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HomeMy WebLinkAboutABBOTT LOOP MANOR BLK 2 LT 1Abbott Loop Manor Block 2 Lot 1 #014-181-14 NOTES: 1. THE ZONING OF LOT 1 IS R-5 PER THE MOA PROPERTY CARD, 2 TYPICAL SETBACK DISTANCES FOR R-5: 20 FT. FRONT, 5 FT, SIDE, 10 FT. REAR. LOT 1 IS SUBJECT TO A 20 FT. FRONT SETBACK ALONG ADOBE DRIVE, A 10 FT. SECONDARY FRONT SETBACK ALONG LORE ROAD AND TWO 5 FT. SIDE SETBACKS ALONG THE SOUTHERLY AND WESTERLY IAT LINES. 3. THE AREA OF LOT 1 PER THE MOA PROPERTY CARD IS 12.100 SQUARE FEET. 4. VERTICAL DATUM IS MOA GAAB 72. ELEVATIONS ARE BASED ON GAAB 72 BENCHMARK GAAB-20 AT 7800 LAKE OTIS PARKWAY. ELEVATION OF THIS BENCHMARK, GAAB-201S 183.44 FEET. 5. CONTOUR INTERVAL IS 2 FEET, 6. THIS DRAWING SHALL NOT BE MODIFIED WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. 7. FENCES MAY CROSS LOT LINES. 8. THIS DRAWING SHALL NOT BE MODIFIED WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH, LEGEND PUT PUBHCOSE EASEMENT FFE FINISH FLOOR KWATION CLEANOUT O rT,� VAATEk'WELL v' HENCE —X—X— LOTUNe SETBACK, LINE BRAIN GE ARE) f SPOT ELEVATION -- 115.4' LORE ROAD b 0 30H 30' I I W' �l . 4TH ........ D ,�j4...tci'�-r Com... �� -4G 250 1-1 Street Anchorage, Alaska 99501 LEGAL DESCRIPTION: LOT 1, BLOCK 2, A tSTEVEN CALLAG AN; o O RSO 1234 SurveyDeparOnent Phone 562-5291 ABBOTT LOOP MANOR J� Inc Mainline DRAWN DATE. 7/7/2022 ' WORK ORDER 1400.22 44AofesslonoL �'4c'�'6 O\�Q©QOd" r a-teFitedu-le-&t inee,)bi-•JuAO" iR Phone243-8985 AECC 668 -D-RA . _.__.- ....._.. _ _..-__-__.... DRAWN 8Y: ADS PLAT: P -647A CHECKED BY. CS/SC GRID SW2233 ORDERED BY: BEAUX JOLAIS-BAUER-C --1"--2.0' 823160-61- - SCALE: ' FB/PG. 30H ADDRESS: 7604 ADOBE DRIVE PARCEL#: 014-181-14000 SURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THC PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE 1MPROVEM'NTS 51TUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS FAIST OTHERTHAN NOTED OR SHOWN. EXCLUSIONARY NOTE: RIS THE OWNERS' RESPONSIOILNY TD DETERMINE THE E . STE`4CE OF ANY EASEMENTS,COVENANTS. RESTRICTIONS OR RIGI IT OF WAY TAKINGS WHICH NO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUM TANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTARLI HIND, PRO.PrRTY LINES, OR FOR PLOT -PLAN PURPOSES. 30' I I W' �l Q+ WI J(rr 1 o�T9 f I 1 f ADDRESS: 7604 ADOBE DRIVE PARCEL#: 014-181-14000 SURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THC PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE 1MPROVEM'NTS 51TUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS FAIST OTHERTHAN NOTED OR SHOWN. EXCLUSIONARY NOTE: RIS THE OWNERS' RESPONSIOILNY TD DETERMINE THE E . STE`4CE OF ANY EASEMENTS,COVENANTS. RESTRICTIONS OR RIGI IT OF WAY TAKINGS WHICH NO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUM TANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTARLI HIND, PRO.PrRTY LINES, OR FOR PLOT -PLAN PURPOSES. / MUNICIPALITY OF ANCHORAGE I _ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION \ % 825 L Street • Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME O/r!alt G c.. /,411t 3 -11.4,Z6 PHONE NEW ❑UPGRADE MAILINGADDR SS o -17- LEGAL DESCRIPTION /� / /J.2 LOCATION NO. OF BEDROOMS. U DISTANCE TO: Well /QO ft Absorption Dwelling f 6 7 PERMIT NO,.. /O 78 jj '/ _Y i Q W f W Manufacturer G�� €� Material _ No, of compartments 2-- a Liq. capacity in gallons Q IF HOMEMADE: Inside length Width Liquid depth 6 Y z DISTANCE T0: Dwelling PERMIT NO. _?.M f Manulacturer Material Liquid capacity in gallons G J = W' DISTANCE TO: Well s OD f. Foundation Nearest t no Y / PERMIT NO. W Z F,Zw No. of lines Length of each line 1 - 2/` fit -I / Total length liy� s� ,S Trench width inches Distance between lines / M f M Top of the to finish grade C/ .J Material beneath tile 7 ! y ff inches Total effective absorption are" # w f7 d H to gth Width Depth PERMIT NO. Crib depth Total effective absorption area ai FDffISTANCE�O.: diameter h Well Building foundation Nearest lot line J J Class /;,1Ar , Depth Driller Distance to lot fine PERMIT NO. i DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER I'v 01 PIPE MATERIALS SOIL TEST RATING O D INSTALLE /44EiG Z r REMARKS O r E [-I-+] 44T APPROVE DATE LEGAL y -/o P/ 013 (Rev. 3/78) rviu" I C-: I i=>^L._ I TY L3 F= C]RFyCf=- 3� DEPARTMEN�tF HEALTH AND ENVIRLINMtNTA---PROTFCTION �1 825, STREET, ANCHORAGE, AK. X01 264-4720 �) L�UILLL L3 —!3I TF SF= WF'F Z F"FEE RM I T PERMIT NO. t 810787 ) �u,�_ts\ �r�uS. IBJ aPPLIC•ANT TOM WILLIAMS 7604 ADOBE STREET 49 -26 _ - _OCA T 1 ON -EGAL. L 1 62 ABBOT LOOP MANOR SID LOT SIZE. 12000 SQUARE. F T Type or soil absorption system is: TRENCH PU 8- � haximum number of bedrooms = 3 Soil rating LSO FT/RR)= 290 J uu The required size of the soil absorption system is: (ilsn R-1D•RI c3E=R-t-r-.= 71 :1 F7t-ry-tVs— C� l�.nnri] The lengtr, dimension is the length tan feet) of trip trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation Lin feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between trip outfall pipe and the bottom of the excavation Lin feet). r. Ti-T-sk tip_ a r= 1 C7C)<1 C-- _l J. nTis Permit applicant has the responsibility to inform this department during trip installation inspections of any wells adjacent to this property and the number of residences that the well will serve. --- TWn Cc-'} ^FZF= RF=CILJTRF-ra ---- BacHfilling of any system without final inspection and approval by this department will be subject to prosecution. linimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. ninimum distance from a private well to a private sewer line is%25 feet and to a community sewer line is 75 feet. 3ther requirements may apply. Specifications and construction diagrams are available to insure proper installation. Pcarinn i -t U -X r> A- masa. EDtzcF--rnFlrr 3y t 1'F*iR] I certify that 1: I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. 