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Home My WebLink AboutCONIFER HEIGHTS BLK 3 LT 5'0 Conifer Heights Block 3 Lot 5 #015-093-18 Sep_15.2022 09:46 AM Anchorage Well & Pump Service Inc 9072430742 #0333 P 1/ 1 MUNICIPALITY OF ANCHORAGE Aad Development Services Department # Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Date of Issue: -� Parcel Identification Number: 015 _09318 Leal Description Bloch Lot Property Owner Name Sc Address: EMILI KYLE & HOLLIN CONIFER HEIGHTS 3 5 7820 PORT ORFORD DR ANCHORAGE, AK 99507 Pump Installation hate: 09 - 13 - 2022 Pump Intake depth Delow Top of Well casing: 372 Pump Manufacturer's Name: BERKELEY Pump Model: B7P4M1021-0 Pump Size: 1 '00 hp feet Pitless Adapter Burial Depth: 1 feet Pitless ,Adaptor Manufacturer's Name: MARTI NON Pitless Adapter Installer: Well Disinfected Upon Completion? `'I Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: Company: Mailing Address, City: ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET ANCHORAGE, AK 99518 907-243-0740 State: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water&Wastewater Program 4700 Elmore St. •P.O. Box 196650 Anchorage,AK 99519-6650 •http://www.muni.org/onsite •(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191046 PID Number: 015-093-18 ❑ New III Upgrade Name: JONATHAN SCHLEDER ABSORPTION FIELD Address: — 0 Deep Trench 0 Shallow Trench 0 Bed P ound 7820 PORT ORFORD DRIVE*ANCHORAGE,AK 0 Other - Soil Rating. Total Depth from origin, . :de: Phone: No.of Bedrooms: (907) 717-8639 3 GPDISq.FL Ft. Depth to pipe invert from onginal grade: Grave :pth beneath pipe: LEGAL DESCRIPTION Subdivision: Block: Lot: g"(V 0 Ft Fill added above original grade. length: CONIFER HEIGHTS 3 5 �. Gravel Ft Ft. t ownshlp: - Range: - Section: - Gravel width: Beds Number of lines: Distance between lines: Ft. Ft. SEPARATION DISTANCES Total absorpt• area: Number of Trenches: Dist between trenches To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines Sa.FL Ft. Well 100'+ - - 25+ TANK • Septic 0 S.T.E.P. ❑Holding ❑Other Manufacturer: Capacity, Surface Water 100'+ S - - ANCHORAGE TANK 1000 Gal. 4:7 Material. Number of compartments: Lot Line 5'+ - N/A STEEL 2 Foundation 10'+ i I LIFT STATION Curtain Drain Manufacturer C: NONE KNOWN Gal. Remarks: *OLD TANK DECOMMISSIONED PER UPC PER CONTRACTOR 'Pump on"level at: "Pump off'level at High water alarm at Pump Make 8 Mod:' Electrical Inspections performed by. PIPE MATERIAL House to tank EXISTING/D3034 Tank to drainfield EXISTING/D3034 Installer A+ HOME SERVICES Drainfield EXISTING CO/MT EXISTING/D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00 F,. Dates: 1st 3/12/2019 2nd Location and Description: 3rd - 4th BOTTOM OF BACK DOOR THRESHOLD ENGINEER'S SEAL Community Development Department Approval oos000p� vv,`�.OF...• .gsp0 Conditional approval: Date: QO Q'• �I, .�h 0 0 :• 4• TIi'` . 00 / ' vil t v r/ ie - • • -ss: I _........w. Q o CE-795 o00 ..'•3/(q.11*5" /3 Approved: �-� / • / G� a .,., o pp Date: ! ( LICENSE j0rofesslo� #AECC884 oO00000�= Inspection Report_1-1-12.doc PERMIT NUMBER: PARCEL ID NUMBER: ` OSP191046 RECORD DRAWING 015-093-18 / / \ / • BOTTOM OF TANK INSPECTED BY MOA ` \ / ONSITE EMPLOYEE TIM ECKLUND I / • WELL RADAII PROFESSIONALLY I A B C SURVEYED BY SHANE HOLT,PLS. I / • OLD TANK DECOMMISSIONED PER UPC I DBL1 8.7 47.2 / PER CONTRACTOR DBL2 - 8.9 44.2 / I ST1 38.3 14.4 51.2 / I ST2 40.5 17.5 56.8 / I DBL3 41.4 19.3 60.3 / I / / DBL4 40.4 18.8 60.5 / C01 30.4 12.2 58.7 // EXISTINGDRAINFIELD / i / / --- - - .•••••• NEW 1000 GALLON STEEL SEPTIC TANK;DOUBLE _- --- CLEANOUTS INSTALLED BEFORE AND AFTER - i' / - Q/ / / -.Q / CaPTIC ' / Q�� I /// ASSUMED LOCATION / W Cr sis / OF SEWER LINE / W O / \ 14 / \ �0 4: ,.• • • A... • •• / we / \\ a 0 i \ DBL4CO1 `\��``' .:•s:••• / o /~y I CONIFER HEIGHTS; DBL3 D:2 /-\��`` vi •.: / c5 / N. BLOCK 3,LOT 6 S Ti 4:L1 EXISTING3 .• • '• / O I / BEDROOM DRIVEWAY�• / • / / HOUSE :' •• i••,± '' / / -----J----- - I �� / 10'UTILITY EASEMENT / T / /�// ��V�O\us // \�\\ / �. / 1 -00 / / CONIFER HEIGHTS;BLOCK 3,LOT 4 / \ // // \ / I \\ / / / \ / / \\ / / \ / \ / \ / // \\\ / \/00,wFL�a°o, s \\ / roo. \ I I w��D/us �� I I 7* if ..-- "....-- (I) I y`__ I I I I SC LE: I' \\ / �� I 1"I "/E 40' . \\ (!1111 44 .... , t4. GARNESS ENGINEERINGeHlit " �'��'•GROUP, Ltd4'�'� • ENGINEERING•SALES 0 CONSULTING i j' i 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507'PHONE(907)3374179'FAX(907)338-3246'WEBSITE:www.9amessenpineerIng.com u / • • • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JONATHAN SCHLEDER 907-717-8639 2 OF 3 �. �`�`e E- 9 am ss •:cam LEGAL DESCRIPTION: DRAWN BY: \ CONIFER HEIGHTS; BLOCK 3, LOT 5 D.J.G. •♦♦ •••e'• � . (q TYPE OF WORK: DATE: LICENSE♦:1 O Es\('�i- SEPTIC TANK RECORD DRAWING SITE PLAN 3/13/2019 #AECC884 1111,%�� 1 PERMIT NUMBER: PARCEL ID NUMBER: OSP191046 RECORD DRAWING 015-093-18 FINAL GRADE=99.22-99.99 TOP OF TANK 511 5T2 AT INLET=94.13 c o TOP OF TANK AT OUTLET=94.09 11' 1`�/ 01/ INVERT OF BUNG NEW 1000 GALLON STEEL SEPTIC AT INLET=93.51 TANK-RATED FOR 10'BURIAL INVERT OF BUNG AT OUTLET=93.34 V 41'**sus ',11•Si 1 • a 43 • GARNESS ENGINEERING GROUP, Ltd . ' II,. a' 'e '.* ENGINEERING,SALES*CONSULTING -, . .--- -. A II/• • 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)3374179'FAX(907)338-3248•NEBSITE.waw,gameseengineemg corn- f ♦erig . ............. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .. .. l mess 4J JONATHAN SCHLEDER 907-717-8639 3 OF 3 / _fig " • LEGAL DESCRIPTION: DRAWN BY: t v •' 1 p1 CONIFER HEIGHTS; BLOCK 3, LOT 5 D.J.G. �•♦•�•••e3 ...... P\,.•• TYPE OF WORK: DATE: LICENSE 1.1 PROFESS •,i4 SEPTIC TANK PROFILE 3/13/2019 #AECC884 MUNICIPALITY OF ANCHORAGE /0 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME _ PHO(N(rEQ NEW ❑ UPGRADE MAILING ADDRESS S csx.17a Id LEGAL DESCRIPTION Scc c� S r� LOCATION Pd r NO. OF BEDROOMS V Y DISTANCE TO: Well + O t Absor�t� n1area J D elling D PERMIT NO. r / (D a Q WI Manufacturer Matexial No. of com rtments y Liq. capacity in gallons IF HOMEMADE: Inside 1 g Width Liquid depth Jag DISTANCE TO: Wel Dwelling PERMIT NO. 0.34 Manufacturer sMaterial Liquid capacity in gallons w= DISTANCE T0: Well Foun tion /�,� ('`� i��d Nearest lot a ©� PERMI 0 -7 (P j IL Z P Z W No. of lines Lengt of ea�jipe I V[ Total length ofjinst '�7 `1 ren wi thl" ' riches Distance betty es H p Top of tile to finish rade Materi I beneath tile � • �4411j 4y.(PC) inches Total effecti absorption area W a Length Width Depth V PERMIT NO. CL H Wa Type of crib Crib diameter Crib depth Total effective absorption area N DISTANCE T0: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line // PERMITIvo DISTANCE T0: Buiirafd tion D NN �� FFJJfiJJ Sewer line t Septic tank Iojj t Absorption area(s)i OTHER PIPE MATERIALS -2-;,4- SOIL T ST RATING_ INSTALLER *-QX`C OK5, CIO DO REMARKS 1 APPR VED o DATE LEGAL t — 7e 72-013 (W. 3/78) APPLICANT SBM P. HILL SRH BOX 721-1 349 4747 LOCATION PORT ORFORD ' LEGAL L5 B] CONIFER HTS LOT SIZE 42411 SQUARE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= on THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: Jay �°�,�� ^ ID"KK-T-1-1= -1.15) 1_1=704 Cal u-_3FZF4%flE=L. THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). 011 P*_*_"E"E> ��1C: ��1--:: 1: KEE= JAC2.11#21fi-I PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE 'NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -T- 01 ��- - - - I IF"l-E -T- X 1-1040 9=1 F1 EO FZ E--* �_-A L 1 ........ ..... BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED VQT THE DEPARTMENT WITHIN 30 DAYS; OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. � �K K t-1 :1 _T �F" I FR E= in Es Es CD EE PI E3 K FR 09 IL a 1. "s W" Ef I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I ' NDERSTH E ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS TO INCLUDE MORE THAN ] BEDROOMS. SIGNE ________________________ ~--lPPLCANT SAM P. HILL c__A '� - r ISSUED BY ...... DATE __ Y].0 -- � ' �� _ ��A 1 �1 � ��l �� C3 V ��14 �K��F�C�� _ DEPARTMENT . HEALTH AND ENVIRONMENTAL JTECTION / 825 'L' STREET, ANCHORAGE, HK. 99501 264-4720 QUIT AJ EE L. 1L_ 101 hl 1-1 0 04 1 1- FEE fS. IF---- [,4 E-.