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Home My WebLink AboutSUNSET HILLS BLK B LT 26Sunset Hills Block 6 Lot 26 #018-201-47 NAME_ LOCATI GREr,.ER ANCHORAGE AREA BOR. JGH btu O&Y. Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT' ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS*;;) �'' n' C^ JZ,zet.QCa-�. vR'— PHONE O C�' _�. a�`�';�S LEGAL DESCRIPTION Lc3r ,Z"eo I1 ��'�- ^'+-r-A +�^-"-� SEPTIC TANK: r, DISTANCE NUMBER OF FROM WELL MANUFACTURER _ MATERIAL _—COMPARTMENTS INSIDE LENGTH _ INSIDE WIDTH LIQUID DEPTH __ LIQUID CAPACITY_"61� GALLONS. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL _ FOUNDATION NEAREST LOT LINE ---OF LINES Y" NUMBER OF LINES—� DISTANCE BETWEEN LINES TRENCH WIDTH �/- IN. TOTAL EFFECTIVE ABSORPTION AREA "`R__ SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE --MATERIAL BENEATH TILE CP IN. ABOVE TILE IN, WELL: TYPE --------CONSTRUCTION _DEPTH --DISTANCE FROM BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION__, LOT LINE , SEWER LINE TANK , SYSTEM CESSPOOL OTHER SOURCES —. APPROVED__-__ DISAPPROVED— REMARKS DISTANCES: INSTALLED BY:. SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: - Form EQ -032 r DIAGRAM OF SYSTEM DATE,�.)'� WPPROVED ,C#=1111 7 0 1 SEWAGE DISPOSAL SYSTEM e APPLICATION AND A;60 Pn/L UGH -1-x'16 d PERMIT NO. PERMIT NAME OF APPLICANT -MAILING ADDRESS -� _ PHONE ! —7 INSTALLATION LOCATION 0 —_ LEGAL DESCRIPTION L_(;t�Ci-- DESIGNER - ll a IC�S� I��S�IS "1 INSTALLATION OF: SEPTIC TANK _ TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH — SOIL TEST RESULTS _ COMPLETION DATE ANTICIPATED SEEPAGE PIT DRAIN FIELD OTHER TO BE INSTALLED BY _ NOTE: THIS PERMIT 15 NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF AInY�YSTEM WITHOUT' FINAL INSPECTION BY THE AUTHORITY OF ENVIRONMENTAL. QUALITY AUTORITY WILL BE SUBJECT O PROSECUTION, SEPTIC TANK SIZE YrAT MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SFP11C TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL -- SEPTIC SEPTIC TANK --. SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK _ DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE AREA SIZE DRAIN FIELD SEEPAGE PIT I U F ALSO CONSIDER AREA WELLS. SEEPAGE PIT SEPTIC TANK, . SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL 13ACKFILL CONFORM TO BOROUGH REGULATIONS R17GAtING N5TALLATION.I CERTIFY THAT J AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED Y TEM IS IN ACCORDANCE WITH SAID CODE. DATE. �_ APPLICANT'S SIGNATURE EQ -016136.751 \ CONFORM TO BOROUGH REGULATIONS REGANSTALLATION. r / G.A.A,p. OR LICENSED GRE.2, c;R ANCF-IORAGF: AREA E3C>F. DEPARTMENT OF ENVIRONMENTAL QUALITY 3330"C"STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456 DESIGNER TYPE DIAGRAM OF SYSTEM AREA BOROUGH J13PINANCE N0. 2868 AND "THAT THE ABOVE lAunacipalfty ci11 March 31, 1977 POUCH 6 Gbo ANCi 10HAGE, Ai_ASKA 99502 (907) '279 251 I GEORGE/.1 SULLIVAN, M/1 YOU DLPAHTMEN I OF HIM TH AND ENVIRONMENTAL PRO FI C110N 1825 "1_" Sb ae11 Jeannie Johnson Real Estate Corner 507 West Northern Lights Boulevard Anchorage, Alaska 99503 Subject: Lot 26 Block t Sunset Hills Subdivision Dear Ms. Johnson Before construction begins on the upgrade for the sewer system on the subject lot, a permit must be issued by this department. The upgrade will include the following: (.l) A trench must be dug twenty --five (25) feet long and two to four (2 - 4) feet wide. (2.) The trench will. need to be added on to the existing seepage pit with the drainline starting at the top of the trench. (3) One-half (,) inch to two and one --half (21-,) inch screened rock is used to fill the trench with the drain pipe on top of the screened rock. The drainline is then covered with four (4) inch of screened rock, which is then covered with visqueen. The original soil can then be used to fill in the remaining trench. If: there are any further questions, please contact this office at 2.79-2511, extension 224 or 22.5. Sincerely, Robert C. Pratt, R.S, Sanitarian RCP/l.jh 'RE` -"'R ANCHORAGE AREP 30P IGH Department of Environmental Quality to 3330 C Street Anchorage, Alaska 99503 Q ))INSPECTION REPORT ON-SITE SEWAGE DISPOSAL. SYSTEM NAME/` Je7i n.5 n MAILING ADDRESS 'S�� /x'33 /�j 9/7��5�/�� PHONE - LOCATION LOCATION -5403e AV; 00 LEGAL DESCRIPTION 6r7� j] 40t Z& r'k l,-,# Z ;Ar S SEPTIC TANK: TGclOCOnc'V<'I'e 5e�%rc Tg4ks I- 1' f:X%�%ilJ d t &p �sv / L DISTANCE G/o5YS �/ a ride o (" eczc NUMBER OF FROM WELL MANUFACTURER MATERIAL C�O� COMPARTMENTS INSIDE LENGTH - INSIDE WIDTH LIQUID DEPTH _LIQUID CAPACITY 16-00 GALLONS. SEEPAGE PIT: Ode �Xtfi a�j NUMBER OF PITS�nkr DIAMETER _—OR WIDTH ��, LENGTH ', DEPTH LINING MATERIAL— CRIB SIZE: DIAMETER—DEPTH DISTANCE FROM: WELL /0-F' / TOTAL EFFECTIVE BUILDING FOUNDATION� , NEAREST LOT LINE Z 7 . ABSORPTION AREA (WALL AREA) 3 %7, SQ. FT. ADDITIONAL ABSORPTION O/C{ 01'r- G"/ WELL: TYPE _ ✓� / Cvr C'C(iPinc CONSTRUCTION BUILDING /e/ NEAREST NEAREST FOUNDATION— LOT LINE SEWER LINE CESSPOOL __- APPROVED OTHER SOURCES DISAPPROVED DISTANCES:/i`=/05;'r" C' /(7/ INSTALLED BY: VUN+1 I�VC-4e PIP//EE/ MATE RRIAL:*eA)Al e 0Iai �e�4S/-0��l5 /✓CenSi/e . LOT SLOPE: REMARKS: Jg006 ra-VC/ t% 1, 'P Form No. EQ -031 REMAR DATE DEPTH DISTANCE FROM: SEPTIC �� SEEPAGE TANK SYSTEM DIAGRAM OF SYSTEM IAMA � F / � I l\ � 46- X� I *v` GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. �II IIII II��4 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT yL %I� I NAME OF APPLICANT &�� '•. K/A MAILING ADDRESS — PHONE — INSTALLATION LOCATION LEGAL DESCRIPTION — v//� INSTALLATION OF: SEPTI9A//((K SEEPAGE PIT DRAIN qFIELD OTHER 1 // TYPE AND SIZE OF FACILITY TO BE SER V�D — 17��GV/i77 // /�i�/"_ FINANCED THROUGH TO BE INSTALLED BY _— SOIL TEST RESULTS 0 ✓✓y�`�/L NOTE: THIS PF_RMIT 15 NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF' ANY SYSTEM WITHOUT FINAL, INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL. QUALITY AUTHORITY WILL 13E SUBJECT TO PROSECUTION. TYPE ..-.Q1i-.G I-eJ„_._ SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT _^-V �_ DRAIN FIELD I SEPTIC TANK TO SEEPAGE PllWALL /5 — WATER MAIN TO SEPT IC TANK DRAIN FIELD SEEPAGE PIT SEPTIC YANK. SEEPAGE PIT ZSc_4,r�-2_. DRAIN FIELD' TO RIVER, LAKE, STREAM. CAST IRON INFO AND OUT OF SEPTIC YANK AND INTO CRIB GROSSING GAP OF EXCAVATION 5 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. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED ./[SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATEe, Uf` APPLICANT'S SIGNATURE — FORM NO. EQ -010 TYPE DIAGRAM OF SYSTEM ORDINANCE NO. 28-66 AND THAT THE ABOVE Cl Z � SEPTIC TANK —___—, SEEPAGE PIT _, DRAIN FIELD TO NEAREST' LOTLIIINN'E.. WELL TO SEPTIC TANK .� /^- 7�� n SEEPAGE PIT DRAIN FIELD , ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPT IC TANK DRAIN FIELD SEEPAGE PIT SEPTIC YANK. SEEPAGE PIT ZSc_4,r�-2_. DRAIN FIELD' TO RIVER, LAKE, STREAM. CAST IRON INFO AND OUT OF SEPTIC YANK AND INTO CRIB GROSSING GAP OF EXCAVATION 5 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. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED ./[SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATEe, Uf` APPLICANT'S SIGNATURE — FORM NO. EQ -010 TYPE DIAGRAM OF SYSTEM ORDINANCE NO. 28-66 AND THAT THE ABOVE Cl A QCtober 3.964 C, t>9ral,d (toilyd Stop Ponte A, Box 205 AnCt1 W'We, Alasko Wap Mr. C.027)'Yi: K: LU I. 26, Mock 6, 6unuot: WIN subdi.v:i.a io„ Tim l',nrcolation tent for Lot 26, Glock B. Sunvot Hills jn(Lcate:e that this; lot will Natis Pcantori.Ly 'suntai.n the, convention l typo private i a"o disposal syrtvn consir,Ci.n,, of am adQqunUejv sixoO noltic tanH pnd an 8 x 2 Y. ( In -- s r,7epa n pit si 'rratnditd by two Not of , ood K ore ('rovol to the top 0, thc. lo;_ rrihlain'. Um water OUPOY is Olso : pProved on the t 'tie; of n Hart 'lest for alk I_ vanz ins_ nulfonnto komroiav Warred to as detex'..ent:) and a ';act .ri."l fln,lywis Which moth indicntcd ne"Otive results. PAVID 1" L. WNCAI, AD. adiva1. IiIvact"). C:a�_V Iry lug_.: u•:; f panitapinn QW: aw ADAMS CORTHELL • LEE • WINCE & ASSOCIATES CONSULTING ENGINEERS BOX 1266 ANCHORAGE TEL. BR 7-3773 BOX 843 FAIRBANKS TEL. 456-4653 AFPILIATED WITH ARCTIC ALASKA TESTING LABORATORIES 1.4 RICHARD S. ADAMS ALAN N. CORTHELL HARRY R. LEE PRANK W. WINCE s.d_f4 jf Ira g.��:<. CA rIF'tl', 1r;i0P9e !'';lie, t t...,C�s=, I ..t.•,i1lf 1 ,i,..; .;,: \Y,, Municipality Anchorage April 1, 1977 POUCH 6650 ANCIIORAGE, ALASI<A 99502 (907) 279-2511 GEORCL 44 SULL,VA,V, MAYOR DEPARFMEN'f Of HEALTH ANO ENVIRONMENTAL VI?O rLCTION (825 "L" Stam Jeannie Johnson Real Estate Corner 507 West Northern Lights Boulevard Anchorage, Alaska 99503 Subject: Lot 26 Block b Sunset Hills Subdivision The main reason for sewer system failures in the Anchorage area is due to soil conditions. A recent study in the Anchorage area shows that, there is a 40% failure .rate on sewer systems after. three (3) years useage. This is due to glacial till which has poor characteristics for sewer life. Other reasons would include, poor maintenance of the septic tank. A septic tank should be pumped every one (1) to two (2) years. Over use of water and garbage disposals, mineral contents in the water will also effect the performance of the sewer system. I hope the information above has been of some help to you. If there are any further questions, please contact this office at 279-21511, extension 22.4 or 225. Sincerely, Robert C. Pratt, R.S. Sanitarian RCP/ljh cc: Les Buchholz, Supervisor • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 a...*. Certificate of On -Site Systems Approval Parcel I.D. 018-201-47 Expiration Date: 1. GENERAL INFORMATION Complete legal description SUNSET HILLS BLOCK B LOT 26 Location (site address) 14121 SUN VIEW DR., ANCHORAGE, AK 99515 Current Property owner(s) JAMES SWARTZ Mailing address Real Estate Agent RONA FLORIO 2. TYPE OF DWELLING: Fx1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone Day phone 748-4500 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Fx] Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public VVBter System ❑ Public Sewer ❑ Waiver/Variance request for: NONE Distance: --- Received by: k Lid 11 rvv'N Date: COSA to be released to the eng(n er, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment �} I Date of Payment Receipt Number we Receipt Number COSA# 0S11L 11,2)190 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 SPURKLAND ENGINEERING Phone 279-3916 Address 203 W. 25TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND Date 8/6/13 OFA4 v 6. DSD SIGNATURE ' ' ' ' ' ' u ..j .. _jz� System #1 Approved for bedrooms �y � .SPURKLAND: System #2 Approved for bedrooms ��}'• 115 0 Disapproved '�!\`; Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: The tvy icipal,1 An ®rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f . ,. If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: SUNSET HILLS BLOCK B LOT 26 A. WELL DATA Well type PRI' If A, B, or C provide PWSID # Date completed UNKN Sanitary seal (Y/N) Y Total depth >83 ft. Cased to >40 ft. FROM WELL LOG Date of test UNKNOWN Static water level UNKNOWN Well production UNKNOWN WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Parcel ID: 018-201-47 Well Log (Y/N) N Wires properly protected (YIN) Y Casing height (above ground) +12 in. AT INSPECTION 7/25/13 ft. 83 ft. 3.9 g.p.m. 9 -P.M. Nitrate 5.03 mg/L Arsenic NO ug/L Date of sample: 7/25/13 B. SEPTICIHOLDING TANK DATA Collected by: ANSON MOXNESS Tank Type/Material SEPTIC/ CONCRETE Date installed 1/1/64 Tank size 2 X 750 gal. Number of Compartments 1 Cleanouts (YIN) Y Foundation cleanout (Y/N) _ Depression over tank (YIN) _ High water alarm (YIN) _ Date of pumping 8/5/13 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 5/25/77 Soil rating (g.p.d./fe or fe/bdrm) 125 System type TRENCH Length 43 ft. Width 4 ft. Gravel below pipe 6 ft. Total depth 13 ft. Eff. absorption area 372 fly Monitoring tube Y Depression over field N Date of adequacy test 7/25/13 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 16 in. Water added 450 gal. New depth 19.5 in. Elapsed Time: 15 min. Final fluid depth 17 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off' level at - E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 75 Absorption field on lot '100' Public sewer main NA Sewer /septic service line '25 Animal containment areas '50 Cycles tested Manhole/Access (YIN) in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots >10000 On adjacent lots '100' Public sewer manhole/cleanout NA Holding tank NA Manurelanimal excrete storage areas '100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation 'S Property line 'S Water main NA Water service line '10' Wells on adjacent lots '100' ABSORPTION FIELD ON LOT TO: W. Property line 0* Building foundation '10' Water Service line '10 Surface water '100' Curtain drain '50'(N.O.) Wells on adjacent lots '100' Absorption field >5 Surface water >100'(N.O.) Water main NA Driveway, parking/vehicle storage >5 F. COMMENTS *LINE CAN BE ACCESSED FROM INSIDE HOUSE **WAIVER ON FILE G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name LARS SPURKLAND Date $/6113 COSA brown sheet 10-10-12.doc in. j A, S E. SPURK i' 11� 00� i Municipality of Anchorage Community Development Department Development Services 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 Nitrate Advisory Certificate of On -Site Systems Approval # 131401 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block B, Lot 26 of Sunset Hills subdivision. This inspection revealed a nitrate concentration of 5.03 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. T� o�000000�� 0 o a U T m oo �Z 1 �• h :Q AO 1 I. 11 J /J 4�� ARROW PUMP & WELL SERVICE, LLC „Z f RMWOMER P.O. Box 110496 Anchorage, AK 99511 ,,o- - J No. 9916 Office: (907) 346-9355 • Fax (907) 345-0202 Eagle River: (907) 622-9335 IJ I� CUSTOMER 'f L JOB SITE 4 J INVOICE DATE i WELL DEPTH SWL CHLORINATED PUMP DEPTH SALESPERSON V QUANTITY DESCRIPTION PRICE AMOUNT �'� J c�/� - F �•.%i/'"r "1 'rC� `i- fir` c 7` -�;'„' �e �'.i __- ------ __-_ ------_-__-----__--.—_--_ -- Jj i I LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR I f WORK ORDERED BY DATE COMP. TOTAL LABOR PAYTHIS AMOUNT Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that it above work is not paid for in 90 days I agree to allow Aarow Pump & Well Service, L.L.C. the right to remove unpaid for equipment and charge for laboralready performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. Municipality of Anchorage' • . Development Services Department Building Safety Division On -Site Water and Wastewater Program ' 4700 South BragawStreet P O Boz 196650:Anch6rage; AK ;99519 6650 `www.64richorage.ek us ' (907) 343-7904 CERTIFICATE OF, HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY:DWELLING , Parcel I.D. 018-20147 ` HAA # • FI A' O (O h 18 „ Expiration Date..'