HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 13 LT 6Mountain Park Estates Block 13 Lot 6 #017-391-54 tNev uwuui 6) Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201485 PID Number: 017-391-54 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name PATRICK A CARPENTER ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 13031 ALPINE DRIVE, ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Fill added above original grade Ft. Gravel length Ft. MOUNTAIN PARK EST. 13 6 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 z Number of trenches Dist. between trenches From Tank Field Tank Line Ft Ft. Well *90'+ __ 25'.+. TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation 10'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks *WAIVER Alarm location Electrical installed by Tank to PIPE MATERIAL House to tank 3034 3034 Installer PCN drainfield Drainfield CO/MT 3034. Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1M 12/1/20 12/2/20 Location and description dates:3rd 2nd 4th BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date . i g•'_49 TH " " " ....... / • Curtis Huffman / Septic System Approv •Z_ CE 128991 Date / ���y �, �j lF�• 12/8/202P. - 2/8/202p.•PROFESSIO' PR FESVO' Note: this approval does not include well permit requirements. tNev uwuui 6) PID: 017-391-54 PERMIT: OSP201485 C,.1 O O C� PAVED D/W A—C=19.5' B—C=16,8' A—D=17.0' B—D=20,9' A—E=15,7' B—E=23,5' ®WELL N86 11 1 "W (N86 09'21 'W 210.53' 210.68' R) -x____x____X-x x__ --X___- APPROX. X_ x—X 100• WELL EXISTING / RADIUS 1993 TRENCH ro �. MT 0 23 3, o 173 4SRX1 HOU BM 0 0 E DEXLSNG REMOVED & DECOMMISSIONED SE MHCEXISTING S.T. & INSTALL NEW 1250 -GAL HDPE SEPTIC TANK 9.3• N FC IN THE SAME LOCATION q ®CO WITH NEW DCO. o B y�sFF� EXISTING CRIB / TRENCH 24. 0, ONLY 1 2X6 2R0• MT PIPE VISIBLE k W O N --91• WELL ac z �, RADIUS k N86 07'46"W — — — -- -_. 233. 01 BASIS OF BEARII G (233.44' R) SEPTIC SECTION SCALE; NTS MOUNTAIN PARK ESTATES BLOCK 13, LOT 6 SUPPORT SERVICE PREPARED FOR: PATRICK CARPENTER 13031 ALPINE DRIVE ANCHORAGE, AK 99516 FIRST WATER CONSULTING DATE: 12/8/2020 13030 SUES WAY SURVEY: JLS DRAWN: FWCS ANCHORAGE, AK 99516 SCALE: 1" = 30' 907-350-9566 firstwaterAK©gmail.com 12/08/2020 P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section Waiver#: OSV201088 COSA#: Permit#:OSP201485 PID#: 017-391-54 Legal Description: Mountain Park Estates Block 13 Lot 6 Engineer: First Water Consulting Applicant: Patrick Carpenter �t»cnt S ti < c C � 1 epa�i��tmcnt Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 89.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the septic tank installed under permit OSP201485 only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. i■s®®■■c®■■e®.■em®®®®■■®®■■aoaton®®■a.■■aao■oa®®■®®a®.®onoo.e®aeno.a®ea.®®eon®a Waiver is Granted: X Waiver is not Granted: dvz�o&_ Date: A .51.,�Ai�Approved by: _ Name of Reviewer 4u5 ped ta'i5'aoze k--, k-p� -# '1151'1 a First Water C 0 N S U L T I N G 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com December 8, 2020 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT WITH WAIVER LEGAL: MOUNTAIN PARK ESTATES BLOCK 13, LOT 6 The existing tank was removed and decommissioned and the new tank was installed in the same location. The tank could not be located differently to be able to maintain elevations from the house to the tank and existing lift station. Due to this, the tank is approximately 90' to the referenced property's well. We respectfully request modification of the existing waiver to 89'. The waiver is justified with a new improved tank (HDPE), the tank is on the opposite of the house and as outlined previously with the original waiver. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Firs[ UN -11 a r ett nzl6n ,Yi F t'klHG ALP E R/ vE "Now wvvmw� ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: MOUNTAIN PARK ESTATES SUBD. LOT 6 BLOCK 13 PLAT P-501 SURVEY CERTIFICATE: I,, John L. Schuller,, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures. ,, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E -MAL - DEC 7, 2020 1 =30' 20-085 DRAW BY., CHECKED BY. GRID NUMBER: B00K/PAi JLS SW2838 200256 * = FND REBAR a 0 F N4X AWW ....\% - �,L LA Do �' 4QTH o VIA RA 9 VA t �, -.................. Yk 0 �OHN L. SCHULLER.- 0 s �'•. LS -10408 C� � .� 1831 Talkeetna Street 4 '� 0, v 2 -- OK\ 6 AW Anchorage, Alaska 99508 `pyo f essjond\ (907) 227-1455 office (907) 274-4992 fax MUNIC IPAUTY OF AN HORAGE On -Site Water & Wastewater Iiagram PO Bax 196&Z 4700 BlmDr:E Road AmchorNe. Ala*a 99$1" 69 Pare: X907) 3 13-44 F= W:Ongr MpXwv vr-rrnml.cgtan!3i6e On -Site Wastewater Disposal System Permit P@nTgt Humaeri OSP2014-BO WarkTypa: SepGcTankUpgrade Tax Godo Hurnboorr -01730164000 Ske Legal Address: MOUNTAIN PARK E3TA, ; Z-: S 13 L K 13 LT S 0:2635 Site Mailings Address: 15031 ALPINE DR, anchorage Owner. CARPENTER PATRI 14 A D-eslgn Englneer: FIR 7WATER CONStJLTING This porm UIS forth a oonstructlon of: EfreatliM Pit* Gxpiration Date: Lot Size in Sq Ft: Total E-edrooms; fFit , 1 11240zO 1 V242021 24218 0 L)iapoea' Field 19 Septic Tank El Halling Tank ❑ Prlvyr ❑ Private Well 0 VAter Storey All n! tmctlon :stnall be in accordance with; I- Tha aKwhed -npproved deign. 2_ All requlremmta speifi&d in Anchorage Munliglpal code hapt-ars 15,56 and 16.65 and the State or Alaska WastewaW Disposal Regu latlons (1 BAAC72) and Drinldng Water Regulations (1 AAC80) 3. The wastewater oode requires Inspections during the Ins#alletlon. The engineer shall nuffy the Devialopmertt Services Vepartmertt per AMC 15.65. provide notibcalion lby calling (1)07) 343-7904 (24M- 4. M_4_ From Outvber 16 tD ApNI 15, a subsurraaa soil absorption system under construction during freezhg weather shall be either. a. Oponet! and Closed an:04D sarna day, or b. Covered, seared, and seated to prevent Freezing Received Sy: Issued Sy_ 1112412020 Date= 4 iiiiiiiiiiiiij 1, 111111 F 0101 q1111111111111111 d' Development Services Department On -Site Water and Wastewater Section mcnr S, O Ucp rcment,N **** VARIANCE/WAIVER REVIEW **** Waiver#: WR920062 COSA#: Permit#:OSP201485 PID#:017-391-54 Legal Description: Mountain Park Estates Block 13 Lot 6 Engineer: First Water Consulting Applicant: Patrick Carpenter Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 93.0 feet. This is a re - issuance of the original well to septic tank waiver granted in 1992. See engineer's waiver request for justifications. This waiver approval applies to the proposed septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. e aevveeeeveevvmvmaeeeeeveeveevvsevvvea•n eeevemvvsveavmevave eemeas vee a •evmeeoem•ee Waiver is Granted: X Waiver is not Granted: Date: Approved by: lxf46ffll Name of Reviewer v mvvmv vvvveveesysemeea meoevv eeemveeeeevveevev mmvmvu mmeeeeaeemmevvemseeamavvvmvvvm **** VARIANCE/WAIVER ■ eEVIEW **** NICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-391-54 Property owner(s) PATRICK CARPENTER Day phone 9073064363 Mailing address 13031 ALPINE DRIVE, ANCHORAGE, AK 99516 Site address 13031 ALPINE DRIVE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) MOUNTAIN PARK ESTATES B13, L6 Legal description (Township, Range & Section) Lot Size 24,218 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade (D) El Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (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. (Signature of property owner or authorized agent) Permit/Rush Fees: 160. Co ✓nO Date of Payment: i �Ggb Receipt Number: _% `� 1 (o 3 Permit No. 05F2Ol y F55 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 411 FIF51 Water +. CONSULTING WAIF H1W ASI [WATER 3UPP0NT&PtANNIN4 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com November 17, 2020 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: MOUNTAIN PARK ESTATES BLOCK 13, LOT 6 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201485, Rebecca Carroll, 11/24/20 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1250 -gallon HDPE tank to serve the existing 4 -bedroom residence. The lot and area are served by private water as shown on the design. The existing tank will be decommissioned and the new tank installed to maintain the 93'+ separation to the referenced property's well and in accordance with the waiver previously issued by the MOA. Continuance of this waiver is justified with a new improved tank (HDPE) and as outlined previously with the original waiver. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, 4 �� Curtis Huffinan, P.E. • Fjrsr Water SERVICES WAIER/WA SI EWAIEA ��CUNSULTINC SXPPO RIBPLAXNINA Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COM IANCE OSP201485, Rebecca Carroll, 1124120 DESIGN CRITERIA: DECOMMISSION EXISITING SEPTIC TANK & INSTALL NEW 1250—GAL HDPE GREER SEPTIC TANK. MAINTAIN 10'+ FROM FOUNDATION, 93'+ TO PROPERTY'S WELL, 100'+ TO OTHER WELLS, 5' TO FIELD & DECK SUPPORTS WITH 4' OF COVER OR INSULATION. INSTALL PER AMC 15.65, 15.55, & MASS... TANK BEDDING, SEPARATIONS, MATERIALS, z3V VRIVEWAY CONC O WELL N86 09'21 "W 210.68' N86 07'46"W DESONWEB.ASED ON FAXED, DIGITIZED MARK SEWARD AS—BUILT. APPROX. 100' WELL RADIUS 233.44' MOUNTAIN PARK ESTATES BLOCK 13, LOT 6 SUPPORT#SERVICES: _40- )F OF PREPARED FOR: Fig `4� 1 PATRICK CARPENTER 13031 ALPINE DRIVE '*5,rtis TH� *, ANCHORAGE, AK 99516 / .0 FIRST WATER CONSULTING DATE: 11/17/2020 I, Huffman / SURVEY. DMS ✓ CE 128991 13030 SUES WAY DRAWN: FWCS 1 11/ 17/ 2020 �ti� / ANCHORAGE, AK 99516 SCALE: 1" = 30' 1 �i�ssTo� Aye i AV 907-350-9566 firstwaterAK@gmail.com 100' WELL RADIUS EXISTING APPROX. STAKE 93' 1993 100' WELL 273 WELL RADIUS— TRENCH /RADIUS M C1423.3' EXISTING REMOVE & DECOMMISSION 773 L.S.XISTING EXISTING S.T. & INSTALL NEW CO 1250–GAL OR 1500–GAL a4BRHOUDPE CO SEPTIC TANK HTHE SE IN SAME LOCATION 9.3' MH WITH NEW DCO. a w • EXISTING CRIB / TRENCH •3' • 6.3',4 NOT FOUND 13 w ONLY 1 N PIPE VISIBLE N86 07'46"W DESONWEB.ASED ON FAXED, DIGITIZED MARK SEWARD AS—BUILT. APPROX. 100' WELL RADIUS 233.44' MOUNTAIN PARK ESTATES BLOCK 13, LOT 6 SUPPORT#SERVICES: _40- )F OF PREPARED FOR: Fig `4� 1 PATRICK CARPENTER 13031 ALPINE DRIVE '*5,rtis TH� *, ANCHORAGE, AK 99516 / .0 FIRST WATER CONSULTING DATE: 11/17/2020 I, Huffman / SURVEY. DMS ✓ CE 128991 13030 SUES WAY DRAWN: FWCS 1 11/ 17/ 2020 �ti� / ANCHORAGE, AK 99516 SCALE: 1" = 30' 1 �i�ssTo� Aye i AV 907-350-9566 firstwaterAK@gmail.com Municipality of Anchorage Page - I of _3-_ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW q2aZ�& a PID Number: 011 ' M — 15 4, Name: 1\1 Et_g.o o b -t � A Wastewater System: C1 New ❑ Upgrade Address: tab AL - '0%?— ABSORPTION FIELD Phone: No. of BedLI rooms: Deep Trench 0 Shallow Trench ❑ Bed ❑ Mound Q Other LEGAL DESCRIPTION Soil Rating: Sym Total Depth from original grade: 3 a3 t. 1 t Lot: Block: / Subdivision:' Depth to pipe bottom from original grade: Gravel depth beneath pipe /_ 13 f -f � �� Ft. Ft. Township: Range: Section: (0 Fill added above original grade: Gravel length: 1 % 3 — — Ft. UD Ft. WELL: ❑New ❑Upgrade GraveldeeM' Number of lines: Distance between lines: Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. I FL 1 O --PJ SO. Ft. Driller, Date Drilled: Static Water Level: Installer. Date Installed: Ft. Ae 3.29 • 3 Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES L9'Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity In gallons: From Tank Field Station Tank Sewer Lines A✓1CI1a I 1 Well Material: Number of Com artments: Q 3 $'S q5Surfac S .� r1A Njq r*JIA LIFT STATION Water Water Lot Line f s I I D Size in gallons: So -c:) Manufacturer. Foundation "Pump on" level at: "Pump off" level at: t High water alarm at: I fo I I a2 5 Curtain (q 1 l r// K lD Pump Make d Model Electrical Inspections performed by: Drain ! o SE t I-ioN 1 Remarks: BENCH MARK pp Location and Description: O 0 N 1" O N1 • Assumed Elevation: 110-0 Ft ENGINEER'S SEAL 1; 1 , •oa. 3 Inspections by: s Dates: 1s l9 c N.naK ,.,.�. 1 71 performed ,•°•sc . ., ... ' 2nd ' 0 3 i' = :;! : d ,•, ,f Department of Hea and man Services approval Reviewed and approved by: Date: 28 -93 72-019 (1/91) MOA 25 x�� TRENCH I I / 1250 GAL SEPTIC T N 25 0 25 50 75 100 125 150 SCALE, I' = 50 FT. LIFT STA or -Q- Perc -¢ Perc I G = END I F EXIST. Perc Testho I LOG CRIB 0 I I Bench Mark Top Founda tion Assuried Flev. 100.00 Ft. I UHHEN SPURKLAND P.E. LOT 6 BLOCK 13 MOUNTAIN PARK E SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE Al ANCH. AK. 99501 13031 ALPINE' DRIVE SHEET, P13 GRID, 16 ID' 2838 Monitor 1 1/2' PVC 0 1/4' MILES P 48' 3' Vide 100' Long 11' Beep 8' Sewer rock 3' Cover 98.5 Mira Fi 140 90.5 1 8 Ft of' Septic Rock 1 1/2' PVC ACREAGE SYSTEM LIFTSTATION BALL VAL VES F 0 of -0- 1250 SEPTIC TANK Monitor 4' Topsoil 3' Cover EXISTING LOG CRIB 100.6 89.4 1 ' NO SCALE BOUOx r£sr xOLE LIFT STATION 1250 GAL'. SEPTIC TAN TOBBEN SPURKLAND P.E. LOT 6 BLOCK 13 MOUNTAIN PARK EST, SEPTIC SYSTEM ASBUILT 203 W15th Ave SEC. 26 TION R3 DATE, MAY IL 1993 Anchorage Ak 99501 TOM/GLORIA NELSON SHEET .?/.? GRID, ?83R • 1. _. O I ----------------------------------------------------------- ---------------------------------------------- ACREAGE SYSTEMS INC. ID:907-345-2125 APR 13'93 15:35 No.007 P.04 INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION i 3500 EAST TUDOR ROAD • INRPf:[`.TIf1N9 roan Se3��Al INFORMATION (0011766-8211 NAME_J�.^' /PERMITNO. Il e STRIRTADDRESS �-�f��', ,��/� / %1PHHOONE LOT/_y-.-BLOCK/ 0UBDIV. Lll��.e� !• &-- /DATE � FOOTING Cl ELEC. TEMP. Cl PLBO. UNDOR. ❑ FOUNDATION ❑ CLEC. SERVICE O PLBO. ROUGH ❑ BOND BFAM ❑ ELEC. ROUGH ❑ GAS TEMP. ❑ FRAMING ❑ ELEC. FIN4. ❑ GAS ❑ INSULATION ❑ OTH F; �' MECHANICAL ❑ BHEETROCK ❑ MECH. FINAL ❑ BTRUCT. FINAL ❑ FIRE FINAL AL ❑ OTHER ❑ ZONING ❑ OTHER ❑ O NONCOMPLIANCE OOSERVED ❑ CORRECTIONS l88ENTIAk•A9 EXPLAINED BELOW 0 WILL ALEXAMINE AT NEXT INSPECTION 0 09 NOL2pCEAL UNTI REI P T D' COMMENTS ZN DAT! CORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION 00 NOT ROMOVE THIS MOTION f.. .0.r 11 Mtfi .. •, •— . l PAGE 1 OF 1 .{ MUNICIPALITY OF ANCHORAGE�3- DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT 7-5 PERMIT NUMBER:SW920380 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:NELSON THOMAS R & OWNER ADDRESS:13031 ALPINE DR ANCHORAGE, ALASKA 99516 PARCEL ID:01739154 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES BLK 13 LT 6 LOT SIZE: 24218 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:11/09/92 EXPIRATION DATE:11/09/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE ENGINEER'S ATTACHED LETTER EXPLAINING THE CIRCUMSTANCES WHICH THIS PERMIT IS BEING ISSUED BY SHALL BECOME A PART OF THE SUBJECT PERMIT ALM HEALTH AUTH RITY APPROVAL. /1(7/qZRECEIVED BY: �DATE: ISSUED BY:ZQ� DATE -r- _ :E-3 F** fJ Fi 1 - i_ dc`s I'A 1:0 r• .. E_ ti 203 WEST 15TH. AVENUE SUITE 206 ANCHORAGE, ALASKA 99501 (907) 279-3916 Rick Jarvis Re/M:ay. Properties Inc. 600 Cordova, Suite 100 Anchorage, Alaska 99503 Subject: Gloria and Tom Nelson 130731 Alpine Drive Lot 6, Block 13 Mountain Part:: Estate Dear Rick; November- ;S, 1992 Thi s-1 leetter will attempt to answer any questions that may arise from the installation of the proposed leachfield on this proper- ty. As outlined beforco, the existing septic system that was installed in 1976, did not pass an adequacy test and needed to be replaced in order to obtain a Municipal Health Certificate. tJe performed 5 percolation tests on this property, but were not ,_able to find an area that met the minimum percolation requirement needed for- the replacement system. Lased an our soil investiga- tion, a holding tank: seamed to be the only acceptable solution. This conclusion is contrary to the fact that the existing system performed satisfactory for 17 years, and that the system on Lot 5, installed in 1970, still operates without any evidence of problems. The system on lot 7 was; installed i n 1976, and upgrad- ed in 19E121. This upgrade was the result of a substantial under design of the original system. None of the systems on Lots 5 and 7 have been tested, so the actual performance of the are not known. Holding tanks are considered undesirable both by the house owner and the Municipality. if any other alternative exist, the Municipality would prefer that alternative. Lased on the per- formance of the existing systems on Lots 5,6,and 7, 1 have sug- gested an alternative that may perform satieafactory. My proposal consists of installing a second leach trench, as deep and as long as was physical possible. We do not Have? soil date that confirm that the soil in this trench meet the minimum re- quiremc5ntsyI but in the worst r_as;c> this trench should perform satisfactory for 3 or 4 years. A lift.station with a valving ,_arrangement to direct the wastef l ow to either one of the new and the ea:: i sti rig absorption system will also be needed. The end Page 2 Lot 61 Block 139 Mountain Park Estate kovezter 3, 1992 result is: two absorption systems. neither one of which meets the Municipal requirements, but with some care from the home owner the two in combination may wort, indefinitely. The 4::ey to SUCCeSS lays in alter-natea USE? Of the two trenches. Ery s.,vjitchi.ng annUZ(11y or biannually between the two trenches, neri- ther one will become overloaded, but: will recover during the re=Ming period. This will require Soma effort on