HomeMy WebLinkAboutFISCHER BLK 1 LT 3B4Fischer Block 1 Lot 3B4 #015-292-22 • 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: OSP181204 PID Number: 015-292-22 ❑ New •Upgrade Name: PARIS COCHRAN ABSORPTION FIELD Address: 0 Deep Trench El Shallow Trench 0 Bed 0 Mound 5100 SPRUCE CREEK CIRCLE*ANCHORAGE,AK 0 Other Phone: No.of Bedrooms: Soil Rating: Total Depth from existing grade (907) 230-9815 3 1.2 GPO/Sq.Ft. 10.74 Ft. Depth to pipe invert from original grade: Gravel depth beneath pipe: LEGAL DESCRIPTION SEE DWG. Ft 4.02 Ft. Subdivision: Block: Lot: Fill added above original grade: Gravel length: FISCHER 1 3B4 SEE DWG. R. 40 Ft. I ownshlp: Range: section: Gravel width: Beds Number of lines: Distance between lines: 5.0 -Ft. - Ft. SEPARATIONDISTANCES absorption area Number of trenches: Dist.between trenches t To Septic Absorption Lift Holding Public/Private1 - From Tank Field Station Tank Sewer Lines 400 SQ.Ft. Ft. Well *8o'+ #90'+ - - 25'+ TANK • Septic 0 S.T.E.P. OHolding 0 Other Manufacturer Capacity: Surface Water 100'+ 100'+ - - ANCHORAGE TANK 1000 Gal. Material: 'Number of compartments :2 Lot Line 5'+ *1i+ - - N/A _ STEEL 1 Foundation 10'+ 10'+ _ - LIFT STATION Curtain Drain Manufacturer: C - NONE KNOWN - Gal. Remarks: 'WAIVER#0SV181047;BOTTOM OF TRENCH INSPECTED BY Pump on level at Pump ort level at: High water alarm at MOA ONSITE EMPLOYEE TIM ECKLUND AS REQUIRED BY A Pump Make&Model' Electrical Inspections performed by: SPECIAL PROVISION ON THE PERMIT;PER CONTRACTOR SEPTIC TANK WAS HAULED OFF SITE AND DECOMMISSIONED AS REQUIRED - BYMOA ONSITE EMPLOYEE TIM EKCLUND DURING CONSTRUCTION. PIPE MATERIAL House to tank EXISTING/D3034 Tank to D3034 drainfield Installer A+ HOME SERVICES, LLC. Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 99.94 Ft. Inspection Location and Descnption: Dates: 1st 7/20/2018 2nd 7/20/2018 3rd 7/23/2018 4th BOTTOM OF TRIM AT NORTHEAST CORNER ENGINEE SEAL Community Development Department Approval o0 opo Conditional approval: Date: • •••.1-- '(/).* Al • -...)'‘ VA 001 9 f y •. • ess . CE-795• ..• �1 kit e 41 Approved: a66(1-A / Date: 7/2 7 l ^°ap • o`•11247 IV-� LICENSE 4o r0feSSiOnO� k#AECC884 O00000�.' '' Inspection Report_1-1-12 doe PERMIT NUMBER: PARCEL ID NUMBER: ` OSP181204 RECORD DRAWING 015-292-22 I 1 1 I I I 1 A BJ 1 I I ST1 18.1 21.2DURING THE EXCAVATION OF THE TRENCH MOA ONSITE ST2 23.1 25.5I EMPLOYEE TIM ECKLUND WAS PRESENT AS REQUIRED BY A DBL1 24.6 27.11 SPECIAL PROVISION ON THE PERMIT.DURING THE DBL2 26.2 27.4EXCAVATION,IT WAS NOTED THAT MINIMAL DRAINROCK WAS CO1 30.2 39.5PRESENT(ABOUT 1-2 FEET PER CONTRACTOR).DUE TO THIS MT1 29.1 38.5 \ FACT,NO SAND WAS USED AS THE TRENCH DID NOT HAVE TO BE OVER EXCAVATED TO REMOVE CONTAMINATED MATERIAL CO2 49.6 33.7 \MT2 47.9 \1.7 \ /\ \ FIS;,LOT BLOCK / ,LOT 3B6\\ \ \ / \ I \ / / FENCE \ 7 � I /�\ / \ � I +— — _ — -- I SHED NEW DRAINFIELD;INSULATED 4" UNDER DRIVEWAY / / � � � — � � \ \ ,: 02 MT _ _ FISCHER;BLOCK 1, V / / / \\\ NEW 1000 GALLON STEEL SEPTIC TANK W1TH DOUBLE CLEANOUTS LOT 4C-2 / •\ . IVAY .:•.,lir TANK AFTER TANK // �j��• / .,,d \ SPRUCE CREEK CIRLCE / woive / / 'oo ¢ `// \MT1 \., / / 90, �! w EXISTING HOUSE \ \IF1'+WR#OSV181047 • // / �A/`F''70.91,70 ar ���G F. \� \ \� / OS`' S' o 80•, B�Oq) I APPROXIMATE LOCATION OF EXISTING FCO i If wA��FR L 1 \ ..--- II I OSV'e ' I 1 1 / / / I I I i / � \ N I I I , i 1 1 i N I I I / \\/ \ \ FISC.LOT BLLOCK /�` ,/ // l()///3 /\\ \ \\ / / \ /i / \ \ \ / / \ \\ \x y/ / / \ / I \ \ / // / / \ GA $ LE: 1 \ \ / . .- / I 1""=40 N � � - / 1 n ► `, . ' .. GARNESS ENGINEERING GROUP, Ltd ( 4u1� " ��'� •• --,,, FNGINFERING-SATES CONSULTING - 1r wri` ■■/� 0 3701 E TUDOR ROAD.SUITE 101•ANCHORAGE,AK 99507'PHONE(907(3378179'FAX(907)338-3246'NEBSiTE-www.pamassanpineennp.com ; • 1 . r' • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 11 : I - r/ey '.Gam- s : &v a PARIS COCHRAN 907-230-9815 2 OF 3 0�G'i�• 7-77 LEGAL DESCRIPTION: DRAWN BY: .♦ • a,a ... � ri ` FISCHER; BLOCK 1, LOT 3B4 D.J.G. . �'• '� .t TYPE OF WORK: DATE: LICENSE* PROFESS SEPTIC SYSTEM RECORD DRAWINGS 7/26/2018 #AECC884 ,illlliIMS��� J PERMIT NUMBER: PARCEL ID NUMBER: OSP181204 RECORD DRAWING 015-292-22 FINAL GRADE=99.99-100.23 2"INSULATION PER CONTRACTOR TOP OF TANK _1 g2 AT INLET=95.85 TOP OF TANK AT OUTLET=95.81 11111 INVERT OF BUNG./ NEW 1000 GALLON N AT INLET=95.31 SEPTIC TANK INVERT OF BUNG AT OUTLET=95.15 J "I MT CO FINAL GRADE=99.4.4-102.17 _ B EXISTING GRADE @ HIGHEST POINT=100.30 • 4"INSULATION UNDER DRIVEWAY FILTER FABRIC A illi I ,:,:,: ::.,:,:,.::::::::::::: ••• ••• ...... :::::. :::::::.:.:.:•;.,.: ..:: ...........:. .•.•.• •.•.•.•.•.•.•.•.•.• 4.02' INVERT OF PIPE=93.58 I ___ 5'—I BOTTOM OF TRENCH=89.56 s] `RELATIVE ELEVATION OF BOTTOM OF T.H.=83.30 (TH#1 DRY ON 7/20/2018) • • ,.... i_ ... . GARNESS ENGINEERING GROUP, Ltd 1.. 4 AIIMIIIIIIIINKiiENGINEERING SALES CONSULTING w v NG y---�com s ,• ' • 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507•PHONE(9%)337bt79'FAX(907)77&33E6'NEBS�TE xww pameasm¢rw.1hp.com • • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: (f1 a /ey , ess : i- PARIS COCHRAN 907-230-9815 3 OF 3 ••0 • C 79 i 'Z�; LEGAL DESCRIPTION: DRAWN BY: .* F• 7�• ' 1 c- FISCHER; BLOCK 1, LOT 3B4 D.J.G. •♦-re"•••,�� ''''''�,,�'�'•�,�i TYPE OF WORK: DATE: LICENS�,44,;�;;;;..�• SEPTIC SYSTEM PROFILE 7/26/2018 #AECC884 "`r MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program S PO Box 196650 4700 Elmore Road ; Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343-7997• ' http://www.muni.org/onsite fir y I)�I,artill ni 44,CHOP PVE On-Site Wastewater Disposal System Permit Permit Number: OSP181204 Effective Date: 7/19/2018 Work Type: Septic Upgrade Expiration Date: 7/19/2019 Tax Code Number: 01529222000 Site Legal Address: FISCHER BLK 1 LT 3B4 G:2537 Site Mailing Address: 5100 SPRUCE CREEK CIR, Anchorage Owner: COCHRAN PARIS K 50% & Lot Size in Sq Ft: 11570 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3 This permit is for the construction of: D Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: In lieu of sieve analysis to confirm insitu is sand, On-site shall be present at drainfield bottom of hole inspection to confirm insitu is consistent with submitted sample. ,�Received By: � /� Date: I Issued By: �S 7� Date: T I f' Municipality of Anchorage r' ~ i i rr plI P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 • Fax (907) 343-7997 http:/lwww.muni.orq/Onsite Development Services Department On-Site Water and Wastewater Section **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV181047 COSA#: Permit#: OSP181204 PID#: 015-292-22 Legal Description: Fischer Block 1 Lot 3B4 Engineer: Garness Engineering Group Applicant: Paris Cochran Your request for a waiver of the required 100 feet horizontal separation from the septic tank and drainfield to the private well has been approved. The approved separation distances are 80.0 feet and 90.0 feet, respectively. In addition, your request for a waiver of the required 10.0 feet separation from the drainfield to a lot line has been approved. The approved separation distance is 1.0 foot to the lot line bordering Spruce Creek Circle only. In addition, your request to locate a portion of the drainfield under the driveway has been approved. See engineer's waiver request letter for justifications for granting these waivers. This waiver approval applies to the proposed septic tank and drainfield only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: 1/19/lir Approved by: �k�ll l�t���1 0A,LJ-0 Name of Reviewer **** VARIANCE/WAIVER REVIEW **** 3656 789 MUNICIPALITY OF ANCHORAr' - pt°* i Community Development Department � Phone.V►7-343-7904 Development Services Fax: •t a 43-7997 C'A,N On-Site Water & Wastewater Program 6 8 L 9 9'1 Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-292-22 Property owner(s) PARIS COCHRAN Day phone 907-230-9815 Mailing address 5100 SPRUCE CREEK CIRCLE *ANCHORAGE,AK 99516 Site address 5100 SPRUCE CREEK CIRCLE*ANCHORAGE,AK 99516 Legal description (Sub'd, Block & Lot) FISCHER; BLOCK 1, LOT 3B4 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ® Upgrade - (w/wo ADU) Septic Tank ® Duplex (D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings n 111 (SF and/or D) Privy Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: \ SEPTIC TANK TO WELL; DRAINFIELD TO WELL; DRAINFIELD TO LOT LINE: DRAINFIELD TO DRIVEWAY: NO SIEVE ANALYSIS Distance: 80 FEET;/FEET;90 FEET: 0 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 'JC' q -r Waiver Fees: 11 2ff Date of Payment: -7 — t1--1 Y Date of Payment: -]-17--lr Receipt Number: DaAr[6 Receipt Number: j' lct-taA Permit No. 0SP'K I ib ` Waiver No. 05V i i c` 11 (Rev.01/11) t __ uanics GARNESS ENGINEERING GROUP, Ltd Aci.,,nc b T.' tm tv�,tC.m ENGINEERING SALES CONSULTING Dealer July 19th, 2018 Municipality of Anchorage Development Service Department On-Site Water&Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Fischer; Block 1, Lot 3B4 To whom it may concern: The existing 3-bedroom house is served by a private well and septic system. The 28-year-old steel septic tank is at the end of its useful life and the drainfield is approaching the end of its useful life. We are proposing to decommission the existing septic tank per UPC and install a new 1000-gallon steel septic tank. We are also proposing to excavate out all contaminated material, import MOA sand as needed to rebuild the existing drainfield to a depth of 11 feet below existing grade and construct a 5-wide type drainfield over the existing drainfield that is extended approximately 8 feet (40 feet total). One testhole was excavated on the property, additional information regarding soil profiles on adjacent lots are also attached. As can be seen on the GEG soil log, and the soil logs for the adjacent lots, there is a sand and gravel layer prevalent throughout the area. In short, although the existing drainfield is designed around a testhole that was visually rated, it is reasonable to believe that the soil profile for the trench has a percolation rating of less than 1 min/inch. Additionally. a soil sample was submitted with this design for your review. A sieve was not submitted as we feel it is not necessary as the submitted soil sample is clearly sand. In short, we feel as though a sieve should not be required and the drainfield should be allowed to be rebuilt. Comments regarding the design are summarized as follows: 1. SOILS: See attached 2018 soil log by GEG which shows soil classification, groundwater monitoring, and percolation test data. As stated previously, several soil logs are attached showing a consistent sand and gravel layer throughout the area. In short, although we are outside the 30 foot radius for the proposed re-build, we feel it is reasonable to assume a <1 min/inch percolation rating. Additionally, a soil sample was submitted with the design to waive the requirement of a sand filter without a sieve analysis. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: There are no slopes >25% within 50 feet of the proposed trench and the are of the proposed drainfield is flat. 5. WAIVERS: A waiver was granted on 2/16/1990 for the existing septic tank to the well on property to be reduced to 90 feet. We are requesting that your department issue a variance of 80 feet from septic tank to well. Additionally, there is an existing waiver from drainfield to lot line from 10 feet down to 5 feet. We ask that this variance be re-issued, although the existing septic system is approximately 10 feet from the lot line. In short, we want to avoid having to request a waiver during construction if encroachment upon the lot line becomes necessary. We also request that your department waive the requirement for a sieve analysis and allow for the drainfield to be installed under a driveway. The requested waivers are summarized as follows: • Septic tank to well: 80 feet 3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com Page 2 of 2 • Drainfield to lot line: 1 feet • Drainfield to well: 90 feet • Drainfield to driveway/parking areas: 0 feet • No sieve analysis Justification for granting these waiver as as follows: • Per the inspection report in MOA records, the existing drainfield is 100' from the existing well. Per the record drawings, it is immediately adjacent to the 100' well radius. Based upon this fact, we are requesting a 90 foot waiver as the drainfield will be widened and it is unknown if the initial measurement was completed by a professional land surveyor. • The drainfield is being extended an additional 8 feet. There is a seepage pit located to the west of the proposed drainfield and its exact location is unknown. For this reason, we are proposing to extend the drainfield south, rather than west. In short, the 90' well waiver is needed in order to avoid over excavating (maximum depth of 11 feet) and avoid a potential encroachment during construction. • The house is located between the well and drainfield, if effluent were to overflow it would not flow directly towards the well head. • Water samples were pulled on 5/13/2018, the results are as follows: Arsenic: Non-detectable (<5 ug/L) Total Nitrate/Nitrite-N: 2.51 mg/L E.Coli/Total Coliform: Negative • The area between the well head and proposed septic tank and drainfield is vegetated • Per the well log there is a "wet silt" to "fine gravel" layer from 215-296 feet • The home is located between the well head and the proposed septic tank and drainfield • It is an improvement from the existing 28-year-old steel septic tank • A 100 scale is attached which shows the nitrate levels of all adjacent properties. Based upon this data, it indicated that the nitrate levels are due to the aquifer, and not necessarily an indication of the failing septic tank on property. • The submitted soil sample show the insitu soil is clearly sand • The existing drainield has been located under the driveway for approximately 28 years. The new drainfield will be insulated with 4" of blue board insulation. We are unaware of any adverse impacts this installation and/or waivers would have on adjacent wells or septic systems. /It you have any questions, please contact us at 337-6179. Thank you for your assistance. rely, - r- a ess, P. ., M.S. Pres': t 3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website:www.garnessengineering.com 1 4A2 3A5 3A6 3A7 4A1 �— 3A4 SELDON Cir 4B-1 4B-2 — --(84-213) (84-213) (84-213) /--' \X \�\ e� `�\ /' \`\ 3A2 > 3A1 \.. / // \ 100.w APPROXI•e , 1 1� OPLL a,y!` — UJ --I mt,. I �IUg I I J I 1 I j I 1 0 I 1 1 `‘\� \`\3B5 3B6'\/ 3B7A z,' / WELL ON LOT TO WEST \K \� PER OWNER;SEE NOTE S-, �� ��---_ - ��___-_,. ON 40 SCALE - -_ \ J 4C1 4C2/''� �* .i` SPRUCE CREEK Cir 100' _-- /_ (72-271) --.1------":4- 12145._ - I W - - \ I i I i \ 7 \\ �1 � ' 3B11 " / ` / 3B3 \ '' 6B2 \i, .. \ \, //10loo./ E10'WE 11 WEL , II I 1 I \. ' I 1 / , 1 \ / / / \ / / \ , \ __ (I SCALE: i , r'=100' 00,1111111%i .ate . di 41 ...% .. ,• .. GARNESS ENGINEERING GROUP, Ltd I,; '911 .. ''' ' �_ •• - . ENGINEERING SALES CONSULTING - - - - llr03701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507'PHONE(907)337-6179'FAX(907)338-3246'WEBSITE.www.garnessengineenngcon . ••• •• fPREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 J- - am-7. : Lz.,• PARIS COCHRAN 907-230-9815 1 OF 2 ��J,'•;.. -7.15) '._ PROJECT/LEGAL DESCRIPTION: DRAWN BY: .. 4 •.• •• . 3 I,, (`,40 FISCHER; BLOCK 1, LOT 3B4 D.J.G. lir ♦ „,_••• (`'*.„ .� TYPE OF WORK: DATE: LICENSE 44 , 1 ESS` ..•• SEPTIC SYSTEM DESIGN UPGRADE 7/3/2018 #AECC884 ����� 1 I 1 I DESIGN CRITERIA: — GEG.Ltd.HAS A 8 PAGE SPECIFICATION I 1 NUMBER OF BEDROOMS:3 LETTER THAT PERTAINS TO THIS DESIGN.TO NOTE:THE CONTRACTOR SHALL HAVE GALLONS PER DAY(GPD):450 OBTAIN A COPY OF THE LETTER CONTACT THE NORTH LOT LINE,AND ALL PERCOLATION RATE/S:'<1 MIN/INCHGEG.BY PROCEEDING FORWARD WITH THIS INSTALLATION,THE ENGINEER,WELL DRILLER, PERTINENT WELL RADAII FLAGGED BY A PROPOSED APPLICATION RATE: 1.2 GPD/FT° CONTRACTOR AND PROPERTY OWNER AGREE REGISTERED LAND SURVEYOR PRIOR TO MINIMUM DRAINFIELD SQ.FT.:375 Fr THAT THEY HAVE READ THESE CONSTRUCTION. •SEE DESIGN LETTER REGARDING SAND FILTER AND SPECIFICATIONS AND AGREE TO ACCEPT THE PREVIOUS PERCOLATION TESTSTERMS AND CONDITIONS OUTLINED. DRAINFIELD DESIGN: \ \ MAXIMUM DEPTH:LIMITED TO REMOVAL \ / \ OF CONTAMINATED MATERIAL MOA APPROVED SAND:AS NEEDED TO REBUILD THE DRAINFIELD TO BE INSULATED UNDER DRIVEWAY EXISTING DRAJNFIELD NO GREATER THAN 11 FEETWITH A MINIMUM OF 4"HIGH DENSITY INSULATION BELOW EXISTING GRADE WIDTH:5 FEET OVER THE ENTIRE WIDTH OF THE TRENCH LENGTH:40 FEET \ / EFFECTIVE:4 FEET FISCHER;BLOCK REDUCTION FACTOR:0.50 FEET 1,LOT 3B6 ACTUAL SQ.FT.:400 FT' N / FISCHER;BLOCK / 1,LOT 3B5 / PER CONVERSATIONS WITH OWNER ON 6/26/2018 THERE IS NO WELL ON - PROPERTY AND IS SERVED BY A WELL I --- _ — SHARED WITH LOT 4G1 =I \ 1 \0-5% ,5% 10'+ FISCHER;BLOCK 1, LOT 4C-2 APPROXIMATE LOCATION C•. APPROXIMATE LOCATION OF OF GEG TESTHOLE T.H.BY BRUCE COWAN.P.E. ALL CONTAMINATED MATERIAL IS TO BE EXCAVATED OUT;THE EXISTING TRENCH WILL BE WIDENED AND + — --- ligird.,.- k SPRUCE CREEK CIRCLE EXTENDED;SAND WILL BE IMPORTED AS NEEDED tu CAR PORT 1.7.71+1 / EXISTING SEPTIC TANK TO BE —____ AN EXCAVATED AND FILLED WITH PIT / // ¢ \ __N RUN GRAVEL w - • PROPOSED DRAINFIELD / EXISTING 3 1'+WAIVER REQUEST / j BEDROOM 1000 GALLON STEEL TANK;DO HOME \ NOT INSTALL UNDER DRIVEWAY;INSTALL b / 9p.11,4 /1, DOUBLE CLEANOUTS AFTER TANK ONFIRM / / ,,ri.Rk-QUFST — — 1 INTEGRITY CONTRACTOR FCO;INSTALL i NEW FCO IF NEEDED I I / � , i ' /. �`st N I / / V� J° RE I \ I / / a I / �0\JS P\ FISC,LOT BBLOCK \I I // ::14 - /\\/ / / /lrISI / / / SALE: \\ // / \ I 1 I \ / // I I I GARNESS ENGINEERING GROUP, Ltd0 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337.8179'FAX(907)338-3248'WEBSITE:www.ym•sserpneering.ean , • .. ' .• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: is = A. Gam: • • ss to PARIS COCHRAN 907-230-9815 2 OF 2 • i., . C 9 3• PROJECT/LEGAL DESCRIPTION: DRAWN BY: I� •• .� �!t /.t'''. � FISCHER; BLOCK 1, LOT 3B4 D.J.G. • p�•p��U,I� p\- .40 TYPE OF WORK: DATE: ,, �"`,��•• SEPTIC SYSTEM DESIGN UPGRADE 7/19/2018 #AECC884 11� *� .' OF ' I0111274r_giVill&s*-allw i •••• t GARNESS ENGINEERING GROUP, Ltd ; ,1 • • FNGINFERING SALES CONSULTING it i • 3101 E TUDOR ROAD,SUITE 101•ANCHORAGE.AK 99507'PRONE(907,3376,79'FAX(907)336(3256,A,EOSITE x+vn 0,KF55K,9wec(r.)c_m ,�e .•�0 • �/ /�✓1. • . r-� A. Garness : • SOIL LOG - PERCOLATION TEST '•,•,pF I . CE-7953 •;S�_i LEGAL DESCRIPTION: FISCHER: BLOCK 1,LOT 3B4 A♦r 4O.,, •*/::4 PERFORMED FOR: PARIS COCHRAN DATE: 6/28/2018 (11 PROFESS\���4 LICENSE 1litIt"`ivS8 DEPTH ..7_:_-_,-:::::^ #AECC884 (feet) ^ ORG TEST HOLE #1 t• • • • • • SOIL CLASSIFICATIONS SITE PLAN • • 2 • 1 • • : ; GW ORG (.<1_!,:'r.e.'A 3 - GP 1 ML i �� ' • • • SM W/SOME GRAVEL GM i��1 CL � • • • • (DISTURBED W/ROOTS) GC I OL �,P 4 i• . • • o°:o D T SW I}I MH ��Q • . ' • ':�:�:; SP CH 5 • • • • ; t } SM ,' /MOH ‹9 `0 6 •• . • . *0. k.p SC et• • • • ,`Q. 7 i• . DEPTH GROUNDWATER DATE �P� . • . 5� 8 DRY 6/28/18 ',0 • • • 4,4 DRY �8 7SCALE 9 1 =100' • • • • 10 • • ' • • • CLOCK NET TIME WATER LEVEL NET DROP 11 • ' DA I f READING TIME (MINUTES) READING (INCHES) • • • • • • • SM W/SOME GRAVEL 6/29/2018 ABSORBED 5 GALLONS<1 MIN 2 TIMES 12 ' a POCKETS OF SP • • • • • • • 13 • • • • • • • 14 • • • • • • • • 15 • • • • • • • r 16 • • • • • • 17 B.O.I1. 18 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 ; N.. 19 TEST RUN BETWEEN 6 FT. AND 7 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: D YES • N;) SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ERIK WIDGER COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PEFOFMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: -J /t.,// J I PROPOSED FINISHED FLOOR 0.EV.(ASSUMED) $E BUnCIRD CORNER °E°R0V.(9 ) '`‘; 3B5 ZONING DISTRICT FRONT BUILDING SETBACK 9DE BULDNO SETBACK r2]Sp, MILLING DG SETBAO( VV•- SS9. 2S- SN � 'o. '< >' b cr H C.O.s`� o` t` d up Lu CAR PORT GRAVEL DRIVE X SPRUCE CREEK a J � C.C.S .. L � • CIRCLE RC L ENO • 27.5 EXISTING S N. HOUSE cg0 W • ELL X23 36 3B3 UNDER NO CIRCUMSTANCES SHOULD AN AS-BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE UNES. THE SURVEYOR TAKES RESPONSIBIUTY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABIUTY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCAUNG. REPRODUCTION MAY CAUSE ERRORS IN SCALE. ❑ LOT SURVEY SURVEY TYPE SYMBOLS ❑ FWNQAl10N AS-BUILT • DRAINAGE SET REBAR 1:-.-:.:::::-.:::-:1 ASPHALT ❑ FINAL STRUCTURE AS-BUILT 0 FOUND REBAR O 0 0- WOOD FENCE t .:.o..a CONCRETE O PLOT PLAN . . AS-BUILT. . .LOT SURVEY. . . TOPOGRAPHY /:=3) ASSUMED ELEV. X k X METAL FENCE IIJfifI WOOD DECK El A$-BUILT . • . No CORNER$SET 0 RECERTIFlCAT oti AS-BUILT. . . NO CORNERS SET PLOT PLANS Sc LOT SURVEYS NOTE: IT IS THE RESPONSIBIUTY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERI1FICA11ONPrepared by �� wwwr*�! PLOT PLAN .**,77:110 f •ate Robert E. Johns, Jr. & Assoc. I hereby bray nwt I hots WtyHodtys lsd •♦,`p:,, •.,•.(.j Professional Land Surveyors the Tot&eon old deedlb.d hence,red that I �♦C., •' ,.s(I.;. 1700 Brink Drive. hors tared or.etabBahee al of the lot comers `C/ a WON n the Wan and to the beet of my / 1-I• ! . ANCHORAGE, ALASKA 99504 ICtordWoe nod ab&lle&at dlnen.toos ho.s been I N: ` eoa.rW true end correct Y 9 \ Rec. Lot S.F. Rec. Plot File No. / # J f Scale: 1„ = 301 FOUNDATION AS-BUILT 1 `�'�"r.;Ir " f I,Robert C Jahno,Jr.,hereby only that I ., `7 0 Dote Surveyed: Drawn b Checked b how I» •d n A.