2: 1 will install the system in accordance with the cbdes. 3: I understand that the on-site sewer system may require enlargement if trip residence is remodeled to include more than 3 bedrooms. 31GNE0: APPLICANT TOM WILLIAMS ISSUED SY__ I, �],, kJJ rE_7_a8� J ------ V4.0 MUNICIPALITY OF ANCHORAGE 1. Department/_';E Health and Environmenta""?rotection 825 1, Street, Anchorage, AK. 99501 264-4720 * * *HANDWRITTEN PERMIT Witka"D/OR ON-SITE SEWER PERMIT Applicant: y Wr)'15.-Torr, C0j(("s Mailing Address: '760 �( ►tVO!iC Location: _'?bpL( 4DbSS� Phone Number: t^ c3�79-a6Z�f Legal Description: Li (3 Z A-BP�a T- LtoIo MPO of Size: (1,(-007 Type of Soil Absorption System Is: Trench: _LCDrainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms:_ Soil Rating(sq.ft/br) a9 O The Required Size of the Soil Absorption System Is: DEPTH It LENGTH 9_:7 . GRAVEL DEPTH (o WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * *.* TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection.and approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. . .* * * PERMIT EXPIRES DECEMBER 31, 1 9 3 1 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I u erstand that the on-site sewer system may require enlargement if thesidence is remodeled to include more that 3 bedrooms.' (l Signed: �Y� Issued by: Applicant Date: SWP/024(1/81) • n r"1 (7 SOILS LOG MUNICIPALITY OF ANCHORAGE TEST C / DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ' `RCOLATION C�1 T `1 825 L. Seraat, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Mt-. t-. f Ill/'S w"ll'a te, DATE PERFORMED: 7-91 � O LEGAL DESCRIPTION: /e57-%-/ a4le7 %—/012?P - rcn� SL PE SITE PLAN COMM PERFORMED BY: 72-008 (6/79) )<,pILIS WAS GROUND WATER „ 1 ENCOUNTERED? �V IF YES, AT WHAT DEPTH? j1 Reading Date Gross Time Net Time Depth to Water Net Drop ND lI �S£f /o o 3•a6 is 3-/S .o �r PERCOLATION RATE rr / Hw (minutes/inch) TEST RUN BETWEEN ] •� FT AND �• o FT RTIFIED DATE:���I _1IM-A E,4t�, k PilbIOLA 6,)V— A117- soJV— A/Oj o 0wl 7 3/ 1 b � I i v� 07 Q N 0 v r'1 I n '�.. Lot `_1- , Block -2-7:1 Anchorage Recording Precinct, Alaska. LOT SURVEY CERTIFICATION OAO M I hereby certify that 1 have surveyed the property shown and described hereon, and that the Improvements situated thereon are within the property lines and do not overlap or encroach on adjacent property and that no improvements on adjacent property overlap or encroach - on the premises In Question and that there are no roadways, utility lines or other visible easements cm sold property e:Ceat as Indicated hereon. '6' NO. 613.5-kEoCERT..QFAS-QUILT AS BUILT t\\vim" 9 -Zo-75 LEGEND_ O Bross Cap Monument O Iron Pipe e Steel Pon e Survey Hub 8 Tock r'epareO Q Dickinson-Oswaid & Associates Residence of: 433-9th.ave., Anchorage (272-8612)------- --- -�---- — oreco/s: 1_3 30x_ Re. TD. F.t3'.a Gild. 5. LEGAL DCRIPTION t ► �LBOTi D TERECEIVE INSPECTION APPOINTMENTS TIME TIME TIME ❑ One ❑ Four ❑ Other' AA Iv ❑ Two ❑ Five DATE DAT DATE i ' ATTACH WELL LOG. A well log is required for all wells drilled INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTW CNYIRONMENTAL F�.OTECfION 825 LStreet- Anchorage, Alaska 89801 1 • ENVIRONMENTAL SANITATION DIVISION JUL 1 1981 Telephone 2644720 (R� (��F II vv FF REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER�RRAVnMD DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 110) days for processing. 1. PROPERTY OWNE PH NE 3'q cn( 101LLfAMS -2F2 MAILING ADDRESS 7Gc* 7)4- IMAPRAGF Al,-'. PROPERTY RESIDENT (If different from above) PHONE 2. BUYSr� ISfCt1�2j -4 I/uDLIi� aT H N MAILING DDRESS "OlS SrD,L)ECgTE cie . 3. LENDIII�qP INSTITUTION 14onrC Fez>,FcAZ_ SA ✓f --:CrS a 404A) ��wl FfPst✓vE PHONE oZ7� - I S 1 MAILINGAD RESS ?55 b Itk0c. AL 4. REALT GENT kk�I: ZeW rw) c&�;t)eY Z WE'feC Pa�✓ ,�, PHONE MAILINGADD ESS 7-3 5. LEGAL DCRIPTION t ► �LBOTi Lo o P /I l�Jo 2 STREET LOCATIQN 7o il V 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other' SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ( Three ❑ Six 7. WATER SUPPLY OINDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) & SEWAGE DISPOSAL SYSTEM - 0 INDIVIDUAL/ON-SITE-' YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Raw. 6178) L/ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER ' TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Septic/Holding Tank Absorption Area Sewer LineNearer[ Lot Line . Absorption Area to nearest Lot Line 5. COMMENTS ytfvv APPROVED FOR 3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter mu t ccompany certificate) L�fSISAPPROVED DATE BY 72010 (Rm 6/79) Municipality of Anchorage W 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION July 13, 1981 Tom Williams 7604 Adobe Drive Anchorage, Alaska 99507 Subject: Lot 1 Block 2 Abbott Loop Manor Subdivision Approval for the individual sewer and water facilities cannot be grandted because:the well is too close to the sewer system... . The sewer system could possibly.be moved to the front part of the lot without infringing upon any neighboring wells. If the sewer can be located in the front part of the lot, a soils test will need to be obtained so that a permit may be issued by this department. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Home Federal Savings and Loan S Judy Erskine 535 D Street 99501 Frank Irwin Century 21 - Metropolitan 523 West 8th ,Avenue 99501 r1TI LN 4tbf\DLJ /� C �,{lo� CiS �� 1 F -'GREATER ANCHORAGE AREA BOROUGH. Department of Environmental Quality �.� 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner:-c1eNgRD 4-Do26itiy ;&_Fw Sce{cCTCrL Mailing Address: 'I6o4 ._R-ao3& 3)e- Day Phone 944-1fa-15 3. Name of Buyer:�0k1Nc=+ C'R¢o� M ,l\s h p Mailing Address: Day Phone 4. Name of Lending Institution: 5?vKA-0C M()V_ G N Q Mailing Address: Phone 5. Name of Realtor or Agent: Mailing Address: Phone 6. Legal Description: I-bZ07T LooP Mkv.Soit_ Loi 1Z— Location: Y) 4 '04 A-D6-1�G D2.. N -t c_, � ggsyl 7. Type of Facility to be inspected: 41,o U5 No. Bdrms. 3 8. Water Supply Type.of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well %\ j�+. 9. Sewage Disposal System Type of System: Public Utility Individual.(on-site) If Individual, date of installation t,NKNbw. EQ -037 (1/74) •..+-...-ter--+ . -.� -- �-r..-._� _ _ - , ' �� � / ' � � O - GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received I - -;k- 9 --1 S Time of Inspection C� �. O Q Date of Inspection q- REQUEST FOR APPROVAL OF y INDIVIDUAL SEWER & WATER -FACILITIES' FOR - - 1. App>4Yal requested by: Mailing Address: Phone v 3l4 4 — Lo -N 2. Property Owner: Phone: Mdtling Address: _ 3. Legal Description: 4. Location: kc:, 0 Lk S. Type of facility to be inspected ST No. of bedrooms 1_ 6. Well Data: - A-. Type B. Depth C. Construction D. Bacterial Analysis i. Sewage Disposal System: °rw-0`� A. Installed C. Septic Tank: D. Seepage Pit: B. Installer 1. Size 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Manufacturer 2. Material j 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 Page 2 of two pages -e st for Approval of Individual 1'ir & Water Facilities teganescription \ �- Comments \ Approved Disapproved Date Qom/ Z— 7S Approval.,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 1 I-CrcIfy LTIQL lOC IOIVfl1G41VII {.VFILAIIICV III Nlla rCUIUCZ. IVI QIJFIVV01 4V VC a 61YG unu accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) I.ETf6R OF A.MIOfdiEDC3'IC<^iT TO IJ4IOk k ITL MAY MICE N: This letter is written to acknowledge certain facts and our awareness of these facts concerning IAT ONE (1) , BLOCK UTO (2) , ABBOTT IADP IVM z SUBDIVISION, ANCHORML: REOORDING DISTRICT, ALASKA.. I. We are the purchasers of the above property. 2. We acknowledge that Mr. and Mrs. Bernard Schecter have advised us of the following facts concerning the above property: a) The earliest possible date that public sa,7er could become available to this property would be two years from the present date, i.e., September 1977; although no representations or guarantees have been made to us that there would be public sewer available to the above property on that date. b) The existing well on the subject property is too close to the on-site sem-r system, and does not meet the requirements of the State of Alaska or the Greater Anchorage Area Borough concerning accepted distances. c) It is possible that contamination between the two systems could occur at a future date. d) Because of neighboring wells and on-site smer systems, there is no way to relocate either the well or on-site system to conform to State of Alaska requirements and the Greater Anchorage Area Borough requirements for such systems. 3. We, as purchasers of the above property, accept this property as it is ' `- aAriccvl.nf the above facts. 014 - tel �� lyREQUEST FOR APPROVAL OF 1� INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) V ttanR .of person requesting approval 2. Halls of property: owner.)O 3. inznl descriptior % /J(� . �� -- 4. Numbex' cf,>edrooms in house \J ` A S. Water.l!nalysis: a. EaMerial 3' ZO _1P (� 4 b. Detergent 6, Wall data: a. Type b. Depth__ C. Casing Size d. Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank 3. Seepage Area (�\q 4. Cesspool' J I S. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. 7. Sewage disposal system, b a. Age of system-L ad �i b. Septic tank capacity in gallons_ o M C. Name of septic tank manufacturgr 1. If "home made" show diagram on reverse side of this form. d: Disposal field or seepage pit size and type 1. Distance to property line to house foundation a P, Percalation`Tezt 'results f. Percolation Test performed by , Use the reverse.side of this form to show diagram. Diagram should include the following information: property lines; -well location, house location, n->lnic tank location, disposal area location, location of percolation test, al.j direction of ground slope. 9. The luf•.xvntion on this form is .true and correct to the best of my knowledge. ;nature of Applicant Date Sig e' L� d� TO BE FILLED OUT BY HEALTH DEPARTMENT PERSONNEL above described sanitary facilities are hereby approved, subject to the .owing conditfnne. Conditiors i 0 The above described sanitary facilities are disapproved for the following reasons: Signature o 2.cr'Z4,; y ,� Date 3flj a•s. Approval is valid for one year following the date of approval. CPJ:cw �1 r „ f July 23. 