the hnme Owners part, he needs to examine the condition of the trenches from time to time, and take whatever- action is required. If my concept is wrong, and both trenches plug up, there are Still a Couple of ways to go. The most sv-vere will be to ins.Ai- gate periodic pumping. With a holding tanF:, you can expect pumping Every 3 to 4 weeks. With the c two trenches, a pumping frequency of 2 to .3 months may be passible. Hydrogen peroxide may a sc.o be Used to revitalise? at least the rxi Sti ng cri b and trench. The mai n point t.hs,t I want to emphasis is that t h i s proposed leachfield is not a sure thing. It may fail within a couple=_ of years, and I want. Eaverybody to bc� cognizant of that fact. Yours O Tobben ;purk:land. F'.E. cc John Smith On -Site Services Section Municipality of Anchorage 203 W 15th. Avenue, Suite 206 A`:CHORAGE, ALASKA 99501 (907) 279-3916 SEPTIC SYSTEM DESIGN LOT 6 BLOCK 13 MOUNY AIN PARK ESTATE TOM/GLORIA NELSON No Ground Water or Impervious Layer to 17 ft. Use Standard Trench Soil Rating. From test Sept. 20 - Oct 5, 1992 60 min/in = .45 gal/ft.sq Only one pore test of 5 had satisfactory rates. Design based on available area, not percolation rates. Existing system installed in 1974. Adequacy test performed in Sept. 1992 indicates that approxi- mately 200 gallons are heing absorbed per day. Well sample shows 2.9 mg/1 nitrates. This design is an attempt •to avoid installing a holding tank on the lot. By installing a new trench and leaving the exist- ing system in place, a lift station with appropri- ate valving can be installed to facilitate period- ic use of both systems. By switching from one system to the other the USVful life of both system should be substantially increased. Test.hole Total Depth 17 6 feet 11 Less3 fc----eL Cover a Rock Depth 0 Number of Bedrooms 4 Length of Trench 100+ - SYSTEM CONE I GURAT I Oto STANDARD TRENCH TOTAL LENGTH TOTAL WIDTH TOTAL DEPTH ROCK DEPTH COVER SEPTIC TANK. ACREAGE SYSTEMS Septic System Design Lot 61 Plock. 13, Mount�ni n Park Estate 100 FT. 2 FT_ 11 FT. B FT. 3 FT. 1250 GAL. LIFT STATION F,y. 1 The installation of this septic system will not prevent we11s from be_ installed on thF_� adjacent lots. There are no developed or natural SUrfacP / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. The alternative to this installation is a holding tank. We request a waiver of 15 feet for well to drain field. No well log exist for this property. During well flow test the water level dropped to 160 feet below top of casing. Well log for lot 7 shows clay between 61 and 140 feet with water at 165. Septic System Design LoL- 6, Block: 13, Mountain Park Estate -�- well mil O 50 0 50 100 150 200 SCALE, 1' = 100 FT. O TRACT 2 — '—'I / VACANT OT b t o I TRACT 3 ;"Z LOT 7 VACANT \ I LOT 8 I 3". �u.•I ea9�.aew.�r Sot Vand4 ��� J°�•c CE -2225 �� .a\�?�" � �r, is .•^o a� • �.''r> 250 300 0 Cl C< j „'� •......•��A� ��, II03 W JrUKKLANL V.L. I I LUT b BLxK a mmrAIN PARIK EST I I SEPTIC SYSTEM DESIGN I 203. 15TH. AVENUE DATE, OCT. 9, 1992 ANCH. AK. 99501 SEG 26, TION R3W .anT ��o_ao.c 13031 ALPINE DRIVE SHEET, i/3 GRID, 2838 I _0 _ ercp3 — _--J Perc I —1. — TANK 25 0 ZS 50 75 100 1?5 150 SCALE! 1' = 50 FT. _._. Perc a END 1 F EXIST. ¢- Perc -¢ Testhol 1 LDG CRIB ITUBBEN SPURKLAND P.E. I I LOT 6 BLOCK 13 AVAMIN PARK EST I I SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE it SEG 2� T12N R3W DATE, OCT 9, 1992 1 N11 AK. 99501 13031 ALPINE DRIVE SHEE74 2/3 GRID 2838 .ens• o�e_ne.e o h�;. ' ••"•: lr �a CO •.. late.... 09.04.' 0000 R T 0000.. 0000 •. ber.Soorkland �� ��•.� CE -2225 @4Paa'�OFESSlO`�Sw ITUBBEN SPURKLAND P.E. I I LOT 6 BLOCK 13 AVAMIN PARK EST I I SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE it SEG 2� T12N R3W DATE, OCT 9, 1992 1 N11 AK. 99501 13031 ALPINE DRIVE SHEE74 2/3 GRID 2838 .ens• o�e_ne.e Q Monitor //4' iRXES 148' 3' wide 100' L ong ll' Beep 8' Sewer rock 3' Cover 1 1/?, PVC ACREAGE SYSTEM LIFTSTATIBN 8 ft of Septic Rock ' I LIFT STATION 1250 GAL SEPTIC T NG SCALE U BOULN TEST HOLE ITOBBEN SPURKLAND P.E. I I LOT 6 BLOCK 13 MOUNTAIN PARK EST, I I SEPTIC SYSTEM DESIGN I 203 rage Ave Ak 99502 Anchorage SEC. 26 T12N R3 DATE- OCT. 9, 1992 ��.,_s.l TOM/GLORIA NELSON SHEET- 3/.? GRIID 2B39 BALL VAL VES —:'70F h'. i,�d d^y O •.� �� `" �' ' "�"?�'� �. 1250 SEPTIC TANK a a ...tt. .. ........ •.�� TING LDG CR19 EXISTING 1�I F ; T, Eben SperWand �` t� J�.,� CE -2225 4�FLS F, o Ap']CQ,••••••.Hf,,4�r C7 FAOF�SS�� 'V •.:'' Monitor 4' Topsoil 3' Cover Mira f i 140 8 ft of Septic Rock ' I LIFT STATION 1250 GAL SEPTIC T NG SCALE U BOULN TEST HOLE ITOBBEN SPURKLAND P.E. I I LOT 6 BLOCK 13 MOUNTAIN PARK EST, I I SEPTIC SYSTEM DESIGN I 203 rage Ave Ak 99502 Anchorage SEC. 26 T12N R3 DATE- OCT. 9, 1992 ��.,_s.l TOM/GLORIA NELSON SHEET- 3/.? GRIID 2B39 *4 3 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST �P"� ti;(ENGINEER'SSEAL)-1 Gross Time Net Time Depth to Water Net Drop .o .......... ut PERFORMED FOR:�Iis &%t DATE PERFORMED: LEGAL DESCRIPTION: Township, Range, Section: o� SLOPE SITE PLAN 1 11""® 3 4 5 6 71 11 1 P.er` 8 9 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? P E Depth to Water After Monitoring? Date: Reading Date Gross Time Net Time Depth to Water Net Drop r` 'i A. /6 sit. 30 "!c. Iz ^: 0 30 " 16 ' L-1 PERCOLATION RATE J� (minutes/inch) PERC HOLE DIAMETER i TEST RUN BETWEEN 7 FT AND KZFT COMMENTS PERFORMED BY: 1 ! ' -� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ©'� 1 [ • `� �� 72-008 (Rev. 4185) 111 a Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) PERFORMED FOR: Ca IO,r-t 1 1 yU S4M DATE PERFORMED: � OG'��`�-' I LEGAL DESCRIPTION: f3 K I? �'l1 Township, Range, Section: 1 IAN � IC 3 !: /j cac— 2G SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS 1 WAS GROUND WATER ENCOUNTERED? "D IF YES, AT WHAT DEPTH? — Depth to Water }ter Monitoring? -J,e�ty_ Date: PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) T+1 "I e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST "'.i (ENGINEER'S SE114 i+w i ..�.... .............. z . ea ._ F�� '/iCFcC'C::� .-� q PERFORMED FOR: -7 -OH G LdR%A NE LSn N DATE PERFORMED i LEGAL DESCRIPTION: L.b/oltl Township, Range, Section: T1;LW , a3 A S.eLeZ G SLOPE SITE PLAN OPGA NI e S ,—r—, 1 — FILL_ 2 A o►24ANICS 3 pzVIS e g; 14- 4vLx1grawx 5 i2111111i'� 7 8 9 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? d S IF YES, AT WHAT L O DEPTH? P E Depth to Water Jiq�r Q Monitoring? �� Date: 20Lj /fin n PERCOLATION RATE � (minutesnnch) PERC HOLE DIAMETER X TEST RUN BETWEEN 7 FT AND 7 Z FT COMMENTS PERFORMED BY: li G! (YQ �I �,Q, CERTIFY THAT THISTEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: L 4 -` Z 72-008 (Rev. 4/85) Municipality of Anchorage Department of Health and Human Services df�f-15 Tom Fink, 825 " U' Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 November 9, 1992 Tobben Spurkland, P. E. 203 West 15th Avenue #206 Anchorage, Alaska 99501 Subject: Waiver Request for Lot 6 Block 13 Mountain Park Estates Waiver Request,#WR920062, PID #017-392-54, HA9207601 SW920360 Dear Mr. Spurkland: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are 85 feet from the private well to the leachfield. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Concur: /.�jith, Daniel J. Roth ,John SP. . Civil Engineer ,/ Program Manager On-site Services On-site Services ljm:#6 S2ic +avi� w1L�cln S vvl ,-Z_ - 9-T #/VF_R /?F47U _FST FoR L oT 6 AL/e /3 PfRA FST, RFQuCFST NlirTRER wR920062 i �l✓ER._6StgaES7- __F01? _OA -s-1 oT t� "I -__TO _P�pOOtEd._ABSovpnoc. TiS'Ea�/, I jog w9li iet a _ L O.cR7"1v�_.o,� _TKE__.l oT r-im.T _ //�J__ Soict_ _ Tk�9T_. TfIE_...�}PEy At o T. All . S-FPAfl/9Tiowl._(o.ca—P..QF /N__JE.✓ErPf G i9tiD..f�u�40 .FERC. _ A e.r I• t U v E�pAGC 0T'..h`/?r_ 61Ea,Ei,',641-y._ Ft47;. � rov _ F e0v _. EFft..ueNT wEi?!_= . TO. SifWF19-GrF... _Fi?O,m . 7-1-efJC il %1?Ew.CH /4•,Port X �/ r d w D f L a .,, 7-G. k- .9Ror . Tier F Ro•Pr E -F- _ � t--• t _t F=it _ F__ �ti rkt ]C} 6151 W. DIMOND ELV➢. ANCHORAGE, ALASKA 99502-3904 i901i 249-5095 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services E12O L_ Street Anchorage, Alaska 99501 F=• _ F_ .. RECEIVED OCT 211992 Municipality of Anchorage Dept. Health & Human Services October 21, 1992 Lj_-�2q a(--.)bL-a SUbjPct: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR: PRIVATE WELL TO SEPTIC TANK PRiIVATE WELL TO DRAINFIELD LOT 67 BLOM` iti , MOUNTAIN PAR[-:: ESTATE Gentlemen; We are submitting a request for waivers from the separation distances stated in Title 18, Alaska Administrative Code, Chapter 80.00. DLAring an Health Authority Inspection for this property it was discovered that the separation between the well on subject property and the septic tans; was le_;-, than the required 100 feat and that a waiver- iS required. The inspection also concluded that the drs(infie�ld could not meet the acceptable absorption rate, and that an upgrade would be required. The design of tho proposed upgrade has been !submitted previously. The proposed absorption field will be located 80 feat from the vxi=.ting well. The existing septic tank is locatE_-d 80 feet more or loss from the well. If the tank is found Sound it will be left in place. If the tank has to be replaced, it will be located more than 100 feet from the well. The attached siteplam shows the approximate layout of both the existing .