-Boat-,»r at the .. - "�` 01/15/13 Y RE ,FMK toandatlen dl Mil lot and that all the /� • awnrrton and Information as Wore hereon . RO RT HNS, s;a.nat :"°°°`" ""'n""�' # . _.. o M Date Drawn: 01/16/13 Grid: 2537 WD 13-14 • P, ,• 4121— •• FINAL STRUCTURE AS—BUILT •.d• 'N J �t AP Legal Description: I,Robert E John.i.,hereby orgy that I .d',' 'N •, i . C2 ;fitctu�oa Nte an and that �e the .•Go,`jr••,••, .....�o,sa♦.• Lot 3 B4 BLOCK 1 aen.n.loaa and Ia,am,adv as Woe.hereon +1,,,a,O S SIO na,�♦♦ F I SC H E R aro.t o nhe teee.encroachments erdtt urns; aylimiw . , • ----11 -\:)4, SEED 1i. - 1r- eJ\'T� 1 II N II �-r i Flsc CS/D - ''..'• /� '� / I I LOT X4( 1 FSCHER S/D \ S E: / FISCHER BI/0 LOT 3A1, BK 1 1 // I // \ LOT 3A2, eIZ�\ ,.. Ir1/\\ 1" - 100' / \\ I / \ ILL] I I 4 -- -----4-i-- `'t:. , L I ' A --- t 1 I I T' �� . .r 1 1 IL—J 1 ' ' � FISCHER D �� � LOT 386, K 1/ I7 0,,, ISCHER S/D / / A' \ I t,OT 3B5, BK 1 \ FISCHER S/D H `} J / LOT 3B7, BK 1 / lv �� I � c AREA / NC.' N (All \ �I- — "� �C AaeA, P?iC --! -,.. ARS — I ��� FISCHER S/6 I FISCHER S/ LOT 4C�/BK 1 I LOT 384,...61‹\ S R ImoUC CREEK C i r " �// ` N. \ I FISC ER\S . LOT 81, / 1 I LOFISCHER 383, B D 1\/r HOU u \ / I h'HEO[I 1 • , I . 1 ` I 1 __------_------- j ---- --/ 1, ----------• \ \104T &VENUE 0 = a:R-$ N =a4W-) ril3v113 ail►?Iry LOUDERMILK 5/0 LOT 7, _..__- '..__.......... .__.........,..r_._.:....................... .._� �t1 r_ r.-J ,...:..........:R.m:c_r3L."::::�_:u.::c�.. ..... • • IS I' �. GARNESS ENGINEERING GROUP, Ltd • ` :-� •. :, ,::a:CIVIL&ENVIRONMENTAL ENGINEERS- ........ .__::_:.: . :...- .. ::_s:._ . i 3701 E.71.100R ROAD.SURE 101 •ANCHORAGE.AX 99307•PHONE(907)337-0179•FAX(907)330-3241•wFBSIrE:....yams ung wwp . . . . .. - 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: j . SG$ SGS Ref.# 1182185001 Client Name Garness Engineering Group, Ltd Printed Date/Time 05/22/2018 12:30 Project Name/# Fischer;B1,L3B4 Collected Date/Time 05/15/2018 15:50 Client Sample ID Fischer;B1,L3B4 Received Date/Time 05/15/2018 16:11 Matrix Drinking Water Technical Director Stephen C.Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date lint Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 05/18/18 05/18/18 ACF Waters Department Total Nitrate/Nitrite-N 2.51 0.100 mg/L SM21 4500NO3-F B (<10) 05/16/18 AYC Microbiology Laboratory E.Coli Negative 1 100mL SM21 9223B A 05/15/18 K.W Total Coliform Negative 1 100mL SM21 9223B A 05/15/18 K.W MUNICIPALITY OF ANCHORAGE ` DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage. Alaska 99502• Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Ne^e DISTANCES O/S— 9A _ x TB ABSFIELDIBN WELL " hasa FAOM TANK PO F;ox 101040 pn;>ne(al Perma No. No. of Beorooms WELL W 01 OO 1 ,f —1311 1 9MO 3LOT LINE /31 si 2 uau oascal TION Lot Bleck $uDdwsron 3 FOUNDATION 231 30% .3-71 Township, Range, Section AS-BUILT DIAGRAM (Snow touuon of well, aepuo system. D,opety Ins0. tounaeion. anreway, wale, Doles. CC) k1r, 11C S• TANKS ► 1NI SEPTIC ❑ HOLDING lh,37 p %h D 53' TE 5 Manutecture,Qpauy m gals • �� Metane Na. a compartments TYPE OF SYSTEM TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER 14C U 11 oC Depth to Pipe WIGM I,OM ToW eepth hom onginal gia le agmal glace 1 FT 17-' FT Fm thweo above aig." g.aoa Greel Ilepth beneath pope Q FT FT Gravel length Ware wieth z t FT 3011 FT — jv5i IAYJ Total aWorpeoneea Distance between Ines 51Z SO FT N FT humps, of Imes Sal rating Fps maleNl I /SO SOFT Sr 1 ;A ILLIaIIM o y $ y Dale Ineaile0 S 3 3 o 3 Al- TR K nD l WELLS *PRIVATE ❑ OTHER (lden8fv) � Oleswbubon (AB.GI \ Total DepthQsaa to FT FT Imtaile /. Dale lnstNleO. TA ( t REMARKS: X/ST. ceiAtjovAjeo f C SPccS ME-LI TAT 14 y 01—D GL'usF�En F/GEED' F0�eQ&14ATeD Scala: T t .elwleteeAa nOFol T P) Ins ions Perform y: il•� R '>i. Dats. y N •. I rVy dist Inlpadlon waa Worsted arseding to all d , . • i . � Municipal and &ae guidelines In glad an W9 "t �� .: IV,, H@Mh Department Approval: ' Date: 72-0T3 (3/85) 0 0 x L t Pm • 3-,�-9v M U N I C I P A L I T Y O F A N C H 0 R A G E C�(� Department of Health & Human Services — 02-5 L Street, Anchorage, Alaska 99501 343-4720 0 N- S I T E' S E W E R P E R M I T Permit Number: 900036 Upgrade 51 1 �1L�C�L�ZC0 Date Issued: 02/20/90 Engineer Designed Owner Name: ALASKA HOUSING FINANCE CORPORATION Day Phone: Owner Address: P.O. BOX 101020 522-1311 ANCHORAGE, AR, 99510 Parcel Id: 015-922 Lot Legal: Subdivision: FISCHER SUBDIVISION Lot: 3B4 Block: 1 Section: 15 Township: 12N Range: 3W Lot Size 11570 (sq.ft. or acres) Max Bedrooms: This Permit: 3 Total Capacity: 3 SEPTIC TAME•:: Minimum total septic tank: capacity: 1,000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tan(.(s) < 4.0 feet renuires insulation over tank(s). INFORM D.H.H.S. PRIOR TO INSPECTIONS BY ENGINEER, IF AFIT-H HOIJkS, CALL 343-4601 AND LEAVE A MESSAGE. CONSTRUCT PER' ENGINEERS ATTACHED DESIGN. THIS PERMIT EXPIRES,12/31/90 AND VALID FOR A SINGLE FAMILY HOME. I CER 17 1. I am familiar with the requ:remen s tur on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. �. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlarg e t will requir an additional permit. Signed: ( DATE, �20� (Owner) A aSR:A HOUSING I ANCE CORPORATION Issued By:DATE: - .20-190 J------------ ----------------------------------- �" i': �-'1'r:�`YiU:y.��t- .:Y.�1-YAfivCC-i SJY'•-_nau((� o�,o/nwv y�: �: rJT^.jvrs •err .✓.�.r-.-; ""1'Pir a�' .' .j,'+.�i'..�i�`."" r4`ii 1-:].7V�a'.s�'+>-s��F�l�!�t�f�.."F�f�r�Y STiml.:alLS)�2Mws�.-TAl'4'15.5�1�'✓JtYiw`c.,?�u1�4`t� .. ... _ r.r.f .. Municipality of Anchorage Department of Health and Human Services 825 "L" Street TomP.O. Box 196650 Anchorage. Alaska 99519-6650 Mayoror 343-4744 March 13, 1990 Bruce Corwin, P.E. Corwin and Associates PO Box 230608 Anchorage, Alaska 99523-0608 Subject: Waiver Request for Lot 3B4 Block 1 Fischer Subdivision Waiver Request #WR900003, PID #015-292-22 Dear Mr. Corwin: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 5 feet. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, - �-1W Daniel J. Roth Civil Engineer On-site Services ljw#7 Concur: I YohnSmith, P.E. Program Manager On-site Services Municipality of Anchorage �� 1 Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 February 16, 1990 Bruce Corwin, P.E. Corwin and Associates 1000 East Dimond Boulevard Suite 205 Anchorage, Alaska 99515 Subject: Waiver Request Subdivision Waiver Request Dear Mr. Corwin: for Lot 3B4 Block 1 Fischer #WR890064, PID #015-292-22 The subject waiver has been amended as requested in your January 19, 1990 letter. The prior approval issued on November 1, 1989 waived the required 100 foot separation distances of Lot 3B4 Block 1 septic tank to well, 80 feet; Lot 3B4 Block 1 leachfield to well, 88 feet; Lot 3B4 Block well to Lot 3B3 Block 1 septic tank 80 feet; Lot 3B4 Block well to Lot 3B3 Block 1 leachfield, 90 feet. The amended approved waiver is for the proposed new septic tank separation distance to be installed 90 feet rather than 80 feet from the well on Lot 3B4 Block 1. This waiver approval applies to the proposed septic tank to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this office. If there are any further questions, please call this office at 343-4744. Sincerely, "� y; , �'W Daniel J. Roth Civil Engineer On-site Services DJR/ljm:06 Co ur ence, J nS�myith, P.E. Program Manager On-site Services MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Corw0in JAN 19 1930 & associates,inc. RECEIVED Consulting Engineers 1000 E. Dimond Blvd.. Suite 205. Anchorage, Alaska 99515.(907) 522.1311 January 19, 1990 Mr. Dan Roth Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, Alaska 99503 SUBJECT: IAT 3 B4, BLOCK 1 FISCHER SUBDIVISION Dear Mr. Roth: We request that the Waiver for Well to Septic Tank Separation Distance of 80 feet issued by you on November 1, 1989, be amended to allow us to upgrade the septic system on the above referenced lot. Our intent is to install a new trench system 100 feet from the well, and a new septic tank 90 feet from the well. We are also seeking a septic system to lot line waiver of five feet. The $70.00 fee for this waiver is included. If you have any questions, please contact our office. Very truly yours, CORWIN� && �AS�SOOC�IATES, INC. Gerard Kress Engineering Technician enclosure GK/lb FLY. LL:i e naAS 46b 0 cQu Pd�K no P-Ali3i ajo 1..uP9Uc Z)a-5 65 = (ENGINEER'S SEAL) Municipality of Anchorage (;tY� DEPARTt.1E-NT OF HEALTH E HUMAN SERV. 3 ' 625 "L' Strect, Anchorage. Alaska 99502-0Gt � y SOILS LOG — PERCOLATION TE PERFORMEO LEGAL DESCRIPTION: L.-,oT 394 91 K Township. Range- Section: Ti Z Kt f?—'Yu s / S SLOPE SITE PLAN HSGHEE SUaD. 2 SP -SM - .. Sana w/trace o -C S;1+y 4AJ 3- 4- 6 46 ... 11 I I o 12 l0 w 75 ML 16 EAID 17 18 19 20 COMMENTS A1i1SL MMUM ■oomm- IMMMM riclAir-Mll C IFYES.ATWHAT L O DEPTH? P E -H+ Otxh to we" RPxr Kanitvirrl Oe,l ort 1 Readuv! Oate Gros Mt Depth to N<[ Time Time Water OZ PERCOLATION RATE (m6v Il /:nrhl PMC HOLE DIAMETER TEST RUN f1ETV/I;EN FT AND FT pERFORMEO 8Y: PP � KCE4Z • ( 1AVtLGV' (L-VN.'IF r-ERTIFY THAT/T)HIcS�T/EEA��WAS PERFORMED IN ti ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIOELINES IN EFFECT ON THIS DATE. DATE: _LL z2do o .