1973 :f Mrs. Hina Anderson MARSTON REAL ESTATE 2804 Northern Lights Blvd. Anchorage, Alaska 99503 Re: Lot 1, Blk. 2 Abbott Loop Manor Dear Mrs. Anderson: This office cannot approve the sewer and water for the subject property. The only reasonable solution to this particular problem is public sewers. It is estimated that public sewers will be available not later than 1976 and probably as early as 1974. Because of the closeness of the well to the existing sewer system, temporary approval for the system can also not be given. If you have any questions regarding the above. please contact this office. Sincerely. Lynn S. Coad, SANITARIAN LSC/ko • • 6F- 8 i , 0 T C •_ Municipality of Anchorage On-Site Water and Wastewater Program milli 1 i (907) 343-7904 SAFETY Certificate of On-Site Systems Approval Parcel I.D. 014-181-14 Expiration Date: /2-2 1. GENERAL INFORMATION: Complete legal description ABBOTT LOOP MANOR; BLOCK 2, LOT 1 Location (site address) 7604 Adobe Drive*Anchorage,AK 99507 Current Property owner(s) Brianna Hammes Day phone 907-301-9436 Mailing address 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: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer WaiverNariance request for: Distance: Received bar: Date: T.2 (4)1 cb COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 52C Waiver Fee $ Date of Payment 9/26/1g Date of Payment Receipt Number aoffga6 Receipt Number COSA# 66CIWI !((o 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 (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 00000��4 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o� O rr ',C N in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the � ^. evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �� e 4� O encroachments may exist that were not identified during the evaluation. The operational life of all wells / t� A • * Q and septic systems depend upon a variety of variables, including but not limited to, soil conditions, Q groundwater levels (that may fluctuate during the year), quality of construction (materials and � PA workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and Q are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q • :f 'ey '. or= ess: 7 • system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of "n CE 79 3 � the well or septic system. GEG makes no representation whether an alternative well or septic system UQ s •. Gf+ c� ) •s' can be installed on the property in the event either of the current systems fail to perform adequately in (111 • 1 L.1 •1. �4 the future. The content of this report is for the sole benefit of the person/party that retained GEG to ��4apr°fessl°�°oQ perform the evaluation. Reliance upon the information provided in this report by any other person or 04000.0`,== ' party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE }� System #1 Approved for 3 bedrooms System #2 Approved for bedrooms \�\Q \ 'f GJ`ti7yC,y0 40 Disapproved :=J ON-SITE m• Conditional approval for bedrooms, with the following st ul R AND WASTEWATER zo PROGRAM ` rsERv\G ------___ By. 1111111. t:`. %F Lam_/ Original Certificate Date: L"�-`t `"0 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10.12.doc 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: ABBOTT LOOP MANOR; BLOCK 2, LOT 1 Parcel ID: 014-181-14 A. WELL DATA *PER MOA RECORDS-AAROW WELL&PUMP SERVICE INSPECTION 7/2/13 Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) NO Date completed 1963(?) Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth •65'+ ft. Cased to X66+ ft. Casing height(above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 8/31/18 • Static water level tr" ft. 49.1 ft. • Well production ' g.p.m. 4.5• g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd. Arsenic: <5.0 ug./L. Date of sample: 9/4/18 B. SEPTIC/HOLDING TANK DATA AWWU Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout(Y/N) Depression over tank(Y/N) High water alarm Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2or ft2/bdr • System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorptio - ea ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absor• '•n field before test in. Water added gal. New depth in. Elapsed T'• e: min. Final fluid depth in. Absorption rate >= g.p.d. • y rejuvenation treatment (past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at wa er alarm level at in. - Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lots 100'+ Absorption field on lot N/A On adjacent lots _ _ 100'+ Public sewer main *45' Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: AWWU Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIE . a 1 LOT TO: Property line B • :. • oundation Water main Water service lin- Surface water Driveway, parking/vehicle storage . -in drain Wells on adjacent lots F. COMMENTS *SEE ATTACHED WAIVER AND AWWU DOCUMENTS .••�E OF ;41,1.44♦ G. ENGINEER'S CERTIFICATION :. •.•••"" ••........ i 4('• I ��y� '•*��� I certify that I have determined through field inspections and % . _�•.,� % review of Municipal records that the above systems are in • • conformance with MOA COSA guidelines in effect on this 0 , ; I•/ OF date. = - fre •. Garr -ss :i JEFFREY A. GARNESS •.�•. 'c_� Engineer's Printed Nam � ...:,po••9 i� +•P•��• Date `��/ / •44;ROFESS\O�44 LICENSE iw„``i i*AECC884 (Rev. 10/12/12) 8384G LORE ROAD — q. — _- — — — 0 0 co M EAST 150.00 30 I• / Wood fence (typ 24.0 35.4 n! + / m 00 (Well 0o r•- N Lot 12 LL! E/ N E r / !` Li/ 1 0) y / `, NI, 3� m CO W / �. O .N • CO . 