_•% 1. GENERAL INFORMATION Complete legal description Lot 26: Block B, Sunset Hills SID Location (site address or directions) 14121 Sunview Drive,,Anchorage, AK Current Property owner(s) Bill Bousquet Day phone 345-7073 Mailing' address ; P.O.' Box 11432, Anchorage, AK 99511 Lendin6agency. Day phone Mailing address Real Estate Agent i Day phone Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by.' 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 5 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home owners. 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 less than 30 days old. 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. (+«.11W) 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 Health'Authonty Approval Guidelines for this'Heaith Authority,Approvai application shows.that the .;ori -site dis water supply,and/or waste-water.posal system ts'safe,.functional`and adequate for the number of bedrooms and type of structureindicated hereinA 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 Incompliance with all :applicable Municipal and; State codes, ordinances; and regulations in effect at the time of installation.' Name of Firm Pannone Eno. Svc. Phone 272-8218 Address P.O. Box 102954, Anch: AK 99510 Engineer's Printed Name Steven R. Pannone. P.E. Date 3/25/2001 Engineers Comments: In conducting an adequacy tat, I attempt to provide a thorough, conscientious .��' engineering analysis of the system in accordance with MOA DSD Guidelines R Regulations. The \` reported results describe the performance of the system under the conditions encountered at the time of �P' ♦1♦ the tat, and separation distances measured to readily identifiable fcalures. The operational life of all A � wells and septic systems depend on the local soil condition; ground water levels that may fluctuate , � ; 4§ria during the year, and the nater usage or the family being served by the system. These conditions arc �,,,,, , outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no.... .. • .,•••„• ...0- 1 hidden defects or encroachments. PES can therefore notprovide any warranty for future performance #♦ -, ;Steven R. Ponnone3 � , nor give any estimate of how long the system will continue to meet the operational requirements of the ♦ i N o. C E 8144 �i �A ADEC or MOA DSD. Tic content of this report is for the sole benefit of the owner listed above. Any ♦j� °•,Qj('Z reliance upon or use of this report by any other person or party is not authorized nor will it confer any .♦♦♦ ••• _ ��: � legal right whatsoever. 6. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval forbedrooms, with the following stipulations: Additional Comments IT1r,S �'� • . WATER AND tr,_ PROGRAM JJO \� • • • • ��CCii �l Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: ayz / 0. / — Original Certificate Date: Expiration Date:;.* -7-11-0 / Reissue Date: (Rev. IIM) Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw, Street P.O. Box 196650 Anchorage, AK 99519-6850 www.cl.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 26. Block B. Sunset Hills S/D Parcel I.D.: 018-201-17 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Well Log',N- Date completed VnJk-ttU-*' Sanitary seal Y Wires properly protected Y Total depth _1_2_ft Cased to ,eft Casing height (above ground) tin. FROM WELL LOG AT INSPECTION Date of test 3/11/2001 Static water level It 83 ft Well production 9 -p.m 4.2 9 -p.m WATER SAMPLE RESULTS: Coliform 2_colonies/100 ml Nitrate 3.06 mg/I Other bacteria 0 colonies/100 ml Date of sample: 3/11/2001 Collected by: Laura Pannone B. SEPTICIHOLDING TANK DATA Tank Type/Material _ Concrete a Q0.0 Ll I o l-ra 1 �� Ct {2 kl VI ('(5 Date installed 1164 Tank size 760 gal Number of Compartments; Cleanouts Y Foundation cleanout N Depression over tank N High water alarm N/A Date of pumping 3/10/2001 Pumper _A+ Home Services C. ABSORPTION FIELD DATA Date Installed $125/1977 Soil rating (g.p.d./fP or ft2/bdrm)125 System type Trench Length 43 ft Width i It - Gravel below pipe _@— ft Total depth a,} ft Effective absorption area 27jfflZ Monitoring tube Y Depression over field N_ Date of adequacy test 311112001 Results (Pass/Faiq Pass For 2 bedrooms Fluid depth in absorption field before test j" in Water addedJ50 gal. New depthQ�(r in. Elapsed Time: 0 min Final fluid depth QD( in Absorption rate >= M g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date (Rev. tIM) ` ' D. LIFT STATION Date installed 'Pump on' level at Datum Size in gallons in'Pump off level at Cyclestested. 0 Manhole/Access F . In High water alarm level at _ in Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllift station on lot 75 On adjacent lots 100+ Absorption field on lot 115 On adjacent lots 100+ Public sewer main Public sewer manhoWdeanout N/A Sewer /septic service line 25+ Holding tank 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5' Property line 2V Absorption field 29' Water main 25+ Water service line 25+ Surfacewater 100+ Drainage 100+ Wells on adjacent lots' 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 0 Building foundation 46' Water main 25+ Water Service line 25+ Surface water 100+ Driveway, parking/vehicle storage 50' Curtain drain 100+ Wells on adjacent lots 100+ N F. COMMENTS 1 n1 1 inn Riic qso, N/W l nq l e""I I n G. ENGINEER'S CERTIFICATION • r 1 certify that I have determined through field inspections and ° '" � a9_ review of Municipal records that the above systems are in ""'" ..... '"' conformance with MOA HAA guidelines in effect on this date. ' ' - -•-- -•- �.cySteven R. Ponnonel Engineer's Printed Name Steven R• Pannone. P.E. CE 8149 r� Date 3125/2001 w HAA Fee $ 36 _ Date of Payment : .2 Receipt Number (Rev, t IM) c Waiver Fee $ _ Date of Payment Receipt Number, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES CDivision of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# z101` y> HAA# 1. GENERAL INFORMATION Complete legal description ZOr X4l. Oaoc,- B i�✓✓SE><�L L_r Location (site address or directions) 0 CXr Property owner Day phone ,2>B -i6 ii ygo Mailing address Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 7M25(Rov.1/91) Front MOA021 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 ��r % �� Ey Phone 7�14 — is -/Z Address 9'? � )' �� 27 Lje '"/1 vs Engineer's signature 6. DHHS SIGNATURE `1/ Approved for bedrooms. Disapproved. Conditional approval for Additional Comments Date CE 81 75 bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7M25 (Re, V91) Back MOA 021 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION e Municipality of Anchorage " 1 � "' DEPARTMENT OF HEALTH & HUMAN SERVICES C I Environmental Services Division L V" 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Log aI Dascription: 14r -z 6jtf4ea-.O'SritlsE>A/.a4_•s Parcel I.D.: Z0Z-�17 A. WELL DATA Well type feid4rE If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) _ Total depth �,Z ' Date completed Cased to Iifl' Casing height (above ground) -z�/ Sanitary seal (Y/N) / Wires properly protected (Y/N) _ FROM WELL LOG AT INSPECTION Date of test a 9. i 99 Static water level Well production WATER SAMPLE RESULTS: Coliform _1�1' Nitrate _ /'• z7 flG , 6 i Other bacteria 1�1 Date of sample: ✓�i�Y i eg97 _ Collected by: 91p.m. B. SEPTIC/HOLDING TANK DATA aEue'�exV 19 G `% 3K W/ a'O P, -- Date installed /9''m Tank size 750 Number of Compartments 1,-q Cleanouts (Y/N) Y Foundation cleanout (Y/N) _ A) _ Depression (Y/N) AJ _ High water alarm (Y/N) Date of Pumping % G/97 _ Pumper [mss\-b3�7:1�1iC�7;�y1�t�7+7e��_1 Date installed Soil rating (g.p.d./ftz or ft2/bdrm) izS System type. TeF>�Af/ i6" iG -- /a// /o .2 ' Length _ ��' Width _� Gravel thickness below pipe _ !G' Total depth -7-0 4 . G, 69 y Effective absorption area 2 R/>7z _ Monitoring Tube present (Y/N) Depression over field (Y/N) Date of adequacy test Results (Pass/Fail) For �/ bedrooms Fluid depth in absorption field before test (in.); Immediately after 6o gal, water added (in.): tP' �X 66'G S Fluid depth t!