-� 12-008 (Rev. 4/851 / ' . III I L__ f I � UE LL EXIST. CRIB TO eE MAUD, \ I ' EX IST. TALI K v TO BE AVAIM DROP. TKCLCH 'U.r' LOSIG ,TEST HOLE. SPPLr-E CEEEIC, LIEU 61 W J J e< PROPOSED SYSTEM: TRENCH (3 Bdrm)(150 soil)= 450 sq Construct Trench 8' sewer rock x'28.5' deep =456 sq ft. Abandone Existing Crib S Tank. Install new 1000 gal sep tank M.O.A. Approved Insulate tank if cover is less than 4' Insulate trench with 4" styrofoam insulation where it crosses the driveway. Install clean -outs between tank and trench, and at both ends of trench. Install monitor pipe in trench. A 500 Gallon M.O.T. Approv Lift Station May Need To Be Installed, if adequat grade fron house to proposed trench can not be obtained. INSTALL 4" STYPOFOAH 4 = Gov[K FILL INSULATION OVEE GEO i O GEoFAgEt: FASEIC AT DEMPAY J-4" PEZ.F PIPE C FOSS I UG s• SEWM rmK NOTE: All Dimensions And Locations Must Be y'�1 Field Verified Prior To Construction SEWER SYSTEM LOCATION PLAN »--x^• NORTH J. Conin / CE 2n ISCHE r Z&t zaw 00NOTE- The Aceurfey er yLoc.tlonCorner Of all.ltlnd Ma /reposed rrorertr Corners, act. .M sioptic sLoas LKEESS dUs"eis Mot Er.et. O senalons .Ipc and/ r My Yren Detecords, A Yse M Clotn Sara l,L" T Ma.lelp.l Moeord.. And Mot 0y A i Survaylny r«nnldaas SYSTEM S DATE- 111'71(70 1 SHEET ' OF 2 VERIFY TALL DIMENSIONS PRIOR TO CONSTRUCTION GRAIL! LINK FENCE PROPOSED TtEUCH ES.5' LOUD 5' PeOM P90PEE-Ty LINE C7 SE EKD OF TEEMCH EETY LINE 1 iAf .lti EXIST. CQIB-\\`^ 1' n s -i- ,e• .. >ro TEST HOLE ►..CBS: ♦' p ral 1 rV 0044 CAE ET pelVEuAr\ - 1� I + SPEUCE. CEEEK C32CLE` EXIST •tnu K Z 27.3' NO�yE \ I�PEOP05ED NEW 1000 GAL SEPTIC TANK 90'* FEOM WELL a \ \ \ INSTALL 300,,99�E LIFT STATIot,I 30 2 IF NECESSZV SHEET 2 OF 2 terfitt, lhel�a etcorole surrey of the pr I described perly- / ros nods on and Ilhe Anprovsmenls a/lua �d thereon are r!!.0 hs property /Ales cord do nQI ores/op or entroo SEWER SYSTEM LOCATION PLAIN on oproperry /y�rD o srI Ihero% thof no lnpro nenlaon'Oroparlyfy adjacent lhonro L EC EN encroae rhe prem/sea In r/an and Thal PrAnoy m on l;Cz woo !hare are roodroya, fronsm/ssI /Ines n other \lt rts/D/s aosem s ae sold proper coal os • /r Pe and eDoi re salad ArdJrnled hors O fj�8 X a /sDor so h snrro Daf d of Anchorage, /onto, lhls d%, 198— . PREPARED FOR: Ls Na C#?W BY., Ili DATE: SCALE: 1 =soy SN£ETNO. of PREPARED BY CHCKD BY: wa Ho. F.B. No. cam CORW/N & ASSOCI=ES 1000 E DIMOND BLVD. SUITE 205 LC7"T 3B¢/ BG.0 ! ANCHORAGE, ALASKA 99515 96 10 (907) 522-1311 Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 November 1, 1989 Bruce Corwin, P.E. Corwin and Associates 1000 East Dimond Boulevard Suite 205 Anchorage, Alaska 99515 Subject: Waiver Request for Lot 3B4 Block 1 Fischer S/D Waiver Request #WR890064, PID #015-292-22 Dear Mr. Corwin: A Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is Lot 3B4 septic tank to well 80 feet; Lot 3B4 well to leachfield 88 feet; Lot 3B4 well to Lot 3B3 septic tank 80 feet; Lot 3B4 well to Lot 3B3 leachfield 90 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Since'8ely, Robert Y7. 'Robinson - Civil Engineer On-site Services RWR/ljm Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1990 Alaska Housing and Finance Corporation Box 101020 Anchorage, Alaska 99510-1020 Subject: Lot 3B4 Block 1 Fischer S/D Permit #890257, PID #015-292-22 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1989. Permits are issued on a calendar year basis by authority of the Municipal Code of Regulations. A new permit must be obtained from this office for an well and/or on-site wastewater system noh installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as -built inspection report (three-part form) must be sent to this office for review, approval and documentation. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, John Smith, P.E. Program Manager On-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" M U N I C I P A L I T Y O F A N C H O R A G E Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 O N- S I T E W E L L P E R M I T Permit Number: 890257 Upgrade Date Issued: 11/01/89 Owner Name: ALASKA HOUSING & FIN Owner Address: BOX 101020 ANCH, AK 99510-1020 Parcel Id: 015-292-22 Lot Legal: Subdivision:[FISCHER, Lot: 3B4 Block: 1 Section: 15 Township: 12N Range: 3W Lot Size 11570 (sq.ft.. or acres) Max Bedrooms: This Permit: 0 Total Capacity: 5 Day Phone: 522-1511 WELL: Log must be submitted to Municipality of Anchorage Department of Health and Human Services within 30 days of well completion. WR89064 DA1ED 11/1/89 GRANTS SETBACK WAIVERS AS FOLLOWS; LOT 3D4 WELL TO SEPTIC TANK 80' AND WELL TO DRAINFIELD 88' : LOT" 3B3 WELL TO SEPTIC TANK 80' AND WELL TO DRAINFIELD 901. I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as 'set forth by the Municipality of Anchorage.(MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances fr m any existing well, wastewater disposal system or public sewerage syem on thi, or any adjacent or nearby lot. 4. I understa that thi permit is valid for a maximum of 0 bedrooms. I also under t nd that the capacity of the total system is 5 bedrooms and any enlarre wil rc•auire an additional permit. Signed: ---------- DATE: (Owner) ,aL iSK iNG " FIN Issued By:DATE: Municipality of Anchorage Department of Health and Human Services 825 "L" Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 November 1, 1989 Bruce Corwin, P.E. Corwin and Associates 1000 East Dimond Boulevard Suite 205 Anchorage, Alaska 99515 Subject: Waiver Request for Lot 3134 Block 1 Fischer S/D Waiver Request #WR890064, PID #015-292-22 Dear Mr. Corwin: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is Lot 3B4 septic tank to well 80 feet; Lot 3B4 well to leachfield 88 feet; Lot 3B4 well to Lot 3B3 septic tank 80 feet; Lot 3B4 well to Lot 3B3 leachfield 90 feet. . This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincergely, Robert W. Robinson Civil Engineer On-site Services RWR/ljm n 01 0 7-1 I. E Al '�iBLV C K�0"AA,;:2 jv)o in 0 30 00 p a) INTERS. N.,89 *,513 -3 9, - FISCHr.R svec 10 LOT 118 4 •VT_ FD 3 1/4'O.b.'AL. CAP,004 AX3 jDO,AL.PIPIE Fwa % mAl 01 0 7-1 I. E Al • ' • F pNC��ON S\0� -0 OSE�v\LES 9 Corwin & associates,inc. R� Consulting Engineers 1000 E. Dimond Blvd. - Suite 205 - Anchorage, Alaska 99515 - (907) 522.1311 October 26, 1989 Mr. Dan Roth Municipality of Anchorage Department of Health & Human Services 825 L. Street, Fifth Floor Anchorage, Alaska 99501 SUBJECT: REQUEST FOR WAIVER OF WELL TO SEWER SYSTEM LOT 3B41 BLOCK 11 FISCHER SUBDIVISION Dear Mr. Roth: We are requesting a permit to drill a new well on the above referenced lot as displayed on the enclosed drawing. The existing well is located within an easement and, it is our understanding that, an agreement with the utility companies cannot be obtained to allow the well in the easement. The owner would like to drill a new well, but there is no place available on the lot to do so. The only place we can find to place a new well is in the area shown and this will not provide adequate separation to septic systems either on this lot or on Lot 3B3 next door. The proposed well location will provide a separation distance tto the"'sewer cleanout"on"Lot^31B4 of_88-ft and' o the -septic tank on Lot -3B4 -of approximately_F­80'-f t. The distance from the proposed well to the sewer system standpipe on hot'3B3 will'be,approximately_-90•ft. and to the septic 'tank bn::Lot':3B3,will'.be.approximately 80*ft. There is a slight grade from the sewer systems to the proposed well location. Even so, we measured the wells in the area and find that the static water levels in the surrounding wells is as follows: L3B1 - 245 ft. L3B2 - 247 ft. L3B3 - 230 ft. L3B4 - 240 ft. L3B6 - 246 ft. L3B7 - 250 ft. We could not access Lot 3B5 due to a large dog on the property. A well log for the well on Lot 3B3 indicates that the soils are silty gravel and sand down to 224 ft. with a hardpan layer at 224 to 248 ft. deep. We do,not-believe there is any way that contaminants could travel through this deep strata and the hardpan to get to the aquifer. Mr. Dan Roth October 26, 1989 Page Two We believe that drilling of a new well is an appropriate solution and the separation distances provided will provide adequate protection against contamination. We urge your approval of the requested waiver and issuance of a permit to drill a new well. Should you have any questions, please let us know. G1CT—•16-89 f•1Ot4 137 ACREAGE SYSTE f•1S It4C P O It•RtI III/IIA Iw1 NII f1I Ilw CIAO 1-N IIIL x 4 LINK 11'•' /L/ASI NOTA hYMN•MI EEOwESTBEN NBLv ALASKA '••l N•I I.III N •N•\ N •` ••+;1^•• IIeNK t•aI Int WIN•wt N ANCHOAAOE• 09502 667.5791 IIt41 41 N41b• N III .IIA •wtl lrlrwlwM1. L/OAt OtICAlIT10N1 • , ASZOWr or Lor 3 84 • W flacHGZ sV&D• � • C ,. 4� 5 I �1i11 N 14 11: K Y IM N Ow IU •••UINIfI d11'+IN44 nI 1 �..' ., •, 1„Iu� hH•�..11 N'T N.hI t In.e M-'4 • y1'100A •1'.'/11 N 1. •ML•1 ^ a.m+tMll rLu I..wIL n^ +n na IMrrAii t \ xICP TIG CA v 1rl.I• M Naf N IIr'•tl.. fr M � N'!17t1�'1'0 If�M:AlT 111Nr• m.IL _ a L;6-- .! N ►o ATDRtVLr W^Y CREEK L g c1iGLE / r OCC Os" j Ale C 11 ♦ CONG �•�._ S. WILL y Y! Q2�Qa{Ilte[I .••r 1•••.. nm rvrr♦rr• Iq ••••••Ir rnlr• N Nm1u! MI•II. 1•I w1Nt• IM pII1•IV •n. MOI I)T IOVNO W K41v CEALHCATbN: 1 IIIAK • p 44LF. I TACK !MINT It•RtI III/IIA Iw1 NII f1I Ilw CIAO 1-N IIIL x 4 LINK 11'•' /L/ASI NOTA hYMN•MI EEOwESTBEN NBLv ALASKA '••l N•I I.III N •N•\ N •` ••+;1^•• IIeNK t•aI Int WIN•wt N ANCHOAAOE• 09502 667.5791 IIt41 41 N41b• N III .IIA •wtl lrlrwlwM1. L/OAt OtICAlIT10N1 • , ASZOWr or Lor 3 84 • W flacHGZ sV&D• � • C ,. 4� 5 I �1i11 N 14 11: K Y IM N Ow IU •••UINIfI d11'+IN44 nI 1 �..' ., •, 1„Iu� hH•�..11 N'T N.hI t In.e M-'4 • y1'100A •1'.'/11 N 1. •ML•1 ^ a.m+tMll rLu I..wIL n^ +n na IMrrAii t 1rl.I• M Naf N IIr'•tl.. fr N'!17t1�'1'0 If�M:AlT 111Nr• m.IL _ a .••r 1•••.. nm rvrr♦rr• Iq ••••••Ir rnlr• N Nm1u! MI•II. 1•I w1Nt• IM pII1•IV •n. MOI I)T IOVNO W K41v CEALHCATbN: 1 IIIAK • p I TACK !MINT It•RtI III/IIA Iw1 NII f1I Ilw 11 1-N IIIL x MAUI\nNp NIN IM•I PM' IENOINEER■•PLANN,Ri• GURVEYC170 11'•' /L/ASI NOTA hYMN•MI EEOwESTBEN NBLv ALASKA '••l N•I I.III N •N•\ N •` ••+;1^•• IIeNK t•aI Int WIN•wt N ANCHOAAOE• 09502 667.5791 IIt41 41 N41b• N III .IIA •wtl lrlrwlwM1. L/OAt OtICAlIT10N1 • \ ASZOWr or Lor 3 84 OLK flacHGZ sV&D• .••r 1•••.. nm rvrr♦rr• Iq ••••••Ir rnlr• N Nm1u! MI•II. 1•I w1Nt• IM pII1•IV •n. MOI I)T IOVNO '•• IIIAK • p I TACK !MINT ... 1• 11 1-N IIIL x /III A 11'•' 7•ILIVL•MM A...�. ttv.lto ••k — ..1. Io/IA/E7 GRFA"7R ANCHORAGE AREA BO'" JGH - Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 6MY %7E-11EiPSnA/ etwsT MAILING ADDRESS 1M f• 5 PHONE 344 -8631' LOCATION Sfwiter 00-k-01�1/011vj�p LEGAL DESCRIPTION 16T-384. Rlrw,k ( r1Vtk', S/D SEPTIC TANK: DISTANCE �;cpcuDNUMBER OF FROM WELL IC61 MANUFACTURER f'fPG MATERIAL S}r-r>✓ u,tl 11094.Q COMPARTMENTS_ INSIDE LENGTH INSIDE WIDTH — LIQUID DEPTH r I IQUID CAPACITY 0t)GALLONS. SEEPAGE PIT: I i � NUMBER OF PITS DIAMETER OR WIDTH -14 LENGTH!(--, DEPTH s -/� LINING MATERIAL 0CMkr71'rtX)CR1B SIZE: DIAMETERQ DEPTH q DISTANCE FROM: WELL /cc 4, r r TOTAL EFFECTIVE BUILDING FOUNDATION aV , NEAREST LOT LINE_. ABSORPTION AREA (WALL AREA) qOO SQ. FT. ADDITIONAL ABSORPTION WELL: %1'6MQ1 lt> rrleeT 6"B lsrnruee ke�wicemenrs TYPE SXD/y CONST BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED DISTANCES: As SNOWN DEPTH NEAREST SEPTIC SEWER LINE , TANK. X i o INSTALLED BY: h >�I y{� Pr, C14 PIPE PIPE MATERIAL: All LIE- iflif LOT SLOPE: REMARKS: PIT' Sir'rb � An,i n i�cr1�/7rnwa 6Y,r4.1,•P( , Form No. EQ -031 REMARKS DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM _ 3 3�a Porn Sr{�•ac G x /� �'11*I.a s" �h:n xur �'n ed �G.ut, 0.