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Home My WebLink AboutTHUNDERBIRD HEIGHTS BLK 2 LT 9Thund rbird Heights Block 2 Lot 9 #051-721 - 14 Municipality of Anchorage Development Services Department Building Safety Division On-S~te Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of w'ww ci. anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~mber: ___~ 05~_~5 PID Number' LEGAL DESCRIPTION Well: ~%~;6- [] New [] Upgrade TANK SEPARATION DISTANCES Sepbc L~ Holding Tank Field Station Tank >200' 7zoo' l, Zoo'N.A. I--I Septic [] Holding [] S.T.E.P. Sewer Line c..~. ~., LIFT STATION I~OO Ca, [~iOl 'zS , '/,_ BENCH MARK ~ O0 ~ ~L Inspections performed by: ~q Spqr~/~,n~ Dates: ,' Development Se~ices Depa~ment ApproVal (.~ ,z~) ate: N 2 FOOt Co~ (M~.),~d" i~ 49~h $CALE~ 1' = 5fl YE No, C~-22~ 20.,T W 15TI. t. 4FENU£ AK. 99501 PERMIT # SVf15f13~5 LT g BLK B THUNDER BIRD 41NMY $CAR~OROUGH 27222 ~NBPIP£R COURT Piti # 851-7£1-14 S£PTIC SYSTEIJ 4$EUILT DATE: OCTOBER 21, 2005 SH£ET: 2/3 GRIfl:ISG5 TBHfl$flg~.BIWfi 'I'K= 9Z$' . ~ ~2L[PE £[N12~ ~R4~' AV4Y ~ 1UP ~! ALL ~ ~ ,~ · ELARIFTER ~rIZ]V ~' T41~ .......... ~'"* '"' *~ '~ ~.~04Rfl ,ZO' -- 6' STANDARD TRENCH ~ ~ ~' ~ ~ C4PEND I0 2O$ VI 15171. AV~NU£ AK. 9~501 PERMIT # SV050395 THUNDERBIRD HEIGHTS BLK 2 LT 9 szPuc sysrzu JIM~4Y SCdR~OROUGH DATE.. OCTOBER 21, 27222 S~OPIPER COURT SHE~. 1/3 GRID: NWI865 PID ~ 051-751-14 T~ 0CT--25-2005 et :OZ Pt1 T SPURKLRHD Divbqon of Brfck~ll; ~ To who ~ Electrical ~ for ~bo Bio-C~cle se~O o½stom at rent national eleo~cal code. ~L,~s below s.~ been i~atled per William Bricl~'ell- ~e~t MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 190650, Anchorage, AK 99519..6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 18, 2005 Expiration Date: Oct 18, 2006 Permit Number: SW050395 Legal Description: THUNDERBIRD HEIGHTS BLK 2 LT 9 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: JIMMY SCARBOROUGH Owner Address: 27222 SANDPIPER COURT CHUGIAK, AK 99567-5121 Parcel ID: 051-721-14 Site Address: 027222 SANDPIPER CT Lot Size: 27374 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 3437904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. -THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST BE VEGETATED SUFFICIENTLY TO PREVENT EROSION. Received By: Issued By:. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. ~'~ o~1' Iq Permit Number SW Property owner(s) J ;m~,~ Mailing address Site address ~a~, $~,~, e;o~,, (~o~-~. Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size ~q t."~'~ Acre~ THIS APPLICATION IS FOR: Sewer Only Sewer and Well [] Sewer Upgrade Day phone .Zip Code Zip Code Number of Bedrooms Well Only [] Water Storage [] THIS PROPERTY CONTAINS: Hot Tub [] Jacuzzi [] Swimming Pool [] Water Softening Unit [] Therapy Pool [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: (Rev. 09/04) Waiver Fees: Date of Payment: Receipt Number:. Environmental Consulting and Design I SEPTIC SYSTEM DESIGN TllUNDERBIRD IlEIGtlTS BLOCK 2 LOT 9 October I, 2005 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street Anchorage, Alaska 995194650 We are submitting an application for the upgrade ofthe septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties. (sheet I/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic ofthesepticsystem,(sheet3/3). Soillogsandpercolationlestsofapplicabletestholesarealsoenclosed. Due to limited space a category II system is required. Thunderbird tleights S/D is served by a Class A community water system. The septic system design is based on the following: SEPTIC SYSTEM UPGRADE From Testhole September 22, 2005 12' Deep => Ground water at 6 feet below ground surface (9-29-05) Soil Rating: < 5 rain/in = 4 gal per sq.Pdday No. of Bedrooms 3 Required Area per Bedroom: 150/4 =37.5 sq. fl. Total area required: 37.5 x 3 = 112.5 Use 5-wide trench with 2.0 feet rock Length: [112.5 sq. fl./5 fl]*0.7 = 15.8 Use 17 fl SYSTEM CONFIGURATION BIOCYCLE TANK W/5-WIDE TRENCII TOTAL LENGT! I 17 FT TOTAL WIDTtl ,5 FT TOTAL DEPTtl 2 FT ROCK DEPTtl 2 FT INSULATION 2 INCilES COVER 2 FT (MIN) The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots.There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface ronoffwill not result from this installation. 203 West 15°' Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng~gci.nct N ..% THUNDE£BI£D HEIGHTS BL££K £ SCALD I' = 100 £E [OBBEN SPURKLAND P.E. 205 W ISTH. AVENUE ANCN. ~. 99501 lILT £ BLK 2 TtIUIVD£R BIRD HEIGHTS JI~Y SCARBOROUGH 27222 SANDPIPER COURT SEPTIC SYSITtt DESIGN DA TE:. SEPT. 28, 2005 SHEEr: I/$ GRID: 1865 PERMIT #SVOSOXXX PIB # XXX-XXX-XX TBHO2OgI. BVG N i /' ,-~g;..~ ............. ~,, I m :' 4c)'th ~ : ~1 ~'""~:::~:~ ........ :' ......... '~"~ I I ~ ...... ~.....,~..=_._,...,.~ , ,,~ ............ ,-;~.._~.~ , SCALE, 1' = 50 F~, '~l~' JIl, O, IY SC,4RSOROUGH 27222 S,4NflPIP£R COURT PERHIT # $~050XXX P1D # XXX-XXX-XX SEPTIC SYSTEM DESICN £,4TE: SEPT. 28, 2005 SHEET: 2/3 GRI0:1855 AST# 3~34 ~" ~ GE~rEXI'KE STANDARD TRENCH INSTALLATION £ £XEAVAT£Alfl'xlfl'xlfl'Z~i'PI*~TLEr~RDlI~Y£L£$Y21Z~ 1 ~ 4 ~T2 ~ ~ x ~ x ~ ~I~T ~l~ RIGID ~AT~ ~ ~ ~ ~TEfl LE~ ~ o TOBBEN SPURKLAND P.E. 203 V/ ISTM. AVENUE ANCH. AK. 9950t J J TtlUNDERBIRfl HEIGHTS BIX 2 LT 9 JI~iWY SCARBOROUGN 27222 SNADPIPER COURT IlSEPTIC SYSTE&I DESIGN DATE: OCTOBER I, 2005 SHEET' I/3 GRID: N1~1855 PERMIT II P1B # T~DU~ Municipality of Anchorage Development Sen4ces Department Building Safeby Division On-S~te Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.munl.orglonsite (907) :)43-7904 Soils Log - Percolation Test 2- 3- 4- 5- 6. 7. 8, 9. 10- 11- 12- 13- 14- 15- 17- 18- 19- 20- COMMENTS Reading Date Gross Time Net Time Depth Io Water Net Drop PERCOLATION RATE .~..~ I w, num,'*x~) PERC HOLE OtAMETER PERFORMEOBY:L~ 3'o.~kt~ , [~O~. CERTIFYTHATTHISTEVV~AS PERFORMED IN ACCORDANCE V~ITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/~,0/O · File for Record at P,e~ue~t of: . First American Title Znsuran~e Company AFTER RECORDING HAJLTO: Name: 3immy IL Scarborouglh Sr. file No.: POWER OF A'rrORNEY (Special - Alaska) KNOW ALL HEN BY THE PRESENTS: _'l'~t 3imm)'. R..~ca .r~oro_ugh~.S_r. whose address .is: ~) ,~ 2. Z.Z. ..~,v' ~P ;~ t ~ O~,~__ i-/ /f , ,c~ ~l.~ /~. ~','/5~. has m~e, ~.-- --,rr, . · " '' in constituted and appointed, and. by tt~.,ese present, does ,~..