1-". LU/ Q � LOT 1 �� �' CO a e` J 24.0 e p Q Z i o� she. C9 �' / 16.0 r� ?8 of• / N89°28'41"W 147.11 /4 30 Lot 11 hain link fence / J Lot 2 / / /I I SCALE: 1"= 30' �L OF •:a�,9, 'L, AS-BUILT NO CORNERS SET THIS DATE �P•• '‘)../r-f, I hereby certify that I have performed a Mortgagee's inspection 'c• 49th %\ %, *�, of the following described property: LOT 1. BLOCK 2. , _� •••• y ABBOTT LOOP MANOR SUBDIVISION +'4 .Fred Wal C7t1CC] . Anchorage Recording District,Alaska,and that the c� improvements situated thereon are within the property Gres �`rs,• 3255 — Sand do not overlap or encroach on the property lying I.••• '• � adjacent thereto,that no improvements on the property lying �q�, • ' adjacent thereto encroach on the premises in question and ,i ' '` 'SStom �� that there are no roadways,transmission fines or other `1 XN. - . visible easements on said property except as indicated hereon. Dated at Anchorage,Alaska EASEMENTS OF RECORD,OTHER THAN this 11th day of JULY ,2013. THOSE SHOWN ON THE RECORDED FRED WALATKA&ASSOCIATES PLAT ARE NOT SHOWN HEREON. Engineers and Surveyors JKD BE (907-248-1666) 100'RADIUST\_/ . --.,` _ Z .-'________„:-N\ 100'R� �`� b RADIUS a0 1 s P I�-�A! 6 SIX :`� PRIVA WE IVVt a 75 N-1 j�V K;� PRIVATZIE 2x07 / 1 I WP1"?2317 WELL , 231_ ]�'� F. . 6 1 ! 338 m `` ' p .i 1 N I >« 4 M�{N I .. ,q ` ,, H� p�1p ( I 0 STA 39-60 W= gOt00 _ n... ODAD d J s"4'4Qs'8 x X PRPAT� O+IO S 8 • 11W r. 4 • I ° • WELL -- SS . ' Mr. :' • WNW& -P. /16'1117 W cH. '1k tiPIII._ 7...._. •,.� n :�.� .. ..,k.�: r -< .�- s .. �:��xr '� rt {�f _o: ..,,�':...�, � ..�.1�'�.v. " _ B� �,5�. �I� . 4 - - Iw_"k,r'- - I ' li 330 F8CL5OD'P \ _.',7�1 'y 130.00 _,,�, .p00 l5 -F'_ :. X IY a•sir•OAU�/7- .. na 0 IIL• aT\ _ _ � �—— TEM-•-.-YCONST. \- (� n 11 . •� PERMIT. A( IS 30 1 /J c i /a 233g oq I• I !•• 2/2 J r RPORARY CO ST. r t• iiii I / 1p , PERMIT. 1 \ f TEMPORARY CONST. ( ( F LIX' MH.NO 9 y PERMIT i rI STA.7+61 W= .O+LOS IaI _ ,J w -- --' -- s r �U�'SsnI \ . t: :`� 7 .KS ' ‹vsp, 1 J 47E61 7$RADIUSM �- 100'RAMS KIC RADIUS 9382-4371-3524 31 DEC 83 N a m0 2 m0 • 4 20F8 AND CONSTRUCTION DETAILS SHEET 80F8 . 1- --_ -__C -� �� '= - d OA ===7 �mt - a 'r ' e� f � — — -__— _�.=_ IMM.ms•••• n . _ —__—==__=1 ..qm=Lile_p__00.21irip6RIMe. ..nurse-+ .a an I V I ... 175 - -ww ^7� =.- ISS ===1111110h� ". .: i-_-,.� . r- r�- I. •== nec :,-._/ 160 'iia■-- i---� irrIrmiimmlememi _mmumillill � , molimmot �• .- =�= ®=1TTTTSl� ��lim_ �M6■■ - _aWilill .. aa. dAfFR 4!' -`- - Mn=_ Y ... ..... PT,:�V138PT� :M ate _ � � .� im==== �= - 145 giiiim ==i=-2.77'".. ,===....-.1.__ M--- :yam.._-�_ - }00 S•00 •. TER; """'" MUNICIPALITY OF ANCHORAGE SCALE Pte 3eye4 �pt� OF A rF ANCHORAGE WATER & SEWER UTILITIES LOCATION 21EV. DATA qp W DATA 9C'!49 /: T T '� `� ... TR T� Z, 0 1 1982 SEWER IMPROVEMENTS T010 TR ..D PIC 011/11CMIES ABBOTT LOOP MANOR L.I.D. 132 NOISE pp eqT c .�jW)w �'��,. S,IL,�r y HACENDA DRIVE-LORE ROAD f..., \ SWIM NW. NILL..A.r / 2 �,� �,, 04:14..r \ WATTS PI( !MAL \ J np NE- DAlE�bw•.9W GA! PK MlG WML/STATT - rT or p SCALE*575,1.-54y I SPEET •5 d VER. 1'-Y CITY ms S WH 5039 8 cRTICAL DATUM -�� _ PLAN CHECK ENGINEERS --- SEAL nolo S 0. AWS.0 WO.*9382-4371-3524 • slit SHEFFIELD, GOVERNOR DEPT, OF ENVIRONMF:NTAI, CONSERVATION romphU„o mon 274-2S33 Adducts 437 "E" Street Suite 200 Anchorage, AK 99501 August 31, 1983 Ms. Vicki I . c.lnppy Assistant Administrator Anchorage Water & Wastewater Utilities 3000 Arctic Boulevard Anchorage, AK 99503 RE: Plans and Specifications Approval Well Regulation Waiver Abbott Loop Manor LID #132, S81-26 Dear Ms. Sloppy: Thank you for the plans and specifications and engineer' s report in request of well regulation waivers for the referenced project under your letter of July 22, 1983. The construction of the reference project will consist of furnishing and installing approximately 4,661 linear feet of 8 inch, class 50 ductile iron sewer pipe, 13 manholes - type A, 4 manholes - special type B, a sanitary cleanout and other related appurtenances in the Abbott Loop Manor Subdivision. The plans and specifications are approved for matters of concern to this Department. However, it should be noted that the reference project does encounter some water and sewer crossings. Specifically, no joint of the new sewer pipe will be laid closer than 9 feet horizontal to the centerline of any existing water line. Also, sewer and water crossings will be laid to provide a minimum vertical distance of 18 inches between the outside of the water main and the outside of the sewer pipe. In accordance with Title 18 of the Alaska Administrative Code Chapter 72 (18 AAC 72.021,a) , a Mr. Mark A. Newell , P.E. , submitted a report for ADEC's review and consideration to waive established separation distances to construct, maintain and operate portions of Abbott Loop Manor LID No. 132 closer to drinking water sources. More particularly, construction of the referenced project will require a waiver to encroach upon the well radius of seven wells adjacent to this project. In recognition of the report and the plans and specifications for the proposed sewer line, the following separation distances are approved instead of that required in Table A of 18 AAC 72.021. 