•u�VCt .et �atJp , Tdnk / J � N DATE APPROVED G.A.A.B. NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION GREATER ANCHORAGE AREA BOROUGH /9//7 DEPARTMENT OF ENVIRONMENTAL QUALITY PERMITNO. / 3330 '•C•• STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274.4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT M MAILING ADDRESS /'f'p/ E •Sj RO PHONE / C,/ S a � INSTALLATION OF: SEPTIC TANK ✓ SEEPAGE PIT / ^RAI( r� elcLn) a' OTHER TYPE AND SIZE OF FACILITY TO BE SERVED .80,ey J/AILS Gam' Yf%�Y• FINANCED THROUGH TO BE INSTALLED BY -Lie— d!e�c-,W, SOIL TEST RESULTS d'� Z 6 NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST, COMPLETION DATE ANTICIPATED S44t-19!L 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 TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK 5-' SEEPAGE PIT TO NEAREST LOT LINE. DRAIN FIELD /0 / DRAIN FIELD / N/q-( ✓CZ / WELL TO SEPTICTANK SEEPAQE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, /", SEEPAGE PIT DRAIN FIELD /Py/ TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM 1 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. ///� ,//�.�"`�.�•�I APPLICANT'S SIGNATURE / �h��K�--�J'• �' /� /;�•�`^ FORM NO. CO-014�� y)'Mb Yp /� GREATER ANCHORAGE AREA BOROUG'� ( Department of Environmental Qu, :y i 3330 "C" Street Anchorage, Alaska 99503 SOILS LOC - PEROLATION TEST Performed for Glacier Excavating Date Performed 9/28/74 Legal Description: Lot 3B4, block_ is er u v sion This form reports: Soils log es Percolation test Depth Feet n--• --- ---- 2 _ Sandy Gravel (6W - 6P) 3 4- 5- 6 _ Sandy Silt, ML See enclosed gradation 7 - ME S/ope 14 - 16' Bottom of Hole Was ground water encountered? No _ If yes, at what depth? Reading Date Gross Time Net Time Depth to Water Net Drop Percolation rate minute. -Proposed installation: Seepage Pit Yes Drain Field—__—______� Depth of Inlet Deptlitol,ottom of pit or trench CUhUIENTS; 25U3quare oot drainLage area required_ p,r_sA=QM__ f_grave1 layer -3-s usable l-riseepage pit system. No bedrock or water table to -161.__ _ Performed Cy:_ a:nes D. Mack Certified Dy :Co n.gjMuQ,tian_Teat_Uate:10/2/.71 Lab EQ -040 (6/74) 1 • . � ��D . � n! '1�f� w�lo� �Z P � Onikucllon E7esE fa_ - ���' L "One test is worth a thousand or7n70ns" 11028 TUDOR ROAD. ANCHORAGE. ALASKA 00507 a TtLePmons 522.0472 Eldon Pedderson Performed For Date Performed 4-11-74 Leca1 Deserintion: Lot 81oc1: isi Subdivon rIsiarr This Form,Renorts Soils Lop yes Percolation Test _ Peoth Coot Snit rhArarfOrittirt 1� Silt Overburden , 10grse Gravel, graded GW -GP Al / 7 [1 :.'• 1. 77 Silt; grAded ML Bottom of 'Pest Hole minus 11' i'� Was ground Water Encountered? No If Yes, At what Depth? Reading Date Gross Time Net Time Depth to H2O Net Drop' i vercoiation Kate nlnute Proposed Inst- ation: Seenace Pit Yes Drain Field Deoth of Islet Denth i— o-9ottom Of Pit Or rench Cr-R1NEXT5:lt. drainage area required per bedroom from minus 2 ft. to minus 8 ft. No bedrock or water table to minus 12 ft. Test Performed:By-jim Mack Data Certified By: Construction Testl Lah Manager Date:4-1.1_711 MUNICMAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-292-22 Expiration Date: ,;21 .';� (9 ©Z f 1. GENERAL INFORMATION Complete legal description FISCHER BLOCK 1, LOT 3134 Location (site address) 5100 SPRUCE CREEK CIRCLE, ANCHORAGE, AK 99507 Current property owner(s) DANIEL & SERINE REEVES Mailing address Real estate agent Day phone 5100 SPRUCE CREEK CIRCLE, ANCHORAGE, AK 99507 Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Private Well Water Storage Community Well Public Water Sv, Waiver request for: Received by: 3 COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 9 IZ J50 COU 1 0 Waiver Fee $ Date of Payment 1,� ,�0,20 Date of Payment Receipt Number. I Receipt Number COSA # OCG 20 I ZD Waiver # TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ Distance: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 9 IZ J50 COU 1 0 Waiver Fee $ Date of Payment 1,� ,�0,20 Date of Payment Receipt Number. I Receipt Number COSA # OCG 20 I ZD 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 11/10/2020 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 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 & Fks 6. DSD SIGNATURE 4 System #1 Approved for 3 System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms g'Q, 49 TH • Curtis Huffman ��c/•• CE 128991 .,•��`��/� s�F�•41/1,0/2Q20•�f iliF,PROFESSO bedrooms, with the following stipulations: ��v\N( OF SERV \������� Original Certificate Date: I -za -zo The Municipality 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 nKi_SITE WATER AND � q WAST_V, p r) AA/i 1 J, p o G` Ira - \ \C1 SERV \������� Original Certificate Date: I -za -zo The Municipality 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 Checklist Legal Description: FISCHER BLOCK 1 LOT 3B4 Parcel ID: 015-292-22 If more than 1 septic system on lot: COSA Checklist # —of,— Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 12/21/1989 Total depth 299 ft Cased to 299 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 11/10/2020 Static water level at beginning of test 229 ft. Well production at time of test 3.1 gpm Comments B. TANK DATA Age of tank(s) 2 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 48" ® Standpipes/foundation cleanout per record drawing Date of pumping 11/10120 D. ABSORPTION FIELD DATA Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 3.12 mg/L F-1Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FW`ES Date of Sample 11/10/2020 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Which system tested (date installed) 7/20/2018 Adequacy test date 11/10/2020 ® ALL standpipes presentResults r erecord drawing­esulM PaFor 3 ss obedrooms __ _P _ _.___ ..._ _.-_._ , .._ Total measured depth from grade 10 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 5.9 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Water added 450 gal New depth 13 in Elapsed time 1320 min Final fluid depth 0 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date NES E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ❑ Yes if No *80+ ft ® Yes if No ft Neighboring Tank > 100' ❑ Yes if No *80+ ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *90+ ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ft ❑ Yes if No *87 ft ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Manure/Animal Excreta Storage > 100' ® Yes Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *1+ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS ---- __...._.__._.1tMOAWAIVE RS: .._____ _.... m _.__.- ---------- ,------ G. ENGINEER'S CERTIFICATION 1 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. Aw :• TH • •� �� . .. ..... ....t...... Curtis Huffman f �FG'�� •. CE 128991��,®� • Municipality of Anchorage o,�nib tiii ail < On-Site Water&Wastewater Program `phiiro6 .i+iumi�n, mtiJ!gitgi (907)343-7904 �� CERTIFICATE OF ON—SITE SYSTEMS APPROVAL Parcel I.D. 015-292-22 Expiration Date: 1 ,Z7-1,g 1. GENERAL INFORMATION Complete legal description FISCHER;BLOCK 1,LOT 3B4 Location (site address) 5100 SPRUCE CREEK CIRCLE*ANCHORAGE,AK 99507 Current Property owner(s) PARIS COCHRAN Day phone 907-230-9815 Mailing address 5100 SPRUCE CREEK CIRCLE'ANCHORAGE,AK 99507 Real Estate Agent RICK JARVIS Day phone 907-244-3590 2. TYPE OF DWELLING: I. Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well U Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNariancerequest for N/A Distance: - Received by: —glee Date: -1-2-x/08 COSA to be release•to the engineer,unless otherwise requested by the engineer. OAS�t SitIO ,t COSA Fee$ ) `C . t [ Waiver Fee$ Date of Payment '7 I ;:›s# C ! (0°° Date of Payment Receipt Number o c)r,,,,1 U Receipt Number COSA# OG(N— t3‘65 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 GARNESS ENGINEERING GROUP,Ltd. Phone 337-6179 Address 3701 E.TUDOR ROAD,SUITE 101 *ANCHORAGE,AK,99507 Engineer's Printed Name JEFFREY A.GARNESS,P.E. Date i/24 / Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the .����S IL44;7 guidelines and regulations established by the MunidpafityofAnchorage and industry practices.The reported results descnbe the ,, C_condition of the systems on the dates of the evaluation.Separation d stances were measured to readily identifiable features. � �Hidden defects or encroachments may exist that were not identified during the evaluaran.The operational life of all wells and septic i r ♦♦systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate during 4� , ♦♦ the year).quality of construction(materials and workmanship),and the water usage of the family utilizing the systems.These * I 1 j\—�.-*� conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future pedonnance of the • 9 ,: •,` systems;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. 1 GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the 0 ,_,• ) ( ,.t .it current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the �'--: J ff ? , c rnes c = information provided in this report by any other person or party,including but not limited to subsequent pmperly purchasers,is not / _ authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report ♦ Aw ♦f' E-79`33 6. DSD SIGNATURE ♦♦ PRp \C� �� LICENSE ,4Illa�„`io,* iC System#1 Approved for bedrooms. #AEccesa System#2 Approved for bedrooms. Disapproved. . - -Ni, OF Aik. Conditional approval for bedrooms,with the following stipt. #ons:ON_SITE , •• WATER AND o WASTE-WINTER o cii PKpGRnP z /,.l tic. By: Original Certificate Date: 7^2 7"7 The Municipality 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 1� .Nitrate Advisory , • Septic System Advisory _ Arsenic Advisory • • Well Flow Advisory Other (Rev.10/12/12) . • 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: FISCHER: BLOCK 1, LOT 3B4 Parcel ID: 015-292-22 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 12/21/1989 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 299 ft. Cased to 299(?) ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 12/21/1989 5/15/2018 Static water level 237 ft. 235 ft. Well production 15 g.p.m. 2.9+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 2.51 mg./L. Collected by: GEG. Ltd. Arsenic: <5 ug./L. Date of sample: 5/15/2018 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 7/23/2018 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping NEW Pumper - C. ABSORPTION FIELD DATA BELOW FINAL GRADE Date installed 7/20/2018 Soil rating 6�.p.d./ 'or ft2/bdrm) 1.2 System type 5-WIDE TRENCH Length 40 ft. Width 5 ft. Gravel below pipe 4.02 ft. Total depth "9.9+ ft. Eff. absorption area 400 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) N/A If yes, give date - D. LIFT STATION Date installed Size in gallons Manhole/Access(Y/N) "Pump on" level at in. "Pump off'level at '• .. a er alarm level at in. - .• Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot X80+ On adjacent lots "80'+ Absorption field on lot *90'+ On adjacent lots .. Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 104- Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '1'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage '0' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS "WAIVER#0SV181047;**WAIVER#890064-PROPOSED TO AMEND EXISTING WAIVER OF 90 FEET FROM WELL TO DRAINFIELD FROM 90 FEET DOWN TO 87 FEET(PHYSICALLY MEASURED 89 FEET FROM EDGE OF WELL TO EDGE OF DRAINFIELD PIPE) SON)-Q6 Fj .)-CSe. Gb.Aole 40 a - -F co wv`:(AA Ace- ,.c5� G. ENGINEER'S CERTIFICATION �P� ........... • 44o.��•, i .' �) , .1 I certify that I have determined through field inspections and : 1 4'IH, j review of Municipal records that the above systems are in •• • conformance with MOA COSA guidelines in effect on this date. ♦c^ '. e. r-y A. Ga ness; = Engineer's Printed Name JEFFREY A.GARNESS ••'P ••% CE-79 3 g •...Fo.•...1.12c4 c. Date ']/2L�!$ .� OFESS\Mr' 4. 1/11 LICENSE �•\sli"s�� #AECC8B4 (Rev.10/12/12) J i +\ \ � 0+ 1/4T 4,/I .:.:.. LOT 3B5 N+ . 2S,r0 \+ 7,..13\. cR 5�, .. SSE E +\. q1i R/` G JS Y ,,,1,0 0 15' 30' FtiCF+ .. 1LT 3B4 + z ri.,T6 11,578 sq. ft. k , N+o . a o r� _. - W ° ►e5 1;: ...:. .. .: ........ .GRAVEL CARPORT DRIVEWAY ::. A50.00' LOT 4C2 P.- i ,'/ �• ►.f A - • R50.00' SPRUCE CREEK CIRCLE— / DECK i/, , „-' \` D57°17'40" ..../ r .., 1. �� �20 tJ , SEPTIC ""x 27.9' �i. 2-STORY 'O STANDPIPES \ .811 y0• - FRAME x � `. HOUSE O, T 39-° CONC,-a r= E .1 . 3OF q P � .. � . - 'I,io / \ -3 ...=� •• � • y ii o r, WELL °Qg i 4 i �. SHED G Jg LOT 383 e J j ... j w * / %�'•• Buku z :o UTILITY I ,, s'• LS• -1'837 •'• tea`"_ POLE - / • . Irrl�i�°FESS IION`;,,,,.o I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT 3B4,BLOCK 1,FISCHER SUBDIVISION EASEMENTS OF RECORD,OTHER THAN THOSE SHOWN ON THE RECORDED SUBDIVISION PLAT(70-170)ARE NOT SHOWN ANCHORAGE RECORDING DISTRICT,ALASKA AND THAT THE HEREON. VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY EXCEPT AS INDICATED. AND IS SUBJECT TO ANY INACCURACIES THAT SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. DATED THIS 25th DAY OF JULY,2018,AT ANCHORAGE,ALASKA. UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS,OR FOR ESTABLISHING PROPERTY BOUNDARIES. FIXED HEIGHT, LLC Land Surveying Services 907.290.8949 AS-BUILT NO CORNERS SET THIS DATE SCALE 1"=30' WWW.FIXEDHEIGHT.COM JOB 018091 PSE, �s • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 015-292-22 1. GENERAL INFORMATION Complete legal description Expiration Date: Fischer S/D, Block 1, Lot 3B4 Location (site address) 5100 Spruce Creek Circle, Anchorage, Alaska Current Property owner(s) Richard Bullock Day phone Mailing address Real Estate Agent Janis Tolbert, Prudential Jack White Vista 2. TYPE OF DWELLING: I] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 273-7206 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNarianoe request for:, Received by: ,<< f� Date:^I— COSA to be released to the�ngineer, unless otherwise requested by the engineer. O'< 4n'I�ca.Q�-1r jaJr�;Ce. Pe", Freoi. COSA Fee $ 45k) . Waiver Fee $ Date of Payment / 11 1 �J f Date of Payment Receipt Number Receipt Number COSA# 05c131o13 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, ) 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 Douglas T. Kenley P.E. Phone (907) 746-1073 Address 9806 Northstar Circle, Palmer, Alaska 99645 Engineer's Printed Name Douglas T. Kenley 6. DSD SIGNATURE V System #1 Approved for 3 bedrooms System #2 Approved for _ bedrooms Disapproved Conditional approval for bedrooms, with the following By:4 )r�, /�� �41 ®`?Original Certificate Date: 1— jr' 13 The unicipity An a 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[ , e 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: Fischer S/D, Block 1, Lot 3B4 A. WELL DATA Well type Private Date completed 12/22/89 Total depth 299 ft. If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to 237 ft. FROM WELL LOG Date of test 12/21/89 Static water level 237.2 ft. Well production 15 9 - p.m - WATER SAMPLE RESULTS: Coliform Negative colonies/100 mL Nitrate 1.47 mg/L Arsenic ND ug/L Dateofsampte: 1/07/13 B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1000 gal. Number of Compartments 2 Foundation Geanout(Y/N) Y Date of pumping 1/15/13 C. ABSORPTION FIELD DATA Parcel ID: 015-292-22 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 20 in. AT INSPECTION 1/08/13 233.1 ft 3.5 g.p.m. Collected by: F. Kenley Date installed 3/13/90 Cleanouts (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N/A Pumper One Stop Pumping Date installed 3/13/90 Soil rating (g.p.d./ft2 or l /bdrm) 150 System type Trench Length 32 ft. Width 2.5 ft. Gravel below pipe 8 ft. Total depth 12 ft. Eff. absorption area 512 fe Monitoring tube Y Depression over field N Date of adequacy test 1/08/13 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 21-1/2 in. Water added 621 gal. New depth 63-114 in. Elapsed Time: 127 min. Final fluid depth 59 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date ---- D. LIFT STATION Size in gallons "Pump on level at Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/fift station on lot *90 ft. Absorption field on lot 100 ft. Public sewer main N/A Sewer /septic service line VrW+ ft. Animal containment areas 50+ ft Manhole/Access (YIN) _ g water slarmievel at Meets alarm & circuit reaum in. On adjacent lots 80 -A - On adjacent lots .109 -ft. q D r t") Public sewer manhole/cleanout NIA Holding tank N/A Manure/animal excrete storage areas 100+ ft. SEPTIC/HOLDING TANK ON LOT TO: As Ll PJilfi Building foundation 5+ ft. Property line Water main 10+ ft. Water service line 10+ ft. Wells on adjacent lots 100+ ft. ABSORPTION FIELD ON LOT TO: Property fine **5 ft. Building foundation 5+ ft. Water Service line 10+ ft. Surface water 100+ ft. Curtain drain None Known Wells on adjacent lots 100+ ft. F. COMMENTS * *'* Waivers on file at the MOA. G. ENGINEER'S CERTIFICATION l certify that I have detemrined through ffeid inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. engineers Printed Name Douglas T. Kenley, P.E. Date COSA brown sheeL10-10-12.doc Absorption field_ Surface water _ 5+ ft. 100+ ft. Water main N/A Driveway, parkingivehide storage Baa c ay N, ,�-, &A 1Lhaw9 NEY CE Bird ,;t %ICPa4D FlNI41m fLMR nEv. (Assuum) 365 �PPOPOSFDAS m)No COWIm ZONING! WTRICT I 723S0 fRCNT BNLLDNa 4 AQK suNi euINdNG SETeA« c Rcrn ax G SETBrRx I ss9a I sN�° 2S'OF I o 0 � c.o.s o r ( o 0to J I PRT GRAVEL DRIVE SPRUCE CREEK ? i C.o.s w o �. CIRCLE 27.5' EXISTING j a D� HOUSE ca I o I j I yon I o9 �5g 36 (WELL 12g. 3133 UNDER NO CIRCUMSTANCES SHOULD AN AS-BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. LOT SURVEY SURVEY TYPE SYMBOLS ❑ FOUNDATON AS-BUILT El FINAL STRUCTURE AS-BUILT • SET REBAR° 0 ASPHALT DRAINAGE ❑ PLOT PLAN ... AS-BUILT ... LOT SURVEY ... TOPOGRAPHY 'S"°'6 o FOUND REBAR 9 e 0 WOOD FENCE CONCRETE AS-BUILT ... NO CORNERS SET RECERTIFl 00 ASSUMED ELEV. METAL FENCE ® WOOD DECK PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY, SNOW THE EXISTENCE OF ANY EASEMENTS. COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION,, �.• OF q/ e Prepared by Robert E. Johns, Jr. & Assoc. PLOT PLAN Ixwey anNr Mat Nhave OEMNiNy .,%l�O,�P�' ae bt N°.n mE EuveM M1saen. aNE a°t I rand tM Id •',c��j♦� �::' • • • t.(1j Professional Land Surveyors 1700 Brink Drive. have mna. rare °r Watt ed d W a. mo.,. an ae pan and t• M. bast any . . / ANCHORAGE, ALASKA 99504 YnoM.d9e aM °WNW ad dbn .. h.. Even mw..r.d we and aane / N µ .. Y X� Rea. FOUNDATION AS-BUILT MIT 9t , / .. JLrN r' c y ....� Scale: „ r 1 = 30 Lot S.F. Rec. Plot File No. Date Surveys . 01 /15/1 3 Drawn br• REJ Checks d 6 MK I, Rttat E J°M1na b., Eatly orU u Mat 1 x°.. Mamed an E.-s°n au.. ra. fitu N M4 at 1� f , ..... aw-van. and kfam°LL'n m .x°.n M1.rem a. wo a.d n° enaoaNnnl..Wt °am ,�.......... ,.....� ;, RO RT HNS:••':' �i„ Date Drawn: Grid: W.O. .a. M . : ;: `••., ��4121— / 01/16/13 2537 13-14 FINAL STRUCTURE AS-BUILT �j �s ,e �. fa •• Legal Description: I, Ra E .Mn4 &. M1a by awMy Mat °»pa=Nmd t.-GNt.a»M. aI. bt Mat Me •• . :' ��i./ gadP •.••••• Lot 3B4 BLOCK 1 °.- m and 0Y � We a.E obna�AOooWUOAi.nb aM h. as a.aad na.UnIm a�,.• •�, ra fessional t'.�� FISCHER MUNICIPALITY OF ANCHORAGE O Department of Health & Human Services y DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel l.D.# QIP- `.1452- Aa HAA# 0A01 CY�°I% 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) SPW-F GPFFr, GIPCLE AK (b) Property owner A N Fi Telephone: (home)i-�—Business HA—_ Mailing Address PG EU 101040 A AIC• H A K (c) Lending Institution UI/A Telephone Mailing Address N/A (d) Real Estate Company and Agent KI, /A Address NIA Telephone (e) Mail the HAA to the following address: (or check here h -if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family Number of bedrooms 3. WATER SUPPLY Individual Well )d Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (RH. 71N) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm i I �_, Al Y_ Telephone z7`1' ! r Addre Date 6. DHHS APPROVAL �S Approved for �""46a3 edrooms by L� &la-4-4-Lt� % Approved Y' Disapproved Conditional Terms of Conditional Approval CAUTION Engineer's Seal Date �� O The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. Employeesof DHHSdo notconduct inspections oranalyzedata before a certificate is issued. The Municipalityof Anchorage is not responsible for errors oromissions in the professional engineer's work. 72-025(RM.?IN) BaCk Page 2 of 2 'Z 1 s MUNICIPALITY OF ANCHORAGE (MOA) r r4'� • O Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: F/Sr- 14F2 Sven A. WELL DATA Well Classification PP I VAT -'E If A. B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N)Date Completed 1 rg� Yield S G ►'M Total Depth ZIV Cased to Z77, Depth of Grouting h JA Static Water Level 2-31 Pump Set At Casing Height Above Ground Z 7 + Sanitary Seal on Casing (Y/N) �7 Electrical Wiring In Conduit (Y/N) Y Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 90( ; On Adjoining Lots 80) _X To Nearest Edge of Absorption Field on Lot 100' On Adjoining Lots 90 t To Nearest Public Sewer Line N 1A To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot 2`4S7 Water Sample Collected by A jnt nr Drill""'. ; Date 12,P la. -1 3&7/70 Water Sample Test Results SA -W FA<GTrar $/ Comment tt"tuv[- to File- Dr7TtFn 2hckr) u[tCS9onrq B. SEPTIC/HOLDING TANK DATA Date Installed 3h -2; 7o Size 4 QQu No. of Compartments � Standpipes (Y/N) VAir-tight Caps (Y/N) Foundation Cleanout (YIN) Depression over Tank (Y/N) Date Last Pumped MEL) TRAI r Pumping/Maintenance Contact on File (Y/N) ��A ; for W /A Holding Tank High -Water Alarm (Y/N) AIJA Temporary Holding Tank Permit (Y/N) XI JA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 90 To Building Foundation Zo ± To Property Line /0' To Disposal Field '� t To Water Main/Service Line 4S t + To Stream, Pond, Lake or Major Comments Prom 061 Course lel 1A n-M(A". 