HomeMy WebLinkAboutELMORE #2 BLK 7 LT 2Elmore #2
Block 7
Lot 2
#018-172-29
(Rev 05/02/18)
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP241313
PID Number: 01817229000
Dwelling: [ Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New [ Upgrade
Name
RHODES MICHAEL
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
4300 RIVERTON AVE,
❑ Other
Phone
Number of Bedrooms
Soil Rat ng
depth from original grade
907-365-9469
3
GPD/SF
JTotal
Ft,
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision
Block Lot
ELMORE #2 BLK 7 LT 2
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
FL
Beds: Number of Lines
-
Distance between lines
- Ft.
SEPARATION
DISTANCES
To
Septic Absorption
Fldding Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank Field
Lift Station
Tank Line
Ft1
Ft.
Well
1001+
na
na
2j' +
TANK M[ Septic E]S.T.E.P. ❑ Holding El Other
Manufacturer
GREER (shallow)
Capacity
1000 Gal.
Surface Water
1 oo,+
na
na
Material
PIStc
Number of compartments
2
Lot Line
101+
na
na NA
Foundation
10'+
na
na
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks
Alarm location
Electrical installea by
PIPE MATERIAL (louse to tank D3034 Tank to D3034
drainfield
Installer
JRs
Drainfield CO/MT D3034
Inspector NofthRim Eng.
BENCH MARK (Assumed elevation) 100 ft
Inspection 1'1 10/7/24
10/8/241
ocation and description
dates:
2 "
deck
3'u
4'^
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineers Stamp
Conditional Approval:
DateA,1
444
Ar
* : 49 Il.* * �i
;... .. .....;
Septic Syste
�, ' neve EngOf
Approved
/L. Date 11
�j -�� 0
10/`9•/2
Not/this this approval does not include well permit requireme ts.
(Rev 05/02/18)
IVERT❑N AVENUE
A
B
dcol
31
15
T1
32
17
T2
36
22
dco2
40
25
IVERT❑N AVENUE
u
o,
3 bdrM
Asohal
0
-ts' ' `-''LL=`= ` =- o Decomr-issioned ❑ d
New 1000 Gallon 0\ Septic Tank
Septic Tank F /DCO"s Go PER UPC
ting Trenc\
10' UTILITY EASEMENT
NOR THR/M
ENGINEERING
ELM ❑ R E # 2 1" = 40'
SteveEng. com
:.9m. *` BLOCK 7 LOT 2 RECORD
Po Box 770724LAYOUT
Eagle Rfver Alaska 99577 �-•� .. �"� WASTEWATER
907.694.7028 1019%24' UPGRADE SEPTIC TANK IDat10/9/24 12 of 3
oWet(
Z
w
:ice v W
`'�{:�:• c�
Barn
Y4'=; w
LOT 3
LOT 1
u
o,
3 bdrM
Asohal
0
-ts' ' `-''LL=`= ` =- o Decomr-issioned ❑ d
New 1000 Gallon 0\ Septic Tank
Septic Tank F /DCO"s Go PER UPC
ting Trenc\
10' UTILITY EASEMENT
NOR THR/M
ENGINEERING
ELM ❑ R E # 2 1" = 40'
SteveEng. com
:.9m. *` BLOCK 7 LOT 2 RECORD
Po Box 770724LAYOUT
Eagle Rfver Alaska 99577 �-•� .. �"� WASTEWATER
907.694.7028 1019%24' UPGRADE SEPTIC TANK IDat10/9/24 12 of 3
C
-u
V)
u
;;U
F9
Gl
0
-U
ZJ
Tl
--1
0
H
FTI
SD
H
l _J
F—
/H�
l J
F9
F9
#
d
/�
V)
/�
V)
a
D
/-/<�
V )
V/-</ �
)
�
--im
�
H
z
I I
F
c�
c
-i -)
/70
w m
Frl
F-
0
F)�
0
70
FTI
m
d
J
#
d
F- f1)
a
D
u
�
�
�
H
z
c�
0
w
Q O
0
Q
red `+
0
O
OD
rD
Q
C3 m :5
D -5 rp O
r0 c+
Q O
h i 0 rri0 �Q
n D C1 c h
-0 Q
CO Q
Q0 00
0 O< Q N
u ro Q Q
0
c
c+
Ln
m m
m
< <
Q N Q
c+ < cF
Q O
p
0 C+
O 0
ro f7
vj 0c) 0
O_ m LA -
3 0c)
Q W (O --I
r0 Q
—1 :3
O O
D �+
s Lf)
w
0 td
'5 ro
0 ro
:5 ro
' V)
ro ro ro
n
S n
Q
T-
90
ro
n
S
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: OSP241313
Work Type: SepticTank Upgrade
Tax Code Number: 01817229000
Site Legal Address: ELMORE #2 BLK 7 LT 2 G:3036
Site Mailing Address: 4300 RIVERTON AVE, Anchorage
Owner: RHODES MICHAEL D &
Design Engineer: NORTH RIM ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
nt
S
t)k partme11t
9/13/2024
9/13/2025
40042
❑ Disposal Field Q 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
Special Provisions: Prior to any future COSA, all septic pipes for the 1994 field are to be located and extended
above grade.
3
Received By: �- % Date:
Issued By: 6L Date: 3 2 t -L `�
MUNICIPALITY OF ANCHORAGE KUJR
Services -34 -7904
Development Department Phone:907 3
On -Site Water & Wastewater Section Fax: 907-343-7997
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 01817229000
Property owner(s) RHODES MICHAEL Day phone 907-365-9469
Mailing address 4300 RIVERTON AVE
Site address same
Legal description (Sub'd., Block & Lot) ELMORE #2 BLK 7 LT 2
Legal description (Township, Range & Section)
Lot Size 40,042 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) El
(w/wo ADU)
Septic Tank
❑
Upgrade El
Duplex (D) El
Holding Tank
❑
Renewal 0
Multiple Dwellings El
Privy
D
(SF and/or D)
Private Well
R
Water Storage
D
THIS APPLICATION
INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that
applicable K
Codes.
is correct. I further certify that this is in accordance with
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
Permit No. 05/02_413tZ2
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GAIDevelopment Services\Building Safety\On Site Water and WastewaterTormsUient Forms\Permit Application.doc
Wr icipality d Anchorage
On -site Water and Wastewater
OSP241313, Curtis Towrwnd, 09113/f
pTI IZ M
GINEERING SteveEng.com Elmore #2 B7 L2
`.:
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: The current septic tank has failed- the field still functions.
Replace septic tank in same location, decommission old tank per UPC. This lot is near an
acre and on a water well. No adverse impacts are expected from tank replacement.
Easements are depicted on the lot. The slope is negligible in the area of the septic system.
No conflicts to neighbor properties.
Specification Requirements: All components and work must comply with the
Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water
Regulations and Wastewater Regulations.
• New 2- compartment, 1000 gallon septic tank. Watertight couplings on inlet & outlet.
• 5' minimum between the tank and trench. 5' to property lines & 10' to house.
• 4' of cover or insulation is required for tank; an equivalent of 1" insulation for 1' foot
soil cover. Tank & solid pipe must be set on well compacted, stable soil.
• No large rocks for tank bedding. Plastic/fiberglass tanks require special bedding per
MOA- sand or pea gravel.
• 4" diameter cleanouts with airtight caps are required 1 ' to 4' from foundation wall,
prior to any 90 degree bend in 4 inch line, in 2" d tank compartment, and two adjacent
opposing cleanouts between the tank and the absorption field, not more than 10' from
the tank positioned to provide cleanout access towards the tank and towards the
absorption field. Manhole Riser required in 1't tank compartment.
