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HomeMy WebLinkAboutSAND LAKE #2 BLK 4 LT 45and Lake #2 Block 4 Lot 45 #011-135-08 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241368 PID Number: 011-135-08 Dwelling: [EN Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New RK Upgrade Name Levi & Heather Wegner ABSORPTION FIELD ❑ Deep Trench ❑Wide Trench ❑Bed El Mound Site Address 8100 Seacliff ❑ Other Phone of Number Bedrooms Soil Rating Total depth from original grade 2** GPDlSF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Sand Lake #2 4 45 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100, NA NA NA 25'+ TANK ■❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer (Deep Bury) Capacity 1000 Gal. Surface Water 100'+ NA NA NA Material Number of compartments Lot Line 5'+ NA NA NA NA HDPE 2 Foundation 10'+ NA NA NA LIFT STATION Manufacturer Capacity Gal. Remarks Tank Replacement Only **System granted 3 bedroom approval by MOA Onsite Alarm location Electrical installed by PIPE MATERIAL House to tank Tank to D3034 drainfield D3034 Installer Northern Excavation & Construction Drainfield CO/MT D3034 Inspector Pannone Engineering Services, LLC BENCH MARK (Assumed elevation) 100.0 ft Inspectio v, 12/03/24 12/03/24 Location and description 2„d 3,d 4t„ See Site Plan, Top of stair landing ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp 0 A1.4s,�� Conditional Approval: Date 49 TH (� t2V2rl 0,140 Septic System Approved Date CE �-,�'"� < Note: this approval does not include well permit requirements. (Rev 05102/18) 1000GAL GREER POLY TANKPROFILE SCALE: NTS PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) NOTES: GROUND LEVEL IMPROVEMENTS ARE APPROXIMATE DUE TO SNOW COVER. THE RECORD PLAT DOES NOT SHOW ANY BEARINGS. NORTH AND EAST WERE HELD. NO EASEMENTS APPEAR ON THE RECORD PLAT. THE PROPERTY IS SERVED BY A PRIVATE WELL LOCATED ON AN ADJACENT LOT (SEE ENGINEER'S PLANS FOR DETAILS). Lot 7 I � I I Lot 46 I I I WOODEN FENCE _ � I I — — — — — 135' SEPTIC PIPES N 12.2' x 16.2' SHED 24.3' _ NHOLE �JF '- Lot 45 > Lot 8 �� 6,750 s.f. ` m � -0 cn � lnl N m D l Q N 0 f Z X < 4.5' x 6.5' . ASPHALT \ 8.6' x 10.0' SHED � CO DECK PAVEMENT' I 24.3' — 135' M Lots 9 & 44 30.0' I I PLOT PLAN —_— AS BUILT 30_ _X— SCALE _ 1=== GRID SW 2224 — -- — Project No J24-2521A1 Lang & Associates inc. P 0 Bo210005 Alaka 99521-0005� Anchorage,00��O (907) 522-6476 Professional Land Surveyors jonothan®langsurvey.com o� O F q �Op kenOlangsurvey.com v'� •. '9sOQ I hereby certify that I have surveyed the following described property: LOT 45, BLOCK 4, SAND LAKE SUBDIVISION No. 2 (Plat No. P-176) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the Oj — Day of Dee � , at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. O ... ... .:.... j ...... D D I� JO HAN C. LANG o Q4LS-9944.•'' S�pO pQ�R�FfSSIONA�- � 00 State of Alaska AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241368 Work Type: SepticTank Upgrade Tax Code Number: 01113508000 Site Legal Address: SAND LAKE #2 BLK 4 LT 45 G:2224 Site Mailing Address: 8100 SEACLIFF ST, APT A, Anchorage Owner: WEGNER LEVI & HEATHER Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: Uepartrurnt 11 /6/2024 11 /6/2025 6750 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: This permit is for a 2 bedroom tank which matches the field installed in 1983. Any future COSAs issued will be for a 3 bedroom system to match previously issued COSAs. In the future, if the existing field is found to be in failure it will be required to be upgraded to meet the appropriate sizing for the required bedroom count. N Received By: I �' 5� EJ Date: I / Issued By: Date: I � MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax.- 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 011-135-08 Property owner(s) Levi & Heather Wegner Day phone Mailing address Site address 8100 Seacliff Legal description (Sub'd., Block & Lot) Sand Lake #2 Block 4 Lot 45 Legal description (Township, Range & Section) Lot Size - 6,750 _Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field F] Initial El Single Family (SF) (w/wo ADU) Septic Tank nX Upgrade FRI Duplex ❑ (D) Holding Tank 1-1 Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well EJ Water Storage D THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. 15W (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. o5p2q1362f Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_-'- : - !-'..:c ; Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O. Box 1807 Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska Subject: Sand Lake #2 Block 4 Lot 45 Septic System Upgrade Permit Request This is a design narrative for a permit to install a 1000-gallon septic tank to replace an existing 1000-gallon septic tank to be issued for this property. The existing tank is 40 years old and is likely perforated and leaking, it will be abandoned per code. Currently the lot is developed. The proposed replacement will be connected to the existing drain field. This lot and the surrounding lots are served by private shared wells. There are currently no wells within 100’ of this upgrade. The wastewater system serving this property was designed and permitted to serve a 2-bedroom dwelling. The dwelling has been listed as having 3-bedrooms since 1984. The property has received several HAA and Onsite approvals since 1984 for a 3- bedroom septic system. PES was contracted by the owner of the property to perform an adequacy investigation of the on-site system to obtain a COSA. The on-site system serving the subject lot consists of a 1000-gallon septic tank followed by a twenty (20.0’) feet of deep trench with eight (8’) feet of drain rock installed on December 28th, 1983. On September 26th, 2024; PES found the existing tank to be in a state of failure. The drain field was observed to be dry prior to the introduction of 497-gallons of clean water. Following 30 minutes of monitoring the drain field was dry. Replacement and or upgrade of the existing drain field at this time is unnecessary and would cause undue financial burden on the current owners which purchased the property in 2015 after it had received a COSA approval for 3-bedrooms. The on-site system has been in operation and has served a 3-bedroom dwelling since 1983 with no documented failures or issues. If the drain field is to ever experience a failure or the structure be modified to include additional bedrooms the drain field shall be upgraded to accommodate the appropriate number of bedrooms. A future drain field upgrade would include one or multiple of the following: • A well waiver be applied for and approved by the MOA Onsite Department. • An advanced wastewater treatment system be utilized. • Letters of non-objection by the appropriate utility companies be granted to perform work in the utility easement. The property owner at the time an upgrade is needed shall be responsible for retaining a State of Alaska Registered Engineer to obtain all necessary permits and approvals. It is the opinion of this office that the existing system on the subject lot is still suitable to serve a 3-bedroom dwelling. 1. Upgrade Tank Design. The tank will be located: 5’+ from any property line. 5’+ from any deck/stair support. 10’+ from building foundation. 10’+ from any water line. 100’+ from any surface water. 100’+ from any private wells. 200’+ from any public wells. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241368, Curtis Townsend, 11/06/24 Mailing: P.O. Box 1807 Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, SRP Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer 5 November 2024 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) 2.2. SCOPE OF WORK: INSTALL SYSTEM IN ACCORDANCE WITH THE ATTACHED DESIGN AND SPECIFICATIONS. 16 FEET 16 FEET Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241368, Curtis Townsend, 11/06/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241368, Curtis Townsend, 11/06/24 MUNICIPALITY OF ANCHORAGE 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 ,�{"� J/�� /7�� Y� /TPP /� ' IN—L PHONE y �p7� NEW ❑UPGRADE MAILING AD6 S Q 03 N q5 1/035A LEGAL DESCRIPTIONLl! �j� L K - ' l�J1T LOCATION NO. OF BEDROOMS Uy DISTANCE TO: Well 0l) t Absorption area t Dwelling -7Z) PERMIT N a zQ LU l Manufacturer e�, Material / ,ij a�T I No. of compartments y Liq. cap city in®gallons (� IF HOMEMADE: Inside length Width Liquid depth 6 JAZ DISTANCE TO: Well Dwelling PERMIT NO, O z F Manufacturer Material Liquid capacity in gallons O w= DISTANCE TO: Well �2 ( Foundation Nearest lot line ��� PERMIT N J E Z Z No. of lines / Length of each lin t Total length of lines7�f G.. Trench widtk2/ <,, inches Distance between lines p ~ To of tile to finish rade ) p g .3. Material beneath tile 9 (6 inches Total effectiy hs pt � J°�' i rea Lu 0 Length Width Depth PERMIT NO. Q F CL wa Type of crib Crib diameter Crib depth Total effective absorption area y DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tart.k� v Absorption area(s) OTHER PIPE MATERIALS A'STM an SOIL TEST RAT� CC INSTZLLER ikPIf' t' L'' 8z- • REMARKS 150' b Y2 I -EA -©-y 7177 Liu L. OQar 9 MCA -6T k5 - 02q APPROVED DATE LEGAL ' Mb LAKE 72-013 (Rev. 3/78) ' &JUP! 7 f 1 P- ' �XT ��10 11-4 ��� �� DEPHRTMENT OF � HEHLTH ��� EHVIRONMENTHL PROTECTION 825 'L/ STREET/ MCHORHGE/ HK 99501 264�4720 : HNCH: EAGLE ' RIO E.." F�`Z" F� FEE������ ` �ERi^|IT NO8]10]1 010LICHNT: NH RHPPE,EVCHVHTING PHONE: ]45�2670 SRH BOX 40�5H A�C/ H� 99502 LE��, �ESCRIPTION � SUGDIYISION: SHK& LHKE NO, LOT: 45 ,LDT �IZE 6750 SQ.FT. TOANSK110: WIN RHNQE: 41.4 SECTION: 10 hPY 7 AM NUMBER OF SD1L R phTING 150 150 FT. /�R) LIS��� BELOW FIRE THE OPTIONS HVHILHP1.1 TO YOU IN DESIGNING YOUR SEPTIC SYST�i'i CHOOSE THE OPTION THHT^BEST F�TS YOUR SITE ][ 1417 F LEK 7j � 190 FT TO�7� i2.0 FT. 14.9 CU.YDS TW 72 i/0000 GHLLONS (T�D ��i'�PH�TMENT THNK) F �Ca V A WE 7: i5.0 FT. FT. TOTHL DEPTH 5.0 FT. GRH,,, -'EL DEPTH &5 FT. GRHVEL 'VOLUME i66 Ci1YDS. TANK SIZE � ' i/000�0 GALLONS (TWO COMPHRTMENT THP -4K) �1 - E -H E:-- ".1. P-4 ��E-.: L.- ��-f5; I�� WIDTH 5.0 FT. LENGTH ]5.0 FT. TOTHL DEPTH 7,0 FT. GRHVEL DEPTH 0 FT. GRAVEL VOLUME 2.6 CU.YDS. THNK SIZE COMPARTMENT THNK) I CERTIFY THHT: 1. I HM FHMILIHR WITH THE REQUIREMENTS FOR MY -SITE SEWERS AND WELLS AS SET FORTH GY THE MUNICIPALITY OF HNCHORHGE AND THE STATE OF HLHSKH. 2. I WILL INSTHLL THE SYSTEH IN HCCORDHNCE WITH THE CODES HHVE RECEIVED H COPY OF THE CODE SUMi DIAGRAM ATTACHMENTS WHICH IS PART OF THIS PEW IT. I I UNDERSTHND THHT THE ON~SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 2 BEDROOMS. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM PERSONNEL DURING THE OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. IF A LIFT STT-jTIOyl LS INSTHLLED/ FN ELECTRICAL PERMIT HND INSPECTION MUST BE OBTAINED. HSBUILTS CHNNOT BE APPROVED WITHOUT HN ELECTRICAL INSPECTIO� REPORT. THE ELECTRICHL WORK MUST BE DONE BY H LICENSE)..:; ELECTRICIHN. SIGNED: HPPLICHNT NH RH ISSUED BY' DHTE: 11/2]/8] \ I1 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 \� SOILS LOG — PERCOLATION TEST PERFORMED FOR: C � C i.,lU(�� Uy DATE PERFORMED: GZ LEGAL DESCRIPTION: 1 ' F�QL# lr �C�� 1 tdJ -q5 1 E7 SLOPE SITE PLAN jf�,�T� a�� brown 1 a � 2 1 � 3 s a 4 5 5P) deaf\ rxl t 6 k 7 a t 8 6 a 9 �. MENNNENIMEN Date Gross Time Net Time Depth to Water Net Drop I .M■■■I.EW MON ENIMEN HI" EFEEN(®E r10MO�ME■EMM 1■MU.