�Z_ (ins) Minutes later:_ y41 Absorption rate = !oo _g.p.d. Peroxide treatment (past 12 months) (Y/N) Alo If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* _"P-utrtp-WTevel at* High water alarm level at* _—-lbatum C.Ysles-te-tc - E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots On adjacent lots ioZJ QX-/ Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation Property line z F�• Absorption field Zy /71 - Water main/service line �S{� Surface water/drainage ioo y'el Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Building foundation Water main/service line ZS��• Surface water im o irk. ^JoNs ,wows Curtain drain -;,'P s"x s� F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots /®6 I certify that I have determined thru field inspections and review of Municipal in conformance with MOA HAA guidelines in effect on this date. Signature Engineer's Name /JmuttiNs �- �Ei✓z �y Date HAA Fee $ F 0--7) " Date of Payment } Receipt Number✓�� a 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number 1�. are Douglas T. Kenley, PG 9960 G.Puffin Drive, Palmer, Alaska 99645 (907) 746-1076 August 5, 1997 Municipality of Anchorage Health & Human Services On-site Services Re: Adequacy test performed on septic and well located at 14121 Sunview Drive, Anchorage, Alaska. Legal: Lot 26, Block B, Sunset Hills Subdivision. Owner: Mr. Kim Moeller The above referenced system consisted of two 750 gallon cement septic tanks that were installed in 1964. A 16'x15' crib that was installed in 1973 after the original crib failed and a 43' long by 6' deep trench add-on ,that was installed in 1977. On June 28, 1997, at the beginning of the test, approximately 56 gallons of water was introduced into the tank clean-out to verify that water was entering the drain line to the leach field. An additional 577 gallons was then added into the after tank clean-out, at which time the water backed up into the septic tank. During this time no water was observed in the clean -outs in the trench or the crib. The test on the septic system was discontinued but the water flow on the well continued with another 287 gallons. The well flow exceeded 4 gpm. The depth of the well was 92' (from well log) with static water level at 88.6 and a draw down of 2.1'. An excavator was contracted to look for and repair the clogged line between the tank and the leach field. It was found that the line from the tank to the crib was corroded and separated. A new double clean- out, and new line directly to the trench with a Zobel flow separator was installed. On July 18, 1997 Denali Pumping precharged both the crib and trench with 1,000 gallons of water. Water measurements immediately after were as follows: the crib had 11 ", and the trench had 17". On July 25, 1997 the septic system was tested again for an absorption rate that satisfied the requirements for a four bed room residence and passed. See attached sketch for further details of the work performed. No guarantees can be assumed as to the continued life of the system due to the nature of changes that can occur in water shed formations as a result of earthquakes and flooding. If I can be of further assistance, or if there are any questions concerning the above work, please call Doug Kenley at 746-1073 or 243-5372. Sincerel Douglas T. Kenley, CL #8176 - - - - - - - - - ----------- - - - - - - - - - - - - - - - - - - - - --------- ------- ------- So - H It RLG 90724Z4:=.52 p. 02 JUN -SO -97 trj�- .jo[4 ,:58 KEN.JOHN KEN JOHNSON DRILLING CO. WATER WELL DRILLING PUMP SALES AND SERVICE (901) 2.43-9.2,82 36 Year8 Alaska Dfifflng 3163 LINI,)I.-N DRIVI, 1(r,tJ i(N-INSON ANCI (ORAGE, ALASKA 00.� WATERWELL - TEST PUMP REPORT Shoot Well Information: Tti. Depth lo om Casing Size a2,._,Soroon DIam_,—_Scroon Slot Flom dump intotmfittom Intake Ooptil e'l--pump Size _.—AIr Line Depth Static Water Laval .—AV. olschargi_�t=='P'M, Max. I)rswdowrj,_11,,,.17:�..._ Pump On: TImo Off; — -Time _142 41 n. Tc rGO e,11e4z " LML�04_11 "F:eLpomw RLMASKS 10K I --------------------------------------------------------------------------------- ----------- .J ----------- M011 1 00 KEN . JCIHW�:Otl . DF!Lr--� 90724,�4852 F.05 (907) 243.2282 FAX: (907) 243-4852 KEN JOHNSON DRILLING CO. WATER WELL DRILLING PUMP SALES AND SERVICE 38 Years Alaska Drilling W44 J011IN 310 LINDEN U ANCH ' 7RA 0 ALASKA DATC NAME_ ON E__�� ADDRESS LOCATIk ....... —S B . . .. .... PUMP DATA: CONTROLS WKI PUMP INT �=F____'._'."_nTll�E___ TANK SIZE & TYPE_---_ ...... FILTERS & TYPE—____ WELL DATA; CASING SIZEDEPTHWATER LEVEL GPM PITLESS: TYPE.--___: �DP l(_ WELL . ......................... LIME: ON SITE OFF SITE REMARKS: .. . ..... . . ..... . ..... ____________________________________-------------------------------- - __`__-- j___________________ __ JUF1-30-97 MON 10.riO f, EN. JOHN -SOH. LR LG •_07"4_4^•52 F.04 (90Y) 243.2282 FAX: (907) 243.4852 KEN JOHNSON DRILLING CO. WATER WELL DRILLING PUMP SALES AND SERVICE r�� + 7,9 '!C'• 38 Years Alaska Drilling j KEN JOHNS(, 3163 LINDEN DRI% ANCHORAGE, ALASKA i)%PE it n T El �tiY"..... _,..... I:f GAC=,j.................,N.L........_...... SUBD..__._.....� _,...._....... ....... DUAP DA CONTROL PUMP IN TANK ST FILTERS A: HP VOLTS E & T & TYP P WELL. DATA: CASING SIZE DEPTH D -EM -DE WATER LEVELGPM till„•,.,•__•__._.._ PITLESS: TYPE SDE TI H.-- WELL_ TEAS_.......-...•A_��-----. -. {IME: ON SIT REMARKS: Off SITE 1.. .. ..^r�✓r�. Ff..F?/��-. W-.^ ��yG:.. W �.aL2fSc. l^N��r/J !l%l __ r.. ... ., :\L_.I � ��.. ,.....__.._� l�rJa,�^yy.++l y'�� {�R+YrYCT.r'!: �I (l�.,j✓A�ery'1T /Y,JZ” �+.JJ -. r,•....,.... .�y'-r. �_.`r -_.-GLC.Z1,yf/..LLI'�(.-._---�ir4A'+uL-v/i,P'4nf....� ._,�1��-i��JY M+'4•FiP'/rr r'. -er,1'lM�fayy.�y/w� Ali /Y� ... ...�,_ .... ._... .,..__.,_ ..._��-� UH -39-97 MON 09:59 KEH.JOHNSON.DRLG 9072434052 P.03 'All Ire-, ve, JUN - .• -l-'7 f NUI,, c". ::J f !\GI'1 J VYI fY:.�JI'i. LRL�� - V GY��Y C•JG ✓_� 1 FEIN JOHNSON DRILLING CO. WATER WELL DRILLING PUMP SALES AND SERVICE 38 Years Alaska Drilling (907) 2.02282 KE:N JOHI' tC FAX: (907) 243.4852 3163 I,INCIEN Dkl'. ANCHORAGE, AI.ASYA DATC:..,I LF..., f169 NAME PHONE f W! r �.! ADDRESS LOCATION - PUMP DATA: NP�,VDLTSZZ-,�PH,Z AMPS-& MDDEW,CONTROLS �'��,,�! PUMP INTAKrD%�ft P f1 _ TANK SIZE & TYPL__ _ _ �� FILTERS 8 TYPE /�.-__ _ Z -d _ WELL DATA: CASING SIZE(,-/_/DEPTHr WATER LEVELGPM PITLESS:TYPE�� PT�� WELL SEEzz r> _rfe 1(ME:ON SITE OFF SITET REMARKS: • MUNICIPALITY OF ANCHORAGE �fi� Department of Health &Human Services „�� 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 I.D. # - ��n - Z(� HAA #01K� 1-4 l `-I'�Q 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) I+l21 SL'knyie_-tj (b) Property owner �-Es.; E Telephone: (home)3y64SSI Business Z67 -1(3c Mailing Address 14(2-1 S�xr\v""Ie= bn\/P__ (c) Lending Institution N/ A� Telephone �j Mailing Address (d) Real Estate Company and Agent 1 G (LiC} LX - Address Telephone i�4 (e) Mail the HAA to the following address: (or check here if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family 3. WATER SUPPLY Number of bedrooms 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. 