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HomeMy WebLinkAboutSKY HARBOR ESTATES LT 7AOnsite File Aft H b UF %0 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number OSP231067 PID Number. 015-287-03 Dwelling: © Single Famiiy (SF) ❑ with ADU ❑ Duplex (D) ❑ Two S:ngle Family Project: ❑ New 0 Upgrade Name Scott & Stacey Kolstad ABSORPTION FIELD Existing ❑ Deep Trench E] Wide Trench El Bed El Mound site Address 11741 Barr Rd. ❑ Other Phone Number of Bedrooms Rating \�� Total depth from or genal grade 5 GPDISF Ft LEGAL DESCRIPTION Depth to pipe in from orginaI grade Ft. Gravel depth beneath pipe Fl :�i.b ivisidn Block Lot Sky Harbor Estates 7A Fill added above original grade Gravel length FI I owriship Range Section Gravel width Ft Beds: Number of Line Distance between I nes Ft SEPARATION DISTANCES To Septic Absorption I Holding Sewer Total absorption area Number of trenches Dist betwe enc.hes From Tank I Field !Litt Station Tank Line Ft, Wel 100+ I f 25+ TANK ® Septic ElS.T.E.P. ❑ Holding El Other Manufacturer Capacity Surface Water 100+ I I Greer 1500 Gar Material Plastic Number of compartments 2 Lot Line I i0+ I NA Foundation 110+ 1_ ATlON l Manufacturer Capacity Remarks Gal Alarm !ocabon Elects- filled by Installer PIPE MATERIAL House to tank Tank to D3034 drainfield D3034 Anderson Construction Drainfield CO1MT D3034 Inspector Areterra Consulting' BENCH MARK (Assumed elevation) 100 ft Inspection iu �+ dates: 4/18/23 2- 4/18/23 Location and description 3`" 4/19/23 41" Hanger/Garage concrete slab ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp �o�e.�►oata8�i OF �$Q Conditional Approval: Date ���F�•'®� p 49Iti Septic System ®, KENNETH Y 0V CJS Q i e♦ '� Approved Date % �� CEI p� �F �l2 Y�Ie: this approval does not include well permit requirem nts 4�ea14n$k ate® (Rev 05i07 AS -BUILT SYSTEM DETAILS/SITE PLAN Permit USP231067 SKY HARBOR ESTATES LOT 7A PID# 015-287-03 EXISTING 5—BR HOUSE a A -C=49.3' B -C=10.2' A -D=53,9' B-D=B.5' 0 FCO -1500 GAL SEPTIC 5,75 TANK SCALES NTS .: F ALS * TH� 4 1500 GAL TANK _p E 7 W O O _p O u/y� W W PREPARED FOR SCOTT R. & STACEY K K❑LSTAD 11741 BARR RD �■ ANCHORAGE, AK ■ r� KENNEC1 s FIELD BOOKS OOMPuTED: itll CF 7 1 ���� BOUNDARY: N A DRAM KSD L' 1� STAKING: N/A a+eacm: KMD t� 'T Ze./7"6 AseusLT: LANG DATC 4/25Z2 ' FE9si0�� DWG. FllE GRID SW2735 ACAD SLE: FILE JOB No.. 2311 S 06 w o� 0 E Rj X1 L) Q I' - 30' SCALE NTS I � 25.0' I � I EDGE Lot 7A ROAD OF o 38,272 S.F. W/ y o —WELL d 80.8' Z1 0 V I ASPHALT 1 D I 7.4'x13.6' v 10 CHIMNEY Lot 3A \ UNDERGROUND CACHE 10' T&E EASEMENTS I!I NJ RETAINING WALL / / o ' i �nrv— i / ROOFTOP DECK OVER4 I I 15' PRIVATE RECIPROCAL AIRCRAFT TAXI EASEMENT (BK. 3200, PG. 464) Lot 8 78.6• aP PLOT PLAN AS BUILT _X_ SCALE _1" =_40__ GRID _ SW 2735Project No. --2-3=151/-1-1---- 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone _"� kenOlangsurvey.com .�� Professional Land Surveyors jonathanolangsurvey.com OFA 1\ y travisOlongsurvey.com'WAA r . qs`�111 I hereby certify that I have surveyed the following described property: LOT 7A, SKY HARBOR ESTATES (PLAT No. 2000-138) 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 'L Day of ___"_______, ______, 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. '49TH 9rl KENNETH G. LANG ,• Q. r02 ,' A 1 fF9F0 ��t? 'NpS�Qi lil`ROfESSIONP��P � State of Alaska AECC963 I I RETAINING WALL 1 7.4'x13.6' SHED I ASP"A` I I N -MANHOLE O 72.5' - O I 0 J 2.2' CANT SEPTIC L Tract B2 / -P IPES -. rq 0' --� 0 2 STORY .-. --iRESIDENCE e _..: -_-. _ASPHPL7_. o 9N .9' COVERED --�ENTRYWAAY RETAINING WALL / / o ' i �nrv— i / ROOFTOP DECK OVER4 I I 15' PRIVATE RECIPROCAL AIRCRAFT TAXI EASEMENT (BK. 3200, PG. 464) Lot 8 78.6• aP PLOT PLAN AS BUILT _X_ SCALE _1" =_40__ GRID _ SW 2735Project No. --2-3=151/-1-1---- 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone _"� kenOlangsurvey.com .�� Professional Land Surveyors jonathanolangsurvey.com OFA 1\ y travisOlongsurvey.com'WAA r . qs`�111 I hereby certify that I have surveyed the following described property: LOT 7A, SKY HARBOR ESTATES (PLAT No. 2000-138) 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 'L Day of ___"_______, ______, 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. '49TH 9rl KENNETH G. LANG ,• Q. r02 ,' A 1 fF9F0 ��t? 