1 . Separation distance of seventy (70) feet between a private well on Lot 2, Block 3, Abbott Loop Manor Subdivision and proposed sewer 11ne. Ms. V. Sloppy S81-26 August 31 , 1983 Page 2 2. Separation distance of seventy (70) feet between a private well on Lot 12, Block 2, Abbott Loop Manor Subdivision and proposed sewer line. 3. Separation distance of forty five (45) feet between a private well on Lot 1, Block 2, Abbott Loop Manor Subdivision and proposed sewer line. 4. Separation distance of thirty five (35) feet between a private well on Lot 5, Block 1, Abbott Loop Manor Subdivision and proposed sewer line. 5. Separation distance of ninety five (95) feet between a private well on Lot 3, Block 3, Abbott Loop Manor Subdivision and proposed Manhole No. 6. 6. Separation distances of ninety (90) feet between a private well on Lot 9A, Block 5, Abbott Loop Manor Subdivision and proposed Manholes No. 9 and 10. I . Separation distance of seventy five (75) feet between a private well on Lot 1, Blcok 1, Jovon Subdivision and proposed Manhole No. 11 . The Department finds that the special manholes detailed in the plans and specifications as an acceptable solution to the separation distance problem between manhole and well . Within the special manholes, the sewer line' s flanged pipe is mechanically sealed and gasketed to prevent leakage of any sewage into the manhole. With the above 1n mind and by reviewing the pertinent characteristics of piping material to be used, the pipe' s most feasible alignment and limited soil information, this Department finds the above separation distances as adequate protection of the private water sources. Please forward copies of the bid tabulations, the signed construction contract and notice-to-proceed related to construction when they are available. This letter serves as written confirmation of the verbal approval given to you by phone on August 23, 1983. Sincerely, --1Ac.c' •-� Grega g e Construction Grants Engineer GM/djf polarconsult alaska, inc. July 18, 1983 Mr . Re►f card G . Reid Construct ion Grants, Project rnq inonrs Alaska Department of i:nviru►irientnI ConservntIon 437 f Street ( Cr•r crud floor) Anchorage, AI a,.kn 99501 Reference : Abbott loop Manor L . I .D. f 1 32 , Sanitary Sower Project Dear Mr . Reid: Polarconsult Alaska, in c . seeks on behalf of Anchorage Water and Wastewater Utility (AWWI/), to obtain approval to construct, maintain tend operate a portion of Abbott Loop Manor L.I . D. 0132, Sanitary Sewer Project, closer to drinking water sources than established separation distances specified in State Wastewater Disposal Regulations. in request of a regulation waiver and in Accordance with Title 10 of the Alaska Administrative Code Chapter 80 ( 18 AAC 72 . 021 . d), Polnrconsult submits the following report for your review and consideration. There are A total of seven (1) private wells In question, all of which are 6- inch diameter and greater than 100 feet deep. Fach well serves the residents on the lot on which the well Is located. Within the subject well radius 75-foot "waiver" area, the ,ewer pipe will be 8 - inch Ductile iron Pipe, Class 50, with n wall thickness of (1 . 27 inches (6 . 9 Dull). The subject pipe has a working water pressure of 350 psi plus a surge allowance of 100 psi . The particular sanitary sewer trunk Is a gravity system which will be 0 . 0 psi Wor l inn pressure, making it ideal for construction within the required well radials . Wells which are within the 75-foot radius of a sower lino are: 1 . lot 2, Block 3, Abbott loop Manor Subd I v i s l on, Is seventy ( 70' ) fret fc Nil the sewer line. 2 . Lot 121 131or..k 2 , Abbott loop Manor Subdivision, is seventy (ill' ) feet Ir um the ,,ewer line . l!. Lot 1, Block 2, Abbott loop ManorSubdivision, Is forty-five (45/ ) feeeet from the sewer line. e I A`ai tutuub1 Ie(4At) • bilII /41 • ANc11ONA(ak A4 A',o'.A 405W • l'l1ONt (flU!) 561 4s413 • 1111 .4 11,01 t A Alai polarconsult Mr . Peft,rd G . Reid July 18, 1983 Page 2 4. lot, 5, Block 1, Abbott loop Manor Subdivision, is thirty-five (354) feet from the newer line. Within the 100 -foot wells radius "waiver" for manholes, the ductile iron pipe will be Joined and sealed using flanged water tight fittings ns shown on the plans for Special Type "B" rimnho l e s. The following wells are within the 100-foot radius of these manholes : A. lot 3, Block 3, Abbott Loop Manor Subdivision, Is ninety-five (95±) feet from Manhole No. 6. B. Lot 9A, Block 5, Abbott Loop Manor Subdivision, Is ninety (904 ) feet from Manhole Nos. q and 10 . C. Lot 1 , fllnrk 1 , dovon Subdivision, is seventy--five (754) feet from Manhole No. 11 . On A gravity system, there Is more static pressure on the outside of the pipe than on the inside, thus giving more concern to infiltration than exfiltration. Ductile Iron pipe has a i i fe expectancy greeter than other conduit materials because of its structural strength, resistance to abuse, abrasive elements and corrosion. When Polarconsult Alaska, Inc . contacted the various agencies involved to obtain a dr I 1 1 1 ng log of the above referenced W0115, only U. S . Geological Survey could provide a log which Is attached for your review. It is considered typical of the wells In the area by the local residents. It Is one hundred fifteen ( 115 ) feet deep, and is cased all the way to the aquifer. Please note the sanitary sower trunk wi l l be separated from underlying aquifurs by numerous layers of hardpan and clay gravels . polarconsult Mr . Rnford G. Reid duly 18, 1983 Page 3 Furthermore, tiny surface drainage would be nwny from the well Rites. Very truly your,», POLARCONSULT ALASKA, INC. ...O(.:i,/ 4 '- ,. (1/ Mark A. Newell , P. E . President APPROVED: Alfred E. Sundquist, P. E. --- Engineering Design Supervisor Anchorage Water and Wastewater Ut I l i ty Date /pf Attachments rhe �.