~..,,,.,, -~ _r wh · ~'l~)m J~'i~/-,'/' /J3'~ 6~lq_~2~ns/her true and lawful attorney for him/her and In his/her n~r~,,°p~ce and stead, and for his ~s~ and benefit regarding the following desc~hed re~l property: Lot 9, Block 2, THUND£RB]RD HE]Gl-ITS SUBDIVISION, according to the off'~:[~l plat thereof, filed .under Plat Number 77-226, Records of the Anchro~ge Recording District, Third .ludiclal District, State of Alaska. EXCEPTING THEREFROH THE SUBSURFACE ESTATE and alt right, s, privileges, immunities and appurter~nces of whatsoever n~ture accruing unto said estate .pursuant to t~e Alaska Native Claims Settlement Act of t2-18-7z (85 Stat 688, 704; '13 U.S.C. 1601, 2613 (f) (1976) as reserved by the United States of America.) G:[VZNG and GRANTING unto him/her said attorney fuji power and authority to do and perform all and every act and thing whatsoever requisite and necessary to he done in and about the premises, as fully to all intent and purposes as he might or could do if persor~liy present, Including but not limited to contract, agree for, purchase, receive and convey land~, tenement, hereditament, convey, mortgage, hypothecate, · b~rgaln, sell or sign any document for, remise: .a. nd rel~sa: AI~ for him/.her, and · ~ ' Jd~her act and deed, to sign, seal, execute, ae~iver aha ac~now~eage such oeeas, ~.ases · of leases, covenants, agreements, mortgages, hypothecations, bills, bonds, hOtLy, receipts, evidences of debt, releases and satisfactions of mortgage, Judgment and other debts, and such other instruments In writing, of whatsoever kind or i~ture, as may be necessary or proper in the premises. Hereby ratifying and confirming al that his/her s~id attorney-in-fact shail lawfully do or/?~.~.~o.,be.,do~,n~y virtue of these presents. This Power of Attorney sh~li expire and term n~te on:~ page lof2 t tx. ~ i r. ST (DCT) Power ~ A~on~y (S~eda~ - Alaska)- .lune 27, 2005 cont~ued STATE OF Alaska ) )ss. Third · 3udidal DIst~ct ) THIS ]S TO CERTIFY that on this ~day of-~ 2005, before me the undersigned Notary Public, person~lly appeared3immy IL Scarborough, Sr., known to me and to me known to bet he Individual(s) described In and who executed the foregolnglnstrument and he/she/the¥ acknowledged to me that he/she/they signed the s~me freely and voluntarily for the uses and purposes · therein mentioned. WTrNEss my hand and official seal. -- ..'NOTARY : ...PUBLICf Notary Public In and for Alaska My commission expires MY Commlsslon Explres Page 2of 2 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: SPURKLAND ENGINEERING Legal description: THUNDERBIRD I-ITS BL2 LT9 The attached paperwork has been reviewed and is being returned for the following reasons: RECORDED GROUNDWATER OR RECORD GROUNDWATER MONITORING THRU OCT t5TM. ,LOGS HEED MAINTENANCE AGREEMENT Original signature or stamp missing on Calculation error in design. Additional soils information needed., Water monitoring results inadequate. Discrepancy in information submitted. T(~pographic information missing or inadequate. Incomplete; missing Incomplete; missing, Additional adequacy test information needed. Water sample unacceptable.. Measured/proposed distances/dimensions missing.. Locations of all soils, percolation and water monitoring tests not shown. ~[~ Proposed system too deep for soils information submitted. Well log required. Omission in narrative. Insufficient fill over tank or field. Other. THE BOTTOM OF THE SEPTIC GRAVEL NEEDS TO BE A MINIMUM OF 5 FEET ABOVE THE SEPT 9, 2005 ALSO MISSING SOIl Name of reviewer: JOE GOODALI. Date: 10/5/2005 Please supply the necessary information and re-submit your request. 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4?20 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ¢~. d. O. P£O ;~_4 DISTANCES SEPTIC ABSORPTION A~,.~ TANK FIELD WELL ..o~.) .o. o~ WELL fA"KS gz~n ~.& TYPE OF SYSTEM ~ ~ ~ TRENCH ~ BED ~ W. DRAIN ~ OTHER I ~ PRIVATE ~ OTHER (l~nfl~) ~i REMARKS: 72-013 (3/85) Permit Date Issued: MUN I C I F'AL I TY OF ANCHORAGE Department o~ Health & Human Services ON-SITE SEPTIC TANK PERMIT Number: 900057 Upgrade 02/~ 1/90 Engineer Designed Owner Name: SECRETARY OF H.U.D. Owner Address: 701 'C' STREET BOX 64 ANCHORAGE, AK 99515 Day Phone: 271-4665 Parcel Id: 051-721-14 Lot Legal: Subdivision: THUNDERBIRD HTS. Lot: 9 Block: Section: 25 ]ownship: 16N Range: 1E Lot Size 27574 (sq. ft. or acres) Max Bedrooms: This Permit: 5 Total Capacity: 5 SEPTIC TANK: Minimum total septic tan;< capacity: 1,000 gallons. Each Septic tank must have at least 2 compartments. Depth to top o~ septic tank(s) < 4.0 feet requires insulation over tank(s). REPLACE SEPTIC TANK PER ENGINEERS ATTACHED SPECIFICATIONS. NOTIFY DHHS PRIOR TO INSPECTION. ALL EXCAVATION TO BE COMPLETED lIN SAME DAY UNLESS COVERED AND HEATED. THIS PERMIT IS FOR THE EXISTING 5 BEDROOM SINGLE FAMILY DWELLING ONLY AND EXPIRES ON 12/51/90. I.CERTIFY THAT: 1..I am familiar with the requirements ~or on-site sewers and wells as set ~orth by the Municipality o~ Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and ~egulations, and in compliance with the design criteria of this permit. 5. I will adhere to all MOA and State of Alaska requirements ~or the set back distances Irom 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 5 bedrooms. I also understand that the capacity o~ the total system is 5 bedrooms and any enlargement will require an additional permit. Signed: (Owner) Issued By: J ./ ASBUILT-N~)'CORNERS SET THIS DATE. I HEREBY CERTIFY ·THAT I HAVE SURVEYED THE SCALD FOLLOWING DESCRIBED PROPERTY,' I ["-30' ~hunderb:[rcl ~[e:l. ghts SuSct. ,Lot 9,Blk. 2 ' I DATE: t, ND THAT HO ENCROACHMENTS EXIST EXCEPT AS INDICA~F..D." IT IS THE RESPONSIBILITY OF THE I 2-19-90 7W'NER TO DETERMINE-'I'HE EXISTENCE OF ANY -:AS'EMENTS, COVENANTS, OR RESTRICTIONS ' YNICH DO NOT APPEAR.ON THE RECORDED SLIBDI- j IISION PLAT. UNDER I~O CIRCUMSTANCES SHOULD %NY DATA HEREDH BE USED FOR CONSTRUCTION :)F FENCE LINES, OR FOR ESTABLISHING BOUND- ~RY LINES. GRID: · NW 1865 F~ 7-36 DRAWN, DMS SEWAP~D & ASSOCIATES LAND SURVEYING '6~8-&566 SPECIFICATIONS FOR SEPTIC TANK REPLACEMENT LEGAL: Thunderbird Hts. Subdivision: Lot 9, Block 2 1.0 GENERAL 1.1 1.2 The drawings shall be a part of this specification. All materials and workmanship shall meet the requirements of Anchorage Department of Health and Environmental Protection Permit. 2.0 THE SEPTIC TANK 2.1 Septic tank construction shall be a Z,000 gallon steel 2 compartment tank approved by the Municipality of Anchorage. 2.2 Septic tank is to be installed level on compacted base material. 2.3 All connections are to be made with caulder couplings.w'~ 2.4 The existing tank is to be pumped, removed and properly w' disposed of. 2.5 New tank to be provided with cleanout after tank./ NOTE: Existing tank is Greet steel tank and is tilted forward 3" off level. ,, ~ MUNICIPALITY OF ANCHORAGE DE 3TMENT OF HEALTH AND HUMAN SER, ;S '"' Environmental Health Division 825 "L" Street. Anchorage, Alaska 99502. Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT .a-~ ~ ~:~.~ DISTANCES ~ ~ SEPTIC ABSORPTION TANK FIELD WELL ~- ~ ~0 ~I ~ LOT LINE ' ' TANKS TYPE OF SYSTEM ~ ~ ~TRENCH D BED ~ W. DRAIN DOTHER ~ ';'~ ~:J WELLS ~t~ ~ ~ : REMARKS: ~- ~P~ Z/~ .