'NpS�Qi lil`ROfESSIONP��P � State of Alaska AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program �o PO Box 196650 4700 Elmore Road ,� r Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 n http://www.muni.org/onsite s 1)epartmei�r On -Site Wastewater Disposal System Permit Permit Number: OSP231067 Effective Date: 4/17/2023 Work Type: SepticTank Upgrade Expiration Date: 4/16/2024 Tax Code Number: 01528703000 Site Legal Address: SKY HARBOR ESTATES LT 7A G:2735 Site Mailing Address: 11741 BARR RD, Anchorage Owner: KOLSTAD SCOTT R & STACEY K Lot Size in Sq Ft: 38272 Design Engineer: ARC TERRA CONSULTING Total Bedrooms: 5 This permit is for the construction of: ❑ 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 Received By: SS�-1�. A (Lcicty� Date: Issued By: Date: ` 2 MUNICIPALITY OF ANCHORAGE Development Services Department f Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION iff Parcel I.D. 015-287-03 Property owner(s) Scott R & Stacey K Kolstad Day phone Mailing address 11741 Barr Rd. Anchorage, AK Site address 11741 Barr Rd. Anchorage. AK Legal description (Sub'd., Block & Lot) Sky Harbor Estates Lot 7A Legal description (Township, Range & Section) Lot Size 38,272 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) X❑ Septic Tank ® (w/wo ADU) Upgrade ® Tank El Duplex (D) El Renewal ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: i J b n Waiver Fees: Date of Payment: 71 t -r.1 ?ol-3 Date of Payment: Receipt Number: I 0'I2 y'1 C7 Receipt Number: r Permit No. 0 SP Z 3( 0 b Waiver No. G\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc MinlcipalityofA d-aage On-site Water and Wastewater REVIEWED FOR CODE COIUIPLIANC OSP231067, Curtis Townserxi, 04117 �RcTRq ¢� ARC TERRA 1 a CONSULTING, INC mb ,� 20441 Ptarmigan Blvd, Eagle River, AK 99577 Office (907) 696-6111, Fax (907) 868-3793 April 14, 2023 Municipality of Anchorage Development Services Department On - Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Emergency Tank Replacement Permit — Sky Harbor Estates Lot 7A On April 12, 2023, an inspection was conducted for proceeding with a COSA submittal. While the leachfield passed the test, during the inspection the steel septic tank showed indications of failure. We propose to replace the existing1500-gallon steel tank with a 1500 -gallon DPE tank. The soil log information on H le shows a depth of 13 feet with no groundwater noted. We do not expect there to be any adverse effects to the existing wells in the area or this septic system operations ill the existing location. This new tank will be outside all the surrounding well radii. If you have any questions, please contact me at 696- 6111 /FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Attachment On -Site Tank Permit Design 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 - FAX (907) 868-3793 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231067, Curtis Townsend, 04/17/23 I � 25.0' I � I EDGE Lot 7A ROAD OF o 38,272 S.F. W/ y o —WELL d 80.8' Z1 0 V I ASPHALT 1 D I 7.4'x13.6' v 10 CHIMNEY Lot 3A \ UNDERGROUND CACHE 10' T&E EASEMENTS I!I NJ RETAINING WALL / / o ' i �nrv— i / ROOFTOP DECK OVER4 I I 15' PRIVATE RECIPROCAL AIRCRAFT TAXI EASEMENT (BK. 3200, PG. 464) Lot 8 78.6• aP PLOT PLAN AS BUILT _X_ SCALE _1" =_40__ GRID _ SW 2735Project No. --2-3=151/-1-1---- 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone _"� kenOlangsurvey.com .�� Professional Land Surveyors jonathanolangsurvey.com OFA 1\ y travisOlongsurvey.com'WAA r . qs`�111 I hereby certify that I have surveyed the following described property: LOT 7A, SKY HARBOR ESTATES (PLAT No. 2000-138) 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 'L Day of ___"_______, ______, 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. '49TH 9rl KENNETH G. LANG ,• Q. r02 ,' A 1 fF9F0 ��t? 'NpS�Qi lil`ROfESSIONP��P � State of Alaska AECC963 I I RETAINING WALL 1 7.4'x13.6' SHED I ASP"A` I I N -MANHOLE O 72.5' - O I 0 J 2.2' CANT SEPTIC L Tract B2 / -P IPES -. rq 0' --� 0 2 STORY .