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DEER PARK BLK 3 LT 1
Deer Park Block 3 Lot 1 #051-042-39 Municipality of Anchorage On-Site Water and Wastewater Program• (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181101 PID Number: 051-042-39 Dwelling: ❑D Single Family (SF) El Duplex(D) ❑ Multiple (SF and/or D) Project: ❑ New 0 Upgrade Name: Glenn A. Pettit ABSORPTION FIELD Address ❑ Deep Trench El Shallow Trench 0 Bed ❑ Mound 22063 Deer Park Drive Chugiak, AK 99567 El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 360-4829 6 4.0 GPD/SF 5.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.5 Ft. 0.5 Ft. Deer Park 3 1 Fill added above original grade Gravel length Township Range Section .5 Ft. 20 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 15 Ft. 3 5 Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Lift Station Tank Line 300 Ft2 Ft. Well >100' >100' N/A N/A >25' TANK ❑ Septic ❑S.T.E.P. ❑ Holding 0 Other Manufacturer Capacity Surface Water >100' >100' N/A N/A Orenco/Advantex 3500 Gal. Material Number of compartments Lot Line >5' >10' N/A N/ANA Steel 2 Foundation >10' >10' N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal. Pump on level at Pump off level at High water alarm at Remarks Existing Septic Tank Decommissioned in Accordance with MOA Code. in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank tD3034 drainfield Installer Isabelle Construction Drainfield D3034 CO/MT D3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspection 1st 6/04/18 "d 6/05/18 Location and description dates: 2 3rd 6/06/18 4m 6/07/15 Bottom of siding on North of house. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp 44,40!7c. OF 4* Conditional Approval: Date �P�• ' "Q`;t�'4. ::*: 4913 *:57. is MICHAEL E. ANDERSON : m J,'•. CE-4381 .•�`�a' ,Ikf`e��..G--ii_1g ..• �` Approve vk. C ,/ Date �o' [3 fai;RorE ;: •'• Inspection Report_9-1-12.doc DEER PARK, BLOCK 3, LOT 1 PERMIT # OSP181101 PID 051 -042-39 EXISTING SEPTIC AREA N / LOT 2 S5 \ p� ---- ���� � 20'LONG x 15'WIDE x.5'EFF. 45'"/ ~ 4. $ '8.4. � HED, .' DEPTH ABSORPTION BED. VI- \ �co c;rM1 la ALTERNATE SITE: CATEGORY III I vi SYSTEM WITH 10 W X 25'L \ C� ABSORPTION BED. APP.RATE 4 \ 3000-GALLON /� GPD/SF. A1.02 VANTEX TANK FCO'O s' \\ Ax20 PODS ,- — HOME \ I NOTE: \ i = • EXISTING SEPTIC TANK DECOMMISSIONED IN p ,o © { \... ACCORDANCE WITH MOA CODE. \ �`� G� { Ci A B C /,Q/ Fy \ 7J-�1 m LOT 7, BLOCK 2 FCO 15.6 18.9 Dp sF�\ 1 �_ DEER HORN SV1 46.4 43.7 / i-- �ti,,\ LOT 1 T. PUBLIC WATER SYSTEM C01 47.0 42.6 \ ` \ v CO2 17.8 23.6 CO3 20.3 25.0 1 \\ 3> MT1 17.5 23.8 \ I 7 CO4 26.0 30.1 1 EXIST! O• LL '..; 6 C5 15.5 37.8 ` 1 \\ z MT2 24.2 40.8 CO6 20.1 39.6 - --L- ' CO7 24.8 42.3 \ MH 40.5 21.4 \ / \ / \ / Pt AL kk NOTE: LEGEND 4v.-.-.• • ;�1` NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE PROPOSED SEPTIC SYSTEM CO-CLEANOUT j*:49 m j� *TA 9 2C0-DOUBLE CLEANOUT / j.. /4 ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH FCO-FOUNDATION CLEANOUT �F`�`'-'-�- 1_, WELLS OR SEPTIC SYSTEMS. FS-FLOW SPLITTER VALVE / . Michael E.Anderson : MH-MANHOLE �+,9F�J. �E 4381 v����/ 0 50 100 MT-MONITORING TUBE Ii\iF°P.0.4ss10 PN'+ FEET SV-SEPTIC VENT ANN. .`�� 1"=50' TH-TEST HOLE PROPERTY LEGAL DESCRIPTION PERMIT # OSP181101 PID # 051-042-39 0 0 N 0 100.4 IIL - C) 2 FINAL GRADE OG AX 2C AX 23 POD POD <) , v , 96.2 79 94.85 3500 GAL ADVANTEX SEPTIC TANK ) �� 88.9 100.9 Un i nU T=.100.4 FINAL GRADEr- OG OG DRAINFIELD ROCK GEOTEXTILE FABRIC f .....--..................................._ 95.9 4"PERFORATED PVC / (HOLES DOWN) 95.4 88.4 �' xx�\\ GROUNDWATER @ 91.4 �4. 44.4 �l 5/31/2018 AkP` ••�•'•�i��f % \ % *. 49B± 4 '74- 141 Ea-,4, ., PROFILE AS-BUILT �� Michael E.Anderson ��'•• 4831-E ���/� NEW PRQIEGTG4DFuipe lapo4pq 1 c �.'•X.41-lA,••�G' (NO SCALE) lil��\\\��1�'+ MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program PO Box 196650 4700 Elmore Road /. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http:I/www.muni.org/onsite Dc pa rtment MCN 00.pVE On-Site Wastewater Disposal System Permit 6, 7/6 Permit Number: OSP181101 Effective Date: 5/29/2018 Work Type: Septic Upgrade Expiration Date: 5/29/2019 Tax Code Number: 05104239000 Site Legal Address: DEER PARK BLK 3 LT 1 G:1558 Site Mailing Address: 22063 DEER PARK DR, Chugiak Owner: PETTIT GLEN A Lot Size in Sq Ft: 40000 Design Engineer: FORGE ENGINEERING Total Bedrooms: 6 This permit is for the construction of: El Disposal Field Q Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: The en Ire substula - disposal field and/or alternate is not ' •'- - ", oot radius of a percolation test. The Engineer needs to do an a••i io - •- -= - :••_:- •rior to the construction of the septic field. Please submit stamped and signed result ,' • - •s-built Inspection --••t #h sults require a design change, �D ()tote- construction o •- s em will stop pending On-Site review and approval. A 60-& hot "L 40Z COCOfOrtK! 64A3 CO#I Gezi co,„d at q '• cl�0 £/s,$ C0aEa Cite xyeo ✓an+e) 5rfefrl • Received By: U p' . Date: 'S /a Issued By: �/C � Date: g 7 MUNICIPALITY OF ANC . * RAGE 8 9 10 1 Community Development Department t;iiirill4) N j ne: 907-343-7904 Development Services Division gp( 1 g 'tp1$ 'ax: 907-343-7997 On-Site Water& Wastewater Program a ON-SITE SEWER/WELL PER ' ; 'PLICAT �a016 , 6c ) Parcel I.D. 051-042-39 Property owner(s) Glen A. Pettit Day phone 360-4829 Mailing address 22063 Deer Park Drive Chugiak, AK 99567 Site address Same Legal description (Sub'd., Block & Lot) Deer Park, Block 3, Lot 1 Legal description (Township, Range & Section) Lot Size 40,000 Sq. Ft. Number of Bedrooms Six (6) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field n Initial ❑ Single Family (SF) n (w/wo ADU) Septic Tank I Xi Upgrade ❑X Duplex (D) L Holding Tank n Renewal ❑ Multiple Dwellings E. Privy n (SF and/or D) Private Well ❑ Water Storage n THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Absorption Bed Width Distance:24 I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. c_ 64....4,,,,_____, (Signature