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ISD 5 1+ IAJr^• Type of System Design Tr FAIc Date Installed�(�/9n Length of Field .3Z Width of Field fin`` Depth of Field /Z i Gravel Bed Thickness Square Feet of Absortion Area SQL Statndpipes Present (Y/N) Y Depression over Field (Y/N) Date of Last Adequacy Test k1Qk% Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 100' To Property Line S� To Building Foundation �` To Existing or Abandoned System on Lot >1?6' ;On Adjoining Lots ;, 30 To Water Main/Service Line -4S To Cutback (if present) U, X_ To Stream, Pond, Lake, or Major Drainage Course —IL f f To Driveway, Parking Area, or Vehicle Storage Area Drr✓e4t;✓ CmSPef % �e Comments' tJ0fIle.,- trl F7,'% !. Ir— ft (90000 D. LIFT STAT I N =- Date Instalie Size in Gallons "Pump On" Level High Water Alarm Tested for Meets MOA Electrical Codes Comments "Check Signed Date — MOA No. Dimensions Manhole/Access (Y/N) "Pump Off" Level at Rating Against HAA Request" ( verified, or conformed to all MOA F J Receipt No. — V / i I Date of Payment l9 —4 b Amount:$ cc) 72-M (R". 7/98) Beck Vent(Y/N) Pumping Cycles during Adequacy Test. Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 f this Seal Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 March 13, 1990 Bruce Corwin, P.E. Corwin and Associates PO Box 230608 Anchorage, Alaska 99523-0608 Subject: Waiver Request for Lot 3B4 Block 1 Fischer Subdivision Waiver Request #WR900003, PID #015-292-22 Dear Mr. Corwin: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 5 feet. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services ljw#7 Concur: 4,,4 y, ohn Smith, P.E. Program Manager On-site Services Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 February 16, 1990 Bruce Corwin, P.E. Corwin and Associates 1000 East Dimond Boulevard Suite 205 Anchorage, Alaska 99515 Subject: waiver Request Subdivision waiver Request Dear Mr. Corwin: for Lot 3B4 Block 1 Fischer #WR890064, PID #015-292-22 The subject waiver has been amended as requested in your January 19, 1990 letter. The prior approval issued on November 1, 1989 waived the required 100 foot separation distances of Lot 3B4 Block 1 septic tank to well, 80 feet; Lot 3B4 Block 1 leachfield to well, 88 feet; Lot 3B4 Block 1 well to Lot 3B3 Block 1 septic tank 80 feet; Lot 3B4 Block 1 well to Lot 3B3 Block 1 leachfield, 90 feet. The amended approved waiver is for the proposed new septic tank separation distance to be installed 90 feet rather than 80 feet from the well on Lot 3B4 Block 1. This waiver approval applies to the proposed septic tank to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this office. If there are any further questions, please call this office at 343-4744. Sincerely, (I r; . W Daniel J. Roth Civil Engineer on-site Services DJR/1jm:06 CIn ur ante, J Smith, P.E. Program Manager On-site Services LOCATION OF WELL/DD at•M se Yela/Idr / tw or It.) n. borough Subdivision LaIt�T,al�e�ata��N�ib'la'1�1/o.tra, �sha,r • .f_.f_af It. OISTANC! AND DIRECTION FROM 10A0 INTERSECTION! (ice.Creed Street Address and Also of will LeeauN S. WELL LOO Fe ' t Material Troe ,.. %ds wATZP .,may fel 7. Addeo Blamed Fore OR -WIN terAM um WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of 6401001eol a'GeOphyaftolSurrey$ 17 F. Drilling Permit No. A.D.L. No. 54400A•1•fo. Township ND Range !❑ MHidlen ap W❑ a. OWNER OF WELLS 1 AddnedtFvrt.�nc • rpac.A, s Inc. Below ,a. WELL DC►TNI (flaol) 0.'DAT9 OF COMPLETION . Belo 6attaat fl, •���� G. Q,Cable 1001 -' story QDAaN C)boo Q' e•ar ' darted' Coated . ❑ oih.r t ~ ' T.Y1111SI •Domealle OPublic Supply 0Industry. •' 1 //❑ IrrlbeNN • Q Raaharga ❑ commando, Vol le Q7oa1Wall OIMr: I a.CASINSi Q Thnoled elded '1 4100. IN. lot, apth walgkl ,/ ;7 IDS./lit. �T— • I X100 dlom. Ih, le ft. Depth StltkYe 49j;ft. S, FINISH OF WELLS ?Joel OlsnteNrt QRAnF slat Leglh & Set bglw*, 'II. OM ,••Satllfllllna °' •*ravel peak ' 40. STATIC WATZR LEVELS� t d:�T• r ... 4 } t.�,,� Aiow;? or c,.� I:N]aW rrrt:ti�:+�'; • 1D.f. � ' U.WVMPINO LEVEL Sslew'IeN war}•$ and TIlLD ' ^7nC'TT7 ditef r -'ora. DYOGIAa ♦ i.e,.... _ . ._ _, _ �.�nvYnm, w.0 wreYree: :..0 Te IJQ wa � •. Wetarlal: NNr CeepM(:)other:' • •;` ••A-: .•..••i._r: �. :.,•'. _ ^ 33. pump: dlt wrallUle).••XP '.?•�tiLaapM wfDroi ?!j:' ..1 t. dpaatty.. .... 7me •• w%.•.- {:a": '..;,• .f••:. �:1 �datfl}SNI r,� Other '• •""' :r: .w._ ?�.YYbal.Jti i�,+ldt. •U : •K !.. . r.: •;... :ti.4 r't•'... r:y. •. ,.Or.i�' .F••.• . ♦TJ�'.(I ��.,..I,1.`w): ,'Y� �J., 5.� �I,i' iJ �. LSt.BREMaRNNe.} ,11R; ,. . ,.'V �� •JhJ'(.: ;, !�• •� ��r.•1:.''••'� ..t .. ... •. .tit ,.y.:' 1�4�.���:1iLS.i".1i1.4�:'I:MI•�.�i;f f�.iltYi N..;. .r -r... - .' ..1. �.. ♦ {y.'.+,.� yi: .r:=..r• t%:.. r -. ,, t)• ••''`•'•. mingtONTAACTORS ACERTd FICATION'S ♦ .^; •.r NyT `':•::,'•.,.rJ'.n.t -d`•♦: •'•, i1.' ••+, t• .:.A:.t .) 4i I.AI TAJ1 �. SAY` fr J f •JID.dtef' Z1111pentYn• •,�•��., ♦ ftt,�•r :. L': n. t1 - 7[•ti1'� i •� tdra Jri7 r IKOS.a'I a• iP.1; i, s11;; , oa r lea }'MN /Yfiied irtd Iola IePerlde arN aeRM Le��<I'w�r , . " . •... ...�.Y.�.;1.. ,...... .. !►ae.aya -C• daei.ile/} r r • :.. ...w �•. t' C..Y. r. �:, B •'• e alelela Sse Ne\ ligate �Y snit ICS ee Number I$trlblltlon: WHITL•110e011108, ►INN•Orlllar, 0AHARY•CY/Io1f, MUNICIPALITY OF ANCHORAGE Department of Health & Human Servlces DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcell.D.# �1S 79� 22-' gm— (wr) HAA t� 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Gc7 3B9 amtK i fisc 77z.AJ ,e3;J i66 /S Location (address or directions) Sorg 5ir,'irc� ��K 2D , (b) Property owner /fAz' /sS�+�4 Telephone: (home) Business Mailing Address (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent ts'Pr14- ��° r All 71-4 Address Telephone (e) Mail the HAA to the following address: (or check here if hold for pick up.) List contact person and day phone number below: jilt- Plee u)1 2. TYPE OF RESIDENCE Single -Family Number of bedrooms 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site[ Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-x5 (Rm.7/U) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm`s Telephone 7_79"s3Si Address ell z- IJ 5 O Date '4IVA ssia:' 6. DHHS APPROVAL Approved for 3 bedrooms by -oyDate '7 - 8g Approvedng� Disapproved Conditional Terms of Conditional Approval I CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above byan 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. Employeesof DHHS do not conduct inspections oranalyze data before certificate isissued.The Municipalityof Anchorage isnot responsible for errors or omissions in the professional engineer's work. 7223 (Rm,.71W) Buk - Page 2 of 2 G.'�a dp 0� V' ` AN- MUNICIPALITY OF ANCHORAGE (MOA) a �Qu� Health Authority Approval (HAA) CHECKLIST -FEBRUARY 1984 343-4744 / Legal Description: Lerjgy ZI.J ia_ /S A. WELL DATA Well Classification If A, B. C. D.E.C. Approved (Y/N) Well Log Present (Y© Date Completed u'fCJO"/ / Yield AD Total Dept Cased fo Z�Z Depth of Grouting ''��p Static Water Level Z�o Pump Set At r Casing Height Above Ground Sanitary Seal on Casing) Electrical Wiring in Conduit 6N) Depression Around Wellhead ( /N SEPARATION DISTANCES FROM WELL: Y 3Ti1iJDPi�i To Septic/Holding Tank on Lot - /� ;On Adjoining Lots 92 Tc C[.EAW^+T To Nearest Edge of Absorption Field ', on Lot �/3 To $*rIWIP" ;On Adjoining Lots Ob r'/ / To Nearest Public Sewer Line � To Nearest Public Sewer Cleanout/Manhole i To Nearest Sewer Service Line on Lot ZS t Water Sample Collected by %j'EGS A' and ; Date Water Sample Test Results ahC T Comments 60 WE[L 6md 7257- /0-/V-575'- 4 O/ySb:s4 sCL,- hff&trA 1zlco25 Wlk7-, A117,,e,4-TeS B. SEPTIC/HOLDING TANK DATA Date Installed /6-/_7"% Size /"0 No. of Compartments StandpipesY N) Air -tight Caps(y)N) Foundation Cleanout) Depression over Tank (Y6 Date Last Pumped D /6' 24y%4e3' Pumping/Maintenance Contact on File (Y/N) 4)1,4 ;tor Holding Tank High. Wate�larm (Y/N) Temporary Holding Tank Permit (Y/N) SEPARATI . DIANCES;PjiOM SEPTIC/HOLDING TANK: To Water-Suppl PT! ....... lre"l '40L_To Building Foundation r � To Proper(y.Line , T,S �` To Disposal Field 7,6 a,!.!I..) r�:7 To Water Majn/Servicetine•' • , To Stream, `Pond, Lake6r-Major Drainage Course 72 -VM (Aw.7/BB) Front Page 1 of 2 1333 P Flf4kr C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ZSO Type of System Design Date Installed Length of Field 2114' Width of Field Depth of Field /,X i Gravel Bed Thickness Square Feet of Absortion Area �%M Statndplpes Present) Depression over Field (Y&I Date of Last Adequacy Test Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: \� , e . To Water -Supply Well 113 /RI-4fr1tK)h?i," To Property Line �KYZ To Building Foundation Lo To Existing or Abandoned System on ; On Adjoining Lot' Id -1-y`- / To Water Main/Service Line /0 1 To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course /Cy'0 t To Driveway, Parkin9;Area, or Vehicle Storage Area ,�/e,/L" °yam Syl741,l Comments - Lot D. LIFT STATION Size In Gallon "Pump On" Level at High Water Alarm Level at _ Dimensions — Manhole/Access (Y/N) "Pump Off" Levet at Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments "Check Permitted Bedroom Rating Against HAA Request" T certify that I have checked, verified, or conformed to all MOA and HAA guidelinesjr+yFff�S Qn the date of this Inspection. ): ,�G q , Signed Company p ,¢SGS Com �� ,••••• ••••' "' ler's Seal Date MOA N ..... *.REI ,JR. ••r No. el Z_ � Y C. REID, JR. �•% CE.2251 to ••.......•• ��.. / 3 %/� 1��Protesslaro� :+- Receipt No. '2 6 7 " Receipt No. Date of Payment /0—.26 Waiver Fee: $ O� Amount: $ %y d Date of Payment -- —",e) S- 4-P 72-0m (A". ?/N) 8"k Page 2 of 2 Municipality of Anchorage Department of Health and Human Services 825 '' Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 November 3, 1988 Lee Reid, P.E. Alaska Environmental Control Services, Inc. 1412 West 33 Avenue Anchorage, Alaska 99503 Subject: Waiver Request for Lot 3B4 Block 1 Fischer S/D Waiver -Request fWR88-068, H88-0477 Dear Mr. Reid: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 92 feet between well on Lot 3B4 Block 1 to septic tank cleanout on Lot 3B3 Block 1. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. rely, Daniell J. Roth V Civil Engineer On-site Services DJR/ljw$6 A Alpine Drilling & Enterprises* INVOICt Domestic — Commercial N2 2 2 Pump & Water Systems P.O Box 110496 Nana a Anchorage, Alaska 99511 (901) 345-0202 F ub PHONE v DATE to ' Thank You SIGNATURE Q Hereby Acknowledge the Satisfactory Convielm of the Above Descroed Work.