-. --iRESIDENCE e _..: -_-. _ASPHPL7_. o 9N .9' COVERED --�ENTRYWAAY RETAINING WALL / / o ' i �nrv— i / ROOFTOP DECK OVER4 I I 15' PRIVATE RECIPROCAL AIRCRAFT TAXI EASEMENT (BK. 3200, PG. 464) Lot 8 78.6• aP PLOT PLAN AS BUILT _X_ SCALE _1" =_40__ GRID _ SW 2735Project No. --2-3=151/-1-1---- 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone _"� kenOlangsurvey.com .�� Professional Land Surveyors jonathanolangsurvey.com OFA 1\ y travisOlongsurvey.com'WAA r . qs`�111 I hereby certify that I have surveyed the following described property: LOT 7A, SKY HARBOR ESTATES (PLAT No. 2000-138) 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 'L Day of ___"_______, ______, 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. '49TH 9rl KENNETH G. LANG ,• Q. r02 ,' A 1 fF9F0 ��t? 'NpS�Qi lil`ROfESSIONP��P � State of Alaska AECC963 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP171016 Tax Code Number: 01528703000 Work Type: Septic Upgrade Permit Effective Dates: February 23, 2017 to February 23, 2018 Design Engineer: ARC TERRA CONSULTING INC Subdivision: SKY HARBOR ESTATES Site Legal Address: SKY HARBOR ESTATES LT 7A G:2735 ��>>c]It S �0 - Department Z' 2 Owner/Address: ELLIS ALASKA COMMUNITY PROPERTY TRUST ELLIS JESS T TTEE 11741 BARR ROAD ANCHORAGE AK 995162164 Site Mailing Address: 11741 BARR RD, Anchorage Lot Size in Sq Ft: 38272 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By Date:_ 2—L3- /'_1 Date: 07 023 7 MUNICIPALITY F ANCHORAGE Community Development Department Phone: 90 z 3 ; 4 Development Services Division Fa 4 7d 71 On -Site Water & Wastewater Program z ON-SITE SEWER/WELL PERMIT APPLICATION � Parcell.D. 015-287-03 �yy v� ELLIS ALASKA COMM. PROP. TRUST... 90 - 9 Property owner(s) Day phone Mailing address 11741 BARR ROAD, ANCHORAGE, AK 99516 Site address 11741 BARR ROAD, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) SKY HARBOR ESTATES LOT 7A Legal description (Township, Range & Section) Lot Size 38272 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field F� Initial ❑ Single Family (SF) Septic Tank 1� Upgrade F� (w/wo ADU) (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ 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. (Signature owner or authorized agent) Perrr;ti ush Fees: 6('01— Date ('01Date of Payment: 2-12-111-1 Receipt Number: d 342.0 Permit No. os? 1-1 to1(v Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. o �RcTER i,, ^a� ARC1m ERRA CONSULTING, INC Ilf C SULTING • X56 �^ 212 E. 51st Ave, Anchorage, AK. 99503 AK. 195'n_' Office (907) 868-3791, Fax (907) 868-3793 February 20, 2017 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 SUBJECT: UPGRADE SEWER PERMIT — SKY HARBOR LOT 7A It has been determined that the absorption field of the subject property is saturated. Subsequently, the owner has requested we proceed forward to obtain a septic permit to upgrade the septic system. Due to the constraining characteristics of the lot, the existing system will be completely decommissioned / removed and a new one reinstalled in the same location. The general slope of this lot is from west to east at a grade of approximately 0-3% over the septic area. We will be utilizing the existing 1989-90 testholes that were performed to investigate soils and groundwater. Per MOA record documents, groundwater was not encountered at excavation or at monitoring. The proposed upgrade will serve the existing 5 -bedroom single-family residence. We propose to install a 63' trench. The property and adjacent lots are served by private water. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. N 6M & % / W191 Attachments: On -Site Sewer Application Wastewater Absorption System Details/ Site Plan Soils Log/ Percolation Test 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLA SKY HARBOR ESTATES LOT 7A TRACT B STAKE ALL REQ, T AC S TR CT'0N VACANT PRIOR TO CONS (I.E. — LOT LINE, T, WELL ADLOT 3A H LOT 7A „ ¢ (U o�v+o WELL Im w TRACT A � +. > PAYED MVV L D=T. S U ! ALL IE1 N F7 HDJSE 1 ST. W 12�� 5-M5-MHOU6 / T "M !MST (' \ � / T ~ LL O PANED DRIW / TARLAC vin �\ o WELL L❑T)t11( I 10'sint 1 ' Utll Esnt 1 USE EXISTING BOTTOM OF"F160.00 10' Utu Esmt AS DATUM —8' FROM ❑,G, REMOVE MATERIAL & REPLACE W/ MOA SAN N 0.51+ TO —7.5' MAX FROM ❑RIG. GRD y" IVU SLUF'LS >EUX W/IN 100' OF PROPOSED SYSTEM. NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. Scale: 1'= 100' PAGE 1 OF 2 F AL\ \ AO * . 