-:end proposed Septic Systems. The existing system was installed in 1975 and according to the inspection report the distance between the tank and well wa<.s reported :at eO feet. This separation wait. accepted by the health department at that time. I have sketched in the general drainage pattern for the lot. ThF.-� topography and physical features prevent any overflow from both septic systems to flovi to they well casing. Any overflow from the existing septic tans:: will flow toward-, lot 7, while any ovrarflow from the proposed trench will flow towards the road. WINER RECEST LOT d FLOCK, 13 MPE page 2 No well log exist for this property, however well logs for lots 1191~, and 14, Block a ..and Lot. 7 Block 13 have been inspected and evaluated. By going through they DEC's.; procedure of analyzing the potential for contamination I arrive at the following points: Ground Water (at 150 ft.+ > 7.25 Soil Sorption ( Silt,Clay) :'.5 F'ermea11:i l i t:y ( Silt ) 3.. 0 Gradient (Towards Well) 1.2 Separation ( B0 ) 2.25 Total 17.2 Conclusion: Almost Sure to be free from any form of contamina- tion. The tank will exposed and excnmined. Calder couplings will be install rid if riot there. Yours. Tobben Spurl.: wind F'. E. 9 Ip -Q- Vett EXIS 7ANK -C - Perc END F -¢• Perc' -(� Testhot CRIB ` > I l 1 )(IA\Vj;R Pr?PLI C-^T\on'{` 150 Z5 0 25 50 75 J00 125 SCALE, Y = 50 FT• 203 W 15TH. AVENUE ANCH. AK._99501 �..�. •�. ►moi �1;D `�` e �• �.. ' . f, '''•.pry ��, F : T ben Snurkland�/ CE -2225 �t.�.�.�.v`�-moo• LpT b BBL©CK 13 M"rplli PARK EST S£G 26, T12N RV 13031 ALPINE DRIVE SEPT TEM DESIGN DATE, OCT. 9, 1992 SHEET, Z/3 GRID, 2838 GRE. 'ER ANCHORAGE AREA B0r "JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME �!i�/�EJE MAILING ADDRESS PHONE /y.✓ay� .9.r� 9Sro9 LOCATION LEGAL DESCRIPTION LOTG_ 6«/l /11T. �y/.,C�17r3 SEPTIC TANK: F JTls/<.0 4vv+ c�.s�/ri J•o.0//9� DISTANCE �/1 o t ��� NUMBER OF FROM WELL MANUFACTURER MATERIAL X 15 G COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY GALLONS. SEEPAGE PIT: /y" -.2x Y9 r9,ti-i9.ri� / NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER DEPTH ! DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION ys, NEAREST LOT. LINE --Ey ABSORPTION AREA (Y.r EA) /iC SQ. FT. ADDITIONAL ABSORPTION -5-0 - % - %G " WELL: < per✓,/ .. �/�Tio../ ' TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING�� 1 NEAREST �L 1 NEAREST r, SEPTIC S� i SEEPAGE BOG �f FOUNDATION LOT LINE SEWER LINE-"- TANK SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED DISTANCES: -C-24--A'4­24/ INSTALLED BY: `it.•iy!-7r^� PIPE MATERIAL: C�sr- i2oi✓ /Lr/llJG LOT SLOPE: REMARKS: 22-VIe !j5/i�ylr ,Gr Gh'tZir-moi /Ji✓Ny/jCC y Form No. EQ -031 REMARKS DIAGRAM OF SYSTEM �4 s / j F�Pr f I� er 0 `771 - • DATE APPROVED • G.A.A.B. .� /A/ f/lCT. O�ii !✓l /JJ1.e-rr.�*.v�d r GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT PERMIT NO. -rte f"/�9 .tSOX � 774 NAME OF APPLICANTMAILING ADDRESS �G,y.��? PHONE INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT �� DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS �/p O'cr�`�'NOTE/ THIS PERMIT 15 NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZEu l TYPE fT�fG 0?� SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS di o�S,raS X �- p_ �"Z!� �'DIAG�AM OFYs �r�f' FOUNDATION TO SEPTIC TANK '✓ 'FOUNDATION TO SEEPAGE PIT ��CJ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK . SEEPAGE PIT DRAIN FIELD -.L -_ �_ _ 4_ TO NEAREST LOT LINE. WELL TO SEPTIC TANK -J n SEEPAGE PIT i DRAIN FIELD 2 ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK. �--. SEEPAGE PIT.111y1�--1 DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A�B.- OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORM NO. EO -016 BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE CREATL'Y. AfrCH7rf!^..E APIA HO,�^H HLALTii 17!•l A: "VENT 327 L'A.0 LE "i'F:.ET ANTHDRAr- , A?.." KA 39501 CASE. d N i : crrned For James Joyce Fate Perf:7med 29 mar 1974 DC.-scrlptlo•n.: Lot 6—zii Jr�{C �3_'�'.�•I�rl�.' =o(' Mountain armstates Fcrr, Reports a: So::s�L:�- XX - rercolation- est Depth c'eet Seit lhi^._.'t" S.1C5 Location Sketch Gm The sedimenta were highly compacted with some erratic 4sand and silt layers. 1 I � i ,1 I i :1 1. �Y Was Grounu Vater Encourtered? No ;'~ � 'ies, At .-.st :eit`,c*t_ 101 Net D^c; i '�:;Pvl .Y• .tr•'w.•wr • I •...r• • • r. MINi O 11111111 11 MIN NILkliai 1 iwa�i aii .,caed;rg Cate yrpss :ire �- T e Depth :: H?^ Net D^c; i '�:;Pvl .Y• .tr•'w.•wr • I •...r• • • r. Jercuiallon FrcLos'G�nS�lrlat�'" kcrs;n ..- I. ._ _.. -- il�r.'r'(, . Ir1%i"-----•-.......__ �14 feet lefL110t ,r.lerl I. 11c lG 1'i • to- Lf tat ren -h iJ at 225 f Abd Test °erformd 5v T%rcco� i Data Cert:iied By. Gi -,i. �, ( 4VGREATER ANCHORAGE AREA BOROUCGr I �... HEALTH DEPARTMENT �.-;) CASE W 327 EAGLE STREET ANCHORAGE, ALASKA 99501 f1'` Performed For _ e_C_ Date Performed Legal Description: Lot Blocc /.�i S id_vision`L�'/r_ This Form Reports a: S0=15Log v— erco anon est Depth ' Feet. Soil Characteristics j Location Sketch i � • Sa,I�J s,i� s� Was Ground Nater Encountered?��e If Yes, At What Depth. Reading Date Gross Time Net Time Depth To H2O Net Drop erco a ion Kate Minute _ rroposea installation: Seepage Pit t/' Drain Field Depth Of Inlet COMMENTS:_ f. De th To Bottom f Pit Or Trench ��%S i Test Performed B3=. Data Certified By:.,,, Datei N MUNIC�PAUTY 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. 017-391-54 Expiration Date: 'Z - 2 V >L-1' 1. GENERAL INFORMATION Complete legal description MOUNTAIN PARK ESTATES BLOCK 13, LOT 6 Location (site address) 13031 ALPINE DRIVE, ANCHORAGE, AK 99516 Current property owner(s) PATRICK A. CARPENTER Mailing address Real estate agent Day phone _13031 ALPINE DRIVE, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ LI l2.5Ci ung Date of Payment �`(� 2 Receipt Number (91 ti t COSA # 05r 7 0 1 70 Date: 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 12/4/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of theAdw •�(� '�'Q well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q: • • • for current or future occupants or guarantee that no unseen encroachments, deficiencies or J discrepancies exist can be given by First Water Consulting & FWGS ' * . i .....•.* r 6. DSD SIGNATURE '. Curtis Huffman j System #1 Approved for bedrooms %�c/sT . .CE 128991 System #2 Approved for bedrooms 1k)k �, ROFESSIO Disapproved Conditional approval for bedrooms, with the followin �tXo% G� g WATER fq ID WAST- V ATER z �f � �1 f)))lllltti SEWN Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: MOUNTAIN PARK ESTATES BLOCK 13 LOT 6 Parcel ID: 017-391-54 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 5.4+ gpm Date drilled UNKNOWN Water storage tank volume_ gallons Total depth *187 ft Well disinfected for coliform test? ❑ Yes ® No Cased to *170 ft ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate 7.51 mg/L ❑ Nitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height (above ground) 24+ in. Collected by_ Fks Date of flow test for COSA 11/11/2020 Static water level at beginning of test 153 ft. Date of Sample 11/24/2020 Comments *PER MOA RECORD DOCS - 2010 WELL SCOPED. B. TANK DATA Age of tank(s) NEW 0 years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NEW ® Standpipes/foundation cleanout per record drawing Date of pumping NA - NEW D. ABSORPTION FIELD DATA Which system tested (date installed) 3/29/1993 ® ALL standpipes present per record drawing Total measured depth from grade 13.5 ft (max) Measured depth to pipe invert from grade ft (min) ® N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ® System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 2000 gallons Comments/Deficiencies:. C. LIFT STATION ® Required maintenance completed Age of lift station 27 years Lift station material HDPE Comments: Adequacy test date 11/13/2020 Results R Pass For 4 bedrooms Fluid depth prior to test 36 in Water added 840 gal New depth 51 in Elapsed time 1410 min Final fluid depth 22 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date FRES E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ❑ Yes if No *89+ ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ❑ Yes if No *85+ ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *MOA WAIVER. G. ENGINEER'S CERTIFICATION I certify that l 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. fir• ..