• All cleanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789,
ABS ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal)
OF `4' � opt
* 4 lam'
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241313, Curtis Townsend, 09/13/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241313, Curtis Townsend, 09/13/24
7666 D-1
J
5.4 -
CV
r
LOT 1
0
0
ti
0
0
SCALE: 1"= 40'
RIVERTON AVENUE
S89050'47"W 208.00
0
co
00
CV
r-
3: LOT 3
0
0
ti
0
0
0
0
r
AS -BUILT NO CORNERS SET THIS DATE
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 3rd day of September , 2024.
EASEMENTS OF RECORD, OTHER THAN ��
THOSE SHOWN ON THE RECORDED FRED WALATKA &ASSOCIATES, L.L.C.
PLAT ARE NOT SHOWN HEREON FB 24-3, pg 59-60 Engineers and Surveyors
UNLESS OTHERWISE NOTED.
BE 907-248-1666
IVV� JV I ! C LVD.VV
LOT 11
�� OF q '' 1 hereby certify that 1 have performed a Mortgagees inspection
A•• •`�,.• . • • • . �,Q t in accordance with ASPLS Standards of the following
�Q�• • • •S described property: LOT 2, BLOCK 7,
ow '� �. 49th , ELMORE SUBDIVISION SECOND ADDITION
.-y t
00
V,Iri
eth L. Walatka 00
��� • • 8036 - LS • • �r
F J A
'Q AW
, FO A�• ' r •"yo0 A►
0FEss I os - `laft'
1, xx V,
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence, structure or other improvements unless otherwise noted. This drawing shall only be used for a single property transaction. Use of this
drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross
negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Municipality of Anchorage Page —i—oi 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 * Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number:�V`19Q•02%b PIDNumber: otg--172—z4
Name:
�iAa••tES l,1A61n,0,D2s.!
Wastewater System: ❑New Upgrade
Address. 4300 (2_tv6=urj AVE •
. 'ABSORPTION FIELD
Phone: • H� /( (/ �Q C/ /
J 1�
No. of idlooms:
Shallow Trench O Bed ❑Mound ❑Other
O Deep Trench '
, I
LEGAL DESCRIPTION
Soil Rating'
1.2.
Total Depth from original grade:
5.4 •• 7•0
GPD'S F1
Lot: Block: Subdivision'
Depth 10 PipC oell0ln 110 ouginat gwile:
Gravel depth beneath pipe
Ft
•nn
Township:
Range. Section.Fill
added above original grade-
Gravel length: /
WELL ❑New ❑Upgrade
•
Gravel width:
Number of lines:
I
Odtaraebetw .n9nes:
IY A
FI
Ft.
C;n " wn (Pnvete, A,B.C): Total Depth: .ed To:
Total absorption area:
Pipe material:
D3o34- 4 FS10
Ft Ft
450 SO FI
Driller: ala Drilled: Static waler Level:
Installerf
CA2L5 EXC.
Date install d:
q¢ 8 S
Ft.
t3
Yield:
I Pump Set at: ^asmg Reignl Above Gruund.
TANK
GPM
Ft Ft.
SEPARATION
DISTANCES
Ys,:ptic OHolding ❑S.T.E.P.
To
From
Septic
Tank
Au•wpuun
Field
Lai
siaiiun
hod mg
Tank
Aur.nu
Sewer Lines
A1anu':Klml'r
4.,Je�A4 •�
Capacly in Cations
OO Q
Well112;
a/
y
►� C1
N a
/
ee �
Material:
S'7F-EL1
Number of Compartments:
2
u efe
►� A-
NIA-
LIFT STATION
Lot
Line
42 A- (er'
7
F__Z7T,_�
�/-
Sae in gallons:
''+ower:
Foundation
16.5 /
t 8/+
�(
"Pump on" luvol at:
"Pump oil` r • High water alarm at:
Curtain
w'��
N/�
Pump u.LL• •
�Ae!•...
EleCtiical bispuctron9 performed by:
DrainY
Remarks: 5Alj0 tS LAVF—
BENCH MARK
oTf S (��vB L . (.//+/94- $/EVE:
Location and Description: J 0�O� L 0
•+•+
L
APA,1J si S % r L& 1 � ED
•
% Pas'sta6 # ::lov s►Ev6 Fj a��p
Assumed Elevation.
too oo
. Fi
S/EVE VIS4
pp-Stlil(-r at 2,D0 /1LL�r AMI/ 4 tFiO 7Z) $
EF�1 NEESSEAL
���•Efl-SE
A
MI
CoF23f- t.curAtj • Sore. APPEa2Ed) 7V �Q, E�
_rJsrrz/
.•`'�•oP'••�.?�
Inspections by: ��"/ S Dates: 1st_2
per'
` 2nd +
! ..... �:
Department of Heal and Human Services approval
of . • CE-7953 • ••t
F •
Reviewed by:
and approved
MOO (Rw. 9191) MOA 26
EI
Fu
Z/3
M
r �
;':.. AC= 17_3 ASS 43r-5`
' „•. BC = 3z' -It) BE= 6lr-IOrr
AD- 45'-2`• l4F 66�
BD 22r BF - 99�— 6"
ti
a
3 oeg
1 '
�i�Y�L • r
' P.4fJ-'r aCT FwNamo�•I 40
f
AC -FSA NEW IOOO Gaue
,, rr SEPTIC Tri+
I�' c
O -rvz�cil-
,
h.
�F iEsr wovE n T� i 43 �` NFW C/O
NGvJ N.T "Err
r
. Sou•nt TLol-o sr -PT
t
5. me-Tca»1C %0 U t tom!
�' . • opo M. r%vXD %AMA
i NEy, �QT�IGH CAPPED QElvv! 6 GCnJEL. Co.1tR>=2 i
mg CTA s CIO ag°'p°`�En la $W/it6 CortPnRTn�lT
-= OFA
EP?IG 4P�RADE:
L017 7- V- -7 !ELMaID Y is
•9/ ;I
..:. ..._...j in
FOf2:
EPA2Ep 6Y : ALASKA WATUt WASMWATEP...EpvIGE.S
DzAWN 6APJ✓E:S SG4tE:`FESSIOv�� :e',
Permit No. 'SwG402-7� Page 3 of 3
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
Pb. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: L-oT 23 RV -74— S6 7t•Z PID No.:
i
IJSNIA'TU1.1 Z (r1$YW) Dnt
rOAC • BooPD o\mZ
... _._........... _............. ......................................................................................................................... ............................... .......................
1 i TRK.
NEv1 P",4PA-norj C/o i I -i'l/FA
In)V = 9C.0-7
` 1/0 /o
i i M rl
100 ..........fi ..............
I
n
1 48. 1•
i qq.Z
I \
q 5 I q4.-79
WN
Fa,,p,D l i NE\,.) 1000 GA,. •._•'
I 's :E�•rL 'fYw1G a �. y • • •:
i okr�T= 94.68
INt£r-I X15.15 � i
i •.
90 .-____........ ....... _..................... .............. _......... _ ....... .......... ....
a
i
j
i
85 ?
E iI
SA -JO
. ............................... ...................................................... G t
...
�LF�JG1l'I lF� r °ID j Z llvsuwliO4 B
agsoar�oa A>ZE.4'= 4�0 FTZ j( PfZoV1oFJ1 on1 �' F
�
w1iF1zG Soil 00\'IS
3
____ ___._.....__$ova (.. p. •...._T..._]..?_la�'_sFEET_...`.....� :.......
.......
__ ._. _. -.
uL0 WA � 10" D[F� W TN job ....... ENoF �y t=A
.