4 17 IKE T D S I CE�7 w� 1 vZ �?y2/1' • ® FESSIO ACAD FILE FILE & SEPTIC — Filed By Leg DESIGN DETAILS 5 BDRM X 150 GPD = 750 GPD 750 GPD/1.2 GPD PER SQ. FT. = 625 SQ. FT (625 SF/ 5' W x .50 (4' GRAVEL) = 63 FT. TRENCH Cpl L USE 1 TRENCH — 63' (L) X 5' (W) X 4' (ED) ot2 .X 31ty Total depth of system Is 7.5' from original grade. Total depth of gravel below distribution pipe is 4' UN L!' S �L',A. NOTES: 1. INSTALL NEW 1500—GAL SEPTIC TANK 2. REMOVE EXISTING FIELD / BI❑MATTED MATERIAL & REPLACE. 3. INSULATE TRENCH WITH 2' HD BURIAL FOAM IF <3' COVER. 4. ADDITI❑NAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 2' COVER WITH INSULATI❑N. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS & SEPTICS, EASEMENTS, & OTHER SETBACK REQUIREMENTS. PREPARED FOR: JESS ELLIS 11741 BARR ROAD ANCHORAGE, AK 99516 907-947-0298 I FIELD BOOKS I COMPUTED: BOUNDARY: BOL STAKING: STP ASBUILT: KLD DWG. FILE DRAWN: BMW CHECKED: K M D DATE: 2/20/17 GRID: SW2735 JOB No.: 17-115 Harbor Est/Lot 7A/17-115 Sky Trench Design.dwg WASTEWATER DISP❑SAL SYSTEM DETAILS C�1- SKY HARBOR ESTATES LOT7A - - EXISTING SYSTEM IS TO BE REMOVED & REPLACED. PROPOSED SYSTEM IS SHOWN OFFSET FOR CLARITY, LOT 7A'89 TP -I > Q Fco SyFo W Q CO Coco +' i DRIVE DECOM. EXIST. S.T U & I STALL NEW Co 0i EXISTING 150C—GAL S.T. OU SIDE W 0-3% 5-13R HOUSE OF DRIVE / TARMA 0-3% REMOVE BIOMATTED Qj MATERIAL & INSTALL z NEW TRENCH OUTSID M F= Qj OF DRIVE / TARMA X 0-3% w \ O C PAVED DRIVE / TARMAC '89 IP2 0-3% Scaler 1'= 30' PAGE 2 ❑F 2 OF, •<Q,s�� PREPARED FOR; JESS ELLIS rr + 11741 BARR ROAD �gCTER', / * :•491 * ANCHORAGE, AK 99516 � 907-947-0298 0 KENNET S., FIELD BOOKS COMPUTED: c C — a ® BOUNDARY: DRAWN: c 4 W BOUNDARY BMW Z STAKING: STAKING CHECKED: KMD T'ei ASBuiu: KLD DATE 2/20/17 ' F'ESSI®ow DWG. FILE: GRID: SW2735 O 1� 90 ACAD FILE: FILE JOB No.: 17-1155 R, A .99 77-1671"o 995.7'16716 /Volumes/ArcTerra Shared/Storage/WELL & SEPTIC — Filed By Legal/Sky Harbor Est/Lot 7A/17-115 Sky Trench Design.dwg MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 8,25 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name :ho e(S~ .... i Perm,t NO No ol Bedrooms ~ [~'ock~ TSubd'v"s'°n TANKS DISTANCES ~ SEPTIC ABSORPTION WELL TANK FIELD WELL ~ °1 C ' '~ LOT LINE FOUNDATION .SEPTIC HOLDING Capacity m gaaons -~__~. TYPE OF' SYSTEM '~,¢/'T R E N C H Lq RED ~)~e~)th to p,pe boltom from ~.ll~added above o.glnal glade Gravel length '71 ~ ~ W. DRAIN [] OTHER -! 1 oral depU~ f,~roJnffr,gmal grade Gravel depth beneath pipe ffavcl WKJth Fl' 29(~~ /t SO FT FT WELLS PRIVATE [~ OTHER Ildentifv) CTJ;~,'l,~:a~7~n i7~.~:E7 ........ ] ]olal Depth Cased to ~,,-,~-~ ~":"*~- I~'~',7.i,,:-.~- REMARKS: FT Inspection~ Pe~lor n%d by: Date: CL: - 6793 72 013 (3/85) ' ' ~HITE~VATER E~GINEERING"CONST~UCTOR P.O. [lOX 11077~ · ^NCHORAGF, AK 9~51 i ',.PH/FA× 345-7008 8/8/90 Municipality of Anchorage Department of Health and Human Services On-Site Services 825 L Street Anchorage, Alaska ATTN: Ms Susan Oswalt SUBJECT: Well & Septic Permit, Lot 7 Sky Harbor Est. 2nd Add Dear Ms. Oswalt, The following is the septic trench design for the above- mentioned lot. No. of bedrooms: 5 Soil Rating: 125 sf/br Ground cover: 3' gravel depth 5' (3' to 8') trench length 63' cleanout @ each end ' monitor tube in center area of absorption = 5' X 2 X 63' = 630 sf area required = 5 br X 125 sf/br = 625 sf MUNICIPALITY OF ANCHoRA(31~ DEPT. OF HEALTH & ENVIRONMENTAl. PROTEcTIoN RECEIVED ShoUld you have any questions please call me at 345-7007. WHITEWATER ENGINEERING CONSTRUCTOR P.O. BOX 110770 · ANCHORAGE, AK 99511 · PH/FAX 345-7008 7/27/90 Municipality of Anchorage Department of Health and Human Services On-Site Services 825 L Street Anchorage, Alaska ATTN: Ms Susan Oswold SUBJECT: Well & Septic Permit, Lot 7 Sky Harbor Est. 2nd Add Dear Ms. Oswold, Enclosed you will find a site plan that shows all the wells, septic systems and streams that are within 200 feet