---. FR. PERMIT NO. ( 780176 ) APPLICANT SBM P. HILL SRH BOX 721-1 349 4747 LOCATION PORT ORFORD ' LEGAL L5 B] CONIFER HTS LOT SIZE 42411 SQUARE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= on THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: Jay �°�,�� ^ ID"KK-T-1-1= -1.15) 1_1=704 Cal u-_3FZF4%flE=L. THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). 011 P*_*_"E"E> ��1C: ��1--:: 1: KEE= JAC2.11#21fi-I PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE 'NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -T- 01 ��- - - - I IF"l-E -T- X 1-1040 9=1 F1 EO FZ E--* �_-A L 1 ........ ..... BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED VQT THE DEPARTMENT WITHIN 30 DAYS; OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. � �K K t-1 :1 _T �F" I FR E= in Es Es CD EE PI E3 K FR 09 IL a 1. "s W" Ef I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I ' NDERSTH E ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS TO INCLUDE MORE THAN ] BEDROOMS. SIGNE ________________________ ~--lPPLCANT SAM P. HILL c__A '� - r ISSUED BY ...... DATE __ Y].0 Performed for 3610 LIU- Legal Description:4-0T GO Pi -Oct _ATER ANCHORAGE AREA BORC 1 Department of Environmental Quality 3330 "C" Street Anchorage, Alaska 99-,i33 SOILS LOG — PEROLAMN TEST Date Perfo This form reports: Soils log t Percolation test r h— hTt, LP- ' wir+-i G3'5o MUi3rCi✓ rdiv, .4 S AP Depth Feet 't-� QRJ LL Ori N G L)M/Z1L -- PENI A L I 7 A �+Zo fi 2 r�NtC Irv.., 2— o.�jj P;?,/ -r'z) 4010AA MAP, t 1j installation: Seepage Pit 1 3— S t L—( V (MISLC.`J f /V CJ 4— fILTY OP4,0-1 renc -TZI •' ) � 1 r im COM EMITS: + t rJt�€ 1d L_.�� 6— 1�' �� w --d 4; R4veL l4Nr2 ,pili_ Wo 6At3Le 8- 110- --10- lf472�50 0-1107- 12 -110fi12 14 16 ; y TrOM Gr TE .(-r P i T- Was groundwater encountered f yes, at what depth? Reading I Date + Gross Time I Net Time I Depth to Water ( Net Drop F4,uj(" Percolation rate 14 t( v�,GX , 2-00 J!' , 4Drain- Jr -Proposed installation: Seepage Pit Field 4 Depth of Inlet Depth to bottom of pit or renc -TZI •' ) � 1 r im COM EMITS: + t rJt�€ 1d L_.�� L 1 Performed By: ' fiC Certified By: ✓�- _ 1-= Date: ?f is EQ -040 (6174) � `��','c" G ' 2 or,; c. +3) ID -� 0 cd 01 cq 4): W M 411 4J 4$ 44 A V W 0 cd Eq 4) t,1 Wb, WI 4 bo i -ri 00 W a. >i '01 4-4 $3 Cd... Pq cd; Ed a (a 3�` W 0 Cd! 44 Go.' 94 Ni%n cd 01 cq cci C�4 N cd Eq 4) t,1 Wb, WI 4 bo i -ri 00 W a. >i '01 4-4 $3 Cd... Pq cd; Ed a (a 3�` W 0 Cd! 44 Go.' 94 Ni%n Iq TTI- CTT ) G) 0) VJ r— r— `'J lMJ I- O C) 0') G) II A f1 0 L o LL ;Ir ry� c <=ice G� 0 (DU A ^ Ev /v^ vl co co N cn /v� 06 VJ L CU E Q _O v cn 1100 A LO N O N LO d' iv C 0 X W 0 0 O M1 W CDr I C'7 L6 T11O U co CL LO F— J M Y J m W 2 1w LL 0 U c O U U) v 0) v J O LO G) Q v c: ca 0 U 0 0 LL Of 0 I— C) N 00 ti U) U) N ca v U) T N O 0 v co 0 v O Q Q co v L _cu cn cn O v X .i O N 0 N m O U N CD N r LO 6 cc N cu U Q) U m C O N N d O O0 O N A CL U)cU /� 0 0 �a) E cu C L � c _ O a °' Eb v X NU a i O cu 0 O O + _ '^^E y N T ,, W O 0 0 L O _ v 70 0 -0 > N p N i � o Q Q U 0 O 0 'N Z Q N �.. j N C i fZ E O O ca v p Q. L O Q. Q E a) i N V v = O E O X 0 cuM O U) Y cu W Q 0 N Ln > U) 0 � O ¢ L1 0 , O O Y O 2 v U `0 O > O. U LL a m L O p� y O U C o v U.N O — H a" a L .-- i _ N� ai � m O) Z L I O-0 � v co O -- m O cu = C) Q I— O U � t aNi U N N N d a) 06 n. ?; 0 W) CO > cl 0 c 0 O CL U) E C/) C- 0 4- 0 N 4- CCf IR V- 2 (1) C) L - cu In C/) cu Ni I 0 CL >1 co w V- UJI U) 0 CL 0 W Ap" U - (D Kwill r E >, cu 0 a) cu r) a) C) U) LL 0 = CO U) .E N CL U) CL L- 0 El 0 0 a) U) CL C"i R 0 0) 0 .0 > E U) U) 0) 0 21 0 U- + CY) m El CL CO Cl) IL cm (D 0) U) ❑ :20 U) A 0 U) a) 0 c: > 0 0 C) (D 0 s- ca 0- CL LU U) L- C\j r- R 0I- C 0.0 > Co (D co 0 U) U) CU E 01- Z CL FE - U. Cl >- R 0 yO LU N J CL uj ❑ E a) (D U) 0 Cl) co U) (D U) (D W WLn 0 W :3 >, (n CO > -0 cr U) CU Z 10 >- z (D 0 0 u 0 0 L) cn uj uj a. a. CL (D Cl) 0 U) < X > cq C4 d ui to Lli -W Ap" U - (D Kwill r E >, cu 0 a) cu r) a) COSA Checklist.docx COSA Checklist Legal Description: CONIFER HEIGHTS BLOCK 3, LOT 5 Parcel ID: 015-093-18 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 4/27/1978 Total depth 400 ft Cased to 185 ft (ASSUMED – per MOA file) Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/15/24 Static water level at beginning of test 267 ft. Well production at time of test 0.8 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 04/05/2024 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 49” Date of pumping 4/15/2024 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 5/11/1978 ALL standpipes present per record drawing Total measured depth from grade 9 ft (max) Measured depth to pipe invert from grade 2 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective 6.9’ of 7’ ED Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 6/15/24 Results Pass Fluid depth prior to test 66 in Water added 500 gal New fluid depth 83 in Elapsed time 360 min Final fluid depth 66 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 84 in (MOA 7’ ED) Effective depth used 67 in (Final Fluid Depth & Missing 1” ED) Effective depth (ED) remaining 17 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximate with 6.9’ ED within 1” of 7’ ED. System operating in the top 1.5’ of the ED. 83” fluid depth is the sump invert with no backing into the double cleanout and septic tank. The north portion of the field has less than 2’ of cover. See previous issued 2019 COSA comment. Most of the absorption field has 3’++ cover, there has been no known frost issues & the north field portion is in an undisturbed area where snow can add additional insulation factors. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 04/24/24 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 the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 04/24/24 From:Kyle Emili kyleemili@gmail.com Subject:Re: COSA - 7820 Port Orford / CONIFER HTS B3, L5 Date:April 30, 2024 at 11:25 AM To :Brent Western ﬁrstwaterak@gmail.com Brent, We have not had any freezing issues with our septic system since we have lived here. Thank you, Kyle Emili On Tue, Apr 30, 2024 at 11:21 AM Brent Western <ﬁrstwaterak@gmail.com> wrote: Per the MOA: "Please have the owner write a note that they have not had any freezing issues in the past. Email format is fine.” Please send us an email accordingly. Be Safe, Thanks! Brent M. Western First Water Consulting Services ﬁrstwaterak@gmail.com Ofﬁce: 907-350-9566 LLJ E E 4-J u Q) u tj Q) 0 E u 0 CL m 3: u I -j z 4-J u LL. W 0 0 4-J U u +, 0 L 4-J U V) UJ .0 r{ V) CLa) LIJ 4� rU to V Ln 0 7 5 > 0 Q. LO Ln 4-J 0 U 0 co V) uj —L Lr) U� Ln u < L Q) V) C uj Ln c O V) W 0 u ca 0 -1-j Q) V) 0 bn -a ra > _0> 0 L- LLJ L- Ln Q) u x Q) 4--J U u E -0 C: cu Q) 4-j fB ;7 - 4-J -1-j ro 4-J E 0 > v) 0 E J LU 41 auj 0 co: ,Ott, E E 4-J u Q) u tj Q) 0 E u Ln CL m LI.