72-025 (Rev. 7/88) 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 l it U t �A - �cic C, Yt'T//ellephone 761' 8 �� G UUC Address • xC. !-30(00 ' f1C'k{:t?toirze q 3 Date 6. DHHS APPROVAL Approved for // bedrooms by Z4;/— Date Approved_.—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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. ]/88) Back Page 2 of 2 Engineer's Seal yo 6. DHHS APPROVAL Approved for // bedrooms by Z4;/— Date Approved_.—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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. ]/88) Back Page 2 of 2 �9E0 G Sovs\O3N MN\G\PPV\S RV MNP /MUNICIPALITY OFANCHORAGE (M(MOA) EN\?'Ov0 Health Authority Approval (HAA) fi CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: Lc�7- �.73,Coce,0.3�iS�TNir.Ls .5Z/i3/�, A. WELL DATA Well Classification Myna If A, B, C, D.E.C. Approved (Y/N) /(ZA Well Log Present (Y/N) h _ Date Completed n 4 yY —Yield — �47.Q "IoeTotal Depth Cased to 66r Depth of Grouting A4)A- Static Water Level %F3/ — Pump Set At _ 9,71 Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) /•/ SEPARATION DISTANCES FROM WELL To Septic/Holding Tank on Lot 60 ; On Adjoining Lots >&)o y To Nearest Edge of Absorption Field on Lot _ 11.3 _ ; On Adjoining Lots >IO0 To Nearest Public Sewer Line AJIA To Nearest Public Sewer Cleanout/Manhole /V/7/+ To Nearest Sewer Service Line on Lot 750 / ✓' ti..' 40j 61t v Water Sample Collected by ldru Ccs Water Sample Test Results Comments y� C{Gire !t'� G B. SEPTIC/HOL Date Date Installed X 1 Size 20007` No. of Compartments�C�cJa Standpipes (Y/N) K—Air-tight Caps (Y/N) Y Foundation Cleanout (Y/N) N Depression over Tank (Y/N) /J Date Last Pumped _4?� �'????1261-g Pumping/Maintenance Contact on File (Y/N) for Holding Tank High -Water Alarm (Y/N) AJ 14 Temporary Holding Tank Permit (Y/N) ALA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well lOP / To Building Foundation To Property Line To Water Main/Service Line — 7 ✓ O I To Stream, Pond, Lake or Major Drainage Course Comments To Disposal Field -3// 72-026 (Rev. uas) From Page 1 of 2 C. ABSORPTION FIELD DATA �n C Soils Rating in Absorption Strata 11"54? eb ow, fl Type of System //Design Date Installed 0673 (�� /977 51--0 % Length of Field Width of Field _ 0 1:5 1 4y Depth of Field A9 / e 4 r �o'ravel Bed Thickness 61 ( � Square Feet of Absortion Area 3?Z ( 7_ Statndpipes Present (Y/N) / Depression over Field (Y/N) Date of Last Adequacy Test Z042_4�yo Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 1131 To Property Line To Building Foundation Lot ZEA / To Existing or Abandoned System on On Adjoining Lots 301 r To Water Main/Service Line >/O To Cutback (if present) A� To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area > So 1 D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y. Comments "Check Permitted Bedroom Ratino I certify that inspection./ Signed Date MOA No. GG a<s Dimensions Off' Level at Vent(Y/N) Against HAA Request— ed, or conformed to all MOA atYd Receipt No. a 53 Date of Payment Amount: $ 120 ' 0/ Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Pumping Cycles during Adequacy Test. es in effect on the date of this Engineer's Seal MUNICIPALITY OF ANCHORAGE (MOA) a• u Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: A. WELL DATA Well Classification _ ✓�__1 ; -*— If A, B, C, D.E.C. Approved (Y/N) _ Utz Well Log Present (Y/N) —A.—/_ Date Completed , , /�lo Total DepthCased to_��Depth of ed 147019 Grdutifg _ Yield `Vfl Static Water Level — 7� f Pump Set AtJ f r Casing Height Above Ground ' /� Sanitary Seal on Casing (Y/N) _ v Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot io ; On Adjoining Lots flap To Nearest Edge of Absorption Field on Lot —; On Adjoining Lots 7l00 To Nearest Public Sewer Line __/0 To Nearest Public Sewer Cleanout/Manhole 461A To Nearest Sewer Service Line on Lot a Sp Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date /D/?Z�a Date Installed Zlk4' Size 2Citf�)10 f No. of Compartments MeO /��✓ Standpipes (Y/N) Air -tight Caps (Y/N) __ Foundation Cleanout (Y/N) Ni ,` Depression over Tank (Y/N) �/7 Date Last Pumped l /slja � AVAr Pumping/Maintenance Contact on File (Y/N) � for Holding Tank High -Water Alarm (Y/N) A!�� Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: ,r" f To Water -Supply Well ke To Building Foundation To Property Line f To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 61 i C. ABSORPTION FIELD DATA //�� j Q Soils Rating in AbsorptionStrata A 7a'blwn Type of System Design T2 CT/ Date Installed eD /977 Length of Field a&o 46 -Arg Width of Field �� 4 r Depth of Field eo /dy 0 /�7a�-�62avel Bed Thickness lU / e Square Feet of Absortion Area &1372 �� " Statndpipes Present (Y/N) Depression over Field (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION '/L—r TION FIELD: Pa y To Water -Supply Well (p �� a-) To Property Line � P157 60 To Building Foundation/ To Existing or Abandoned System on Lot �/T ; On Adjoining Lots _ZgC2y To Water Main/Service Line ?`O To Cutback (if present) l� To Stream, Pond, Lake, or Major Drainage Course A�ZA To Driveway, Parking Area, or Vehicle Storage Arga % SO „ 7115 Comments %C WC44v� Z D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes Comments Dimensions Manhole/Ac (Y/N) . mp Off' Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitt d edroom Ran Against HAA Request" I certify that I hecke eri 'ed, or conformed to all MOA and H inspection. 4y� Signed Date MOA No. v 4AG ZZ5 Receipt No. Date of P y Amount $ 72-026 (Rev. "88 Receipt No. Waiver Fee: $ Date of Payment //— Waiver l— Page 2 of 2 effect on the date of this Engineer's Seal qY Municipality ®f Anchorage \ — Department of Health and Human Services Tom Fink. 825 "1" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 November 21, 1990 Bruce J. Corwin, P.E. Corwin and Associates PO Box 230608 Anchorage, Alaska 995023-0608 A Subject: Waiver Request for Lot 26 Block B Sunset Hills S/D Waiver Request #WR900052, PID #018-201-47, HA900454 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 0 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, V �"' I "�z /'o Daniel N. Bolles On-site Services DNB/ljm Concurpo : mt' P.E. Manager On-site Services CCDC @vw'UR & associates,! tic. Consulting Engineers MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & P.O. Box 230608 • Anchorage, Alaska 995230608 • (907) 279-8866 Nov � 1QQo November 6, 1989 �j Mr. Dan Bowles RECEIVED E® Municipality of Anchorage Department of Health & Human Services On --Site Services Department 825 L. Street, Fifth Floor Anchorage, Alaska 99501 SUBJECT: REQUEST FOR WAIVER OF SEWER SYSTEM TO LOT LINE FOR LOT 26, BLOCK B, SUNSET HILLS SUBDIVISION Dear Mr. Bowles: We are hereby requesting a waiver for the sewer system on Lot 26, Block B, Sunset Hills Subdivision to have a portion of the sewer system over the lot line between Lot 26 and Lot 25, Block B, Sunset Hills Subdivision. We believe there are valid reasons for granting the waiver as discussed below. The portion of the sewer system in question has to do with the old seepage pit installed in 1973 when one owner held both lots 25 and 26. The cleanout for the seepage pit was installed in its center and now sits approximately 2 ft. into Lot 26. The seepage pit was 15 ft. wide x 16 ft. long. This means that the edge of the seepage pit extends 8 ft. +/- onto Lot 25. We have prepared a drawing and an easement document for both owners to sign and this will be recorded soon after we get signatures. A copy of this information is attached. We believe the waiver should be granted for the following reasons: 1. The old seepage pit failed and was upgraded to a trench in 1977 leaving the seepage pit to accept only about half of the daily wastewater flow. 2. There are no negative environmental effects of granting the waiver as the sewage system on Lot 25 is unaffected by the system on Lot 26. 