of property owner or authorized agent) Permit/Rush Fees: 50 Waiver Fees: 4 2-I5 Date of Payment: 5/21/13 Date of Payment: Jt') 18 f ! r �Gy-real Receipt Number: o oeirtD Receipt Number: i ;' 6/l�I O Permit No. ()spiv to! Waiver No. diit t oO2 'v Permit App_ - • ::..c GE INGINEERING• PO BOX 240773 ANCHORAGE,AK 99524 522-7773 677-7766(FAX) June 5, 2018 Municipality of Anchorage Development Services Dept- On-Site Water& Wastewater Program 4700 Elmore Rd Anchorage,AK 99507 Subject: Deer Park,Block 3,Lot 1 —22063 Deer Park Drive Septic System Reconstruction and Permit Application Dear On-Site Services Engineer: The septic system on the above lot has failed. We are submitting this permit application for the construction of a new tank and absorption bed. The existing tank will be decommissioned in accordance with Municipal Code. The attached site plan identifies the location of the home, well, existing septic location and the proposed tank location and absorption bed. No conflicts exist between this proposed system and any other well or septic system,whether on this lot or adjacent lots. The ground surface on the lot is flat in the area proposed for the absorption bed. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Drainage arrows are shown on the site plan showing the grade and direction of flow. Storm water drainage will not impact this septic system. The new bed will be constructed parallel to the slope as much as possible. It will be a minimum of 100' from all wells and surface water, and more than 5' away from the septic tank. The existing absorption trench will be abandoned in place. The proposed bed is 15' wide. Please refer to the attached test hole log and septic design. If this design is followed,there will be no adverse impacts to adjacent properties. Sincerely, ,01,V©lk t,o /14-4-Lti, a4.4 \ At. ...... s 4918 /:),;; Michael E. Anderson,P.E. ••••• ••••• •.. r...,•••MICHAEL E. ANDERSON Attachments �I `' CE-4381 • ' DEER PARK, BLOCK 3, LOT 1 EXISTING SEPTIC AREA RELOCATE SHED TO 7 ACCOMODATE BED LOT 2 i I I I � 20'DEPTH ABS 15'WIDE x.5'EFF. J ! ABSORPTION BED. RECONSTRUCT TEST HOLE AND 71 -� g • SURROUNDING AREA TO PRE \ soy SHED ;oo rMT__Mr•�C. • EXCAVATION CONDITION. 0 • \ ..__5„.% _J �`��MHO Co• TH1 I' ALTERNATE SITE: CATEGORY III I MH SYSTEM WITH 10 W X 25'L \ L . ABSORPTION BED. APP.RATE 4 \'� I 3000-GALLON ,, co_ I••' I GPD/SF. \ A VANTEX-TAA(r 6-BDR�A f \ A7C20 PODS HOME g I I ��F oG\ \ .::� ..: . :. DECOMMISSION EXISTING NOTE: ��Q� �Cj\ SEPTIC TANK IN ACCORDANCE PLACE NEW TANK A MINIMUM OF 10'FROM \ WITH MUNICIPAL CODE I o EXISTING HOUSE FOUNDATION AND 5'FROM 9��r- s\ \I LOT 7, BLOCK 2 EXISTING ABSORPTION TRENCH. �iL� ��'��\ LOT 1 PUBLIC D WERER HORS EM \ I 1 \ ® H T I1 � EXISTING WELL I' Z m \ � A z \ / \ / \ / �,�pF`\x�\i NOTE: LEGEND 7:.ffkii •'' s,Fll� NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE PROPOSED SEPTIC SYSTEM CO-CLEANOUT AO*•49TH j\ ..314 2C0-DOUBLE CLEANOUT /••• ••• ... . �G4•,/, ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN.NO CONFLICTS WITH FCO-FOUNDATION CLEANOUT �• '' �—i WELLS OR SEPTIC SYSTEMS. FS-FLOW SPLITTER VALVE FA ' Michael E.Anderson : / MH-MANHOLE rh F.. CE 4381 ��R 0 50 100 MT-MONITORING TUBE lh_i RO ESS \�* NEW FEET - `` SV-SEPTIC VENT NN k‘ 1•=50' TH TEST HOLE DEER PARK, BLOCK 3, LOT 1 DESIGN FACTORS: SYSTEM REQUIREMENTS: 900 GPD PEAK FLOW 15' WIDE BED SYSTEM PERK RATE: 15 MIN/IN 3,000-GAL ADVANTEX SEPTIC TANK APPLICATION RATE: 4 GPD/SF 2 -AX20 FILTER PODS 900 GPD /4 GPD/SF / 15' WIDE = 15 LF BED REQUIRED (20 LF SPECIFIED) BOTTOM OF BED: 5' BELOW GRADE FLOW LINE ELEVATION: 4.5' BELOW GRADE TOP OF BED: .5' ABOVE GRADE WIiptI 6„ _ -�'=.—_..4-1''�-•=.=�j�— 0 �_ ^.II— .- — 11I. a11—. _ _AEA 11 11-1�ll - _ = — =1 = 111._ ... 1 _"=_ 71114 =_J-_#1141" __= 1=1 =11 ill - - _ ,n311--.J._. I�1"�11=1f-;If' _ _ 11 =11" II il=111=111=111 -"ill— — —' 1.1.E-111n = — ' 11=4.t= = (1'.==� j — I— —ILII : i = i1 71��int — ,, =111_1— -11 = — 1t—.:..,,.1i. 1 .z.1'...._..7',........1... 11=111=1 1 m •.._....•.•:..•-._I...._. ....•..�....._.. .•..._...... 6" O . . . . . ... . . . ... . . . . . . .-. . . . . . .:. . g" . :.. :: . . .: . . .:. . . . . . .: ' . . _. ._. * •_•.• •.#. GEOTEXTILE FABRIC DRAINFIELD ROCK 4" PERFORATED PVC (HOLES DOWN) 1 2.5' 1 5' 1 5' I 2.5' 1 'NEW RROJECTCAD'Fage 000 j00 TYPICAL BED SECTION �-'oF�`‘�l � • � . q� 111 (NO SCALE) Q).• • •. !4, •'F9 ++ NOTES: 0 �,� e. 1. GRADE AREA OVER BED TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER BED AND 4' OVER SEPTIC TANK, OR 2' WITH 2" FA -. Michael E.Anderson : 1"F•• 4831-E FyAle 3. OFINSULATION GROUONDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER ��IkFc ..F':r00\--.�'r ROf.SS10 .�. THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY `A\\N���` MUNICIPALITY OF ANCHORAGE 'P.�(�� \,`p� ,� DEVELOPMENT SERVICES DEPARTMENT /�• �4� •:, j*.4®TM i\ ••*9/ 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 �, . SOILS LOG AND PERCOLATION TEST � ra / : Michael E.Anderson• •.' /+�F•• 4831-E �`,/ LEGAL DESCRIPTION: DEER PARK, BLOCK 3, LOT I ,,i\��ROFESSIOPti�r PERFORMED FOR: GLEN PETTIT \���� Professional Engineers Stamp: DATE: 5/14/18 PROJECT No.: PARCEL ID#: 051-042-39 TECHNICIAN: J. MILLETTE DEPTII TEST HOLE I (feet) 1' OB SLOPE SITE PLAN 2 •v. !.k SANDY GRAVEL 3 '.7;F :.+`-k GP 4 .:,'!:, :7:.?.-.?:'.' 5 Pf.`i.?:!.::...5, SEE SITE PLAN k : .:/-7!''.i::. ,'...:f 6 • . - ••:1� / '''•.7•�?'is 7 '.:.f,'`." SANDY SILTY GRAVEL .. •. :' • GM 8 • ' 9 ':. 10 .;r:".�.!?:. WAS GROUND WATER ENCOUNTERED? NO :. i•: r?.r:i. ••: •::••..::: IF YES a WHAT DEPTH? :.'i•- ••% DEPTH OF WATER AFTER MONITORING: NONE 11 `'1: •'-':,: :i'?;'.'