of Lot 7 S.H.E. 2nd Add. The site plan also shows the proposed topography for lots 6~ 7, & 8. The proposed houses and drives are for planning purposes only and are not necessarily going to be placed as drawn. The drainage easement that is shown on Lot 1 to the south of Lot 8 S.H.E 2nd Add. is for the purposes of draining all of the land north of Lot 3.. Any water that would run off Lo% 7 or Tract B2 S.H.E. 2nd Add. would drain onto Lot 1 to the south. Somewhere to the south of Lot 1 is the official start of a branch of Furrow Creek. The creek runs on the south border of Wendell Williams property and then continues due west for several thousand feet. Please refer to the enclosed cluster development plat. area.calcula~>' nr6~s fo: the septic system is as~ The reserve follows. There is afl,rea of a~out 60' X 110' on th~st half of Lot 7 tha~ould be us~d for the septic r3~erve-' ~.,~.~ area, plus an~al~ea of at leas~ that same ~i~'~-~'" t~-~-~ ~e~2i.ns~c~~ B2 to the e~t, ~nd ad~c~*%~t~:. .~i~~ .. D~/~s com~<on property/to Lots 6/7~, & 8. T~act,B2 <:an also ~e underground utili~ie~~ ,i1~ in ~he CC&R s The/~vailable area is 2 X 60~-X~10 = 13200 square ~eet.' I hope that this letter clears up any of your concerns. Should you have any questions please call me at 345-7008. WHITEWATER ENGINEERING CONSTRUCTOR P.O. BOX 110770 · ANCHORAGE, AK 99511 · PH/FAX 345-7008 ' I (..oT 5 - I 8OALE~ ~OTE~ I ~ , ~ t~ = 4~/ THE ACCURACY OF LOCATION OF WN BY* ' PROPERTY CORNERS, WELLS, AND SEPTIC NORTH t~ ~ O~M~.Sm.a mO~C~T~O ,~Vg PREPARED FOR~ DETERMINED BY USE OF CLOTH TAPE AND SEWER SYSTEM LOCATION PLA; P.O. BOX 110770 . ANCHORAGE, AK 99511 · PH/FAX 345-7008 i' '-i-- d lO0' DEPARTMENT OF HEALTH & HUMAN ........ oC~Vl~S 825 "L" Street, Anchorage, Alaska 99502_0050 SOILS LOG -- PERCOLATI~ ~ -- ~ ~~ LEGAL D~SCRIPTION:.~ / ~ ~. Township, Range, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17, 18- 19 20 SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT L DEPTH;) Depth Io Water Alter Monitoring? Reading Date Gross Not Depth to Net Time Time Water Drop f - PERCOLATION RATE ~"~f~- (minutes/inch} PERC HOLE DIAMETER TEST RUN BETWEEN ~ FTAND ~ FT , ~ ~r ~' %~ ~ERTIFY THAT THJS TEST WAS PERFORMED iN 72-008 (Rev. 4185) · f ,.~.'>'" ~ ~"..Yv'~J ,,..,c,,.,,,, o, A.c,o..,. t ~*:, 4,,, (~ ~.' :,..*...t DEPARTMENT OF HEALTH & HUMAN 8Enw~e I ~""'~ ...... ~"~"~ ~"" ' '~' .... ' '- ..... -- DA'r~ .~'~:~ ~~ SLOPE ~ ~' ~ i · 2 3 6 9 10 - WAS GROUND WATER ENCOUNTERED? 11 s IF YES, AT WHAT L" 12 DEPTH? 1 3 Oeplh Io Waler k,er ~ ........... Reading Date Gross Net Deptl~ to Net Time Time Water Drop ./ ,/ - 14 15 16- 17 18 19 20 PERCOLATION RATE .. ]"4f~'- (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~ FT COMMEN'r,~_ .'q'"_"_"_"_"_:m-r-~ ~-e-~,c~v.~---~ ~ ~L~-~,~-? ?/1~/~ ~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/I ~/ff a ~2'~8 (Re~. 4185} 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 Parcel I.D. 015-287-03-000 Legal description SKY HARBOR ESTATES LT 7A Site address 11741 BARR RD Anchorage AK 99516 Expiration Date: Current property owner(s) KOLSTAD SCOTT R & STACEY K 10/31/2025 X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 11/18/2024 Tis Certificate of 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 Services 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 work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval—June 2022 MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section ANCHORAGE u5n Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. Complete legal description 015-287-03 Sky Harbor Estates Lot 7A Location (site address) 11741 Barr Rd, Anchorage Current property owner(s) Scott & Stacey Kolstad 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel Q Plastic ❑ Concrete ❑ Fiberglass Age new 4/23- See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ 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 $ Waiver Fee $ Date of Payment % _'7 0z Date of Payment COSA # 05(__ 23 1 l 5 Waiver # COSA Application -June 2022 Legal Description COSA Checklist Sky Harbor Estates Lot 7A Parcel ID: 015-287-03 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 