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.S% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. I 1 DESCRIPTION Iff -1 - Thank You SIGNATURE Q Hereby Acknowledge the Satisfactory Convielm of the Above Descroed Work.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.S% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. I 1 ALASKA enunonmCf1TAL COnTROL SCRUICCS, IRC. Engineerinq & Enuironmenial Studies October 20, 1988 Municipality of Anchorage Department of Health 8 Human Services 825 L Street Anchorage, AK 99501 ATTN: Dan Roth RE: Lot 3B4, Block 1, Fischer Subdivision From the Health Authority inspection, we find the separation distance from subject well to lot 3B3 septic tank cleanout to be 92 feet. The depth of this well is 272 feet and cased to the bottom. On October 14, 1988, a flow test was performed showing a static level of 240 feet with a yield of 4.7 GPM. The house on lot 383 is between the well and tank. Terrain is fairly level in this area. Water samples taken October 19, 1988, are satisfactory. With such a deep static level, I do not think there is a threat of contamination to this well. I request that you grant a waiver of 92 feet from subject well to lot 3B3 tank. If you have any questions, please call. Sincerely, Alan C. Wien Engineering Technician ACW/sr * : 4 OY C. REID, JR. CE•2251 • .• etZ'� 1200 West 33rd Auenue. Suite B • Anchorage, Alaska 99503 • (907) 276-1361 ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 JOB Z -3N 13/ rmak g SHEET NO.— CALCULATED BY CHECKED BY— SCALE OF DATE DATE er. - ------------- —'T 7 7 T 7yy T T . . . . . . . .. . --7 ---------- -- er. - ------------- —'T 7 7 T "nm, �. 0 . "m T --7 ---------- -- —7 --4 "nm, �. 0 . "m . '4 - r ' r" 1 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICN 1. General Information (a) Legal Description (include lot, Location (address or Application Date 5- 1 -Fiji section, tewrship, range) (b) Applicants Name Lilom-im Aofii Nb Telephone3N:i-71 55_ Applicants Address Swot, Creek C , cc �P (c) Applicant is (check one) Lending Institution Owrer/builder ; Buyer [� ; Other f� (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. s Agent Address Telephone 2. Tyce of Fbsidenee Single -Family JE:j Multi -Family Number of Bedroom "i 3. water Supply Individual Db11 LE1 Community Other (describe) Public Note: If ccmcurity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Is the well adequate for the number of bedrooms specified in this FAA 6�1) 4. Sewage Disposal Onsite = Public f:::l Co runity C=j Holding Tarlo Is the wastewater disposal system adequate for the cumber of bedrooms (YVN) [Page 1 of 21 2-15-84 n 5. Engineering Firm Providing Irspectionsr 'Tests, Data and Information I certify that I have checked, verified, or conformed to all MDA HAA Guidelines in effect on the date of this inspection. S Name of Firm Address 171")C) 'A' �3ae An�lrrnar. �� Signed by Date (ENGINEER SEAL) qg�dlm • .. . Approved for bedrocns Approved C" 4 Disapproved Terms of Conditional Approval Date ; %I AApr;j j q(c I Te leohcne 5/„ 1 0�1<C OF At tj . r %9 LeC.C. Reid, Jr. , l✓r 0+8�L1�''•;FES S*�.�"'�` . By Date s kl Conditional The Municipality of Anchorage Department of Health and Environmental Protection does not guarantee the continued satisfactory performance cf the water supply and/Cr the wastewater. disposal system. This approval indicates that, as of the validation date shown above, based on the data and information furnished, by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional for the nJmber of bedrecns and type of structure indicated. (DHEP SEAL) 7. Mail the HAA to the following address: ' k.k -a-a (xlyr (—,,.0 c. ,� t r -3F r •,, A c rk r,�L i KB2/d5/s (Page 2 of 21 2-15-84 MUNICIPALITY OF ANCHORAGE (MOA) Q 3 A 13 J 3 S HEALTH AUTHORITY APPROVAL (HAA)% �dri CHECKLIST - FEBRUARY 1984 NOUDUOUTYINANNOnUW3 Legal Description: A. WELL DATA Well Classification If A, B, or C, D.E.C. Approved(YM) Well Log Present (Y Date Completed /977 Yield Total Depth Cased to Depth of Grouting Static Water Level -30' Pump Set At 46 Casing Height Above Ground �' Sanitary Seal or. Casing (Y )c Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y ) Separation Distances from Well: To Septic/Holding Tank on Lot 161 ; On Adjoining Lots •100 To Nearest Edge of Absorption Field on Lot I►y' ; On Adjoining Lots +100' To Nearest Public Sewer Line �! A To Nearest Public Sewer Cleanout/Manhole AIA To Nearest Sewer Service Line on Lot Water Sample Collected By Water Sample Test Results Caments B. SEPTIC/HOLDING TANK DATA Date Installed m0 -M --►y SizeIFCy-) Sol No. of Compartments Z Standpipes (XM). Air -tight Caps (Y� Foundation. Cleanout (Y ) Depression over Ta (Y/N) Date Last—Pummmpe ��/I �F(�/ ✓ Pumping/Maintenance Contract on File (YIN) J1A ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (YM) - Separation Distances from Septic/Holding Tank: To Water -Supply Wall 101' To Building Foundation LI& To Property Line '10' To Disposal Field 590 To Water Mair,/Service Line WA _ To Stream, Pond, Lake, or Major Drainage Course Comment [Page 1 of 21 .,L -o -f- 3,811 r�.reNcx S% 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata g5 Type of System Design Date Installed /D I74 Length of Field Width of Field o2 yDepth of Field _ 42- C � Gravel Bed Thickness Square Feet of Absorption Area 0 0 �' Standpipes Present ) s Depression over Field (Y& Date of Last Adequacy Test Z Results of Last Adequacy Test _a Separation Distance from Absorption ld: To Water -Supply Wall jig, To Property Line 10 � To Building Foundation .101 To Existing or Abandoned System on Lot 11A ; On Adjoining Lots 1321 To Water Main/Service Line _ To Cutbank(if present) rJ A To Stream/Pond/Lake/or Major Drainage Course +/oo' To Driveway, Parking Area, or Vehicle Storage Area 351 Comments JE 12L1 blp A- \..s fer iie.1 gww\ D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (YM) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at Tested for Vent _(_YM) Pumping Cycles dying Adequacy Test. Meets MOA Electrical Codes(Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MDA HAA Guidelines in effect on the date of this inspection. .: Signed _ Yaj,(n Cc4' Date J (Q ' JI,i.••••••-4/.,1%%J 1 Cenpanyr ) 1 i'eao-(r ':9 0 tvr.�MOA NO. ryr ., KB1/d5/s x...... „ �I e Y C. Reid, �, Nf� ;e.• No. 2251E • Vim' [Page 2 of 2] 1 9F .••......•.••��?� 2-15-84 n n ALASKA EI idIROIl nTAL COnTROL SCRUICCS, InC. Engineering 6 Enuironmental Studies APRIL 26 1984 LUELLA GUILLAND 5200 SPRUCE CREEK CIRCLE ANCHORAGE AK 99516 SELLER — LUELLA GUILLAND BUYER — SUBDIVISION — FISCHER BLOCK — 4B1 LOT — 3 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN AREA OF 900 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 675 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A (f3)BEDROOM HOME.✓ THE SEPTIC TANK WAS PUMPED ON 3/14/84. ✓ FLOW TEST ON WELL THE WELL FLOW RATE WAS(6 GPM FOR 2 HOURS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000)IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. OF q ............. C. Reid, Jr. , 22J1 -E ?ROFES510�� 1200 West 33rd Auenuc, Suite 6 o Anchoragc, Alaska 99503 o (907) 276.1361 5. LEGAL DESCRIPTION , „ $ ' STREET LOCATION C MUNICIPALITY OF ANCHORA E7FACILi �1DEPARTMENT NUMBER F BEDROOMS OF HEALTH& ENVIRONMENTA` 1525 SINGLE FAMILY L Sten • Andllornea, AM" 59501aENVIRONMENTAL ❑ MULTIPLE FAMILY ❑ Three ❑ Six ENGINEERING DIVISION5Telephone X INDIVIDUAL' 2644720.REQUEST ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) FOR APPROVAL OF INDIVIDUAL WATER AND S3S DIRECTIONS: Complete ail parts on papa 1. Ineomplaw requan will not be Processed. Plegia allow ten (10) days for procassinp. 1. PROPERTY OWNER PHONE ❑ PUBLIC UTILITY t4' NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, MAILING ADDRESS PROP TY RESIDENTIlf different from above) PHONE 3 7 3 2, BUYER PHONE (LING AQFDRESS yq n 3. LEN91P G INSTITUTIO PHONE F MA IN AD R i hJ! A R LTO AGE T PHONE MAILING AODR / .-- / a/ F Lp 5. LEGAL DESCRIPTION , „ $ ' STREET LOCATION C 0. TY►E OFR IDENCE NUMBER F BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY TWO ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY X 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.) S. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE" ..Ifirldividual/on•sits,give installation date�. i If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 7201013178) CRFFKc'/ktLE esu P= (3'7ry� Y3„ 4.-/000=C51ro" ) 70 T11?S i1 i'LOLd 1 House is '/ellow — a n Cr deY- af oG l -de -Lac. 1� J THIS SIDE FOR OFFICIAL USE ONLY^?, _ INSPECTION APPOINTMENTS DATE RECEIVED TIME IME TIME DATE DATE DAT INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ED- SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE Li—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 YNOIVIDUAL/ON -SITE ❑PUBLIC+JTILITY Connection Verified PERMIT NUMBER DATE INSTALLED � / - , cl, -,x `,Lt-� k INSTALLER SOILS RATING R;;3eptic Tank or ❑ Holding Tank size: 00If Tank is homemade give dimensions: TYPE OF TAJfII( MANUFACTUfiy�,F{) /4,�"^/ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Saptic Holding Tank Absorption Area Se~ Line Nearest Lot Lim Absorption Ara to ine S. COMMEWS d . ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BV (Tltle) LEGAL DESCRIPTION ..+.v 1r.ay. or ror r GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received-z���7� Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES q FOR 1. Approval requested by:� Mailing Address: 1'r,0i c S3' '3 Phone: 3 uu- 6G 3 J 2. Property Owner: A - _s ,.. c_ Phone: Mailing Address: Zr,.fl 736,- /7, 3. Legal Description: 3 ,6 41 4. Location: 5. Type of facility to be inspectedNo. of bedrooms 6. Well Data: A. Type B. Depth C. Construction C"Ooa�gr2jewey D. Bacterial Analysis 7. Sewage Disposal System: A. Installed 1o%7,171/ B. Installer frR rA �- U C. Septic Tank: D. Seepage Pit: E. Disposal Field: 8. Distances: 1. Size 10 o 0 r zF'. 2. Manufacturer �nr� 1. Absorption Area 00 2. Material Crncz� hu ,p U Total length of lines N /cam A. Well to: Septic tank ie o c , Absorption area /00 /a Sewer Lines io,� Nearest lot line /0 Other contamination B. Foundation to septic tank /ifs , Absorption area C. Absorption area to nearest lot line 411 / 120 ' EQ -034 (1/74) Page 1 of two pages P-4ge 2 of •two pages''.- r"3t'�for Approval of Individual S r & Water Facilities Lego' bescription. Comments Approved & 0 t a.<r Disapproved Date Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 1 1.01411 WIPU I.". .... v......-.-.. --..--...-- ... _..._ - - accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74)