. DATE OF MONITORING: 5/18/18 it�;%1 • 9' - 5/31/18 12 ;:i•-:;.:;....:,:.,, a:' DEPTH TO LLDATE READING GROSS TIME NET TIME WATER NET DROP 13 LLLL ADAMANT SOIL (MINUTES) (MINUTES) (INCHES) (INCHES) LLLL 14 iii , 5/14 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 1 2:20 3-10/16 2 2:50 30 5-10/16 2 16 3 2:51 3-10/16 17 4 3:21 30 5-10/16 2 18 5 3:22 3-4/16 19 6 3:52 30 5-4/16 2 20 PERCOLATION RATE: 15 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 6 FT. and 7 FT. COMMENTS: Impermeable soils encountered at 12' On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121371 Tax Code Number: 05104239000 Work Type: Septic Upgrade Permit Effective Dates: October 24, 2012 to October 24, 2013 Design Engineer: ANDERSON ENGINEERING Subdivision: DEER PARK Site Legal Address: DEER PARK BLK 3 LT 1 G:1558 Owner/Address: PETTIT GLEN A 22063 DEER PARK DR EAGLE RIVER AK 995770000 Site Mailing Address: 22063 DEER PARK DR, Chugiak Lot Size in Sq Ft: 40000 Total Bedrooms: 6 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: PRIOR TO CONSTRUCTION: A new test hole located between 5 and 30 feet from the proposed drainfield shall be completed prior to construction to substantiate the approved design. The test hole findings shall include the soils log, 7 -day groundwater monitoring, and percolation test results. The proposed design shall be appproved per the new test hole results PRIOR TO CONSTRUCTION. Received Issued By. Municipality of Anchorage �� ` �L. ,I .... P.O. Box 196650 9 4700 Elmore Road N Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 vepartinent I , C4 http://Www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program **** VARIANCEIWAIVER REVIEW **** Waiver#: OSP121385 COSA#: _ Permit#: OSP121371 PID#: 051-042-39 Legal Description: Deer Park, Block 3, Lot 1 Engineer: Anderson Engineering Applicant: Glen A. Pettit Your request for a waiver of the required 50 feet horizontal separation from the absorption field to a 25% or greater slope has been approved. The approved separation distance is 8.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade .to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ..................................................... ON........ a...... an....... Waiver is Granted: x Waiver is not Granted: Date: Approved by: Name of Reviewer ..................... mn....... a........ Nadu ....... an ....... Oman ...... a ...... man, Rec#: 08775G Amount: $200.00 Date Paid: 10/24/12 **** VARIANCE/WAIVER REVIEW **** Community Development Department Development Services Division AW On -Site Water & Wastewater Program ar a Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-042-39 Property owner(s) Glen A. Pettit Mailing address 22063 Deer Park Drive Chugiak, AK 99567 Day phone Site address Same Legal description (Sub'd., Block & Lot) Deer Park, Block 3, Lot 1 Legal description (Township, Range & Section) Lot Size 40,000 Sq. Ft. Number of Bedrooms Six (6) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank NUpgrade FX-1Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: s 3o —" Waiver Fees: 10200 Q�0- Date of Payment: 10 1 1 i ar Date of Payment: /0 aU //a Receipt Number: 09 1 a le Receipt Number: 00-513,S6- Permit 0-51iSPermit No. OSP I;13'1 1 Waiver No. O g.i- Permit App_.- :L...c ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) October 14, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, Block 3, Deer Park Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 1, Block 3, Deer Park Subdivision intends to increase the size of the house to six bedrooms. We are therefore requesting a permit be issued for the construction of a new septic system to serve the home. The attached Site Plan and backup documentation identify the location and configuration of the existing septic system and the location of the new tank and absorption trenches. Also identified on the plans is the existing well on the lot. The new tank and trenches will be placed 100' from the well. It will also be located 100' from all wells in the area. The existing tank on the lot will be disposed in accordance with Municipal Code. The existing absorption trench will become the alternate site. Drainage arrows are shown illustrating the existing pattern. The drainage patterns will be maintained after construction. The test hole placed for the original septic system on the lot indicated fine sand and clean gravel (SP/GP) with no groundwater. A test hole recently placed on the lot to the north and near the new absorption trenches indicated silty gravel and sand (GM/SM to a depth of 17.5'. Groundwater was noted at 15.5'. The percolation rate was determined to be 15 minutes per inch. We have designed the new trenches for an application rate of .6 gallons per date per square foot. We are proposing to place a 38' long and a 46' long trench with both 3' wide with a 9' effective depth. The total depth of the system will be 11'. Additional fill will be placed over the completed trench to insure a minimum of 3' of cover and to direct drainage away from the trench. A test hole will be placed prior to construction to verify the consistency of the soils and the design parameters. If conditions warrant a new design a change order will be submitted for review and approval. Lot 1, Block 3, Deer Park October 14, 2012 Page 2 of 2 The ground surface on the lot slopes at a grade of 5% to the northwest in the area of the absorption trenches. A 10' high bluff exists on the lot adjacent to the location of the trenches. The trenches will be located at the base of the slope. The new absorption trenches will be constructed as parallel with the contours of the slope of the land as possible in conformance with Municipal requirements. If the tank is constructed in accordance with our design the following statements apply: 1. The tank and absorption trenches, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The tank and absorption trenches, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The tank and absorption trenches, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The tank and absorption trenches, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) October 24, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Block 1, Deer Park Subdivision Absorption Trench to Slope Waiver Dear Onsite Services Engineer: The existing absorption trench on Lot 3, Block 1, Deer Park Subdivision