- .... ~ .~ ....... - ' · ~; ,'.' ~" A~ ,.~...;~ ~ ~,~ S & S ENGINEERING I ...... L~ m_. d u- ~ ce~ify Ihat this inspe~iofl was pedormed a~rdiflg · / / / MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 025 L Stro~t, Anchorage, Alaska 99501 343-4720 0 N - S I ] E S E W E R P E R M I F'ermit Number: 870294 Date Issued: 10/50/07 Opgrade Engineer Designed Owner Name: GUY MIl PNERRSON Owner Address: 104 SANDPIPER CT. CHUbIAI.(, AK 99567 Day Phane: 688-2585 Parcel Id: 051-721-14 Lot Leqal~iViSionF-TkUNQEB.i~:D-~.~TS .... Lot.~ 9 Block: Lot Size 26527 (sq. rt. or acces) Max Bedrooms: This Permit: 3 Total Capacity: 5 SEF'TIC TANK: Minimum total septic tank capacity: 1,000 gallons. tank must have at least 2 compartments. Depth to top of septic ~e~t requires insulation over tank(s). Each septic tank(s) < 4.0 F'ER ENGINEERS DESIGN INSTALL; TRENCH - 59' X 4.5'~ MAXIMUM DEP[H 8.0'. ~OTIFY DHHS PRIOR 10 1ST AND 2ND INSPECTIONS. PHONE 343-4681 AF]ER 5:00 P.M. I CER¥IFY THA~: 1. I am familiar with the requirements Siqned: (Owner) Issued By: ~or on-site sewers and w~lls as set ~orth.by the Municipality o~ Anchorage (MOA) and the State o~ Alaska° I will install the system in accordance with all MOA codes and ~egulations, and in compliance with the design criteria of this permit. I will adhere to all MOA and S~ate o[ Alaska requirement~ (or the set back distances ~rom any existing well, wastewater disposal system or public s~werag~ system on this or any adjac~?nt or nearby lot. I understand that this permit is valid for a maximum o~ 5 bedrooms. I also understand that the capacity o~ the total system is 3 bedrooms and any enlaroement will require an additional permit. ~ · DATE: S 8~ S ENGINEERING 17034 E. R. LOOP ~204 EAGLE RIVER, AK ~577 PHONE ********************-***** SEWER PERMIT APPLICATION***************** DAI'E: APPL1CANI: ADDRESS: 10-26-87 GUY HcPHEI~I~ON 104 SANDPIPER Cl'. CHUG I AI,J ALASKA 9c/577 CON I'AC I PNONE: 688-2585 LEGAL. DESCR1P'IION: I_UT 9 ~-~LOCK'2 '[HUNDERBIRD HEIGHIS SEC 25 ,TI6N~R1W LOI' SIZE: 26527 (SQ F'I 0[~ ACRES) MAX. NUbI~ER OF f~EDf~OOMS: SOIL RATING: 175 SQ F'r/BR SOIL 1ES1 DEP'IH: 12 NO WATER PRESENI' IH TEST HOLE. 1H1S IS AN UPGRADE OF 5 BEDROOM 1'0 1HE EX1SIlNG SEP]IC SYSIEM TRENCH BED W. DF<A I NFI ELD EFFECTIVE DEPI'H 4.5,' 0 0 CraVER DEP'I FI 3.5 0 0 I'O1AL DEPTH 8 0 LENG] I I 59 ~ 0 0 ~11D'I'~I 2.5 0 0 SPECIAL CONDI'[1ONS 0[~ INSTRUCTIONS: 'IHIS IS AN UPGRADE UP AN EXISI'ING SYSI'EH. FAll.El) fin ADE(~UACY 'I'ES]. THE EX I S I' I I~lt3 LEACHF I ELD LEGAL DRAWN CKD PERFORMED FOR: ~-~ ~J~.~ I Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG .-- PERCOLATION TEST SLOPE LEGAL DESCRIPTION: L~ ~,"~,,.,-"r"'ljr~,_~:;~t~511?~ownship, Range, Section: ~ ~ [~,~...~ . '~..\ ~.~ SITE PL,~N 1 2 3 4 4 I~ ~ ['"~ ~t>/~,~...~ 6 8 10 - WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT Oepffi · W~er A~er 13 - Mo~i~lnO? 14- 15- 16- 17- 18- 19; Reading Date Gross Net Depth to Net Time Time Water Drop 20- PERCOLATION RATE ~ [* ~' (m,nutes/,nch) PERC HOLE DIAMETER COMMENTS S & S ENGINEERING /'---,-~ PERFORMED BY; E~ P~; &las~. ~S~ //I / ~ ~/ / CERTIFY THAT TH~ TEST WAS PERFORMED fN 7 / / / PERFORMED FOR: Municipality of Anchorage ~"v~~~,~' ~.._', ~, j 025 'L" Street, Anchorage, Alaska 90502-0650 //~~ SOILS LOG -- PERCOLATION TEST ~,'~'~. s_~-~ _..:..~ DATE PE LEGAL DESCRIPTION: L.--"~ I:ZP"L"' '"T"l"~ltZ-~3TOwnship, Range, Section: '~[~1,.~ ~.-- [~ ~ .~.~ ~~ ~. SLOPE SITE PLAN ' 1 2 0 I0 WAS GROUND WATER ENCOUNTE.ED IF YES. AT WHAT 12 ~,... DEPTH;' POE Depth to Wa~er Aller 13 Moni~rino? ~ Oit~ 14 15- 16- 17- 18- 19- Reading Date Cross Net Depth to Net Time Time Water Drop 20- PERCOLATION RATE ~[-~ (m~nutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND - (~ FT COMMENTS PERFORMED ~q~ River, Ala~a ~5~ ' /~ v/CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDE~CT ON THIS DATE. DATE: ~ MUNICIPALiTYOFANCHORAGE ~"4-t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street* Anchora~*. Alaskl ~9501 T~lephone 2~4720 ON~ITE S~AGE DISPOSAL SYSTE~ AND/OR WELL IN~ECT;ON REPORT ~AIUNG ADORE$$ ~E~AL DESCRIPTION k~ATION ~ISTANC~ TO: ~ell OTHER PER,II T ~0. RFPLICRtlT LOCRTIOti ,LEGRL M. RODERT R[%DER$Otl 5R~IDPIPER CIRCLE L9 E:2 THU~IDERDIRD HTS S/D BOX i9&6 RIICH LOT SIZE FEET :TYPE OF SOIL RBSORBTIOfl 5YSTEI1 IS: TREfF:H MRk'IMUr'I t~U£'IDER OF DEDROO[t-'~ ,: ~ SOIL P. FITIt~G {SO FT/E:R)= -THE REOUIRED SIZE OF THE SOIL RBSORPTIOfl SYSTEI*! IS: i25 · Dr:''PTH= 8 Lr:"I".I6TH~= 47' 6F:.FI'v'EL DEPTt'I:-~ '--'1- THE LEtlGTH DIME!I~IO,'I IS THE LEtlGTH (It/ FEE'S') OF' THE TRENCH OR DRRItlFIEL[~. THE DEPTH OF FI TRENCH OR PIT IS TIlE DISTR~ICE E:ETI.IEEtl THE EURFRCE OF THE 6ROUflb RflD THE 130TTOII OF THE EXCRYRTIOtl <Il! FEET). THERE 15 WO SET I,!IDTH FOR TREIqCHES. THE 6RRVEL DEPTH IS THE_ IIltlIMU!.I DEPTH OF (~RFIVEL ~ETI, IEEtl THE OUTFFILL PIPE R~I[~ THE BOTTO[! OF THE EXCRVFITI¢I (Itl FEET). · REg-!.U 1' Rr:..D SEF'T 1' C TRI'41<. _'5; 1. 2'.r:..= :I. 6~E,E~ i F'EF:HIT FIF'F'LICRf~T HRS THE REBPOIISIBILITY TO IIIFORI'I THIS DEPRRTHEHT DLIRII~I,] THE I!ISTRLLRTIOtl IIL'$PECTIO/I$ OF Rtl'¢ I.!ELL5 RDJRCBIT TO THIS PROF'ERTY FItlD TH~ . t,IUItE. ER OF RESIDEHCE$ THRT THE WELL I. IILL SERVE. ------ TI40 (2) 'r l-,l_c:pr:-- C:T 1. OH_c: i-'-~RE F:F_t~.U 1. .DRCI:FILLItlG OF Rfl',' SYSTEli I.IITHOUT FIt~RL INSF'ECTIOrl Rtl[~ RPPROVRL DY THIS .DEPRRTHEtlT I,!ILL DE SUDSECT TO PROSECUTIO~I. '.I.!I!IIHUH DISTFIt(CE EETI, EEtl FI I.IELL R!ID RtIY OfI-SITE SEI.IRGE DXSPOSRL 'lO0 FEET FOR FI PRIYRTE WELb OR 3.50 TO 200 FEET FROI'! R PUBLIC I. IELL DEPEtlDItlG UPOtl THE TYPE OF PUBLIC I. IF_iL OTHER REOUIRE~EtlT~ I'IRY RPPL¥. SPECIFICRTIO!I~ RIt[~ COtISTRUCTIO~ DIFIGF:RIIS RRB RVRILF~BLE TO It/SURE PROPER ItGTRLLRTIO~I. F'r:..Ri'I 1' T ENP Z Rr:..S Dr:..¢r:..l'lE:r:..R ~---::L.. ::/,.._c~ ;"'8 I CERTIFY THRT · 3.: I Fir1 FRHILIRR WITH THE REO, UIREI'IBITS FOR OtI-':;ITE SEI.IERS R~'I:~ !.ELLS RS SET FORTH BY THE MUt~ICIF'FILITY OF RtlCHORRGE. 2: I WILL IHSTRLL THE ~Y~TE['I IN RCCORDRtlCE ~IITH THE CODE~. ~: I Ut~DERSTRt~D THRT THE O~I-$ITE $EI.IER SY~TBI MRY REOUIRE Et~LRRGE~IE~IT IF THE RESIDE!ICE IS REHODELED TO ItlCL !DE MORE ~HRt~ ~ BEDRO0~I$. ....... B'OMHOFF & A.SSOCIATES, INC. Engineering - Plannlng- Sur¥~ylng 1020 'Wcs! lntcmatlonal Airport T, toaci · Anchorage. Alaska 'Tclcphonc(g07) ~'7g'55~2 0 BORING ~0., STATION ELEVATION BORING NO., STATION ELEVATION 0 I 7 8 10 I- II ~,. 14. o 15. : 17. 20. 24 I .- .... . .. ..