10/15/90_Total depth 177* ft Cased to 177* ft ❑✓ Sanitary seal is functioning correctly © Wires are properly protected Casing height (above ground) 12 in. Date of flow test for COSA 4/12/23 Static water level at beginning of test 106 ft. Comments * Per MOA files, 3/12/91 IR B. TANK DATA Measured operating fluid level in septic tank Date of pumping 11/14/24 ❑ Required maintenance completed, if AWWTS Comments: New install 4/20/23 D. ABSORPTION FIELD DATA Which system tested (date installed) 2/25/17 ❑✓ ALL standpipes present per record drawing Total measured depth from grade 9.2 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) If yes, enter date Comments/Deficiencies: ** 10/31/24 verified 0" COSA Checklist June 2022 Well production at time of test 4.2+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ✓❑ Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L./❑ Arsenic less than MRL (ND) Collected by Arcterra Consulting Date 10/31/24 STATION ❑ RequireTti si h Age of lift station . Lift station material Comments; nce completed Adequacy test date 4/12/23 Results Q Pass Fluid depth prior to test 0** in Water added 750 gal New fluid depth 20 in Elapsed time 1000 min Final fluid depth 0 in Absorption rate 750+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 54 Effective depth used 0 in Effective depth remaining 54 in in 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' ✓❑ Yes if No Community Sewer Manhole/Cleanout > 100' M Yes if No ft 0 Yes if No ft Neighboring Tank > 100' [,—/1 Yes if No ft Private Sewer/Septic Line > 25' g] Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' 0 Yes if No ft ✓❑ Yes if No ft ft If tank or field is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' F/] Yes if No ft 0 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' ✓❑ Yes if No ft Surface Water > 100' 0 Yes if No ft Tank to Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' J❑ Yes if No ft Private Wells > 100'✓❑ Yes if No ft Water Main > 10' © Yes if No ft Community Wells > 200' © Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS 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. Name of Firm Arcterra Consulting Engineer's Printed Name neth Duffus 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 now and absorption rales 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 Had 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 cannot give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. COSA Checklist June 2022 Phone (907)-696-6111 Date dr AR r 1.7 r :t} 11 r l j � ��Ki:NNETN !A •FUS��i , �r � �FSS1Cx`A:•� 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 Parcel I.D. 01528703000 Legal description Sky Harbor Estates Lot 7A Site address 11741 Barr Road Current property owner(s) Scott & Stacey Kolstad Expiration Date: 8/1/2023 X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: a Original Certificate Date'. This Certificate of 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 Services 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 work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank.Age Advisory Arsenic Advisory Other COSA Approval_June 2022 COSA Checklist Legal Description: Sky Harbor Estates Lot 7A Parcel ID: 015-287-03 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 10/15/90_Total depth 177* ft Cased to 177* ft Q Sanitary seal is functioning correctly © Wires are properly protected Casing height (above ground) 12 in. Date of flow test for COSA 4/12/23 Static water level at beginning of test 106 ft. Comments * Per MOA files, 3/12/91 IR B. TANK DATA Measured operating fluid level in septic tank New Date of pumping _ ❑ Required maintenance completed, if AWWTS Comments: New install 4/20/23 D. ABSORPTION FIELD DATA Which system tested (date installed) 2/25/17 ❑-/ ALL standpipes present per record drawing Total measured depth from grade 9.2 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) If yes, enter date Com men is/Defici encies. COSA Checklist June 2022 Well production at time of test 4.2+ qpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ./❑ Nc ✓❑ Coliform bacteria is Negative Nitrate mg/L 0 Nitrate less