• � � ' � EM= PEAK! �y ��p'tE.........;q•, P�
6/ia/ 14' •. s
k'I. shU ' /Ct.7v53
72-013 A (1B]) -
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
1S1: cohfmv Q &'30rn
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW940276 DATE ISSUED: 8/03/94
DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE: 8/03/95
OWNER NAME : HAGEDORN JAMES V
OWNER ADDRESS:4300 RIVERTON AVE
ANCHORAGE, ALASKA 99516
PARCEL ID:01817229
LEGAL DESCRIPTION: ELMORE #2 BLK 7 LT 2
LOT SIZE: 40042 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS) .
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL
RECEIVED
ISSUED B
DATE • 83 !"-
DATE • 6-3 - 2�
Alaska Water & Wastewater Services
"Preserving The Last Frontier"
July 25, 1994
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Septic System Upgrade for Lot 2, Block 7,
Elmore S/D, Addn. #2
To whom it may concern:
Attached is the application, site plan, and design drawings
for the subject septic system upgrade. Comments regarding
the proposed system are as follows:
1. TRENCH DESIGN: As can be seen from reviewing the
attached percolation test results, done by Environmental
Management Incorporated (John Simpson, P.E.) the soil
"perked- faster than 1 minute/inch at the location proposed
for the system, therefore, a sand filter will be required.
I am proposing to use an application rate of 1 gpd/ft2.
Since the existing home has 3 bedrooms, the total design
flow is 450 gpd. Based upon this, the minimum amount of
absorption area is 450 ft2. The proposed trench is 5 fleet
wide, 6 inches deep and 90 feet long, providing an
absorption area of 450 ft2. A portion of the trench will be
outside the 30 foot radius of the test hole, however, based
upon soils data from the adjacent lots, it appears that
coarse gravel soils are present throughout this area.
Regardless, I will visually inspect the quality of the soils
during construction. If an additional percolation test will
be required during construction, please specify it on the
permit.
2. SURFACE WATER: None observed
3. TOPOGRAPHY: No slope concerns
4. GROUNDWATER: I monitored for groundwater, in the test
hole done by EMI, on 7/24/94, and found only the bottom of
the test hole to be slightly damp. I have specified that
Telephone: (907) 337-6179 . Fax: (907) 338-3246 . 8471 Brookridge Drive . Anchorage, Alaska 99504
the bottom of the drainrock on the new trench be at least 6
feet above the bottom of the test hole.
I am unaware of any negative impacts that this installation
would impose on adjacent wells, or septic systems. If you
have any question, please call me a 337-6179.
Sincerely, I
Garness, P.E., M.S.
r/ nsultant
Rittall.WPS
LOT M3 py-57
VL"opjr— # I �J:)
1 -OT 11.) EY—E7
Eumo(w 4f I
LOT 103 SK -E7.1
E:LMoar-:V- I SID
I
More A -LL. LaT�.. AM!. W ELtior)r- S(D 41--2-
UrJl1 Nm EO 0-1-4
IS t4cr7-A .5vr-vr--%Y, Loca--iiaJ
^+�s
0 44
Aw
� L -o -r -2.,j EV --7.) e%-MCrJtr— S/D #-z 0,
do,
feo 0
FOR - AMENS 11Arss6mpj
vo,
-7953
M-EpAelp-l) V : PILASY-A WAY -EZ � WAs-rr--wA-rEP, smVicar-
m--i 471k DZAWp4 &APIJF--';.S Tsc�- I I= lco, FES 14
%-OT ZI)ESC -7
by"7
"Orr
Lorr 113 SK n
WG
LOT- lz BV- -7
de 16 6amv
LOT
I
More A -LL. LaT�.. AM!. W ELtior)r- S(D 41--2-
UrJl1 Nm EO 0-1-4
IS t4cr7-A .5vr-vr--%Y, Loca--iiaJ
^+�s
0 44
Aw
� L -o -r -2.,j EV --7.) e%-MCrJtr— S/D #-z 0,
do,
feo 0
FOR - AMENS 11Arss6mpj
vo,
-7953
M-EpAelp-l) V : PILASY-A WAY -EZ � WAs-rr--wA-rEP, smVicar-
m--i 471k DZAWp4 &APIJF--';.S Tsc�- I I= lco, FES 14
{1 ' ,\NELL-
• f
r
I a�:
r,.T•
• � ' 1,
3
{�OuSE
PA f-=A / FN,.�MTC� UO
. - 14E.,d I000laL • NE.v1 0.T
C/o
45� ISof`
3 0'
• r C�O
So"rrt 1L
01..0 SEp>•tL i . ;•".:..
oL0 -,ICH M.T ?YAK--ro BE.
10 txr�Ll
' � �//yy�� GC F1U.Eo w�'r�:• EP•SFr•1 � •
.,.... .. NEvJ 'TpP�.IGH GesvE L.� oFrrF�. ,
1E++011a m 90` �sRo•PE ApA,.loorJE� rsjyovl�lb-roP.
IN• PWGE.. � -
ID
��p nc uP�Ra of
�' ' _ ._,fLEPAQ�,D Foil: Jar'IES NAbFSb2tJ • "`
Ir rey A. Gar ' W�. �. kW,
v
PAVMD 6Y : ALASKA WATCZ WAS7MWAMEP.:-P-Vfce 11 �F CE-7953
Den WNGR�'NE:S �\\\ice I Y
AkJMINIMV
- "VEL A H 01= 90
I?ACy rlt-L- v4rtl4 WAXNP- SM'
AND MOVIO SOIL-. P120,4tm.,
If
Dazal MR
-V
Ul
Z
0 -
H-11 1 11
6!AS
0,r 14
AIJO. FILTER
W-44
-71 IRELC
jr
A
7-cw-y- SVIAU- BE Y7,1'-rD 2.5 SC2M---�JE%D ROC-Y-
VL.AN Nlew--,
2• _FOR LGCATON or-
TPENC44 DET/. (-HPIC.AL:)
-ALASKA WATER. WAS--MWAMER, -SMV(Mr-
&APPr- 5
J�
ot
r yA. Gam
E-7953
"ROFES
JN�
^ f "I(ENGMEER'S SEALIN
Municipality of Anchorage
e �.. _. ..
DEPARTMENT OF HEALTH 8 HUMAN SERVICES
825'L" Street, Anchorage, Alaska 99502-0650 L
SOILS LOG — PERCOLATION TEST ,� •' CE.80,1
PERFORMED FOR: Jams Hagedorn DAYPERFORMEDt 04
LEGAL DESCRIPTION:Lot 2, Block 7, Elmore #2 Township, Range, Section:
-..,-A Pnnfnant r SLOPE SITE PLAN
1 -
2-
3-
4--
5.
:3•4•5•
6-
7
6
9
10
11
12
13
14
15
16
17
18
19
'JFEET). — — Dark_Brn_,moist,soft
Loam Orangish, moist, soft
OO Gravel w/sand and Fines ((R)
Q • -Brn. , moist, dense
/. -Boulders 2ft. in diam.
-Soil becomes saturated at
approx. 13 ft.
Limit of Excavation
WAS GROUND WATER Yes
ENCOUNTERED?
S
IF YES, AT WHAT ��J� // L
DEPTH? %� r 2 P
E
lito to wale Aker , //
A otuitly? F ? Dale 7– 21
Reading Date
Gross
Time
Not
Time
Depth to
Water
- -
f•
,r1
jDDrop
7:52:00
2:00
3 "
7:52:10
refill
6 "
2
7:54:10
2:00
3 "
"
7:54:20
refill
611
3
7:56:20
2:00
3 "
31'
T-5-6-30—
re ill
6
7:5 :30
2:00
3
311
20
PERCOLATION RATE Q,67— lminutevincnl PERC HOLE DIAMETER
TEST RUN BETWEEN 5 FT AND 5.5 FT
COMMENTS Boulders encountered were approx. 1 ft. to;2 fry- in diameter,
PERFORMED BY:
Stan Dolloff
I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE
72-008 (Rev. 4,851
M,
Alaska Water & Wastewater Services
"Preserving The Last Frontier"
August 5, 1994
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Health Authority Approval, and Septic System Upgrade
for Lot 2, Block 7, Elmore S/D #2.
