAN PARNELL Mr. Jeffrey A. Garness, P.E. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Department of Environmental Conservation Division of Water Wastewater Engineering Support and Plan Support 555 Cordova Street Anchorage, Alaska 99501 Main: (907)-269-7519 Fox:(907) 26-3487 Re: Anchorage -Flat Top View # 1: Block 2, Lot 5 & 7 -Request to Waive Separation Distance on a Class "C" Public Water System to a Replacement Treatment and Onlot Soil Absorption System-ADEC Plan Tracking Number 9630 Dear Mr. Garness, On October 8, 2013 the Department received an engineering plan submittal for a waiver of the separation distances between the new sentic tank and soil absorption system on Lot 5 and the Class "C" source well on Lot 7. You have requested a waiver of 110 feet from the septic tank and 119 feet from the soil absorption as measured to the source well on Lot 7. Based upon the engineer's recommendation, soils information provided, the well logs from the area and the drinking water samples which indicate that nitrate as nitrogen was not detected. These waivers are approved. Should the disposal system or septic tank be found to be failing or can be shown to be endangering public health, corrective engineering actions will be required. ---- _-- The Department has reviewed the engineering plans submitted waivers were granted for the onsite wastewater disposal and treatment system. This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division Director, 555 Cordova Street, Anchorage, Alaska 99501, within 15 days of receiving the decision. Guidance information on the informal review process may be found at http://www.dec.state.ak.us/commish/ReviewGuidance.htm. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.O. Box 111800, Juneau, Alaska 99801, within 30 days of the decision. If a hearing is not requested within 30 days, the right to appeal is waived. Thank you for your cooperation. If you have any questions please do not hesitate to contact me at 269-7519. Respectfully, William R. Rieth, P.E. Environmental Engineer GAABHGI GRsI"TER ANCHORAGE AREA BOROPIl HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME ✓ O N �� tY S ADDRESS` /w /�e'X ���� PHONE g "o '3 SEPTIC TANK: NUMBER OF DISTANCE FROM WELL % O MAItRIAL COMPARTME.,.a //qq ;4,�SiVuT �g�q J'�'�t/� LIQUID LIQUID CAPACITY—/ -00—&O --GALLONS. INSIDE LENGTH INSIDE WIDTH—DEPTH— SEEPAGE IDTH DEPTHSEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH _LLENGTH �S , DEPTH LINING MATERIAL � ITP ` . DISTANCE FROM WELL �"� 7 , BUILDING FOUNDATION S8, NEAREST LOT LINE 35 / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 30oo SO. FT. 'ev S Ub[Y, TILE DRAIN FIELD: DISTANCE FROM FOUNDATION , NEAREST LOT NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH ABSORPTION AREA SO. FT. LENGTH OF EACH LINE TOTAL LENGTH OF LINES TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE EPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE ISTANCE WELL' el DEPTH NC BUILDING FOUNDATION. WATER TYPE �p�11 � �♦L! SAMPLE All. NEAREST NEAREST/ SEPTIC �+�/ 1 SEEPAGE OTHER LOT LINE �G�, SEWER LINE. TANK, SYSTEM ZZ7 , CESSPOOL �, SOURCES_ DISTANCES: RSB= 98' A77 S1/ DATE 1� 4z� g GAAB-H D-2 -, .' GREATEI NCHORAGE AREA ' .TROUGH Case No. /34 t ' IIEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT C 1 NAME OF APPLICANT 1JCH0 -PITTS MAILING ADDRESS PHBNE N111.972 -10G RESIDENCE ADDRESS S31:3 SMAePRI-) CP 24 LOCATION OF INSTALLATION OI IJAI"�Ct 'Y -t LEGAL DESC APPLICATION TO INSTALL: SEPTIC TANK ✓ , SEEPAGE PIT L_� TO SERVE THE FOLLOWING FACILITY Ww ' ­oyvdI DRAIN FIELD , OTHER �r1.l._ FINANCED THROUGH 5nq TO BE INSTALLED BY — Rl1odej PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION dOVE 10, (q °4t/� � BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS `im , PERMIT TO INSTALL A Q4' .