~, ,.J-. .. ROBERT A. SHAFER SIEWER & WATER MAIN EXTENSIONS ROAD DESIGN November 3, 1987 Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 99502 REFERENCE: Lot 9; Block 2; Thunderbird Heights CIVIL ENGINEER 694-2979 'rOY 03158; Request you issue a property line waiver between the Northeast property line and the leachfield upgrade located on the referenced property to 5 feet. The upgraded leachfield portion of the septic system follows the contour of the land. In order to move the leachfield to the south far enough to keep the end of the trench 10 feet from the property line, the south end of the trench would need to be placed too close to the house since a small bluff would prevent it from being placed away from the house. In reference to influencing the septic system area on lot 10 block 2 -- The gravel depth in the referenced leachfield is 4.5 feet. With a property line waiver, the neighboring lot 10 can still put a leachfield between his existing leachfield and the property line while keeping a distance between trenches of 10 feet which is more than the required "two times the gravel depth." If we may be of further service, please contact Roger/694-2979. Sincerely, ~ S~for '~p' E '~'~ ON SITE WASTE WATER I~SPOSAt. SYSTEM DES~N 17034 EAGLE RIVER LOOP, SUITE 204. EAGLE RIVER, ALASKA 99577 • Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-7904 s FET Y CERTIFICATE OF ON-SITE SYSTEMS,APPROVAL Parcel I.D. 051-721-1 Expiration Date: 7 —202E 1. GENERAL INFORMATION Complete legal description Thunderbird Heights Block 2_Lot 9 Location (site address) _ 27222 Sandpiper Ct._Ch_ugiak_AK 99567 Current Property owner(s) _Cameron DonaldsonDay phone Mailing address 27222 Sandpi ep r Ct. Chugiak AK 99567 Real Estate Agent 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: Individual Well ❑ Individual Water Storage ❑ Community Class _ Well ❑ Public Water System ❑ WaiverNariance request for: 3 TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 5 Date of Payment71 A -1 - Receipt Number "15 q_q COSA # 06 C 211 Ll d, g Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: 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 ARCTERRA CONSULTING, INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD,_EAGLE RIVER, AK 9957.7 / Engineer's Printed Name KENNETH M._DUFTUS Date 12-1— J Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. 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, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future �\ occupants or can ArcTerra guarantee that no unseen �.:, or,' A/ encroachments, deficiencies or discrepancies exist. 6. DSD SIGNATURE t 1_ bedrooms.'' "' ` '' "y System #1 Approved for+ F. 1 .., ills System #2 Approved for bedrooms. '^c:�� " "�Ar Disapproved. Conditional approval for bedrooms, with the following uldf-kSl t(q \``�` OF,��i �J ON-SITE WATER AND m --- S -T--_ v, ATER- z ROG �< P (;A o; l Original Certificate Date: 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 blue sheet -10-10-12 doc COSA Checklist Legal Description: Thunderbird Heights Block 2 Lot 9 Parcel ID: 051-721-14 If more than 1 septic system on lot: COSA Checklist # of L DATA ❑ Well to d with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test Comments ft. B. TANK DATA Age of tank(s) 16 years Tank type/material $i Cycle/Fiberglass Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping x BioCvcle D. ABSORPTION FIELD DATA Which system tested (date installed) 10/20/05 ALL standpipes present per record drawing Total measured depth from grade 4.0 ft (max) Measured depth to pipe invert from grade ft (min) N/A — pressurized field FJ 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: COSA Checklist yellow sheet Structure served by this system Well production at time of test qpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Ar ug/L F-1 Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION Required maintenance completed Age of lift station 16 years Lift station material Fiberglass Comments: Adequacy test date 7/16/21 Results QPass For 3 bedrooms Fluid depth prior to test 3 in Water added 450 gal New depth 13 in Elapsed time 441 min Final fluid depth 3 in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date X Per 10/20/05 Inspection Report total depth from now finished grade should be 4'. E. SEPARATION DISTANCES rivate Well on Lot to: (Please enter distances if less than required or if community well) ❑ Yes Septic Tank/Lift Lot > 100' ft Surface Water > 100' Community Sewer Manhole/Cleanout > 100' Property Line > 5' Yes if No ft ❑ Yes if No Neighboring Tank > 100' ❑ Yes if o ft Private Sewer/Septic Line > 25' ❑ Yes if No Absorption Field on Lot? 100' ❑ Yes if No ft Tank? 100' ❑ Yes if No Neighboring Absorption Fields > 100' Yes if No_ Water Service Line > 10' Animal Containmen _ ❑ Yes if No ❑ Yes if No ft Manure/Animal Excreta Storage > 1 Community Sewer Main > 75' ❑ Yes if No ft ❑ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *51+ ft Surface Water > 100' ® Yes if No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No. Water Main > 10' ® Yes if No ft Community Wells > 200' Yes if No_ 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 ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No 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 *Meet code at time of installation G. ENGINEER'S CERTIFICATION 41P' t certify that / have determined through field inspections and review Ar r?.' ff4: of Municipal records that the above systems are in conformance with a 49TH MOA GOSH guidelines in effect on this date. M. 711 COSA Checklist yellow sheet tA�p� ft ft ft ft ft ft ft 110 ft C Anchorage AK 99503 Email: crbioak@gmail.com (907) 274-0314 Homeowner Info Customer Name: Cameron Donaldson Tank#: 199 Install Date: Oct. 2005 Address: 27222 Sandpiper Ct. Area Chugiak Initial Inspection: Alarms Tested: Air IVI High Water [VI Battery Tested: Yes 9 No ❑ N/A ❑ ( ie,ase make sure alarms is on "normal". not "mute") Does system have a septic tank ? No [VI Yes ❑ (Recommend pumping tank every 2 years) Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor? Yes Repaired ❑ Yes 171 Repaired ❑ Strong ❑ Mild ❑ None System Inspection ^..:s ? ..�f..-..:.;4,- , c ae,�.. � F ,-� " x,.. x rz, �,�.; � ..3''-- �.,,.. {> �.;. �.'""' byn ✓.z+ ��`}�x"� ��'a�t' -.�-�. '."v., � kr � ��„,} "y. �-�a " ,��:,�� `�' �.�' 'k'�� ,�„,�a'� �x � �,x x rr a 4�.e� �;s v-x'n�" ,�;, £-��z�'�-.:: ✓ SCM 7::� ^F 5.��.c�.�s.�,�4 ��t„,�' �:� z"'�'ra�,a�S+a3..§`��s� `"c a.N '��r ,�,.°�,�'k�,�"c", ,c,,,a`.a�, rt�x�*�ts<�.�H�� 'w� .,3'. Inlet plumbing in working order? Solids pillow normal.? Yes 171 Replaced ❑ Yes 9 Requires Pumping ❑ Are all aerators functioning? Any buildup of solids? Yes 171 Replaced Yes ❑ No FVJ ck"� fr fL � � �� `xj �•°`a a� �.�`�'�r�fi^'-� vu '�Y .v ,�-,t.,.� „yk ..� e zz.'3e" ��.�'T�`�"� E,.. �. ��i �..'� �h.�..: E- a�� r-,�' � �...� b ,m'k� ,-x. r � � S`.