To whom it may concern:
Attached are the as -built drawings and HAA paperwork for the
subject system. An HAA was previously applied for by
Environmental Management Inc., John Simpson, P.E., prior to
the client changing engineering firms; therefore, the fee of
$300.00 has already been paid. Also attached is a copy of
the previous paperworjc submitted by Mr. Simpson. If you
have any question, pljEase call me a 337-6179.
Sincere
Jef
Rittal3.14PS
>s, P.E., M.S.
O
co 7
' rn
wv
G
7 ?
v 4
2 -
En 0 No
CD m
20
0m
m
N
Telephone: (907) 337-6179 . Fax: (907) 338-3246 . 8471 Brookridge Drive . Anchorage, Alaska 99504
ANCHORAGE AREA BOR""SH
@GREA'�'l
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
.�JI�X//�//%'/Cf� %%1�0 PHONE3f"/
NAME C ' �/iY�✓1 MAILING ADDRESS 7
LOCATION ����"�'LEGAL DESCRIPTION
SEPTIC TANK:
/�jtFC/�Jf NUMBER OF
DISTANCE
FROM WELOff'. MANUFACTURERZHX�2 V'*JW MATERIAL i��'/`'«�`� COMPARTMENTS—
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITYGALLONS.
TILE DRAIN FIELD: TOTAL LENGTH 41
DISTANCE FROM WELItZf�' FOUNDATION Jr -l' NEAREST LOT LIN&22,, °�`�'<✓ OF LINES
NUMBER OF LINES ✓ DISTANCE BETWEEN LINES /s'= ;o TRENCH WIDTH.. IN. TOTAL EFFECTIVE
ABSORPTION AREA
.��� SQ. FT. LENGTH OF EACH LINE `?
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE �IN.
WELL n /�f z�
rM.0.1/ DEPTH DISTANCE FROM:
TYPE �'�✓G�Tt CONSTRUCTION
/ZR : 7-�-
NEAREST NEAREST SEPTIC EEIYICE
BUILDING �Jf ,
FOUNDATION � LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL - OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:-
INSTALLED
ISTANCES:
INSTALLED BY: .7--CX/.y
/.r//c fd ✓ -
SEWER LINE DEPTH:
PIPE MATERIAL: LOT SLOPE:/S`�/"✓/Tf�'- �'
REMARKS: �"/ftz'.C� 7/"i✓'('
Form PW027
DIAGRAM OF SYSTEM
kL ell vaScir'�llq�
Ns imposed f
A�=1zq,
DATE
APPROVED
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
' 9 4 DEPARTMENT OF ENVIRONMENTAL QUALITY
3 3330'•C•'STREET ANCHORAGE. ALASKA 99307
' TELEPHONE 274.4361
i f
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION L4
INSTALLATION OF: SEPTIC TANK IX -
TYPE'
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
7
PERMIT NO.
MAILING ADDRESS [�n.r • /O PHONE 7�"'
y
SOIL TEST RESULTS 1' NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE 1:5C) RAL
AREA S1ZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT OPV DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
/S /
1
SEPTIC TANK . SEEPAGE PIT oho DRAIN FIELD .Lo
TO NEAREST LOT LINE. C1�
IJV I
WELL TO SEPTIC TANK SEEPAGE PIT /Ob
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK /r->, SEEPAGE PIT /C /
DRAIN FIELD '10%,
,
SEPTIC TANK. -Ci' f SEEPAGE PIT /00 DRAIN FIELD Sd
TO RIVER. LAKE. STREAM.
CAST IRON INTO AND OUT OF SFPTIG TsuK AND INTO CRIB CROSSING GAP OF
EACAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH 018MCIEB CASX IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITHAIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G.A.A.B.
OR
LICENSED DE ER
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DAT4 APPLICANT'S SIGNATURE
FOR NO.EO-014
TYPE
DIAGRAM OF SYSTEM
NO. 28.68 AND THAT THE ABOVE
ME
JLPNR�ii Ur LN lh0tV4.R',;L GB$0^ ED CASE f
3500
ANCHORAGE* ALOASKAA094UZ 81973 AM
O
R)j T p, ANCHORAGE AREA
.NVIRONMENbROUGN
EIT. iA
Performed For Fverett Rains Date PerformeI R8 iY07/16/73•
Legal Description: L.ot 2 Block7 Subd vision F1'
This Form Reports Soils Log x e—rco anon esf—t—
Depth
Feet
2_ Brown
6_
0
10
,2-
14
16
oil Characteristi
ilty rravel
Brown and gray gravel (GY;;) .
w/seams:fo silty sand '
.gravel intermixed
Was Ground Water Encountered? yes
If Yes. -At What Depth? 16.0
7: I .
iJ
—7
J'o
Reading Date
Gross Time
` Net Time
,I
Depth to H2O Net Drop
erco attonate
Proposed Insta at1T to - S'e'epage'Pit Drain Field x
Depth Of Inlet Depth To Bottom Of Pit r Trenc
COMMENTS: 120 so. rt. of Amin. nn .,. e. . ...__.._ __-- . . —
iest Ferforme y ,, ar is a ata ertt to y:
ALASKA mrNERAL & MATERIALS LAB,' INC: I Date:_ duly 17, 1971
f
MUNICIPALITY
OF ANCHORAGE
Development Services Department
j Phone: 907-343-7904
On -Site Water & Wastewater Section
J" Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 018-172-29-000
Legal description ELMORE #2 BLK 7 LT 2
Expiration Date: 4/2/2025
Site address 4300 RIVERTON AVE Anchorage AK 99516
Current property owner(s) RHODES MICHAEL D &POWERS KATHERYN E
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for
Comments or advisories:
M
bedrooms, with the following stipulations:
Original Certificate Date: 10/15/2024
his 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
Development Services Department x _ 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. 018-172-29
Complete legal description ELMORE #2; BLOCK 7, LOT 2
Location (site address) 4300 RIVERTON AVE, ANCHORAGE, AK 99516
Current property owner(s) MIKE RHODES
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone 907-365-9469
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 NEW - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench FEI 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 $ 3yU Waiver Fee $
Date of Payment ,!�
COSA # 0S��yi`iZc
Date of Payment
Waiver #
COSA Applice8on_June 2022
COSA Checklist
Legal Description: ELMORE #2; BLOCK 7, LOT 2 Parcel ID: 018-172-29
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 1973(?) Total depth *142 ft
Cased to LINK ft
Sanitary seal is functioning correctly
Q Wires are properly protected
Casing height (above ground) 12+ in.
Date of flow test for COSA 4/2/2024
Static water level at beginning of test 23.8 ft.
Comments *MOA RECORD DATED 7/8/1974
B. TANK DATA
Measured operating fluid level in septic tank NEW
Date of pumping
❑ Required maintenance completed, if AWWTS
® Comments:
® D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/5/1994
m 1 0 ALL standpipes present per record drawing
STotal measured depth from grade 6.1 ft (max)
Measured depth to pipe invert from grade 3.4 ft (min)
❑ N/A — pressurized field.
V, Per record drawings, field is insulated.
* 0 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) N/A
If yes, enter date
Well production at time of test 2.9+ qpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes ® No
W Coliform bacteria is Negative
Nitrate 0.803 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L FM Arsenic less than MRL (ND)
Collected by GEG, LTD.