� ....•::�� .. .. • .... .......:.. � Curtis Huffman / ,•,• CE 128991 ..•�®/� IP kk,OROFESSI41k��z�-L- ����,� ft ft ft ft ft ft ft ft Nitrate Advisory Certificate of On -Site Systems Approval # OSC201670 Subdivision: Mountain Park Estate, Block: 13 , Lot: 6 A water sample revealed a nitrate concentration of 7.51 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. r ai MailingAddress P O Box 196650 * Ancliorage,Alaska 99519 6650 *xwww muni org s � RAO t �n I��RAOF9 Municipality of Anchorage )A� c c14 On -Site Water and Wastewater Program (907) 343-7904_' ire€ €5 Certificate of On -Site Systems Approval Parcel I.D. 017-391-54 Expiration Date: 1. GENERAL INFORMATION Complete legal description /MOUNTAIN PARK ESTATES BLOCK 13 LOT 6 Location (site address) 13031 ALPINE DR., ANCHORAGE, AK 99516 Current Property owner(s) MARIA & STEVEN LEWIS 301-9069 Day phone Mailing address Real Estate Agent STACY HAUGE 240-2327 Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well IN Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System n Publi^ Sevv,._ ❑ I �..�cvucr Waiver/Variance request Received by: .� COSA to be released to tf NONE unless otherwise requested by the engineer. COSA Fee $_ 594.14 Date of Payment G%Bllc� Receipt Number.. COSA# 19 LS �o�9 Date: 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 SPURKLAND ENGINEERING Phone 279-3916 Address 203 W. 25TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND Date 1/27/14 .�•_..�.. 4 j OF At 6. DSD SIGNATURE :j 6 i/ System #1 Approved for bedrooms�y `:' Lz p. sP.:R=,`c.1r System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: 3 f The M`unicip' ality of horage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f .. If more than 7 septic system is on the lot: COSA Checklist* 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: MOUNTAIN PARK ESTATES BLOCK 13 LOT 6 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # Date completed Total depth '187 ft. Date of test Sanitary seal (Y/N) Y Cased to '40 ft. FROM WELL LOG UNK Static water level UNK Well production UNK WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL ft. 9.p -m. Nitrate 6.61 mg/L Arsenic NO ug/L Date of sample: 1/17/14 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Parcel I D: 017-391-54 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 1/23/14 149 ft. 8.2 g.p.m. Collected by: ANSON MOXNESS Date installed 3/29/1993 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) N Date of pumping 2/28113 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 3/29/93 Soil rating (g.p.d./ft2 or ft2/bdrm) 333 System type TRENCH Length 100 ft. Width 2 ft. Gravel below pipe 8 ft. Total depth 11'8 ft. Eff. absorption area 1600 ft2 Monitoring tube Y Depression over field N Date of adequacy test 1/23/14 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 5 in. Elapsed Time: 20 min. Final fluid depth 0 in. Absorption rate >= 600 9 p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date D. LIFT STATION Date installed 3/29/93 "Pump on" level at 24 Datum BOTTOM TANK Size in gallons 500 in. "Pump off' level at 20 Cycles tested 3 E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankilift station on lot 91 f Absorption field on lot 85" Public sewer main NA Sewer /septic service line 25_+ Animal containment areas 50+ in. Manhole/Access (YIN) Y High water alarm level at 26 Meets alarm & circuit requirements? Y On adjacent lots 1004 On adjacent lots100+ Public sewer manhole/cleanout NA Holding tank NA Manurelanimal excrete storage areas100 + SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Water main NA Water service line 10+ Wells on adjacent lots100 + ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10'+ Surface water 100'+ Curtain drain 50'+ (N.O.) Wells on adjacent lots 100'+ F. COMMENTS ' WAIVER ON FILE. G. ENGINEER'S CERTIFICATION I certify that f have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name LARS SPURKLAND Date 1/27/14 COSA brown sheet_10.10.12.doc Absorption field 5'+ Surface water 1004 Water main NA Driveway, parking/vehicle storage 10' i �P�� �r gCAsr,�j�l • E. SPURKLAND:,fr� in. Municipality of Anchorage s , Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 141019 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 13, Lot 6 of Mountain Park Est. subdivision. This inspection revealed a nitrate concentration of 6.61 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage -- Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 011-311-S4 COSA # IMO Expiration Date: 1. GENERAL INFORMATION Complete legal description Mo4nlatn Qar�_ B11c13 W (o Location (site address) 13031 Alpine, pave Current Property owners) RySSt11 /Iii Jnol aS Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent -rc a � `` #A Day phone fol - -1531 Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 91 Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Snurclz��„1� Fn4inPorinn Address_2A3 W. ic11 A,,. Sie. 2o7- Anr(.am*; AK 945DI Engineer's Printed Name Llips Sc ur_uanx 5. DSD SIGNATURE _AZ Approved for Disapproved. bedrooms. Phone 271-31110 Date t 2z EOF,A<q 11 GSr,.• J- , •S91 �i i �)::J kti�L�nG/• � 2zary,r Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other 40 By: d"V Original Certificate Date: (Rw 11105) r Municipality of Anchorage a ,.• (• Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF pON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: MounFain <A_ E$We5 1313 L(o Parcel ID: 017--391-5y A. WELL DATA Well type lriycle, If A, B, or C provide PWSID # — Well Log (YIN) N Date completed unKnowr) Sanitary seal (Y/N) y Wires properly protected (Y/N) Y Total depth 228ift. Cased to I a0 ft Casing height (above ground) } 12. in. FROM WELL LOG AT INSPECTION Date of test Unknow n t 15 1010 Static water level unii.nov n ft. 15+ ft. Well production urhnown g.p.m.(o, `� g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate 5,% mg/L Other bacteria _ colonies/100 mL Arsenic: 5.00 ug/L date of sample:1 i 10 Collected by: fan &J.- k16 AA B. SEPTICIHOLDING TANK DATA 1- TankType/Matedal Slee Atis6ro5T 1z Date installed 3 I Tank size I L50 gal. Number of Compartments Cleanouts (Y/N) Y Foundation cleanout (YIN) Depression over lank (YIN) NJ High water alarm (Y/N) t/ Date of pumping 1011S 200i Pumper Ak 6&-g, .Sa ni�cao C. ABSORPTION FIELD DATA 3 19 9 ��Ty Date Installed Soil rating (g.p.d./ft=o fPlbdrm 3.33 System type,DVPTre Length 10U ft. Width a ft. Gravel below pipe 4_ ft. Total depth ft.10 Eff. absorption area 161:OW Monitoring lube ! Depression ovef field Al Date of adequacy test 115 Y:oIO Results (Pass/Fail) Pm6 `.' ' ' FoAl bedrooms Fluid depth In absorption field before test in. Water added 15)0 gal. X 'Ngw d6pth % in. Elapsed Time: a�D�in. Final fluid depth a1 In.Absorption rate >_` (00O g.p.d. Any rejuvenation treatment (past 12 me.) (YIN & type) N0 r If yes, give date ` S lt,n R1 _50Z61 4t1N,'1+/ 2610, D. LIFT STATION Date installed 3 2q 9 Size in gallons 5OO Manhole/Access (Y/N) Y •Pump on' level at a`{ in. •Pump ofr level at In. High water alarm level at 26 in. Datum Gno om Te, yN K Cycles tested a Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 91' # r Absorption field on lot `AS +I Public sewer main A/1A Sewer/septic service line 50+ Animal containment areas so + On adjacent lots 100 +• On adjacent lots 1A0+ Public sewer manholetcleanout Alf A Holding tank NIA Manurelanimal excrete storage areas (W I - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 101+ Property line 101+ Absorption field 5 1 Water main 1011- Water service line 101+ Surface water 1001+ Welts on adjacent lots IDDi SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation 10 Water main /p 1t Water Service line I D+ Surface water IOD1+ Driveway, parking/vehicle storage 101 Curtain drain Mone knou)N Wells on adjacent lots 1,001 F. COMMENTS / (t�� p *See. Wq*%y" on tile., WtlI La;,,frz }o ISI 1 A ferr(� orA}iont Mole, G. ENGINEER'S CERTIFICATION E OFq��I I certify that I have determined through field Inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printeld Npme Lars �n4rtUc,ru1 Date 11-V l7010 COSA Fee 3 Date of Payment 1 0? E Receipt Number N-% D6 (Rev. 11105) 9TH s +�/ j • ESP ?KLA\D •; c j 115:0 •jam'/; Waiver Fee $ IX\ S.rJ"•. \�rI Oc Date of Payment Receipt Number Municipality of Anchorage .. • Development Services Department Building Safety Division ' - On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 100019 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 13, Lot 6 of Mountain Park Estates subdivision. This inspection revealed a nitrate concentration of 5.56 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 017-391-64 1. GENERAL INFORMATION �4f-,L r � I � eA 1 n( COSA# DifOLII(, Expiration Date: [I — .2-91-0 G Complete legal description Mountain Park Estates Blk 13 Lot 6 Location (site address) 13031 Alpine Drive, Anchorage, AK Current Property owner(s) John F. Stringer Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 13031 Alpine Drive, Anchorage, AK 99516 Mark Soquet / WHY USA Realty Day phone Day phone Day phone 907-727-1616 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well e❑ Individual On-site El Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ I The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal aridlor water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Finn Watkins Engineering, Inc. Phone 907-349-1851 Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis. P.E. Date 8/25/2008 5. DSD SIGNATURE _t/ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following 91Y W. Ellis CE.1oan COSA Checklist X Arsenic Advisory Septic System Advisory Well Flow Advisory Nitrate Advisory Maintenance Agreements Supplemental Engineer's Report Other By: l'✓ ��y-1� Original Certificate Date: D G, (Rw. I IM) I Municipality of Anchorage Development Services Department Busding Safety Division On -Site Water R Wastewater Program 4700 SM98w Skeet P.O. Box 196650 Anchorage. AK 99519-6650 www.munl.orglonesa (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Mountain Park Estates Slit 13 Lot 6 Parcel ID; 017-391.64 A. WELL DATA Wes type Pri If A, B. or C provide PWSID * _ Date completed 1974 Sanitary seal (YIN) Y_ Total depth 160+ t. Cased to 168+ R FROM WELL LOO Date of test NA Static water level NA R Well production NA 9 -P.M. WATER SAMPLE RESULTS: Conform 0 colonlaWl00 mL Nitrate 4.89 mg1L Arsenic: <O.005 m94 Date of sample: 817108 B. SEPTICRIOLDING TANK DATA Tank TypelMatedai STEEL Tank size 1250 gal. Number of Compartments 2 Foundation dennout (YIM YES Depression over tank (Y" NO Data of pumping 101312005 Pumper C. ABSORPTION FIELD DATA Daft Installed =QM 993 Sol rating (g.p.dAe or fe/bdrm) 333 Was Log (YIN) No I Wires property protected (YAM Yss Casing height (above ground) 40Jn. AT INSPECTION 8129/2005 150 R 9.7 O.P.M. Length 100 R. Width 3 it other bacteria 0 colonlesll00 mL Collected by; Rocky Trainor Date installed 3/2911993 Cleanouts (YIM YES Koh water alarm (YIN) NA System type veer i ►tenure Gravel below pipe 8 1 ft. Total depth 13.4 R Eff. absorption area 1600 fly Monitoring the YES Depression over bold NO Date of adequacy test 8129/2005 Results (PasalFam PASS For 1 bedrooms Fluid depth in absorption field before test 1125 In. Water adde 1d CR4 gal. New depth 26.25 in. Elapsed Time: las min. Final tiuld depth 19 ln. Absorption rate �-. 800 9.p.d. Any rejuvenation treatment (past 12 mo.) (YIN 6 type) NO If yes, give date D. LIFT STATION Date installed 3/29/93 Size in gallons SW Manhole/Access (YIN) YES 'Pump on" level at 24 in. "Pump ofr level at 20 In. High water alarm level at 26 In. Datum BOTTOM OF TANK Cycles tested 10t Meets alarm 8 cmcuit requirsmerds9 YDS E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/OH station on lot 91' waiver On adjacent bb 100'+ Absorption field on lot BS' waiver Public sewer main 100'+ Sewer /septic service line 70' On adjacent Iota 100'+ Public sewer manhoieideanout Holding tank 100'+ Animal containment areas 100'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 12' Property One 49� Absorption field 5(LS) Water main 100'+ Water service line 30'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property One 10' Budding foundation 10' Water mein 100'+ Water Service One 301+ Surface water 100'+ Drm�, parking/vehicle storage 10' Curtain drain None Known Wells on adjacent lots 100'+ F. COMMENTS: Waiver for well to tank and drainfield Drainfieids have been afiemated annually. CO at east end of 1994 trench not found. O. ENGINEER'S CERTIFICATION r I car* 11W I have determined through field inapectlfona and review of Municipal records that the above systems aro in oonbormenoe with MOA COSH guidelines in effed on this date. Engineer's Printed Name Cindy W. Ellis, P.E.Ellis E.loarr ;. Date S26120p8 ........-•^ .g COSA Fee Date of Payment Receipt Number. S\ %k (Rev. 11/05) Waiver Fee $ Data of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division _ On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsfte (907) 343-7904 12o(IFVVI e e CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.017-391-54 HAA# n505Q�1 Expiration Date: . !„ b 1. GENERAL INFORMATION Complete legal description Mountain Park Estates, Block 13, Lot 6 Location (site address or directions) 13031 Alpine Drive, Anchorage Current Property owner(s) Michael Thrasher & Pamela Christianson Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 13031 Alpine Dr., Anchorage, AK 99516 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Q Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑� Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, i verify that my Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system Is(are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system Is(are) In compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Phone 349-1851 Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis Date 5. DSD SIGNATURE —tG Approved for 4__ bedrooms. Disapproved. _/0-/0-466 Conditional approval forbedrooms, with the following stipulations: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: By:Original Certificate Date:_ /o, r z L0!L Municipality of Anchorage • '� Development Services Department Building Safety Division Onsite water & Wastewater Program :. 4700 South Bragaw, SL P.O. Bou 196850 Anchorage, AK 99519-6650 www.munkarplonsite (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Maintain Park Estates Blk 13 Lot 6 Parcel ID: 017-391.54 A. WELL DATA Well typepri If A. B, or C provide PWSID # Date completed 1974 Sanitary seal (Y/N) Y Total depth 166 ft. Cased to 166+ ft. FROM WELL LOG Date of test NA Static water WW NA ft. Well production NA 9-p,m, WATER SAMPLE RESULTS: Coliform o coloniea1100 ml. Nitrate 4.77 rngA. Arsenic: NA mgA. Date of sample: &=0 B. SEPTICIHOLDING TANK DATA Tank TypelMaterlai Steel Tank size 1250 gal. Number of Compartments z Well Log (YM) No Wires properly protected (YIN) Y Casing height (above ground) jO In. AT INSPECTION 6/29/2005 iU: ft. 9.7 9 - p.m - Other bacteria 0 colontea/100 rN. Data installed 389/1993 Cleanouts(Y/N) Yes Foundation deanout (YM) T Depression over tank (YM) No High water alarm (Y/N) NA Data of pumping11/17__ pumper A+ Home Services G. ABSORPTION FIELD -DATA- Data installed 389/1993 Length 100 ft. Total depth 13.4 ft. Soil rating (g.p.dAe or fte/bdnn) 333 Width 3 ft. System type Deep Trench Gravel below pipe 8 ft. Eft. absorption area 1600 ftr Monitodng tube Yes Depression over field No Date of adequacy test 8898005 Results (Pan/Fall) Pass For 4 bedrooms Fluid depth In absorption field before test 5 2 in. Water added1071 gal. New depth 15-25 in. Elapsed Tune: 245 min. Final fluid depth 19 in. Absorption rate k 800 g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) No If yes, give date i I' i i D. LIFT STATION Date installed 3n9/9;11 'Pump on' level at 24 in. Datum Bottom Of Tank E. SEPARATION DISTANCES Size in gallons 500 Manhole/Access (Y/N) Yes 'Pump ofr level at 24 in. High water alarm level at 28 in. Cycles tested 10* Meets alarm & circuit requirements? Yes SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAM station on lot 91 waiver Absorption field on lot W wetver Public sewer main 100* Sewer /septic service line 70 On adjacent lots 1100+ On adjacent lots 100* Public sewer manhole/deanout 100* Holding tank 100* SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 12 Water main 100+ Wells on adjacent lots 100* Property fine 49' Absorption fleld 5 (LS) Water service fine 30* Surface water 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property Una 10 Building foundation t0 Water main 100* Water Service line 30* Surface water 100* Driveway, pa*kVV9tW* storage 10 Curtain drain None known Wells on adjacent lots 100* F. COMMENTS Waivers for weft to tank and dreinf Old. Drainllelds have been alternated annualy. CO at east end of 1974 trench nd tou tL ki G. ENGINEER'S CERTIFICATION 53-1C. 