• 14.• de :49TH p A r , ,,,,,,,,.,J ^13� Nu.2174-E ,tr''! , ' July 10, I V/0 ,.*w% L `N L ` 3 • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 6 n a CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 014-181-14 1. GENERAL INFORMATION Expiration Date: 11-7-113 Complete legal description ABBOTT LOOP MANOR, BLOCK 2, LOT 1 Location (site address) 7604 ADOBE DRIVE, ANCHORAGE AK 99507 Current Property owner(s) WILLIAM A. WOODLAND Day phone Mailing address Real Estate Agent 13600 JARVI DRIVE, ANCHORAGE, AK 99515 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class _ Well ❑ Community ❑ Public Water System ❑ Public Sewer WaiverNariance request for: COSA to be released to the engineer, unless COSA Fee $ �1�(o o r Waiver Fee $ _ Date of Payment (1 I la) C Date of Payment Receipt Number 01 Receipt Number COSA# b`�G13\;j0 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 6/26/13 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 f of<l_ t\ occupants or can ArcTerra guarantee that no unseen Ar V c, encroachments, deficiencies or discrepancies exist. 6. DSD7NATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. 9 KEA\ETH A1. UVFF / 716 FES, 10"—� i Conditional approval for bedrooms, with the following stipu*bil�;y� OF By: G�� t Original Certificate Date: T unici alit . of horage 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 COSAI,Wesheet 10-10.12.doc 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: ABBOTT LOOP MANOR, BLOCK 2 LOT 1 Parcel ID: 014-181-14 A. WELL DATA* Well type PRVT If A, B, or C provide PWSID # Date completed Unknown - Est. 1963 Sanitary seal (YIN) Y Total depth ft. Cased to _ft. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: ft. Coliform NEG colonies/100 mL Nitrate ND mglL Arsenic: ND ug/L Date of sample: 612412013 B. SEPTIC/HOLDING TANK DATA - PUBLIC SEWER Tank Type/Material Tank size _ gal. Number of Compartments Foundation cleanout (YIN) Depression over tank (YIN) Date of pumping Pumper C. ABSORPTION FIELD DATA - PUBLIC SEWER Date installed _ Soil rating (g.p.d./ft2 or ft /bdrm) _ Length ft. Width Total depth ft. ft. Well Log (YIN) Wires properly protected (YIN) Y Casing height (above ground) 24+ in. AT INSPECTION 612212013 ft. a= Collected by: ARCTERRA Date installed Cleanouts (YIN) High water alarm (YIN) System type _ Gravel below pipe Eff. absorption area f? Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) _ Fluid depth in absorption field before test _ in. Water added_gal. Elapsed Time: _min. Final fluid depth _ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & type) _ ft. For bedrooms New depth_ in. If yes, give date .m D. LIFT STATION Date installed "Pump on" level at_ in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons "Pump off" level at _ in. Cycles tested Septic tank/lift station on lot NA Absorption field on lot NA Public sewer main Sewer /septic service line 25'+ Animal containment areas 50'+ SEPTIC/HOLDING TANK ON LOT TO: PUBLIC SEWER Building foundation Water main Wells on adjacent lots Property line _ Water service line ABSORPTION FIELD ON LOT TO: PUBLIC SEWER Property line Water Service line Curtain drain F. COMMENTS &4r Jf,� - G. ENGINEER'S CERTIFICATION Building foundation Surface water Wells on adjacent lots Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout 100'+ Holding tank Manure/animal excrete storage areas 1004 Absorption Surface water Water main Driveway, parking/vehicle storage I certify that t have determined through field inspections and review of determined through field inspections and review of Municipal records that inspections and review of Municipal records that the above systems are in Municipal records that the above systems are in conformance with MOA above systems are in conformance with MOA COSA guidelines in effect on conformance with MOA COSA guidelines in effect on this date. COSA guidelines in effect on this date. on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 0612612013 COSA brown sheet 10-10-12.doc OF -4 X �; 1QTH in. Ac's/'14/211u1^-11:97 907-245-022'- ALPINE DRILLING F'AGE 101101 AAROW PUMP & WER SERVICE LLC NRT����;�E P 0. BOX If 0496 Anchorage; AK 99511 No. 9855 Offlae: (907) 345-9355 • Fax (907) 345-0262 - Eagle River: (907) 622-9335 C TOMER L i i� rn 0Q ILI�oI Jae SITE 75 Waae,. hk cM5 ,,.. L LABOR w=LL DEPri Swr. HOURS DATE MTIW TOTAL LABOR J L b, -,, — �- CHLpRNATEC PUMP bEPTH SALESpEFY N •% c3 OESCRIPT1O Ile -74 4 AMOUNT TOTAL MATERIAL TOTAL LABOR PAYTHIS AMOUNT 13 Thank You Sl(9NATURE (I Hereby Acknowledge the Satisfactory Gvrapletion of the Above DeserihBd Work and agree that If above work Is net paid for In 00 days I agree to allow.Aarow Pump & Wall Service, L.L.G. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. Parcel I.D, Municipality of. Anchorage Development Servlces Oel~idment Building Safety Divislon On-Site Water and Wastewater Program 4700 South Bragaw St. P.O, Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak. Us (907) 3~,;~-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL. FOR A SINGLE FAMILY DWELLING 014-181-14 t. GENERALINFORMATION Expiration Date: "7- ~ ~"'- O ~ Completelegaldescription.Lot l; BIocl~ 2; Ahhntt 1,nn.n MRnnr ~hd'iwi~'inn Location (site address or directions) 7604 AdnhP nr An~,hnrnCo CurrentPropedyowner(s) Richard Brandt Mailing address Lending agency Mailing address Day phone 208-628-3724 Day phone Real Es[ate Agent Marianne Grant Mailing Address 3201 Unless otherwise toques/ed, HAA will be held by DSD for pfckup. Day phone 762-3168 An(-hnraEe: AK. 9950.3 2. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class. Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding tank [] [] Community On-site [] [] Public Sewer [] The Municipality of Anchorage Development Se~vlces Departmenl (DSD) Issues Certificates ol~ Health Authority Approval (HAA) based only upon the representallons given In paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. Certit~cates o! Health Authority Approval are required for the Iransfer of title (except between spouses) for properties served by a single family on-site waslewaler dispesal and/or wa~er supply system. DSD also Issues HAAs upon request Io homeowners. Certificates of Heallh Aulhorily Approval are valid I~or 90 days [rom the date cf issue for properties served by a private or Class C well and may be reissued with new water sample results less Ihan 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid roi' one year for properties served by Class A or B we~ls or a publlc water system. The Municipality of Anchorage Is not responsible for errors or omissicns in Ihe professional engineer's wcrk. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal af/ixed herelo and as o! the validation daie shown below, I verily Ihat my Investigation, based or] procedures outlined in Ihe Heallh Aulhorily Approval Guidelines for Ihis applicalion, shows thai Ihe on-site water supply and/or wastewaler disposal syslem Is(are) safe, functional and adequate for Ihe number of bedrooms and type of struclure Indicated herein. I t'udher verify that based on tl'~e Information obtained from Ihe Municipalily of Anchorage flies and from my Invesflgaflon and Inspection, Ihe on-sile waler supply and/or wastewaler disposal syslem is(are) in compliance with all applicable Municipal and State cedes, ordinances, and regulations in effect at Ihe time of installation. NameofFirm S & S En~,~neerin~ Address 17034 N. Eagle River Loop Ste. Engineer's Printed Name Robert C. Cowan Phone 694-2979 204 Ea~le River, AK 99577 Date. ~'c,'.." ,'~ ".. bedrooms, with the [ollowing slipulations: DSD SIGNATURE V'/ Approved for Disapproved. Conditional approval [or bedrooms. Addilional Commenls By: Attachments: HAA Checklist Septic System Ad¥isory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Olher Original Certi~icale Dale: ~ - / ~'-'- C.: '~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box lg6650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA We, type If A, B, or C provide PWSID # ~' ParcellO: 01~ '/~'1 - Well Log (Y~ ,~, o Date completed'~',/q & Y Total depth qq + ft. Sanitary seal'IN) yz..J' Cased to ~.0 + ft. FROM WELL LOG Date of test Static water level Well production .~~ fL g.p.m. WATER SAMPLE RESULTS: Coliform O colonies/100 mi. Arsenic: .,,,~-----mg./I. B. SEPTIC/HOLDING TANK DATA Wires properly pmtected<~gN) y~ J' Casing height (above ground) ~'~' 4 in. AT INSPECTION 3 g.p.m. Tank Type/Material Te~k size gal: Number of Compartments C~) .' Foundation cleanout (Y/N) Depression over tank (Y/N) ~_/,/'Righ water alarm (Y/N) Date of pumping ..... Pumper . c. A.SOR.TIO. F,ELD DATA Date installed _ ' Soil rating (g.p/,d~ or ft~/bdrm). System type Length . ,, ft. .~th fL Gravel below pipe. ff. Total depth ff. Eft. a/~rpflon area ~ Monitoring-- tube Depression over field Date of adequacy test ,,/ Results (Pass/Fall) For . bedrooms Fluid depth in~n field before test in. Water added gal. New depth in. Elapsed T./T~rf'e: min. Final fluid depth in. Absorption rate >= g.p.d. Any,~juvenatlon treatment (past 12 mo.) (Y/N & type) If yes, give date Nitrate O, A. mg./I. Other pacteda O colonies/100 mi. Date of sample: ~/~/o~ ~ Collected b~'& $ ENGINEERING C.: O,~,v4 ~r ~t ,3 r o E~gle River, Al&slcl ~57'/ ~'ue~,~ ~¢.-¢*..//e/oS Date installed ~ D. LIFT STATION Date installed 'Pump on" level at irt. Size in gallons 'Pump off' level at Manhole/Access (Y/N) _...-------'-- ED Datum _..------"-'-~'"'-' SEPARATION DISTANCES Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot /~///~ Public sewer main 5"0 Sewer/septic service line On adjacent lots / 0 o ~'- On adjacent lots I o 0 '¢'- Public sewer manhole/cleanoul Holding tank .,:' C,,.,qJ:tafh~dmin ', F. CO'MMENTS'' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Abs~ Water main Water serv~~'Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ~S~;H~N FIELD ON LOT TO: Property line / Building foundation Water main Surface water Driveway, parking/vehicle storage Wells on adjacent lots review of Municipal m~s that ~e abo~ sysmms am in H~ guidelines in eff~ on ~is date. ~n~ance W~ MOA Date ~/ii /O ~ HAA Fee $ ~ '7 5". '~ ~' Waiver Fee $ Date of Payment ~ / I I //o '3' Date of Payment Receipt Number O ~ '} "/I ~ ,c~, Receipt Number (Rev. 12/01) .0 Lot ;.~=_, Block..~E~. Anchoroge Recording Preclnct, Alosk~. ~.LOT SURVEY CERTIFICATION. I h~eby c~rllfxthQt I~Qv. s~rvey~d Iht ~ow~ and described h~re~, end Iho~ the ..9 - ,F. O - '75 ~ ~¢all Cop I~onume~l 0 Iroa Pipe · Steel Pin Survey Hub ~. Toot, not evetlnp or encroach ~ adjacent properf~ ond lbo! except