■I.■■ KI■■■■■.I■■■ ■INEEM■■INEM ■I■EE■NNINLaE ■IN■MENNIENE c 10 P 11 WAS GROUND WATER 8 ENCOUNTERED? I) LO--tz- c, t— P 12 0 ` . 1 IF YES, AT WHAT E 13 DEPTH? J t � 14 15 ° p L . 16- 17- 18- 19 6171819 Reading Date Gross Time Net Time Depth to Water Net Drop 20 PERCOLATION RATE (minutes/inch) it 1 41 TEST RUN BETWEEN COMMENTS_ eCUf �� 2r�J�-r� v -E oti E kS-1 'It-, / PERFORMED BY: t-...FtUKI� l>�j l�l\ CERTIFIED BY: 72-008 (6/79) FT AND FT DATE: 2f/ej'� CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION . PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction q- q jy �, � j k 1„d k«k s/o 114t— fA - y e; 3 — C ri, public water system located in �iu��"�� Alaska, submitted in accordance with 18 AAC 80.100 by Lt, ' _Ceu�` have been reviewed and are Wapproved. ❑ conditionally approved (see attached conditions). BY TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS Change (contract order no. or descriptive reference) . Approved by Date The "APPROVAL TO OPERATE” section must be completed before any water is made available to the public. APPROVAL TO OPERATE The construction of the L r 1punuc 61: 44 water system was completed on 3 T �u _ °� �I (date). The system is hereby granted interim approval to operate for 90 days following the cpmpletion date. DATE As -built plans submitted during the interim approval period, or an inspection by the Department has confi med the system was constructed according to the approved plans. The system is hereby granted fin approval to operate. TITLE �— DATE MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC241512 Parcel ID 011-135-08 Expiration Date: Legal description SAND LAKE #2 BLK 4 LT 45 site address 8100 SEACLIFF ST, APT B Current property owner(s) WEGNER LEVI & HEATHER X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: M Original Certificate Date: 1110%GT6IliZ! This Certificate bf On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist Absorption Field Advisory Tank Age Advisory Other X Well Flow Advisory Nitrate Advisory f Arsenic Advisory 7 Development Services Department Phone- 907-343-7904 On -Site Water & Wastewater Section Fax- 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 011-135-08 Complete legal description Sand Lake #2 Block 4 Lot 45 Location (site address) 8100 Seacliff Street Current property owner(s) Levi & Heather Wegner 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: R Private Well R Private Well serving 2 dwelling units 1*0 Private Well serving 3+ dwelling units n Community Well or Public n Water Storage 4. TYPE OF WASTEWATER DISPOSAL: FE-1 Private Septic E] Private Septic serving 2 dwelling units R Holding Tank R Community Septic or Public Sewer 5. SEPTIC TANK: [-] Steel ❑ Plastic F­1 Concrete Fj Fiberglass Age New - See advisory if steel older than 20 years 6. ABSORPTION FIELD: r_1 AWVVTS E] Bed ❑ Deep Trench E] Wide Trench R Seepage Pit Waiver request for: Expedited review requested: FO-1 Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee$ 9SC) Waiver Fee $ Date of Payment Zzz/-/Z--y Date of Payment COSA # 1 5 12 Waiver # COSA Application —June 2022 COSA Checklist Legal Description: Sand Lake #2 Block 4 Lot 45 Parcel ID: 011-135-08 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments Lot Served By Shared Well B. TANK DATA Measured operating fluid level in septic tank New Date of pumping New ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 12/28/1983 ❑■ ALL standpipes present per record drawing Total measured depth from grade 12.5 ft (max) Measured depth to pipe invert from grade 4•5* ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑■ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) no If yes, enter date Comments/Deficiencies: *Approximate based on total depth Well production at time of test gpm Water storage tank volume none gallons Well disinfected for coliform test? ❑ Yes ❑■ No R Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic 46.131 ug/L ❑ Arsenic less than MRL (ND) Collected by Pannone Engineeing Services Date 10/08/2024 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date _ Results Q Pass Fluid depth prior to test 09/26/2024 Water added 497 gal New fluid depth 11.5 in Elapsed time 70 min 0 in Final fluid depth 0 in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 96 in Effective depth used 0 in Effective depth remaining 96 in COSA Checklist June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' [:]Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes if No ft ❑ Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' 0 Yes if No Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' ❑i Yes if No ft ❑Yes if No *6•0 ft 0 Yes if No ft Wells on Adjacent Lots: Private Wells > 100' 0 Yes if No Community Wells > 200' ❑■ Yes if No Water Service Line > 10' Foil Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS 1. Property served by a shared private well not located on the subject property 2. Portion of field is under driveway. No known or visible issues resulting from this condition. *Existing waiver on file for field to lot line separation. ft ft ft G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on -site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC & MOA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are 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 hidden defects or encroachments. Therefore, we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. _ Name of Firm Pannone Engineering Services Engineer's Printed Name Steven R Pannone P.E., F. ASCE COSA Checklist —June 2022 Phone 907-745-8200 Date 12/10/2024 �� of A�4 Ilk 49 THTH �J .. Jt'c tl r'. Pi7Ylnorle C E B 149 G -� Ali' •�"�' -PAS. TY OF ANCHORAGE DEVELOPMENT ENT SERVICES DEPART1RAEN T 907-343-790 1 I On -Site Wager and Wastewater Section ax: 343-7997 Arsenic Advisory Certificate of On -Site Systems Approval # OSC241512 Subdivision: SAND LAKE #2 , Block: 4, Lot: 45 A water sample revealed an arsenic concentration of 46.1 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/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. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska Subject: Sand Lake #2 Block 4 Lot 45 COSA We are requesting that the COSA for the subject property be approved for 3-bedrooms. The septic system has been in operation since 1983 and has served a 3-bedroom since as early as 1984. Currently, this properties development is listed as a 3-bedroom dwelling with its drain field only sized to accommodate 2-bedrooms. This dwelling has been listed and sold as a 3-bedroom dwelling since construction and has received a Health Authority or Onsite approval in each instance. The existing drain field was sized based on a visual application rate of 150 ft2 /br. The drain field is a deep trench, 20 feet long with 8 feet of drain rock which equals 320ft2 of absorption area. For a 3- bedroom system this drain field would need to be 28.2 feet long. Given the noted soil composition on the soil log and absorption noted during the adequacy test, the receiving soil likely has a percolation rate of 1-5 minutes per inch. By today's code this requires 125ft2 /br and 375ft2 of absorption area. The current drain field would need to be 23.5 feet long (3.5ft longer than what is currently present), to meet current code requirements. We conducted an adequacy investigation of the septic system on 09/26/2024. The drain field monitor tube was dry prior to the start of the test. Water was added directly to the drain field monitor tube at a rate of 7.1 gpm for 70 minutes, for a total of 497 gallons of water. Water levels in the monitor tube rose due to hydraulic loading. Following 20 minutes of monitoring, the monitor tube was again dry. The drain field absorbed the daily flow of wastewater for a 3-bedroom home in 90 minutes. It is safe to assume that the drain field serving this property is in excellent condition given its age. MOA regulations require septic systems be designed for 150 gallons of wastewater per bedroom per day. This value assumes two people are occupying each bedroom which means each person is assumed to produce 75 gallons of wastewater per day. Typically, a 3-bedroom home will have 4 occupants (2 parents and 2 children). 4 people x 75 gallons/day = 300 gallons of wastewater per day. At the original design application rate of 1.0 gpd/SF the drain field would need 300ft2 of absorption area, the existing drain field on the property has 320 ft2 of absorption area. Given that the wastewater treatment system has been in operation for over 40 years with no issues, these reduced flow numbers are feasible. Mailing: P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Granting an approval in this situation will have no harmful effects on the environment or surrounding drinking water wells. A 1000-gallon septic is the required size septic tank for a 3-bedroom home. This means all wastewater leaving the home is receiving the required primary treatment before being discharged into the soil absorption system. The 2015 COSA approval noted a non-detect level of nitrates from the well serving this property. Our most recent sample collected on 10/08/2024 noted a nitrate level less than the MRL on 0.200 mg/L. Nitrates from this and surrounding wastewater treatment systems are not having a negative impact on the drinking water source. PES has discussed this property and the subsequent COSA with MOA Onsite staff and received a written approval through Eplans during the tank replacement process. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, SRP Steven R. Pannone, P.E. F. ASCE Owner/Civil Engineer 10 December, 2024 MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE:(907)564-2762 BLOCK/LOT/TRACT: BLK 4/ LT 45/ SUBDV: SAND LAKE #2 SEACLIFF STREET WATER PROJECT WATER CONNECT W211216 PERMIT DATE OF APPLICATION: 7/13/2021 SCHEDULED COMPLETION DATE: 12/31/2021 TAX CODE: 01113508000 GRID: SW2224 STREET ADDRESS: 8100 SEACLIFF ST Anchorage, AK 99502 OWNER: WEGNER LEVI & HEATHER MAIL ADDRESS: 8100 SEACLIFF ST ANCHORAGE. AK 995020000 ❑ SINGLE FAMILY ❑ DUPLEX ❑ COMMERCIAL ❑ MULTI -DWELLING No. APTS 0 PHONE: CONTRACTOR: ASSESSMENTS ❑ Repair Existing Service ❑ Main Line Extension ❑ On Property Only ❑City Tap ❑ Have Been Levied ❑ Hydrant Only ❑ To Be Levied QMain Tap - To Property Line Only ❑ Cured in Place Pipe Comments: ❑ Main Tap & On Property Connect ❑ Disconnect Row No. ❑ R & R - Main Tap Only Owner Staff CONNECT SIZE 1 in ISSUED wwjjp INSPECTION FEE $0.00 ❑ PAID ❑ CASH PERMIT FEE $77.00 ❑ CHECK RCC $0.61 ❑ OTHER REIMBURSABLE DEPOSIT $0.00 INSPECTED BY 6DF NUMBER WM.00098 WTR TOTAL $77.61 DATE III, I�— ZH REMARKS PERMITTEE (Please Print) WEGNER LEVI & HEATHER MAIL ADDRESS 8100 SEACLIFF ST ANCHORAGE, AK 995020000 SIGNATURE EMAIL PHONE POST IN A CONSPICUOUS PLACE AT THE JOB SITE. INSPECTOR COPY ���•`,, DATE 12/31/2021 TIME 12:00 AM INSPECTOR JVF SCHEDULED SUBDIVISION SAND LAKE #2 BLOCK/LOT/TRACT BLK 4/ LT 45/ INDICATE NORTH 00 I �sri/i is � I , L I � I i a 1 1 Ka I jw- 14' � � I i I � I ; SIZE CONN: CORP STOP CORP STOP C TO C �j 0 . �l • FT. COPPER PIPE 1 1/4" OR 2" KEY BOX S`i FT. THAW -WIRE OTHER LINE BLOWN OUT F OPEN BORE FLUSH ® 150 / 200 LB. TEST ® MAIN CHLORINATED ® CHLORINE FLUSHED ® OK TO TURN -ON CONTINUITY INSULATED El DO NOT TURN -ON I 1 i I , 1 I , ; A o, c\,fib ® DOMESTIC ONLY BOTH FIRE & DOMESTIC ❑ FIRE LINE ONLY FIRE HYDRANT ONLY DATE OF TAP BY fir', si-oj SIZE MAIN $" ❑ ALLEY X STREET ❑ EASEMENT TYPE MAIN PYC_ EXCAVATOR DISCONNECTS 0 YES ® NO SIZE OF DISCONNECT COMMENTS e KEY BOX LOCATION ; L%'i.S' Sw c... �.