3. There is still adequate reserve area on Lot 25 for an upgrade if it were necessary. 4. The encroachment also existed when Lot 25 was sold. Mr. Dan Bowles November 6, 1990 Page Two We request that the waiver be granted allowing the encroachment as described herein and on the easement document attached. Should you have any questions, please let us know. enclosures xc:Ms. Darlene Eliason, Fortune Properties BK0' ! U0� 661_ SEWER SYSTEM EASEMENT AND MAINTENANCE AGREEMENT This document establishes a 10 foot wide by 25 ft. long sewer system easement on Lot 25, Block B, Sunset Hills Subdivision for use by Lot 26, Block B, Sunset hills Subdivision as a sewer system. Improvements contained within the easement :Include a portion of the sewer seepage pit 15 ft. wide by 16 ft. Jong (approximately 8 ft. of extension onto Lot 25) See attached drawing. Both lots are located within the Anchorage Recording District and the easement is more specifically described as follows: Beginning at the northeast corner of Lot 26, Block B, Sunset Hills Subdivision and proceeding S 56°4 ' 2 " W a distance of 25 ft. along the north property line`+ f LtX 26, Block B, Sunset Hills Subdivision to the point of beginning of the sewer system easement, thence N 33° 11' 36" E a distance of 10.00 ft., thence S 56° 4' 2 " W a distance of 25.00 ft., QAi� �� thence S 33° 11' 36" E ay� ince of 10.00 ft. to the north/ property line of Lot 26, Block B, Sunset Hills Subdivision ,�r11 thence N 56° 4 ' 2�j" E a distance of 25.00 ft. to the pointQv D nin of beging ti�ic� sewer system easement. // The sewer system easement shall be 10 ft, wide and 25 ft, long as above described and it is hereby set aside for protection and main- tenance by both lot owners and their heirs, successors or agents. Neither shall damage or alter the sewer system to prevent flow at any time and both agree to ensure that the owner of Lot 26, Block B, Sunset Hills Subdivision shall have the right to maintain the sewer system at all times to allow positive drainage. In the course of carrying out said maintenance, if this maintenance disturbs or disrupts the existing land contours or fence, the owner of lot 26, Block B shall be responsible for all landscaping remediation and the return of the property to its previous condition as fully as practical and to the satisfaction of the owner of Lot 25, Block B. Should either property be sold, these conditions sahll pass to the new owner of the property and their heirs, successors or agents. Signed this 2'_0 day of Ai0VE-,-q?0F1' 1990 at Anchorage, Alaska in the Anchorage Recording District. �= (Owne�r�/ t 25) Grantor (Owner Lot 25) Grantee (Owner Lot 26) Grantee (Owner Lot 26) Notary Acknowledgement STATE OF ALASKA ) GS.: THIRD JUDICIAL DISTRICT ) MUNICIPALITY OF ANCHORAGV DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION 2 1990 RECEIVED THIS IS TO CERTIFY that on this ,i O day of `Zu,��/, 1990, before me, the undersigned Notary Public, duly commissioned and sworn, personally appeared D-r��-h �+C°c%_ known to me and to me known to be the person( a) er on(a) who is(are) the owner(s) of Lot 25, Block B, Sunset Hills Subdivision and known to me and to me known to be the person(s) who is(are) the owners' Power of Attorney for Lot 26, Block B, Sunset Hills Sub- division all of whom executed the forgoing and they acknowledged that they signed the same freely and voluntarily for the uses and purposes therein set forth. WITNESS my hand and official seal. i My Commission Expires �Y COm bor 26, 199U otary Public in and for Alaska —�Aiewanhor26,1990 BK02100n(7663 SEWER SYSTEM EASEMENT AND MAINTENANCE AGREEMENT This document establishes a 10 foot wide by 25 ft. long sewer system easement on Lot 25, Block B, Sunset Hills Subdivision for use by Lot 26, Block B, Sunset Hills Subdivision as a sewer system. Improvements contained within the easement include a portion of the sewer seepage pit 15 ft. wide by 16 ft, long (approximately 8 ft, of extension onto Lot 25) See attached drawing. Both lots are located within the Anchorage Recording District and the easement is more specifically described as follows: Beginning at the northeast corner of Lot 26, Block B, Sunset� Hills Subdivision and proceeding S 560 4$' 2q" W a distance of 25 ft, along the north property line of Lot 26, Block B, Sunset Hills Subdivision to the point of beginning of the sewer system easement, thence N 33° 11' 36" E a distanceof 10.00 ft., thence S 56° 46' 20" W a distance of 25.00 ft.,6V6) thence S 33° 11' 36" E a distance of 10.00 ft. to the north property line of Lot 26, Block B, Sunset Hills Subdivision,?/9 thence N 56' 46' NV" E a distance of 25.00 ft. to the point of beginning of the sewer system easement. The sewer system easement shall be 10 ft. wide and 25 ft. long as above described and it is hereby set aside for protection and main- tenance by both lot owners and their heirs, successors or agents. Neither shall damage or alter the sewer system to prevent flow at: any time and both agree to ensure that the owner of Lot 26, Block B, Sunset Hills Subdivision shall have the right- to maintain the sewer system at all times to allow positive drainage. In the course of carrying out said maintenance, if this maintenance disturbs or disrupts the existing land contours or fence, the owner of lot 26, Block B shall be responsible for all landscaping remediation and the return of the property to its previous condition as fully as practical and to the satisfaction of the owner of Lot 25, Block B. Should either property be sold, these conditions sahll pass to the new owner of the property and their heirs, successors or agents. Signed this q_L day of N O k/ M Ge'+` 1990 at Anchorage, Alaska in the Anchorage Recording District. 9D _ 0 5 2 1' Grantor (Owner Lot 25) atac1jn2AcE arc. / 1 • Oil • C�i G2Li�..-07 J RE.QUESTEO SY Notary Acknowledgement a STATE OF ALASKA ) O ) -as THIRD JUDICIAL DISTRICT ) '90 [IOU 2.0 PSI 1 30 MUNICIPALITY OF ANCH0RA(4E DEPT, OF HEALTH & ENVIRONMENTAL PROTEECTION M1v 2 i9�0 THIS IS TO CERTIFY that on this h day of VyFvk% , 1990, before me, the undersigned Notary Pub.l c duly commissioned EI " sworn, personally appeared i" ' � `�r.V.y� 4 �/ to me and to me known to be the erson(s) who is(are) the owner(s) of Lot 25, Block B, Sunset Hills Subdivision and 111%p Iola_D_Auwt_ known to me and to me known to be the person(s) who i.