� ''�'��r Clarification return system operating? Any buildup of solids? Yes FVJ Adjusted ❑ Yes ❑ No [VJ r E:ffluer�t��testrn.. �YerJ�l:l '� _� ..,.. ��,v. �"s.: ��c,�`�-,h �.. z".- -' ;�rt�`s"'�sr'.;��*, a -�.. �"�' '� ...0-,,x ��x.� =•xr''x R- '� A sc-."r�, �..- ;�`3� �a_ r„r-' ,a�; `^ ,x"' _. pH Reading: Dissolved Oxygen PPM Turbidity of discharge (in FTU) (pH of 6-8 is ideal) (2-5 is ideal) (Under 35 FTU is considered compliant.) 7 11 3 >5 96111 'ice Pump float operating? Alarm float functioning? Any buildup of solids? Yes I✓] Replaced ❑ Yes 9 Replaced El Yes ❑ No Filter cleaned? Discharge line condition: Yes [71 N/A ❑ Good 11Z Replaced ❑ Comments: Has emailing or mailing of form been requested? Yes ❑ No ❑ Inspected By: Chris Date: 02/24/2021 (contact office to request...) MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE ANIS REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of 20 :2\ , by and between c >,J-c,N herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (.AMC) 15.65.365. In consideration of the mutual covenants contained herein, the patties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Bio -cycle located at (legal description) Thunderbird Hts Bilk 2 Lot 9, 27222 Sandpiper Ct., Chugiak 2. Maintenance, Repairs and Alterations. Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This r includes an annual maintenance fee (typically $400 to $600). f^ r Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. fG Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I of Owner acknowledges that the Municipality may request records of maintenance and 6 p Y Y q repairs from the manufacturer's representative or maintenance provider. l 1 p• P- .r NOwner acknowledges that the tine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. f Owner agrees to grant the Municipality reasonable access to test and inspect the r AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new .r J Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonrvaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof.or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Turisdiction: Choice of Urw. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of ON By. gnature) Date: 8-)— �—� int name) STATE OF ALASKA ) SS. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this % day of 2T7,( by 1� NOTA .1' PUgB ,IC FOR`ALASKA Notary7D�18, My Commission expires: `�. ;�Lc�`��- PRI CCE L State of My CommissionacDec. MUNICIPALITY: �p By: t.., (signature) Date: (print name) Title: (rev. 05/18/20 18) Page 3 of 3 • Municipality of Anchorage00 On-Site Water&Wastewater Program — = (907)343-7904 SA ETV CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-721-14 Expiration Date: - S �� 1. GENERAL INFORMATION Complete legal description THUNDERBIRD HEIGHTS S/D; BLOCK 2, LOT 9 Location (site address) 27222 SANDPIPER COURT, CHUGIAK,AK 99567 Current Property owner(s) WELL FARGO BANK Day phone C/O AGENT Mailing address 8480 STAGECOACH CIRCLE, FREDERICK, MD 21701 Real Estate Agent VALERIE RITZ/STACY HAGUE Day phone 201-0299 WITH PARTNERS REAL ESTATE 2. TYPE OF DWELLING: MI Single Family (w/wo ADU) Duplex I Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well n Individual On-site 111 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System • Public Sewer ❑ WaiverNariance request for. N/A Distance: - 0 Received by: Date: 111 c COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 52� Waiver Fee$ Date of Payment 41"2---IF Date of Payment Receipt Number (55 - I I Receipt Number COSA# °C)4-)t ( b `�/ 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 V24// Engineer's Printed Name JEFFREY A. GARNESS,P.E. Date 8 Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the 611��i ii al guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results descnbe the 44•�� OF141. condition of the systems on the date/s of the evaluation.Separation distances were measured to readily identifiable features. i1,c Hidden defects or encroachments may exist that were not identified during the evaluation.The operational fife of all wells and septic =C7\,•.•* ••..• •� VA depend on a variety of variables including,but not limited to,sal conditions,groundwater levels(that may fluctuate during the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the system's.These *.' 4 •%* •• conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the (at, 0 1 t I system/s;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. /� GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the % l • current systems fail.The content of this report is for the sole benefit of the erson/party who retained GEG.Reliance upon the ..7.e."..••,J p Po effr: A.6ap�ss.�ti.5 lit information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not . 44 m �G�. C 79 3 ' authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. • S> a 6. DSD SIGNATURE • LICENSEOFESS� �� \� #LICENS 4 1 Ill II,i", • I� System#1 Approved for - bedrooms. System#2 Approved for bedrooms. '^ Disapproved. \GQP�� 6�AI�l.L:6'PP O ON-SITE -9 Conditional approval for bedrooms, with the following stipulations* AND m ' WASTEWATER \I=. PROGRAM osp �� mac) By.; • vw� . Original Certificate Date: 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: �1 COSA Checklist 76 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10/12112) . 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: THUNDERBIRD HEIGHTS S/D; BLOCK 2, LOT 9 Parcel ID: 051-721-14 A. WELL DATA PUBLIC WATER Well ty PUBLIC If A, B, or C provide PWSID# Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properl - . ected (Y/N) Total depth ft. Case. . ft. -sing height(above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water lev- ft. production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform co onle :; -• . ► . .te mg./L. Arseni • . . Date of sample: B. SEPTIC/HOLDING TANK DATA *SEE SERVICE PROVIDER MAINTENANCE REPORT Tank Type/Material BIOCYCLE Date installed 10/20/2005 Tank size 1600 gal. Number of Compartments 4 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) YES Date of pumping *AS NEEDED Pumper ' C. ABSORPTION FIELD DATA Date installed 10/20/2005 Soil rating .p.d./ or ft2/bdrm)**4.o System type 5-WIDE Length 20 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth *4.13 ft. Eff. absorption area 143 ft2 Monitoring tube YES Depression over field NO Date of adequacy test "'3/21/2018 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 500 gal. New depth 17.5 in. 310/ Elapsed Time: 1375 min. Final fluid depth 7/0 in. Absorption rate >- 450+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date - 'BELOW EXISTING GRADE AT MT1.BASED UPON ELEVATIONS TAKEN BY GEG,IT APPEARS THE BOTTOM OF THE MONITORING TUBE DOES NOT EXTEND TO THE BOTTOM OF DRAINFIELD (-9"TOO SHALLOW) BASED UPON TOBBEN SPURKLAND P.E.'S AS-BUILT DRAWINGS ELEVATIONS.FINAL