- 0 Q) I -j U 4-J u O W 0 0 4-J U u +, 0 L 4-J U V) -0 r{ -2 UA0 00 0 0 4-J 4-;' to V Ln 0 7 5 > 0 Q. LO Ln 4-J 0 U 0 co 6 (v -0 0 -4-j E L- Q) —L Lr) U� Ln u < L Q) V) C E Q) cr E =3 E a) E 4-jC) +, c O V) W 0 u ca 0 -1-j Q) E 4-j V) >- Ln Q) to 0 0 L+- L - u V s Q)L 0 u 0 V) _0 Ln -a ra > _0> 0 L- ,- . F- u -0 0 L- r6 O Lo Q) 4-J E L- Q) tD Ln Q) u x Q) 4--J U u E -0 C: cu Q) 4-j fB ;7 - 4-J -1-j ro 4-J E 0 > v) • • Municipality of Anchorage •, tri i_ On-Site Water&Wastewater Program < 0;1 f: (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-093-18 Expiration Date: lO—1 "( — i? 1. GENERAL INFORMATION Complete legal description CONIFER HEIGHTS; BLOCK 3, LOT 5 Location (site address) 7820 PORT ORFORD DRIVE*ANCHORAGE,AK Current Property owner(s) JON SCHLEDER Day phone 907-717-8639 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: • Single Family (w/wo ADU) ❑ Duplex p Multiple Dwellings(Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well • Individual On-site U Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site 0 Public Water System 0 Public Sewer 0 WaiverNariance request for: N/A Distance: - Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee$ cSd• 60 Waiver Fee$ Date of Payment 03'1 Cf l l Date of Payment Receipt Number 02—q116 Receipt Number COSA# OSC]Q 11,014 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are)safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE,AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 31(1//i9 Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the �ii��11‘11 guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the �44 OF 4 .t♦ condition of the systems on the dates of the evaluation.Separation distances were measured to readily identifiable features. amu" `� r �• Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic .. systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate during • — 0 the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the system/s.These 4t '' 9 =,••:* tconditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the A systems;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. A • GEG makes no representation whether an alternative well or septic system can be installed on the properly in the event either of the ..... .. • current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the •••,,•,••• .ff A�Giam- s i W Or information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not 0•6) I -79 3 .• f authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. I -P ,• �: #.�,.;••••3 . ! .1.10 c . 6. DSD SIGNATURE LICENSE s4ti E• 1 .4.4 #LICEN 84 System#1 Approved for bedrooms. System#2 Approved for bedrooms. ;•�0 , �1 /4Y // Disapproved. )N L ON-SITE /4t Conditional approval for bedrooms, with the following stipatio�ATER AND m F„ WASst, PROGRAMTEWATER SVT SER\AC' O ci By: 1 ,,..... ( Original Certificate Date: 3 t, —t q The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the represenatations 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. ATTCHMENTS: COSA Checklist 7`- Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10/12/12) COSA Checklist Legal Description: CONIFER HEIGHTS; BLOCK 3, LOT 5 Parcel ID: 015-093-18 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 0.984 gpm Date drilled 4/27/78 Water storage tank volume N/A gallons Total depth 400 ft Well disinfected for coliform test? ❑ Yes ❑■ No Cased to *185 ft ❑■ Coliform bacteria is Negative ❑■ Sanitary seal is functioning correctly Nitrate 0.36 mg/L ❑ Nitrate less than MRL (ND) El Wires are properly protected Arsenic ug/L ❑� Arsenic less than MRL (ND) Casing height(above ground) 12+ in. Collected by GARNESS ENGINEERING GROUP Date of flow test for COSA 2/26/19 Date of Sample 2/26/19 Static water level at beginning of test 231.1 ft. Comments *ASSUMED CASED TO BEDROCK B. TANK DATA C. LIFT STATION Age of tank(s) NEW years ❑ Required maintenance completed Tank type/material Age of lift station N/A years ❑� Standpipes/foundation cleanout per record drawing Lift station material N/A Date of pumping NEW Comments: N/A D. ABSORPTION FIELD DATA Which system tested (date installed) C-(1-73 Adequacy test date 2/26/19 ❑■ ALL standpipes present per record drawing Results E Pass For 3 bedrooms Total measured depth from grade 9.0 ft(max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 2 ft(min) Water added 500 gal ❑ N/A— pressurized field New depth 7 in ❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 40 min depth into effective'6-91 ❑ Code-required soil cover over field Final fluid depth 0 in Absorption rate 450+ gpd ❑ System presoaked NO (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) N/A Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: 'SUMP"DRAINFIELD HAS APPROXIMATELY 1.7'OF SOIL COVER AT SUMP COSA Checklist yellow sheet CA-/ 31 040 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' Community Sewer Manhole/Cleanout> 100' 2 Yes if No ft 0 Yes if No ft Neighboring Tank> 100' ✓❑Yes if No ft Private Sewer/Septic Line >25' 0Yes if No ft Absorption Field on Lot> 100' ['Yes if No ft Holding Tank> 100' ['Yes if No ft Neighboring Absorption Fields > 100' Animal Containment> 50' 0 Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations> 10' 0 Yes if No ft Surface Water> 100' ['Yes if No ft Property Line > 5' 0 Yes if No ft Driveway/Parking > 0' 0 Yes if No, comment Absorption Field > 5' ['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' 0 Yes if No ft Community Wells >200' ['Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ['Yes if No ft Driveway/Parking > 0' n Yes if No, comment Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells> 100' ['Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells> 200' 0 Yes if No ft Surface Water> 100' [' Yes if No ft F. ENGINEER'S COMMENTS 0o600N�� G. ENGINEER'S CERTIFICATION ,c OF ))k 4�N I certify that I have determined through field inspections and review O of Municipal records that the above systems are in conformance with /�* :' 4 I i T /\ 7;00 MOA COSH guidelines in effect on this date. j l D .... 0 f r. •. Gam: s. I OQ09 /. CE— \cO,O llQ0'-e **3/01• .jgcl\ONo COSAChecklist yellow sheet 4�� r�fess�Qd� #AECC884 DD000 MUNICIPALITY OF ANCHORAGE • DEVELOPMENT SERVICES DEPARTMENT / r 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On-Site Systems Approval # OSC191074 Subdivision: Conifer Heights, Block: 3, Lot: 5 This well's productivity was determined to be .98 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3-bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.0. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org . ,._________._________. 4 _._._____ ....... _______ _. .______ ....... __.. ......... ,.. ..,.. ........ ..., ....... .N. N N 83 30'49.38 \ �rIIB \ .. \ 0 \ \ \ \ \ tl I i 1 kk11 Qi I rI I • HI W ,. I • I r' I +Ir ,..'11 I • .. I/ r, Q I 1 r e Fi. 111111' • l) O I ikjil --As_ iI f I 1Iµ0(0 ( 41 m•umorto AR r. - wit N8630'W15000 I I I oo000p� SOF At�k14 14 O1c TH 1. ..000 AS-BUILT SURVEY 1" = 30' a* : 49 — . * 0 QO y • : o NO CORNERS SET THIS DATE A O SHANE A.HOLT• \l OY G LS-6914 • O� HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY 0°a • d Gy SURVEY ORDERED BY: OF THE FOLLOWING DESCRIBED PROPERTY Alk\x /essioMaloo� DAR WALDEN® LOT 5,BLOCK 3,CONIFER HEIGHTS SUB. 0000000 KELLER WILLIAMS ANCHORAGE RECORDING DISTRICT,ALASKA.AND THAT THE /THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SNOW ANY VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS DATED AT ANCHORAGE,ALASKA THIS 13TH DAY OF NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES. IMPROVEMENTS. OR FENCELINES• • EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN MARCH ,2019 HEREON I UNLESS INDICATED) NOTE; FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE• HOLT LAND SURVEYING / 9309 GROVER DRIVE / ANCHORAGE.AK 99507 14164 FB 195 32 345-5513 B • '� Municipality of Anchorage b}>, On -Site Water and Wastewater Program (907)343-7904 s.,..; Certificate of On -Site Systems Approval Parcel I.D. Q Q 3 --(V 1. GENERAL INFORMATInti Complete legal descripti Location (site address) Expiration Date: 1-16-15 Current Property owner(s) Mailing address Real Estate Agent Day phone Day phone r 2. TYPE OF DWELLING:. � L� Single Family (w/wo ADU)s`r f ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) a 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual 179 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ '5- i 3Iri (y `ra��(, (/D Date of Payment (li � (t,( ck 134 Receipt Number COS A# 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 1`*T( '<-,C /,( 4, - o A u.7 q C-7-1 r�2 Phone f-( Address 14(0(2 ( � & 4 -in, 4L- aC, Engineer's Printed Name Alt 1C AJ I CrU1-Ort Date 6. DSD SIGNATURE JL System #1 Approved for 3 bedrooms System #2 Approved for _ bedrooms Disapproved Conditional approval for - bedrooms or •f��yss d ' 49TH litIJIICH;kI:U fV tA/�Np`DEIRSot d with the following stipulatio\sti�odv° By �zi Original Certificate Date: The Municipals- ty of Ao-rage 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 sheel ! 