'QF"" .4 q :r 1 certify that 1 have determined through Aeld inspections and r review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Cindy W. Ellis Engineers Printed Name Cl y W. Ellis Date 10/10/2005 CE.tosrr HAA Fee $ 430 ' aD Date of Payment Receipt Number .4 5 J f (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number .NCV.19.1997 ZtE3�N1 •a ASBUILT-NO CORNERS SIT 1 HEREBY CERTIFY THAT I HA FOLLOWING DESCRIBED PR01 AND THAT NO ENMOA NET+''T7�� INDICATED. IT IS THE SPO OWNER TO DETER14 EASEMENTS. COY S R WHICH 00 NOT APP VISION PLAT. UNDERh 0 ANY DATA HM -MN EE US 0 OF FIRM LINES, CR FOR ES' ART LINES 00 iVd'd'• o9 r�-sci ri0. aft 0 w'"tr.�irw W+�' ' DATcl OF THE OF ANY 6?ID CIONS E4 SUBDI- :ES MILD � rJLe 'RUCTION NQ BOUND-( DRAWN} — oN1 NO.T46 P.2 1' Y 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. # OI%— �� HAA # �������12) 1. GENERAL INFORMATION Complete legal description 1+12O NTA I N 13 k l3 L_o ,& Location (site address or directions) ISO -11 A L_p 1 N 1_ Property owner Ti�� �4SN f� 2. 141CAAE L_ Day phone '[%2 Mailing address 2. 3. Lending agency /S 1-&&V_A tAoy4 E LTGA 67c Day phone Mailing address AL Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual welly Community well 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 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 (Rev. 1/91) front MOA 121 5. 6. By: STATEMENT OF INSPECTION BY ENGINEER'- As NGINEER•- As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm r l o%bGvtV rklaKo( C Phone Address .2.03 tz/ { S/'4 in, so 3 Engineer's signature DHHS-SIGNATURE Approved for Disapproved. / bedrooms. Conditional approval for Additional Comments UlTlr Date t ¢ • -t -j p,. bedrooms, with the following stipulations: 9 Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.. 72425 )Rev. 1191) Beek MOA 921 r.....n......�.............r...,.•.-............--.n-..n...n.. nr�........... n..-nr .nn ... v. y.... .._.....^w.. '...,. ss. ..ww.. .. . ...... .. ..... .. .. .. Awl Y Ur ruw.n.,.�..... 1RONMENfAL SERVICES DIVISIO, Municipality of Anchorage DEC 4 3 1997 DEPARTMENT OF HEALTH & HUMAN SERVICESR G C [ �' [ I Environmental Services Division G Y fL 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description:HP I-= I�@k. 13+ 1,z i jw Parcel I.D.: 01'7- '54-59 A. WELL DATA Well type It A, B, or C, attach ADEC letter. ADEC water system number N1^ Log present (Y/N) N Date completed 9-7Y n Total depth > I V Cased to > / 7Y Casing height (above ground) �tJ Sanitary sea) (YM) X Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION , Date of test Static water level Well production WATER SAMPLE RESULTS: l&l J108, g.p.m. 7 g.p.m. Coliform Nitrate 3.4 7 *td A- Other bacteria N f� Date of sample: .'tC�47 Collected by: S B. SEPTIC/HOLDING TANK DATA Date installed 3/A9/9I Tank size JASO Number of Compartments OZ. Cleanouts (Y/N)� Foundation cleanout (Y/N) X Depression (Y/N) N High water alarm (Y/N) N Date of Pumping 11LIV7 Pumper A4 C. ABSORPTION FIELD DATA Date installed 3 Soil rating (g.p.dAP or ft'/bdrm) 333 System type UM rl, Length )010' Width , ?, Gravel thickness below pipe 8 ' Total depth j_ Effective absorption area Monitoring Tube present (Y/N)-,Y-- Depression over field (Y/N) _LL Date of adequacy test �4� Results (Pass/Fall) �P For bedrooms i Fluid depth in absorption field before test (in.); Immediately after 1� gal. water added (in.): , f„ Fluid depth. (Ins) Minutes later. fir Absorption rate = 300 + � t g.p.d. Peroxide treatment (past 12 months) (YM) h/ 72-026 (Rev. 3196)• f 5 es' 1 •r. 110e. If yes, give date D. UFT STATION / Date installed -,14,9 / 9"S Size in gallons 50-0 Manhole/Access (Y/N) >1 "Pump on" level at* 9 "Pump otr level at' 90 High water alarm level at" t -CD 'Datum RD #01,41 —04 +464k4 Cycles tested 1Q E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ,y Septic/holding tank on lot Q3 x6a. On adjacent lots t tt If/ // Absorption field on lot / � ftOn adjacent lots 7 / 0-0 Public sewer main N/A Public sewer manhole/cleanout N/}� Sewer /septic service line >a2-5 Lift station Q uice,(w•+ (9l't3 L - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation Ko Property line JV5 Absorption field / 5 Water maiNservice line >a; Surface water/drainage 1*4� Wells on adjacent lots i 1 ec7 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: !�( Property line 10 Building foundation j L Water main/service line 7� 5 I Surface water tA 10 Driveway, parking/vehicle storage area I O Curtain drain Nl/ O Wells on adjacent lots )p /0,E) F. ENGINEER'S CERTIFICATION I cer* that I have determined thru rie/d inspections and review of Municipal recgr Qaa?�p above'Affltems are in conformance with MOA HAA guidelines in effect on this date. j x 4 Signature -�� �e4 ° �.. e. .ao)a .ry • ,• Engineer's Name 1 olsbl �,� r Le la l� k°• Date 4� HAA Fee Date of Payment `�/3 Receipt Number 34Z / Z 72-026 (Rev. 3196)' Waiver Fee $ Date of Payment Receipt Number T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: HAA Mountain Park Estate 70 Block 13, Lot 6 PID 017-3 9,2�54 Gentlemen; RECEIVED DEC 3 1997 Municipality of Anchorage Dept. Health & Human Services December 3, 1997 We are submitting an HAA for this property for refinancing. The property was developed in 1976 with an upgrade performed in 1993. This upgrade consisted of a 100 feet long trench with 8 feet of sewer rock. This trench was approved and installed in spite of several perc tests that showed that the soil was unsuitable. The justification for the approval was that the existing system had worked for 17 years and that the surrounding properties had been developed with no known soil problems. During the next couple of years I occasionally checked the water level in the trench monitor. The most water I observed was 8 inches two years after installation. On 11/25/97 I observed 14.5 inches of water in the monitor. The residence had been switched over to the original system on November 10, 1997. The liquid depth in the crib was 14 inches. An adequacy test was run on both the crib and the trench. The trench was able to absorb approximately 300 gallons per day, while the rate for the crib was found to be 570 gallons. These measurements show that both the trench and the crib are working at a satisfactory level. Each system is capable of serving the residence, and in combination they meet the Municipal absorption requirement. Yours TSpHkIandP.E. MUNICIPALITY OF ANCHORAGE • i` 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. # of P7 " ME 6 H 1. GENERAL INFORMATION Complete legal description L.o IC 6. t> Y-,1 S Q I HOC V%t� �� FS4f_ Location (site address or directions) t 3 o3 1 AtQP>et-4- L7ri ✓� Property owner I (1 o w1.4.5 Day phone Mailing address Lending agency Day phone Mailing address Agent IR;J j ✓ #' 9 , K -e. H 2:% Day phone __ 9-76 - 27 (e r Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: I 3. TYPE OF WATER SUPPLY: Individual well Community well 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 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 (Rev. 1/91) Front MOA 121 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm l ob �� ��=- Phone X74 - 39l Address c�O 3 I,lI/ l 6 / Engineer's signature Date y1'/ l93 6. DHHS SIGNATURE X Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 51E Y9 -ACNE_ D I ETFE R , By: Date 5--- 2 6— 93 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-= (Rw.1/91) Back MOA R21 T _ �r-, �• IJ F,. t=� l- (a [V L7 F* .. E .. 