GRADE ELEVATION WAS FOUND TO BE APPROXIMATELY THE SAME. THIS IS FOR A CAT.II BIOCYCLE TREATMENT SYSTEM. "'1,500 GALLON PRESOAK WAS ADDED TO SYSTEM ON 3/20/2018.FILLED DRAINFIELD COMPLETELY FULL.HOUSE HAS BEEN VACANT MORE THAN 30+DAYS. D. LIFT STATION *SEE ATTACHED SERVICE PROVIDER MAINTENANCE REPORT 10/20/2005 Size in gallons 1600 Manhole/Access (Y/N) YES Date installed "Pump on" level at * in. "Pump off' level at * in. High water alarm level at * in. Datum * Cycles tested * Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: PUBLIC WATER Septic . . .' station on lot On adjacent lots Absorption field on lot On adjacent I. Public sewer main '. • 'c sewer manhole/cleanout Sewer/septic service li - Holding tank Al.... ontainment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: sb, , Building foundation 410 ,E1'+ >10 Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line `10'+ Surface water 100'+ Wells on adjacent lots 100'+PVT. &200'+ PUBLIC SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line *10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots100'+ PVT. &200'+ PUBLIC F. COMMENTS *ASSUMED BASED UPON KEYBOX LOCATION NOTED IN MOA ONSITE DEPARTMENT RECORDS. . c_ OF I• 111'x, G. ENGINEER'S CERTIFICATION 4.4,4'<\>.,.N.::;. •.. I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in • � • 'i conformance with MOA COSA guidelines in effect on this • date. � eff . Garn ss/ Engineer's Printed Name JEFFREY A.GARNESS �v v.SFO•............. •I .**<,,424 : 8291A *` .4y/x1 1_ �� ; Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-721-14 GENERAL INFORMATION Complete legal description Expiration Date: ~-/ 7-/~----------------------------------~ Thunderbird WI;s, BLock 2, Lo't; 9 872'2'8 S(zndpiper C-I; Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address ~onatd TayLor' P7PPP ~nndpiper E~ Day phone 694-5750 Day phone 2. NUMBER OF BEDROOMS:. Real EstateAgent Audrey Me, son · .Mailing AddreSs " RE/HAX- Ec~qte River Unless otherwise requested, COSA will be helcl by DSD for pickup. ? Day phone 694-5750 .¸ TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class __ Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site System's Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 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 Address NOpthRim Engineer-in9 P,n, ;Box 770724 Engineer's Printed Name S~eve En9 Phone· 694-7028 .5. DSD SIGNATURE '~..~'~' Approved for 3 Disapproved,- Conditional approval for bedrooms. bodrooms, ~th the followiaO stipulations: Attachments: COSA Checklist Septic System Advisory Well .Flow Advisory Nitrate Advisory (Rev. 11105) X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original'certificate Date: ~.- / '~ / (/ Municipality of Anchorage DeVelOPment Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343'7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Thunderbird WI;s, Block ;:), Lot 9 Parcel lD. 051-7Pl-14 A. WELL DATA Well type ' . .... Date completed ' Total depth' IfA, B, or C provide PWSID # Sanitary seal (Y/N)' Cased to ft. FROM WELL LOG Well Log (Y/N) , Wires properly protected (Y/N) Casing height (above ground), AT INSPECTION in. Date of test ' ' Static water level ' ft. ' ft- Well production ' g.p.m. ' g.p.m. WATER SAMPLE RESULTS: Coliform ' ..colonies/100 mL' Nitrate' mg/L Arsenic:' ug/L date of sample:' B. SEPTIC/HOLDING TANK DATA Biocyc[e Tank Type/Mat~!al '. 1600 ~ Tank size gal. Number of Compartments4 '" Foundation cleanout (Y/N~( . .. Depression overtank (Y/N) N 219111 Larry Date of pumping Pumper Collected by: ' Date installed 10/;:)0/05 Cleanouts (Y/N) Y High water alarm (Y/N) Y Be~$ ABSORPTION FIELD DATA Date installed:10/P0/05 Soil rating (g.p.d./ft2 or ft2/bdrm)4 Length 20 ft. Width 5 ft. Total depth ;:) ft. Eft. absorption are~ 4 3 ~ Monitor ng tube__ Date of adequacy test. P ? 9 / 11 Results (Pass/Fail~ cz $ $ Fluid depth in absorption field before tes(~ ... in. Elapsed Time: 60 min. Final fluid dept~ Any rejuvenation treatment (past 12 mo.) (Y/N & type) System type 5' ~/ide Gravel below pipe2 Y Depression over field N Fo~ bedrooms Water adde~50+ gal. New dept~ in. in. Absorption rate >450+ g.p.d. n a If yes, give date D. LIFT STATION Date installed 10/25/05 Size in gallons 1600 "Pump on" level at25 in. "Pump off" level at44,5 in. Datum top ~ank Cycles tested :E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Access (Y/N) Y High water alarm level at 22 Meets alarm & circuit requirements? Y in. Septic tank/lift station on lot ' Absorption field on lot Public sewer main ' Sewer/septic service line Animal containment areas On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas . SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation5' + Property line 10' + Absorption field Water main 25'+ Water service line 25' + Surface water Wells on adjacent Iot~-00 + 5~ + 100' + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ 25' + Water Service line 50'+ Curtain drain Building foundation 10'+ 100' + Surface water Wells on adjacent Iotls00' + Water main 25'+ 10' + Driveway, parkJnglvehicle storage COMMENTS I certifY that I have determined through field inspections and review of Municipal records .that th~ above sYstems are in guidelines in effect on this date conformance with MOA COSA Engineer's Printed ~,_,_ 8/11/11 , COSA Fee $ c~'(.,~ --"- Waiver F~ Da. of Payment ~/]t/// Date of Payment R~eipt Numar ~ 55~/~ Receipt (Rev. 4/10) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St, P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ,~E. RTIFICATE OF HEALTH AUTHORITY APPROVAL R ~'¢~ ~..;~i ~'~' FOR A SINGLE FAMILY DWELLING ' Parcel I.D. 05 I- '7~.!-' I q 1. GENERAL INFORMATION Complete legal description Expiration Date: Location (site address or directions) Current Property owner(s) Mailing address Lending agency I[35q~ v/jall~.e~e C;¢ Er& q¢.~77 Day phone Mailing address Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: -~ 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A, Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site [~ Individual Holding tank .[-I Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of Ihe validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Address Engineer's Printed Name 5. DSD SIGNATURE · ~ Approved for Disapproved. Conditional approval for Phone ~?~- Date ~ ~F A ~..~ ........ · ...... ~..,~ bedrooms. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewaler Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA ty e Date completed Total depth ParcellO: O5t-'7~1- Icj IfA, B, or C provide PWSID # Sanitary seal (Y/N) __ Cased to ft. FROM WELL LOG Well Log (Y/N) ~.J J ! ~, Wires properly pr6tected (Y/N) Casing he ght (above ground) AT INSPECTION in. Date of test Static water level ft. Well production WATER SAMPLE RESULTS: Coliform __coloniesll00 mL Arsenic: mg./L g.p.m. Nitrate mg./L Date of sample: Other bacteria Collected by: gp.m. coloniesll00 mL SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size ~ gal. Number of Compartments Foundation cleanout (Y/N) ~/ Depression over tank (Y/N) Date of pumping I'.