Date 4/2/2024
STATION
❑ Require ntenance
Age of lift station
Lift station m
Adequacy test date 4/2/2024
Results Q Pass
Fluid depth prior to test *7.25 in
Water added 465 gal
New fluid depth *9.75 in (2.5" OF LIQUID IN EAST CO)
Elapsed time 1260 min
Final fluid depth **6.75 in
Absorption rate 450+ gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) *6 in
Effective depth used **4.75 in
Effective depth remaining **1.25 in
Comments/Deficiencies: `BASED UPON GEG ELEVATIONS, THE BOTTOM OF THE MT IS 0.68' (8-) BELOW THE INVERT OF THE WEST CLEANOUT AND.
6- BELOW EAST CLEANOUT. "POST RECOVERY READING WAS 0.1' BELOW INVERT OF WEST CLEANOUT AND AT THE INVERT OF THE EAST CLEANOUT.
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' Community Sewer Manhole/Cleanout > 100'
❑i Yes if No ft ❑■ Yes if No ft
Neighboring Tank > 100' R Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft
Absorption Field on Lot > 100' E Yes if No ft Holding Tank > 100' 0 Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft
❑i Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' M 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'
0 Yes if No ft
Tank to Property Line > 5'
0 Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
[E Yes
if No
ft
Private Wells > 100'
0 Yes if No ft
Water Main > 10'
no Yes
if No
ft
Community Wells > 200'
❑ti Yes if No ft
Water Service Line > 10'
M Yes
if No
ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
`NOTE: THE DRAINFIELD MAY BE APPROACHING THE END OF ITS USEFUL LIFE.
IT WAS REPORTED TO GEG THAT THE DRAINFIELD WAS TREATED WITH HYDROGEN PEROXIDE AFTER GEG ADEQUACY TEST.
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 Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179
Engineer's Printed Name Jeffrey A. Gayness Date
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in
accordance with the guidelines and regulations established by the Municipality of Anchorage and industry
practices. The reported results describe the condition of the system/s on the date/s of the evaluation.
Separation distances were measured to readily identifiable features. Hidden defects or encroachments may
exist that were not identified during the evaluation. The operational life of all wells and septic systems depend
upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate
during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing
the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not
guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding
the future performance of the well or septic system. GEG makes no representation whether an alternative well
or septic system can be installed on the property in the event either of the current systems fail to perform
adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG
to perform the evaluation. Reliance upon the information provided in this report by any other person or party
(including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever.
COSA Checklist June 2022
F 6__ '
.:....'.19 !
...........
�o � •,Je e A.ess
Qo9. —7953 e`G
0
LICENSE�Q p�ofess,01,
#AECC884 "���
io�10
(ZFVJ.dF-4 W)d ®�
Q
0
5.4—
T_
LO
N
d7
LOT 1
0
F_ -
CD CD
RIVERTON AVENUE
rk -
LOT 2
S89050'47"W 208.00
C� o Well
L6
2 Story Frame House
24.0
0
U
x
N
3
6.0 ca
Asphalt -0
N
9.6 30.0
I 1.5 OH Manhole
0
O
a
i00
I� N
--� 1.0 OH I Z �
�w
Iw �
o
Chain link fence (typ) o
C)
7666D-1
0
co
Shed
o �
Septic vent (typ) o �
10' UTILITY EASEMENT
N89056'1 7"E 208.00
LOT 11
RECERTIFIED 10-08-24
AS BUILT N CORNERS SET THiS DATE
LOT 3
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence, structure or other improvements unless otherwise noted. This drawing shall only be used for a single property transaction. Use of this
drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross
negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
`N\\\\
1'
`. OF '
1 hereby certify that I have performed a Mortgagee's inspection
•.. . AL
• •�s
in accordance with ASPLS Standards of the following
LOT 2, BLOCK 7,
Uj
described property:
ELMORE SUBDIVISION SECOND ADDITION
• 49th*VT_
�► .-�
,0
/
Anchorage Recording Precinct, Alaska, and that the
• • • • • •
00
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
00
izabeth L. Wolotka /
adjacent thereto, that no improvements on the property lying
�, • . ,8
• AW
'�'� •
adjacent thereto encroach on the premises in question and
lines
• 8036 - LS •
• s
�'��
that there are no roadways, transmission or other
„_
SCALE. = 40
° • • • • `'J •..►
• • • • `,p� �
visible easements on said property except as indicated
hereon.
of
ESSIONAL
Dated at Anchorage, Alaska
this 3rd day of September , 2024.
EASEMENTS OF RECORD, OTHER THAN
�
FRED WALATKA & ASSOCIATES, L.L.C.
THOSE SHOWN ON THE RECORDED
Engineers and Surveyors
PLAT ARE NOT SHOWN HEREON
UNLESS OTHERWISE NOTED.
FB 24-3, pg 59-60 BE
907-248-1666
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence, structure or other improvements unless otherwise noted. This drawing shall only be used for a single property transaction. Use of this
drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross
negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
Parcel I.D. 018-172-29
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904 A ; K T Y
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Expiration Date:. z — / rs
Complete legal description Elmore #2, Block 7, Lot 2
Location (site address) 4300 Riverton Ave.
Current Property owner(s) Charles & Sonja Rider
Mailing address
Real Estate Agent
4300 Riverton Ave.
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
El Duplex
El Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
Day phone
Day phone
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well it Individual Fxl
Individual Water Storage ❑ Holding Tank El
Community Class Well ❑ Community 0
I
Public Water System ❑ Public Sewer L -i
WaiverNariance requeitfpr: Distance:
Received by: Date:
COSA to be released to/fhsVengineer, unless 'otherwise requested by the engineer,
COSA Fee Waiver Fee $
Date of Payment L/ 4 Date of Payment
Receipt Number.. Receipt Number
COSA#_ Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Pannone Engineering Services LLC
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone
6. DSD SIGNATURE
t System #1 Approved for 3 bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for
Phone (907) 272-8218
Date 4/4/2014
bedrooms, with the following stipulations:
-1 4 14 -1 �?
BY: Gt/ • ` Original Certificate Date:
The d n cipali y of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet f c
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: Elmore #2, Block 7, Lot 2
A. WELL DATA
Well type Private
Date completed _
Total depth ft.
Date of test
Static water level
Well production
If A, B, or C provide PWSID #
Sanitary seal (YIN) Y
Cased to ft.
FROM WELL LOG
WATER SAMPLE RESULTS:
ft.
Coliform Negativecolonies/100 mL Nitrate 0.293 mg/L
Arsenic ND ug/L Date of sample: 4/2/2014
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Parcel to: 018-172-29
Well Log (YIN) N
Wires properly protected (YIN) Y
Casing height (above ground) 18+ in.
AT INSPECTION
4/2/2014
28
3.9+
Collected by: PES
ft.
9 -
p.m -
Date installed 8/5/1994
Tank size 1,000 gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) N
Date of pumping 8/26/2013 Pumper Northland Pumping Service
C. ABSORPTION FIELD DATA
Date installed 8/5/1994 Soil rating (g.p.d./ftz or felbdrm) 1.2 GPD/SF System type Shallow Trench
Length 90 ft. Width 5 ft. Gravel below pipe 0.5 ft.
Total depth 6.2 ft. Eff. absorption area 450 f? Monitoring tube Y Depression over field N
Date of adequacy test 4/2/2014 Results (Pass/Fail) Pass For 3 bedrooms
Fluid depth in absorption field before test 5 in. Water added 624 gal. New depth 5 in.
Elapsed Time: 160 min. Final fluid depth 5 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at in.