} � DESCRIBED BELOW. SIZE OF� UNIT gT-O BE SERVED � TUnXt(c(� ±� te'; o^ SEPTIC TANK SIZE -1 5D TYPE,SEEPAGE AREA TYPE �Q= DIAGRAM OF SYSTEM DISTANCES: l�le .�eQe, _ /?o 04 A pp U I" Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE XKea� AE APPLICANTSSIGNATURE Municipality of Anchorage .a On -Site Water & Wastewater Program' (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL '/ Parcel I.D. 018-391-29 Expiration Date: 1. GENERAL INFORMATION Complete legal description FLAT TOP VIEW #1; BLOCK 2, LOT 5 Location (site address) Current Property owner(s) Mailing address Real Estat: Agent 2. TYPE OF DWELLING: 3326 STAYSAIL ANCHORAGE, AK 99516 KATHY LYTLE Day phone 501-533-3001 3326 STAYSAIL ANCHORAGE, AK 99516 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: - Day phone TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: COSA to be released to the engineer, mless othemvise requested by the engineer. COSA Fee $ q U - Date of Payment`.f �1 3 p '_ Receipt Number Q `-3 `[ COSA # 0 Se 013 7 F Date: Waiver Fee $ _ Date of Paymen Receipt Number Waiver # 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, 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. /further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, UD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms. 0 Phone 337-6179 System #2 Approved for bedrooms. �,4 OF {AIV6Q(el Disapproved. �i� �Cj S1iE Conditional approval for bedrooms, with the following stpLaptions.,D AND FOV Original Certificate Date: The li lvmcipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory ra,,,, llms / Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: FLAT TOP VIEW #1; BLOCK 2, LOT 5 Parcel ID: 018-391-29 A. WELL DATA *PER 1969 INSPECTION REPORT **PER SURROUNDING WELL LOGS Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) NO Date completed PRE -1969 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *60 ft. Cased to **40+ ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test NO WELL LOG Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 2.99 mg./L. Arsenic: NO ug./L. Date of sample: 8/13/13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO AT INSPECTION 8/13/13 26 ft. 3.3 9.p -m. Collected by: GEG. Ltd. Date installed 10/22-23/13 Cleanouts (Y/N) YES High water alarm (YIN) YES Date of pumping NEW Pumper — C. ABSORPTION FIELD DATA *BELOW FINAL GRADE Date installed 10/22-23/13 Soil rating (g.p.d./ftor /bdrm 0_8 System type TRENCH Length 41 ft. Width 2.5 ft. Gravel below pipe 7.11 ft. Total depth *9.73+ ft. Eff. absorption area 574 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: — min. Final fluid depth — in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — D. LIFT STATION *APPROXIMATE Date installed 10/22/13 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at *40 in. "Pump off" level at *44 in. High water alarm level at 46 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankA ft station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+PVT/*l 10 CLASS C WELL (LOT 7) SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 10'+ Water main_ N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent IOts100'+PVF/*l 19 CLASS C WELL (LOT 7) F. COMMENTS ADEC WAIVER GRANTED G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 0114113 (Rev. 11105) o ........... OF A- 4Q 9 H .J ff ' A. arnes r O"y. .