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: C(an.; I IN 9n�k L o4- s Parcel ID: 0157— A. %15'_A. WELL DATA Well type JIf A, B, or C provide PWSID # Well Log (Y/N) �_ Date completed H 27 7 8 Sanitary seal (Y/N) Wires properly protected (Y/N) Y_ Total depth q UD ft. Cased to ! `�—ft. Casing height (above ground) 1 Z in. Date of test Static water level Well production FROM WELL LOG JI C q til % A L! k "am"'I ft. 2,. i g.p.m. AT INSPECTION Z% aL�Ge� 232-t. 0r g.p.m. WATER SA LE RESULTS: qq Coliform /5 colonies/100 mL Nitrate 0 2 T � g/L Arsenic (!l ug/L Date of sample: i Collected by: /�%tr/y.I B. SEPTIC/HOLDING TANK DATA, Tank Type/Material it' c( Date installed .5-111(z e Tank size (v OD gal. Number of Compartments 7/ Cleanouts (Y/N) Y Foundation r_.Ipnn(n it rV/Nl flonrcec;nn n_cr 4e nL /VIKI\ u;—. .....a..�..1,....., ivi.n v��//. ..: �iiii( IIIyY✓utGl GlGllll �l i Date of pumping `t Z 1 Pumper /�!-rvun i Ekc- e 6 r Cc. L ti d 1 1 C. ABSORPTION FIELD DATA Date installed S 1 7 Soil rating (g.p.d./ft2 or fV76dr'rN Zoo System type +V rvlr` Length r- �� ft. Width S ft. Gravel below pipe �_ ft. Total delith ft. Eff. absorption area5�9a ft .Monitoring tube Depression over field1% Date of adequacy test 2 f c{ XResults (Pass/Fail) b SS Fluid depth in absorption field before test 3 y yr in. Water added gal. For bedrooms New depth 5 f0 It in. W qr Elapsed Time: r q4 min. Final fluid depth �9 .. Absorption rate >_ (S D g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date--- 'k- ate 'k- P( -It Soak. eui �/ I2vr9 941(w,g p000 �-o 4..,64. D. LIFT STATION Date installed _ "Pump on" level at Datum E. SEPARATION DISTANCES WELL ON LOTTO: Septic tank/lift station on lot Size in off" level at Cycles tested l Vr7 / Absorption field on lot /00 r Public sewer main Sewer /septic service line .5-214— Animal 5-2r4 - Animal containment areas tc� D 't'- SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Wells on adjacent lots 100 t F ABSORPTION FIELD ON LOT TO: r Property line to 4 - Water Service line 60 r Curtain drain 14 t9 h e-� F. COMMENTS G. ENGINEER'S CERTIFICATION Manhole/Access (YIN) _ in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots I' 0 0 r On adjacent lots. Q Qr Public sewer manhole/cleanout Holding tank Manurelanimal excrete storage areas /V d r Property line Absorption field r Water service line 5 D 'f- Surface water Rin Building foundation L 0 4 Water main � Surface water 10 a '�- Driveway, parking/vehicle storage Wells on adjacent lots / V d f+ l 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. Engineer's Printed Name ��C,A( n d,ef6oHY'�e Date (0 COSA brown sheet_10-10-12.doc OF n yam• V!/ ..:..:T, • .........� • r' -p • MICHAEL N. ANDERSCN �• CIE 9 Municipality of Anchorage s Development Services Department u Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) 4 141534 During a recent COSA on-site inspection and test of the potable water supply well on Block 3, Lot 5 of Conifer Heights subdivision, the well's productivity was determined to be 0.85 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. 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 8 Wastewater Program i 4700 Bragaw Street P.O. Box 196650519 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPR VAL FOR A SINGLE`FAMILY DWELLING Parcel l.D._Q11993 - pa COSA# 1. GENERAL INFORMATION Expiration Date: Complete legal description CONIFER HEIGHTS S/D: BLOCK 3 LOT 5 Location (site address) 7820 PORT ORFORD • ANCHORAGE AK • 99516 Current Property owner(s) MIKE do LEIGH MCDANIEL Day phone 274-1882 Meiling address 7820 PORT ORFORD •ANCHORAGE AK • 99516 Lending agency Day phone Mailing address Real Estate Agent JULIE JEWEL W/ DYNAMIC Day phone 223-3211 Mailing address 3801 CENTERPOINT DR. N200 + ANCHORAGE AK • 99507 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Water Storage ❑ Individual On-site Community Class Well ❑ Individual Holding tank ❑ Water System ❑ Community On-site El 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 samples. (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 erify that my As certified by my seal affixed hereto and as of the validation date shown below,Systems Approval Guidelines for this application, investigation, based on procedures outlandsned or wan the C stewater wale disposal On-Site, arm is (are) safe, functional and adequate shows that the on-site water supplyrther for the number of bedrooms and type of structure indicated herein. 1 fumy investigation and inspection, the information obtained from the Municipality of Anchorage files and from my on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD. SURE 101 • ANCHORAGE, AK 995( Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: vide a thorough, In conducting this evaluation, GEG, LtD. attempted to pro conscientious engineering analysis of the system In accordance with ECa d o/Of1Aie DSD Guidelines d Regulations. The reported results described the pe system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells end septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. de the control of the evaluator of the system. Sat stal o resultsThese do guaritions antee future performance of the system, nor do they guarantee that t there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system war continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the e of this port others ciperson the owner is not listed above..Any nor will it reliance ranynor legal right right any oever 5. DSD SIGNATURE _Z Approved for bedrooms. Disapproved. Conditional approval for Phone 337-6179 t3 10 DateE 06000 o pF A 11N 4 ....... of y A Ga QQ ss or E 953 bedrooms, with the fllowing stipulations: QP�,.....,•:�r0' ON-SITE WATER AND •:'�' •.WPROGRAMR p. w" Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Supplemental Engineer's Report Well Flow Advisory Nitrate Advisory Other l� a�.�- Original Certificate Date: By: [R".11M) Municipality of Anchorage (' Development Services Department d _ Building Safety Division On -Site Water 8 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: CONIFER HEIGHTS S/D• BLOCK 3 LOT 5 Parcel ID: 6) /S— 0 q 3 A. WELL DATA Well type PRIVATE If A. B, or C provide PWSID# N/A Date completed!/27/1978 Sanitary seal (YIN) YES Total depth 400 ft. Date of test Static water level Cased to 185 ft. FROM WELL LOG 4/27/1978 UNKNOWN ft. Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 5/5/2010 250' ft. Well production 2.5 g.p.m. 1.05 X.P.M. WATER SAMPLE RESULTS: Coliform colonies/100 ml. NitrateQ.3 7-&ng./L. Other bacteria Q Arsenic:<s• Uug./L. colonies/100 ml. Date 5 ofsam le: 5 2010 P �.._ Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA *DOUBLE CLEANOUTS PRIOR TO TANK Tank Type/Material SEPTIC/ STEEL Date installed 5/11 /1978 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) *YES Depression over tank (Y/N)NO High water alarm (Y/N) N/A Date of pumping — 9/25/2009 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date Installed 5/11/1978 Soil rating (g,p.d./ft'o /bd 200 System type TRENCH Length 59 ft, Width5 ft. Gravel below pipe 5 ft. Total depth x.75 ft. EH, absorption are a590 ft' Monitoringtube YES Depression over field NO Date of adequacy test 5/5/2010 Results (Pass/Fall) PASS For 3 bedrooms Fluid depth in absorption field before test 38 in. Water added 450 al —9 New depth 52 in. Elapsed Time: 120 min. Final fluid depth 48 in. Absorption rate >= 450+ 9-P.d. Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) NONE KNOWN If yes, give date — •7' 0 END OF TRENCH PER 1978 INSPECTION REPORT. D. LIFT STATION Date installed "Pump on" level at In. E. SEPARATION DISTANCES Size in gallons Manhole/Access (YIN Hi h water alarm level at In. "Pump oft" level 9 Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line2.�— Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ' Absorption field 5+ Building foundation5'+ Property line 5'+ Water service line '+ 10Surface water 100'+ Water main N/A Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main ---------N ZA Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION �pd�`C�• " a 1 certify that 1 have determined through field inspections and 0:... .......... review of Municipal records that the above systems are in 0 conformance with MOA COSA guidelines in effect on this 0 ..... .. .......... date. f A. rness.* JEFFREY A. GARNESS Q CE -79 3 �i Engineers Printed Name `', 4 �; �••�1!� .Its'' �Qod S i l 311 DO°° P� Date � �4oa°f°�oo COSA Fee Waiver Fee $ Date of Payment a(— Z 1�-- Date of Payment Receipt Number �JReceipt Number (Rev. 11105) T s 83'30'00" tN O'P 49.38' O gyp. � O � � L n 1 tO 1 N LOT 5 ' 30 LOT 6 r1 0 C) / o o a. M O � I ryeo I =3 45.3 o / _ It V wN�TE - � - - 10' UTILITY EASEMENT O SRI VE d S 86'30'00" E 150.00' 000004 LOT 4 30' �.......... q��00 D DO o nth y P .. on.- •g QG r� LS -9020 O�1 04p�op............... ........... • • •o�eoP„ / prof a a sionox %.a NOTE: THIS DRAWING 15 NOT TO BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. eqd Description: AS—BUILT Ordered Br Julie Jewel with Dynamic Properties 1 ..lurid, .�---� Lot 5, Block 3, Conifer Heights Subdivision LAND & CONSTRUCTION SURVEYORS—FLANNLKZ—&'.V' 440 west Benson Boulevard, Suite 200 Phone: 561 Ar,nhnrnne. Alaska 99503 pot: 71-190 Iald: 2440 www Order: 2010-1-89 IRefF. 20021_405 septic standpipe© Water wen 0 t"iovehMgPr Fence—X—X— SURVEY CERTIMATION: LANTECH has conducted o physical survey of the an she" an Wltll proper' y thereon we )thin the roperty firm and " "aWchis dra�lnq and �*Ftl!108 that the mrenvtiexist other than noted. EXCLUSIONARY NOTE: It Is the owners reepanemYlty to determine the right—Of—wOy eeNte "0 of any easements. eaVMMla. restrictIVI Orr laking, which do not appear M the recorded suadlNslon plat. Under no circumstances should any data hereon be used IV eonetmetiM. IP establishing property Ione,. P for plot—pion purposes. May 17 2010 Drawn BY C8 •, ,s_dn• Checked By. APH __ Municipality of Anchorage Development Services Department ." V Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-093-18 HAA# /?*0? eD L19 / 1. GENERAL INFORMATION Expiration Date: /Z/24,P? Complete legal description CONIFER HEIGHTS SUBDIVISION; LOT* 5, BLOCK 3, Location (site address or directions) 7820 PORT ORFORD DRIVE ' ANCHORAGE, AK 99516 Current Property owner(s) LORI ROTH k CHRISTINE CRAWFORD Day phone 346-1067 Mailing address 7820 PORT ORFORD DRIVE • ANCHORAGE, AK 99516 Lending agency Day phone Mailing address Real Estate Agent CYNDIE PARTCH w/ PRUDENTIAL J.W. Day phone 762-5822 Mailing address 3201 'C' STREET * ANCHORAGE. AK 995-3 Unless othenvise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site 0 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 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. DSO 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 samples. (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. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, orprior to closing for the engineering services provided. 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. 1 further verify that based on the information obtained from the Municipality of Anchorage riles 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 28 . ANCHORAGE. AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKW WC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal tight whatsoever. Phone 337-6179 Date I ICA-• 5. DSD SIGNATURE Approved for bedrooms. Disapproved. O F ASC Conditional approval for bedrooms, with the tllowing stipulatiQq�QQ .•'' • •.'y0�� ON-SITE •• c � . WATER ANU INASTEWATER •. PROGRAM X111111 � Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By. (R".11/01) Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: //z('l'Z i i Municipality of Anchorage 0 Development Services Department Building Safety Division On -Bite water 3 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 www.darochorege.akus (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: CONIFER HEIGHTS SUBDIVISION; LOT 5, BLOCK 3, Parcel ID: 015-093-18 A. WELL DATA Well" �A1E If A, B, or C provide PWSID# N/A Well Log (YM) YES Date completed 4/27/78 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 400 ft. Cased to 185 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 4/27/78 9/6/2002 Static water level UNKNOWN ft. 260 ft. Well production 2.5 g,p,m. 1.12 g.p,m, WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Nitrate aaM mgJL. Other bacteria 0 colonies/100 ml. Arsenic: N A mgA. Date of sample: 9/5/2/002 Collected by: AKWWC, INC. B. SEPTIC/HOLDING TANK DATA ,1G f<° goad+ oytlS t yt+tB In+i t1+ u� B�Fd� i ' Tank Type/Material GREER/STEEL_ Date installed 5/11/78 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation deanout (Y -!9! Depression over tank (YM) NO High water alarm (Y/N) N/A Date of pumping 9/5/2002 Pumper DENALI SEWER do DRAIN C. ABSORPTION FIELD DATA rBELOW EXI911140 OWE I Date installed 5711/78 Soil rating (g.p.d./ft'or drtn 200 System type TRENCH Length 59 ft. Width 5 ft. Gravel below pipe "5 ft. Total depth *&75 ft. Eft. absorption area 590 ft' Monitoring tube YES Depression over field NO Date of adequacy test 9/6/2002 Results (Pass/Fall) PASS For 3 bedrooms Fluid depth in absorption field before test68 in. Water added 55166 gal. New depth "'76 in. Elapsed Time: 1437 min. Final fluid depth 66.5 In. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YM 8 type) NONE KNOWN If yes, give date — 007' 0 END OF TRENCH PER 1978 INSP. REPORT. •0•11 INCHES BELOW INVERT. D. LIFT STATION Date installed Sae in gallons Manhole/AccP« (YRd) "Pump on" level at _in. "Pump off' level at _In. High water alar level at in. Datum Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAifi station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkinglvehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guideBnes in effect on this date. Engineer's Printed N me Date q/1 o�G� JEFFREY A. GARNESS HAA Fee $ 376 -- Date of Payment 9/M JOaz � Receipt Number 2,0,3 D 43:X (Rev. 12/01) Waiver Fee S Date of Payment Receipt Number I sey A. a s: C —7953 22` 09/14/02 SAT 12:37 FAX 1 907 702 3199 Jack Irblts Estate S 83'30'00 W ` � 1 LOT 6 3 m n 0 4M r tC m — 1O S 86'30'00" E gl002 LOT 5 aQ' 1 t I LOT 4 150.00' LEGEND: SET No ■�M��rveL90N MORS N r M wn+f C%�'.;* w+� 1�7��t _ iYl�n+ N Q, 'K=U�� Cer .., N ^r 'v�wr�M � W a l� Mdd� N M r/MC' .1 ar IMraN — r,yNt E PAR7C1-4 ,w .•M. .oct- ,a PRm jo � ICK 6f �R - wry^ s s�cr � Mme'° �•waa w. ��- , Wa OMEN" - ' -------- ----- rrwnr u r 'wat,e n..-ODOM- Maj ��E9R1 AS g U' T OF: 12A.L ptx,iitMCe �v.m�i �.' IANO a: cONSTNUCt1ON SURVE7OR5- ,uf ��=69266 1..0T 5, BLOCK 3, ANCHOORAOLAALLAASKALVD. 09603 .0.amNLI"L �2� � �;�.. CONIFER HE SUBDIVIS N 2002 -L -405A ,2„ O.0 2.+o RtTY.t700 09/18/2002 07:50 FAX 9078686770 A+ Rose Services, Inc. C0' 1 k •t�4 \ fYLI !!J' A+ HOME SERVICES, INC. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 CUSTOMER ' Lori Roth 7820 Port Orford Anchorane. AK 99516 Block Lot DATE DESCRIPTION u9-17-)2 Install Double Clean out Q 001 r INVOICE# 22566 I. y y, ipy N �,Mp•��.,�. ,� Thank you fgt the oY' 4' ipPOItonity� �t01'Ei rlw: 'i,a< hey ;n �1e:t`APDo's and Don'ts drat Wq hope you 1m he vfo owed can he fat b the evi rystom''if you ha►c { 1P . tv of your 41�+ orCoace[naese �o not hesitate to can. I also mail a rem m Zn( IT ' �timo for oalo AMOUNT /�.tiv y wu + wuce. hanks, l3ov. 562-7172 346-1067 i TOTAL REN111iiKSBw, /, � i�G�'„' �-• g Fri i�•.71L ' _ Gallons Septic Leach Area Holding Tank Standplpes Time ❑ PROBLEM AREA —CALL FOR MORE INFORMATION ❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape ❑ sludge buildup on bottom ❑ Floater on top ❑ Jim cap missing or ❑ Cut standpipe to 1' above ground ❑ Needs Septictrine needs replacing MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES AEPM - 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. # 0l b - D q 3 -I r E HAA # I1 U) \ Pln n 1. GENERAL INFORMATION Complete legal description 1A i �� K - Co K 11- eQ- i4 r=: I.614 s Location (site address or directions) 75,90 Po0-T0121=0P-0 Property owner ROD I NI G a m m Day phone Mailing address Lending agency Day phone Mailing address Agent Iii SEA P 2v oU MMA s l+ E:L-1-0 NDay phone y) - q7 & Address 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 TYPE OF WASTEWATER DISPOSAL, f _ :Individual on-site 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 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 Firmo bb� ►� at t r ��urlc.l, k Phone 279-39/1a, Address A-0 ,,tai 16" -to 3 / Engineer's signature Date ��•3! ?9 6. DHHS SIGNATURE Approved for T Wd bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By F Date %' G D. LIFT STATION I L I Date installed Manhole/Access (Y/N) Size in gallons "Pump on" level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot M "Pump off" level at* On adjacent lots Absorption field on lot > I mo I On adjacent lots 1 Public sewer main N/A Public sewer manhole/cleanout Sewer /septic service line X921 Lift station 't4/,4, SEPARATIONDISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation Property lineIvo Absorption field l D � Water main/service line .}95 Surface water/drainage � 1 `0 Wells on adjacent lots *> /4 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10 1 Building foundation 1 IO Water main/service line > �5 r Surface water N l 0 Driveway, parking/vehicle storage area > o Curtain drain I-' I t? Wells on adjacent lots �4/ ew F. ENGINEER'S CERTIFICATION l certify that l have determined thru field inspections and review of Municipal =r �J6-Mothe4pgj✓e�4�Tstems are in conformance with MOA HAA guidelines in effect on this date. z Signature - 6. d l Engineer's Name 1 e iO�i { y 1/. a ti ...� t.� Date HAA Fee $ 0 VD ' Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number 1. GENERAL INFORMATION Complete legal description 1-o f 5, )3 tom. Co,, "Per, Ak� fgh fr S/l, Location (site address or directions) 78 20 Pouf or-rcQ Dr Property owner 7 -,qv 0 P11 cc ,- __.--_ Day phone 3Y,5' -_7,50Q Mailing address 686/ l.av,r�f. 6 rcle 4ncAc!2a e Ak 995�6-6s"69 Lending agency Ca rn en Plort Rock Aeo- Bo -6 cer S ee -re-,2'�c Day phone62O6i Z"/ -'V6Gp Mailing address 19SSo , /'/, 6/vim, �m 310", Se« bac , WA 98 /8$ 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. l 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 disposalFsystem is in compliancewithall Municipal and State codes, ordinances, and,, regulations in effect on the date,of this inspection. lit, TecA n l ca t Sel"I ll e el Name of Firm �/a Phone' 12 yam' /3, Address J? l9 Engineer's..signature � Date He,� q�7 �� , By: LC,w kZ "Date `� .` 2 y 7 n CAUTION 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 doesthis 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 Munici all ,of,Anchorage is not responsible for errors or omissions in the professional engineers work. 72-025 (Rev. 1/91) Beck MOA f21 e t 4 S ._� '�f •Ri fff Rff fff � �THEODONE F MOORE y 6. DHHS SIGNATURE fp "►� CE - 345)-'? ✓r 3 sr f • f a • a oa1° Approved for . bedrooms.: Disapproved. Conditional approval for bedrooms, with the following stipulations: By: LC,w kZ "Date `� .` 2 y 7 n CAUTION 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 doesthis 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 Munici all ,of,Anchorage is not responsible for errors or omissions in the professional engineers work. 72-025 (Rev. 1/91) Beck MOA f21 D. LIFT STATION N , 14 Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* "Pump off' level at* High water alarm level at* *Datum Cycles tested - RECEIVED E. SEPARATION DISTANCES MAY 19 1957 SEPARATION DISTANCES FROM WELL ON LOT TO: Municipality of Anchorage Dept, Health &Human Services Septic/holding tank on lot 100 ' On adjacent lots > 10c) Absorption field on lot /to- On adjacent lots > l vU ' Public sewer main N • A Public sewer manhole/cleanout N , A. Sewer /septic service line �2t ZS Lift station N . A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Building foundation 6 Property line '3S-' Absorption field 5 Water main/service line > 10 `_Surface water/drainage > Itx) Wells on adjacent lots > 1c)0 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation t o ' - Property Line 7S' ' Water main/service line Surface water > too' Driveway, parking/vehicle storage area 25 ` Curtain drain N on d, 5 e en Wells on adjacent lots > ioo ' F. ENGINEER'S CERTIFICATION - 1 certify that l have determined thru field inspections and review of Municipal records�t��iove ys tiA{pr's in conformance with MOA HAA guidelines in effect on this date."$ Signature Jc."W�J"K�-4tRte 4iii«�VYla tfyMalY+. 3 Engineers � s Name A c eEo�� KG _A e f e Here � 'K: r ,aL? a� f",• Date hM a )90 01 7 r *°*« • « , z w�" . �' HAA Fee $ zoo =G Waiver Fee $ Date of Payment- 9^ 9 7 Date of Payment Receipt Number - 0 Receipt Number Rev. 8/95 OSS: haa:wk.doc MUNICIPALITY OF ANCHORAGE I&I I • DEPARTMENT OF HEALTH & HUMAN SERVICES_ ARM 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. # I)C J - 0 1 3 ^ f HAA # 14 / f V (OZ 1. GENERAL INFORMATION Complete legal description 6,fE Location (site address or directions) 7 8 Z -o pc �-t- Or,4�5rv(_ Dr, ,�g Property owner Day phone 3 -16 -19 eK_ Mailing address 11-61. 13o x 1106'Z3, ,4,? cAa feeP, Lending agency ►moi'' -t !-er_rA2344v fe nu4 k Day phone Sd 2-1300 Mailing address 3.30/ �C " 57,1. Agent C/A i �' %� &M s -e . JGc k lu hale la Day phone 66 3 -sem oa Address 320 / , fin C� 0 rad e, �4-� q9S o-3 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 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 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 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 Fla 1-fc o i e (An c c a � Phone 3 ` - ► IZ Address /W s3o C"�G►o S� f}ncl�oragP, �� 99.s l6 Engineer's signature Date_1�(� )99Y 6. DHHS SIGNATURE Approved for Disapproved. By: Conditional approval for Additional Comments OF- At 1111/yyyyyyiii�l////�#�I 11.11.1••••11, �•/•1.11 e�'L'r1V�r. W:. 1111 • •...1 .... 11� • TiiEODO.FE F. MOORE ,t�1 •1• CE - 35£39 • " -, �y 1 ��+�A, xa►+�; moi', bedrooms. bedrooms, with the following stipulations: CAUTION 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 orderto 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 (Rev. IM) Beek MOA M27 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L S: t31 k, 3, Cr, n jCeT 14 fs Parcel I.D. A. Well Data Well type Pest If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Y Date completed y/ 7 8 Driller S v Yell Total depth q 00' Cased to 18S Casing height 2 2 to Sanitary seal (Y/N) Date of test Static water level FROM WELL LOG H/Z7/79 Wires properly protected (Y/N) AT INSPECTION z� o z n 267 � o Well flow 2. S g.p.m. / , 1 g.p.m. 'eo D m Pump levell SEPARATION DISTANCES FROM WELL TO: Septictholding tank on lot I o'y ; On adjacent lots > too' Absorption field on lot > (00, ; On adjacent lots > (oo, rri-� o 0 lcvN �) Z Public sewer main N. A. Public sewer manhole/cleanout N. 4. Sewer service line N. A. (> 2S'i Petroleum tank Nol) a Seen WATER SAMPLE RESULTS: Coliform O cc,( /too ,.. Q Nitrate o. ZS_ rng /-2 Other bacteria none ".0 or -f edt Date of sample: ►► /,1 / 9 `/ Collected by: Ffa.f�.r j ecA S vc B. SEPTIC/HOLDING TANK DATA Date installed S- /I I / %F Tank size 1000 1 Compartments 2 Cleanouts (Y/N) Y Cl � Foundation cleanout (Y/N) veil Depression (Y/N) High water alarm (Y/N) N.A. Alarm tested (Y/N) N. A, Date of pumping )2/i /93 Pumper M c A c n a l0 s SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot (0q' On adjacent lots > 100' Foundation 5 ' To property line 30' fv Absorption field 5' Water main/service line > Z6"' Surface water/drainage > 100, 72-026(3M)•Front CONTINUED ON BACK PAGE C. LIFT STATION Al • A. Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" Level at Cycles tested Surface water Date installed 5 / i i / -7 f Soil rating (GPD/Ft') 200 r3' 11W rte•, System type T reA c4 Length 5-2 Width S' Gravel thickness 60 " Lai depth 10, Total absorption area S9 o Cleanout present (Y/N) r Depression over field (Y/N) N Date of adequacy test 11 (W / 9 W Results (pass/fail) Pas < for 3 Bedrooms Water level in absorption field before test 75 to After test` 7 7 " Peroxide treatment (past 12 months) (Y/N) Nooe kn o w l? of If yes, give date N. A. K Pcral - ui 1 fJ gYtx crC / Gft/ofs+ of M.T. _ �7 Y rr SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot -> tats' On adjacent lots > ( o I Property line 3a' To building foundation 10, To existing or abandoned system on lot Al. A. On adjacent lots -> 30' Cutbank N. A. Water main/service line 7 2 s ' Surface water -> iao ` Driveway, parking/vehicle storage area So Curtain drain No n e s e e n E. ENGINEER'S CERTIFICATION 1 certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. j iO Signature �-�s a • %C04 PAQ4000 Engineer's Name 7T6 cryevw T=. t�r�c��-e Y . ..... . '::n ..0«. Date Nuycm ti er 1Z 199 y L,r C - s5) a`a r s HAA Fee $ 3 0o G U c, Date of Payment �� 6 Receipt Number 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 December 6, 1994 Jim Cross, P.E. M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Mr. Cross: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 Per our discussion, today I reinspected the monitor tube at the downstream end of the soil absorption trench serving the residence on Lot 5, Block 3, Conifer Heights S/D, located at 7820 Port Orford Drive. The invert of the horizontal distribution pipe was visible at a height of 84 inches above the bottom of the monitor tube, and the fluid level was 71 inches above the bottom of the monitor tube. Thus, the present fluid level is 13 inches below the invert of the horizontal distribution pipe. According to the as -built inspection report prepared at the time the system was installed, the effective gravel depth throughout the trench is 60 inches, although in the vicinity of the monitor tube the gravel depth is 84 inches. Thus, the present fluid level (13" below the invert) corresponds to 78% of the effective gravel depth. The maximum fluid level measured during the course of our adequacy test on November 4, 1994 was still 7" below the invert of the horizontal distribution pipe, which also corresponds to less than 90% of the effective gravel depth. If I understand your guidelines correctly, the above measurements should allow you to issue an unqualified Health Authority Approval certificate. Please give me a call if you have any questions. Sincerely, T� Ted Moore, P.E. cc: Steve Rieger, c/o Clair Ramsey, Jack White Co. VI T� �VV' � 9 ✓% .i/ i Y � .ter_ q 64 1— - hi ITY Ur /i1V�nv.,...- n DEPT. OF H-ALTH & UNICIPALITY OF ANCHORAGEENVIRONMENTAL PF.OTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION / 825 L Street - Anchorage, Alaska 99501 6. TYPE OF RESIDENCE JUL 10 ,980 ENVIRONMENTAL ENGINEERING DIVISION ❑ One ❑ Four ❑ Other 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. PROPERTYOWNER PHONE Leonard N. and Joanne F. Bell 349-2778 MAILING ADDRESS ❑ COMMUNITY c/o Alaska Pacific Bank, P. 0, Box 420, Anchorage, AK 99510 ❑ PUBLIC UTILITY PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Steven A. Rieger 276-3588 MAILING ADDRESS PUBLIC UTILITY c/o Alaska Pacific Bank, P. 0. Box 420, Anchorage, AK 99510 NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 3. LENDING INSTITUTION PHONE Alaska Pacific Bank 276-3110 MAILING ADDRESS P. 0. Box 420, Anchorage, AK 99510 4. REALTOR/AGENT PHONE Donald LeMaster 277-0115 MAILING ADDRESS 3501 E. 42nd, Anchorage, AK 99503 5. LEGAL DESCRIPTION Lot 5, Block 3, Conifer Heights Subd.. STREET LOCATION NHN Port Orford Drive, Anchorage, AK 99507 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS L7 SINGLE FAMILY ❑ One ❑ Four ❑ Other ® Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY M 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.) S. SEWAGE DISPOSAL SYSTEM ® INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date F-1 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. THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1 TYPE OF RESIDENCE ❑ SINGLE FAMILY ED MULTIPLE FAMILY NUMBER OF BEDROOMS F-1 ONE ED THREE D FIVE O OTHER ED TWO 0 FOUR 0 six 2. WATER SUPPLY E3 INDIVIDUAL COMMUNITY PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM E] INDIVIDUAL/ON -SITE OPUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER EDSeptic Tank qr M Holding Tank Size: I 00(j If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area ISewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR BEDROOMS 0 CONDITIONAL APPROVAL (letter must ac any certificate) E:1 DISAPPROVED 77 DATE � —,) I BY (T' a)/ / I LEGAL DESCRIPTION -12-010 (Rev. 3/78) THIS SIDE FOR OFFICIAL USE ONLY 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 EJ PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER E] Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holdinh 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) Et/61SAPPROVEQ DATE \0 ..�0 BY '1e) LEGAL DESCRIPTION 72-010 (Rev. 3/78') YU& I X�r��tnm 6-ynl.�.` 0 �nLJ4\.G I �tLt� C C, VACATION OF RIGHT-OF-WAY OR EASEMENT APPLICATION Municipality of Anchorage DEPARTMENT OF COMMUNITY PLANNING P.O. Box 6650 Anchorage, Alaska 99502-0650 A. Please fill in the information requested below. Print one letter or number per block. Do not write in the shaded blocks. 0. Case Number (IF KNOWN)., 901 VacationC-��eTax I.D. Number 2. oo�eeo©■■©■6©©■©e■e■■e©■■o©■oe■e■e© 3. Existing Abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOT 34). ■■■■■■■■■■ ■■■■ Address: 78aO FDX�l OXrO D DP -- City: 14�lct4 State: J+/ - Zip Code: 79S-16 Phone No. 5%ZZ 3378 Address: 440 W Obi 3w—J MT City: State: /114-/ sZip Code:q9 5y3 Phone No. 56 Z ' S Z% 6. Petition Area Acreage. 7. Proposed Number Lots. 8. Existing Number Lots. 9. Written Justification. o.9 o0) DO1 S 10. Grid Number. 11. Zone. �44o R6 12. Fee $ 3 5b ' Uy 13. Community CouncilH SLI-51DE 1�5 % B. I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire to vacate it in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic vacation fee is nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the vacation. I also understand that additional fees may be assessed if the Municipality's cost to process this application exceed the basic fee. I further understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff, Platting Board, Planning Commission, or the Assembly due to administrative reasons. Date: 114- 05 r -4 &e 20-019 (Rei. 4M)- Front 'Agents must provide written proof or authorization. C. Please check or fill in the following: 1. Comprehensive Plan - Land Use Classification Residential 7 Commercial 7 Parks/Open Space 7 Transportation Related 7 Marginal Land 7 Commercial/Industrial 7 Public Lands/Institutions 7 Alpine/Slope Affected 7 Industrial 7 Special Study 2. Comprehensive Plan - Land Us10Y.: F t 0 DwellIVWts 0r 7 Special Study 7 Alpine/Slope Affected 3. Environmental Factors (if any): a. Wetland 7 b. Avalanche 7 1. Developable 7 2. Conservation 7 c. Floodplain 7 3. Preservation 7 d. Seismic Zone (Harding/Lawson) 7 D. Please indicate below if any of these events have occurred in the last three years on the property. 7 Rezoning Case Number: 7 Subdivision Case Number: 7 Conditional Use Case Number: 7 Zoning Variance Case Number: 7 Enforcement Action For 7 Building/Land Use Permit For E. Legal Description for Advertising. F. Checklist Waiver 7 30 Copies of Plat 7 Reduced Copy of Plat (8 1/2 x 11) 7 Certificate of Plat X Fee 5W.Topo Map 3 Copies 7 Soils Report 4 Copies 9 Aerial Photo Eh Housing Stock Map WZoning Map 7 Water: Private Wells 7 Community Well 7 Sewer: Private Septic 7 Community Systems 20-019 (Rev. 4/92)* Back 7 Public Utility 7 Public Utility LOT 6 o_ c 1 4- ...................... �^— . nneih. L... r........ enneth L. Greyer/ LS -8202 L,+ A o_ C7j�i 83'30'00" 49.38' ,�\ '\ S< 0 • O `i i I OT 5 (42,411 S0. FT.) 30 i Os % 0 0 V n" h p 59 a 10' UTILITY 'I EASEMENT °' S 86'30'00" E 750.00' I Lor 4 SEE DETAIL 30, I SCALE 1"=10' � 7 DIMENSIONS ARE TO THE CENTER OF AN 8" DIA. rn WELL CASING. rn E%CLU40N NOTES: It is iM1e oMn ri responsibili`y to determine COVendnl5. O! <strl Clion3 5/4�RB W/CAP* 5/9' PB E 5 TE \/E[«e R E G E R lM1! exislene[ O( any easeminle.