Datum
E. SEPARATION DISTANCES
WELL ON LOT TO:
Size in gallons
"Pump off' level at
Cycles tested _
Septic tank/lift station on lot 100+
Absorption field on lot 100+
Public sewer main 75+
Sewer /septic service line 25+
Animal containment areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Manhole/Access (Y/N) _
in. High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots 100+
On adjacent lots 100+
Public sewer manhole/cleanout 100+
Holding tank 100+
Manure/animal excrete storage areas 100+
Building foundation 5+ Property line 5+
Water main 10+ Water service line 10+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+
Water Service line 10+ Surface water 100+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Steven R. Pannone
Date 4/4/2014
COSA brown sheet 10-10-12.doc
Absorption field 5+
Surface water 100+
Water main 10+
Driveway, parking/vehicle storage 110+
in.
PAGE 02
b
04/04/2014 15:49
907--276-8357 FEDEX OFFICE 5501
ASBUILT-NO CORNERS SET THIS DATE. SL"WARD & .ASSOCIATES
N1) SURVEY.ING 694-082f
1 HEREBY CERTIFY THAT I HAVE SURVEYED THE
SCALE.
FOLLOWING DESCRIBED PROPERTY:
"01
d,
4, OF Ai. tiq,
DATE:tS
a4
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
s����
s ,„� -•'
INDICATED. IT IS THE RESPONSIBILITY OF THE
r t ; 4
�m
OWNER TO DETERMINE THE EXISTENCE OF ANY
GRID.
EASEMENTS, COVENANTS, OR RESTRICTIONS
?•�-
R,~,
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
�g Dweo
Mark Snw,.o
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
FB'
�►
ANY DATA HEREON BE USED FOR CONSTRUCTION
r• r
`
�
OFFENCE LINES, OR FOR ESTABLISHING BOUND -
DRAWN:
e .
ARY LINES.
a"a rte"
PAGE 02
b
if''L',YFifyT/.•ei'r_"/�i'..�IJiY'- u�'-���i�
ASBUILT-NO CORNERS SET THIS DATE. SL"WARD & .ASSOCIATES
N1) SURVEY.ING 694-082f
1 HEREBY CERTIFY THAT I HAVE SURVEYED THE
SCALE.
FOLLOWING DESCRIBED PROPERTY:
�^ s�
d,
4, OF Ai. tiq,
DATE:tS
a4
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
s����
s ,„� -•'
INDICATED. IT IS THE RESPONSIBILITY OF THE
r t ; 4
r"�r� x
OWNER TO DETERMINE THE EXISTENCE OF ANY
GRID.
EASEMENTS, COVENANTS, OR RESTRICTIONS
?•�-
R,~,
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
�g Dweo
Mark Snw,.o
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
FB'
�►
ANY DATA HEREON BE USED FOR CONSTRUCTION
�`" a'�
`
r c'
OFFENCE LINES, OR FOR ESTABLISHING BOUND -
DRAWN:
ARY LINES.
a"a rte"
• MUNICIPALITY OF ANCHORAGE
• .. DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental 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 l.D.# OV3 -lit— Z9
HAA #
1. GENERAL INFORMATION
Complete legal description Lo -T- 2 gK (5l.hOa_F_ SID ztf- 2
Location (site address or directions)
r 4.)4-tt
Propertyowner JA'^�S=�'^I Day phone `ac)o-5-72-4.930
Mailing address 3 t 5� 1�a a P STS I1/awAO 1 �--T// 9676
Lending'agency a Day phone AIlA
Mailing address K ,
Agent Zf� t ••2�' r-^� /TI M ?-%-r `F`t- Day phone
Address �1 jr_-r+ . a�. 99s D 3-- 22TD
Unless otherwise requested, HAA will be held for pickup. ^> P��S, CAtA_
2. NUMBER OF BEDROOMS:
P,•cIG-UP .
3. TYPE OF WATER SUPPLY:
Individual well iC
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site G—
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-M (Rw.1/01) F"1 Moi 021
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, l 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 furtherverity that based on the information obtained from
the Municipality of Anchorage files and from my investigation and Inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Address
Engineer's signature
6. DHHS SIGNATURE
0
Alaska or / 337-6/�q
astewatorServices e/ Phone
Approved for bedrooms.
Disapproved.
Conditional approval for
Additional Comments
Date
bedrooms, with the following stipulations:
Date
CAUTION
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 DHHS 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.
r2-=MW.1A1) B.« Mwm
0
N
W
u
® Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: L-0 2) BK ?� —Parcel I.D.
Sil.rtoR� #2
Well Data
Well type P%Zl vA-'i`E- If A. B, or C, attach ADEC letter. ADEC water system number
2�T �
70
c rr
rn
m
rn
Log present (Y/N) N O Date completed I`t'13 Driller uaY-,10&F-1
Total depth Z
14 " -* Cased to 40 ai` Casing height 1Z N
Sanitary seal (Y/N) %4E—=S Wires properly protected (Y/N) %IE S
FROM WELL LOG
Date of test ►Jn w£u- to (r
Static water levet
well flow g•p•m•
Pump levels
SEPARATION DISTANCES FROM WELL TO:
AT INSPECTION
S/3 J44-
3
4 4V g.p.m.
VNY�owr►
P� ooaJL'
PSI u""Br,,r,E�
II P•E '
Septic/holding tank on lot I W On adjacent lots > 100
Absorption field on lot 112 - ; On adjacent lots 100
Public sewer main n! A Public sewer manhole/cleanout Q
Sewer service line gas + Petroleum tank a�A
WATER SAMPLE RESULTS: ?0E'Jl0uSLs7 Sear -IST .D q>H S i�7 EMT
Joxw Srr+PSo.,i�RE
Coliform. �- ` Nitrate - Iq M%=/J• 4 Otherbacteda 8
Date of sample: S 1.3164- aUr Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed ; B Tank size IWn Compartments 2
,
Cleanouts (YIN) Foundation cleanout (Y/N) Y e-5 Depression (Y/N) bra
High water alarm (Y/N) .At IA- Alarm tested (Y/N) NlR
1 Datebf pumpingN�Pumper -41,4
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
i
• �i /
Well(s) on lot. 100 - 6 ' On adjacent lots 10� Foundation 16 5
To property line 42� = Absorption field 5 Water main/service line
�Surfacewater/drainage-4 6�:
72-MrJ 3)•Front CONTINUED ON BACK PAGE
C.
N 1A -
Date Installed
Size in gallons
r
Vent (Y/N) *Pump
High water alarm level
Meets MOA electrical codes (Y/N) _
at
SEPARATION DISTANCE-RfiOM LIFT STATION TO:
(Y/N)
at
BII On adjacent lots Surface water
ABSORPTION FIELD DATASAND FIUT6= aT"'o (P I-!rrEp
Date installed Soil rating (GPD/Ft=) 1TM) System type*
N Length CID r ` Width 5 Gravel thickness � Total depth 5.6-7.0
Total absorption area 4S0 Pr' Cleanout present (Y/N) YES Depression over field (Y/N) N 0�
Date of adequacy test N 1 A- ci±!2)iesuIIs (passifal) N for 3 Bedrooms
Water level In absorption field before test After test
Peroxide treatment (past 12 months) (YM) N If yes, give date Al /A
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 112 r •L On adjacent lots > 100 Property line is +
To building foundation I a t To existing or abandoned system on lot 20 • `—
On adjacentlots �� 1 O r Cutbank JVhc), Water maintservice line >w,�s�r P usE j
Surface water Driveway, parkingNehicle storage area IJEXT- 'ra pp2Ya (T'
Curtain drain 1'4 JA N
E. ENGINEERS CERTIFICATION
I certify That I have checked, verifed, or famed to all MOA and HAA guidelines in eNect'ou
—E
S� i
Signature
Engineer's N A• 4ar2 6SS � A
Date 9
HAA Fee $
Date of Payment _
Receipt Number _
72026 (3W)• Back
Waiver Fee $
Date of Payment _
Receipt Number
he djte of Mis inspection.