• 795 4�e Professl000 0 0 0 5 STAYSAIL_ DRIVE_ NOTE: NO EASEMENTS APPEAR ON THIS LOT ON THE RECORD PLAT THE INFORMATION HEREON I5 FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS: AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. OFV oJ; 49TH i�A 'SHANE A. HO LT Tt I^ LS -691 4..'O A5 -BUILT SURVEY V =30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT S , BLOCK 2, FLAT TOP VIEW SUB. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS _24TH DAY OF _OCTOBER , 2013. 11355, FB 161-49 HOLT LAND SURVEYING 600 HIGHVIEW DRIVE ANCHORAGEAK 99515 345-5513 ARROW PUMP & WEU SERVICE, LLC 'i -d dHW, d(Mp' P.O. Box 110496 Anchorage, AK 99511NO. 9919 Office: (907) 346-9355 • Fax (907) 345-0202 7 Eagle River: (907) 622-9335 CUSTOMER JOB SITE F ,�� y �°zrf. tii>7"ry-a '•_�_..i.e'�__'.�� _r`} < ."w+_ � i`_v�,' L!—.`l�CC:x.-.J U INVD.CE DATE WELL DEPTH SWL CNLORINATEL' PVMP DEPTIj SALESPERSON QUA TITY DESCRIPTION PRICE AMOUNT p/ _. ! .... �!✓_."' {� �_._ l:-s--�...3 x> >� �h'_`" _. ._. j ,.fit .- f _._�E:✓«j '`I . `'~.,//�..__>�A>J', _'e'. r"YJ' f.. _., s3't; .. _.._. _. �L��+%._.._r I y _ .......... ___. __._. ......... .. _... ___ ..._--------------- ------ __. I .. .I i i LABOR HOURS RATE AMOUNT TOTAL MATERIALS y TOTAL LABOR WORKORDERE7 DATE COMB TOTAL LABOR PAY THIS AMOUNT.,?l Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to allow Aarow Pump & Weil Service, L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10tH OF MONTH FOLLOWING PURCHASE, SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. FILLS OUT UPPER HAONLY APPLI( HA'! ONLY Time t Property ywner-katl'ryr) '(�Lt.` , Lc' '� Phone Halling Address _ 0)4N �, .t It rl/ :' l(A Zip code Date Buyer r -f- (%iyl !/ Ro&n UQ Y(,7![.L ri. 7'i�7 e- U1 (/ ccs�-( fl L:.. iL Address`-� /,/� 1 i / / i✓ x/ G'/ .Zlp Code Inspector runs�Ituuon L O r<— ZD-frf/(!✓Vkt J'- o�lne/O /' )le I(adread�,7 Zip Code 2 .�Ph � Realty Co. 6 Agent f Ela -4- JP a?- I t'/e /--Cl) Phone rE . sJ�{'��lr;J/o Zip Code lt'157.33 'y5 i�YF s/' 3 3 3 Address . P (Y� Icy Legal Description I�- L"' 1 c ,Q,r, � r1 fit 7C o le,(.C� d[/�7C�C.fJJ.(/(J'yL Kl y Street Locatlon Al - AI I A.c-r< .4'i app Type of Residence ❑ Family ❑ iple Family No. Mult Multiple of Bedrooms ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL R Other - ( ) CONDITIONAL APPROVAL' \lJ W DATE Water Supply fai Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. (] Community Soils Rating For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Well Log Received Septic Tank Size Well to Tank Sewer Disposal Ck Individual Year Individual Installed: [1 Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 1Y) Time Time Time Tlme `\G Date Date Date Date Inspector Inspector InsD for Inspector Field Notes: ( I PCL, 1 �' F���n DEPT. OF H=_/.LTII t` NVIRO.,�`r1`N7AL PROTECTION P (Y� Icy OCT DLJ-1,ba G y ju �jD app RECEIVED ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED - ( ) CONDITIONAL APPROVAL' \lJ W DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank ?2423 OM _.� DAT RECEIVED r INSPECTION APPOINTMENTS TIME e. TIME TIME O MULTIPLE FAMILY ® Three O Six 7. WATER SUPPLY DATE DATA ATE 0 COMMUNITY since June 1975. For wells drilled prior to that date, give well �4 INSPECTOR INSPECTOR INSPECTOR Px al. LES/INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. O PUBLICUTILITY MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF MALTH & 825 L Street . Anchorage, Alaska 89501 ENVIRONMENTAL F,0TECTION • ENVIRONMENTAL SANITATION DIVISION JUL 2 Z 1980 Telephone 2644720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWO"IfillIVILES-Dw. DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPER Y WNER GtjI ma Leon PHONE MAILING ADDRESS S 3¢ Lam' fon PROPERTY RESIDENT (If differe t from above) Rd &e Arimoun PHONE Tockil a 2. BUYER ' 7WC N LYLl l� PHONE MAILING ADDRESS a LENDING ITTr^ IO1_6�g � 9/VK l )77 �/ r� �, PHONE MAILING ADDRESS _ 4. flEAL70R/Ai/" ktL a ,7 02V9 � ��/C�jL�� ADDRESS MAILING CIZ&-f,4' f,4 2FgL7 Y y (Ii L(S-lh Az�e 995b3 5. LEGAL DESCRIPTION U J. ^ lik ^ `la f !b ' ' /ie� / o` -h / 1( STREET LOCATION �J ;� I. 9�O G L' C/ /C (1. 