will become the alternate site with the upgrade of the septic system. An Advantex Treatment System has been designated as the alternate system and will outfall into this trench. Unfortunately the end of the trench is located 8.5' from a 2:1 slope which drops 10' to a much shallower slope. We are therefore applying for a waiver allowing the trench to remain at its current location. The theoretical 25% slope when extended from 2' above the distribution line daylights at 23.5' from the edge of the trench. Since the trench will be loaded from an Advantex Treatment System and the accepting soil in the trench is clean gravel (GP) the chance of effluent leakage through the slope face is remote. Sincerely, Michael E. Anderson, P.E. �' 49th _ •' � MICHAEL E. ANDERSON NO. CE 4381 i O IN I K 6ietin9 wNl i I creamy wxl ' , I -------------- ------------------------ I I �• 3 O w' •� I I i i ® ;- 1 ••�\ 6ietinn well c.mmy wal ----J I ------------- ---- C�� 0.........G q!�♦♦ := �r♦ 49th AREA MAP ' �' `..... ..............................................., 0�';MICHAEL E. ANDERSON �t ♦♦:j�T NO. CE-4381 SCALE 1' = 100' 1♦ ^ <G ......., ♦�,1"R0FESSlj,'.'e• 3 O ,Z£'66l M„91,90.00 N v °o v ' FO�rU_ 20' Electrical Easement _ __—__ —____ _ o `I cap O4yo00 ~ o Z Z H U 4 / W I IO0> `L IL�UNW ' / o W I o / Naz Em M U xm= o O �nn m__I N N F' >. h / c W Q U I1NN // (1 II ry W a� M � / CP x aN Vo O N O / �� C N > J F ' C/ -O W io Uc / Y O O Co, x w aU. a_ ° c err ■ °' V � C � U � a ��.��Ig �1 Mm e 7 �1��••� N 3 02 C C a _ C /o.. S: T: W U 0 �1�•' Flo'-�cEo 0 va`'• aawa� ♦�� ., f �Q�� LOT 1, BLOCK 3, DEER PARK SUBDIVISION DESIGN FACTORS: Six Bedroom Home Perc. Rate: 6-15 Min./Inch Application Rate: .6 GPD/SF SYSTEM REQUIREMENTS: Deep Trench System 2,000 Gallon Septic Tank 9' Drainfield Rock 6 Bedrooms X 150 GPD/.6 GPD/SF (Application Rate) = 1,500 SF Absorption Area 1,500 SF/18 SF/LF = 83.3 LF Trench Length THEREFORE: Construct a 38' and a 46' Long x 3' Wide x 9' Effective Depth Absorption Trench at the Locations Shown. Flow Line Elevation in the Trenches to be 2' Below Original Ground. Total Depth to Be 11' Below Existing Ground. Provide 4' of Cover Over Septic Tank and a Minimum of 3' Cover Over Absorpiton Trenches. Maintain 100' Separation from Wells in the Area. Place Flow Splitter Valve to Insure Even Flow to Each Trench. Natural Backfill 1'6" Geotextile Fabric 6^ U4" Perforated PVC (Holes Down) 9.01, 1 1y Drainfield Rock 3' TYPICAL DEEP TRENCH SECTION NOTE: (NO SCALE) Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Wells in the Area. Minimum 100' Separation From Surface Water or Streams: ALASKA WATER & WASTEWATER INC. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: DEER PARK ESTATES S/D; LOT 2, BLOCK 3, PERFORMED FOR: MARTY LOVEJOY DATE PERFORMED: 8/22/2000 (feet)ORGANICS TEST HOLE #1 1 — w SM MIXED W/ SOIL CLASSIFICATIONS 2 ORGANICS 5 6 7 8 10- 11 12- 13- 14- 15- 16- 17 21314151617 B.O.H 81920 18- 19- 20 COMMENTS: GM/SM/ML DATE DRY 15.5' SITE PLAN __J. I ROPOSEPI ��v c SEPTIC 1 ( { r UPGRADE I� EXI511tSG I AL7ERNATE SITE SEPTIC SYSTEM DATE GW CLOCK TIME ORG WATER LEVEL READING GP 8/30/20)0 ML AKED PERE ROLE 4+ HOURS GM CL GC SW SP _ OL MH CH DSD o 6�D -- 1 SM / OH --- 2 6:06 SC 4" 2" DATE DRY 15.5' SITE PLAN __J. I ROPOSEPI ��v c SEPTIC 1 ( { r UPGRADE I� EXI511tSG I AL7ERNATE SITE SEPTIC SYSTEM DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/30/20)0 _ PRE AKED PERE ROLE 4+ HOURS PRIOR TO TE -- 8/30/00 -- 1 ------- 5:36- — — --- 2 6:06 3D MIN. 4" 2" -- 3 6:06 — 61 — ^ 4 6:36 30 MIN. 4" 2" _ 5 6:36 —- - 6 — 7:06 -------------- 30 MIN. 4' 2" PERCOLATION RATE 15 (MIP TEST RUN BETWEEN 7.5 FT RECOMMEND USING A 0.6 APPLICATION RATE. // PERFORMED BY ALASKA WATER & WASTEWATER I, THIS WAS PERFORMTDI IN ACCORDANCE WITH ALL DATE. DATE: G Q OJ PERC. HOLE DIA. 6" (INCHES) I 8.0 FT. CERTIFY THAT ;T ON THIS FY-CIgV4r/nib ,�Y6ivrsE,OS O & E ENG JEERING & DEVEM HENT CO. Box 90, Davis St., Eagle River, Alaska 99577 �r 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG Earl Ellis 688-2280 Performedfor. Name: ��2�� /J2Ul"/47y'JU Tel.No. 537-3/.5-Z Mailing Address:- /5d X 3 - 390 3 , A 1clfo2I) GC, Legal Description: LaT /� /3LaGi� 3. �EE2 ��`1/L/C ES%/ETES Depth (feet) 0 Soil Characteristics ML S/GT %G/� SO/C 1 /' GP 5/JNO6 Y P-AVPL, ad B/3LES 2— 7-o C"'10 3 /0 6) ale,/,-, 4 5i� �/,vc 5,q"e / 4ee a113.OL. 5 6 9 10 11 12 19d77v%f 0/= /;--1/7- 13 14 15 16 Ground Water Encountered: Yes_ No ✓ If yes, what depth Proposed Installation: Seepage Pit Drain Field_ � ° a e \i1 a 2 /< a'Q V'E PLOT PLAN AID Scq LE PERC.TEST w i Performed by: Date- ■ _ 2y� ws . s dd Lo / z �uj > 20= m.®� In s© � « ' $ § >; x ��\. ®�d2' « ©:\ P s Ln ® y ° 9 y d S b _ 4 > y y Sq U \ M o U Qmq In d r y m�m my± o ®S0 m m . 5 m 2 S LO ■ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 0*_1 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ^ C1 a ` , (+t, r PHONE 7— EW ElUPGRADE MAILINGADDRES LEGAL DESCRIPTION 11 j) T l LOCATION NO. OF B DOMS_ v Y DISTANCE TO: Well Absorption area Dwelling PE IT az wf Manufacturer Material T No, of compartments to Liq. capacity in gallons IF HOMEMADE: Inside length Width —� Liquid depth 0 Y J02 DISTANCE TO: Well Dwelling PERMIT NO. RE FQ- Manufacturer Material Liquid capacity in gallons O w= DISTANCE TO: Well Foundation Nearest lot line ji PE MIT NO. J w Z F 2 w No. of lines Length of each line 3 Z/ Total length of line Trench width Vinches Distance between lines 6p p Top of tile to finish grade i Material beneath tile / J� inches Total effective absorption area �S • W Length Width Depth PERMIT NO. Q ►- wa Type of crib Crib diameter Crib depth Total effective absorption area H DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. w $ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS 3 SOILTESTRATING 9D o'18drm e JL INSTALLER C � � 4►� REMARKS y , 3 4 w APPROVED DATELE/GAL ,7 �1 / • V W s t/ J 72.013 (Rev. 3178) rr1 L_1 t-1 I lY I 1=i L I T'T ID F- A r4 r_ F: n r E DEPARTMENT HEALTH AND ENVIRONMENTAL(.�OTECTIOt 825 'L' STREET: ANCHORAGE.