//,~ Pumper Date installed Cleanouts (Y/N) High water alarm (Y/N) C. ABSORPTION FIELD DATA Date installed 10/2o/.~ ~' Soil rating (g.p.d./ft= or ft2/bdrm) /"//q/p/,,/~' Lengtl~ .,~0 ft. Width 5' ft. Total depth ~.. ft. Eft. absorption area I~/~ ft2 Monitoring tube . Date of adequacy test I',~ Results (Pass/Fail) ~ Fluid depth in absorption field before test /in. Water added V~gal. Elapsed Time: C/min. Final fluid depth /'n. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & type) ~ System ~pe ~--' ~",'o Gravel below pipe ~ ft. Depression over field For ;~ bedrooms New depth ~in. J/,~/.P gp.d. If yes, give date D. LIFT STATION Date installed "Pump on' level at ,~,,b' in. Datum "~e~ E. SEPARATION DISTANCES Size in gallons 'Pump off' level at ~'va, in, Cycles tested Manhole/Access (Y/N) .. "7/ High water alarm level at ~. ~ in. Meets alarm & circuit requirements?, y Seplic tank/lift station on lot Absorption field on lot Public sewer main SEPARATION DISTANCES FROM WELL ON LOT TO: On adjacent lots On adjacent lots Public sewer Sewer/septic service line Holding tank SEPARATION DISTANCES FR~M SEPTIC/HOLDING TANK ON LOT TO: Building foundation I~ Property line Water main )' ,,q,-~ Water service line )' Wells on adjacent lots 1-/,//~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~O Building foundation ~..O Water Service line ) .q.-~ Surface water I-4, I O Curtain drain ~ { ¢ Wells on adjacent lots Absorption field Surface water Water main '~ ~.~ Driveway, perking/vehicle storage F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. HAP, Fee $ Date of Payment Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number 8291A Lot 8 m EASEMENTS OF RECORD. OTHER THAN THOSE SHOW ON THE RECORDED Sew'ant PLAT ARE NOT SHOV~,~,I HEREON. Fb 05-6, pg24 Lot 10 S89°51'1 l"W 97.96 S'e~ LOT 9 Ii SCALE: 1"= 30' AS-BUILT NO CORNERS SET THIS DATE II hereby m~fy that I have performed a Moltgagee's ku~ec~on Improve rnents ~tuated the reon Ire wtth~n the Ixope~tY I~nes and do not overlap or encloach on the @mpc lc/lying adjacent thereto, that no Ir~mvernents on the property lying that there are no roadways, transm]MIon Ines o~ other Engineers and MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Thunderbird Hts. Lot 9, Block 2, T16N, RiW, Sec. 25 Location (address or directions) 27222 Sandpiper Ct. (b) Property owner Secretary of HUD Telephone: (home) n/a Business 271-4665 Mailing Address 701 "C" Street, Box 64, Anchorage, AK. 99513-0000 (c) Lending Institution n/a Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone n/a (e) Mail the HAA to the following address: (or check here33, if hold for pick up.) List contact person and day phone number below: .: . . Pick-up by Engineer 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms 3 / 3. WATER SUPPLY Individual Well [] Community r~ Public r'l 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 r~ / Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status· Page I of 2 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 th~s · 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 Eagle River Engineering Telephone (907) 694 -5195 Address P.O. Box 773294, Eagle River, AK. 99577 Date ~'-/"~'/~ ~ 6. DHHS APPROVAL Approved for- Approved ~,. ~..~.~ bedrooms Disapproved Conditional Terms of Conditional Approval 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. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 ~ MUNICIPALITY OF ANCHORAGE (MOA) ' · .ealthAuthorltyApp o., · .. r..-:· .-" ~ClPALITY O,~HECKLIST - FEBRUARY 1984 A. WELL DATA' Well classiii~ation Well Log Present (WN) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring In Conduit (WN) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ,F Z. OO' To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ENVmON~NT.~. · , MAY 2 [~r~ ' ~ - .* If A, B, C, D.E.C. Approved (Y/N) D~t~C pi "' om eted Yield Depth of Grouting ~ Pump Set At Sanita~ Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer CleanoutJManhole To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ~'3,., tot: c ; Date SEPTIC/HOLDING TANK DATA Date Installed t~3~) Size I~ ooo Standpipes (Y/N) ¥' Air-tight Caps (Y/N) Depression over Tank (Y/N) ~ O Pumping/Maintenance C0ntact on File (Y(N) H / A _..... .~.-" No. of Compartments ~,. ~' Foundation Cleanout (Y/N) ~/ Date Last Pumped ,~/13_J~o (~ o'~ '1'~,,~.)~/"" :'for I~/A .To Water-Supply Well To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments Holding Tank High-Water Alarm (Y/N) N/~, Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/~.HOLDING TANK: . -t. T..OO ' TO Building Found~ti0n''" "~ ' ~ ~' '"/ To Disposal Field N/^ Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed to./L..] 7~ .,- Width of Field '~,' ~' Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test ~/J;~', Type of System Design~ Length of Field SO" Depth of Field ' "')'<J'/' 4' - 'Gravel Bed Thickness ,~l.' ~o)1 ~, t Statndpipes Present (Y/N) Date of Last Adec~uacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well 3" ~;oo' To Building Foundation Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line · ' To Existing or Aband(~ned System on ; On Adjoining Lots Z.o' To Cutback (if present) .t-liDo D. LI~ Date Installed ~ ' Dimensions Size in Gallons ~ Manhole/Access (Y/N) "Pump On" Levelat , . ~ · ,'~b~..... ': , 7 · "Pump Off,, Level High Water Alarm Level at ~"~"~._ ' Vent (Y/~)..'"~'~'~ : Tested for ~ /Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ~ · ;d~;~;k~ P;;mitt'ed "B~dr~;t~ Rating Against HAA Request'* I certify that I have'checked, verified, or conformed to all MOA and HAA guidelines in ef~ct .o~%t~t~ date of this inspect ork' · "'d' ~ (~F ,-.. ~ Eagle Rwer Engineering Se~lces A.,~%,,,*** ~'*%~,'~ ] ~,, . : · ' - ~pe~L",. ........ , ,.; Date of P~rment ~ -~ - ~ W~iv~r Fee: I Amount: $ ~/~' ~ Date of Payment t~ (u~. ~) e.~ Page 2 of 2 DEPT. OF ENVIRONMENTAL CONSERVATION / STEVE COWPER, GOVERNOR ANCHORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 May 2, 1990 563-6775 FOR: EAGLE RIVER ENGINEERING ATTN: RUSSELL PWSID: %211156 According to the records on file in this office, the Ek~u~n~ Thunderbird ~ei~hts Subdivision Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, VERA E. C IO () Environmental Fie-'Id Officer VEC:bas MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 1. GENERAL INFORMATION (a) (b) '. (c) Application Date O~:o6~.,'r. 1&. lqg7 Legal Description (include lot. block, subdivision, section, township, range) £o.t 9 B~ock ~ Ttm~d~/tbi~td H~ight~ Location (address or directions) 104 Sandpip~ Co~/[,t Applicant Name ~tzF M~P~en Telephone: Home &88-~8~ Business ApplicantAddress 104 ~Ep]p~ ~.' ~g]~: A~ 99~7 Applicant is (check one): Lending Institution ~; Owner/builder ~; Buyer D; Other D (explain); (d) Lending Institution K~'~; P~if.:~ : :--:- ~ :.:..Address .4~'/',_ M~,~ ~O~ff :. L":;.: (e)-~ Real ~tate Company~nd Agent ~C~ ~G]~e E~--- -~ _ '.':....