203 VEST 157H. AVENUE SUITE 206 ANCHORAGE, ALASKA 99501 (901) 279-3916 Rick Jarvis Re/Max Properties Inc. 600 Cordova, Suiten 100 Anchorage, Alaska 99503 Subject: Gloria and Tom Nelson 13031 Alpine-. Drive Lot 6, Block 13 Mountain Park Estate Dear Rick; November 3, 1992 This letter will attempt to answer any -questions that may arise from the installation of the proposed leachfield on this proper- ty. As outlined before, the existing septic system that was installed in 1976, did not pass an adeq!.racy test and needed to be replaced in order to obtain a Municipal Health Certificate. We performed 5 pearc.olaticin tests on this property, but were not able to find an area that. met the minimum percolation requirement needed for• the r•eeplacernr�nl system. Pasted on our soil investiga- tion, a holding tank- seemed to Lair t.hre only acceptable solution. This conclusion is contrary to the fact: that the existing system performed satisfactory for 17 years, and that the system on Lot 5, installed in 1970, still operates without any evidence of problems. The system on lot 7 was installed in 1976, and upgrad- ed in 1982. This upgrade was the result of a substantial under design of the original system. None of the systems on Lots 5 and 7 have been tested, sa the actual performance of the are not known. Holding tanks are considered undesirable both by the house owner and the Municipality. If any other alternative exist, the Municipality would prefer that alternative. Erased on the per- formance of the existing systems on Lots 5,6,and 7, I have sug- gested an alternative that may perform satisfactory. My proposal consists of installing a second leach trench, as deep and as long as was physical possible. We do not have soil date that confirm that the soil in this trench meet the minimum re - Cl Llirernents, b u f in the worst case this trench should perform satisfactory for 3 or A. years. A liftstation with a valving arrangemu,nt to direct the wasteFlow to Pither one of the new and the existing absorption sy_,tein will also be needed. The end RECEIVED FEB 31993 Municipality of Anchorage Dept. Health 8 Human Services Page 2 Lot 6, Block 13, Mountain Park Estate November 3, 1992 result is two absorption systems. neither one of which meets the Municipal requirements, but with some care from the home owner the two in combination may worFc indefinitely. The Frey to success lays in alternat.e LASSO of the two trenches. By switching annually or- biannually between the two trenches, nei- ther one will become over -loaded, but will recover during the resting period. This will require some effort on the home owners part, he needs to examine the condition of the trenches from time to time, and ta4-e whatever action is required. If my concept is, wrong, and both trenches plug up, there are still a couple of ways to go. The most severe will be to insti- gate periodic pumping. With a holding tante, you can expect pumping every 3 to 4 weetcs. With these two trenches, a pumping frequency of 2 to 3 months may be possible. Hydrogen peroxide may also be used to revitalize at least the existing crib and trench. Yo rs Tu Spurl,land. F.E. cc John Smith On -Site Services Section Municipality of Anchorage MUNICIPALITY OF ANCHORAGE "" • .. DEPARTMENT OF HEALTH & HUMAN SERVICES T 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. # O! 7 ^ 3 9/- s -a,! HAA # �Qq a�-1 lrP� 1. GENERAL INFORMATION Complete legal description ti L•� V ►�j�' 4�n�w�-r.•� -Pitt Location (site address or directions) L 30 S (-( o; yl.c Property owner in.�a sat % >{ Day phone s qS lei s ' ------'-- -Mailing address —-..__.__ _... _ _....-...... - _.._.. - --- ..._ - p--- - Lending agency t 'Tlt{ Ni {C V. Day phone Mailing address �p Agent "Ri&L Day phone Alk /9•71k Address r 1 .. Unless otherwise. requested, HAA will be held•for pickup. 2. . NUMBER OF BEDROOMS: . 3., ;.TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system:- 4. ystem:-4. TYPE OF WASTEWATER DISPOSAL: Individual on-site _ c: 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(R".1/21) Frail MOA121 S. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage flies and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ( 0%1eta J b f Y'LdCc Gl ? Phone 0•���3� l (o Address , Engineer' IVA 6.---' DHHS SIGNATURE Toi en Sr.....id CE OFES t Approved for bedrooms. .•.-- Disapproved 5L Conditional approval for bedrooms, with the following stipulations: TNS 101EARR,#N6E0 (4A61 ggj5 ar- n4e SYSTEi�J o.v i-NrJ L o r /s A f ro.`+ PSL isNFD DFFaA! F nES/d w ED 1611-11 E&61 Additional Comments By .77 Date O- The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska.The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Ftw.1N1) Back MOAa21 Municipality of Anchorage ` Department of Health &Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L�` a k l3 MP k Parcel I.D. OI% — 'S91-5,4- A. S91—S4- A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) N Date completed I Q 79V Driller Total depth I L 2- Cased to Casing height I� Sanitary seal (Y/N) Wires properly protected (Y/N)Or y FROM WELL LOG Date of test Static water level Well flow Pump levet SEPARATION DISTANCES FROM WELL TO: AT INSPECTION ?&,/ 9 Z t 5 y ��°, g.p.m. $ g.p.m. r"M cn r I!�_ 53Z o m >s N NO m O Septic/holding tank on lot Z On adjacent lots ?L 3 z Absorption field on lot 12 3 ; On adjacent lots I Public sewer main N/A Public sewer manhole/cleanout ^1� Sewer service line > 00w Petroleum tank N l7 WATER SAMPLE.RESULTS: p Coliform Nitrate �- / Other bacteria'.— Date of sample: 4 / Y q't^. Collected by: B. SEPTIC/HOLDING TA K DATA Date installed ? qOV Tank si�0 Compartments 0 trc-2 Cleanouts (Y/N) Foundation cleanout (Y/N) Depression (Y/N) � High water alarm (Y/N)Alarm tested (Y/N) NIA j Date of pumping 2 k Z 1 Pumper - 14 at,ct G l` SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 9y On adjacent lots 14 I Foundation i 9 To property line 3 Absorption field 3 Z Water main/service line 7 St] Surface water/drainage 1� 1'0 72.026 (Rev. 7M) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed . Size in gallons Vent (Y/N) High water alarm level 'Pumpon" level at Meets MOA, electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) "Pump"off" level at Cycles tested SEPARATION DISTANCE FROM LIF' STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots' Surface water Date installed �` 9 �? Soil rating o2o�b System type 15046rf 6,L 1,40,tCA Length �� Width Gravel thickness 8 Total depth Total absorption area �8� Cleanouts present (Y/N) Xz,� Depression over field (Y/N) Date of adequacy test 7L Results (pass/fail) for P�2.- bedrooms Peroxide treatment (past 12 months) (Y/N) If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: �. Well on lot 1x23 On adjacent lots l7 Property line > 3 U To building foundation; 5 7 To existing or abandoned system on lot On adjacent lots % �� Cutbank N0" -e Water main/service line A 0 Surface water LD Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name eH `-'►u r T• = '�"� °" t Date �o ✓ b 114 Z HAA Fee $ l v Waiver Fee: $ Date of Payment `— S— y Date of Payment ReceiptNumber z7 `� 7-Z41 Receipt Number 72-M (Rev. 3191) Back MOA 21 i ,9-ec-76 lIM 5. LEGAL DESCRIPTION • MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOrENVIRONMENTAL PnOTECTION 825 L Street • Anchorage, Alaska 99501 NUMBER OF BEDR OOM *D_11� NOV 2 81978 ENVIRONMENTAL ENGINEERING DIVISION ❑ Two ❑ Five Telephone 264.4720 -RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER since June 1975. For wells drilled_prior to that date, give well PHONE RUI 8. SEWAGE DI POSAL SYSTEM 3 -302 MAILING ADDRESS If system is over two (2) years old an adequacy test is required PRO TY RESIDENT (If different from above) by this Department. PHONE 2. BUYERS ^,PHONE MAILI G ADDRESS }-K !! Y 3. LENDING INSTITUTION PHONE MAILI GAODRESS 4, REAL OR/AGENT PHONE MAILINIADDRESS -9 ��T ,►�� D0-1 lIM 5. LEGAL DESCRIPTION STREET CATION G. 41121+ Li Car 6. TYPE OFF RESIDENCE NUMBER OF BEDR OOM ❑ One Four ❑ Other N' SINGLE FAMILY •- ." ❑ Two ❑ Five ❑ - MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY P#' INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled_prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DI POSAL SYSTEM / "If individual/on-site, give installation date��. INDIVIDUAL/ON-SITE" If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-01013n8) r / \ . THIS SIDE FOR OFFICIAL USE ONLY'. a INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE " . ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING Z 2S� TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE( 1 1 e) Y BY (Title) LEGAL DESCRIPTION 72.010 (Rev. 3/78) r"1 GREATER ANCHORAGE AREA BOROUGH epartment of Environmental Quality 3330 Street, Anchorage, Alaska 99503 274-4561 jp Date Received Time of Inspection /z Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & 14ATER FACILITIES FOR 1.. Approval requested by: 11 ' Mailing Address: S/. ofU,,k-7? ��5'y� Phone: 2. Property Owner: Phone: Mailing Address: 3. Legal Description: Go%� `, �"li� r.� /'T 4. Location:G�/�/�'r'��r 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type C. Construction 7. Sewage Disposal System: B. Depth D. Bacterial Analysis- � �✓�c r rY� A. Installed B. Installer �/.�,/�� Gam:✓✓ C. Septic Tank: 1. Size / 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines iso �-- 8. Distances: A. Well to: Septic tank Ii Absorption area /L'a% ��, Sewer Lines Nearest lot line /o �� Other contamination B. Foundation to septic tank /G- / , Absorption areajf' C. Absorption area to nearest lot line 20 / 77-1— EQ-034 (1/74) Page 1 of two pages Poge'2 of two pages - Re's"st for Approval of Individual "'er & Water Facilities 'Legal Description zr Comments Approved /i' isapproved Date. Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Da to