.OF 41. 1
M
ey A. Games./
CE•7953 _e
�.
07-18-1994 13:59 9072724159 ENVIROMENTAL•MANAGEMENT INC. P.02/02
SIMPLE DRTA SHEET
(use continuation sheet for Class A i 8) 6
•� PRaECT:,�,�� � D 'erl
{_C�� s - — DATE OF TEST: zor
LOCATION OF WELL egal Description): ,2 k�
WELL DEPTH: FT. CASING: FT SCREEN:—
DATE
CEEN:_DATE DRILLING COMPLETED: Iq 3 DRILLER:
STATIC WATER LEVEL (Tap of Casingl: 33 FT DATE: S'13
�ElApsed Tiek nce Remarks
Clrk Pumping Started/ Depth to Orawdorn/ Pumping
Time Stooped. Hin. Matar ft, Recove Rate 6PM
RECOVERY
t D I t'
Comments:
t/t'
MUNICIPALITY OF ANCHORAGE/ 7 q _ R
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services so
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. # CN tR — 11 a -a S HAA # i1 Qq 0 Owl„ %
1. GENERAL INFORMATION
-I 4 m
Complete legal description Lot 2 Block J1 Elmore S/D 02
Location (site address or directions) 4300 Riverton Avenue
Property owner James Hagedorn Day phone 808-572-4930
Mailing address 315 Kauvea Street Makawao HI 96768
Lending agency Dav phone
Mailing address
Agent 20n] Realty/Phyllis Hackett Day phone 907-276-2001
Address 2600 Denali Street, Anchorage, AK 99503-2740
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. 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.
4. 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-M(Aw.1/91) FoM MOAF21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation 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 furtherverify 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.
Nameof Firm Environmental Management Itic. Phone 272-9336
Address 206 East Fid w 4 d L . , An 6rage, AK 99503
Engineer's signature Date
6. DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
Additional Comments
By:
bedrooms.
U lTIr1
bedrooms, with the following stipulations:
Date
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 DHHS 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.
rams (Pw vee) 840 U0A m
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Lot 2 Block 7' KFU Parcel I.D.
A. Well Data
Well type Private If A. B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) N Date completed 1971 Driller unknow o
Total depth 142 feet Cased to 40 feet Casing height 7.+e%25
Sanitary seal (Y/N) Y Wires properly protected (Y/N)
Date of test
Static water level
Well flow
Pump levell
FROM WELL LOG
vn t -n o w rl(wezcto G)
110 wc/ 1 /oq
no w[l/ /02_g.p.m.
unknown
SEPARATION DISTANCES FROM WELL TO:
AT INSPECTION
5/13/94
M
33 feet
n
rrl
w
4
9.p -m. !C
_
o
unknown
tT1
v
SeptiGholding tank on lot 126 feet _;On adjacent lots 150 feet
Absorption field on lot 132 feet ; On adjacent lots
150 feet
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer service line N/A Petroleumtank N/A
WATER SAMPLE RESULTS:
Coliform 0 C01r-roo'"11100ml Nitrate 0.19 r-n3A Otherbacteria colonies /U%m
Date of sample: 5-13-94 Collected by: Stan Dolloff
B. SEPTIC/HOLDING TANK DATA
Date installed 1973'.., = Tank size ISSO 90,1 Compartments
Cleanouts (YIN) Y L Foundation cleanout (Y/N) Y Depression (Y/N) N
High water alarm (Y/N) N/A Alarm tested (Y/N) N/A
Date of pumping April 284 1994 Pumper Tssann Pimping RPrvinp
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s)onlot 126 feet On adjacent lots 150 feet Foundation
41 feet
Topropertyline24 feet• Absorptionfield 6 feet -Water main/serviceline N/A
Surface water/drainage 200 feet
72-gr&SM•Fmnt CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed Not Applicable " Manufacturer
Size in gallons Manhole/Access (Y/N)
Vent (Y/N)
'Pump on' level at
'Pump off' Level at
High water alarm level Cycles tested
Meets MOA electrical codes (YM)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot On adjacent lots Surface water
D. ABSORPTION FIELD DATA
Date installed 1975 Soil rating(GPD/Ft2) 120 Joft Systemtype Deep Trench
Length5� c Wxfth 3 feet Gravel thickness 6 feet Total depth1010 fPPr
Total absorption area 40LI S, . A Cleanout present (Y/M Y Depression over field (Y/N) N
Date of adequacy test 5 / 13 / 94 Results (pass/fait) Pass for 3 Bedrooms
Water level In absorption field before test 53 inches After test 48 inches
Peroxide treatment (past 12 months) (Y/N) N h yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 132 feet On adjacent lots 100 feet Property line 13 f
o
But If .lcr ex 5
To building foundation 47 f e e r To existing or abandoned system on lot 31Ms 4-c M
On adjacent lots N/A Cutbank None Water main/serviceline NIA
Surface water 200 fPPr Driveway, parking/vehicle storage area 30 £nct
Curtain drain
None Observed
E. ENGINEERS CERTIFICATION
I certify that I have checked, verified or
Signature
John Sirgjbon, P.E.
Date l �� y
HAA Fee $ r3Cb r�
Date of Payment
Receipt Number.
72-M rte+)' Back
to all MOA and HAA
Waiver Fee $ _
Date of Payment
Receipt Number
-2.1°
L
10'9"
-0.50' - - - - - - -
GROUND LEVEL
y
- t - - - - - - - - - - - - - - - - - - - -
3' 9"
39'6"
51'
GRAVEL LAYER UP TO 10 FEET BELOW
GROUND LEVEL
ASBUILT - ABSORBTION FIELD
ELMORE SUB. SECOND ADDN., LOT 2, BLK. 1
DATE: MAY 25, 1994
SCALE: 1 " - 5'
DRAWN: SHS
2'9"
i
h
.owo"-
�i
ivB9 �Sa 'y7 -'F .
208.00
i
O f�9K P/.-vEl d I
re8.00
ASBUILT-NO CORNERS SET THIS DATE. SEWS S
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE:
FOLLOWING DESCRIBED PROPERTY:
«�rn2r��l�«nnvd.f.SlW tarl,, .dG� 7
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS DATE:
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID:
EASEMENTS, COVENANTS, OR RESTRICTIONS 3oT
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB:
ANY DATA HEREON BE USED FOR CONSTRUCTION�'� oy
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES. DRAWN:
orsI
F At
+Q.Due,.
LS-6918
°'i�••'
.......... '• �i .
EMIROMIf_1 t
ISCORPORATED
May 25, 1994
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, AK 99519-6650
RE: Well and Septic Adequacy Test for Lot 2, Block 7, Elmore Subdivision #2
Our inspection and test of the system located at the above location indicated that it is
functioning adequately to meet its intended use. However, it appears the system was
upgraded without M.O.A. notification. The old system utilized drainage tile that
stopped working in the 1980's. The owner then installed approximately 50 feet of 4
inch perforated pipe at a depth of 3.5 feet in place of a portion of the tile drain field.
From measurements taken from the cleanouts we estimate that it has approximately a
0.01 % slope. If this is the case, only the downhill portion of the drainfield is being
utilized, and premature failure of the system may occur. A monitoring tube was
installed prior to performing the adequacy test. During the installation, a soil sample
was taken at a depth of S feet. The soil appeared to be a poorly graded sand with
gravel. From inspection of the soil and logs from neighboring lots we estimate a soil
rating of 120 ft' per bedroom. Further inspection of data compiled from neighboring
lots shows a high ground water level in the area to be approximately 16 feet below
grade. No evidence of bedrock was encountered in our search through the known
data. Also a foundation cleanout is present inside of the foundation.