+� ►sv:l�:�9, `i F_ W r`c P.L. ,Z . S• w o Sw C v. v.aP u� •kites . ut3. 10 a,� wri L.'go- wL INSPECTION REPORT INSPECTOR �• ®, F DATE 1Z_1$_zy COMMENTS • -� Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel l.D.011-135-08 1. GENERAL INFORMATION Expiration Date: 12 _a 2 2 — / Complete legal description _SAND LAKE #2 S/D BLOCK 4, LOT 45 Location (site address) 8100 SEACLIFF ST, ANCHORAGE, AK Current Property owner(s) DAN BERBIG Day phone Mailing address Real Estate Agent 8100 SEACLIFF ST, ANCHORAGE, AK 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 C Well ® Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by:�/�/ 1� Date: 7 2 i COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 52-1p Date of Payment q 111115 C�`.g111 Receipt Number [612_5Lf COSA# 05G5152A- Waiver Fee $ Date of Payment Receipt Number 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 MIKE N ANDERSON, P.E. Phone 727-5864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON, PE Date 09/17/15 By:hnicil ����/ Original Certificate Date: The OoAnchorage 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheet 10-70-12.doc la `7 6. DSD SIGNATURE d System #1 Approved for bedrooms. P VWHAatDER50rq _ r j4 A r System #2 Approved for bedrooms.qI 9469 , .., •,. Disapproved.�kk-t®OILSSw p Conditional approval for bedrooms, with the following stipulations: . By:hnicil ����/ Original Certificate Date: The OoAnchorage 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheet 10-70-12.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: SAND LAKE #2 SID BLOCK 4. LOT 45 Parcel ID: 011-135-08 A. WELL DATA Well type C Date completed Total depth _ft. Date of test Static water level Well production If A, B, or C provide PWSID # _ Well Log (Y/N) Y Sanitary seal (Y/N) Cased to _ft. FROM WELL LOG WATER SAMPLE RESULTS: ft. Wires properly protected (Y/N) _ Casing height (above ground) AT INSPECTION ft. Coliform NEG colonies/100 mL Nitrate t�' () mg/L Arsenic: g/L Date of sample: 91912015 Collected by: Mike Anderson B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTICISTEEL Date installed 12128183 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) NIA Date of pumping 8114115 Pumper Around the Clock C. ABSORPTION FIELD DATA— Date-installed 12128183 Soil rating (g.p.d./fe or fe/bdrm)1.2 System type DEEP TRENCH Length 20 ft. Width 3 ft. Gravel below pipe 8.0 ft. Total depth 13 ft. Eff; absorption area 320 ft2 Monitoring tube Y Depression over field N Date of adequacy test 91.12(15 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 38 in. Water added 500+ gal. New depth 47 in. Elapsed Time: 4 HRS min. Final fluid depth 40 in. Absorption rate >= 500+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) UNKNOWN If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum Size in gallons Manhole/Access (Y/N) "Pump off"level at in.High water alarm level at —in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON'LOT TO: Building foundation 5'+ Property line 51+ Absorption field 51+ Water main 100'+ Water service line 101+ Surface water 1001+ Wells on adjacent lots 100'+CLASS C WELL WAIVER ON FlLE. ABSORPTION FIELD ON LOT TO: Property line '1 Building foundation 101+ Water main 101+ Water Service line 101+ Surface water 100+ Driveway, parking/vehicle storage 0'+ Curtain drain. 50'+ (None Known) Wells on adjacent lots 1001+ F. COMMENTS LEACH FIELD IS ABOUT 5' UNDER PAVMENT G. ENGINEER'S CERTIFICATION I 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 MIKE N. ANDERSON, PE Date 09/1712015 COSA canary sheet 2-6-15.doc q� OF la,9 lllr 0 MICHAEL N. ANDERSON ; Municipality of Anchorage oP .� 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 Arsenic Advisory Certificate of On -Site Systems Approval # 151526 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 4, Lot 45 of Sand Lake #2 Subdivision. This inspection revealed an arsenic concentration of 40.6 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/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. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.or /og nsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services - On -Site Services Section " - P.O. Box 196650 Anchorage, Alaska ' 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 011-135-08-000 HAA # AI'a `1 Cl i -i act s'', r ,.iiffYV 1. GENERAL INFORMATION r 17 f JE rose Complete legal description Lot ?A5,. Block ,4., �,Sand'�Lake Subdivision #2 Location,(site address or directions) 8100: Seacliff Street „n •� Anchorage,�;;AKy;•��?;•,- Property owner 'Daniel J. Berbig Day phone 248-3721 Mailing address 8100 Seacliff Street Anchorage,` -AK,:.99502 Le6nding agency Day phone Mailing ;address Agent - Day phone Address Unless otherwise requested, HAA will be held for pickup. 