(are) the owners' Power of Attorney for Lot 26, Block B, Sunset Hills Sub- division all of whom executed the forgoing and they acknowledged that they signed the same freely and voluntarily for the uses and purposes therein set forth. WITNESS my hand /and official seal. Notary Public in d for Alaska t_EI,(t My Commission Expires c r• r. (907) 243.2222 KEN JOHNSON Owner /-Ys Well Location_ Well Inlormatlon: IGEN JOHNSON DRILLING CO. WATER WELL DRILLING PUMP SALES AND SERVICE 36 Years Alaska Drilling 3163 LINDEN DRIVE ANCHORAGE, ALASKA 99502 WATERWELL - TEST PUMP REPORT sheat —% of Date: /0 e!2ZZ 9'O f.' _-Address 42elva Ttl. Depth 0-9—Depth of Casing .g!g Screen, From To Casing Size a �r Screen Dlam Screen Slot Pump Information: Intake Depth IfLPum Size —,�vt Hf' J � ellk Air Lino Depth Stade Water Level r v. Discharge_r�_GPM, Max. Drawdown_ Pump On: Time 192 �,�—DataQPump Off: _Time;C9� -Date REMARKS ✓" III. /✓l.�i� .i,_�Ia� .f' � �i _rte ■��------------ 7— VIC II_ % JOHNSON CID/pi, 1 1 I W e J ✓ r s t. V(r,j< t" O" L 4- Scale: 1"_30' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. B H rW _2I_ NOTE' This As -built shall not he uses for ona purpose other than financing rer,:,rements. Under no circulnstanC0S should any data hereon be, used for construction or for establishing boundary or fence linen AS -BUILT NO CORNERS SET THIS DATE. A ^ I hereby certify that I have performed a Mortagee's in- spection of the following described property: 26 Anchorage Recording Precinct, Alaska, and that the improve- " ments situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent there- to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this_2"d day of November 19J-0-- FRED 9 D FRED WALATKA & ASSOCIATES Engineers and Surveyors N�'�'M •. N 4•� i'r M 1 } fit$ 686,,1.4�9112I. i-/1 ..<.,.. .rcG�..1i w THOMAS It OIi '.. IS -7625 u 9 Ah- 1H � hsv A j?AaV at '. '270A '1.0 PIsC 14 1100.1 u ,d- i oe;; - ", M1 l ✓ j p'f 0,t� NN PURVIY t31RTIFIC.AT1QN1 I I1r11V 011 K1110tl Nn04 Inp 11101 {111 trr1V10Y1n10ntA wn170whm+lip YYIw/ Ylhwl thpl IIY1wd. -0 OQ 1P 11L yp 0 �L' " 2R�C'/ o 1 c WAS" wpm n 16 " INr41I1, fWaROA1lllllty Is 4*"W" 11" IN111t o k Irty immim 11r, t11Y1111g11, a tr"emvo VAM0 f4 * wlrr ral zo alolrtlld 11 6 114 111 4 "* UI+dIr 111 IIrIKIf11YIIfI1 IIr1t1i 11M IId b/r" W It11d lar 1 mbloom Of W Ow ^-y M WFA Aiwa 11101 111V1 innYIYId 1110 P11PQty 1hYwrr wild J 110d 1nwr.0n liro wlddn ilia plopOrly wine# Inq n INCAINSIA140 rLA.NNERR� • 11WRVICYGIRIS P PLiACE NOTU it istMltlntrwt 0r. 10 Oh001; 1010 L99INDI 910' "SIAM ®IIT FOUND i n =iW1I1Y of IIUpnrtlI{Ian In r111{Inn in 11AIp W'fAGK ,AO WEST BENSON BLVD, i1nithbell RON Onno 6o I1d011 MONUMIII INBHORAQE,ALASKA 9460J 682.6281 ki In 'in" andlwiimsnlw, A NAF A NAI x .IAAI. 011160tWTION1 AS Ire • I6IVB, - PATUM AI9UMIC aiacwviber 0, 197f) Joanne Johnson Dynwt%ic Realty. 407 Gest Northern Ugbtm Blvd. Anchorage, Alaska 99503 Qhjec tt Lot 26 Dlook h Suxsnot Hills Subdivision Dour Hs. Mhnrs= The subjoct proparty will need to have a parc toot perforz 4 befoko this Apartment can tappreiva the system. unclosed are they procedures you will need to follow. Xf thea Oystam does not anent the minimum re4ui.roueni„ then an upgrade will be required. Xf there ars, any further quvationu, ple:aso contact this Mice at 276-2221v extension 285. ui-nw¢.'.Y.elyo Robert C, Pr attr R.S. Sanitarian MR/l j?l 01j" GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 C Street, Anchorage, Alaska 99503 274-4561 Date Received January 18, 1.977 Time of Inspection 10:00 a.m. Date of Inspection 1-19-77 Wednesday REQUEST FOR APPROVAL OF Pratt INDIVIDUAL. SEWER & WATER FACILITIES FOR 1. Approval requested by: Real Estate Corner of Alaska Mailing Address: 507 West Northern Lights _ Phone: 274-4505 2. Property Owner: Elmer R Rita D. Jenkins _ Phone: Mailing Address: a Jeannie Johnson, Real Estate Corner 3. Legal Description: Lot 26 Block B Sunset Iiills 4. Location: See map on back D.. Seepage 5. Type of facility to be inspected Single Family_ No. of bedrooms 4 6. Well Data: A. Type C. Construction Individual 7. Sewage Disposal System: A. Installed 1974 B. Depth D. Bacterial Analysis On-site system B. Installer C. Septic Tank: 1. Size _ D.. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Manufacturer 2. Material A. Well to: Septic tank __, Absorption area Sewer Lines Nearest lot line _, Other contamination _ B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE MUNICIPALITY O OF ALTH & <G DEPT. OF HEALTH & DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTE CTXWIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 REQUEST FOR APPROVAL OF JAN 16 1917, INDIVIDUAL SEWER and WATER FACILITIESY9-_VV k 1. Type of Inspection: CMRO— VA_ FHA_ CONV 2. Property Owner: Elmer �R,�& Rita D. Jenkins _ Mailing Address: w� I�3 An 99 Day Phone: 344--3244 3. Name of Buyer: Mailing Address: _ Day Phone:_ 4. Name of Lending Institution: Mailing Address: W 5. Name of Realtor or Agent: _Jeannie Johnson at Real Estate orner of aska Mailing Address: 507 W, Northern Lts. Blvd Phone: 274-45o5 6. Legal Description: Lot 26 Block B Sunset Hills Subdivision Location: Sunset Drive 7. Type of Facility to be Inspected: - _w q Septic _No.Bdrms 8. Water Supply Type of Supply: Public Util ndividual If Individual, number of dwellings presently served _One _ If Individual, depth of well - ? 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation 2973- 72-003(3/76) Individual (on-site)_—XXX Page 2 of two pages - Re t for Approval of Individual . r & Water Facilities Legal Description Lot 26 Block B Sunset Hills Subdivision Comments Approved Disapproved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) March 25e 1977 ;C€,:tLtl31;�.C' i,ICJ';'SY3f�0Y! Real Bst ato Conner 5t1'7 Gl�asrt: Northor'n Fight o BS7L1IOVEard Subjects Lnt: 2 We% B ;unset Hills ,"bd vi.sicrn Door Me. Johnso"t The percolation test nun on the 3L1bjeut j;>S':oper'ty f ai le6 to meet tha adoc4ua y test:. Therefore, bekorca wo rnn give any aPVVctVnl an upgrade Q OIL sawer sayqi c.rn will I beneeded. If there are any c uoutions, t,lo ame contact thin Wi.c e at 179..2511t exYenaion 024 or 225. sincerely, ztnxr€rrt G. 112"'at:t, tk.w. sanitarian ACP/IjIl wra., e>JrA'lti ukk f=rrNcc G4:?Q'nWUF=9 A"�JVD L4I 25 nnYJ �v { Tlp r_i�cw�oacNF_:�-Y o- ,n clsv FU \/0 (�p s SA \ dul '� FICO ` 1 HEREBY CERTIFY THAT AN nCCvnarE SURVEY OF INE FOLLOWING DESCRIBED PROPERTY Lot 26, Block "B", SUNSET HILLS SUBDIVISION PREPARED FOR NAS MADE ON December 31 ,1476ND THAT THE IM - Real Estate Corner PROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY` LINES AND DO NOT OVERLAP OR ENCROACH ON THE PROPERTY 1 �l, vN" LYING ADJACENT THERETO, THAT 110 IMPROVEMENTS ON PROP- ERTY LYING ADJACENT THERETO ENCROACH ON THE PREIAISES KV --_°/651 I{ (;(' IN OVESTION AND THAT THERE ARE No ROADWAYS, TRANSIAISv IHK. JHH GRIO 3033 Iru 1 19 SION LINES OR OTHER VISIBLE EASEMENTS ON SAID PROPERTY BJOB Z_�(jL gi=• EXCEPT AS INDICATED NLREON. p'Jp 7601 42 /6138 U UfCHORAGE, ALASKA,THIS 3rd DAY OF January I977. ry� V0 , 5: • f 1 L1C�'l` n 1 .e♦/ � foo4D C GCS I1/Wrnc aet4 �frc r'��^vI T •. rP1s..