than MRL (ND) Arsenic ug/L21 Arsenic less than MRL (ND) Collected by Arcterra Consulting Date 4./12/23 STATION ❑ Require3'i7-,ai3,t,( Age of lift station Lift station material Comments ance completed Adequacy test date 4/12/23 Results Z Pass Fluid depth prior to test 0 in Water added 750 gal New fluid depth 20 in Elapsed time 1000 min Final fluid depth 0 in Absorption rate 750+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 54 Effective depth used 0 in Effective depth remaining 54 in in 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 J 100' Community Sewer Manhole/C eanout 100' Q Yes if No ft ® Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Pr vate Sewer/Septic Line .> 25 ✓❑ Yes if No ft Absorpt'on Field on Lot > 100' FZ] Yes if No _ ft Holding Tank > 100 ❑ Yes if No ft Neighboring Absorption Fields > 100 Animal Containment > 50✓❑ Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100 Community Sewer Main > 75' Q Yes if No ft Q 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' ✓❑ Yes f No ft Tank to Property Line > 5' ❑✓ Yes if No ft Field to Property Line > 10' ✓[], Yes if No ft Water Main > 10' Q Yes if No ft Water Service Line > 10' © Yes if No ft F. ENGINEER'S COMMENTS Wells -n Adjacent Lots Pr'vate Wells > 100 Community Wells > 200 ✓❑ Yes f No ft © Yes if No ft If tank or field Is under driveway comment below G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As cert�fied by my seal affixed hereto and as of the validation date shown below, I verify that my invest-gation based on procedures ouVined 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 Naine of firm Areterra Consulting Phone (9V-69b-51ll Engineer's Printed Name Kenneth Duffus Date u � Fnginccr's Coinments: Phis imestigalion stns completed in compliance with 1DVC and .MO \ reguLtIions. The assessment of the condiQon of the well and septic applies only to ilio conditions as of the da% Iested. Pbc ��� O tlo%% and absorption rates maN change due to subsurface conditions that may ant be observed from the surface, changes inland use. local soil characteristics, groundwater Ievcls that mai fiuctuale during the dear r and the water usage of the family being served by the system. 'I be operational life orals well and septic a 9 111 ststems are subject to these various and dNnamic characteristics and are outside the control of the evaluators: 4 or the %tell and septic system. 'therefore, Are lerra can not give any estimate of hot% long a s� steal will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen KEN>IEfH M fll] 1.rw encroachments, deficiencies or discrepancies exist. *i`G� q. -Ar CE 1 I .. - l`1 COSA Check ist June 2022 Parcel I.D. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, AJaska 99519-6650 (~o7) CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING o15-~81-93 1. GENERAL INFORMATION Complete legal description sKY HARBOR ESTATES #2: LOT 7 Location (site address or directions) 11741 BARR ROAD ANCHORAGE AK 99516 Property owner Mailing address Lending agency Mailing address D,~VF HULTOUIST 360 E. lOOth ANCHORAGE. AK 99515 Dayphone (9o7/ 522-3204 Day phone Agent RICK FULLFR w/ PRUDENTIAL VISTA Day phone Address 4241 'B" ST. ANCHORAGE. AK 99503 Unless otherwise requested, HAA will be held for plckup. 2. NUMBER OF BEDROOMS: 5 3. 'tYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: (907~ 562-6464 If community well system, provide wdtten confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding Tank Community on-site Public sewer NOTE: · If community wastewater system, provide wrttten confirmation from State ADEC lng to the legality and status of system. 72-025 (Rev. 1/91 ) Front MOA #21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $1,000.00 or prior to, closing for the engineering services provided. ' 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation of this Health Authority Approval application shows that the on-site water supply and/or wastawatar disposal system is safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage flies and from my Investigation and Ij~s. pection, the on-site water supply and/or wastawater disposal system.is In compliance with all Mu.oicj~ and State codes, ordinances, and regulations in effect on the date of th~s Inspection. , ~ I Name of F,rm- ALASKA ~F~ '~/~/WA[~ER CONSULTANTS, INC, Phone f907)337-6179 Engineer's Signature ~-~/~ ~//..