- AK. 99501 264-4720 1Z1 r -•l --' I T E E 114 E: F= F=' E F: r-1 I T PERMIT NO. C 820430 ) APPLICANT GREG DRUMMOND BO'X 3-3903 99501 337=-3152 LOCATION! , L 1 E: 3 _DEER PARK ESTATES S/D LEGAL L 1 B 2 DEER PARK ESTATES S/D LOT SIZE 40000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 =OIL RATING CSO FT/BR)= 90 THE REQUIRED SIZE OF THE SOILL ABSORPTION SYSTEM IS: C■EF'TH= LEr4IZ3-r 1= _-4- 0P-:H':O1=L G■EF`TH= -4- THE LEt•113TH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR. DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE I AND THE BOTTOM OF THE EXCAVATION CIN FEET). F:EC_!U I F:EG■ 'QEF=`T I r= TF=Hr-41< '. I =E= 2CEIC--IH-1 C3F1L1 f_-fr-15 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE I -JELL WILL SERVE. --- TI.ti1ri C I r•1_•F='Er,`T I 00-.1 AFSE F:E�=!1.J I F:EC■ --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTIONI. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENIDING UPOF1 THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SE14ER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F= EF P-1 I T E: F• I RE = L`■E10Er-1 E:ER s ��+ I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN1 ACCORDANCE WITH THE CODES. I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. � y 03c1r,� SIGNED: ---------------------------- APPLICANT GREG DRUMMOND ISSUEDB'r'_�3�,.1�xZSD151L�Qt91��L1[.S.�1__DATE-�Q-1=`-------- ?4.0 �2�� y SGC. ua< = MUNICIPALITY Of ANCHORAGE' Department of Health and Environmental protection .825 D Street, Anchorage, AR, 99501 264-4720 Bcunit # s HANDWRITTEN PERMIT WELL AND/OR ON-SITE SEWER PERMIT Apgiicant: Y'e,.�; r'U. ni;)i-01 Mailing Addrass:?�ydv ration: P- -f'..9 ;. Cleo! Phone Numbers ,31 Legal . Descriptions L-1 9 ?� . (�1'':� r` PAI? .t tci& Size: TyFe of Soil Absorption System Is: Trench: _ Drainfield: Seepage Bed, Molding Tank; M.Tximum Number of Bedrooms: $oil R3ting(sq.ft/br) The Required Size of the Soil Absorption System Iss DEPTH _____2_. LENGTH '-� .GRAVEL DEPTH �� WIDTH The length dimension is the length(Ln feet) of the trench or drainfield. "f depth of a trench or pit is the distance between the surface of the grourni:' the bottom oe the excavation(Ln feet). There is no set width for trenches: The gravel depth is the minimum depth of graved between the outfall 6ipe-.33 the -bottom of the excavation(in fact). REQUIRED SEPTIC(HOLDING) TANK SIZE GALLONS ` s Permit applicant has the responsibility --to inform this department during-ths installation inspections of any wells adjacent to this property and the nuai:)i of residences that the well will serve. . 0 4 } TWO(Z) INSPECTIONS-ARCTtEQUIRED Backfilling of any system without final inspection and approval by this deps- will be subject to prosecution. MLninum distance between a Well and any on -cite sewage disposal system is 10) :tor .-a. private welt or 150 to 200 feet from a public we1L depending -upon--the .._ of public well. Minimum distance from a private welt to a private sewer liy is 25 feet and to a community sewer line is 75 feet, well togs are requirel. ,And must be returned to this department within 30 days of the welt complati) Other requirements may apply. Specifications and construction diagrams are=.i available to insure proper installation. 4#} PERMIT EXPIRES DECEMBER 31, 1 9 3 2 I: certify that: (1) I are familiar with the requirements for on-site sewers And wells a set forth by the f4unicipality of Anchorage. (2) 1 will install the system in accordance with codes. (3) 1 understand that the on-site awPt system may require nnlas;gcmenti the resid ce is remodeled t nclude more that 3 ti rooms. Signe$: �; '� Issued by: � ^1, 11L _ � Appli t �.,/� SWP/024(1/81) MUNICIPALITY•"OF-ANCHORAGE ' Departmentr"".,Health and Environmentar ?rotection 825 :"Street, Anchorage, AK. ,9501, - . • : 264-4720 . PermitgaC�tl3� # * * HANDWRITTEN -PERMIT {, WELL `AND/OR ON -SITE -SEWER TERMIT Applicant:,: � r-eG l ? r k /Y1 n, 0 �1 Mailing. Address : _ ► �s ,�.3 3 �j a�� Location : Re S< -Pt Phone .Number : ' Leigal -Description:: L / 9 3 -b-e 49 Iot :Size_ : -- i Type of..Soil Absorption.System Is: _Trench: �_:Drainfield: :'Seepage'Bed:.._ Holding Tank: Maximum .Number :of `Bedrooms: ' :.Soil Ratings ft/br)_' 9 The Required ' Size .-of :the . Soil. Absorpttion System ..Is :DEPTH ,_LENGTH ._:GRAVEL.DEPTH WIDTH The .length.dimension is. the length(in •feet) of -th'e trench::or :drainfield. The 'd .epth;of a trench or pit'!is..the distance between the.surface:of'.the ground and the bottom -.of the.excavation(in feet). There -is .no =set widthfor"trenches. -the gravel depth is. the minimum depth of -gravel. between. -the:outfall pipe and .the .bottom of the-excavation(in feet). REQUIRED_SEPTIC(HOLDING) "-TAN K.SIZE'= :GALL"ONS Permit%applicant has.the'responsibility to.inform thi's:department-during;the installation inspections of any wells.adjacent.to this,property.and the•number, of residences that. •.the ...well will :serve. 7W0(2) .INSPECTI.ONS ARE_:REQUIRED * " Backfilling of.any system without.final:inspection..and.approval':by.this departmen will be subject -to -prosecution. " Minimum distance`between'a-we"•and.any.•on-site.sewage disposal system is 100 --fee for a 'private well .or 150 'to 200 •feet :-from .a -.public •well ..depending upon the type . of .:public -well. .._Minimum distance. •from. a private well to -a •private sewer line is 25 -feet and to a'. community sewer. -line _Is"75 _feet. Well logs are required.. and.must be:returned to this:department:.within 30 days of,the well completion. Other requirements may -apply. Specifications and -construction diagrams are available -to .insure proper -installation. * *' PERMIT.-EXPIRES.--DECEMBER-31, 1 9 '3 2 .I certify. that: (1) :.I lam familiar with the.-requir.ements`:for on-site sewers and wells as set forth by .the Municipality bf..Anchorage. (2) ..I.