~ ~..~:-..;. -' :' Telephone 494-~fl . (f) ~the HAAto the following address: ':" ':' ' ' S&SENGINE~ING Telephone Af~x~ qq~77 ~r~,"-:'' '~ ~: ! ': EagfeRlver, Alaska~9577 '. ;-; 2. ~ TYPE OF RESIDENCE ' -" ,"-" ,' '"- " ily~ ily I-I '... ~ ~ :,.~:Single-Fam Multi:Faro Other ~: ' ~::'.L -:Number of Bedrooms ~ ' " . - . . ........ ....... ... ........ ~,.-.,.,:~.... . *-.-,-:,.; . .~ .* , . · ..... .: . · 3L WA~.,,,~R"" SUPPLY ; ~. : .... '; · ::,'..' Individual Well [] Community I-1 Public,~ : ','. ' ' ...... - -.., -.Note fc~mmun~tywe~system~musthavewr~ttenc~nf~rmat~nfr~mtheStateDepartment~fEnwr~nmenta~C~nservat~n "'~'.' :.' ';-'atie~t'i~ tO the legality and status. Ons!te~::~ Public [] Community I-I Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-025 (11,~4) 5. ENGINEERING FIRM PROVIDING 3PECTIONS, TESTS, FILE SEARCH, DAT'~'%ND INFORMATION ','-., As certified by my seal affixed hereto and as of the validation date shown below, I vedfy 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 vedly 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 corn pliance with a!l M~ni_cipal and State codes, ordinan, ce_~ a.n.d_re.g~lations in effect on the date of this inspection, Name of Firm S & S ENGINEERING 17034 Eagle Rives' Loop Reed No. 204 · 'Address - ,- ~,t--. Al..t,. _ee~r~/, Date . . ~, ~ . Approved D~oerov~ ~nd~bonal ~)'." ,* ,:; :.:..Jhe Munc~*pah~ o~ Anchorage Depadm~fit ~f ~ealth and Enwro~m~ntal Proration (DHEP) I~ues Health AuthOrity ::":*...: .;~ ~,,} ~pp~vbl ~e~fic~te~ 'b~d ~ay up~*~ the represehtations ~iven in ~gra'ph 5 ~bo~ by'an'l~dep~h~nt profe~i0n~'l '~-~"~ ~ ~';*'~'.'~'engin~r registered In ~e State of Alaska. The DHEP does this a~ a cou~esy to purchasem o~ homes and their lending '. "~. : . ~ ..... nstitutions n order to satis~ ce~in federal and state requirement. Employees'of DHEP do ~t cb~uct inspections or .... * ~,. ~' anal~e data before a ~e~ificate is issued.'The MunicipaliW of Anchorage Is not responsible for errom or omissions in the ,. prof~sional engineeKs work. - · - · ~ . · Page 2 of 2 ENVII~"~NT HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-472O A. WELL DATA RECEIV£O Legal Descril ' · Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level _ I"J_ Casing Height Above Ground / Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments If A. B, C. D.EC. Approved~N) Date Completed Yield Depth of Grouting Pump Set At Sanitary seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots '~ ~..4'" ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/~TANK DATA Date Installed ~.¢;' - Lc, ,-'"/~ Size ~ No. of Compartments Standpipes ~)N) Air-tight Caps ~N) Depression over Tank (Y/~ Pumping/Maintenance Contract on File {¥/~.~ Holding Tank High-Water Alarm (Y/N) ,,'. Separation Distances from SepticP,,4eks'm~' Tank: To Water-Supply Well ~ ' ''~ To Property Line ~ ~ To Water Main/Service Line ~ ~ t,..~., ,,, Course Comments Foundation Cleanout (~) ~Date Last Pumped ~.C'~ -- ~"1 "~>"7 f-5/~.~/ ; for Temporary Holding Tank Permit (Y/N) To Building Foundation ~ To Disposal Field ~ To Stream. Pond, Lake, or Major Drainage Page ~1 of 2 72-026[11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed I Width of Field Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundatior~ Lot To Water Main/Service Line ~ Type of System Design ~ Length of Field ~pth of Field Gravel ~ Thickne~ ~~ Standpi~ Pre~nt ~) Date of ~t Ad~uacy Test r~ TO Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line To Existintg or Abandoned System on ; On Adjoining Lots TO Cutbank (if present) ~/"~ LIFT STATION "Pump On" Level at ~ Dimensions Manhole/Access (Y/N) "Pump Off" Level at High Water Alarm Level at ~ Vent (Y/N) Tested for Electrical Codes (Y/N) Comments uring Adequacy Test. Meets MOA °' Check Permitted Bedroom Rating Against HAA Request °* I certify that I have checked, verified, or conformed to all ~OA and HAA guidelines in effect on the date of this inspection. Sign~ & S ENGINEERING ~ Date /0/~/,'/,,~ ~ C o m l~B~le p_ .1~,_; _a,_l -_-_ ~-_ ??_ .?7 MOA No. ~ / .-'~-'~ ~', J .... ...., Receipt No. Date of Payment Amount: Page 2 of 2 3601 "C" STREET, SUITE 1334 ANCHORAGE, ALASKA 99503 STEVE COWPER, GOVERNOR 563-6775 DATE: _Ociab~_16~_l~Z_ PWSID #: _2111~6 ........... To Whom It May Concern: According ',to the records On file in this office, the _EULUI~ IUU~QEBSISQ__WE~UI~ ...... l Water System is in compliance with the State oF Alaska Drinking Uater Regulations. Sincerely, Ronald S. Klein Environmental Field Officer N[UNla PALII~ OF ANCHOP. AGE ENVIRONMENTAL SERVICES DIVISION NOV 0 2 1987 RECEIVED MUNICIPALITY OF ANCHORAGE D~PL OF I':~ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~IRONMENT~ P;OTE~ION ~ L Str~ - A~, A~e ~1 JUL.1 9 1979 ENVIRONMENTAL ENGINEERING DIVISION flEGUE~T FOB ~PBOVAL OF INDIVIDUAL WATEfl AND SEWEfl FAClLITIE~ )IRECTION$: Complete all parts on page 1, Ir*mm ~ will not be procea~d. Rea~ a~low te~ (IO) ~s f~ p~. I. PROP~TY ~NER ..... _ . 3. 'LSNgINGI~TIT~'r~ON ~ ~, · MAILING ADDR ES~' PHONE PHONE PHONE 5. LEGAl., D~Ri~TIO~ 6. TYPE OF RE$1~)ENdE SINGLE FAMILY [] MULTIPLE FAMILY [] One [] Four [] Other [] Two [] Five ~ Three [] Six 7. WATER SUFPLY [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY 6. SEWAGE DISPOSAL ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY * ATTACH WE LL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) ..... If ~nd~wdual/on-slte, give installation date . If system is over two (:2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 724)10(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME )ATE DATE i DATE I INSPECTOR ; ~ ,-~ INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEOROOM~ [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL . [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY /~ ~- ~ Connection Verified iNSTALLER []Septic T~._nl~ o[ [] Holding Tank Size: (O"Jc'~-~ If Tank is homemade SOILS RATING give dimensions: '( ~ ~ TYPE OF TANK MANUFACTURER .~ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer L,ne I Nearest Lot Line WELLTO: I Absorption Area to nearest Lot Line 5. COMMENTS J~-~'PP ROVE D FOR ~"~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate)._.) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78)