~ 'Date ./Z./,/&O · Incondu ngthls iuation., WWC. 4/,g t to , oathoreu h. con l tiousangin g isofthe system In accordance tWth ADEC and MEIA ~ H$ Guidelines & Regulations. The reported results described 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 walls and eapb'c systems depend on the local soils condition, ground water levels that may fluctuate dudng the year, and the water usage of the family being sen/ed by the system. These conditions am outside the control of the evaluator of the system. Satisfactory tast results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AW14/C,, In~ can therefore not provide any warranty for fulure estimate of how long the system v~ll conb'nue to meat the operational requirements of the ADEC or MOA DHHS. The content of this report Is for the sole benefit of the owner listed above. Any ' reliance upon or use of this report by any other person or pan)/is not authorized, nor ~ll it confer any legal ~fght whatsoever. S,G.^TU. /"'"" Approved for ~ Disapproved Conditional approval for bedrooms bedrooms, with the following stipulations: Additional Comments. The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Approval Certificates based only upon the representations given In paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is Issued, The Municipality of Anchorage Is net responsible for ermre or omissions in the professional engineer's work, 72-025 (Rev. t/91) Back MOA #21 Compute' Legal Desc~on: A. WELL DATA Well Type p~IVATE Total depth Sanltmy seal (Y/N) H Ith Authod reval Che~~LI~' ~ A~ . ea ty App ~T~. sa~cF.s o~u" SKY HARBOR ESTATES ~2; LOT 7 ParcelI.D.: 015-281-9,3 [ePEE 1991 INSPECTION REPORT] If A, B, or G, attach ADEC letter. ADEC water system number N/A Date completed Cased to '177' Casing height (above ground) Wires pmbefly projected (Y/N) AT INSPECTION 11/24/2000 Y~S FROM WELL LOG 151'+ Date of test Steffo water levaljJ Well produclion ~- WATER SAMPLE RE~ULT~: Coliform 0 Nitrate Date of ~ample: 11/22/2000 B, SEPTIC/HOLDING TANK DATA Oateinstalled 10/15/90 Tankslze Foundal~on cleanout (Y/N) YES Date of Pumping 11/24/2OOO C. ABSORPTION FIELD. DATA Date mta~ed 10/15/1'990 Leng~ 71' Effecltve absorNc~ area Date of adequacy test Ruld de~th ~ abeori~oe ~e~ before test (~.); R-~ ~ep~ g" 6ns) M~utes ~ter. Pemmlde treatment (past t2 months) (Y/N) 115' g.p.m. ,L5 g.p.m. 0.5 mq/L Other becte,a o Collected by: A.W.W.C.~ INC. 1500 Number of Comparlment~ 2 Cleanouts Depression (Y/N) NO High water alarm (Y/N) N/A Pumper NORTHLAND Soil rating (g.p.dJft2 or 112/bdrm) 1 ~,~ System ~jpe TRENCH Width 2.5' Gravel thickness below pipe ~' Total depth 8.5' 710 Sq FT Monlto~tngTubepressnt(Y/N) YES Depresalonoverflald(Y/N) NO 11/24/2000 Results (Pass/Fall) PASS For 5 Bedrooms 0" Immedlatelyafter 1,306 gal, water added (ln.): 1~" 1,.320 Absorptloll rate = 750+ NQNE; KNOWN If ye% give date D. UFTSTATION ,.,i~., .. ;,  *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absoq~tlon field on lot Public sewer main Sewer/septic eewlce line 100'+ On adjacent lots 100'+ 100'+ ~ adjacent lots 100'+ N//A Public sewer manhole/cleanout N/A 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundafion 5'+ Property line 5'+ Water matn/sendce line 10'+ Surface water/drainage 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Proparl~ line * I O' Building foundation Surface water 100'+ 10'+ Driveway, parking/vehicle storage area AbsotplJon field 5'+ Wells on adjacent lots 100'+ [~sEE SEPTIC PIPES Ok~ -BUILT SURVEY. Water maln/sewlce line 10'+ 10'+ Curtain drain NONE KNOWN .Welis on adjacent Iote 100'+ F. of Munl~pal mfordsJ thN jl~/.,~ffg(,,e ~;ysterna ere In conformance wl6~ MOA HAl gul~l~~ls date. $1gnatum ~__ Englnaefs Name i ' I JEFFREY A, GARNESS Date.~~ Waker Fee $ Date of Payment Receipt Number. Sent By: Alaska Water and Was~ewater Con; 907 338 3248; flov-22-0C 15:56; Page NOV-22-2000 t,'E~ 12:. ?~ L~}i'~CFJSI.~ F~ NO. 581662~ P. C2