•will-.install. the.' -.system -in accordance with -codes. (3) 'I understand -:that the on-site.sewer:system may require enlargement if the_residence.1s.remodeled.to include.more that 3 h drooms. "SigneZ: Issued by: a A Applicant Date : Z SWP/024(1/81) O & E ENG114EERING & DEVELOil HENT CO. ' Box 90, Davis St., Eagle River, Alaska 99577 •r 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performed for: Name: 2 E� 2 C�/�/J%y Am Tel. No. g37 -31S -2 - Mailing 37 -31S -2 - Mailing Address: 70 3 , AVCA40,,e Legal Description: L'oT .91—'=L2 1�39/L./C EST/97ES Depth (feet) Soil Characteristics O 1 �dF�/jLES 2 /to 4) 3 4 5P /,vc :54A/ p /eco 4;Zf1&, aZ. 5 6 8 %3duc/� E,2S Tt' 9 10 13 14 15 16 ❑ r TZ) e 1�� a 2 /< d i2 / V4=- PLOT .E PLOT PLAN A10 SCgGE PERC.TEST E OF AL �9 Ground Water Encountered: Yes No ` If yes, what depth � Proposed Installation: Seepage Pit— Drain Field Performed by: M Earl P. Ellis NO. 1745-E Date: r—IZ % r>Z- Awl 4:30thu icg A f by DOC Co. dba SULLIVAN :WATER. WELLS P.O. BOX 272, CHUGIAK, ALASKA 89567 • TELEPHONE 688.2759 •OWNER OF LAND/+; = R �D b'$�r�%f DEPTH OF WELL ADDRESS y -r 14 C C+ N• i r ry �' I I LEGAL DESCRIPTION �� /'' ` i ''� �•' ' �^�� �i DATE -Started d — Ended :q I / I, PERMIT NUMBER KIND OF FORMATION Ft. to Ft. From I II Ft. to Ft. I , e. From '-0 Ft. to ISI FL .. n rr �gi,+ ✓2"v_ Ft. to Ft I � Ft. to Ft From < Ft. tFt. 4&fe0 d ,'W Ft. to Ft. From Ft. to Ft. From <� Ft. to ` ;" . Ft. From Ft. to Ft. From Ft. to—Ft.— o Ft._From From---=-* Ft. to, Ft. el ,'�•: � z ' t. MUNICIPA ITY OF ANCHORAGE From Ft. to EP z F From '• " 7 Ft. to I Ft: e., ;'. .i �► .•� r i Fram ei J Ft. to , ' Ft. N F'tv O lizi5 / Ft. to i From From --?I( 'Ft. to it Ft.'I'v From `I Ft. to "' I Ft From Ft. to l ( Ft. From Ft. to I Ft. From Ft. to Ft. From Ft. to I Ft. From Ft to " Ft. I ' From Ft. to Ft. i i I Ft. From Ft. to _L STATIC LEVEL OF WATER FT. 4! i DRAW DOWN FT. L� GALS. PER HR /0700 KIND OF CASING From Ft. to Ft. From Ft. to Ft. From' Ft. to Ft. From Ft. to Ft From Ft. to Ft From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to—Ft.— o Ft._From From—Ft. Ft. to Ft. MUNICIPA ITY OF ANCHORAGE From Ft. to EP z F ENVIRON..V:NTAL PROTECTION i From Ft. to—Ft. 11k N F'tv O lizi5 From Ft. to i From Ft. to_p�Ft��� 01F= DEPARTMENT'.,,-' HEALTH AND ENVIRONMENTAL PPOTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 WELL F=>EFRrl I -T- PERMIT PERMIT NO. ( 810099 ) APPLICANT LEE ROBBINS SR BOX 7149 CHUGIAK L_i Q sial 688-3010 LOCATION PETERS CREEL: LEGAL L1 83 DEEP. PARI: ESTATES LOT SIZE 2OM-100 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE 14ELL TO A PRIVATE SEWER. LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE 14ELL COMPLETION. OTHER, REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER, INSTALLATION. F='EFSM I T FZXF:=' IRE G>ECEMBEF; :3::3-.p 3 s?<,=:.1 I CERTIFY THAT 1: I AM FAMILIAR. WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND b1ELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. SIGNED ISSUED B V4. 0 • !It Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 SAFETY Certificate of On-Site Systems Approval Parcel I.D. 051 -042-39 Expiration Date: 1. GENERAL INFORMATION Complete legal description Deer Park, Block 3, Lot 1 Location (site address) 22063 Deer Park Drive Chugiak, AK 99567 Current Property owner(s) Glenn A. Pettit Day phone 907-360-4829 Mailing address 22063 Deer Park Dr. Chugiak, AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: [x I Single Family (w/wo ADU) [7 Duplex Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [x I Individual x Individual Water Storage ❑ Holding Tank U Community Class Well Community it Public Water System LJ Public Sewer it WaiverNariance request for: Distance: Received by: VAILititz4))/iii-_0)_( Date: /.// COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ "�', ( * s(9 Waiver Fee $ Date of Payment Date of Payment Receipt Number a 7-7 3 L Receipt Number COSA# OSC 1 '/ Zs-3 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 Forge Engineering Phone (907) 522-7773 Address PO Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, PE Date 6/11/18 OF A�qi /*:�4�9� T�H�� /� * t' 6. DSD SIGNATURE �7? `-'-L —' �� X / CMichael E.Anderson r — System#1 Approved for bedrooms �l��F . •4381-E . : System #2 Approved for bedrooms �l1�f0;p.•/l'�le••� .r Disapproved Conditional approval for bedrooms, with the following stipulations: ON-SITE 0 WATER AND • WASTEWATFR a PROGRAM �---�' Original Certificate Date: (o 7' L 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 COSA blue sheet r .: c • If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Deer Park, Block 3, Lot 1 Parcel ID: 051-042-39 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 4/07/81 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 100.7 ft. Cased to 100.7 ft. Casing height(above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test 4/07/81 5/12/18 Static water level 69 ft. 70 ft. Well production 25 g.p.m. 6.7 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 2.73 mg/L Arsenic ND ug/L Date of sample: 5/31/18 Collected by: Forge Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed �-y-t Tank size 3000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping Pumper New Construction C. ABSORPTION FIELD DATA Date installed 6/4-7/18 Soil rating (g.p.d./ft2 or ft2/bdrm) 4 GPD/SF System type Bed Length 20 ft. Width 15 ft. Gravel below pipe .5 ft. Total depth 5 5 ft. Eff. absorption area 300 ft2 Monitoring tube Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. N Any rejuvenation treatment(past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots >100' Public sewer main >75' Public sewer manhole/cleanout >100' Sewer/septic service line >25' Holding tank X75' Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: >10' >5' >5' Building foundation Property line Absorption field Water main >10' Water service line >10' Surface water >100' Wells on adjacent lots 100' ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water main X10' Water Service line >10' Surface water >100' >10' Driveway, parking/vehicle storage Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS G. ENGINEER'S CERTIFICATION _~������ - OF A`:l,l, I certify that I have determined through field inspections and ir,<P�• `) `S�j��+ review of Municipal records that the above systems are in j*: 49 TH /\ •.