Although no permit was issued for this upgrade, it appears to have been functioning
well since the perforated pipe was installed. For passing the standards for a 3 -
bedroom house the system is safe, functional, and adequate for this 2 -bedroom
house. Therefore I recommend approval of the system.
Sincerely,
INC.
John Simpson PE
Civil Engineer
206 E. FIREWEED LANE, SUITE 201 • ANCHORAGE, AK 99503.2703
CONSULTING (907) 272-9336 9 FAX (907) 2724159 9 TRAINING (907) 272-8852 • FAX (907) 272-0319
I.
'
DATE RECEIVED
INSPECTION APPOINTMENTS
in
TIME
TIME
TIME
DATE
DATE
DATE
SINGLE FAMILY[JOne
1:1Four ❑ Other
'B.
INSPECTOR INSPECTOR INSPECTO
OF "He 1910"96
MUNICIPALITY OF ANCHORAGEF� DEPT. OF HEALTH &
IRONMENTAL PP,OTECTION
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOR"
" 825 L Street • Anchorage, Alaska 89501
• MAR 12 1981
_
ENVIRONMENTAL SANITATION DIVISION
Telephone 264.4720 RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTYOWNER p
FE'!j kL f"7 n/ O
PHONE
35/S -i o S-'-1'
MAILING ADDRESS
1rf% k h/93 -C
'do /vc t"'M 99ro7
PROPERTY RESIDENT (If different from above) ''
ou �r
PHONE
G F� F/110h'P , ue�e
.3yS-/0 88
2. BUYER
PHORr—
f?Mes f-Tf1MN '7
MAILING ADDRESS
3. LENDING INSTITUTION
PHONE
MAILING ADDRESS G �J /
fe& kiLD C. *-i fi
titiC/�orl sr o ,4 S A ��SO
4. REALTOR/A ENT //
�L7/l/
PHO E
Cf% 7c_
z -%el.�7
MAILING ADDRESS ""�� ��
•-�/G r /UO k1-5. )61-U D. /-s AJC O R q
1
5. LEGAL DESCRIPTION
h /ivy o R -�' 2 6 L
'7
STREET LOCATION
fi, /-I/, b )
O A) / Ve <-/—C' O i
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
SINGLE FAMILY[JOne
1:1Four ❑ Other
'B.
Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7, WATER SUPPLY
INDIVIDUAL'
'ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
& SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE"
/�?;%�YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72"010 (Rev. 6/79)
h.CWL- U-,
fAt--r
e5;:1-Verus�)
_ THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLICUTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
OATEINSTALLED �+
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size:IIf Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL TO:
Septic/Holding Tank
Absorption Arellf
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
b,—Af;•ROVED FOR Z BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY
72-010 (Rev. 6/79)
FerwakaL Strickland
SRA BOX 493-0
Anchorage, Alaska 99507
Tobben Spurkland P.E.
8155 Cranberry St.
Anchorage, Alaska 99502
Phone (907) 243-5302
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH 8
ENVIRONMENTAL P^OT'.CTION
MAR 18 1981
RECEIVED
March 19, 1981
S E W E R A D.B 4 U A C Y T E S T
Legal: Lot 21 Block 79 Elmore No.2
Location: On Riverton, off Elmore off Rabbitt Creek Road
Owner: Ferman L Strickland
Residence: 2 bedrooms, two storey, fully finished
Water System: On site well
Sewer System: From Municipal Records:
Tank 1350 gal Espinoza Concrete
Absorption System Drain£ield
Absorption Area 318 sq. ft.
Soil Rating 85
Groundwater at 16 in 1973
Installation date July 1973
Date of Test: March 18, 1981
Tank Pumped: March 19, 1981
Test Procedure: System was inspected on Larch 17, 1981. Tank bottom is 3
8'-10" below ground level. Water level in tank was 51-63/4
Liquid clean with no sludge or sludge blanket.
On Karch 18,70 gal. was dumped into the tank which caused
the water level to rise to 61— 41?". During the next 30
min. the following readings..of the water depth war taken.
No water was added to the tank during this time.
Time Water Depth
0 6'-412
10 5'-11Yi
20 5'-11
30 5'-103/4
Tobban Spurkland P.E. !~' eo cN nd Pg.2
At this time water was again added to the tank in 7 gal. increments. The following
readings were taken.
Water Volume Liquid de th
0 5'-Za 4
7 6'- 1}i
14 6'-4
21 6'-6
40 min. later the liquid level was measured to 5'- 11"
TEST MULT
This system absorbs 14 gal per 30 min. or672 gal per day.
The municipal requirement is 159 gal per bedroom per day or 300 gal per day for
a two bedroom residence.
This system exceeds the municipal requirement.
"*:491B*
..:............
2225-E . k-
�` ME 2% 1911
Y
1
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received 71//7'�14
Time of Inspection 3o 19•/%x.
Date of Inspection '71'r17 )4
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by: arc v
Mailing Address: Phone:
2. Property Owner: Phone: _
Mailing Address:
3. Legal Descr
4. Location:
5. Type of facility to be inspected No. of bedrooms
6. Well Data: AA
A. Type .1l,.,0( B. Depth
C. Construction �" �� D. Bacterial Analysis
7. Sewage Disposal System:
A. Installed lglu B. Installer
C. Septic Tank: 1. Size /3570 2. Manufacturer
D. Seepage Pit: 1. Absorption r a
E. Disposal Field: Total length of lines /4061, @3�14/Sd-[
8. Distances:
A. Well to: Septic tank Absorption area Sewer Lines
Nearest lot line Other contamination
B. Foundation to septic tank Absorption area
C. Absorption area to nearest lot line
EQ -034 (1/74)
Page 1 of two pages
n
n
GREATER ANCHORAGE ARLA BOROUGH
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-4561
6. Legal Description: Lot 2, Block 7, Elmore Subdivision 02
Location: NILN 02, Riverton Drive, Anchorage
7. .Type of Facility to be inspected: 2 No. Bdrms.
8. Water Supply
Type of Supply: Public Utility Individual x
If Individual, number of dwellings presently served 1
If Individual, depth of well 142'
9. Sewage Disposal -System
.Type.of System: Public Utility Individual (on-site) X
If Individual, date of installation July. 1973
REQUEST
FOR APPROVAL OF
'INDIVIDUAL
SEWER
& WATER FACILITIES
1.
Type of Inspection:
CMRO
VA
FHA
CONV x
2.
Property Owner:
Everett K.
L,+ciue E. RA{ne
Mailing Address:
Box 101,
Anchorage
Day Phone
279-4919�Z�q_461�
3.
Name of Buyer:
Everett K.
& Lucille E. Rains
O'L 2G 5464$
Mailing Address:
Box 101,
Anchorage
Day Phone
WV
279-4919 ZZq-4rgjj
4.
Name of Lending Institution:
Alaska mutual Savings Bank
Z654648
Mailing Address:
P.O. Box
1120 Anchorage
Phone 274-3561
5.
Name of Realtor or
Agent:
N/A
Mailing Address:
Phone
6. Legal Description: Lot 2, Block 7, Elmore Subdivision 02
Location: NILN 02, Riverton Drive, Anchorage
7. .Type of Facility to be inspected: 2 No. Bdrms.
8. Water Supply
Type of Supply: Public Utility Individual x
If Individual, number of dwellings presently served 1
If Individual, depth of well 142'
9. Sewage Disposal -System
.Type.of System: Public Utility Individual (on-site) X
If Individual, date of installation July. 1973
Page 2 of two pages - Req st for Approval of Individual S er & Water Facilities
Legal Description of Z ji loch 7 1-morf Sic%
Comments
i
Approved I�^ Disapproved
Date2 is -7y
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EQ -034 (1/74)
Date