2.NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well Community well Xx Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ' 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank Community on-site Public sewer 'NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(RW.1/91) From MOA#21 kkCEJ VL Municipality of Anchorage AUG 1 DEPARTMENT OF HEALTH & HUMAN SERVICES 9 199 Environmental Services Division MUNICIPALITY OFANCH 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907)*6%AAi44 SERVICES DIVISION Health Authority Approval Checklist Legal Description: SAND LAKE #2; LOT 45, BLOCK 4 Parcel I.D.: 011-135-08 A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Total depth Cased to Casin t (above ground) Sanitary seal (Y/N) ires properly protected (Y/N) FROM WELL LO AT INSPECTION Date of test Static water level Wel uction g.p.m. 9.p -m. WATER SAMPLE RESULTS: Coliform 0 Nitrate 0.5 mg/L Other bacteria 0 Date of sample: 6/25/99 Collected by: A.W.W.C.. INC. B. SEPTIC/HOLDING TANK DATA Date installed 12/28/83 Tank size 1000 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) NO Date of Pumping 6/25/99 Pumper McDONALD'S C. ABSORPTION FIELD DATA Date installed 12/28/99 Soil rating (g.p.d./ft2 or ft2/bdrm) 150 SQ FT System type TRENCH Length 20' Width 3' Gravel thickness below pipe 8' Total depth 13.2' Effective absorption area 320 SQ FT Monitoring Tube present (YM) YES Depression over field (Y/N) NO Date of adequacy test 6/25/99 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test (in.); 30 Immediately after 784 gal. water added (in.): 39.5 Fluid depth 34.5 (ins) Minutes later: 45 Absorption rate = 450+g.p.d. Peroxide treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date — 72-026 (Rev. 3/96)' and tvoe of structure indicated herein. I furtherverifvthat based on the information obtained from D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level a. _ Cycle ested E. SEPARATION DISTANCES *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main line Size in at* "Pump off" level at* On adjacent adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 1 nn'+ Wells on adjacent lots *100'+ *CLASS "C" WELLS SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line iT G �/- (Building foundation 1n'+ Water main/service line 10'+ Surface water 10[)'+ Driveway, parking/vehicle storage area 0' (PARfWlY UNDER DRiV AY) Curtain drain NONE KNOWN Wells on adjacent lots *100'+ F. ENGINEER'S I certify that I in conforma Signature Engineer's N Date HAA Fee [i] J (90 field inspections and review of Municipal felines in effect on this date. Waiver Fee $ 7953 are Date of Payment Q� l / / Date of Payment Receipt Number � A -e -b Receipt Number � 7 72-026 (Rev. 3/96)' munieipality of Anehorage Department of Health and Human Services�c 825 "U Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor http://www.ci.anchorage.ak.us AK Water & Wastewater Consultants, Inc. ATTN: Jeffrey Garness, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504-0000 September 22, 1999 Subject: Waiver Request for SAND LAKE #2 BLK 4 LT 45 Waiver # WR990058 Lot Line Request for Parcel ID 011-135-08 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 6 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely����� Jeff Poet Engineering Technician III On -Site Water Quality Program Alaska Water & Wastewater Consultants, Inc. July 26, 1999 6901 Debarr Road, Suite 2-B — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers RECEIVED Municipality of Anchorage AUG 191999 Department of Health & Human Services Municipality of Anchorage On -Site Services Section Dept. Health & Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Lot Line Waiver for Lot 45; Block 4; Sand Lake Subdivision #2 To whom it may concern: When the septic system for this lot was installed in 12/83, it was noted that the trench was 6 feet from the east lot line, which puts it 4 feet into the utility easement. Attached are letters of non -objection from ATU, Chugach Electric, GCI, and Enstar. There does not appear to be any adverse impacts associated with the subject encroachment, as the east lot line is adjacent to a road right-of-way. Therefore, we are requesting that you waive the required separation distance between the trench and the lot line to 6 feet. If you have any questions, please contact me at 337-6179. n , M.S. President JAG/gd 09/21/99 15:16 FAX 9072697650 DEC DMIM 1@002/003 L TONV KNOWLES, GOVERNORW W IU=U1 DEPT. OF ENVIRONMENTAL CONSERVATION DIVISION OF ENVIRONMENTAL HEALTH )DRINKING WATER and WASTEWATER PROGRAM Telephone: (907) 269-7521 555 CORDOVA STREET Fax: (907) 269-7650 ANCHORAGE, AK 99501 http://www.state.alr-us/dec/homelhtm September 21, 1999 Mr. Jeffrey A. Gamess Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B Anchorage, Alaska 99504 Subject: Lot 8, Block 3, Sand Lake Subdivision #2, Anchorage, Alaska, ADEC Project Number 641, Separation Distance Waiver Request, Correction to September 10, 1999 Approval. Dear Mr. Garness: This letter is in response to your submittal received in this office on August 19, 1999 requesting separation distance waivers between an existing Class C Public Water System and existing Septic systems on (1) Lot 45, Block 4, Sand Lake Subdivision #2, and (2) Lot 46, Block 4, Sand Lake Subdivision #2. I have completed my review of the submitted information, which included a cover letter, a site plan, and recent nitrate and total coliform bacteria results. Based on this review, and a review of the department's existing file for this location, it appears that the existing septic systems on Lots 45 and 46, Block 4 will not impact the above referenced Class C well. Therefore, in accordance with the provisions of 18 AAC 80.030, the following separation distances are granted: Between the existing Class C well on Lot 8, Block 3 and the septic tank on Lot 45, Block 4 from 150 feet to 110 feet and the absorption trench on Lot 45, Block 4 from 150 feet to 100 feet. Waiver to less than 100 feet will require additional justification is submitted to this office. Between the existing Class C well on Lot 8, Block 3 and the septic system on Lot 46, Block 4 from 150 feet to 115 feet. 09/21/99 15:17 PAX 9072697650 DEC DIY&IV{V 0003/003 This approval does not imply the granting of additional authorizations, nor obligate any federal, state, or local regulatory body to grant required authorizations. Thank you for your cooperation with this department. if you have any questions, please contact me. Sincerely, Steven A. Pettis Env. Eng. Asst. II K 1.3523PG674 1204-10B G-2224 EN99046 ENCROACHMENT PERMIT This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519-6300 and William Berbig, (herein "Permittee"), whose address is 8100 Seacliff Street, Anchorage, Alaska 99502. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Described in that certain written instrument recorded on the 11' day of March 1952, at Volume 69, Page 105, of the records of the Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 10 day of April 1952, at Volume 70, Page 325, of the records of the Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 10" day of July 1984, at Book 1129, Page 3 84, of the records of the Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: The East Ten Feet (E 10') of Lot 45, Block 4, Sand Lake Subdivision No. 2, according to Plat Number P-176 recorded on the 26th day of April 1950, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska. Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot 45, Block 4, Sand Lake Subdivision No. 2, according to Plat Number P-176 recorded on the 26th day of April 1950, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel"). Encroachment Permit - Page 1 of 4 - - -J"Gb l� 2. Encroachment. Permittee proposes to construct and continue the existence of the following improvement(s) on or within the real property subject to said Easement: A septic system located 2 to 4 feet within the north 20 feet of said Easement (herein "Encroachment' 3. Permit. Chugach hereby authorizes Permittee to construct and continue the existence of the Encroachment in its proposed location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment, to include any damage to the septic drain field/pipes from vehicle traffic in the Easement area. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. Encroachment Permit - Page 2 of 4 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. C. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire Aereement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. ELECTRIC PERMITTEE Qor.; - - IIJ �$yl'I 'i8ggne N. Bjornstad C P;�Cieieial Manager ate:' X' STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) By: William big Date: 'e—AG.— 11;�7 The 'AG— The foregoing instrument was acknowledged before -%e this day of <<iCt S f 1999, by l�vg� a the e'aral Manager of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. Ps 4. Notary Public in and for the State of Alaska My commission expires � ^ /y 6'�)' Encroachment Permit - Page 3 of 4 STATE O `C &� > C ayt< e u n,iy ) ss: RK':- 3523Ps677 The foregoing, instrument was acknowledged before me this /U day of t parr 1f 1999, by W1611rim J. 6ei-11 pglltll/y ,1 E L N Aq� ." to"q" i �wraRy sl Notary- blic in and for th 'tate of Maskw awSAf pueu� _ My commission expires iA.'y) 053501 I- C,E au.cc RE0010% 2 0I5T°1CT 1999 A11 23 Psi 2: 12 R=QU Z)JL BY G AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Encroachment Permit - Page 4 of 4 �v . • TELECOMMUNICATIONS 600 Telephone Avenue • Anchorage, Alaska • 99503-6091 • 907 564-1000 . .:r. August 4, 1999 Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B Anchorage, Alaska 99504 ATU Telecommunications has no objection to the encroachment of a septic system into a platted easement located on Lot 45, Block 4, Sand Lake Subdivision # 2, as depicted on the as -built drawing submitted. Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: 1. 2. 3. 4. 5. Sinc rely, �x (_'/)9reCJ Sbhmi Out A CEPT P1 AC&P p ATU will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. Any ATU facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ATU. Any costs incurred by ATU for special construction necessitated by this encroachment will be borne by the property owner. All applicable safety code regulations will be observed and maintained. This letter of non -objection from full use and enjoyment portion of its right-of-way. GS\m1\9:mswd\cor\nonob\sandlake.doc will in no way preclude ATU of its rights within any DATE: g ZOA, f L.21ING SURVEYING SVC. PHONE NO. : 907 243 4890 00 - �r�Wwrr�riNr EXIS71NO HOUSE SEACLIFF STREET n9 C Jul. 06 1999 10:35RM P01 R2 2 Lo -r 4s) f 41 e5� LAV—r— zt�-z .3 3.0 CONtl. WALK Qy` C1 SEACLIFF STREET n9 C Jul. 06 1999 10:35RM P01 R2 2 Lo -r 4s) f 41 e5� LAV—r— zt�-z ƒ § � 7Ila | ! k■&.I!{/ i\ _� § - � k �,�� g a§2 �. / . jƒ � .2 �. MUNICIPALITY OF ANCHORAGE �✓ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date c/ - / 6 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lo -Ke 0 oZ elock. 4 [Ac.,f 45- 77ZN R Y w Se Location (address or directions) (b) Applicant Name 7-6 77 Conn, uc• Telephone: Home 3937 2-67-6 Business 218 '/106 Applicant Address Z 320 D e,�n.'s /}riclto�A�¢ (c) Applicant is (check.one): Lending Institution ❑ ; Owner/builder; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY " Individual Well ❑ Communityyc, Public El Note: If comm unity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL , Onsite/�P,(` Public El Community ❑ Holding Tank 1:1Note: ff community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 15lock JVL /—#,-f 5. ENGINEERING FIRM PROVIDINVINSPECTIONS, TESTS, FILE SEARCH, DAiA 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 watersupply 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. I Name of Firm la ECS /RcTelephone S 6! —� oy0 j Address �20� 1�! 