*Q conformance with MOA COSA guidelines in effect on this date. ,.. /„ Engineer's Printed Name Michael E. Anderson, PE �74� ( 4.---41---)-f •`tom / . Michael E.Anderson :•�j f �'F• 4381-E .•�`�/ Date 6-11-2018 111 Ikk i• R-//-/O A-' COSA brown sheet 10-10-12.doc ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND 51)C` Pro A) d 5 THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this i 3 Day of -- ')n1 of 20 18,by and between 5Ue f?Ni) 441(.5 (3 herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein,the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as 'Rt.() ��� 5ee 0 to -(11,111'1 y &? 2 b (U3 -bee Cl�hJ y r Ct. k/ k 9 967, 2 V located at(legal description). Dee., Rf\2 k L. B /3 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On-Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On-Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. • 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations,Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS,the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement,the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition,it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof,at the owner's sole expense,to pay for any and all: (1)repair(s),(2)maintenance, (3)adjustment(s), (4)replacement costs, and(5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws,regulations,rules and orders for the AWWTS. C. Upon request by the Municipality,the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor,the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance,repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof,or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended,modified or changed by a writing,executed by authorized representatives of the parties,with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement,the only authorized representatives of the parties are: a. Owner: SV S NA) FV-Arn 5 b. Municipality: Director,Community Development or designated authority C. Any attempt to amend,modify,or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: BY: (signature) Date: 40/3 --Z eT 5 /7,"-) /10/ 44- (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) �� CC The_tregoiniin trument was acknowledged before me this\ \V day of \_ 20\--lbw by `moi MAW W � APRILNotNEER JA State of Alaska NOTAR : IC •R ALASKA My Commission Expires March 10,2021 My Commission expires:cS3.0•.,13 MUNICIPALITY: (signature) Date: (print name) Title: 1 • ` --9g.::1 11.1.111161 Z '), ti\ / Z Z:0O. Oe Z 0 -)%1°-66 , D� z '')1 Z ‘.\ DI 2, z oj— o`P O g o tom' X o"� n / m. ni (v i \ ---I M / m -I / + CY) M (/) m r / 7 / .e/// + 01 0 D + J m z D o R9 \ D = �, z 'o°j + e' O m 0 O) rn c m ^' o07 )03a\ . • :hhhhhhh1hh1 � ,I zSl m 3ON301S3�1 I m mo' o J.2iOIS Z `` G7 . / N .6£z ..4'61. 91 25.00' oo m . £z£ z \ \ \ ,_ . _ \ .R. ,_ cm . ./ \ < \ \ m. . COU1y -0cn \ K \ o v r m \ m - rn C/) . \ .\. \ rn 4 ,Zc'66L 3„9L,90.00 S 30.00' _I I r I o z 7J 0 O N v I am o 1 m PLOT PLAN AS BUILT X SCALE 1” = 30' GRID NW 1558 Project No. 18-196/A2 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates , inc . (907) 522-6476 Phone 4000Opk, (907) 522-4625 Fax o 0 Professional Land Surveyors kenOlangsurvey.com v nF A•L9opp JonathanOlangsurvey.com s �o p0i`P•' ..1 I hereby certify that I have surveyed the following described property: a* 49TH /\ .•.v*O�O Lot 1, Block 3, DEER PARK (Plat No. 79-7) Q D Anchorage Recording District, Alaska, and that the improvements situated thereon are , 4 D within the property lines and do not encroach onto the property adjacent thereto, that Q - o no improvements on the property lying adjacent thereto encroach on the surveyed 0�0�� KENNETH G. .4. o premises and that there are no roadways, transmission lines or other visible 0� c�(ct(�� QD easements on said property except as Indicated hereon. ( ` 04`�'P '••.t5-520?.•.0��4 Fo Dated this the Day of _ at Anchorage, Alaska ��4ORo�SSIONA�00 It is the responsibility of the owner to determine the existence of any easements, 'OOODo�6 covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 Municipality of Anchorage Development Services Department �a 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. 051-04239 COSA#g1 OCI D331 Expiration Date: l a- 2 3- O 9 1. GENERAL INFORMATION Complete legal description DEER PARK BLOCK 3. LOT 1 Location (site address) 22063 Deer Park Drive. Chugiak. AK 99567 Current Property owner(s) Greg Drummond Day phone Mailing address PO Box 4083 Palmer. AK 99645 Lending agency Day phone Mailing address Real Estate Agent Patti Higgins Day phone 907-360-2561 Mailing Address Unless otherwise requested, COSA u771 be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class _Well ❑ Community On-site ❑ Public Water System . ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of 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 fitle (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 Onsite 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 engineers 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 Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of Installation. Name of Firm ArcTerra Consultina, Inc. Phone 868-3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 09/08/2009 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and tic ArcTerra can ot give any estimate of Therefore, of how long ' OFA41It system will function satisfactory for current or future •tQ� ••'6'•""'• 4: !1 occupants or can ArcTerra guarantee that no unseen • h . • ~•. encroachments, deficlencies or discrepancies exist or *? 491!! 1 5. DSD SIGNATURE �� Approved for 3 bedrooms. Disapproved. 