• No, 953•3 ,< 4 SCALE 1 rr = 30' D d anuery 200 1977 Real notaho Corner 547 Mot cdsstGl`araX4 Lights Md. Anohox yep Alaska 99504 Your Y:Gq!'1out Or lif-'wer ;[lnd water approval ocan not he qrAnted at thla time. DO= we can aappoovo the sewer Dyxgtow' you will need to Allow the sue of f.14„ tnuc:k:ion a enclosed. A lAcaftWO Before tho well one be approved the ground surface will toad to Cope amay from the woll caning. It aa3pjQars the Sewer Oytabola is not, on the A"Ac::.igAl1aG7C'ing lot, although a a okinit a atnwaor can not be 51eE1ClL$ without a s—built s. TV there td7C63 quf3t9'Zrionn, P.leana"a CSQl1l:nat LAW WHO at - 279 -2511t extension 2240 WaSarian Rc, AJI-1 February Be 1977 Wannie Johnson Real na9tarte Corn er 507 West tdrsrthorn Lights Boulevard Anchorage:, Af@i skn *i'i503 ct- Lot 26 Blaok b Sunset Hills Elmer 4onkitis Property aubdivieaion The standpipe for the existing mewer kayataA is on the aubjucat property. I Although ai aamaall part of the r eapage area is on .tot Me we will approvo the location of than system since the atandpip e in an Lot 26. Defoare final approval can be given ple ave roiar to the letter ;sontz to you on Ohnuary 20, 1977. If there are any cuastionne pleaue contact this of icaa at 279-2531, extension 224. sincerely, Robert C. Pratt, R.S. Sanitarian %3G1>A:ih Ms. Linda Hines ' TOTEM REALTY 06 Gast Firewood Lane Anchorage, Alaska 99503 Ka: Lot 26, Block B, Sunset (tills Subdivision Bear ids. Hines; In re our telephone conversation of 0ovember 20, 1173. On July 25, 1973, an 'Inspection wvq made of the sewer :and :later facilities on the subject lot. At that time, the system sesped to be functioning properly. Tho c€rnstruction of the well was satisfactory and a water sample: was drawn for bacterial analysis. The paperwork for the approval of the sewer and water Facilities was put on hold until the wator sample results were received from the State Lab. On July 201, 1973, the results of the water sample were returned to this office marked unsatisfactory. Therefore, the paperwork was held. On July 31, 1973, another sample was taken and this was also unsatisfactory. Both samples wire shown to have Pseudomonas. On September 7, 1973, tir. War Jenkins rQquested server and water approval on the subject lot. At that time, he informed me he had recently moved into the hoka and the sewer had hacked up into his garage and the system was not functioning properly. He informed me that the septic tank had not been pumped since the system had been installed and that he had it pumped three times since he moved in. I informed for. Jenkins that the reason the system was not func- tioning properly was probably because the system had not been pumped in that length of time. I then told hime to have the tank pumped and that I would hold the paperwork for a short time to make sure the system was functioning properly. The water sample taken on September 7, 1973 was satisfactory. During the middle of September through mid-October, I was on vacation and was not aware of any upgrade to the system. As of this date, as far as this office is concerned, the sewer and water facilities for the sub'ect lot are approved. HEALTH AUTHORITY APPROVAL FHA Form 2573 INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM R., July 1958 Lel . .,.,, , .•016 4i III&IIJ22%,111:1 ��. SYSTEM DESIGNED FOR NO. OF B GARBAGE DISPOSAL .. 7 :: i ' :i■�ir�7 BC....... r; 7■ E:r r; ..7 .:: ■ rrr■ �'; • C:'E:;EE:7: ■ r CE:.:: E:':7;77:77 r■ r■ CC r■■■r 77'77: ■ 77 7E; ;::=;=:EEE r rr ■ 75 •; '�.7 No ■ ......;..:e;:: ............ . ■...■.■..■■.. 7='7 07 ■i :: ::E:7�:: a:: ;..■ .... ■E. ...�E.I.1� E7:G°Mr°1Elii :..■ ■..:C w.. m;:Er �A ; :104 ; r■ .. 0"17: E'ii:r ; ... . ;... ; 11 .........■:. C ■ 7■ ....... ■■■■ ■ ■■ ■■■■■ ■. on ■ ■■■■■■ .. �;.■ ■■ ■ ■ : rr■■■ ■■■■: .■■ r■ ■EI .. 11 11 ■■■ ■■ . ......;.. ■ ■■:■■■ . so E: 07'7::'� E::7C� r:�:7:7: r:77i W:� rr :: It ::::E EE :� :: : E E ::ii" ::E:iE'E iii0i 7: Er Cir it EEi7 : 77 :C':: E 7C'7' :: E':'C 'E 'EE••::• •C•••7 E' :C E ' ■ 7:7■ ■:rr■ C..■ ■■■■■ ■ .■;.;; .....0 ■■■[IN ■ ■■ ■ E■ ..7:■ ■■■ ■■ ■;...;:..777 ■■:■■ Elr■ ■:■■ r ■■ ■ :;.. 7. r ■ :;:: 7 No ; 7C7E:7 'i7� 7 777os■7 77 7::7 ::C:E7 7E �rr 7E :E ;EE ': 'E■i 77:77: '7� 77 EC;77;:::a77;:777:;EE : i 7'C'77 is:■:■E 7i '7 :E■.7C. 7 E ■;■; C ■.:■ ■; .. ■. ;.7.C7 ............. C■ :■.■E :■■■■■ ■E: ;:.. ■■ ....I ;�i;:...:■■ ..■■. ...■ 7 ; : No • •::077 :: ■: EEE ■■ ■■ ■11:■� ;CEEEESE ar;�■■ :. EE: rr;;■ E� EE::; ■;■;■■E:::■ E7EAEECC7EE�lEE �i7■r■r■; ■■;■r :: 0 7EEEEE■C E ■ ■■ .■ ■■... No ■ ■.... ■. .■.■ ..■..... r .. lot HEALTH AUTHORITY APPROVAL FHA Form 2573 INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM R., July 1958 REPORT OF INSPECTION—INDIVIDUAL SEWAGE -DISPOSAL SYSTEM PRIMARY TREATMENT consists of JK Septic tank. ❑ Cesspool. e Septic Tank: J / Distance from well, .S:, feet. Material,-'�� - i•' f'�' Number of compartments y, gallons. " " d_�i p y ems—�['-y �' Total liquid capacity, y gallons. Ca aci iw ec,rdYl1' n ,/ Inside length, � �" �"y feet. Insldev'f�`d(h, ' �'> Feet. L gmdF�ep ;,�`'i'_1� ✓. Distance from: Well, feet; foundation, feet; nearest lot line at ❑ front, ❑ side, ❑ rear, feet. Inside diameter, Feet. Depth, feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of ❑ Tile disposal field. 3, Seepage pits. Other the Disposal Field: Distance from: Well, feet; foundation, feet, nearest lot line at ❑ front, ❑ side, ❑ rear, feet. Total length of tile lines, feet. Number of lines, . Distance between lines, feet. Trench width, inches, Total effective absorption area in bottom of trenches, square feet. Length of each line, feet. Depth, top of tile to finish grade, inches. Type of filter material: ❑ Gravel. ❑ Broken stone. Other Depth of filter material beneath tile, inches. Depth of filter material over tile, inches. Seepage Pits: ,I Number of pits Outside-diarsruter•%?feet. Depth,'�" —feet. Lining material,�j�`G�"�e Distance from: Well feet; building foundation, feet; nearest lot line at front, Rside, E] rear, 012.feet. Inspection made by: ❑ State. ❑ County. ❑ Local Health Authority.%t Inspected by� �•� �'��• Date of inspection gV REPORT OF INSPECTION—INDIVIDUAL WATER -SUPPLY SYSTEM Distance to nearest public water main feet. Size of main, inches. Individual wells K are ❑ are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to fi rnish adequate supply of water Properties in neighborhood A are ❑ are not being developed with both individual water -supply and sewage -disposal systems. Lot size: le -F Ir 'o feet wide, ✓°a feet deep. Dwelling set back from front property line, Zsg 6 feet. Individual water supply from: NJ Drilled well. ❑ Driven well. ❑ Dug well. ❑ Bored well. Distance of well from: Buildingfoundation, feet; nearest lot line at front, �� feet, ❑ side, ❑ rear, Last iron sewer, %+ - feet; tile sewer, - '"' feet; septic tank, =-/ "Z feet; disposal field, feet; seepage pit, '�e�� f --+" feet; cesspool, feet; other sources of possible pollution, e� . feet. Well construction: Diameter,41�0 inches. Total depth, " _feet. Type of casing, " S` / Depth of casing,_. D feet. Approximate depth to pumping level of water in well, feet. Approximate yield, gallons per minute. Sealed watertight to depth of521V feet. Exterior space around casing scaled with: ❑ Cement grout. ❑ Riddled clay. R Ordinary backfill. / Well cover: ❑ Concrete. ❑ Wood. X Metal. Openings in well cover watertight: JW Yes. ❑ No.i l � `-moC".s tx •''=�IYt I�:', /l�(,✓"' Pump: ❑ Shallow well. ,N Deep well. Length of drop pipe, feet. Pump capacity, gallons per minute. Located in: ❑ Basement. ❑ Rtmproom off basement. ❑ Pumphouse above ground. ❑ Pump pit. bt* Pumproom properly drained: ❑ Yes. ❑ No. Pump mounting watertight: ❑ Yes. ❑ No. Type of storage: B Pressure. ❑ Gravity. Capacity, Z/.;4 gallons. Has bacteriological examination of water been made? J@ Yes. ❑ No. If answer is "yes," give date 7 42191�rr• Quality of waterk is ❑ is not satisfactory for human consumption. Installation 'does ❑ does not comply with approved exhibits, if any. Inspection made by: ❑State. E]County. ❑ Local Health Authority. /'J�/f •� �y Inspected byj Date of inspection Z/Z-!V19 I of (TITLE) * U. 5. GOVERNMENT PRINTING OFFICE: 1957 O r-427039 A