33`d Anc�o,kye AK 9T-01 Date r i 75/1e COndl*fl0Aa Oil 7GI�� I07 06 OR LA�Gee•Mmmmmmme�6�l G A I 7Y -14t A¢ � e C2ar .0 �M "•I ��®®® ``il� W.e It Wk. roof P -r% --`r e itatjed 000000, togged* • sa®sat Stee ,'ti C4117 - a Be�� / QHIOV�. •.aro. •......ee •fit •e J e �® C. Reid, Jr. ; 0. �ROFESSI®��� Ii 6. DHEP APPROV L Approved for bedrooms by Date Approved Disapprove - Conditional Terms of Conditional Approval I i CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) 01 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date rlc,r, A /�/ A 4/ (a) Legal'Dascription (include lot, block, subdivision, section, township, range) Sant/ 4µ Ke �k :? I.t qS- i/2 N? Location (address or directions) otl (b) Applicants Nam 7' J" < r�s.c'i�, �G f zC��1 Telephone z it e, 111a4 Applicants Address 2320 /: W �� ,q•nt/,oma„Sc `7�'s"-�� (c) Applicant is (check one) Lending Institution/bu' ' T Owner zlder F Buyer 1::j ; Other � (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone 2. Type of Residence Single -Family Multi -Family Other (describe) Number of Bedrooms 3 3. Water Supply Individual till Community Public Note: If camnity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Is the well adequate for the number of bedrooms specified iri this HAA (Y/N) `/ 4. Sewage Disposal Onsite FE_Ll Public Community Holding Tank Is the wastewater disposal system adequate for the number of bedrooms (YIN) (Page 1 of 21 2-15-84 5. ding Inspections, Tests, Data and Information I certify that I have checked, verified, or conformed to all MOA HAA Guidelires in: effect onththe e date of this inspection. Signed l/ ���?� Date 3 - zo -B y Name of Firm /'f 14s - G.o l -/'rv/ Ser✓.'C ¢1' Address /1_ov w 33 Signed by Date 2/2c, h -Y (ENGINEER SEAL) 6.DHEP Approval Approved for bedrooms Approved' , Disapproved me ✓61~ S®`%O Norai'k is o. HAA IrcaP;an• YP Ike we1% d oLs rua'1` Fr,ove, i'4;> C'1Cc ���fti1 w;�inq QP1tr1S�d ;/1 ir ��°j PPPPs]rrte V�1 39 �* z �BPOPNPP Pa a° a°avb tl.PP� �p0° ° as ea"• •Rs Ppe •� Q 1. oy C. Reid, Jr. ;Pb ° No. 24b1•E p P By L r `C-��j Date Conditional Terms of Conditional Approval !E c. : r The Municipality of Anchorage Department of Health and Environmental Protection, does not guarantee the continued satisfactory performance of the water supply and/or the wastewater disposal system. This approval indicates that, as of the validation date shown above, based on the data and information furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and funs -a tional for the number of bedrooms and type of structure indicated. (DHEP SEAL) G 7. Mail the HAA to the following address: KB2/d5/s [Page 2 of 21 2-15-84 is A. WELL ARTA MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPALITY OF ANCHORAG9 DEPT. OF HEALTH & HEALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTECTION! CHECKLIST ® FEBRUARY 1984 MAR 2 11984 SanA L.c V P- t:k 2 61"K `A Lot 'AS RECEIVED Well Classification G If A, B, or, C, D.E.C. Approved(Y/N) Y Well Log Present (Y/N) `1 Date Completed - 18 - $ 3 Yield Total Depth 't07 Cased to y6 Depth of Grouting unKnow� Static Water Level (6 5 �,eet ;•!11• Pump Set At vn KNo-n Casing Height Above Ground l Sanitary Seal on Casing (Y/N) y Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) N Separation Distances from VL -11: To Septic/Holding Tank on Lot 1 1 7- ; On Adjoining Lots 1 ZO To Nearest Edge of Absorption Field on Lot X36 ; On Adjoining Lots 131 To Nearest Public Sewer Line N A To Nearest Public Sewer Cleanout/Manhole N A To Nearest Sewer Service Line on Lot NA Water Sample Collected By We i urner ; Date 3 _ 1 2 - gy Water Sample Test Results SdhS Fa�1or Canwnts Thtre .s no e,nd,,f on Che ele�fr�ca\ w;rr��, j� TI-�e we tt. j\a�� -{� ld ((a�l� Butch c�nd JvtYy e� T 4k T Consl rep eafcdI& f n•eadS 'v be, done bvr-. B. SEPTIC/HOLDING TANK DATA Date Installed 12-2e- 83 Size 1000 No. of Compartments Standpipes (Y/N) `/ Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N)__N_ Date Last Pumped Ni /A new rq�-Ie-", _ Pumping/Maintenance Contract on File (Y/N) for Holding Tank High -Water Alarm (Y/N) N Temporary Holding Tank Permit (Y/N) N Separation Distances from Septic/Holding Tank: To Water -Supply Will To Building Foundation 2 -Z To Property Line —To Disposal Field J To water Main/Service Lire N l'c To Stream, Pond, Lake, or Major Drainage Course Comwnts [Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Ratingin Absorption Strata 1 5 0 alb p I] Type of System Design Date Installed 12-2-8-83 Length of Field 20 Width of Field 3 Depth of Field 11 %"Z Gravel Bed Thickness 8 Square Feet of Absorption Area 3 20 Standpipes Present (YM) y Depression over Field (Y/N) N Date of Last Adequacy Test N N new .ryS- ,,A Results of Last Adequacy Test N A Separation Distance from Absorption Field: To Water -Supply Fall 1'56 To Property Line to To Building Foundation 3S To Existing or Abandoned System en Lot NA ; On Adjoining Lots 15 To Water Main/Service Line NA To Cutbank(if present) 1V A To Stream/Pond/Lake/or Major Drainage Course N A To Driveway, Parking Area, or Vehicle Storage Area , Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(YM) Comments Dimensions Manhole/Access (YIN) "Pump Off" Level at Vent (YIN) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. Ci Signed i-- Date 3 --7-0 Company MOA No. / Z ®it s 4 KB1 /d5/s [Page 2 of 21 800 too 664460« •• 6 •4 4•.6.6•••x.. ®®��;• eroy C. Reid, Jr, „y a y No. 2251 E ao Q 9F •64 a A .'••6..•s+-...� �... mac. 2-15-84