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 PROGRAM By: Al Original Certificate Date: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & 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 CHECKLIST. Legal Description: DEER PARK, BLOCK 3. LOT 1 Parcel ID: 051-042-39 A. WELL DATA Well typeRP NATE If A, B, or C provide PWSID # Date completed 41711981 Sanitary seal (Y/N) y Total depth 100.7 ft Cased to 100.7 ft FROM WELL LOG Well Log (Y/N) Y Wires properly protected (Y/N) Y ZD Casing height (above ground) 18 in. AT INSPECTION Date of test 417181 8-14/2009 Static water level 69 ft 71 ft Well production 25 9.p -m. 6.2+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 cotonies/100mL Nitrate 2.42 mg/L Other bacteria 0 colonies/100 mL Arsenic ND mg/l Date of sample: 8124/09 Collected by: ArcTerra B. SEPTICIHOLDING TANK DATA Tank Type/Material Seotle/Steel Date installed 719/1982 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YM) Y Foundation cleanout(Y/N) •Y Depression over tank (YM) N High water alarm (YIN) N Date of pumping 8/22109 Pumper Sanitary C. ABSORPTION FIELD'DATA ' ,s Date installed 19/1982 Soil rating (g.p.d./fe or fle/bdrm) 90 System type Wide Trench Length 34 fL „ Width 5 ft Gravel below pipe 3_5 ft Total depth 7_5 tL EH. absorption area 31 ti fe Monitoring tube Y Depression over field N i Date of adequacy test 8124!09 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 620 gal. New depth 42 In. Elapsed Time: 30 min. Final fluid depth 1 in. i Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed Size In gallons Manhole/Access (YIN) 'Pump on' level at _in. 'Pump off" level at _in. High water alarm level at —in. Datum Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 1001+ Public sewer main 75'+ On adjacent lots 100'+ On adjacent lots 1001+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 251+ Holding tank 100'+ Animal containment areas 501+ Manurelanimal excrete storage areas 1001+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property lineS'+ Absorption field 5'+ Water main 10'+ Water service line 101+ Surfacewater 100'+ Wells on adjacent lots 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surfacewater 1001+ Driveway. parking/vehide storage 10'+ Curtain drain 60'+ Wells on adjacent lots 1001+ F. COMMENTS *FCO Inside foundation crawl space Vacant system surcharged with 2000 gallons prior to testing G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and 0--4 review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. ..... � Krnn�rh 1 : W Engineer's Printed Name KENNETH M. DUFFUS s % E 11a Date 09108/2009 ' COSA Fee $490.00 Date of Payment Receipt Number (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number 41 Honing RECO✓EREB 5/8"FEBAR G000 CaND/T/ON IYI0�1 Inc. / LOT 2 r . ' r ri r RECOVERED -" "REBAR\ BENT I, p5 I S 89059'554E 2 O. 76' Rec.) r 1 10 LIN rQ` `+'• DTIC WOOD Cs'.O O wOCO • • 2h '�J''L ` % �� � � IL't� STA/RSNC ' 13, s\ ,,�: smnc $YSTEH 2w ?e?, I7RlV£$VAY , DECK 10.0 Ien I� a _ �� ISTOF G WCL L Nay ti EXCLUSION RECOVERED 5/B' REBAR BENT lEBEND THIS SURVEY IS FOR THE USE OF LENDING INSTITUTIONS SPE- CIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING • FOUND I/7 REBAR STRUCTURES AND PLATTED LOT LINES OR EASEMENTS. LEDER NO CIRCUMSTANCES SWOU`D ANY DATA HEREON BE USED O I' GALV. IRON PIPE FCR POSITIONING ADDITIONAL STRUCTURES, BUILDING FENCES. e CLEAN OUT PIPE OR LOCATING BOUNDARY LINES. IT IS TWE RESPONSIBILITY OF TWE OWNE32 TO DETERMINE THE EXISTENCE OF ANY EASEMENT CR RESTRICTION WHICH DOES NOT APPEAR ON THE RECORDED SUBDIVISION PLAT AND TO VERIFY THAT THE IMPROVEMENTS SITUATED ON THIS PARCEL LATE MEET ALL SUBDIVISION COVENANTS AND ZONING ORDINANCES. SURVEYOR S CERTIFI I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DESCRIBED ON THIS PLAT. I DECLARE THAT IMPROVEMENTS AND VISIBLE ENCROACH - MEMS HAVE BEEN ESTABLISWED TO TWE BEST OF MY PROFESSISONAL KNOWLEDGE AND BELIEF, OF STANLEY E. SEARS, �'ij'�P • 1 f* - R.LS.2087—S /Tt:49= oo�........................... / S9 T- S.; ;;�; o �• 'STANLEY E•SEARS • o SEPTEMBER 7, 2009 � � •• u_2087 DATE `•' siAW RO�ESSIONr� � � FIN AS -BUILT SURVEY LOT 1, BLOCK 3 DEER PARK SUBDIVISION ANCHORAGE RECORDING DISTRICT `GLOBAL POSMONING SERVICES JNC. 0pibi SurrF^p /^> M•po'N Cp+•WIInI] ]O)p�],YY MM19-]Iw•�IN Vtl1MaD4i,Nl® 92 AK 99% 1509519 11558 APPLIC" NT FILLS'OUT UPPER HAU% ,ONLY Proper t: Owner 2e c�O iZ L Q IZ Gk %^V% TPhone Mailing Address Q 1 i O 3 �� G 1� � �i . �} Zip Code Buyer L V \j Address Zip Code Lending Institution \ eo \ l�v� Phone Address 0'-(0" %UG S; �S -. 3 ��N Zip code clg5 ;' c 2%L-OGCC' Realty Co. & Agent Phone Address Zip Code Legal Description Lo) „ 1 I \3 L K . '� 0 e & t2 v a (2 v/ Street Location Q e e (� �� (1(L Type of Residence Q(SingleFamily Multiple ((�J Multiple Family No. of Bedrooms ❑ Other Water Supply Individual \ q ATTACH WELL LOG. A well log is required for all wells dratted since June 1975. Community For wells drilled prior to that date, give well depth (attach log If available). ❑ Public Utility G V Sewer Disposal Z Individual Year Individual Installed: Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time 72 023 Time Time TImeAQS,-tet A Date Date Date Date ' — \ utv Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE dV�- COtnR-4- DEPT. CFH !,!T.I A, 6v- wr-* , - `_ ENVIRO��?d_NTAL PROTECTION( a Too 4''��r No t,'T. RECEIVED (S) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( )DISAPPROVED M !^ ( ) CONDITIONAL APPROVAL' 40i DATE //�� BY: L-O!:!�jW Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received 7� i - Well to Tank los - Septic Tank Size S- non tan �� Gc • J r November 18, 1963 Gre:gory L. Drummond P. O. Box 3-3903 Anchoraye, AK 99501 Subject: Lot 1, Block 3, [hoer Park Estates Approval for the individual sewer and water facilities cannot be granted until the following items have been coripleted: ° The application shows the number of bedrooms exceeds the number the on-site sewer system was originally designed for. An upgrade will be required. Prior to any upgrade, a permit needs to be issued from this department. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 2b4-4720. Sincerely, Cory Willis, F2.S. Acting Sewer & Water Program Manager 04742/e j/E1