[ .nick ao not appear on 'h recorded spbd"sion plot. NOM: us' AL.UoN. OMOtNMEN1 E dols M1ereon be used for HUB & TACK 0 Under n cum<tanPee shOWd any onsttaction or for establishing Properly lines. FENCE- —x—FAN x - SURVEY CERTFICA90N: LANiECM M1az conducted a OVERXANG- this os ss o.n on this NCS] DECKS - ' survey a( rproPerlY d i[g and IM1OI the i Provlments ifual[d lF[he AS^XALiE �- no enttOa[ mn areal O Pols e% sl nOtM1<I 1M1anernOt<deS and GRAVEL- �— GK. $1ANOPIPES- Q$ AS — B U I L T OF: LEGAL OESCRIPTON: WAiFR wEu— LAND & CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERS 440 WEST BENSON BLVD. $ 103 562-5291 LOT 5, BLOCK 3, ANCHORAGE. ALASKA 99503 (907) YNRK OPOER NUMBFA:oAID _ NGV. 30, 1994 1 -40' (lax) 561-6626 CONIFER HEIGHTS SUBDIVISION 94-S-30Ap M-D-Yll—'VDB.--2146 pMp. KEN 2440 327/63 January 3, 1995 Department of Community Planning & Development P.O. Box 6650 Anchorage, Alaska 99502-0650 RE: Proposed Utility Easement Vacation (under 1 foot) Lot 5, Block 3, Conifer Heights Subd. (grid 2440) 7820 Port Orford Drive Owner: Jay & Pilar Sterns 7820 Port Orford Drive Anchorage, Alaska 99516 The center of the existing well casing encroaches into a 10 foot utility easement as shown on the attached asbuilt survey. We are proposing to vacate that portion of the easement that is currently occupied by the well casing. An aerial easement will still exist above the well casing per Chugach Electric Associations request. We have obtained approval from all affected utility companies for this proposed vacation. The purpose of this request is to clear up the "cloud" on the property that exists because of the well encroachment. This will also make the property financible through conventional mortgage channels. Thank you, Ken Dreyer, RLS LANTECH, INC.. SURVEYORS . PLANNERS . ENGINEERS 440 W. BENSON BLVD., SUITE 103 . ANCHORAGE, AK 99503 . (9071562-5291 . FAX 561-6626 CHUGACH ELECTRIC ASSOCIATION, INC. �ec�ric SOLAf10M. INC. December 22, 1994 Lantech, Inc. 440 West Benson Blvd., Suite 103 Anchorage, Alaska 99503 Attention: Ken Dreyer Subject: Letter of Non -Objection for Partial Vacation Lot 5, Block 3, Conifer Heights Subdivision Dear Mr. Dreyer: Chugach Electric Association, Inc. has no objection to the partial vacation of that portion of the platted utility easement into which the existing water well encroaches on the south side of the above referenced property, as shown on the enclosed As -Built Survey by Lantech, Inc. dated November 30, 1994. However, an airspace easement over the well casing must be retained. This non -objection is given on the conditions that a copy of the as -built survey showing the encroachment is recorded with the utility easement vacation resolution, and copies of the recorded resolution and as -built survey are provided to Chugach. If you have any further questions, please contact me at 762-4780. Sincerely, Jim K. Topolski Manager, Land Services JT/cc/kjt VACATE/CONIFER cc: ATU, Greg Schmid Prime Cable, Clint Housley MOA, Jerry Weaver 5601 Minnesota Drive • P.O. Box 196300 • Anchorage, Alaska 99519-6300 Phone 907-563-7494 • FAX 907-562-0027 "_/ T-11 December 7, 1994 Steven A. Rieger 7820 Port Orford Drive Anchorage, Alaska 99507 Dear Mr. Rieger: Prime Cable of Alaska has no objection to vacating that portion of the platted utility easement where the well encroaches on Lot 5, Block 3, Conifer Heights Subdivision, City Grid 2440. If you have any questions, I can be reached at 786-9381. Sincerely, ��'` Clint Housley System Designer CH:jb xc: Jim Topolski, CEA Greg Schmid, ATU 5151 FAIRBANKS STREET • ANCHORAGE, ALASKA 99503 • (907) 562-2400 ,%-mc ORt1GE'ATA-ml R & "TA STI±W11iER IITILI' - Rick .11!ishnm. Mayor Engineering Division 3000 Arctic Boulevard Anchorage, Alaska 99503-3898 Fax Number (907) 562-0824 Lantech, Inc. Ken Dreyer 440 W. Benson Blvd., Suite 103 Anchorage, Alaska 99503 December 7, 1994 U¢ned by (he Jlunicipahly o% .1 nchorayc SUBJECT: VACATION REQUEST - Conifer Heights Subdivision, Block 3, Lot 5 The Anchorage Water & Wastewater Utility has reviewed your request dated December 5, 1994, for vacation of a portion of the utility easement located on the south 10' of the referenced property. The subject easement and existing well encroachment are shown on the as -built which was submitted with vacation request. The AWWU certificated water service area does not include the subject parcel. Sanitary sewer is not available to the referenced lot. AWWU does not foresee use of the referenced easement for either water or sanitary sewer mainline extension, and has no objection to the vacation of that portion of the 10' utility easement occupied by the existing well. This letter of non -objection is being issued to supplement your application to the MOA Department of Economic Development and Planning per Title 21.15.130.d of the Anchorage Municipal Code regarding vacation and replatting of the subject property. Should you have any questions, please call Hallie Morrison at 564-2721. Donald C. Keefer Planning Supervisor Engineering Division Anchorage Water & Wastewater Utility GRID 2440 [wwhmm.wp.easement]72 ENSTAR ENSTAR Natural Gas Company C ® A A DIVISION OF SEAGULL ENERGY CORPORATION 3000 Spenard Road P.O. Bax 190288 Anchorage, Alaska 99519-0288 (907)277-5551 November 16, 1994 Lantech 440 W. Benson B1vd.,Suite 103 .Mr. Ken Dreyer, RLS Anchorage, Alaska 99503 Dear Mr. Dreyer: ENSTAR Natural Gas Company has no objection to the vacation of the utility easements on Lot 5 Block 3, Conifer Heights Subdivision. These easements are not needed by ENSTAR. If you have any questions please call me at 264-3743. Very truly yours, Dan Westervelt Right -of -Way Agent C3?�i 600 Telephone Avenue • Anchorage, Alaska • 99503-6091 • 907 564-1000 December 13, 1994 Lantech, Inc. 440 West Benson Blvd. Suite 103 Anchorage, Alaska 99503 ATU Telecommunications has no objection to the vacation of that portion of the easement occupied by the existing well on Lot 5, Block 3, Conifer Heights Subdivision, as depicted on the as -built drawing submitted. Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: 1. ATU will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 2. Any ATU facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ATU. 3. Any costs incurred by ATU for special construction necessitated by this encroachment will be borne by the property owner. 4. All applicable safety code regulations will be observed and maintained. 5. This letter of non -objection will in no way preclude ATU from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, AT TELECO MUNICATIONS Greg timid, Foreman Outside Plant Engineering ACCEPTANCE: DATE: AC&P # 360 CS\le\g:wpCor/vacation/Conifer.Hts r. . TU •Y . • TELECOMMUNICATIONS 600 Telephone Avenue • Anchorage, Alaska • 99503-6091 • 907 564-1000 December 13, 1994 Lantech, Inc. 440 West Benson Blvd. Suite 103 Anchorage, Alaska 99503 ATU Telecommunications has no objection to the vacation of that portion of the easement occupied by the existing well on Lot 5, Block 3, Conifer Heights Subdivision, as depicted on the as -built drawing submitted. Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: 1. ATU will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 2. Any ATU facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ATU. 3. Any costs incurred by ATU for special construction necessitated by this encroachment will be borne by the property owner. 4. All applicable safety code regulations will be observed and maintained. 5. This letter of non -objection will in no way preclude ATU from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, AT TELECO MUNICATIONS Greg timid, Foreman Outside Plant Engineering ACCEPTANCE: DATE: AC&P # 360 CS\le\g:wpCor/vacation/Conifer.Hts