6. TYPE OF RESIDENCE NUMBER OF,BEDROONIS L9' SINGLE FAMILY YVA PIM . O One 0 Four O Other O Two 0 Five .. O MULTIPLE FAMILY ® Three O Six 7. WATER SUPPLY Q' INDIVIDUAL' *ATTACH WELL LOG. A well tog is required for all wells drilled 0 COMMUNITY since June 1975. For wells drilled prior to that date, give well 0 PUBLIC UTILITY depth (attach log if available.) & SEWAGE DISPOSAL SYSTEM /Z LES/INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. O PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Rev. 6/79) ., 72010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY.. ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ TWO ❑ FOUR ❑ SIX ❑ OTHER 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING ❑Septic Tank or ❑Holding Tank Size: _ /00 6 If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER -�v�--�/ TOTAL ABSORPTION AREA - MATERIAL AA1' 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line - 5. COMMENTS ao If W APPROVEDFOR 3 BEDROOMS L7 CONDITIONAL APPROVAL (letter mksjacmpany certificate) ❑ DISAPPROVED DATE �, 1—.1�-fb I BY Q ., 72010 (Rev. 6/79) Tobben Spurkland P.E. n 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243.5302 Airs Leon Jult 28, 1980 2834 Leighton Anchorage, Alaska 99503 MUNICIPALITY OF ANCHORAGE DEPT. OF H_ALTH & ENVIRONMENTAL FROTECTION ADEQACY TEST JUL 281980 RECEIVED Legal; Lot 59 Block 2 Flattop View Residence; 3 bedroom Trailer Water: On Site Well Sewer: Mo Records Test indicate 1000 gal tank and log crib Date of Test: July 24, 1980 Test Procedure. System Inspected on July 23, 1980 Crib 8'-8" deep, 64 11 on water Septic tank 5 feet deep Both tank and crib pumped on July 24. 1000gal taken from tank, 125) from crib Crib filled with water and the following readings taken; Vater Volume Depth Time 4.00 PY 11l 7 500 25 1750 76 July 25 at 9 AM 67 6 FM 64 Absorption Rate. At a depth of 64 inches 1250 gal remains in crib 500 gal ha been absorbed during a 26 hour period. ' 6491M* ••9*� ...... ...... .. . ...1� ........ No 2225-E .r JU E 25, 1971 :. ;; ',Municipality of Anchorage 11'�m `1-�R-5th 825 "L" STREET �l ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND �E �NVIRONMEENTAL PROTECTION July 24, 1980 \!� � Wilma Leon Olt 2834 Leighton Anchorage, Alaska 99503 Subject: Lot 5 Block 2 Flat Top View Subdivision #1 Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report be delivered to this f� department from Chem Lab, 5633 B Street, for ' our review. (2) The top of the well casing sealed with a sanitary(ZJLJ so that it is water tight. (3) The septic tank pumped with a receipt submitted to this department. The total number of gallons pumped ' cam, need to be on the receipt to verify the size of the tank. This will need to be verified by a registered engineer prior to submittal. (4) An adequacy test be performed on the existing leaching area. This test will determine if the system is • adequate according to National Standards. A listing of \� private firms performing the test is enclosed. This \ report needs to be submitted to this department for our review. Please notify this department for a reinspection when the noted descrepancy has been corrected. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw